Dr. Goff commonly prescribes specific strengthening exercises for his patients with back, neck, and extremity problems. These exercises can decrease pain, prevent muscle deterioration, promote joint health, increase strength, stability and range of motion, and protect against new or recurring injuries.
Dr. Goff will show you how to do the exercises and supervise you until you are comfortable doing them on you own. It's important to keep up with your exercises as prescribed (similarly to drug prescriptions). Studies show that individuals who follow their exercise instructions heal faster than those who do not.
Following an injury, therapeutic stretching is an important way to prevent scar tissue from forming. Even after the injury has healed, maintaining a regular stretching program helps keep tissues flexible, increases mobility, and protects you from new injuries. Like exercise, your chiropractor will instruct you on proper stretching techniques and will supervise you until you are comfortable enough to do them on your own.
In traction-massage, the patient lies face up with a pillow under the knees. A system of rollers then moves up and down the spine, gently stretching and massaging the muscles of the back. Traction-massage usually is performed just before an adjustment to relax the spine, making the adjustment easier to perform, more comfortable, and more beneficial.
Chiropractors also use more traditional traction in which traction devices are applied to elongate areas of the spine. This treatment helps separate the vertebrae resulting in disc decompression, reduced nerve root pressure, and decreased pain.
This type of therapy uses light electrical pulses that are transmitted to specific areas of the body through electrodes placed on the skin. There are many different types of electrical stimulation. Some are more beneficial for pain relief or to reduce inflammation, some for muscle spasm, and some actually cause muscles to contract in order to reduce muscle atrophy. Some have combination effects.
A TENS (transcutaneous electric nerve stimulation) unit is a small, battery-powered, portable muscle stimulation machine that can be used at home to help control pain. Variable intensities of electric current are used to control pain. This treatment is recommended to help patients get through periods of severe (acute) pain. TENS units are typically not recommended for chronic pain.
Therapeutic ultrasound is a form of deep heat therapy created by sound waves. When applied to soft tissues and joints, the sound waves are a form of micro-massage that help reduce swelling, increase blood flow, and decrease pain, stiffness, and spasms.
Ice and heat have long been used to treat many painful conditions. Ice therapy is often used to reduce swelling and help control pain immediately after an injury. Heat therapy is used to relax the muscles and increase circulation and can provide relief to patients with chronic pain. Depending on the patient's condition, a combination of ice and heat can be used.
A unique form of massage, that targets the fascia, the thin tissue that covers every organ, muscle and fiber in the body. Myofascial release is a gentler form of massage that is specifically used to target such maladies as sports injuries, fibromyalgia, back pain, recurring headaches and the like.
To relieve pain quickly Dr. Goff uses Bio-freeze and also recommends using Bio-freeze at home. Lightly massage BIOFREEZE® into all sides of sore muscles. For joint pain, fully coat the area. When flexibility is decreased due to injury or arthritis, massage in and around the joint. Bio-Freeze is also effective in lessening arthritis pain. Bio-freeze can be used up to 4 times per day. When using tape, wraps or supports, be sure all materials are breathable. Never use nonporous materials when treating painful areas.