Feel Good Again

Chiropractic care not only offers relief from accidents and sports injuries, but it also can increase performance, improve vitality and lead to a higher quality of life. DSC_3702_2

Treatment with Dr. Lewis offers:

  • Straightforward answers regarding cost, length of treatment and diagnosis of problem.
  • Solution-orientated care consisting of corrective therapy with an aim toward preventing recurring problems.
  • Lifestyle, diet and exercise analysis and prescription.
  • Team approach incorporating all disciplines of health care.

The Journal of American Medical Association (JAMA) now recommends chiropractic as first means of back pain treatment.

The JAMA`s recommendation comes on the heels of a recent study out of the medical journal Spine where sufferers of lower back pain all received standard medical care (SMC) and half of the participants additionally received chiropractic care. The researchers found that in SMC plus chiropractic care patients, 73% reported that their pain was completely gone or much better after treatment compared to just 17% of the SMC group.

Link to full article.
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Foot & Ankle Care in San Miguel

“Mike Lewis, D.C.  has developed a very effective program to improve balance and alleviate many of the foot problems that affect individuals living in San Miguel. It is especially important to establish healthy patterns as we age to prevent falls and more serious problems.   The program is simple, painless and works!  I highly recommend it.”

                                                                                               Jean Revere, D.C.

 

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We all know that living in San Miguel places an extreme demand on the foot and ankle. In response, I have created a specific treatment protocol for the care and prevention of foot and lower leg problems. This protocol will address current pain and dysfunction in the knee, ankle and foot. People that would benefit from this treatment program are those that now suffer from:

  • Foot pain, including plantar fasciitis,
  • Knee and ankle pain, such as pain walking up or down stairs,
  • Weak ankles or a feeling of being unstable,
  • Poor balance with a history of falling or a fear of falling,

Each 40-50-minute sessions consists of four components; two of which focus on removing the damage caused from the past and two components that focus on creating better function for the future:

 

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Component #1.  Massage and trigger point therapy releases tight muscles and knots while bringing healthy nutrition to tired muscles. The manual therapy also breaks up scar tissue caused from old injuries and/or years of overuse.

 

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Component #2 incorporates the MELT Method of foot therapy. Supervised exercises are performed using rubber balls of varying densities. The exercises flush out trapped toxins from the past while rehydrating with fresh nutrition and oxygen to tired muscles, ligaments and tendons. This protocol further breaks up old scar tissue while initiating balance training.

 

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Component #3.   Targeted stretching of the lower leg allows for unrestricted foot function and walking. When a tight Achilles tendon  pulls up on the heel bone (calcaneus), undo tension is created in the plantar fascia and other tissues of the foot. The bony structures of the foot, which should be relaxed in the swing phase of gait, remains rigid and taunt throughout all phases, thus causing damage and abnormal function.

 

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Component #4.  Retraining or “rewiring” your system of balance, or “proprioception”, is imperative when aiming to prevent future falls or injuries. We begin with very basic and simple balance exercises on a wobble board and progress to more difficult exercise when ready. (We will perform a balance pre-test before performing #1 and then administer a post-test to demonstrate the immediate benefits to your ability to balance yourself.)

Patients are given simple exercises to perform at home in between sessions.

Testimonials:

“I went to see Mike Lewis DC – Foot and Ankle Care as I have had two knee surgeries (ACL repairs) in a 10 month period. I still favor my left knee when going down stairs and have some “awareness” (mild discomfort, not pain) in my right knee at all times. After one session – four are recommended – I noticed immediate improvement. I had no awareness in my right knee which is a good sign as this so rarely occurs and it felt stronger, more stable and my balance felt improved.

I would recommend trying his sessions to see if they may be of benefit to you, if you have had an injury too or even better yet to improve balance and prevent injury.”

 

“After the foot treatment, I walked to Conexion and then home to San Rafael…I felt like I was walking on air. I had forgotten how the small bones of my foot could get “stuck” and with the treatment, all was moving again.  It was a real relief!”

 

“I think the treatment you’re offering is excellent. My experience was positive and I felt an immediate improvement. I look forward to working with you when I return to San Miguel.”

 

I am excited and confident that most mild to moderate foot disorders will resolve or be greatly reduced in only four sessions. Outcome assessment tools will assist in monitoring progress. Referrals to local podiatrists or other providers will be made when appropriate. The cost for each session is $450-mxp.

(Foot and Ankle Care treatments are separate and independent of other chiropractic care – No spinal manipulation is included in the Foot & Ankle Care program.)

For appointments or to ask a question, email lewisquiro@gmail.com or call 415 119-4693.

The Achilles Heel of San Miguel

“When I first went to Dr. Lewis, I had been thinking about contacting my orthopedist in Queretaro.  I was thinking that perhaps I needed knee surgery…or who knows what?… Instead, I saw Dr. Lewis and he gave me some exercises to do and I was amazed that what I thought was a BIG problem was quickly resolved by stretching my calves and also my arches every morning.  I do these exercises faithfully as I don’t want to return to my prior difficulties in walking.”   A.P. 9/14

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(photo 1)

I think I have treated more feet and ankles in my first year here in San Miguel than in my 15-years in Seattle, or so it seems. The reason of course is two-fold; here we walk instead of drive and we walk on rocks!

What could be first be considered as a nice massaging quality that the cobblestones offer the feet can soon become troublesome. Yes, there is some initial benefit to walking on the uneven rough surfaces, but “more” is not always better, and as we increase distances, the unforgiving terrain takes its toll.

Therefore, I wanted to share a couple of simple low-tech “counter-measures” that have proven effective with many of my patients suffering from foot, ankle and/or kneed pain:

Stretching overworked calf muscles not only reduces tension in the knee but allows for relaxed foot mechanics – if the stretches are complete and done correctly.

Looking at the anatomy of the leg (see photo 1), two muscles attach to the Achilles tendon: the gastrocnemius (which originates across the knee joint) and the soleus muscle (which originates below the knee). The Achilles tendon then attaches to the backside of the heel, or calcaneus bone. If the gastrocnemius or soleus is tight, they can “crank up” tension on the heel making the plantar fascia (attached to the front side of the heel) taunt thus the bones and joints of the foot become rigid. A rigid foot is less capable of absorbing the demands of our streets. Make sense?

Solution: A program of stretching both muscles of the lower leg:

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(photo 2)

1)  Because the gastroc muscle crosses the knee joint, you must keep the knee straight and locked during the stretch (see photo 2). Hold the stretch for 30-seconds. You should feel the stretch in the area behind the knee. Be sure to keep the heel, of the leg you are stretching, flat on the floor.

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(photo 3)

2)  The soleus is not part of the knee complex, so you must maintain a bend in the knee while performing the stretch. This takes the gastroc muscle out of the equation and you should feel the stretch at the Achilles tendon area (see photo 3). Hold for 30-seconds and keep the heel, of the leg you are stretching, flat on the floor.

Here is a good video on how to perform the stretches. 

 Here are some additional stretches for the foot and lower leg:

Massage the plantar fascia with a tennis type ball. Use moderate pressure and stay off the bony areas. Each foot two minutes each.

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Stretching the gastrocnemius by letting the heel hang off a step with knee straight/locked. Hold for 30-seconds each leg.IMG_3457

 

Stretch the soleus by letting the heel hang off a step with the knee bent. Hold for 30-seconds, each leg.IMG_3459

 

Stretch the arch of the foot using a stair. Hold for 10-12 seconds and do each leg three times each.
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Exercise Evaluations

imagesSince opening the office earlier this month, many patients have voiced concerns regarding their exercise programs. While I have tried to pinpoint why certain aspects of a routine are beneficial and what aspects may be potentially harmful, it is always best to view the routine in person.

Certified by the National Strength and Conditioning Association (the association of strength trainers for professional, Olympic and amateur athletes) I have analyzed and constructed exercise programs for athletes of all levels, whether the goal is performance enhancement or injury prevention.

Does your routine need evaluated? Start by asking yourself these questions:

  • First do no harm! Are you exercising one area, but compromising another body part in the process?
  • Is your workout balance and complete?
  • Are you keeping it fresh? The body is incredibly good at adapting to habitual activities, exercise included. To maximize benefits, a routine, you should be “mixed up” every 12-weeks.
  • Are you exercising too much, not enough?

Onsite evaluations include a visit to your gym or training facility, based on an hour workout. Cost is $500-pesos for existing patients only (and after an in office exam has been performed). In office consults with your trainer are always FREE.

San Miguel Office Opens

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I am happy to announce that starting September 2nd, I will be moving into a permanent office space at Sollano #50, at the corner of Terraplen in the Centro district of San Miguel de Allende.

To make an appointment, call me at (cell) 415 119-4693, or email me at lewisquiro@gmail.com

To learn more about my treatment style and history, please visit the Bio page on the website.