Deprecated: Creation of dynamic property wpdb::$categories is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 668

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Deprecated: Creation of dynamic property wpdb::$link2cat is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 668

Deprecated: Return type of WP_Theme::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 554

Deprecated: Return type of WP_Theme::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 595

Deprecated: Return type of WP_Theme::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 535

Deprecated: Return type of WP_Theme::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 544

Deprecated: Return type of WP_REST_Request::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 952

Deprecated: Return type of WP_REST_Request::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 972

Deprecated: Return type of WP_REST_Request::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 984

Deprecated: Return type of WP_REST_Request::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 995

Deprecated: Return type of WP_Block_List::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 151

Deprecated: Return type of WP_Block_List::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 175

Deprecated: Return type of WP_Block_List::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 164

Deprecated: Return type of WP_Block_List::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 186

Deprecated: Return type of WP_Block_List::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 138

Deprecated: Return type of WP_Block_List::offsetExists($index) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 75

Deprecated: Return type of WP_Block_List::offsetGet($index) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 89

Deprecated: Return type of WP_Block_List::offsetSet($index, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 110

Deprecated: Return type of WP_Block_List::offsetUnset($index) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 127

Deprecated: Return type of WP_Block_List::count() should either be compatible with Countable::count(): int, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 199

Deprecated: DateTime::__construct(): Passing null to parameter #1 ($datetime) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/script-loader.php on line 331

Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp.php on line 173

Deprecated: ltrim(): Passing null to parameter #1 ($string) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 3031

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Raking Leaves and a Pain-Free Fall

Raking Leaves and a Pain-Free Fall

With summer becoming a distant memory, the leaves will soon be turning colors and falling from the trees, blowing about your yard, driveway and sidewalk. So it’s only natural that your thoughts are turning to the day you’ll need to get the rake out and start to work. However—as with all maintenance and household tasks that require some physical exertion—it‘s very important for you to take a few common-sense precautions against accident and injury.

Fall yard work, leaf raking and other outdoor activities carry numerous risks, including upper and lower back strain, neck strain, and shoulder pain. Just like sports, this type of physical activity can increase your chances of getting hurt if your body isn’t properly prepared for it. You can avoid these types of injuries by warming up, stretching and maintaining good posture as you go about your work.

Athletes are able to reduce the risk of injury by warming up and stretching. You can use this approach too. The American Chiropractic Association (ACA) recommends 10-15 minutes of stretching exercises such as trunk rotations, side-bends and knee-to-chest pulls. When these are combined with a short walk or some jumping jacks (which help to stimulate circulation) and followed by additional stretches, the body is ready for the sort of manual labor associated with raking and yard work.

While raking your yard, good posture can also prevent back problems—make sure you keep your back straight and your head up! Use common sense while working: lift with your legs and bend with your knees, taking care that you don’t strain your back while picking up bundles of leaves and grass. If you’re likely to carry heavy items, hold them close to your body to help prevent back strain. In order to take the pressure off your back, rake using the “scissors” stance: put your right foot forward and the left one back, then reverse after a few minutes. When using a lawn mower, try to use your core body weight to move it as opposed to your arms and back.

Also, remember that it’s important to pace yourself and take frequent breaks. This is particularly important when the weather is hot. If this is the case, also be sure to drink lots of water and wear sun-protection such as a hat, sunblock and sunglasses. Switching tasks regularly can help prevent repetitive motion injuries in vulnerable muscle groups—change body positions, or simply move onto another job for a short period of time before returning to the previous one.

Investing in extra protective gear (maybe some gloves to prevent blisters, a mask if you’re prone to allergies and protective eyewear) can make life easier while taking on outdoor chores. Ergonomic tools with extra padding, larger or curved handles are less tiring to use over a long time period.

One of the most useful things you can do to help prevent accidents and injuries is to have a plan for what you want to accomplish and to make sure that you have realistic expectations about how much you can get done in the time available. If you’re unaccustomed to physical labor, chances are pretty good that you’ll feel a bit stiff or possibly sore the next day. If this happens, you can use ice to soothe the discomfort. Of course, chiropractic care is always available if you need it.

As chiropractic physicians, we’re experts in diagnosing and treating a wide variety of conditions that affect the musculoskeletal and nervous system. We know from experience how easy it is for fall clean-up to unexpectedly go wrong. Please be smart and take reasonable precautions!

Teens, Back Pain and Chiropractic Care

Teens, Back Pain and Chiropractic Care

Looking at the big picture, low back pain is a big problem. The condition affects more than 600 million people worldwide, including over one-third of all Americans—more than the number of people affected by diabetes, heart disease, and cancer combined. The financial burden (medical care plus lost productivity) caused by chronic lower back pain in America exceeds $550 billion annually.

That said, one of the saddest aspects of chronic lower back pain is that it doesn’t discriminate between adults and children. And in an era when teens’ musculoskeletal systems are particularly at risk because of reduced physical activity and poor posture (thanks to heavy school backpacks, improper sitting ergonomics and lots of time spent on mobile devices), this problem is only growing larger. In addition, a number of studies have already indicated that lower back pain in adolescents is strongly associated with the development of chronic lower back pain later in life. That’s the bad news for teens. However, the good news is that those adolescents who have been successfully treated to eliminate lower back pain in their youth have a lower risk of developing chronic lower back pain as they grow older.

So it’s natural that the medical community is keenly interested in learning which treatments are most successful in terms of eliminating the lower back pain itself and in preventing it from recurring later in life. This interest led to a recent study. The aim of the study was to determine which of the commonly-available treatment methodologies were most effective. To determine this, researchers performed a meta-analysis of existing studies published in English, French, Spanish, Italian, and Portuguese to measure which of the treatments used in these studies produced the most consistently positive outcomes in terms of pain, disability, flexibility, endurance, and mental health. The researchers found studies that produced data for 11 treatment groups and 5 control groups involving a total of 334 children and adolescents, and then compared the data.

Their findings were both strong and definitive. Of all the treatment methodologies used in the individual studies, the ones most effective in producing short-term and long-term positive outcomes in the five areas studied were those that involved therapeutic physical conditioning and manual therapy. That is, treatments provided by “hands on” practitioners such as chiropractors, osteopaths, and physical therapists.

These therapies, commonly involving joint and spinal manipulation and ultrasound treatment to reduce pain, were subjectively found to be more effective by the patients than other treatments. The patients’ subjective analysis was confirmed in most of the studies by clinician assessments. Naturally, these “manual therapy” treatment options were preferable in many other ways as well, because they avoided reliance on potentially addictive painkillers like OxyContin and Vicodin, epidural steroid injections, and surgery.

These findings confirm what Doctors of Chiropractic have observed in their own clinics. Over the years, we have seen many patients (of all ages) benefit from the manual therapies we use to provide relief for their lower back pain. So if you (or your children) experience lower back pain—whether occasional or chronic—contact your chiropractor and ask him or her to explain to you the treatment options available, and what they can do to relieve your symptoms and allow you to enjoy life free from pain once again.

Why Does Back Pain Tend to Recur?

Why Does Back Pain Tend to Recur?

In a recent Consumer Reports survey, 88% of more than 14,000 subscribers who had lower back pain indicated that it had recurred during the prior 12 months. While other academic studies suggest that recurrence may be somewhat less widespread—perhaps affecting between a third and half of all back pain sufferers—it’s very clear that many people experience back pain as a recurring problem.

Professor Doune Macdonald and fellow researchers at the University of Queensland in Brisbane were interested in learning why some people experienced a recurrence of their back pain while others did not. Their investigation found an association between recurrence of low back pain and altered muscle activity in the deep muscle fibers of the lumbar spine. These muscles are also referred to as your “core” muscles, the ones that are most targeted in Pilates training. Your core muscles give strength, balance and stability to the back, and consist of muscles in the lower back, abdomen and pelvis.

The most important of the core muscles for the stability of your back are the multifidus. These run along the length of the spine and help to take some of the pressure off the vertebral discs so that weight is more evenly distributed along the length of the back. When working properly, the multifidus muscles are activated even before any movement takes place, so as to protect the spine against injury from a sudden load of weight (such as when lifting a heavy box or bending over to tie your shoes).

According to a study published in the journal Painin 2009, Macdonald and colleagues found that the multifidus muscles showed later activation in those with recurrent low back pain than in the backs of healthy subjects. Any delay in muscle activation can be a potential problem, as a sudden loading of weight on the spine when it is unprepared can lead to abnormal bending and twisting of the spine, increasing the risk of injury.

Possessing strong multifidus muscles is one of the obvious solutions to preventing the occurrence of low back pain. However, part of the problem is that once this set of muscles has been injured, the multifidus tends to atrophy due to disuse while the patient is healing. Prolonged bed rest is one of the worst ways to recover from low back pain because it encourages the multifidus to atrophy even further.

Chiropractic care that includes rehabilitation exercises and spinal adjustments has been shown to improve the function of the multifidus muscles. Your chiropractor can suggest exercises you can do at home that will strengthen your core muscles in between adjustments. The adjustments themselves will align your spine so that it functions properly and will not put excess strain on the supporting multifidus, thus reducing the likelihood of a recurrence of low back pain.

Chiropractic Adjustments Help with Pain Relief

Chiropractic Adjustments Help with Pain Relief

Johns Hopkins Medicine defines pain as “an uncomfortable feeling that tells you something may be wrong.” Depending on its cause, this feeling can range from being mildly annoying to absolutely debilitating in nature, potentially preventing a person from having any quality of life whatsoever. Additionally, some pains are constant and steady, whereas others tend to come and go.

Regardless of the type, intensity, and consistency of the pain, at some point in our lives, we all experience this feeling in one form or another. However, whether or not we’re able to effectively handle it is largely determined by our individual pressure pain thresholds. In other words, the higher our thresholds, the less impact these pains have on our lives, and one fairly new study has found that chiropractic may just increase that limit.

In December of 2016, Chiropractic & Manual Therapies published a piece of research which set out to determine what effect, if any, spinal manipulation therapy (SMT) had on pressure pain threshold. Individuals were recruited from Murdoch University campus in Western Australia and, ultimately, 34 subjects ranging in age from 18 to 36 qualified for inclusion. Twenty of the participants were male, with the remaining 14 being female, all of whom were assessed at the beginning of the study and declared asymptomatic.

Using an algometer with a 1cm2 rubber probe, the participants’ deep mechanical pain sensitivity was assessed multiple times at four different sites on the body (calf, lumbar, scapula, and forehead) by asking each one to indicate the point in which the pressure turned into pain. The average of the second and third recordings was used as a baseline.

Once the initial data was recorded, each participant was then subjected to a high-velocity, low-amplitude spinal manipulation using the hypothenar mammillary push while the subject lay on his or her side. Furthermore, the thrust was aimed at the portion of the participants’ spine located between the L5 and S1 vertebrae. Upon completion, the pressure pain threshold was collected again, and then again at 10, 20, and 30 minutes after the conclusion of the treatment session.

Researchers found that, after engaging in just one session of SMT, subjects reported increases in pressure pain threshold in the calf and lumbar spine areas, with no notable reduction in the scapula or forehead. Additionally, the thresholds that did increase did so at a higher rate on the right side of the participants’ bodies than on the left.

This study shows promise for patients dealing with chronic pain issues as chiropractic adjustments seem to provide an instantaneous reduction in pain. Further research with a larger group of test subjects is warranted.

Dorron SL, Losco BE, Drummond PD, Walker BF. Effect of lumbar spinal manipulation on local and remote pressure pain threshold and pinprick sensitivity in asymptomatic individuals: a randomized trial. Chiropractic & Manual Therapies 2016;24:47.10.1186/s12998-016-0128-5

What is Pain/Types of Pain Treated?  Johns Hopkins Medicine: Blaustein Pain Treatment Center.

How Does Chiropractic Promote Overall Wellness?

How Does Chiropractic Promote Overall Wellness?

Chiropractors know that adjustments are good for your general health. Millions of satisfied patients cannot be wrong. But what do chiropractors know that the rest of us do not?

They know the nervous system is the one system in the body that directly affects every other system. This is because nerves conduct sensory information from every part of the body and then delivers this information to the brain. Once there, the brain analyzes the information to determine what the body needs to maintain a healthy state. So the health of this system is paramount to the good health of the rest of the body.

Chiropractors recognize that misalignment in the spine can interfere with proper nervous system function. More specifically, chiropractors study the effects of vertebral subluxations – conditions of the spine where align- ment and/or movement patterns of the vertebrae are abnormal. When this occurs, imbalances cause irritation and inflammation. In turn this can cause interference with information that is transmitted along nerves and spinal cord. Chiropractors are the only health care professionals specifically trained to locate and correct spinal subluxations.

This is the principal reason why chiropractors should be called wellness doctors. Every time a chiropractor corrects a vertebral subluxation, the positive effects are felt in multiple systems simultaneously.

Where’s the Proof?

For decades, scientific research has focused on the use of chiropractic adjustments for low back pain, neck pain and headaches. In fact, there is now clear evidence to recommend chiropractors as the go-to professionals for spinal pain syndromes. However, with the rising popularity of wellness-based philosophies focused on non-traditional approaches to health, chiropractors are being asked to justify their role.

The traditional medical model of symptom-based healthcare is rapidly waning. We no longer feel we have to be sick to call upon a health professional for advice. Instead, we are focusing more on the detrimental effects stress has on our bodies, and the therapies that address the mind-body connection are getting much more attention.

In a recent report from the Center for Disease Control, the four most popular forms of alternative and complementary medicine were listed as: natural products, deep breathing, meditation and chiropractic!

People are casting their votes with their healthcare dollars and chiropractors are taking a leadership role in this new wellness model. As a profession whose core philosophy is about the optimization of the brain-body communication network, chiropractic can be viewed as a therapy with an emphasis on whole body health and wellness

Research is catching up to what chiropractors have known for years. In a recent study that reviewed all the available research to date, investigators found that “chiropractic adjustments, often for the purpose of correcting vertebral subluxation, confer measurable health benefits to people regardless of the presence or absence of symptoms.” More people are seeking what chiropractic offers: optimization of health and an improved quality of life, with a spine free of vertebral subluxations!

In a multi-nation study involving hundreds of chiropractors and thousands of chiropractic patients, researchers sought to measure the incidence of non-musculoskeletal responses to chiropractic therapy. What they found was that a number of patients experienced systemic benefits from their chiropractic treatments whether or not they mentioned any symptoms in these areas at the onset of care. The most common benefits reported in this study were breathing (27%), digestion (26%) and circulation (21%).

In yet another ground-breaking study, chiropractic adjustments were shown to actually decrease blood pressure, one of the leading causes for preventable death in North America (in relation to the incidence of heart-attacks and strokes). The study stood up to medical scrutiny and showed unequivocally that vertebral subluxations – of the upper cervical vertebra in this case – can be detrimental to the health of the individual, and not just a pain in the neck.

From these research results, chiropractors clearly have a greater role in your health and wellness than just treating sore backs. Chiropractic care should be considered an invaluable tool for you to not only help you feel well, but to also help you be well.

References and sources:

1. Dagenais S, Gay RE, Tricco AC, Freeman MD & Mayer JM. NASS Contemporary Concepts in Spine Care: Spinal Manipulation Therapy for Acute Low Back Pain. Spine Journal 2010 (Oct.); 10(10): 918-940.

2. Bronfort G, Assendelft WJJ, Evans R, Haas M & Bouter L. Efficacy of Spinal Manipulation for Chronic Headache: A Systematic Review. J Manipulative Physiol Ther 2001 (Sept.); 24(7): 457-466

3. Thiel HW & Bolton JE. Predic- tors For Immediate and Global Responses to Chiropractic Manipulation of the Cervical Spine. J Manipulative Physiol Ther 2008 (Mar.); 31(3): 172-183.

4. Barnes PM, Bloom B, Nahin R. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. CDC National Health Statistics Report #12. December 10, 2008.

5. Hannon SM. Objective Physiologic Changes and Associated Health Benefits of Chiro- practic Adjustments in Asymptom- atic Subjects: A Review of the Literature. J Vertebral Subluxation Research 2004 (Apr.): 1-9.

6. Leboeuf-Yde C, Pedersen EN, Bryner P, Cosman D, Hayek R, Meeker WC, Shaik J, Terrazas O, Tucker J & Walsh M. Self-reported Nonmusculoskeletal Responses to Chiropractic Intervention: A Multi- nation Survey. J Manipulative Physiol Ther 2005 (Jun.); 28(5): 294-302.

7. Bakris G, Dickholtz M, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C & Bell B. Atlas Vertebra Realignment and Achievement of Arterial Pressure Goal in Hypertensive Patients: A Pilot Study. Journal of Human Hypertension 2007 (May); 21(5): 347-352.

Chiropractic Patients Recover Faster, Spend Less Money

Chiropractic Patients Recover Faster, Spend Less Money

Back pain is an expensive health problem for both patients and businesses. A 2012 study reported that we spend about $635 billion on pain every year, with a significant amount of that spent on back pain. Over the years, quite a few studies have shown that chiropractic care is more effective for back pain than medical care, plus chiropractic patients spend less money on their care than medical patients do.

Because back pain is such a common problem, a group of Canadian researchers recently investigated the role that the type of primary caregiver has on financial compensation.

This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada. The patients saw the following providers for their first visit:

  • 85.3% saw a medical doctor
  • 11.4% saw a chiropractor
  • 3.2% saw a physical therapist

The authors set out to “compare the duration of financial compensation for back pain” among patients from each care group.

The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.

In addition, chiropractic patients didn’t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.

The authors conclude:

“The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.”

Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.

Today’s article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2016/09/chiropractic-patients-recover-faster-spend-less-money/

Auto Injuries Increase Risk of Future Back Pain

Auto Injuries Increase Risk of Future Back Pain

The National Highway Traffic Safety Administrations reports that more than two million people are injured every year in auto-related accidents involving either a passenger vehicle, large truck, or motorcycle. Furthermore, that number appears to be climbing at an alarming rate, increasing more than five percent between 2014 and 2015 alone.

Certainly, being involved in this type of incident can have long-lasting effects. For instance, one study published in the journal Psychosomatic Medicine found that “a substantial minority” of subjects questioned reported experiencing anxiety when traveling in a motor vehicle post-accident, with 10 percent developing post-traumatic stress disorder (PTSD), a condition that, in some cases, plagued them for years.

Well, another recently published study has found that being in a car crash can also result in long-term physical ramifications as well. Specifically, it discovered that back pain can linger or appear long after the vehicle has been fixed and the debris has been cleaned out of the roadway.

In April of 2017, the European Spine Journal presented a study involving 789 adults, all of whom reported experiencing mild low back pain or no pain at all. Upon entering the study, each person was asked whether or not he or she had been in a motor vehicle accident resulting in low back pain, making note of whether their level of pain increased, decreased, or stayed the same six and 12 months down the road.

Approximately 74.8 percent of the participants responded at the six month mark, with 64.5 percent providing input at 12 months. Of those who did respond, researchers noticed a positive correlation between those who had previously been involved in an auto accident and the incidences of low back pain at a later date. In other words, having a car crash in your past may increase your risk of back pain in the future.

This is partially why being assessed right after a car wreck is so critical. While this is relatively standard when it comes to auto injuries that can be seen or easily felt, damage done to the musculoskeletal system isn’t quite so visible or easy to pinpoint, which also makes it easier to ignore.

Educating patients is the first step to helping them resolve any subsequent back issues. The second step is to regularly ask them whether they’ve been involved in a crash, no matter how small. If they have, addressing that issue first and foremost can keep their quality of life from being compromised months, years, or even decades later.

References

  • Mayou R, Tyndel S, Bryant B. Long-term outcome of motor vehicle accident injury. Psychosomatic Medicine 1997;59(6):578-84.
  • Nolet PS, Kristman VL, Côté P, Carroll LJ, Cassidy JD. The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study. European Spine Journal 2017;doi:10.1007/s00586-017-5090-y
  • Traffic Safety Facts. (August 2016). 2015 Motor Vehicle Crashes: Overview. National Highway Traffic Safety Administration. 
Opiates Ineffective for Chronic Back or Hip Pain

Opiates Ineffective for Chronic Back or Hip Pain

A new study just published in the Journal of the American Medical Association finds that opioids are not an effective solution for chronic pain.

In this article, researchers from the University of Minnesota studied 240 patients who had chronic back, hip, or knee arthritis pain. Half of the study subjects received opiates; the other half received non-opiate pain medications. Patient progress was evaluated at 3-months, 6-months, 9-months, and one year.

The study found:

  • There was no difference in pain-related function between the two groups.
  • At 12 months, the nonopioid patients had less pain than did those who received opiates.
  • “The opioid group had significantly more medication-related symptoms over 12 months than the nonopioid group”

The study authors write:

“Among patients with chronic back pain or hip or knee osteoarthritis pain, treatment with opioids compared with nonopioid medications did not result in significantly better pain-related function over 12 months. Nonopioid treatment was associated with significantly better pain intensity, but the clinical importance of this finding is unclear.”

Previous research has found that about 20% of patients with musculoskeletal pain are prescribed narcotic pain medications for their symptoms, and another recent study found that 36% of people who overdosed from opiates had their first opioid prescription for back pain.

Another recent study found that chiropractic patients are less likely to use opiates for their pain than are medical patients.

From this research, it seems clear that it’s risky to prescribe opiates for musculoskeletal pain. Chiropractic care is a proven safe and effective approach for both chronic and acute back pain.

Krebs EE, Gravely A, Nugent S, Jensen AC, DeRonne B, Goldsmith ES, Kroenke K, Bair MJ, Noorbaloochi S. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018 Mar 6;319(9):872-882. doi: 10.1001/jama.2018.0899.

Exercise, Chiropractic More Effective Than Medicine

Exercise, Chiropractic More Effective Than Medicine

You may remember your grammar school gym class where the PE teacher would lead you in jumping jacks, push-ups, sit-ups and arm circles. If you’re like a lot of baby boomers, you probably look back and assume it really didn’t do much for the health of the students — just kept the class busy for an hour.

Elementary school days may be way behind you, but exercise carries many benefits now that it couldn’t offer a younger you, especially if you’re battling pain from an injury or chronic condition.

The Journal of Manipulative and Physiological Therapeutics published a report on randomized controlled trials, or RCTs, looking at the result of exercise as treatment for patients experiencing intense pain from soft tissue injuries in the hip, thigh or knee. Success was measured by the following factors:

  • Intensity of pain
  • Recovery
  • Quality of life
  • Psychological outcomes
  • Adverse events

“One RCT found statistically significant improvements in pain and function favoring clinic-based progressive combined exercises over a ‘wait and see’ approach for patellofemoral (anterior knee) pain syndrome,” the study says. “Patients with patellofemoral pain syndrome or groin pain had the best results with clinic-based exercise programs.”

Head to Head to Head

An ABC News blog posted study results comparing the outcome of three different forms of treatment for pain. Results show that patients treated by chiropractic professionals and the individuals who received home exercise advice, referred to as HEA, had higher rates of success than those who turned to medication for relief. Just 13 percent of the patients who took medication reported a satisfactory reduction in pain, whereas, about two-thirds of those who were treated through either chiropractic care (32 percent) or HEA (30 percent) said they were pain-free.

A total of 272 patients, ages 18-65, who were suffering from recent-onset neck pain took part in the study, which the National Institutes of Health spearheaded.

“I always prescribe exercises and/or physical therapy for neck pain,” wrote Dr. John Messmer from Penn State College of Medicine. “I also tell patients that the exercises are the treatment and the drugs are for the symptoms.”

Dr. Lee Green, professor of family medicine at the University of Michigan, also talked to ABC News. “Doesn’t surprise me a bit,” Dr. Green said. “Neck pain is a mechanical problem, and it makes sense that mechanical treatment works better than a chemical one.”

The study, which was published in the Annals of Internal Medicine, singles out the effectiveness of spinal manipulation therapy, or SMT, to provide relief for patients with neck pain. Researchers found that in both the short-term and long-term statistics, SMT had the most effective outcome. The report adds that HEA proved equally effective at some points in the study.

Participants rated their pain at several intervals: 2, 4, 8, 26, and 52 weeks. This enabled scientists to draw specific conclusions, such as the evidence showing that 12 weeks of SMT provided greater pain relief than up to one year of medication.

Chiropractic Benefits

Your chiropractor can not only provide pain releif and preventatiive therapies, they can also guide you in choosing exercises that target the areas you need treating. Chiropractic visits, in addition to home exercise practices, are a way to double down on your odds of successful treatment.

The Mayo Clinic website says there are multiple benefits to using exercise in addition to chiropractic care for your joints, as well as improving general wellness. In combination they serve to:

  • Strengthen the muscles around your joints
  • Help you maintain bone strength
  • Give you more energy to get through the day
  • Make it easier to get a good night’s sleep
  • Improve your balance

We’re not talking about the kind of punishing calisthenics that win you the Presidential Physical Fitness Award, but something to just curb your symptoms and add some range of motion. Consulting with a chiropractor and incorporating some exercise seems to be the best way to get a passing grade in pain relief.

This article was written by Martha Michael and is shared from the following website: exercise-chiropractic-more-effective-than-medicine

Friday Funny

Friday Funny

We thought we would end the week with some Chiropractic humor! We hope you get a giggle out of today’s post! Humor is great for your health! If you have been out shoveling all that snow that we have received recently and your back is not feeling “humorous”, be sure to give us a call and get adjusted by Dr. Oblander before those aches and pains get too out of hand! Our office number is 406-652-3553. Have a wonderful weekend and stay safe and warm!