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How To Ease Into Exercise In The New Year With New Workout Plans

How To Ease Into Exercise In The New Year With New Workout Plans

Ease Into Exercise in The New Year With Help from Your Chiropractor

 

Have you decided that 2020 is the year that you'll finally follow through on your plan to exercise more often? Although regular exercise is essential to your health, you may injure yourself if you suddenly begin a rigorous workout routine. Fortunately, your chiropractor can help you create a safe, effective workout plan that gradually improves your physical fitness.
 

Improving Your Health and Wellness Is a Personal Process

The ideal fitness plan for your co-worker or brother may not necessarily be the best approach for you. Your fitness level, goals, and physical condition will influence the way you exercise and the type of workout that will be most beneficial.

Involving your chiropractor in the planning stages of your new workout regime can help you avoid painful injuries that may sabotage your plan to improve your fitness. During your appointment with your chiropractor, you'll discuss:
 

  • Workout Goals. Do you want to run a marathon, master kickboxing, or simply increase your strength and stamina? Creating goals can help you decide which type of exercise is best for you.

  • Fitness Level. Do you already exercise regularly, or would you like to get in shape after being inactive for a few years? It's important to consider your fitness level before you begin. Injuries aren't the only possibility if you're overly ambitious when you begin your new workout plan. If the plan is too challenging, you may be more likely to become frustrated and stop exercising.

  • Routine. How much time do you have to devote to exercise every week? Creating a workout plan that fits your lifestyle is the key to achieving your goals.

  • Health. Your health will also be an important consideration when beginning a new workout plan. For example, people who have asthma may need to avoid activities that involve running, as prolonged, intense activity may trigger a flare-up of asthma symptoms. The American Academy of Allergy Asthma & Immunology recommends swimming, walking or activities that require a short burst of energy rather than long-distance running, soccer or basketball.

  • Pain and Injuries. The pain won't necessarily prevent you from working out. In fact, exercise can help loosen and strengthen your muscles and joints while also decreasing pain. Your chiropractor can help you choose exercises that won't aggravate or worsen your condition. He can also give you a few hints that will help you avoid injuries while working out.
     

Once you've identified your goals and evaluated your fitness level, you'll be prepared to create a plan that will help you meet your objectives. The best plans include warm-ups, rest days and an exercise schedule that gradually increases the length, duration, and intensity of your workout. If you work out too hard or long, you'll increase your risk of sprains, strains, fractures, inflammation, and overuse injuries.


Chiropractic Care - Overview

Chiropractic Care - Overview

If you are a little confused about what chiropractic care actually entails, you are most certainly not alone. Many people are confused about the nature of chiropractic treatment and the somewhat poor reputation associated with chiropractic care. 

Let's find out more about this highly successful form of alternative medicine that offers relief to millions of Americans every year. 
 

What is chiropractic care?

Various forms of manipulation have been used therapeutically for centuries. However, it wasn’t until the 1800s that scientific basis for the practice was instituted, and the word ‘chiropractic’, a translated form of the Greek words cheir and praktos, which essentially mean ‘done by hand’, was established. 

Chiropractic care refers to the manual manipulation of the body with the purpose of alleviating problems with the musculoskeletal system. The musculoskeletal system is comprised of the bones, muscles, cartilage, tendons, ligaments, joints and other connective tissues that provide shape, support, stability and movement in the body. When there are problems within the musculoskeletal system, it can cause mild, chronic or extreme pain, limited mobility, and difficulty in carrying out our usual day to day tasks.

A chiropractor can treat a variety of spinal conditions and their side effects by manipulating the spine by hand – a process that sounds much more intense and painful than it really is. In fact, spinal manipulation is a precise, swift adjustment that aims to release the pressure on the nerves in your back in order to allow the body to begin to heal itself. 
 

What issues can chiropractic care help address?

Chiropractic care has been successfully used to treat a wide range of spinal conditions with most problems occurring either in the lower back (lumbar) or neck (cervical spine). Some of the most commonly seen conditions treated by chiropractors include:

  • Arthritis in the spine

  • Herniated disc

  • Pinched nerves

  • Sciatica

  • Scoliosis

  • Spinal stenosis

  • Whiplash, usually as a result of an automobile accident


Conditions: Auto Injuries

Conditions: Auto Injuries

With more vehicles on the road than ever before, automobile accidents have unfortunately become a common occurrence. Even the most confident and experienced driver can make mistakes that sometimes have catastrophic results. Estimates suggest that there are around 2.35 million auto-injuries in the United States every year – more than 6,000 every single day – and while some injuries may be minor, others can have debilitating and sometimes permanent consequences. 

Neck and back damage is among the most common type of injury sustained during automobile accidents. This is because the force of the impact overextends and strains the ligaments and muscles in the back, causing injuries including:

 

Compression fractures

These occur when the upper part of the body is thrown forward while the lower body is restrained by a seat belt. When this happens, the vertebrae can be pulled apart, causing them to fracture. In severe cases, the spinal cord may also become damaged by the fractured pieces of bone.

 

Disc herniation

The intervertebral discs are sponge-like circular pads that sit in-between the vertebrae. They have several functions, including enabling the spine to absorb impacts without becoming damaged. However, if the outer layer of a disc becomes damaged, the soft, inner gel can seep out and irritate the surrounding nerves.

 

Spondylolisthesis 

This condition occurs when a vertebra moves out of place due to force or a fracture in the bone. The displaced bone may then press on the surrounding nerves, causing pain and other neurological symptoms.

 

Whiplash

Whiplash is most common in rear-end collisions as the impact of the secondary car forces your head to ‘whip’ backward and forwards in quick succession and as a result, the muscles in the neck are overextended. 
 


Conditions: Lower Back Pain

Conditions: Lower Back Pain

Lower back pain is an exceptionally common complaint and it is estimated that 80% of Americans will suffer from it at some point during their lifetime. Lower back pain is also a leading cause of absence from work due to ill health, even though more than half of all cases are believed to be a direct result of the patient doing a job that involves continual sitting. 

In many cases, the back pain is either not severe enough for the patient to seek professional intervention or it resolves itself within a few days. However, there is a percentage of individuals who suffer from chronic, recurrent back pain and are reliant on pain medication to help keep them comfortable from day-to-day. 

Fortunately, there is no longer any need to suffer from ongoing lower back pain. Chiropractic care from a trained and experienced professionals can help relieve your discomfort and enable you to work, sleep and enjoy life without worrying about back pain. 

 

What causes lower back pain?

The lower back, also known as the lumbar, works with the bones of the pelvis to help support the weight of our body as well as to stabilize, rotate, flex and bend the spinal column.

Lower back pain has been attributed to many different things, but experts tend to agree that a sedentary lifestyle, combined with the growing obesity problem, has definitely contributed to the increasing number of people experiencing lower back pain. Posture is also a significant cause of lower back pain. Sitting at laptops and computers for hours on end as well as sitting too long while driving and when watching television are all associated with this type of discomfort.

Occasionally, back pain can be attributed to a medical condition such as sciatica, an irritation of the nerve that runs from the pelvis to the feet, or a slipped/herniated disc. Nevertheless, it is often impossible to pinpoint an exact cause of lower back pain and is therefore often referred to as ‘non-specific back pain’ by doctors. 


Benefits of Chiropractic Care

Benefits of Chiropractic Care

Chiropractors are often thought of as the medical field that specifically deals with issues surrounding your back, or more specifically, your spine. While they certainly focus on your spine, chiropractors are essentially joint and nerve specialists. And since all your nerves travel from your brain and through the spinal column, if there is a disruption in any part of the spine, it can significantly affect your ability to function normally.

With all the messages that your brain sends through the spinal cord, it should not be a surprise that chiropractic care can offer benefits to several aspects of your life. Below, we have compiled a list of just some of the benefits of chiropractic care.
 

Blood Pressure

 

If you’re faced with high blood pressure, it can be overwhelming to think about adding a medication that has several serious side effects into your daily routine. These side effects include fatigue, nausea, dizziness, anxiety, and weight loss. Recently, a study has found that just one chiropractic adjustment could result in the same benefits as medications that are specifically designed to lower your blood pressure, and that the effects of that adjustment could last for as long as six months.

If an adjustment can offer the same results as the medications, but without the daunting side effects,  it may be the right time to book an appointment with your chiropractor.
 

Neck and Lower Back Pain

 

It probably isn’t a surprise that chiropractic care helps with pain in the neck and back. However, some studies suggest that 80% of Americans experience some sort of lower back pain in their lives. With costly surgeries, addictive pain medications and mixed levels of relief, chiropractic is another option that many people just don’t consider. Chiropractic care can help to correct many issues without invasive procedures or prescription medications and may be a viable alternative for your neck and back issues.
 

Headaches – Even Migraines

 

Both tension and migraine headaches can often be traced to your back. Spinal issues or back misalignment can create a strain on your muscles as they attempt to compensate. This additional strain can trigger tension and migraine headaches. Chiropractic adjustments can help to align the back and in turn, the muscles can relax, and prevent future headaches from arriving. In fact, there are over 200 studies that confirm these results!
 

Scoliosis

 

Scoliosis is a medical condition that causes the spine to abnormally curve. This change in posture can cause issues with pain, breathing, and an overall reduction in your range of motion. While the treatment options are limited for people who have been diagnosed with scoliosis, chiropractic care is generally a great alternative.

When chiropractic care is combined with physical therapy, it has been shown to slow the progression of the disease while improving a patient’s quality of life.
 

Sciatica

 

Sciatic pain is caused by an issue in the sciatic nerve that travels down to your legs. Any problems that impair the nerve's ability to function can result in pain in one or both legs. This pain can be so debilitating that it sometimes leads to an over-prescription or addiction to certain pain medications.

Chiropractic care works to help reduce the pressure that is placed on the sciatic nerve. Studies have shown that when patients visit their chiropractor to receive care, there was a reduction in the number of days that they experienced pain as well as a reduction in their pain severity.
 

Improve Neurological Conditions

 

Neurological conditions can be caused by a wide variety of reasons. Chiropractic care for these conditions can help to increase both blood and cerebrospinal fluid which, in turn, delivers more oxygen to and removes waste from the skull, allowing the brain to have an increased ability to heal and function properly.
 

Overview

 

While this list is only a sampling of the many benefits that chiropractic care can offer, you may likely have been experiencing some of these issues yourself. If you’ve been diagnosed or are dealing with any of these conditions, you should call your chiropractor to discuss your options today.


Corporate Wellness Programs

Corporate Wellness Programs

Many businesses today are struggling to navigate the world of health care in order to maintain a healthy workforce. While the markets may be changing, chiropractic care is a stable avenue that keeps employees feeling better, increases productivity and strengthens retention. Let’s take a better look at what corporate wellness programs can offer your company and why you should consider increasing the options for employees.
 

Improved Employee Health

 

It is hard to imagine that any employer would say that they don’t care about the health of their employees, but many companies feel that wellness programs are an excess expense. The companies that cut back on wellness expenses soon find that they have increased their costs in other areas. When employees feel that their health is valued, they are more likely to be motivated to be at work and when they have access to adequate medical care, they can catch illness or injury before it affects their work performance.
 

Reduction in Unnecessary Surgeries

 

Employees with access to health care services are more likely to be well-versed on any issues they may be having as well as seek professional guidance when these issues occur. With this access, employees will feel like they can take control of their health and make healthier lifestyle choices when it comes to diet and exercise. When employees stack the deck in their favor, they are less likely to be diagnosed with conditions that require surgery or are able to look into less invasive options first.
 

Overall Cost Savings

 

Health insurance costs increase as the number of people requiring expensive medical care goes up. As companies expand their costs in preventative care, education, and incentives – they see an overall reduction in health-related expenses. This can be seen in the reduced number of missed workdays, lack of productivity, and expensive specialists or doctor visits. A recent study even suggests that for every $1 spent on corporate wellness, that the companies saw a savings of $2.13 to $10.10 through lower medical costs, reduced number of missed workdays and increased productivity.
 

Employee Retention

 

There are several factors that relate to employees seeking other work options. One common issue is that employees don’t feel like they matter to the company. Wellness programs are an excellent option for corporations to directly demonstrate their view on the value of the employee and their well-being. When companies make investments in their employees, employees are more likely to feel invested within the company. The building of strong bonds between employees helps to increase retention which lowers overall costs in training, hiring, and all the issues that are related to the termination of poor-performing employees.
 

Chiropractic and Wellness Programs

 

If you are looking at wellness programs for your company, you should consider many of the options that are offered including chiropractic services, which can be especially attractive for employers to add to their package. Chiropractic adjustments are commonly linked to reduced workplace injuries and illnesses and can help to alleviate or reduce the adverse effects of the workplace on your employees. Additionally, your chiropractor may even travel to your company location which will result in an increase in time at work and participation in the wellness program. Chiropractors offer a cost-effective way to reduce headaches, back or neck pain, poor digestion and many other issues commonly associated with today’s working professionals.
 

Overview

 

The workplace is becoming increasingly competitive when it comes to attracting and retaining the best talent for your company. If you are considering making an investment in your employees, you should contact a chiropractor today to discuss the many benefits that they can offer for your staff. When employees feel that they are valued at a company, they return the investment into your bottom line.


Health and Wellness Coaching

Health and Wellness Coaching

How to Reach Your Goals with a Health and Wellness Coach

 

In today’s world, there is a growing group of people who are putting their personal health at the forefront. These people strongly believe that having a positive outlook on their health can increase the chances of reaching their goals and increase their quality of life.

If you are considering making a healthy change, congratulations! Improving your health and quality of life can be exciting and when you begin your transformation, you may want to consider enlisting the services of a health and wellness coach.
 

What is Health and Wellness Coaching?

 

A health and wellness coach is an individual or team of people that help you create a vision for your journey. They help break down your overall goal into individual steps and create manageable milestones for you to accomplish on a short-term basis. They also help you to develop a positive mindset around your goals and push you to achieve your vision.

Health and wellness coaches will typically be available to you on every step of your journey and can provide valuable insight and encouragement to keep you motivated to continue to push through barriers.
 

Items Included in Coaching Plans

Health and wellness coaches can personalize a plan for your needs, but traditional plans will include:
 

  • A method for stress management

  • Tips for healthy eating

  • How to prioritize your care

  • Help to maintain your positive outlook

  • Insight to balancing your schedule


These coaches are typically concerned with the overall well-being of their clients and their interest can offer a valuable perspective on all aspects of your life and how that relates to your health. The more open and honest you are about your personal life, the more tailored a plan will be in order to help you achieve your dreams.
 

What Coaching Will NOT Do

 

Health coaches have specific training that qualifies them for the specific approaches that they advertise. However, you should not expect a health coach to act as your dietitian or personal trainer. While they may be able to offer some advice, it may be wise to bring on additional specialists to your health team.

Health coaches are also not usually licensed psychologists or therapists. While they can help you to set and achieve positive goals, they are not qualified to work with or diagnose mental health or psychological disorders.
 

What Your Coach Will Do

 

Health and wellness coaches are there to hold you accountable for your specific goals. They will check in with you at regular intervals to see how you are progressing and discuss any setbacks that you may be having in order to help you make changes to your plan when needed. Health coaches may also be able to identify any other issues you may be having and guide you toward professionals related to those issues for advice.

 Health coaches are there to pull you back on track when you feel like quitting as well as to help remind you of your day one goal and how you can achieve it. We all have challenging days, but when you have a partner on your side, it makes those days less frequent and more manageable.
 

Finding the Right Coach for You

 

Coaching in this market is a blossoming economy that is growing every day. Therefore, it is important to find a coach that fits your needs and complements your goals. If you are considering a coach, you should look at their qualifications, check their reviews, and ask to speak with some of their previous clients.

You can also ask to see examples of coaching plans they have designed for others with needs similar to yours. If you are considering hiring a health and wellness coach, you should call today and set up an initial consultation. There is no better time to start your wellness journey than right now!


Conditions: Arthritis

Conditions: Arthritis

As people age, it is a common often belief that the pain and discomfort associated with our joints is a normal occurrence that we are forced to live with. While our joints can experience levels of degradation as we age, the pain and reduced mobility that is often associated with arthritis doesn’t have to be something that we suffer through. Instead, let's review some of the facts around chiropractic care and how it can be beneficial in treating the pain associated with arthritis.
 

Chiropractic Care and Your Joints


Many people believe that chiropractors don't do any work beyond that focused on the spine. And while It is true that the majority of work that chiropractors do surrounds issues associated with the spine, if you think this is the only work that chiropractors do, you are likely to miss a lot of the additional benefits of chiropractic care. 

In addition to spinal work, chiropractors also specialize in issues that surround our joints. Since the vertebrae that make up our spinal column contain joints between each individual vertebrae, it becomes more apparent how chiropractors are able to help with your arthritis when you think of them as joint specialists.
 

The Effects of Arthritis

 


Arthritis typically occurs when something irritates the joints, which can be a deterioration of the joint itself. As joints deteriorate, they may become irritated more frequently by multiple factors such as increased movement, regular movement, or changes in temperature which can cause inflammation and pain.

This chronic pain and inflammation are what we refer to as arthritis. Many patients take prescription or over the counter medications to manage the effects of arthritis, but medications will only treat the symptoms and don’t get to the root cause of your discomfort.
 

Chiropractors and Arthritis


During your first visit, your chiropractor will conduct an initial exam. In this exam, they will review your medical and family histories as well as conduct a physical exam. It is during this initial visit that they usually issue a diagnosis and design a treatment plan that is best suited for you.

Typically, patients who are experiencing issues related to arthritis can expect their chiropractor to suggest gentle manipulation of those joints over the course of several weeks. You should start to notice the benefits of your treatment plan between two and six weeks.

Chiropractic care has been shown to be effective in treating the issues and symptoms associated with arthritis. So much so that patients may not require the use of potentially addicting medications in order to manage pain during their treatment.
 

When to Avoid Alignment


If you are experiencing active swelling in your joints, it may be a bad time to have a chiropractor adjust the joint. If you are unsure if you are a good candidate, you should visit with your chiropractor to get their advice.

However, even if you cannot receive a physical adjustment due to swelling, it is likely that your chiropractor will be able to suggest and conduct other therapies to grant you some relief. Some of these therapies that can be performed in their office include:
 

  • Ultrasound – While ultrasounds are typically thought of as an imaging tool, they can also produce gentle massage to the offending joints. This massage can decrease swelling, stiffness, and pain in the joint.

  • Electrotherapy – These gentle electric pulses are designed to stimulate nerves and muscles near the painful joint to reduce pain and swelling.

  • Infrared sauna – These rooms are specifically designed and heated to a temperature that provides adequate therapy for relaxing the joints. The warming of the joints allows for a reduction in swelling.
     

Overview


If you have been diagnosed with or think that you might have arthritis, you should schedule an appointment with a chiropractor today. They will help design a treatment plan that is specifically tailored to your needs. Chiropractors are a beneficial, but often overlooked option for the treatment of your arthritis discomfort.


Conditions: Carpal Tunnel

Conditions: Carpal Tunnel

As the professional community ages, the diagnoses of carpal tunnel syndrome continue to rise. Carpal tunnel syndrome is commonly associated with the repetitive movement related to typing on a keyboard with improper hand positioning. Carpal tunnel syndrome creates a burning, numbness, or tingling sensation in the hands or wrists and can occur on one or both sides.

Carpal tunnel release and surgeries associated with relieving the pain associated with carpal tunnel are increasing every year. Unfortunately, the success of these surgeries is only seen in about half of the population. If you have been diagnosed with carpal tunnel syndrome and are currently considering your options for pain relief, one you should definitely consider is chiropractic care.
 

What is Carpal Tunnel Syndrome?


The carpal tunnel is a narrow passageway in your wrist where the median nerve passes through and then into your hand. Any inflammation or swelling of the carpal tunnel can constrict or cause pressure to occur on the median nerve. This interruption of your nerve's ability to function can cause the suite of problems associated with carpal tunnel syndrome.

Women are three times more likely to develop carpal tunnel syndrome and while scientists are not certain why this occurs, they suggest that it may be due to the smaller size of the carpal tunnel in women when compared to their male counterparts.
 

Diagnosing Carpal Tunnel Syndrome

 

The diagnosis of carpal tunnel syndrome can be notoriously difficult. Any issues with the median nerve anywhere in the body can cause similar problems, making it difficult for an initial diagnosis. Some of the other possibilities that your chiropractor will try to rule out are arthritis, subluxations, or herniated discs in the spinal column that may interfere with the medial nerve before it reaches the carpal tunnel.
 

Conducting Invasive Treatments

 

While your doctor may suggest surgery as a possibility, it is essential to recognize that there are many possible misdiagnoses and complications associated with this procedure. The high number of ineffective operations suggests that there may have been a misdiagnosis in the first place.

 Additionally, surgeries require significant preparation, cost, and recovery time. So before you schedule an invasive procedure, it would be wise to meet with your chiropractor and get their opinion first.
 

Treating Carpal Tunnel Syndrome with Chiropractic Care


Many people overlook the potential option of chiropractic care before they schedule their surgeries. This may be because many people think that chiropractors only deal with issues as they relate to the back and neck.

However, chiropractors are trained to deal with issues concerning the nerves that travel throughout the body. They have specific knowledge about non-invasive techniques that reduce or eliminate the problems that may be associated with nerve damage or restriction.

In the treatment of carpal tunnel syndrome, your chiropractor will review the entire course that your medial nerve travels throughout the body to ensure they can identify where the issue is occurring.

The median nerve originates in the cervical spine and your chiropractor will follow the path of the nerve to the hand and then use techniques to help alleviate your pain.

One of these techniques involves the gentle manipulation of the cervical spine, elbow, and wrist to try to reduce pressure on the nerve. Your chiropractor may also use other non-invasive techniques such as ultrasound, electrical stimulation, or heat therapies to alleviate your pain.
 

Overview


If you opt to not get carpal tunnel syndrome treated, it may lead to long-term or permanent damage to the median nerve which can cause permanent numbness, tingling, or pain in your hand. If you are concerned with any of these issues, schedule an appointment with a licensed chiropractor today. They can quickly help you identify some of the potential issues and get you started on the path to recovery.


Choosing the Right Chiropractor for You

Choosing the Right Chiropractor for You

Many people have heard about chiropractors for years and may have even wondered if they can help with some of the pain that they’ve been in, but until now, something has been holding them back from scheduling an appointment. This is often the case for many first-time patients. Understanding some of the things that you should look for when “shopping” for a new medical provider can help relieve some of your apprehension. Here are a few components to help you choose the right chiropractor for you before scheduling the first appointment.
 

Check the Reviews

 

This doesn’t mean that you should simply do an online search and trust everything that you’ve read. Ask some of your friends, family or neighbors to see if they have any suggestions or cautionary tales about chiropractors in your area. These suggestions are invaluable because they want you to receive the best care possible and won’t hold back when letting you know if there are any issues.

You should also check online reviews. While these aren’t always accurate, and often overrepresent negative aspects, they can be helpful to see if similar issues occur and how responsive that office is to their patients’ needs.
 

Check with Your Insurance

 

Chiropractic care is often a covered practice, but that doesn’t mean that all providers are covered by all insurances. You can ask the chiropractic office if they accept your insurance, but it’s also important to verify that information with your insurance carrier. Many insurance companies will identify all the covered providers in your area, which can help you narrow your search.
 

Research your Condition

 

While you shouldn't depend entirely on your internet search to understand your condition, it can be helpful to gain some insight. If you think that you can identify what issue you might be having, it can be helpful to investigate the potential treatments and causes. As you continue your research, be sure to write down some questions for your chiropractic office. This can help to ensure that you receive the care that you want and that the office has experience with your specific concerns.
 

Call the Office

 

Now that you’ve gathered your background information, it’s time to make some phone calls. When you call the office, you should ask some of your questions in order to get a general feel for the professionalism of the staff. Are they attentive to your needs? Do you feel like they took the time to adequately address your questions? Were they competent? Does the chiropractor have experience dealing with your specific issues?

If you feel like the office is a good fit, you should then see about scheduling. While many offices are busy, you’ll want to make sure that you can be seen in an acceptable amount of time.
 

Analyze Your Appointment

 

After your first appointment, you should evaluate your care to make sure that you’re receiving everything that you need. Just because you visit a chiropractor doesn’t mean that you are locked into that provider if they don't seem like a good fit. Here are a few questions that you can ask yourself to make sure that your chiropractor remains an adequate choice for you:

  • Was the office environment suitable?

  • Did your chiropractor spend the time to answer your questions and explain your treatment?

  • Are the treatments helping your condition?

  • Is the treatment comfortable?

  • Does your chiropractor seem invested in your health?


If you answer yes to these questions, you should be confident that you are receiving excellent care. However, if you have any concerns, you should discuss them with your chiropractor so they can correct any issues.

 

Overview

If you’ve been holding off on seeking chiropractic care, now is the time to book your first appointment. Many people don’t get the help that they need and continue to live in pain. And those who do seek help, often talk about their hesitations to call, and that they wish they had made an appointment sooner.


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