Positional – it gets triggered by certain head positions or movements
Vertigo – a false sense of rotational movement
BPPV is a mechanical problem in the inner ear. Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vestibular vertigo accounting for approximately 20–30% of diagnoses of vertigo. It occurs when some of the calcium carbonate crystals (otoconia) that are normally embedded in gel in another part of the inner ear dislodge and fall into one of the three canals of the inner ear.
If enough of these particles accumulate in one of the canals they can disrupt the normal flow of the fluid in the canal. This will cause the inner ear to send abnormal signals to the brain causing certain head motions to trigger a sense of Vertigo/Dizziness. The majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin.
The sense of dizziness or vertigo from BPPV usually lasts less than 1 minute. It is usually brought on by particular head motions such as looking upward or downward or to one side. Such as looking up to a high shelf, shampooing your hair, bending down to put on shoes or socks or rolling from one side to the other in bed.
Between vertigo spells some people are usually symptom-free, while others feel a mild sense of imbalance or disequilibrium.
HOW IS IT DIAGNOSED?
Normal medical imaging (e.g. an MRI) is not effective in diagnosing BPPV, because it does not show the crystals that have moved into the canals. When someone with BPPV has their head moved into a position that dislodges the crystals an error signal causes the eyes to move in a very specific pattern, called “nystagmus”.
The inner ears and the eye muscles are what normally allow us to stay focused on our environment while the head is moving. Since the dislodged crystals cause abnormal information to be sent to the brain, the person’s nervous system thinks they are moving when they’re not. It mistakenly causes the eyes to move, which makes it look like the room is spinning. Tests such as Dix-
Hallpike or Roll Tests involve moving the head into specific orientations. This causes movement of the dislodged particles triggering the vertigo and allows the clinician to look for specific eye movements that can help to specify which ear and canal has the problem.
HOW IS IT TREATED?
Though many people are given medication for BPPV, there is no evidence to support its use in treatment of this condition. In extremely rare circumstances, surgical options are considered. However, fortunately, in the vast majority of cases, BPPV can be corrected mechanically via Canalith Repositioning Maneuvers. Many studies have been done into the effectiveness of treatment maneuvers for BPPV, with results showing rates of resolution well into the 90% range by 1-3 treatments.
Symptoms not associated with BPPV!
It is important to know that BPPV will NOT give you constant dizziness that is unaffected by movement or a change in position. It will NOT affect your hearing or produce fainting, headache or neurological symptoms such as numbness, “pins and needles,” trouble speaking or trouble coordinating your movements. If you have any of these additional symptoms, tell your healthcare provider immediately.
BPPV is a common problem, and will more then likely be seen more and more as our population ages. The impact can range from a mild annoyance to a highly debilitating condition, and can affect function, safety and fall risk.
If you have any questions regarding this condition and would like more information contact Village Family Clinic or please feel free to ask one of our staff members or clinicians,.
There is a new saying going around that “sitting is the new smoking” and it is a problem
that is affecting millions of Americans. How many of us sit all day for our 9-5 job? The
vast majority of America is sitting more than 75% of the day. We wake up, drive to
work, sit for 8 hours, drive back from work, then sit in front of the television in the same
crunched posture. We, as Americans, are in a sitting epidemic. Human beings were not
meant to sit this long. We develop our natural curvature of the spine as infants in three
separate phases: keeping our heads up, crawling, and standing. The posture of sitting
puts the most ligamentous stress on the spine, which over time will begin to reverse the
normal curvatures of the spine. This will increase pain, tightness, and a slew of other
symptoms including sciatica and potential gastrointestinal distress. Another big problem
in today’s society is what I would like to call “text neck.” Everyone always has their
head down looking at their smart phone now more than ever. This is another disastrous
posture for your neck and natural curvature of the cervical spine. It can lead to headaches
and tight muscles as well as arm pain, shoulder pain, and pinched nerves. Now I know
what you are thinking, “Listen Doc, I know all of this is bad, but what can I do about it?”
Well, I’m glad you asked. Let me raise awareness of correct posture – sitting up straight
towards the edge of your chair, head up, shoulders back, and feet shoulder width apart
flat on the floor. If you are sitting all day for your job, obtain an ergonomically correct
chair or a lumbar support pillow to help out your lower back. Also, it is recommended to
stand and take a walk/stretch once per hour of sitting. Place your computer screen at eye
level to reduce bending your neck down. Standing desks are also a positive. The most
important advice is just get up and move! Movement is life and the research states that
only 30 minutes of exercise a day has countless benefits such as increased mood,
decreased weight, increased energy, and overall better outlook on life. Remember,
correcting your posture with proper ergonomics will take some effort but it will be worth
it. Visiting a chiropractor to ensure proper spinal health and movement is also an integral
part of improving posture and increasing your quality of life – if you book an
appointment with us and tell us you read this article – we will give you a free digital
The use of acupuncture as a treatment for pain is systematically increasing across America. We are proud to inform you that our chiropractic treatment team here at Village Family Clinic has provided acupuncture care services to our Hackettstown, NJ patients for years nowand with great success. Some consider it better than powerful painkillers.
The Veterans Affairs medical system has utilized acupuncture to treat pain for several years. Some insurance companies cover it and we feel that it is only a matter of time before they all do. Some states currently offer acupuncture to patients who have Medicaid, an insurance program for the less financially fortunate. The states are mainly ones where many people have become sick or died from overdosing on opioid drugs. The opioid crisis is believed to have started with the misuse of painkilling drugs prescribed by doctors.
Many people became addicted to opioid drugs after seeking help to relieve pain. Acupuncture could be a way to help keep some patients from using opioids in the first place. For a long time in the U.S., acupuncture was considered unstudied and unproven. Federal researchers say there is evidence that acupuncture can help some patients deal with some forms of pain.
Acupuncture has been practiced in China for thousands of years. Acupuncturists put thin metal needles into specific spots in the ears or other parts of the body. They say needles put in these spots restore the flow of energy — called "qi" — through the body. This heals the body and eases pain. In government studies, 1 in 67 U.S. adults say they get acupuncture every year, up from 1 in 91 in 2008.
American veteran Jeff Harris was one of the first people to ask for acupuncture when veteran’s hospital began to offer it. "I don't like taking pain medication. I don't like the way it makes me feel," he said. Harris also did not want to risk getting addicted to painkilling drugs. Harris began acupuncture two years ago. The 50-year-old Marine Corp veteran said he hurt his back while training in the military in the 1980s. Today, he has pain down his legs and numbness in his feet. Acupuncture "helped settle” his pain." Another veteran, Harry Garcia of Connecticut, tried acupuncture for his back pain after years of using pain medications. Acupuncture “keeps pain down for up to 10 days,” said Garcia.
About ten years ago, the military and Veterans Affairs began using several different ways to treat pain, including acupuncture and yoga. A recent study says now two-thirds of military hospitals and other treatment centers offer acupuncture. While research continues, the willingness of medical insurance companies to pay for acupuncture is growing. California, Massachusetts, Oregon and Rhode Island pay for acupuncture for pain through their Medicaid insurance programs. Massachusetts and Oregon also pay for acupuncture as a treatment for drug abuse.
Today, more than ever, fad diets are becoming a popular way to lose weight fast. Diets are based on everything from a persons blood type, skin color, eye color, counting carbs, and some are based on nothing at all. Many of these diets are about deprivation. The basic idea behind many of these diets is the depriving your body of something that it wants and craves. While I don’t believe that you should eat everything that you can get a hold of, your body craves things for a reason.
A lot of times women crave chocolate at certain times of the month, that is due to the high concentration of magnesium in chocolate, a nutrient which becomes depleted. While there may be better ways to get magnesium, your body is very intelligent and knows what it needs to survive. Why would you not want to listen to your own internal regulation system? Losing weight has and always will be about eating less and exercising more. However, depravity is not part of that equation necessarily.
Mostly all of these diets will make you lose weight quickly but an extremely high percentage gain all of the weight back just as fast. Your body burns approximately 1200 calories per day while lying in bed. If you work during the day, you can burn nearly 2000 calories a day not doing anything for exercise. So, how many calories are you eating a day? 3000? 4000? The key to losing weight and maintaining that loss is to equal that balance and then to exceed the calorie intake by 500 per day. A bottle of soda has about 250 calories in it. Therefore, if you drank two bottles of soda a day, switch to water, you would essentially lose a pound per week if all other intakes were even.
Small changes can make a big difference: take the longer walk to work, park your car across the parking lot, take the dog for a walk, cut out soda, take the stairs instead of elevator, little things like this can make a large impact. Simply working out for twenty minutes a day, three to five times a week, and cutting 500 calories out of your diet every day, you will lose one to two pounds per week, healthily, happily, and without depriving your body. It is the little things that matter most in this world and the same applies to becoming healthy, little changes everyday, add up to big changes in the end.
Dr. Carlock is a practicing chiropractor at Village Family Clinic in Hackettstown, NJ. We are a multi-disciplinary facility that offers chiropractic treatment, physical therapy, acupuncture treatment, nutritional counseling, and pain management. Call us at (908) 813-8200 for any questions or to schedule an appointment.
With the American population ever-increasing and life expectancy getting higher- arthritis is on the verge of becoming an epidemic in this country. Arthritis can be a disabling and crippling disease that forces thousands of Americans to become bedridden. Arthritis takes on two distinct forms.
There is the more common type of arthritis, non-inflammatory arthritis. The most prevalent type of non-inflammatory arthritis is degenerative or osteoarthritis. This type of arthritis is typically thought of as part of aging or just getting old. However, osteoarthritis is not a part of the normal aging process, it is due to improper biomechanics, previous injuries, lack of nutrition and exercise. Osteoarthritis is generally a preventable disease.
On the other hand, inflammatory arthritis is very different. Inflammatory arthritis is a more serious form of arthritis and is accompanied with swelling, heat, and difficult movement. The most common type of inflammatory arthritis is rheumatoid arthritis. Rheumatoid arthritis is a genetic disease, which commonly affects women in their 40’s. Rheumatoid arthritis must be treated with medication.
Other common types of inflammatory arthritis included Reactive arthritis, Psoriatic arthritis, and Enteric Arthritis. Inflammatory arthritis is treated with medications (commonly steroids), and cryotherapy (cold treatment).
Osteoarthritis or non-inflammatory arthritis is treated with gentle exercise, stretching, strengthening, chiropractic adjustments, and usually heat is a more palliative treatment. It is very important to distinguish between the two types due to the fact that the treatment between the two diseases is very different. Osteoarthritis can be managed conservatively without drugs or surgery, however, as with most diseases, prevention is the key.
Keeping a healthy diet, exercising on a regular basis, taking your vitamins, and keeping in shape are vitally important in the prevention of osteoarthritis. Proper vitamin supplementation should include a good multivitamin, glucosomine chondroitin for proper joint health, and calcium magnesium for proper bone health. The most significant step we can all take to prevent arthritis and to minimize the symptoms of arthritis is to keep moving. Chiropractic adjustments keep the joints of the spine moving which help decrease the degenerative process.
Remember that movement is life, keep moving! For more information on treating arthritis, contact Village Family Clinic.
Dr. Carlock is a practicing chiropractor at Village Family Clinic in Hackettstown, NJ. We are a multi-disciplinary facility that offers chiropractic, physical therapy, acupuncture, nutritional counseling, and pain management.
Call us at (908) 813-8200 for any questions or to schedule an appointment.
In this video, we're talking about sleeping. So, we see a lot of patients here in our Hackettstown chiropractic clinic who have trouble sleeping, so we're gonna give you some sleep tips, tips to get you to sleep better and some general tips about sleeping with proper positioning.
There's a lot of people with insomnia, which means you're not getting enough sleep, and there's a couple different problems. There’re really two major problems with sleep: we're having trouble falling asleep and we're having trouble staying asleep. So, there's different problems in there. This is a complex issue that we need to consult with you to talk a little bit about it, but there are usually a couple things going on.
The number one reason people do not sleep well is actually muscle aches and pain. So, you're waking up because your back hurts, your neck hurts, you're rolling on your shoulder and it hurts ... some physical problem is actually the number one reason why we're not getting a good night's sleep. So, you're having a physical problem: back pain, neck pain, headaches, shoulder problems, anything like that, give us a call--(908) 813-8200--we'll fix that up for you and that'll probably help you out.
In addition, there's some other good tips I'd like to give you today, just general sleep problems versus a physical problem. The number one is electronics. We're all on iPhones, iPads, and computers all the time. Just had a guy in recently, "I'm having trouble sleeping Doc, you know, I can't sleep...not sleeping well." I talked a little bit about this kind of stuff and it turns out he leaves his iPad on and he's getting email alerts all night and of course it's waking him up multiple times per night and he's just not getting a good night's sleep. So, rule #1 for getting a good night's sleep is turning electronics off an hour before bedtime. Phones off, iPads off, no TVs on in the room an hour before bedtime. All that light--it gets complicated--but the light stimulating hormones in the brain keeping you awake and active. The body thinks there's sunlight out there and wants to be awakened, so turn all electronics off an hour before bedtime is rule number one.
Rule #2, we don't want to eat or drink anything an hour before bed, so if you're used to eating a midnight snack, late night stack, drinking a big water, then you've got to get up and go to the bathroom. So, no food or drinking an hour before bedtime.
Your room environment is very important, so a couple things in general concerning the temperature. A lot of us are sleeping way too warm, whether it's the summer or winter, most people are sleeping too warm. I adjust sleep temperatures below 70 degrees where a lot of people set the room temperature at 72 or 70. If your room's at 70, then you're under the blankets and then you're gonna be 75 degrees as your body heat's trapped in there. There's a lot of different strategies for that. The best thing for most you is just keep the room a little bit cooler. Myself, we use something called the chilly pad at home where it circulates water underneath you and it helps regulate your body temperature within a degree so you don't heat up in the middle of the night. So there's obviously that. Bottom line is, most of us sleep better when it's a lot cooler. Even if the room's in the 70s, you might think that's kind of cool, but your body heats up, warming you up. Even when it's 69, 70, you're underneath the blanket and all your body heat's retained all night. If you have a partner with you, the additional body heat is just getting you warmer and warmer. So, a lot of us just need to cool off, sleep a little bit cooler, maybe less clothes, we’ve got to get a little cooler in our sleep.
In summary, no electronics, no food, and no drink an hour before bedtime. And, get the room a little bit cooler. These are some of the easy tips to help you sleep better..
The next tip we're gonna talk a little bit about is going to be sleep positions. So, a lot of people don't know how to sleep, which I get asked probably 10-15 times a day, "How should I sleep?" or "What position should we sleep in?" So, we'll go through a couple of those things right now as well.
Rule #1, we never want to sleep on our stomach. There's just about no good way to sleep on your stomach. It's gonna put strain on the neck and it's hard to breathe properly. It's really not a good idea to sleep on your stomach and for the women out there, they say it gives you wrinkles quicker if you sleep on your stomach. That's the way I get my women patients to stop doing that. So, you can sleep on your back or your side. Either way's fine. People ask me which way is better. It's hard to change a habit one way or the other. If sleep on your stomach, the easiest way I found to change that habit is to get those long body pillows at Target or something. Just those big, long, inexpensive pillows, and start putting it underneath you and it'll start gently turning you off of your stomach. So side or back is okay, whatever is better for you.
I know some people have trouble snoring and things when they're sleeping on their back. Sometimes that indicates you might have an issue that needs to be looked at. So, if you're snoring a lot and your partner says you kind of stop breathing in the night, you could have something called sleep apnea where you're not getting optimal sleep, which is waking you up, which is actually a very serious medical problem. So, if you have severe snoring and your partner says that you're kind of not breathing in the middle of night, you want to get a sleep study done to make sure that it's not an issue. But sleeping on your side or back is okay, and we're gonna go over some of that stuff right now.
So, on your side most people are using too many pillows. This is our water pillow here that we have at the office. I find a lot of people sleep on their side or their back and they've got two or three pillows. When you sleep on your side with two pillows like this, you end up kind of cranking your neck up and putting stress on the neck and then you come in here with neck pain. So, one of the things we recommend is one good pillow. A normal pillow you gonna find at the store is probably not going to give you enough support. One of the pillows that we have here is this water-based pillow and basically what you do is you fill up water level based on how big you or how firm you are. The more water, the more firm, the more support you're going to get. Less water for smaller people...less support...but we just have one pillow. Another nice thing about the water is it's nice and heavy and doesn't slide around to move around. We use these at the clinic. They're a good idea but a firmer side is one good pillow. Now the average pillow at Target is probably not going to give you enough support, like this one here, is not gonna be enough support for me so you need the water-filled pillow. When you sleep on your side, you wanna sleep as flat as possible. Again, you want to have a better pillow than this. That's why my head's up a little bit. A lot of times with our lower back patients, we'll tell them just a little support in between the knees. So, a small pillow like this right above the knees to help keep these hips straight. You can see my hips are pretty straight now. If I take that pillow out we're kind of twisting a little bit. That can put some stress to lower back, hips, pelvis, and all that kind of jazz.
When you sleep on your back, it's just real simple. There's not much to it. You sleep straight on your back. Put your arms wherever you want but you don't want them up here (by the head). All you need is one good pillow. Most people have two or three crummy pillows, or one crummy pillow, but it's one, good, supportive pillow when you sleep on your back or side.
Most of these are simple sleep tips. It's not always that easy. Physical problems are a big reason why people don't sleep. You don't realize your neck or back aches are waking you up. That happens to a lot of patients out there, so if you have something...a little neck ache during the day...it might not be bothering you too much but it's keeping you awake at night or waking you up. So, get any those kinds of problems checked out. Call the clinic at (908) 813-8200. We can fix any of that kind of stuff for you. Other than that, no food or drinking and hour before bedtime, no electronics an hour before bedtime, try to go to bed a little earlier, as well. Early to bed, early to rise is always good advice for most of us. No electronics, no food, nothing else an hour before bed. You want a nice, calm, relaxing bedroom. Get the temperature down. Most of us are sleeping when it's way too warm...72 degrees in there...so you want to cool that down a little bit and sleep a little cooler. With respect to sleep positions, be on our back or side. One good pillow up top. If you're on your side, a little know pillow is okay. If you have a bad lower back, I suggest you sleep on your back with pillow or two underneath the knees to elevate them so you can take some pressure off the spine, as well.
So, basically these are our sleep tips. Obviously, you can come in and we can delve into this a little bit more but hopefully that helped you out a little bit at home. If you have any questions, check out our website at http://www.hackettstownfamilyclinic.com or give us a call right away (908) 813-8200.
Hi, I'm Dr. Miller here at Hacketstown New Jersey’s Village Family Chiropractic Clinic. Today I want to talk to you about a condition that a lot of our patients come in with and is called a pinched nerve.
So, what happens is the spinal cord comes down through the middle of the two vertebrae here in the back and through the side channels where the nerves exit. So what happens throughout life the vertebrae can come out of alignment and get stuck in this position. When that happens it creates less room for the nerve to wiggle around in there and it creates irritation of the nerve.
This can manifest into a lot of different thing. A lot of times what brings people into our office of course is pain. There's also other things it can affect. It can affect digestion and a lot of your internal organs. So if something's going wrong in your body and you feel like you're off, you have a little pain in your back, pain in your neck, then come on in. We’ll scan you, conduct a full exam, and see if maybe one of these pinched nerves could be causing the problems you're having.
Hello again dear friends from Dr. James and
his staff here at Hackettstown's Village Family Clinic. Our friends at the American Chiropractic Association are a wealth of knowledge and they invite us to share their insight into the subject of chiropractic treatment as well as the chiropractic industry as a whole. With Hacketstown serving as home to a large number of military veterans, a recent article within the ACA caught our eye and we thought we'd share it with you. Before we go further, if you are an Hackettstwon's area veteran seeking chiropractic care, we stand ready to answer any/all of your questions. Now onto the ACA's findings.
A new study finds that female veterans—one of the fastest growing populations receiving treatment through the Veterans Administration (VA) health care system—experience improvement in low back pain with a course of chiropractic care, according to the American Chiropractic Association (ACA).
Published in the Journal of Manipulative and Physiological Therapeutics, the study’s authors note that musculoskeletal conditions such as back pain are the most common ailments among female veterans. They also report that female veterans on average access VA medical care more frequently than male veterans, have a higher outpatient cost per patient and have a higher rate of service-connected disability.
“Although further research is warranted,” the study says, “chiropractic care may be of value in contributing to the pain management needs of this unique patient population.”
Chiropractic services are one of the conservative (non-drug) treatment options for pain offered in the VA. They are available at half of the major VA medical facilities in the United States.
Efforts to expand chiropractic services to veterans recently gained new momentum in Congress. Rep. Julia Brownley (D-CA), ranking member of the Veterans Subcommittee on Health, and Rep. Lucille Roybal-Allard (D-CA), have joined forces to broaden the range of services and care options available to veterans by supporting the Chiropractic Care Available to All Veterans Act (H.R. 103). The bill—supported by several major veterans groups—would require chiropractic services to be offered at all U.S. Department of Veterans Affairs medical centers and codify chiropractic care as a standard benefit for veterans using VA health care. There is a bipartisan companion bill in the Senate (S. 609).
Chiropractors focus on disorders of the musculoskeletal system, most often treating complaints such as back pain, neck pain, pain in the joints of the arms or legs and headaches. Widely known for their expertise in spinal manipulation, chiropractors are also trained to recommend therapeutic and rehabilitative exercises, and to provide dietary and lifestyle counseling.
Call or contact us today to discuss any of the findings discussed above or to schedule your initial consult with Dr. James Fedich and the caring staff here at Village Family Clinic.
Here at Village Family Chiropractic Clinic in Hacketstown, NJ, we consider the mattress to be a critical element of your overall spine and neck health. As such, Dr. Fedich and his staff invest time and energy researching the mattress industry in search of the absolute best in support of promoting spine and neck health. Our research resulted in the selection of ChiroSlumber as the mattress manufacturer of choice for Village Family Clinic patients.
The reason Dr. Fedich endorses ChiroSlumber products relates to the fact that they manufacture products using the most technologically advanced pressure-relieving memory foam in the world. ChiroSlumber teams with the world-renowned scientists at BASF to produce these American made products that exceed all U.S. safety standards. We caution you all to pause when considering any mattress product made in China as Chinese mattresses are manufactured in questionable environments and have been found to contain chemicals which are banned for use within the United States.
Mention Dr. Fedich's name when purchasing a ChiroSlumber product and receive a special discount. Here's to all of you getting a great night's sleep while all the while supporting your overall spine and neck health. As always, contact us anytime you have any question regarding your back and/or neck pain,
Hi, I’m Dr.Karen Zuidema, a doctor of Acupuncture, Oriental medicine, as well as nutritionist. I'm here at Village family Clinic treating a patient who suffers from PTSD.
In our practice we see a lot of people. We may be treating them for pain or pain management issues. Very often we talk and discuss their levels of anxieties and depressions we see in a lot of patients. It seems like an epidemic across our country. Acupuncture can be very effective because needles are conductors of electrical energy. When I place the needle under the skin this stimulates the brain to release feel good chemicals like dopamine and endorphins which help to relax the body and bring it into a healthier state. Acupuncture can be helpful in treating some other symptoms that came along such as fatigue, gastro intestinal problems and sometimes even mood disorders.
So, I generally recommend acupuncture treatment for patients 20 minutes twice a week along with the good diet and exercise. So come on down to our clinic and you or a family member can benefit as well. I’m just going to give a little treatment to Dr. Miller so you can get idea what the treatment might look like. Can I see your tongue? I’m assessing and looking at what his differential is, and in his case it is more of a deficiency. I’m going to work in treating the ears. There’s been a lot of science behind this especially in treating PTSD.
“Hi I'm Laurel, I'm a patient at the Village Family Clinic. I just want to thank Dr. Fedich and the whole staff for everything they have done for me. My back feels so much better. This machine that I have been using has really helped my back and I just want to thank everybody. Thank you!
“Hi! My name Maria and I'm here at the Village Family Clinic. I came for compression for my neck and chiropractic for my back and I'm feeling better. The atmosphere in this clinic is so friendly. They know what they're doing and I would love for people come to this place. They're very friendly, especially my friend Jessica. Fully nice work, everybody fully nice. I wish everybody would come here. Very friendly people in this clinic.
“Hi I'm Peggy. The entire team is friendly and helpful, from the moment you walk in the door! To be greeted by your first name makes you feel welcome, this team really cares about YOU! I have 3 pinched nerves in my lower back which is the reason I first came here. Bob taught me stretches to do, Pat & Michelle put me on the stretchingboard & electric shock. ( even providing me with a comfy blanket😍). Dr. Miller keeps me aligned. And there is a crazy woman running around who especially makes me laugh! Abbby!? (Sorry, I forget your name. ) I actually love going here!