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The Active Doc

Fitness is the best medicine. Take responsibility for your own health and wellness. Live The Active Life Flag as Inappropriate

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We have Chiropractic AND Physical Therapy
Tom Barnes September 5, 2013 at 11:30 pm
Whenever I have a back or neck pain, I see my chiro as a first resort. I play sports with my kid aRead More lot and pull muscles with my aging body and need to see a sports chiropractor in West Hollywood often. I can recommend http://activebodychirocare.com if any of you live in the Los Angeles area.
Charlie Cheswick August 31, 2012 at 01:15 pm
Please do me a favor and go to your profile/account page at Patch and add a space betweenRead More "Dr." and "Sean" cool blog otherwise...
Dr.Sean Pastuch August 31, 2012 at 02:37 pm
Done. Good catch.
MBG July 11, 2013 at 04:38 pm
Write some more, would you?! I need something to think about while the sweat soaks into my t-shirtRead More and I try to push past the "I can'ts", and the "it hurts".
paz5559 April 30, 2012 at 06:19 pm
Physicians are trained to evaluate and treat patent with a wide range of diseases. Good physiciansRead More read the literature, and are thus aware of cutting edge treatments. First hand knowledge is a nice bonus, but you should select a physician for their insight, knowledge, and expertise. "Consult your doctor before exercising" means more than just what's the best exercise routine. It means can a cardiac patient or an asthmatic use the elliptical safely. It means what are the limitations a total knee patient has with regard to running and squats. What blood sugar range can a diabetic safely exercise at. Neither a chiropractor nor a trainer is qualified to render such advice. Suggesting otherwise is irresponsible, and reprehensible.
Dr.Sean Pastuch April 30, 2012 at 09:11 pm
Paz I would agree with you. Suggesting that a chiropractor or a trainer is qualified to suggestRead More what blood sugar range a specific diabetic should stay in during exercise would be irresponsible. I also agree that "consult before exercising" means more than just what the best exercise routine is. However, it also includes what the best exercise routine is. No where in my piece did I suggest that you should not consult with your physician. I merely gave people the opportunity to ask their physicians educated questions regarding not just permission to, but also how to exercise most effectively.
Dr.Sean Pastuch April 30, 2012 at 09:11 pm
I'm a big proponent of "it's not what you look like, it's what you know". While overRead More weight MD's might know just as much about exercise as their slimmer counter parts, it's in the patient's best interest to be sure that this is the case. I have referred to and received referrals from various health professionals from neurologists, to cardiologists, to orthopedists. The reason they refer to me is because I respect my scope. I'm sorry if you mistook my writing as a warning not to discuss fitness with your medical doctor, that was not my intention. My intention is to give people specific, comprehensive methods to help both themselves and their physicians decide what he best course of action is for them regarding exercise. Many health professionals will tell you that exercise is not their forte. It's in this case that the patient is better suited seeking alternative advice
paz5559 May 4, 2012 at 05:48 pm
Doc, I read this a while ago, and didn't have adequate time to respond when you first posted this.Read More You correctly cite two leading recent studies that confirm what others have documented dating back to Boden in 1990 (Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990 Mar;72(3):403-8.). However, you then mischaracterize the appropriate conclusion. These studies demonstrate that not all discs which appear abnormal on MRI are, in fact, pain generators. MAny people with morphologically abnormal discs don't, in fact, have pain. To suggest that this has anything to do with "compensation" implies that there is, in fact, a pain generator. Does the patient have spinal canal stenosis? Lateral recess stenosis? Spondylosis? Spondylothysthesis? Or perhaps that magical "subluxation" only chiropractors can find? Addressing the end-organ "compensations" without first identifying and treating the underlying structural issue is not likely to yield permanent resolution to a patient's symptoms. Quality Physio's on the right track, but SI joint dysfunction and piriformis syndrome are responsible for between 5-9% of all low back pain.
Dr.Sean Pastuch May 4, 2012 at 08:57 pm
Paz, I want to tell you that I do appreciate your thoughtful, educated responses in regards to myRead More posts, it is the type of feedback I love reading and responding to. You mention that I'm implying that "there is, in fact a pain generator". My article is targeted to people who are in pain, so of course there is a pain generator, our jobs as health professionals is to find it. Disturbingly enough it has been my experience that health professionals (chiropractors included), too often find what they are looking for. Chiropractors find "subluxation", mckenzie therapists find flexion or extension intolerance, acupuncturists find poor flow, and massage therapists find "tight muscles". I try to stay away from this model by looking for what the body tells me. I adjust patients if I find meniscoid entrapment, if there is degeneration without osteoporosis, if there is a rib out, or if the patient has had positive experience with adjustments in the past. I do soft tissue manipulation using Active Release Techniques when I find a tissue length issue involving scar tissue or adhesion in a soft tissue structure, I provide exercises to shorten muscles with excessive resting lengths, and I refer out when the patient presents outside my scope. I'd love to debate your percentages for piriformis syndrome and SI joint dysfunction all day and would start by saying that I find most problems in the external hip rotator compartment stem from the superior gemellus and not the piriformis.
Dr.Sean Pastuch May 4, 2012 at 09:02 pm
On more thing, I didn't discuss spondylos or stenosis because I was talking about the over relianceRead More on MRI findings as a pain generator diagnosis. You assumed that I fit in the category of chiropractors who treat as you so politely called them "magical subluxations that only chiropractors can find", and you assumed that I don't treat the underlying structural issue. In fact all that I treat is the underlying structural issue for the simple reason that once the roof is fixed, there is no longer a need for a bucket on the floor.
Dr.Sean Pastuch March 5, 2012 at 09:21 pm
Yeaaaaaa!!!! I love when people come through with some peer reviewed evidence in support! ThanksRead More Paz! For those of you who might read this and not know what it says, here is the simple translation. It says that in an analysis of studies done between 1966 and 2010, the common result found from static stretching before exercise was a loss in dynamic power output. If this translation is too confusing, simply read the last sentence. "We conclude that the usage of SS as the sole activity during warm-up routine should generally be avoided.
C Roper March 7, 2012 at 02:23 pm
Looking forward to your next post! Thanks for sharing this important information, in such a clearRead More & articulate manor.
Dr.Sean Pastuch March 7, 2012 at 04:30 pm
Roper, Thanks for reading and spreading the word. If you have any direct questions you can reachRead More me through email at DrSean@ThriveLongBeach.com or you can just stop into the office at 901 West Beech street!
Dr.Sean Pastuch February 22, 2012 at 04:40 pm
Anna, Absolutely! Our best female athlete did 40 consecutive pullups without coming off the bar!Read More We did a workout last week in which each member had to accomplish 100 pullups before doing 100 situps, 100 pushups, and 100 squats. 3 of our female members who joined less than three months ago unable to do a single pullup at all did all 100 in the given time allowed. You can too, it just takes dedication to proper nutrition and work ethic.
paz5559 February 27, 2012 at 06:21 pm
So I'm confused. You are a chiropractor. But it sounds like you have "members", implyingRead More you run a gym. But there is no mention of a gym on your website. Clearly, based on your training, you are quite an accomplished fitness instructor. There is, however, discussion about physical therapy, which seems odd, given that no PT's appear to be part of your facility. Could you clear this up for me?
Dr.Sean Pastuch February 27, 2012 at 10:23 pm
Paz - Sorry to confuse you. I am a Chiropractor and a Personal Trainer. At my facility in LongRead More Beach we have Chiropractic, Physical Therapy, Massage Therapy, and a CrossFit Gym where we run group classes as well as perform one on one personal training sessions. The website for the CrossFit gym is www.crossfitkingofthebeach.com and the chiropractic website is www.thrivelongbeach.com Sorry for the confusion, you should be able to find all the pertinent info on those sites.