| Term | Definition |
|---|---|
| Activator | A spring-loaded adjusting instrument that utilizes an extremely rapid pulse to help restore normal functioning in the body. |
| Acupressure | The practice of applying; pressure on parts of the body to relieve pain. |
| Acupuncture | The practice of inserting fine needles on specific meridian points for the purpose of relieving tension, stress, and pain. Highly useful in the treatment and relief of back pain. |
| Acute back pain | Back pain that lasts a short while, usually a few days to several weeks. Episodes lasting longer than three months are not considered acute. |
| Addiction | Psychological, emotional, or physical dependence on the effects of a drug. |
| Adjustments | A form of chiropractic technique involving the application of gentle, yet firm, pressure to a bone. Adjustments employ a high velocity, low amplitude thrust. The goal of any adjustment is to restore the bone to its natural, or original, position. |
| Adrenal glands | Small glands located on the kidneys that produce the stress hormones adrenaline and cortisol. |
| Adrenaline | A hormone that stimulates metabolism, increases alertness and increases blood pressure. |
| Aerobic Exercises | These kinds of exercises generally involve large muscle groups and foster a strong and healthy heart and lung function. |
| Alternative Medicine | The use of various non-drug, non-surgical related therapies. Using natural means of treatment. |
| Amino acid | The basic unit from which proteins are made. There are two classes of amino acids: essential and non-essential. Essential amino acids are those that cannot be manufactured by the body and must be attained from the diet. Non-essential amino acids are those that the body can synthesize from other amino acids. |
| Anabolism | The metabolic process of building new tissue. Typically used in relation to building muscle, ligaments and tendons. |
| Analgesics | Medicines that are used to relieve pain – aspirin is an example. |
| Anesthesiologist | A physician who specializes in giving drugs or other agents that block, prevent, or relieve pain. |
| Ankylosing Spondylitis | A chronic, progressive, rheumatic disease of the spine that causes calcification of the spinal ligaments, resulting in a loss of movement. |
| Annulus fibrosis | The tough outer layer of the intervertebral disc. Cartilage-like material formed in a series of rings surrounding the nucleus pulposus (soft center) of a disc. |
| Applied kinesiology | An unscientific method of testing muscle strength to detect the presence of disease, vitamin deficiency, and other problems |
| Arthritis | Inflammation of a joint; most arthritis is caused by degenerative changes related to aging. Arthritis affects not only joints but also connective tissue throughout the body can be involved, as well. |
| Atlas | Topmost vertebra of the neck |
| Autonomic nervous system | The part of the nervous system that is responsible for controlling the involuntary functions in the body, such as digestion, metabolism, blood pressure, etc. |
| Back Extension | Backward bending of the spine. |
| Back Flexion | Forward bending of the spine. |
| Bariatric surgery | Surgery on the stomach and/or intestines to help the patient with extreme obesity lose weight. Bariatric surgery is a last-resort weight-loss method used for people who have a body mass index (BMI) in excess of 40. |
| Basal energy expenditure (BEE) | Also known as the basal metabolic rate.; The number of calories that your body needs for basic processes such as digestion, breathing, brain function, etc. |
| Bioelectrical impedance analysis (BIA) | A way to estimate the amount of body weight that is fat and nonfat. Nonfat weight comes from bone, muscle, body water, organs, and other body tissues. BIA works by measuring how difficult it is for a harmless electrical current to move through the body. The more fat a person has, the harder it is for electricity to flow through the body. The less fat a person has, the easier it is for electricity to flow through the body. By measuring the flow of electricity, one can estimate body fat percent. |
| Body composition score (BCS) | A measure that combines body weight, percentage of body fat, waist circumference and hip circumference into one score. The BCS is a more accurate measure of weight loss progress than simply measuring body weight. |
| Body mass index (BMI) | A measure of body weight relative to height. BMI can be used to determine if people are at a healthy weight, overweight, or obese. A body mass index (BMI) of 18.5 up to 25 refers to a healthy weight, a BMI of 25 up to 30 refers to overweight and a BMI of 30 or higher refers to obese. |
| Bodywork | A general term that relates to a wide variety of hands-on therapies, such as massage and some movement therapies. |
| Bulging Disc | The annulus portion of the lumbar disc weakens causing the nucleus to press against it resulting in the annulus pinching or pressing against a nerve causing pain. |
| Bursitis | A condition in which the bursa, or fluid filled sacks that cushion joints, become swollen. |
| Calorie | A unit of energy in food. Carbohydrates have 4 calories per gram. Proteins have 4 calories per gram. Fat has 9 calories per gram. |
| Carbohydrate | A major source of energy in the diet. There are two kinds of carbohydrates: simple carbohydrates and complex carbohydrates. Simple carbohydrates are sugars, while complex carbohydrates include both starches and fiber. Carbohydrates have 4 calories per gram. They are found naturally in foods such as breads, cereals, fruits, vegetables, and milk and dairy products. Foods such as sugar cereals, soft drinks, fruit drinks, fruit punch, lemonade, cakes, cookies, pies, ice cream, and candy are very rich in sugars. |
| Cardiovascular system | The system in your body responsible for distributing blood throughout the body. The cardiovascular system is made up of the heart, arteries, capillaries and veins. |
| Carpal Tunnel Syndrome | A progressive and sometimes painful joint disorder caused by a compression of the median nerve of your hand. The compression causes swelling, which exerts pressure on the nerves. |
| Cartilage | A connective tissue that lines the ends of bones and most joints. It lines the facet joints of the spine. |
| Catabolism | The metabolic process of breaking down tissues. Typically refers to the breakdown of muscle, bone, ligaments and tendons. |
| Cauda equina | A region at the lower end of the spinal column in which nerve roots branch out in a fashion that resembles a horse’s tail. |
| Cavitation | Pop that occurs in a spinal joint when vertebral surfaces (facets) are separated to create a vacuum that pulls in nitrogen gas |
| Cervical Spine | The upper portion of your spine; also called the neck. |
| Cervical vertebrae | There are seven vertebrae in the cervical or neck area of the spine |
| Chinese Medicine | The general term to describe the numerous techniques utilized in China for many thousands of years to heal bodily ailments. These may include massage, herbs, acupuncture and Qi Gong. |
| Chiropractic | Comes from the Greek words, “chiro,” meaning hand, and “practic,” meaning practice, or treatment. Chiropractic is a form of health care that focuses primarily on restoring normal position, motion and function in the body’s structures; especially the spine. |
| Chiropractic Biophysics (CBP) | Method of chiropractic analysis and treatment in which spinal corrections are based on theoretical calculations related to posture and spinal curvature. CBP is based on theoretical calculations related to posture and spinal curvature. This technique advocates adjustments, traction, and exercises intended to develop “normal” neck and low-back curvature. |
| Chiropractor | Also known as a doctor of chiropractic (D.C.), diagnoses and treats a broad range of physical conditions in patients with muscular, nervous, and skeletal problems, especially the spine. |
| Cholesterol | A fat-like substance that is made by the body and is found naturally in animal foods such as meat, fish, poultry, eggs, and dairy products. Foods high in cholesterol include liver and organ meats, egg yolks, and dairy fats. Cholesterol is carried in the blood. When cholesterol levels are too high, some of the cholesterol is deposited on the walls of the blood vessels. Over time, the deposits can build up causing the blood vessels to narrow and blood flow to decrease. The cholesterol in food, like saturated fat, tends to raise blood cholesterol, which increases the risk for heart disease. Total blood cholesterol levels above 240 mg/dl are considered high. Levels between 200-239 mg/dl are considered borderline high. Levels under 200 mg/dl are considered desirable. |
| Chronic back pain | Back pain episode that lasts more than three months |
| Chronic Pain | Pain that has lasted for more than three months generally having significant psychological and emotional affects and limiting a person’s ability to fully function. |
| Coccyx | The small bone at the lower tip of the spine. Also called the tailbone, a triangular-shaped bone at the bottom of the lumbar area. |
| Cognitive Restructuring | A therapy whose emphasis is on learning to recognize and then change, or restructure thought processes, reframing thoughts in less stressful terms. Learning to make molehills out of mountains. |
| Complementary Medicine | The use of various non-drug, non-surgical related therapies. Using natural means of treatment. |
| Compressed Nerve | Material from a bulging or Herniated disk pushes against a nerve in the spinal cord causing severe pain. |
| Computed Tomography (CT) scan | A sophisticated x-ray using a computer to produce a detailed cross-sectional three-dimensional picture of the bone and discs. |
| Cordotomy | Surgery to cut some of the fibers of the spinal cord; used to relieve pain. |
| Cortisol | A hormone that is released from the adrenal glands in response to stress that facilitates fat storage and has a catabolic affect on muscle and connective tissue. |
| Cranio-Sacral Therapy | A manual therapy focusing on manipulation of the bones in the skull and sacrum. |
| Cyclooxygenase | An enzyme that comes in two forms, I and II. Type I maintains body functions. Type II is associated with the development of inflammation. Aspirin inhibits I and II. COX-2 drugs inhibit Type II only. |
| D.C. | Abbreviation for “doctor of chiropractic". |
| Degenerative Arthritis | The wearing away of cartilage that protects and cushions joints including those in the spine, hands and feet (see Osteoarthritis). |
| Degenerative Disc Disease | A general term applied to degeneration of the lumbar spinal discs which serve as cushions between the spinal vertebrae, resulting in a narrowing of the disc space. |
| Diabetes Mellitus | A disease that occurs when the body is not able to use blood glucose (sugar). Blood sugar levels are controlled by insulin, a hormone in the body that helps move glucose (sugar) from the blood to muscles and other tissues. Diabetes occurs when the pancreas does not make enough insulin or the body does not respond to the insulin that is made. |
| Diet | What a person eats and drinks. Any type of eating plan. |
| Disc Annulus | The outer lining of a disk (see Annulus Fibrosis). |
| Disc Nucleus | The inner core of a disk (see Nucleus Pulposus). |
| Discectomy | Surgical removal of part or the entire herniated intervertebral disc. |
| Dynamic thrust | Chiropractic adjustment delivered suddenly and forcefully to move vertebrae, often resulting in a popping sound |
| Electrical nerve stimulation | A type of physical therapy treatment that utilizes various frequencies and wave forms of electrical current, which have therapeutic effects on the nervous and musculoskeletal systems. |
| Electromyography (EMG) | Procedure that tests nerves and muscles providing information to help determine if surgery may be required. |
| Endorphins | Chemical messengers released by the body during vigorous exercise that stimulate the brain to feel good, happy and relaxed. |
| Energy expenditure | The amount of energy, measured in calories, that a person uses. Calories are used by people to breathe, circulate blood, digest food, and be physically active. |
| Epidural Injection | Into the spinal column but outside of the spinal cord. |
| Exercise | Exercise is physical activity that is planned or structured. It involves repetitive bodily movement done to improve or maintain one or more components of physical fitness: cardiovascular fitness, muscle strength, endurance, flexibility and body composition. |
| Exercise Therapy | A form of chiropractic treatment used to help manage pain, rehabilitate damaged soft tissues, such as muscles, ligament, and tendons, and restore normal range of motion and function. |
| Extensor Muscles | Muscles that cause your joints to straighten, such as the back and gluteus muscles that help keep your back straight. |
| Facet Joint Syndrome | Pain resulting from degeneration, wear, pressure exerted on and inflammation of the facet joints, which are the joints at the back of each vertebrae linking the vertebrae together. |
| Facet joints | The joints above and below each intervertebral disc, allowing the spine to bend. The paired joints located in the posterior portion of the vertebral bodies connecting the spine. These joints are part of the stabilizing mechanism for the spine. |
| Fascia | A band of connective tissue separating muscles and organs in the body. |
| Fat | A major source of energy in the diet. All food fats have 9 calories per gram. Fat helps the body absorb fat-soluble vitamins, such as vitamins A, D, E, and K, and carotenoids. Some kinds of fats, especially saturated fats, [see definition] may cause blood cholesterol to increase and increase the risk for heart disease. Other fats, such as unsaturated fats do not increase blood cholesterol. Fats that are in foods are combinations of monounsaturated, polyunsaturated, and saturated fatty acids. |
| Fibromyalgia | Fibromyalgia is a condition that causes pain in muscles, joints, ligaments and tendons. |
| Fibrositis | Pain arising from damaged tendons or muscles. |
| Flexor Muscles | The muscles that cause your joints to bend, such as your biceps muscle on the front of your upper arm or your abdominal muscles. |
| Foraminal Stenosis | Narrowing of a vertebral opening. |
| Foraminal Stenosis | Narrowing of a vertebral opening. |
| Fusion | In regard to the spine, a surgical procedure to unite two or more vertebrae with bone graft with or without metal supports resulting in immobilization of that portion. |
| Gestational diabetes | A type of diabetes mellitus that can occur when a woman is pregnant. In the second half of her pregnancy, a woman may have glucose (sugar) in her blood at a higher than normal level. In about 95 percent of cases, blood sugar returns to normal after the pregnancy is over. Women who develop gestational diabetes, however, are at risk for developing Type II diabetes later in life. |
| Ghrelin | A hormone released from the stomach and the small intestine that creates the sensation of hunger. |
| Glucagon | A hormone released from the pancreas that elevates blood sugar by stimulating the release of glucose stores in the liver and muscle. |
| Glucose | A building block for most carbohydrates. Digestion causes carbohydrates to break down into glucose. After digestion, glucose is carried in the blood and goes to body cells where it is used for energy or stored. |
| Glycemic index | A measure of a food’s ability to raise the body’s blood glucose level. Foods that have a low glycemic index do not raise blood glucose levels to nearly the extent of high glycemic index foods. |
| Golfer’s Elbow | A type of elbow pain that originates near the inside part of the bony protrusion. This type of pain is also caused by a tear or rupture in the tendon supporting the elbow bone. |
| Gonstead technique | System of correcting pelvic and sacral “subluxations” to correct secondary subluxations elsewhere in the spine. The alleged problem areas are located by motion palpation and skin-temperature instrument measurement and “confirmed” with full-spine x-ray examination. |
| Healthy Weight | As compared to overweight or obese, a body weight that is less likely to be linked with any weight-related health problems such as Type II diabetes, heart disease, high blood pressure, high blood cholesterol, or others. A person with a body fat percentage between 18% – 22% (depending on age) are considered to be at a healthy weight. |
| Heat Therapy | A form of therapy often used in patients who have chronic, or long-lasting pain. Heat therapy can involve many kinds of methods, from simple heating pads, wraps, and warm gel packs, to sophisticated techniques such as therapeutic ultrasound. While ice therapy is used to reduce swelling, heat therapy is used to relax the muscles and increase circulation. Both kinds of therapy help reduce pain. |
| Herniated Disc | A disc that protrudes from its normal position between two vertebrae, due to an injury to the annulus; frequently associated with the nucleus of the disc oozing out of the center of the disk. |
| High blood pressure | See Hypertension. |
| High-density lipoprotein (HDL) | A form of cholesterol that circulates in the blood. Commonly called “good” cholesterol. High HDL lowers the risk of heart disease. An HDL of 60 mg/dl or greater is considered high and is protective against heart disease. An HDL less than 40 mg/dl is considered low and increases the risk for developing heart disease. |
| Hip circumference | A measurement of the hips, including the widest portion of the buttocks, used in conjunction with the waist circumference, body weight and percent body fat to calculate the body composition score. |
| Hypertension | A resting blood pressure that is greater than or equal to 140/90 mm Hg. Hypertension is associated with an increasee risk of heart disease and stroke. |
| Hypothalamus | A small area of the brain that is a main control center for regulating eating and sleeping behavior in humans. It has binding sites for several hormones including ghrelin and leptin. |
| Ice Massage | A form of therapy involving the application of ice to treat many kinds of injuries, including those associated with back or neck pain. Ice causes the veins in the affected tissue area to constrict. This reduces the flow of blood while acting as kind of anesthetic to numb the pain. But when the ice is removed, the veins compensate by opening large, allowing a large volume of blood to rush to the affected area. The blood brings with it important chemicals that aid in the healing process. |
| Ideal body weight | The weight that your body would be if you had a 20% body fat. Calculated by multiplying your current lean body mass by 1.2. |
| Imagery | A method of pain relief that uses mental images produced by memory or imagination. |
| Inflammation | A pathologic process associated with redness, heat, swelling, pain, and loss of function. This process destroys tissues but is also associated with the repair and healing of body structures. |
| Instrument Adjustment | A form of chiropractic adjustment using a spring-loaded device called an Activator. |
| Insulin | A hormone in the body that helps move glucose from the blood to muscles and other tissues. Insulin controls blood sugar levels. |
| Interferential Current (IFC) | A form of transcutaneous electrical nerve stimulation (TENS) therapy in which high-frequency electrical impulses are introduced deep into the tissues near the center of the pain. |
| Irritable Bowel Syndrome | A condition that is characterized by a combination of abdominal pain and altered bowel function. |
| Kinesiology | The study of muscles and their relation to movement and pain relief. |
| Kyphosis | Normal curve of the thoracic spine. Also describes an excess curvature of the thoracic spine called a “dowager’s hump.” This is a common occurrence in people with osteoporosis. |
| Laminectomy | A surgical procedure that removes a portion of the plate that serves as the back of the spinal canal. This decompression procedure is performed for treatment of herniated intervertebral discs and spinal stenosis. |
| Leptin | A hormone produced by the small intestine that signals the brain to stop eating. People who are overweight will often have a diminished leptin response in the brain. |
| Ligament | Strong, dense bands made of connective tissue that stabilize a joint, connecting bone to bone across the joint. |
| Lipoprotein | Compounds of protein that carry fats and fat-like substances, such as cholesterol, in the blood. |
| Local anesthetics | Drugs that block nerve conduction in the region where it is applied. |
| Locked spinal joint | Sudden binding that occurs when two joint surfaces are shifted out of their normal alignment by an awkward movement that triggers muscle spasm. The result may also be called an “acute locked back." |
| Lordosis | The curve in the cervical and lumbar spine. An abnormal accentuated arch in the lower back swayback. |
| Low back pain | Pain at the base of the spine that can be caused by several factors. |
| Low-density lipoprotein (LDL) | A form of cholesterol that circulates in the blood. Commonly called “bad” cholesterol. High LDL increases the risk of heart disease. An LDL less than 100 mg/dl is considered optimal,100-129 mg/dl is considered near or above optimal, 130-159 mg/dl is considered borderline high, 160-189 mg/dl is considered high, and 190 mg/dl or greater is considered very high. |
| Lumbalgia | A general term meaning low back pain (See Low Back Pain). |
| Lumbar | The lower five weight bearing vertebrae that are located between the thoracic vertebrae and the sacrum. |
| Magnetic resonance imaging (MRI) | Magnetic radio frequency energy used to see internal structures of the body, including bone, discs, and nerves without the use of x-rays. Overall, the most useful technique in the investigation of spinal abnormalities. |
| Manipulation | Manual movement of the spinal bones or joints to restore normal function. |
| Massage Therapy | A general term to describe various bodywork techniques. |
| Maximum heart rate | A person’s maximum heart rate is based on their age. An estimate of a person’s maximum age-related heart rate can be obtained by subtracting the person’s age from 220. For example, for a 50-year-old person, the estimated maximum heart rate would be calculated as: 220 – 50 = 170 beats per minute. The maximum heart rate is important for measuring whether exercise is classified as moderate-intensity (50% – 70% of maximum) or vigorous-intensity (70% – 85% of maximum). |
| Meditation | A general term for numerous practices where one focuses awareness on one thing such as breath or a short phrase in order to quiet the mind. |
| Metabolism | All of the processes that occur in the body that turn the food you eat into energy your body can use. |
| Moderate-Intensity Physical Activity | To be classified as moderate-intensity, physical activity generally requires sustained, rhythmic movements of an intense enough level to elevate heart rate to 50% – 70% of maximum heart rate. A person should feel some exertion but should be able to carry on a conversation comfortably during the activity. |
| Monounsaturated fat | Fats that are in foods are combinations of monounsaturated, polyunsaturated, and saturated fatty acids. Monounsaturated fat is found in canola oil, olives and olive oil, nuts, seeds, and avocados. Eating food that has more monounsaturated fat instead of saturated fat may help lower cholesterol and reduce heart disease risk. However, it has the same number of calories as other types of fat, and may still contribute to weight gain if eaten in excess. |
| Muscle Spasm | A sudden violent involuntary contraction of a muscle or a group of muscles. A muscle spasm is attended by pain and interference with function, producing involuntary movement and distortion. |
| Muscle Tension | A state where the muscles are in a general state of contraction. |
| Muscles | Soft tissues that provide strength and assist with motor ability, or movement. Spinal muscles support your spine as it bends and flexes. |
| Musculoskeletal | Referring to structures involving tendons, muscles, ligaments, and joints |
| Myofascial Pain | Referred pain caused by trigger points, or hard nodules in muscle tissue. |
| Myofascial Release | Releasing the fascia (the sheath around a muscle) by gentle movements. |
| Narcotic | Pain relieving drug related in action and structure to the opiates. A powerful pain-relieving drug associated with potential to cause significant alteration of mood and dependence following repeated administration. |
| Nerve | The body’s communication system; nerves carry messages back and forth between the brain and all body parts. |
| Nerve Block | Pain relief method in which an anesthetic is injected into a nerve. |
| Nerve root | One of the two nerve bundles emerging from the spinal cord that join to form a segmental spinal nerve |
| Neurologist | A physician who specializes in treating diseases of the nervous system. |
| Neuropeptide Y | Is the key hunger transmitter in the brain. It signals the hypothalamus to eat. The action of neuropeptide Y is the opposite of that of leptin. |
| Neurosurgeon | A physician who specializes in surgery on the brain, nerves, and spinal cord. |
| Neurotransmitter | A chemical produced in the brain that sends messages between nerve cells. |
| Nucleus pulposus | Soft center of an intervertebral disc, made up of gel-like substance. |
| Nutrition | The relationship of food to the well-being of the body. |
| Obesity | Having an excessive amount of body fat. A person is considered obese if he or she has a body mass index (BMI) of 30 kg/m2 or greater. |
| Oleylethanolamine (OEA) | A fatty acid found in some foods that sends a strong signal to the brain to stop eating. A powerful satiety factor and appetite suppressant. |
| Opiate | Pain-killing drug chemically related to opium; also called a narcotic (see Narcotics). |
| Orthopedic Surgeon | A doctor who specializes in diseases of the musculoskeletal system. |
| Osteoarthritis | Also called “degenerative arthritis” mostly affecting middle-aged and elderly men and women. In some, osteoarthritis may affect the spine’s facet joints, making it extremely painful to bend or twist. Osteoarthritis causes the cartilage to break down and away from the joints. Stripped of their protective material, the joints begin rubbing against each other, causing pain and impeding movement. This action further irritates the surrounding nerves. Advanced forms of spinal osteoarthritis lead to disc collapse and other problems. |
| Osteopathic Medicine | Particular attention is paid to muscles, joints, bones, and nerves through defined osteopathic manipulations. |
| Osteophytes | Additional bone material, or overgrowths, that have been attributed to a wide variety of ailments. Also called bone spurs, osteophytes are manufactured by your body in response to a breakdown in existing bony structures. Sometimes, bone spurs can exert pressure on nerves, and this leads to pain. |
| Osteoporosis | A disease characterized by the loss of bone density, resulting in brittleness; most commonly affecting the spinal vertebrae, wrists and hips. |
| Overload principle | Strength training term that refers to the phenomenon that muscles only grow in strength if they are pushed to near maximum effort – overloaded. |
| Overuse injuries | Injuries that occur during the course of everyday activities, such as housework or exercise. Symptoms may include pain, muscle spasms, and stiffness. |
| Overweight | Carrying too much body fat. (see Obesity) |
| Pancreas | A gland that makes enzymes that help the body break down and use nutrients in food. It also produces the hormones insulin and glucagon, releasing these into the bloodstream to help the body control blood sugar levels. |
| Pedometer | A small device that counts each step taken, total distance walked, or other related measures. It is usually worn on the waistband or in a pocket. |
| Phenylethanolamine (PEA) | A chemical found in chocolate that elevates mood. It is thought to be the compound that causes chocolate cravings. |
| Physical activity | Any form of exercise or movement. Physical activity may include planned activity such as walking, running, basketball, or other sports. Physical activity may also include other daily activities such as household chores, yard work, walking the dog, etc. |
| Physical fitness | The measure of a person’s ability to perform physical activities that require endurance, strength, or flexibility and is determined by a combination of regular activity and genetically inherited ability. |
| Physical Therapy | The health profession that treats pain in muscles, nerves, joints, and bones with exercise, electrical stimulation, hydrotherapy, and the use of massage, heat, cold, and electrical devices. |
| Piriformis syndrome | A condition caused by the sciatic nerve getting pinched as it exits the spinal column. (Sometimes, it can mimic the symptoms of sciatica.) The pinching is sometimes caused by muscles spasms. Piriformis syndrome sometimes causes pain along the back of the thigh to the knee, or loss of feeling in the soles of the feet. |
| Plantar fasciitis | Inflammation of the ligament running from the front of the heel bone through the bottom of the foot. Repetitive motions such as quick stops and starts during sports, or long distance running, have sometimes been associated with Plantar fasciitis. |
| Polyunsaturated Fat | A highly unsaturated fat that is liquid at room temperature. Fats that are in foods are combinations of monounsaturated, polyunsaturated, and saturated fatty acids. Polyunsaturated fats are found in greatest amounts in corn, soybean, and safflower oils, and many types of nuts. They have the same number of calories as other types of fat, and may still contribute to weight gain if eaten in excess. |
| Protein | One of the three nutrients that provides calories to the body. Protein is an essential nutrient that helps build many parts of the body, including muscle, bone, skin, and blood. Protein provides 4 calories per gram and is found in foods like meat, fish, poultry, eggs, dairy products, beans, nuts, and tofu. |
| Recommended Dietary Allowance (RDA) | The level of dietary intake of essential nutrients considered to be sufficient to meet the minimum nutritional needs of most healthy individuals. |
| Relaxation Techniques | A natural process that can be learned by anyone to reverse the effects of stress on the body’s physiology. Methods used to lessen tension, reduce anxiety, and manage pain. |
| Repetitions or “Reps” | Refers to a single full execution of an exercise movement. For example, one repetition of a push-up involves beginning with your arms straight, lowering your body to the floor and returning to the starting position. The number of repetitions you perform of a particular exercise will determine the type of benefit to your muscles. Higher weights with lower repetitions will increase strength. Lower weights with higher repetitions will increase endurance. |
| Rheumatoid Arthritis | An inflammatory disease that affects the facet joints in the spine as well as other joints in the body including the hands, elbows, shoulders, fingers and toes. |
| Routine | This term encompasses virtually every aspect of what you do in an exercise session, including: the exercises, reps and sets you do of strength training, aerobic conditioning, the order in which you perform the exercises, the length of time spent. To keep workouts interesting, many people change their routine from time to time. Your routine is also referred to as your “program” or your “workout.” |
| Ruptured Disk | Herniated disk where material from the disk pushes through the outer lining of the disk. |
| Sacrum | The triangular bone that serves as a base for the spinal column and connects the pelvic bones |
| Satiety | A mechanism to tell the body that it has had enough food. The most important satiety compounds are the hormone leptin and the fatty acid oleylethanolamine (OEA). |
| Saturated Fat | A fat that is solid at room temperature. Fats that are in foods are combinations of monounsaturated, polyunsaturated and saturated fatty acids. Saturated fat is found in high-fat dairy products (like cheese, whole milk, cream, butter, and regular ice cream), fatty fresh and processed meats, the skin and fat of chicken and turkey, lard, palm oil, and coconut oil. They have the same number of calories as other types of fat, and may contribute to weight gain if eaten in excess. Eating a diet high in saturated fat also raises blood cholesterol and the risk of heart disease. |
| Sciatic Nerve | The nerve that serves the legs and originates from several levels of the lower back. Formed by multiple nerve roots from the lumbar spine; the sciatic nerve sends signals down the leg to control muscles and up the leg to provide sensations. |
| Sciatica | An inflammation of the sciatic nerve usually marked by tenderness along the course of the nerve through the buttocks, thigh, and leg. |
| Scoliosis | An abnormal curve of the spine. |
| Sedentary | A person who engages in little to no leisure-time physical activity. |
| Serotonin | A neurotransmitter in the brain that elevates mood and decreases appetite. |
| Set | A set is a group of repetitions that you perform without rest. For example, if you do ten repetitions of a bench press and then place the bar back on the rack and rest, you have just completed one set. For strength training, most people do three sets of a particular exercise, 10 – 15 repetitions in each set, and a one minute rest between each set. |
| Slipped Disk | Herniated disk where material from the disk pushes through the outer lining of the disk (see Disc Herniation). |
| Spina Bifida | A congenital defect of the spine in which the arches of the lower lumbar spine fail to form over the spinal cord, leaving the cord unprotected. |
| Spinal adjustment | A term used to describe the method(s) used to correct spinal problems, whether by hand or with an instrument. Some equate the terms “adjustment” and “manipulation." |
| Spinal Canal | The opening at the center of the spine through which the spinal cord runs. |
| Spinal Column | The spine. |
| Spinal Cord | The root section of the central nervous system going down from the brain through the spinal column, where it divides into nerves. |
| Spinal Cord | The column of nerve tissue that runs from the brain to the lower back. |
| Spinal Fracture | Broken vertebrae in the spine. |
| Spinal Fusion | A process in which the disc and cartilage is removed from between the vertebrae, and bone grafts (often harvested from the pelvis) are placed between or alongside the vertebrae to join the bones together. |
| Spinal Stenosis | A narrowing of the spinal canal, that compresses the spinal cord and/or the nerve roots, cutting off their impulses to the muscles of the leg. |
| Spondylitis | Inflammation of the spine generally caused by an infection. |
| Spondyloarthopathy | A group of disorders that causes inflammatory arthritis of the spine. |
| Spondylolisthesis | A spinal abnormality in which there is an anterior displacement of a vertebra on the one below, often resuting in back pain. |
| Starvation metabolism | The slowing of the basal energy expenditure caused by chronic underfeeding, leading to a reduction in the rate at which the body burns calories and an increase in the rate at which the body attempts to store fat. |
| Stenosis | Narrowing of a portion of the spinal canal, usually because of bony overgrowth (see Spinal Stenosis). |
| Strength Training | This helps you tone muscles and lose fat. It also helps to keep your bones keep your bones strong-which helps you avoid fractures as your bones weaken with age. |
| Subluxation | A misalignment in the bony structures of the spine. Subluxations can create pressure or irritation on the various nerves in your spine, and can cause a wide variety of symptoms throughout your body, such as localized pain, soreness, irregularity, and weakness. When pressure is applied on a nerve in your spine, the nerve energy is interrupted, and sometimes this can profoundly affect the function of other systems or organs in your body. |
| Subluxation | A condition, visible on x-ray films, in which the bony surfaces of a joint no longer face each other exactly but remain partially aligned |
| Tendon | White fibrous bands of tissue that attach muscle to bone. |
| Tennis Elbow | Also known as lateral epicondylitis, tennis elbow is pain on the lateral, or outside part of the elbow, on or near the bony protrusion. It is usually caused by the overuse of the wrist extensor muscles, which leads to the inflammation of the tendon attachment. |
| Therapeutic Massage | A form of massage that involves the manipulation of the soft tissues of the body to decrease muscle spasm, pain and to improve movement. |
| Thoracic Spine | Twelve vertebrae above the lumbar spine and below the cervical spine. |
| Thyroid hormone | A hormone released by the thyroid gland that stimulates metabolism and helps to regulate a range of biochemical processes in the body. |
| Tolerance | Decreasing effect of a drug with the same dose or the need to increase the dose to maintain the same effect. |
| Tranquilizer | A drug used to treat anxiety. |
| Trigger Point Therapy | The application of pressure on tender trigger points in the muscles to relieve pain and tension. |
| Trigger Points | A generally small area of a muscle that is tightly knotted and in spasm causing referred pain. |
| Underwater Weighing | A research method for estimating body fat. A person is placed in a tank, underwater, and weighed. By comparing weight underwater with weight on land, one can get a very good measure of body fat. |
| Unsaturated Fat | A fat that is liquid at room temperature. Vegetable oils are unsaturated fats. Unsaturated fats include polyunsaturated fats, and monounsaturated fats. Sources of unsaturated fats include most nuts, olives, avocados, and fatty fish such as salmon. |
| Vertebra | Bony segment of the spine that encircles and helps protect the spinal cord and nerves. The plural of vertebra is vertebrae |
| Vertebrae | The 24 cylindrical segments of bone that make up the vertebral column. |
| Vertebral Column | The Spine. The flexible structure that forms the “backbone” of the skeleton, arranged a straight line from the base of the skull to the tailbone; also called spine. |
| Vertebral Subluxation Complex | Another term for subluxation that is used in the chiropractic profession. |
| Vigorous-Intensity Physical Activity | To be classified as vigorous-intensity, physical activity requires sustained, rhythmic movements of an intense enough level to elevate heart rate to 70% – 85% of maximum heart rate. Vigorous-intensity physical activity may be intense enough to represent a substantial challenge to an individual, resulting in a significant increase in heart rate and respiration. |
| Waist Circumference | A measurement of the waist. Fat around the waist increases the risk of obesity-related health problems. |
| Weight Control | Achieving and maintaining a healthy weight by eating well and getting regular physical activity. |
| Weight-Cycle | Losing and gaining weight over and over again. Commonly called “yo-yo” dieting. With each cycle, there is a worsening of the percentage of body fat due to a loss of lean muscle tissue. |
| Whiplash | An injury to the cervical spine that occurs from rapid hyper-flexion, hyper-extension and compression movements, such as in an automobile accident. |
| Wrist Circumference | A measurement of the wrist at its thinnest point, just proximal to the hand, that is used to estimate the size of an individual’s overall skeletal structure. |
| X-Ray | A diagnostic imaging method that exposes photographic films with radiation passed through the body. It is most useful in diagnosing fractures, dislocations, abnormal positioning or other structural problems in bone. |
Dr. Cheng was phenomenal. Service was a 10 out 10 and he did amazing on my body. Very friendly, x rays to know exactly what’s wrong. Will be back!
Dr Chang and his team have been incredible! Just 2 visits in and the difference they have made for me are amazing. The team and office is very organized, timely, and very informative. Very glad I found them..Highly recommend!
My plantar fasciitis improved dramatically with advanced shockwave therapy. I can walk and exercise pain free for the first time in months.
My plantar fasciitis improved dramatically with advanced shockwave therapy. I can walk and exercise pain free for the first time in months.
Dr. Nico's patient explanations and gentle techniques made me comfortable with chiropractic care. My apprehension completely disappeared.
The team here are excellent nothing good to say about them
The neck decompression improved my range of motion and eliminated the stiffness that plagued me. My work productivity has increased significantly.
The modern facility and state of the art equipment demonstrate their commitment to quality healthcare. The investment in technology shows in results.
My chronic pain finally improved after years of unsuccessful treatments at other facilities. I'm grateful for their expertise and persistence.
The decompression therapy helped my herniated disc heal naturally without surgical intervention. I'm back to all my normal activities.
Dr. Chang's expertise and the clinic's equipment combination provides the best possible treatment outcomes. I'm confident in the care I'm receiving.
The shockwave therapy eliminated my chronic heel pain and I can exercise without discomfort. The technology delivered results that surprised me.
The personal attention and customized care make me feel valued as an individual patient. The treatment plan is tailored specifically to my needs.
The clinic's advanced technology and expert staff deliver results that exceed expectations consistently. I'm impressed with the quality of care.
The comprehensive evaluation process identified issues that other healthcare providers missed completely. I finally have a complete picture of my condition.
The comprehensive evaluation process identified issues that other healthcare providers missed completely. I finally have a complete picture of my condition.
My teenager's nervousness about treatment disappeared with Dr. Nico's gentle and patient approach. He now looks forward to his visits.
The spinal decompression healed my disc injury naturally and I avoided expensive surgery. The conservative approach delivered excellent results.
The clinic's future vision as a human optimization center excites me about comprehensive wellness. I want to be part of their growing community.
My plantar fasciitis pain disappeared with softwave therapy and I can walk normally again. The advanced technology succeeded where other treatments failed.
The gentle care and professional expertise made my family comfortable with chiropractic treatment. Everyone from kids to grandparents receives appropriate care.
Their educational approach and thorough explanations helped me understand my treatment options completely. I felt confident making informed decisions about my care.
Their investment in state of the art equipment demonstrates commitment to providing cutting edge healthcare. The technology makes a real difference in outcomes.
My sports injury responded quickly to their specialized treatment and I returned to competition ahead of schedule. The expertise and technology delivered exceptional results.
Their efficient appointment system and friendly staff make every visit stress free and pleasant. The coordination and communication are excellent.
The decompression table provided immediate relief for my herniated disc and continued improvement with each session. The investment in advanced equipment really shows.
My chronic ankle injury healed with shockwave therapy and I can run and play sports again. The technology delivered results that traditional therapy couldn't achieve.
The family friendly atmosphere makes everyone comfortable including my nervous children who now look forward to visits. The staff's patience and kindness are exceptional.
Their commitment to patient education helped me understand my condition and motivated positive lifestyle changes. I'm taking better care of my health overall.
The Emsculpt Neo improved my core strength and body composition while reducing my back pain. The dual benefits exceeded my expectations completely.
The Emsculpt Neo improved my core strength and body composition while reducing my back pain. The dual benefits exceeded my expectations completely.
Their flexible scheduling and efficient systems make appointments convenient for my busy professional schedule. The staff coordinates everything seamlessly.
Today I had such severe lower back pain that I could barely walk. Dr. Chang did the initial consult and X-rays then started my treatment right there and then. After 1hr, I walked out with 80% less pain and now I am almost pain free at home. He and his staff truly care for their patients. Super informative and friendly. I highly recommend him for any of your chiropractic needs.
The clinic's growth and expansion plans demonstrate their commitment to becoming a comprehensive wellness destination.
Best Dr and staff they treat you like family this is my 3rd week in treatment and I feel great no more pain thank you Dr you’re the best
Omg I’m in shock. De. Chang was amazing. I was shocked by my xray as a first time patient with neck pain for so many months. Walked in with pain and left feeling like a feather. Excited to continue my treatments and see my results. Office was nice and staff was attentive.
After years of unresolved back pain, Dr. Dennis helped me achieve more relief in two months than I had found anywhere else. My day-to-day comfort, mobility, and overall quality of life have improved dramatically. What sets this office apart is their commitment to finding and treating the root cause of the problem, they don’t guess when it comes to your pain. They use X-rays and thorough evaluations to guide treatment. In my opinion, this should be considered the premier non-invasive spinal treatment center in South Florida.
Dr. Denis is one of the best of the business - he's extremely detail-oriented, thorough and an absolute master of his craft. I've been under Dr. Denis care for a few years and I always feel infinitely better after getting adjusted by him.<br><br>He always goes the extra mile, helping educate his patients to better understand their symptoms and the root cause of their issues. I know he's always there for me to answer any health-related questions I may have.<br><br>I wholeheartedly recommend him to anyone looking to take a step forward in any aspect of their overall health and well-being and couldn't be more thankful to be under his care.
Enjoyed my first session with Dr. Cheng! He was incredibly informative during our initial consultation and immediately I felt relief in the target areas.
This is the absolute best chiropractic clinic I’ve ever been to. Highly recommend to anyone looking for a good one in the Miami area!
Dr. D. Chang is truly the best. From the moment you walk in, you can tell the office is modern, clean, and equipped with the latest technology. Dr. Chang has incredibly skilled hands, a gentle approach, and a level of professionalism that immediately makes you feel confident and cared for.<br><br>The entire staff is also amazing, friendly, attentive, and welcoming every step of the way. You can tell they genuinely care about their patients and take pride in providing excellent service.<br><br>I have tried other places before, and there is honestly no comparison. Try others if you want, but once you experience Dr. Chang and this team, you will absolutely feel the difference. 100% recommend.
Optimize Health Chiropractic para mi fue una experiencia increíble gracias a los doctores Dennis y Nico que son muy dedicados y profesionales llegue a ellos con dolores intensos de cuello, hombros y braso. No dolores de meses fueron años y gracias a su gran experiencia y su programa de descompresión, ajuste y shock wave entre otros ya no tengo dolores. Respiro aliviada ya no tenía esperanza para una recuperación como la que solo ellos pudieron darme yo le daría un millón de estrellas y si un dia mis dolores regresaran volvería sin dudarlo gracias a todos en general los recomiendo 100%.
I waited after a month or so to drop this review to truly feel out the effects afterwards. First, I have to say that the customer service is truly amazing and Dr. Chang is truly passionate about his patients and their wellness. Secondly, the first 72 hours after the decompression and adjustment it’s a big rough if you truly were dealing with some issues but man afterwards you are definitely walking a bit taller once the initial release starts to settle. Since then I noticed I rest much better, my workouts are also much better. Along with much less cervical strains or pain than usual. Again, Thank you Dr. Chang 🐐💪🏼
Optimize Health is truly nothing short of amazing. I’ve been coming here for treatment over the past year for multiple lumbar and cervical disc bulges and herniations, and the improvement I’ve experienced has been life-changing.<br><br>From day one, Dr. Chang took the time to thoroughly explain everything in a way that made me fully understand my condition and treatment options. He created a customized plan specifically for me, and thanks to his expertise and care, I’ve improved tremendously.<br><br>The entire office and team are exceptional. Everyone is welcoming, professional, attentive, and genuinely caring. I’ve been adjusted by both Dr. Chang and Dr. Nico multiple times, and they are both phenomenal chiropractors who truly know what they’re doing. They use some of the best techniques and advanced technology available. The shockwave therapy and decompression beds have been absolutely incredible for my recovery.<br><br>They also offer EmSculpt and EmTone treatments, which I’ve personally used on my abdomen and have seen amazing results from as well. Even their high-tech massage chairs make a difference and help you relax while waiting for treatment.<br><br>The office itself is always spotless, modern, and pristine. If you’re dealing with pain, injuries, or looking for a chiropractor you can genuinely trust, I honestly could not recommend this office more. Every visit is a 10/10 experience.<br><br>Thank you, Dr. Chang and the entire team, for everything you’ve done for me. I’ll continue recommending you guys to everyone I know!
Exelente super Exelente 👌 llegas con dolor y sales como nuebo, el personal super agradable te tratan con parte de la familia Bendiciones para todos los que trabajan alli🤗
My experience at Optimize Health Chiropractic Center has been excellent. Dr. Chang and his staff are very professional, attentive, and caring. They handle patients with great respect and make every visit comfortable. I’m very happy with Dr. Chang’s practice and the quality of care he provides.
Dr Denis Chang is the absolute best. This was my first visit and the office here is absolutely amazing.
Excellent place, explains in details about the process. Very attentive staff.
⭐️⭐️⭐️⭐️⭐️<br><br>Dr. Chang and Dr. Trujillo have been absolutely incredible in helping my son with his back issues. From the very first visit, they took the time to thoroughly explain what was going on and made sure we understood everything clearly. Their level of care, professionalism, and attention to detail truly stands out.<br><br>After just two visits, my son has already experienced significant relief, which has been such a blessing. He feels so much better and is genuinely grateful for the care he has received.<br><br>We are beyond thankful for Optimize Health and highly recommend their services 100%. If you’re looking for knowledgeable, compassionate doctors who truly care about their patients, this is the place to go.
Amazing! Couldn't be any more satisfied with this adjustment. Best yet! 11/10
I’ve had a great experience here from start to finish. The front desk team, Natalie and Anthony, are always welcoming, helpful, and keep everything running smoothly. They make scheduling easy and you’re greeted with a friendly vibe every time you walk in.<br><br>Dr. Chang and Dr. Nico are both amazing, knowledgeable, attentive, and they really take the time to listen and address your concerns. I always leave feeling better and confident in the care I’m receiving. The whole office is professional, efficient, and genuinely cares about their patients. Highly recommend!
Amazing service good atmosphere Good equipment Helped with the problem I had in my back would recommend 100%
Natalie and Anthony are superb employees at the office. Always coming thru with that DT!
Nathalie and Anthony were very professional and amicable. They were very comforting and assuring on my very first visit. Great job
This place is amazing Dr. Chen and Dr. Nico treat you like family. I was in so much pain and they have definitely helped me. I would recommend them 100%.
I’ve been under Dr. Chang’s and Dr. Trujillo’s care for over a year and it’s amazing how they’ve expanded and level up their care for everyone. They make booking appointments really easy, the attention to care is remarkable, their additional services like shockwave therapy, decompression help tremendously. Edna’s body care services are worth considering bc the body sculpting has a medical option or a shaping and toning option.
Dr. Chang and Dr. Trujillo are the absolute best; you couldn't find anyone better in Miami Lakes. They're both passionate about their craft and listen to your areas of concern. Gabi and Naty at the front desk are a delight and make booking appointments easy as can be. Thank you guys so much for everything!!
First time seeing a Chiropractor. Dr Denis Chang and his staff were very knowledgeable and welcoming.<br>His gentleness, expertise, attention to detail step by step procedures, have lifted a weight of my body. I left his practice feeling like a rejuvenated women.
Came in expecting 6-7 week recovery. After working with Guy Levy was able to get back into action in just a matter of a couple weeks. Perfect mix of recovery and preventative strength exercises. Highly recommend!
I had an amazing experience at Optimize Health Chiropractic Center. From the moment I walked in, the entire staff was welcoming, professional, and attentive. A special thank you to Natalie at the front desk—she is always friendly, organized, and makes the whole process smooth and stress-free.<br><br>Dr. Chang is exceptional. His professionalism, deep knowledge, and attention to detail truly set him apart. Every chiropractic adjustment is done with care and precision, and he takes the time to explain everything, which makes you feel confident and comfortable in your treatment.<br><br>The therapy system they use in the clinic is top-notch, and you can tell they are focused on providing effective, modern care. Most importantly, the results speak for themselves—I’ve experienced significant improvement and relief since starting treatment here.<br><br>Highly recommend Optimize Health Chiropractic Center to anyone looking for high-quality care and real results!
I feel like in family .<br>Customer Services very nice all around .<br>Mr. Denis Cheng and Mr. Trujillo they are super
Personalized treatment plans address individual needs perfectly.
The clinic is very clean and well kept. The wait times are short. Dr.Chang and De.Nico are great doctors who truly care about your well being. They provide information throughout the adjusting process and find a program that fits your needs. I am currently doing adjustments, decompressions, and shockwave therapy. The clinic location is great being in the Miami Lakes Main Street area. Highly recommend visiting them if you’re dealing with pain and discomfort.
Their thorough diagnostic process and clear communication helped me understand my condition for the first time. I finally have answers and solutions.
My office is nearby in Miami Lakes but I come all the way from Miami Beach for my scheduled appointments and it’s by far the best experience and I feel Extreme relief on my lower back every time. Thank you. Highly recommended
I had to stop by here and leave a review because these guys really deserve it. Dr. Denis has the best service, the best care and the best value for care in this county. This is the third chiropractor practice that I go to and they’re the only ones that have made me feel satisfied with care and service.
Their same day appointments saved me when my back went out and I couldn't wait. The immediate professional care prevented a trip to the emergency room.
Absolutely recommend!! Got adjusted by Dr. Trujillo today and my experience was great, from check in to explaining the procedures - given that it’s my first adjustment ever!! Super professional, will be returning soon!
In town for golf outing and needed an adjustment—I had heard about Dr. Chang, and he absolutely lived up to the hype. Truly incredible hands and immediate results. He has a deep understanding of how the body works and applies that knowledge with skill, precision, and attentiveness. I highly recommend him and will definitely be back the next time I’m in town.
Spinal decompression healed my disc injury naturally.
Amazing place and really professional Doctor. Thanks Dr. Dennis for help me to be healthy.
dr Chang is a true professional and is a great chiropractic center would definitely recommend to family and friends
Amazing service and just good all around love the place
Best chiropractor and definitely worth it. Highly recommend!
Been to other places that feel cold and rushed. Here? Soon as you walk in, Gaby and Natalie make you feel like family. Love the vibe.
Muy buena atención. Empece a darme una terapia para el Cuello la cervical uuuffff super genial.
I can’t say enough good things about Dr. Chang. I deal with intense back pain, and after my visits, my spine got so much better . He is incredibly skilled, attentive, and makes you feel comfortable from the moment you walk in. I’m so grateful I found him! 10/10
I can’t say enough great things about Optimize Health. I went to see them for a severe case of calcific tendinitis in my shoulder. I had tried everything, still had constant pain, and had almost no range of motion. I was told that surgery was my only option.<br><br>After just 5 sessions of shockwave therapy, I was completely cured. The pain is gone and my range of motion is fully back. Dr. Chang and Dr. Nico were absolutely amazing! Extremely knowledgeable, caring, and truly invested in my recovery. I’m beyond grateful for their expertise and highly recommend Optimize Health to anyone dealing with chronic pain or feeling like they’ve run out of options. Can’t thank them enough!!
Insurance coordination eliminated all stress and hassles