Active Release Techniques are not only effective, they’re also remarkably flexible. And it’s this unique combination of effectiveness and flexibility that can make ART a great choice for treating a wide range of soft tissue-related conditions in a variety of situations.

The video will explain to you how chiropractor and ART can be a very big help.

“We Listen. We Care. We Always Get Results.”

Ask just about any chiropractor which type of footwear is the worst for your feet and back, and you’ll likely hearTrouble with Flip-Flops about two culprits: high heels and flip-flops. While high heels spell trouble for women, flip-flops are worn by men, women, teenagers, and children, making them a more ubiquitous health hazard than any other commonly worn type of footwear. So what exactly is the trouble with flip-flops? Why do chiropractors advise so strongly against wearing them? In a nutshell, flip-flops not only lack a protective shell or any sort of support, but they force wearers to walk unnaturally, causing numerous foot, leg, and back problems.

Shoes are designed to perform two basic functions. One function is to offer shock absorption; the other is to provide a solid, stable surface that your foot can push off from. Flip-flops, however, provide neither shock absorption nor stability. They are essentially just covers for the bottoms of your feet.

Flip-flop manufacturers have tried to address the issues of shock absorption and stability, with minimal success. A few of the more pricey brands offer some arch support, and some have more cushioning—but no flip-flops can compare to sneakers in terms of support and shock absorption. If your footwear cannot perform its two basic functions, you could find yourself in pain, not only in your foot but up your entire leg and into the knee, hip, and back.

Without a suitable arch or appropriate shock absorption, you are forced to walk differently, which can negatively affect the ligaments, bones, and muscles in the foot by making them work harder than they are used to. Overuse can even result in stress fractures in the bones of the feet.

Flip-flop wearers must walk abnormally in order to keep their flip-flops on. A study conducted by Auburn University found that the average flip-flop wearer takes shorter steps than those who wear other footwear. The study also found that flip-flop wearers hit their heels to the ground with less vertical force, which throws off a person’s natural gait and can cause pain and other issues in the feet, ankle, legs, hips, and back.

All flip-flops come with a small strip of material that the toes must grip in order to keep the footwear in place. This repetitive gripping causes muscle overuse and can result in tendonitis, a painful condition wherein tendons become inflamed. Regular use of flip-flops can also cause or exacerbate bunions and hammer toe. Other flip-flop related maladies include plantar fasciitis, splinters, blisters, and burns due to flip-flops’ lack of protection.

Lastly, flip-flops are a breeding ground for bacteria—sometimes dangerous types. In fact, a 2009 study from the University of Miami found that even just one pair of flip-flops can contain over 18,000 bacteria, including Staphylococcus and bacteria from fecal matter.

If you feel you must wear flip-flops, consider asking your chiropractor for recommendations on which brands to look at. Additionally, you should wear them sporadically and avoid wearing them on any days on which you will be doing a lot of walking. There are other sandals that are better for your feet, so consider them as an alternative to flip-flops.

If you are pregnant and suffering from low back pain, a neighbor or a friend has probably suggested you visit a chiropractor because a chiropractor was able to help them during their pregnancy. The discussion probably left you curious, is that good advice or just a single success story? Additionally, you may be wondering whether chiropractic is safe during pregnancy and how much low back pain improvement the average pregnant woman can expect to get.

back pain pregnancyAfter looking at several scientific publications on these exact topics, the appropriate conclusion seems to be that “chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients. The scarcity of published literature warrants further research.” (Borggren, 2007)

So basically the answers are:

  • Yes, chiropractic is safe during pregnancy.
  • Yes, chiropractic helps common musculoskeletal problems during pregnancy (including back pain).
  • Your friends’ experience isn’t just one woman’s story. Many women are finding relief and the results are being sporadically published in medical journals too.
  • More research under more controlled conditions is needed for the purposes of educating primary care physicians and obstetricians about chiropractic care during pregnancy.

Here are a few additional details about the prevalence of low back pain during pregnancy and the number of women being referred for treatment.

  • 57 – 69% of women complain of low back pain during pregnancy
  • Only about 32% of women report these symptoms to their primary doctor
  • Only about 25% of primary doctors recommend seeking treatment for the pain.

Clearly this is a big problem with 2 in 3 having pregnancy-related back pain. Also, a big problem is that they are generally not talking to their obstetricians and primary care physicians about it and that these professionals are not referring them to effective treatment options.

Chiropractic treatments can be quite effective for pregnancy-related back pain with just a few visits for the majority of women seeking help. In a small study of 17 women:

  • Sixteen of 17 (94%) saw clinically important improvements in low back pain with chiropractic care.
  • The average pain rating went down from 5.9 to 1.5 (on a scale of 0 to 10).
  • It took an average of 1.8 visits and 4.5 days to get clinically important pain relief.

We hope this article gave you hope that many pregnant women do get significant, rapid relief from low back pain. If you are currently pregnant with low back pain, you probably have many questions not answered by this article. Perhaps you’ve never had chiropractic care before or you want to know how we adjust our techniques to work with pregnant patients. The best way to get answers to your questions is with an initial consultation. The only way for us to know whether you are a good candidate is for you to come see us, so call our chiropractors in Walnut Creek at 925-939-7778 for an initial appointment today.


Borggren, C. L. (2007, Spring). Pregnancy and chiropractic: a narrative review of the literature. J Chiropr Med, 6(2), 70-74.
Khorsan, R., Hawk, C., Lisi, A., & Kizhakkeveettil, A. (2009, Jun). Manipulative therapy for pregnancy and related conditions: a systematic review. Obstet Gynecol Surv, 64(6), 416-27.
Lisi, A. (2006, Jan-Feb). Chiropractic spinal manipulation for the low back pain of pregnancy: a retrospective case series. J Midwifery Womens Health, 51(1), 7-10.
Stuber, K., & Smith, D. (2008, ul-Aug). Chiropractic treatment of pregnancy-related low back pain: a systematic review of the evidence. J Manipulative Physiol Ther., 31(6), 447-54.