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If you've ever stood up too fast and felt the world tilt around you, imagine experiencing that sensation unpredictably throughout the day. That’s what life is like for those with Benign Paroxysmal Positional Vertigo (BPPV). It’s a long name for a dizzying problem, but the good news is—it’s treatable! Whether you’re feeling like you just stepped off a carnival ride or have a loved one dealing with this disorienting condition, we’ve got you covered with the what, why, and how of BPPV, plus step-by-step guides to proven maneuvers that can help reset your balance. What is BPPV? BPPV is one of the most common causes of vertigo, a condition that makes you feel like you're spinning or your surroundings are moving around you. The “benign” part means it’s not life-threatening, and “paroxysmal” refers to its sudden onset. “Positional” tells us that it’s triggered by changes in head position—like rolling over in bed, looking up, or bending down. The culprit? Tiny calcium carbonate crystals called otoconia, which normally reside in the utricle of your inner ear, where they help detect movement. When these crystals get dislodged and float into the semicircular canals, they interfere with normal fluid movement, sending false signals to the brain and causing vertigo. Why Does BPPV Happen? BPPV can occur for a variety of reasons, including: Aging – The most common cause, as structures in the inner ear naturally degenerate over time. Head Trauma – A blow to the head can displace the crystals, leading to vertigo. Inner Ear Disorders – Conditions like labyrinthitis or Meniere’s disease can increase susceptibility. Prolonged Bed Rest – Lying flat for extended periods can contribute to crystal displacement. Idiopathic Causes – Sometimes, BPPV happens with no apparent reason (lucky you!). How to Treat BPPV The good news? BPPV is highly treatable, and most people experience significant relief with simple maneuvers designed to reposition the displaced crystals. Chiropractic care, particularly when incorporating vestibular rehabilitation, can also be incredibly beneficial in addressing balance issues and restoring proper nervous system function. Chiropractic Care for BPPV Chiropractic care takes a whole-body approach to health. By focusing on the nervous system, chiropractic adjustments can help improve proprioception (your body's ability to sense where it is in space) and ensure that your vestibular system—the part of your inner ear responsible for balance—is functioning optimally. The spine isn’t the only thing they keep in line! Step-by-Step Guide: The Semont Plus Maneuver The Semont Plus Maneuver is a newer, more effective variation of the traditional Semont maneuver. It’s quick and helps reposition the crystals in the inner ear to reduce vertigo. Start Seated – Sit on a flat surface with your legs hanging over the edge and your head turned 45 degrees toward the unaffected ear (the ear that does NOT cause vertigo). Lie Down Quickly – Keeping your head turned, rapidly lie down on the side of the affected ear (the one causing vertigo). Stay here for 30 seconds. Flip to the Other Side – In one swift motion, move to lie on the opposite side without changing the direction of your head. Your nose should now be pointing downward. Hold this position for 30 seconds. Return to Sitting – Slowly sit up and keep your head level for a few minutes. Step-by-Step Guide: The Epley Maneuver The Epley Maneuver is another well-known technique that helps reposition otoconia and alleviate vertigo. Here’s how to do it: Start Seated – Sit on a bed or flat surface with your legs extended and your head turned 45 degrees toward the affected ear. Lie Back – Quickly lie down on your back with your head still turned. Let it hang slightly off the edge of the surface. Hold for 30 seconds. Turn Your Head – Slowly turn your head 90 degrees to the opposite side (so your face is now 45 degrees toward the unaffected ear). Hold for 30 seconds. Roll Onto Your Side – Continue turning your head and body another 90 degrees until you’re lying on your side, now facing the ground. Hold for another 30 seconds. Return to Sitting – Slowly sit up and remain still for a few minutes to let your inner ear settle. These maneuvers helps move the dislodged crystals out of the semicircular canals and back where they belong. Perform either of these maneuvers 1-3 times per day until symptoms resolve. Aftercare and Prevention Once you’ve successfully repositioned the crystals, keep these tips in mind to prevent recurrence: Avoid sudden head movements for the next 24 hours. Sleep propped up with extra pillows for the first night. Be mindful of head positioning when lying down or getting up. Visit your chiropractor for regular check-ups to keep your vestibular system and nervous system functioning optimally. When to Seek Professional Help While most cases of BPPV resolve with repositioning maneuvers, some require additional treatment. Seek help if: Your symptoms persist despite performing maneuvers correctly. You experience severe nausea or vomiting. You have difficulty walking or standing. Your vertigo is accompanied by neurological symptoms like double vision, weakness, or trouble speaking. Final Thoughts BPPV may make you feel like you’re trapped in a dizzying rollercoaster ride, but relief is within reach. Whether you choose chiropractic care, at-home maneuvers, or a combination of both, the key is consistency and proper technique. If vertigo has been throwing off your game, come see us at Peak Performance in Buffalo, NY—we’ll help you regain your balance and keep your feet firmly on the ground! Bethany Wolcott D’Youville Chiropractic ‘26

Reflexology for Better Sleep

If your back could talk, it would probably beg you to work on your core. No, we’re not talking about crunching your way to six-pack abs (unless you’re into that). We mean strengthening the deep, stabilizing muscles that support your spine and keep you upright without creaking. A strong core is like a built-in back brace, offering support, improving posture, and reducing the risk of those all-too-familiar aches and pains. So, let’s talk about why core strength is essential, how it helps prevent back pain, and, most importantly, what you can do to fire up those muscles without breaking a sweat—okay, maybe a little sweat. Why Core Strength Matters (Hint: It's More Than Just Looking Good) Your core isn’t just about your abs—it’s an entire support system that includes your deep abdominal muscles, obliques, lower back, and even your glutes. Think of it as your body’s natural weightlifting belt, holding everything in place so you can move efficiently and pain-free. A weak core? That’s like trying to build a house on a foundation of Jell-O. It leaves you susceptible to poor posture, muscle imbalances, and—yep—chronic back pain. Research has shown that people with weak core muscles are more likely to experience lower back discomfort, while those with strong core engagement have better spinal stability and less pain. The Core-Back Pain Connection Let’s get one thing straight: your spine isn’t meant to do all the heavy lifting alone. It relies on the surrounding muscles for support. When your core is weak, your lower back picks up the slack, leading to strain, overuse, and the kind of discomfort that makes you rethink picking up your grocery bags in one trip (we’ve all been there). A strong core helps by: ✔ Reducing spinal stress – The stronger your core, the less pressure your spine has to bear. ✔ Improving posture – Good core strength keeps you from slouching like a question mark at your desk. ✔ Enhancing movement efficiency – A stable core makes everyday movements—like bending, twisting, and lifting—more fluid and less injury-prone. ✔ Decreasing injury risk – Whether you're hitting the gym or just reaching for your morning coffee, a well-supported spine is less likely to rebel against you. Core Exercises That Won’t Bore You to Tears The good news? You don’t need fancy equipment or a gym membership to build a rock-solid core. These simple exercises can be done anywhere and are chiropractor-approved for keeping your back happy. 1. Dead Bug (No actual bugs required) This exercise strengthens your deep core muscles while keeping your spine in a safe, neutral position. 👉 How to do it: Lie on your back with arms extended toward the ceiling and knees bent at 90 degrees. Slowly lower one arm and the opposite leg toward the floor while keeping your back flat. Return to the starting position and switch sides. Repeat for 10 reps per side. 🚀 Why it works: It promotes core stability without putting undue stress on your back. 2. Bird Dog This one is a chiropractor favorite because it engages your entire core while improving balance and coordination. 👉 How to do it: Start on all fours with a neutral spine in a table top position. Extend one arm and the opposite leg straight out while keeping your torso stable. Hold for a second, then return to the starting position and switch sides. Repeat for 10 reps per side. 🔥 Why it works: Strengthens the core and back while reinforcing proper movement patterns. 3. Plank (Yes, We’re Going There) Planks may not be fun, but they’re one of the best ways to build core endurance. 👉 How to do it: Start in a forearm plank position with elbows under shoulders and body in a straight line. Engage your core (imagine bracing for a punch). Hold for 30–60 seconds, or longer if you’re feeling ambitious. 💪 Why it works: Builds endurance in both your abs and lower back, reducing strain on the spine. 4. Glute Bridge A weak core often means weak glutes, which can contribute to back pain. The glute bridge strengthens both. 👉 How to do it: Lie on your back with knees bent and feet flat on the floor. Press through your heels to lift your hips while squeezing your glutes. Hold for a second at the top, then lower slowly. Repeat for 12–15 reps. 🍑 Why it works: Strengthens the posterior chain (glutes, hamstrings, and lower back), improving spinal support. A Strong Core is a Pain-Free Core Back pain doesn’t have to be a constant companion. Strengthening your core is one of the simplest, most effective ways to support your spine and prevent discomfort. Plus, the benefits go beyond pain relief—better posture, improved movement, and a stronger, more resilient body are all part of the deal. If back pain is already part of your daily life, chiropractic care and massage therapy can help you get back on track. A chiropractor can assess your core strength, check for muscle imbalances, and provide targeted adjustments, while massage therapy can release tension and improve mobility. Ready to strengthen your core and say goodbye to back pain? Start with these exercises, and if you need extra support, book an appointment with our team at Peak Performance Chiropractic & Wellness in Buffalo, NY . Your back will thank you. Bethany Wolcott D’Youville Chiropractic ‘26

There’s nothing quite like sleeping in your own bed. The right pillow, the perfect mattress, and the comfort of knowing you won’t wake up with a stiff neck. But when you travel? It’s a different story. Hotel pillows can be too flat, too lumpy, too firm, or just plain awful —and don’t even get us started on vacation rentals or staying at a friend’s house. That’s where a Pillowise travel pillow comes in. Designed for comfort and proper support , it’s the best way to make sure you actually wake up feeling rested—no matter where you’re sleeping. Here’s why bringing your own travel pillow is a must: 1. Hotel Pillows Are a Mystery Every Time Some hotels stock their rooms with pillows that feel like bricks , while others have ones that collapse the second you put your head down. Either way, it’s a gamble —and a bad pillow can throw off your sleep for the entire trip. A Pillowise travel pillow is ergonomically designed to fit your body , meaning you won’t have to suffer through whatever pillow roulette the hotel gives you. 2. Prevents the Travel Bobblehead While Sleeping on the Go Whether you're dozing off on a plane, train, or car ride , the dreaded travel bobblehead is real. Your head flops forward, you jerk awake, and suddenly, your neck feels like it aged 20 years in one nap. A travel pillow cradles your neck and keeps your head supported, so you can actually sleep—without the whiplash. 3. Avoids Neck Pain from Unfamiliar Sleeping Setups Ever wake up in a hotel bed and feel like you slept at a 90-degree angle? It’s usually because the pillows aren’t the right height or firmness for you . Using a travel pillow that’s fit to your measurements keeps your neck in a neutral position , preventing stiffness and soreness—even if the hotel mattress is a little questionable. 4. Perfect for Vacation Rentals & Guest Rooms Let’s be real—vacation rental pillows are a risky. They might be overstuffed, ancient, or worse, suspiciously thin. And when you’re staying with family or friends, you’re often handed a random extra pillow from a closet that hasn’t been opened in years. Skip the discomfort and bring your own Pillowise travel pillow , so you know you’ll get a good night’s sleep— without having to awkwardly stack three pillows to get the right height . 5. Minimizes the Risk of Headaches & Stiff Shoulders If you’ve ever woken up from a hotel stay with a pounding headache or tight shoulders , it’s likely because your pillow didn’t give you proper neck support. A poorly designed pillow can put strain on your muscles, leading to tension that creeps up into your head and down into your back. A good travel pillow keeps your spine aligned , reducing the chance of post-sleep aches and pains. 6. Compact, Lightweight, and Easy to Pack Old-school travel pillows were bulky, but Pillowise travel pillows are designed to be compact and easy to bring along . You don’t have to sacrifice space in your luggage to ensure a good night’s sleep. Plus, you won’t have to rely on whatever questionable pillow setup awaits you at your destination. 7. Your Neck Deserves Better Than an Overused Hotel Pillow Hotel pillows see a lot of guests , and while they’re cleaned, they don’t exactly mold to your personal needs like your own pillow does. You wouldn’t wear someone else’s shoes on a trip—so why play with your neck support? A Pillowise travel pillow is designed for your body , ensuring you get the right height, firmness, and comfort wherever you go. Ready to Sleep Better While Traveling? A bad pillow can ruin a trip. A Pillowise travel pillow can make any bed feel more like home , whether you’re at a luxury hotel, a friend’s guest room, or an Airbnb with questionable bedding. Make an appointment with one of our doctors to get fitted to a specific size pillow that’s just right for you—you’ll never want to travel without one again! Bethany Wolcott D’Youville Chiropractic ‘26

Bath bombs have become a self-care staple, but when you combine the calming power of cannabinoids, they elevate from fizzy fun to functional therapy. Enter KushQueen bath bombs—the perfect blend of luxury and targeted relief. At our chiropractic and massage office, we’re thrilled to carry six varieties of KushQueen bath bombs, each designed to cater to your unique needs. Whether you’re looking to recover after a long day, unwind before bed, or surprise someone with a thoughtful Valentine’s Day gift, there’s a bath bomb for you. Let’s explore all six options: the CBD-only Relieve, Relax, and Sleep, as well as their CBD+THC counterparts, and help you decide which one deserves a spot in your next soak session. CBD Relieve Bath Bomb: The Post-Workout Savior If your muscles are begging for a break after a workout—or even just a long day at work—the CBD Relieve Bath Bomb is your go-to. Infused with pure CBD and a refreshing mix of organic essential oils like peppermint and eucalyptus, this bomb is all about targeted relief. CBD is known for its anti-inflammatory properties, which can ease muscle tension, reduce soreness, and promote faster recovery. This bath bomb is particularly helpful for anyone dealing with chronic muscle tightness or post-exercise aches. So whether you’ve been powering through spin classes, tackling long runs, or simply sitting too long at your desk, the Relieve bath bomb is like a spa session in your tub. CBD+THC Relieve Bath Bomb: Double the Soothing Power For those who want to take their relaxation a step further, the CBD+THC Relieve Bath Bomb delivers. This blend of CBD and THC (Delta-8, which is non-psychoactive) offers deeper, longer-lasting relief. While CBD works on reducing inflammation and calming the body, THC enhances the soothing effect, making it ideal for more intense muscle discomfort or joint pain. If you’re not sure about THC, rest assured that this product won’t make you feel “high.” Instead, it works synergistically with CBD to maximize its therapeutic potential. It’s a perfect fit for anyone seeking next-level recovery after a strenuous day or rigorous workout. CBD Relax Bath Bomb: Your Stress Melter Life is stressful—we all know it. The CBD Relax Bath Bomb is your ticket to an instant escape. Packed with lavender and chamomile essential oils, it creates an aromatherapeutic oasis right in your bathroom. CBD’s calming properties combined with these soothing scents help lower stress levels and promote relaxation. This bath bomb is ideal for unwinding after a hectic day, preparing for a big event, or simply indulging in a little "me time." If you find yourself reaching for your yoga mat or a book to decompress, add the CBD Relax Bath Bomb to your ritual for an extra layer of tranquility. CBD+THC Relax Bath Bomb: Amplify Your Zen For those who crave a deeper state of calm, the CBD+THC Relax Bath Bomb might just be your best friend. Combining the calming properties of CBD with the extra therapeutic edge of THC, this bath bomb is a powerhouse for stress relief. Its ability to soothe the body and mind makes it a perfect addition to a nighttime routine or as a remedy for those particularly chaotic days. Imagine this: a warm bath, the soft glow of candles, and the enhanced relaxation of the CBD+THC Relax Bath Bomb. It’s the kind of unwinding that makes every worry melt away. CBD Sleep Bath Bomb: Drift Off Peacefully A restful night’s sleep is the ultimate self-care, and the CBD Sleep Bath Bomb was designed with that in mind. Infused with calming essential oils like lavender and cedarwood, it helps set the stage for deep, uninterrupted sleep. CBD’s ability to ease tension and quiet the mind makes it an excellent choice for anyone struggling with restlessness or insomnia. Perfect for those nights when your to-do list won’t stop replaying in your head, the CBD Sleep Bath Bomb pairs beautifully with a cup of chamomile tea and a cozy blanket. CBD+THC Sleep Bath Bomb: Next-Level Slumber If counting sheep just isn’t cutting it, the CBD+THC Sleep Bath Bomb offers a more comprehensive approach to bedtime bliss. By combining CBD’s relaxing properties with THC’s added ability to ease the body into a restful state, this bath bomb is ideal for those who need extra help drifting off. Its blend of therapeutic oils and cannabinoids works wonders for individuals dealing with chronic sleep issues or high stress levels that impact rest. After a soak with this bath bomb, you’ll wake up feeling rejuvenated and ready to tackle the day. How to Choose the Right Bath Bomb for You Selecting the perfect KushQueen bath bomb depends on your current needs and goals. Here’s a quick guide: Muscle Recovery : Opt for Relieve (CBD or CBD+THC) if you need to soothe sore muscles or reduce inflammation. Stress Relief : Go for Relax (CBD or CBD+THC) to melt away daily tension. Better Sleep : Choose Sleep (CBD or CBD+THC) to calm your mind and promote a restful night. Not sure whether to go with CBD or CBD+THC? If you’re new to cannabinoids, start with the CBD options to test the waters. If you’re dealing with more significant discomfort or stress, the CBD+THC options may provide the additional support you need. Valentine’s Day: A Gift of Wellness When it comes to thoughtful gifts, nothing says “I care about you” like self-care. KushQueen bath bombs make an excellent Valentine’s Day gift for anyone who could use a little pampering—partners, friends, or even yourself. Pair a bath bomb with a cozy robe or a scented candle for a complete relaxation package. Plus, since we carry these bath bombs in our office, you can pick them up conveniently during your next visit. Show your loved ones (or yourself) that wellness is the ultimate act of love. The Bottom Line Whether you’re soaking sore muscles, calming your mind, or preparing for a deep sleep, KushQueen bath bombs have you covered. With six tailored options to choose from, there’s a bath bomb for every goal and mood. Stop by our office to pick up your favorite! Bethany Wolcott D’Youville Chiropractic ‘26

Ah, Buffalo winters. If the biting cold doesn’t freeze your toes, it might just freeze your shoulder! But before you start thinking that a "frozen shoulder" is a condition exclusive to our frosty region, let’s break it down, talking about what this condition is, how it happens, how to treat it, and how to prevent it—evidence-based, of course! What is Frozen Shoulder? Frozen shoulder, medically known as adhesive capsulitis, is exactly what it sounds like—a shoulder that becomes stiff, painful, and hard to move. It occurs when the capsule of connective tissue surrounding the shoulder joint thickens and tightens, making it difficult for the shoulder to move freely. This “frozen” state can last anywhere from a few months to a few years, and trust us, it can leave you feeling stiff and limited in movement. I magine trying to lift your arm like you’re reaching for the top shelf of your kitchen cupboard, but your shoulder refuses to cooperate. That’s frozen shoulder in action—painful, frustrating, and a little embarrassing when you need to ask someone else to help you grab the cereal. How Does Frozen Shoulder Occur? While anyone can develop a frozen shoulder, certain factors increase the likelihood of it happening. Here are the main culprits: Injury or Surgery : If you’ve had a shoulder injury (think rotator cuff tear or dislocation), or if you’ve undergone surgery and haven’t moved your shoulder much afterward, the shoulder joint might become stiff, leading to frozen shoulder. It's like the joint has been hibernating for too long and doesn't want to come out of its shell. Age and Gender : Frozen shoulder is more common in people between the ages of 40 and 60, and it’s more common in women. As if being a woman in your 40s isn’t challenging enough (we see you, ladies), this is just another reminder that our bodies love to throw curveballs. Health Conditions : Conditions such as diabetes, heart disease, or thyroid problems can increase the risk of developing frozen shoulder. It’s one of those frustrating conditions that can be tied to other health issues, like the weather here in Buffalo—never quite predictable and always ready to surprise you. Lack of Movement : If you have a lack of shoulder movement for any reason—such as prolonged immobility due to illness or injury—your shoulder capsule might stiffen. Think of it as your shoulder’s way of saying, “Oh, we’re not doing anything? Okay, I’ll just take a nap.” But when it wakes up, it’s much harder to move! The Stages of Frozen Shoulder Frozen shoulder doesn’t happen overnight, but rather in stages, much like the slow descent into winter in Buffalo. The stages are:  Freezing Stage : This is where you start noticing pain in your shoulder, especially when moving it. You might also feel like the pain is increasing over time and limiting your range of motion. Think of it as the moment winter arrives, and you realize you might need more than just a jacket to get through the cold. Frozen Stage : The pain might decrease a bit, but now your shoulder becomes very stiff. You struggle to move your arm, and everyday tasks—like reaching for your coat—become incredibly challenging. This is when your shoulder feels like it’s encased in ice. Thawing Stage : Here’s the good news! The frozen shoulder starts to improve. Your range of motion begins to return, and while you’re not yet completely back to normal, you can move around a little easier. It’s like when you get that first taste of warmth after a brutal Buffalo winter—finally, a bit of relief! How to Treat Frozen Shoulder Treatment for frozen shoulder can be a bit like trying to get through a Buffalo snowstorm—slow and steady wins the race. But don’t worry, we’ve got some options to help thaw that frozen shoulder out: Physical Therapy : Physical therapy is often the go-to treatment for frozen shoulder. A trained physical therapist will guide you through gentle stretches and strengthening exercises designed to gradually improve your range of motion. It’s like getting your shoulder back into “running” shape after a long break. Chiropractic Care : Chiropractic adjustments can help with frozen shoulder by improving joint mobility and addressing any musculoskeletal imbalances in the shoulder and surrounding areas. Just like a chiropractor can help realign your spine after a long day of sitting in the cold, they can also work on your shoulder to increase range of motion and reduce discomfort. Massage Therapy : Deep tissue and therapeutic massage can help loosen up tight muscles around the shoulder joint. Massage increases blood flow and relaxes the soft tissues, which can help with the stiffness and pain caused by frozen shoulder. It’s like melting the ice on your shoulder—literally! Medications : Over-the-counter pain relievers like ibuprofen or acetaminophen can help ease the pain associated with frozen shoulder. If the pain is more severe, your doctor might recommend prescription medications or even corticosteroid injections to reduce inflammation. Think of this as your shoulder’s winter coat—providing some extra protection against the elements. Heat and Ice : Applying heat to your shoulder can help relax the muscles and improve flexibility, while ice can help reduce inflammation and numb the pain. A balance of both might be just what you need to feel like you’ve survived a Buffalo winter, only to emerge with a thawed-out shoulder! Surgical Options : In rare cases, if conservative treatments don’t help, surgery may be necessary to remove scar tissue or release the tight capsule around the shoulder. However, this is typically a last resort after all other options have been explored. How to Prevent Frozen Shoulder While we can’t predict the next snowstorm in Buffalo, there are a few things you can do to prevent frozen shoulder from taking hold: Stay Active : Keeping your shoulder moving and flexible is key to preventing frozen shoulder. Regular stretching and strengthening exercises can help keep your shoulder joint healthy and mobile. It’s like giving your shoulder a winter coat, ensuring it stays warm and well-protected all year long. Don’t Ignore Injuries : If you injure your shoulder or have surgery, make sure to follow your doctor’s advice for rehabilitation. Staying on top of recovery can prevent the shoulder from stiffening up in the first place. Manage Health Conditions : If you have diabetes, heart disease, or thyroid issues, work with your healthcare provider to manage those conditions effectively. Taking care of your overall health can help prevent frozen shoulder from making an unexpected appearance. Posture Awareness : Good posture helps reduce the strain on your shoulder joints. Make sure you’re not hunching over or putting undue stress on your shoulders, especially when sitting at a desk or during physical activity. Final Thoughts Frozen shoulder can certainly put a chill in your day, but with the right treatment, you don’t have to suffer through it. Whether it’s chiropractic care, physical therapy, or even a little massage to get things moving, there are plenty of ways to thaw out and get your shoulder back to normal. So, next time the Buffalo winter hits and your shoulder starts to feel a little too stiff, don’t let it freeze you out—come see us at Peak Performance for the care and relief you need. Stay warm, stay active, and don’t let your shoulder go cold on you! Bethany Wolcott D’Youville Chiropractic ‘26

Do you experience persistent neck and shoulder pain, tingling in your fingers, or weakness in your arms? These symptoms might not just be the result of a tough workout or a long day at work. They could point to a condition called Thoracic Outlet Syndrome (TOS) . At Peak Performance in Buffalo, NY, we specialize in addressing musculoskeletal issues like TOS with evidence-informed chiropractic and massage care. Let’s explore what TOS is, what causes it, how it’s treated, and how you can prevent it. What is Thoracic Outlet Syndrome? Thoracic Outlet Syndrome is a group of disorders that occur when the nerves or blood vessels in the thoracic outlet—the space between your collarbone and first rib—become compressed. This compression can cause a variety of symptoms depending on which structures are affected. Types of TOS: Neurogenic TOS : The most common type, involving compression of the brachial plexus (a network of nerves that controls muscle movements and sensations in your shoulder, arm, and hand). Venous TOS : Involves compression of the veins, potentially leading to swelling, discoloration, or blood clots in the arms. Arterial TOS : The least common type, caused by compression of the arteries, often leading to cold or pale fingers and weakened pulse in the arm. Common Symptoms: Pain or numbness in the neck, shoulder, or arm Tingling or weakness in the hands Swelling or discoloration of the arm Fatigue or heaviness in the arm after activity How Does Thoracic Outlet Syndrome Occur? TOS develops when the thoracic outlet space becomes narrowed or constricted, leading to compression of nerves, veins, or arteries. Several factors can contribute to this, including: Poor Posture : Slouching or forward-head posture can reduce the space in the thoracic outlet, increasing pressure on the structures within. Repetitive Motion : Overhead activities or repetitive arm movements, such as typing or lifting, can strain the muscles and tissues around the thoracic outlet. Trauma : Injuries such as whiplash or clavicle fractures can lead to TOS by altering the anatomy of the thoracic outlet. Congenital Anomalies : Some individuals are born with extra ribs (cervical ribs) or other anatomical variations that predispose them to TOS. Athletic Activities : Sports that involve repetitive arm movements, such as swimming, baseball, or weightlifting, can increase the risk of developing TOS. Treating Thoracic Outlet Syndrome If you’re experiencing symptoms of TOS, it’s essential to seek professional evaluation. At Peak Performance in Buffalo, NY, we offer a range of treatment options tailored to your needs. Here’s how TOS is typically managed: 1. Chiropractic Care Chiropractors can help by addressing postural imbalances and improving joint mobility in the neck, shoulders, and upper back. Treatments may include: Spinal Adjustments : To improve alignment and reduce pressure on the thoracic outlet. Soft Tissue Therapy : To release tight muscles and improve blood flow to the affected area. Postural Correction : Education and exercises to restore proper posture and reduce strain on the thoracic outlet. 2. Massage Therapy Massage therapy complements chiropractic care by targeting tight muscles and fascia around the thoracic outlet. Techniques such as trigger point therapy, myofascial release, and deep tissue massage can alleviate muscle tension and improve circulation. 3. Physical Therapy and Exercise Strengthening and stretching exercises are vital for improving the function of the muscles that support the thoracic outlet. Common exercises include: Scapular Stabilization : Strengthening the muscles around your shoulder blades to support proper alignment. Neck Stretches : Reducing tension in the neck and upper trapezius muscles. Pectoral Stretches : Opening up the chest to relieve compression in the thoracic outlet. 4. Lifestyle Modifications Adjustments to your daily activities can help reduce symptoms. For example: Avoid carrying heavy bags on one shoulder. Take breaks from repetitive activities like typing or driving. Maintain proper posture during work or physical activities. 5. In Severe Cases If conservative care doesn’t provide relief, more invasive interventions like corticosteroid injections or surgery may be necessary. Surgical options aim to remove the source of compression, such as a cervical rib or fibrous band. Preventing Thoracic Outlet Syndrome Preventing TOS is all about minimizing the risk factors that lead to compression of the thoracic outlet. Here are some practical tips to keep your thoracic outlet in top shape: 1. Prioritize Posture Good posture is the foundation of a healthy musculoskeletal system. Focus on: Keeping your shoulders relaxed and down. Avoiding forward-head posture. Sitting with your back supported and feet flat on the ground. 2. Ergonomic Adjustments Ensure your workspace is set up to reduce strain: Use an ergonomic chair and desk setup. Position your computer screen at eye level. Use a supportive keyboard and mouse. 3. Stay Active Regular exercise helps maintain the strength and flexibility of the muscles supporting your thoracic outlet. Incorporate activities like yoga, Pilates, or swimming to promote mobility and stability. 4. Take Breaks If your job involves repetitive arm or hand movements, take regular breaks to stretch and change positions. This helps prevent overuse injuries and muscle tension. 5. Listen to Your Body Pay attention to any signs of discomfort or fatigue in your neck, shoulders, or arms. Addressing symptoms early can prevent them from worsening into a chronic condition. Why Choose Peak Performance in Buffalo, NY? At Peak Performance, we’re committed to providing evidence-informed care for conditions like Thoracic Outlet Syndrome. Our team of experienced chiropractors and massage therapists work together to develop personalized treatment plans that address the root cause of your symptoms. Whether you’re dealing with TOS caused by poor posture, a sports injury, or repetitive strain, we’re here to help. Peak Performance offers a welcoming environment and a patient-focused approach. We believe in empowering our patients with the knowledge and tools they need to achieve long-term relief and optimal health. Bethany Wolcott D’Youville Chiropractic ‘26

Discover 9 key signs that indicate it’s time to visit a chiropractor in Hamburg. Take care of your spine and overall health today.

Valentine’s Day is just around the corner, and let’s face it: the dinner-and-flowers routine can feel a bit overdone. If you’re looking for a unique, thoughtful way to spend quality time with your special someone, a couples massage could be the perfect solution. Beyond just relaxing, it’s a gift that benefits both of you in the long run—and who doesn’t love a little pampering? Here are 14 reasons why a couples massage at Peak Performance in Buffalo, NY, should top your Valentine’s Day plans this year: 1. Shared Relaxation Time In today’s busy world, finding time to relax together can be tricky. A couples massage offers a dedicated window of uninterrupted peace where you can both decompress and enjoy each other’s company. No phones, no distractions, just pure relaxation. 2. Strengthen Your Connection Shared experiences often bring people closer together, and a massage is no exception. During a couples massage, the synchronized relaxation and shared atmosphere can enhance feelings of closeness and connection.  3. Relieve Stress—Together Stress doesn’t just affect one person; it can influence your relationship too. Massage therapy is proven to reduce cortisol levels (the stress hormone), leaving you both feeling lighter and more at ease. 4. Boost Those Feel-Good Hormones Massage stimulates the release of serotonin and dopamine, which are the body’s natural mood elevators. Sharing that uplifting experience together can set the tone for a cheerful and loving Valentine’s Day. 5. Double the Benefits, Half the Effort Getting a massage solo is wonderful, but experiencing it side by side makes it extra special. Both of you get pampered at the same time, making the experience even more efficient and rewarding. 6. It’s Not Just for Romantic Partners A couples massage isn’t limited to romantic relationships. Whether you’re celebrating Galentine’s Day with a best friend or treating a close family member, sharing a massage is a memorable way to bond. 7. Improved Circulation Massage therapy helps improve blood flow, which can alleviate muscle soreness, increase energy levels, and promote overall wellness. Imagine feeling rejuvenated and energized—together! 8. Celebrate Without the Calories Chocolate and champagne are lovely but not always in line with everyone’s wellness goals. A couples massage offers indulgence without the sugar crash, making it a guilt-free Valentine’s Day treat. 9. Tailored to Your Needs At Peak Performance, our skilled therapists tailor each massage to your unique preferences. Whether one of you loves deep tissue work and the other prefers gentle Swedish massage, we’ve got you covered. 10. Unwind Before or After Dinner A massage is the perfect bookend to your Valentine’s Day plans. Start your evening on a relaxed note or finish it with a rejuvenating experience that prepares you for a great night’s sleep. 11. Support Local Businesses Booking a couples massage at a local chiropractic and massage office, like ours in Buffalo, not only pampers you but also supports your community. Feel good knowing your celebration is helping local professionals thrive. 12. Encourage Self-Care Massages aren’t just about relaxation; they’re also a form of self-care. By booking a couples massage, you’re not only prioritizing your partner’s well-being but also reinforcing your own. It’s the gift of wellness—doubled. 13. No Stressful Planning Required Forget the long restaurant waits or elaborate trip planning. A couples massage is simple to book and delivers a high return on happiness. Plus, we’ll handle all the details, so you can just show up and enjoy. 14. A Unique Valentine’s Gift Let’s be honest: another box of chocolates or bouquet of roses might not leave a lasting impression. A couples massage, on the other hand, is a thoughtful, memorable experience that shows how much you care. Why Choose Peak Performance in Buffalo, NY? Our team of licensed massage therapists specializes in creating customized experiences for each client. Whether you’re new to massage therapy or a regular, we’ll ensure your Valentine’s Day is unforgettable. We offer a relaxing, professional environment perfect for couples looking to reconnect and unwind. Booking is easy—just give us a call or stop in to reserve your spot. But hurry! Valentine’s Day appointments fill up quickly. This year, think outside the (chocolate) box and give your loved one the gift of relaxation, connection, and wellness. Trust us, your Valentine will thank you. Bethany Wolcott D’Youville Chiropractic ‘26