In this video, I talk about why you’d want to calculate and track your macros, and then I show you step by step how to calculate your macros. Once you get your macros set, you will want to test them out for 4-6 weeks before making any adjustments, since everybody reacts differently to certain percentages of proteins, fats, and carbs.








You can zoom into the picture above to take a closer look, but everything is explained in details in this video:

Full transcript:

What’s up Youtube, Dr. Sandy Baird here from Riverstone Chiropractic.
Today we’re going to look at one of the most frequently asked questions that I get from
my patients.
And that is…should I ice my injury or should I heat my injury?
Stay tuned to find out more!
So when it comes to ice, we need to look at two different things…we need to look at
pain management, and we need to look at inflammation management.
Now a review of the literature will show that there is not actually one shred of evidence
for inflammation management for ice.
So it’s not going to help us there.
Where it does help us is for the pain management.
So we learned in physiotherapy class that there’s the stages of ice: I’m going to put
them up here so you can see them on the screen too, it goes through coldness, and then burning,
and then achiness, and then intense pain, and then you hit the numbness.
So if you’re just icing for a couple of minutes and you’re not actually feeling the numbness,
you’re not going to do any good for pain relief, but if you can get to those stages, that’s
going to give you the best pain relief.
So what is the best way to ice an injury?
You may have seen that you have a lot of choices.
There’s the commercial ice packs, there’s dunking your hand or your ankle into a bucket
of ice water, there’s some other choices, but my favorite actually involves using of
these…a dixie cup.
These ones have penguins on them, cute, AWWW, but what you do is fill it up with water,
you put it in the freezer, if you know that you have an injury that you’re going to want
to be icing multiple times a day, just do six of them at a time, put them in the freezer.
When you’re ready to ice, just pull one out, and you just tear off the top rim here, so
that the surface of the ice is showing.
And then you…let’s say I’m going to apply ice to a forearm injury, I would start it
here (it can be nice to have a towel handy for drips, if you’re in a bathtub it doesn’t
matter or over a sink it doesn’t matter, but if you’re sitting in a chair, grab a towel)
and then you start to move the ice.
You don’t want to keep it in one place, there’s the possibility that you may damage the tissue.
You’ll want to move it around for one to three minutes, and you’ll notice pretty quickly
that the whole area will get pretty burn-y, pretty achy, and then it will start to be
At that point you’re done with the ice.
If you still have some left, you can put it back in the freezer.
Otherwise just compost or recycle the cup.
Now what about heat?
Well, there are a lot of cultures and a lot of traditions in Ayurvedic medicine and in
Eastern medicine that would actually point you towards heating up an injury.
A lot of the same cultures and traditions have things like warmed foods, drinking warm
liquids, keeping the body covered to maintain temperature.
These are all really important things and they tie into if you have an injury, maybe
not a forearm injury, but let’s say a back injury, neck, shoulders, a lot of cultures
would put heat traditionally on the injury.
And I think that may actually be a good idea, you have to look at common sense…if something
feels good, it probably is good!
I mean, you could take this to the extremes, like if you eat a whole cake all at once that
might feel good but it’s not good, you know what I mean?
But if we’re just looking at Occam’s Razor, the simplest principle, if it feels good to
heat an injury, it’s probably good for you.
And the research does not support ice for inflammation management, so why the heck not?
Heating an injury can give you some relief because it causes the muscles to relax, and
in my opinion, you don’t actually want to fight off too much inflammation.
Inflammation is the body’s natural response to injury, and you want those cells to rush
in and clean up the damage, you want that stuff there!
You don’t want to try to “ice that away!”
So let’s keep some of that inflammation.
Just a tip with icing, in terms of how often you can do it… if you’re using an ice pack,
using something to cool the deeper layers of muscle and fascia, then it’s recommended
that you use the ice for about twenty minutes, and then rest for an hour.
And then you can come back to it and do it for another twenty minutes.
If you’re using something like the ice cup, it’s one to three minutes treatment, and then
take it off until you feel the numbness and the coldness has gone away, once you feel
that the tissue has returned to it’s normal blood flow, then you’re able to ice again.
And that usually takes between thirty minutes and an hour, so it’s not like you’re going
to be getting in there every five minutes, give it a little bit of a break and let your
body natural heal things.
And we should probably talk about when not to heat an injury…there’s some things that
you would not want to heat, and these are active injuries.
So if you’ve just fallen, you’ve fallen yesterday and things are really still inflamed, anything
that’s an open cut or an open wound…NO HEAT!
I hope that gave you a little bit of insight as to whether you should heat an injury or
cool off an injury, if you have any questions, please leave them in the comments below, and
if you want more content go ahead and subscribe to my channel below, there’s a button, there’s
a notification bell, and like the video, and that would really help me out and it will
help you out because it lets me know what kind of content is helpful to you.
Thanks and see you on the next video.


This is a lower body sequence that should only take you about eight minutes to perform. You can watch the video, or follow the “Foam rolling for runners: lower body sequence” picture tutorial below.

foam rolling for runners glutesSit on your foam roller. Cross your left ankle up and over your right knee. If you lack the flexibility to get into this position, just let your left leg extend slightly out in front of you. Lean onto your left hand, and lean your body slightly to the left. Start to make small rolls back and forth until you find a tight spot. Roll that tight spot for about 30 seconds. Find the next spot by leaning slightly more to the left. You can lean your bodyweight far forward to get pressure onto the lower part of the glutes, and lean far back to get to the top portion. If your wrists hurt in this position, you can make a fist with your hand instead. Alternatively, you can prop your hand up onto a yoga block. Spend 1-2 minutes on this side, and then switch to the other side.


foam rolling for runners hamstring
Scoot just behind your foam roller and position yourself so the backs of your legs (hamstrings) are on top of the foam roller. Post up onto your hands, and roll either both legs at once or one leg at a time. You can get more pressure focusing on one leg at a time. You have inner and outer hamstrings, so if you feel tighter in your inner hamstrings, spin your entire leg inward. And vice versa.




foam rolling for runners alternate position for handsMove the roller slightly down towards your feet so it is under your calves. Press your hands into the floor in order to lift your hips up. This gives you the opportunity to create more pressure going into your calves. If you feel like you don’t need more pressure, or your wrists hurt in this position, then simply lower your butt to the ground and press your lower leg into the roller. It works better to do one leg at a time, and you can press your opposite leg down onto your shin using it like a sandbag to smoosh your calf into the roller. As with the hamstrings, you can twist your straight leg inward and outward to target the inner and outer portions of the calf muscles respectively.


foam rolling for runners lower body calvesThis is the alternate position, wherein you keep your butt on the ground to take pressure off your wrists.






foam rolling for runners lower body hipFor your hips, lie on the roller as shown. Working one section at a time, make slow rolls back and forth along the side of the hip and down the outer seam of your pants. This targets the ITB (Iliotibial band), a tricky band of connective tissue that often tightens up in runners. Your top leg crosses over and acts as a kickstand to modulate pressure. The stronger you press your foot into the floor, the less pressure you feel on the ITB. The third photo shows an alternate position if this first suggestion bothers your shoulder or wrist.



foam rolling for runners hip 2
foam rolling for runners lower body alternate position

foam rolling for runners quads
To roll your quads, place the roller underneath you, and then make sure your core is braced so your lower back doesn’t sag down. Use your forearms to drive the motion to create a rolling pattern up and down your quads. If you need more pressure, scoot one knee out to the side and roll out one quadricep at a time.


Foam rolling your lats, rotator cuff, serratus anterior, and intercostal muscles can help ease your breathing as well as relieve stiffness and tightness in the back and shoulders.


Step 1: Lie on your side with your foam roller in your armpit and your arm spun outwardly. If your arms spins into lots of internal rotation, this won’t feel so great, so flip your palm up towards the sky to exaggerate your starting position, and then you can find a more neutral position as appropriate for your shoulder anatomy.



Step 2: Like a tofu-veggie-kabob gently rotating on a grill, spin your whole body gently back so that you feel the foam roller pressing into the back of your shoulder blade. Spend some time (30-60 seconds) rolling back and forth over whatever tight spots you feel in this area.






Step 3: Now spin your body (along the long axis like that rotating kabob) towards the floor. Now you are experiencing pressure on the serratus anterior muscles and the anterior part of your lat muscles. Make sure to breathe! Continue spinning back and forth for a few rotations, and then pause to scoot the foam roller one inch lower. Repeat. And then scoot the roller one inch lower. Keep slowly inching the foam roller lower until the pressure becomes uncomfortable along your rib cage, and then keep the muscle-release work above that line. There are tiny (often overworked/tight/tender) muscles between each rib called the intercostal muscles. For some people, it feels fantastic to release the tension in these muscles, for other people, it feels like they are crushing their ribcage. Move slow, keep breathing, and listen to your body.

Try out this exercise any time your back is feeling stiff. If will help you get more rotation in the thoracic spine. Extension is also important, but this video focuses on rotation specifically. If you don’t have a foam roller, you can substitute a large pillow or other support under your ankle and knee. Keep your knee touching the support the whole time. If this feels too easy, bring your knee up closer to your chest.

Step 1 “The Reach”: Lie on your left side with your bottom leg straight. Support your right ankle and knee on a foam roller, so that your knee and hip are both at 90 degree angles.







Step 2 “The Wiggle”: Wiggle your left shoulder blade up and around towards the ceiling. It helps to grab your left wrist with your opposite hand in order to pull your left arm up. This creates the necessary tension to give you the starting position. This will feel way too easy if you skip this step. Keep your left hand pressing up towards the ceiling the entire time, like you’re balancing a heavy plate.




Step 3 “The Twist”: Inhale as you twist your torso to your right (towards the floor). Exhale to bring it back to the start. Your right arm guides this motion, but we’re not concerned with how flexible your shoulder joint is, rather how much rotation you can feel through your torso.



If you don’t feel anything while doing this exercise, rotate your top hip forward just a bit, raise your top knee up towards your head, and really keep that top knee pinned down into the roller as you open your right arm and your torso to the side. You should feel a generalized stretch/opening across the chest and throughout the back. Depending on where you hold your tension, you may feel this exercise in different places than someone else.

Repeat for 10-15 reps and then switch to the other side.

I ran across an interesting recent article in the American Journal of Sports Medicine that takes a deeper look at what’s happening with frozen shoulder by zooming in to the molecular level. Watch the video below for a summary or if you prefer to read the summary just scroll down.

Researchers studied two groups of patients, 10 with frozen shoulder and 10 with stable shoulders.

frozen shoulder oakland


The theory is that there are “danger signals” called Alarmins that are endogenous molecules that get released into the extracellular milieu after infection or tissue injury. I love that term “extracellular milieu”. It’s really just a super fancy way to say the environment outside of the cell. And endogenous means “produced from within…so the alarmins are being produced from within the cells of the shoulder capsule, not caused by some external or environmental factor. These alarmins basically send the alarm that there has been cell and tissue damage.


They obtained tissue samples from the innermost tissues of the shoulder (the capsule) and stained them with hematoxylin and eosin (H and E) dyes and then analyzed them by immunohisochemistry using antibodies against alarmin molecules . They then measured these immunoreactivities and graded them from weak to strong. In case you need a microbiology refresher, using H and E dyes just tells you that the cell nuclei get stained blue and the cytoplasm and extracellular matrix get stained various shades of pink, so that researchers can tell what they are looking at. And then they introduce antibodies (proteins that combine chemically with substances the body interprets as foreign) to check how strongly the alarmin molecules would “sound the alarm”.


The tissue samples from the frozen shoulder patients showed fibroblastic hypercellularity (way more than a usual number of cells that build tissue) and increased subsynovial vascularity (more blood flow in the shoulder capsule) compared with the control group. Also, the immunoreactivity of alarmins was significantly stronger in the frozen shoulder tissue samples. It’s also important to note that the expression of those alarmin molecules had a significant correlation with the severity of the shoulder pain reported by those patients.


This study shows that, potentially, there is a role for alarming alarmin warning signals in frozen shoulder and that those molecules are associated with the patient’s shoulder pain. So what does this mean for us as chiropractors or alternative health practitioners? What are the next steps? Besides follow up studies with a larger control group, what do we do with this information?

Well, I can think of two things:

  1. There may be a link between immune reactions in the shoulder capsule and immune reactions in other places in the body. Eating a low-inflammation and low-immune reactivity diet may help you feel less pain. A good starting point is reading The Paleo Approach by Dr. Sarah Ballantyne, PhD. I can also help you create a custom diet plan as a result of my training in functional medicine.

2.Chiropractic adjustments have been proven to boost the immune system. If you are experiencing any pain or loss of range of motion from frozen shoulder, you may benefit from boosting your immune system overall. Please click here if you’d like to schedule an appointment.



Alarmins in Frozen Shoulder: A Molecular Association Between Inflammation and Pain

First Published November 30, 2017 

Photos: wiki commons

As we approach the holiday season, many of us are looking at one or more airplane trips in our near future. Do you usually feel horrible after a long flight? Does your lower back scream from sitting so long and your shoulders and upper back clench up from being squeezed into a tiny seat? While airplane seats are far from comfortable, there are a few action steps you can take to counteract the tightening that you feel in your body.


The re-circulated air in airplanes is notorious for being drying to the body. All of our organs and systems function most optimally when we are hydrated, so start drinking water before you board your flight, sip more water during the flight, and pull that water bottle out again once you land. You can mix in other fluids like teas and coconut water if you’re getting bored of water. And don’t forget that fruits and vegetables contain water, so snack on some grapes, snap peas, celery sticks, cucumbers, or an apple during your flight.

Fire up Your Core.

Before boarding, do something to work your core muscles. That may be an unobtrusive single leg standing hold, some gentle squats, or even standing in proper posture while bracing your core. After you land try to do something similar while you wait to pick up your luggage.

Stretch it out.

If your seat mates are amenable to you entering and exiting your row a few times, you can grab some standing stretch breaks in the aisle. It doesn’t technically matter which stretches or movements you do, as long as you do SOMETHING! Stretch your arms overhead, do a few small lunges, loosen your spine with a few standing twists, or lean forward one leg at a time to stretch your calves. Once you are off the plane and have a bit more room to move around, consider doing a quick yoga sequence in your hotel room. You can find plenty of free yoga workouts on youtube or you can subscribe to and do one of their guided yoga classes. Even five or ten minutes of movement before you collapse into your couch or bed can help alleviate a lot of built-up tension and prevent post flight soreness. Invest in a foam roller.

Roll it out.

Whether you pack a travel foam roller or set of yoga tune-up balls or some other small tools, remember to unpack it before you go to sleep for the night. You can restore circulation to your muscles and decrease the tightness in them in just a few minutes. Roll out your glutes while you floss your teeth. Focus on your quads while you brush your teeth. And release your back muscles while you check email on your phone.

Move it, lymph!

Ever wonder why people wear compression socks or stockings on planes? One reason is that they can assist with returning excess fluid out of the lower legs and back towards the heart. If you aren’t going to wear compression socks, at least elevate your legs against a wall or a stack of pillows when you arrive at your destination. Gravity is helpful to move lymph.

Epsom Salt Soak or Otherwise Immerse in Water.

Depending on the nature of your travels, you may or may not have access to a bathtub or hot tub. But in the case that you do have the opportunity, jump on the chance to re-invigorate your muscles with a twenty minute soak in warm water. Adding epsom salts introduces much-needed minerals to your muscles to help them recover.

What are your best travel tips to help your body feel it’s best? Let us know in the comments below!

power yoga oakland

In my early days as a yoga attendee (bear with me here, I was age 20 at the time), I thought that accessibility meant that there were straps or blocks or bolsters nearby, and that maybe other people needed them, but not me. Even if it meant straining and forcing, I was bound and determined to do those yoga poses the “right” way. I thought there was pride associated with not using any props.

20 years of practicing yoga later, I have two requirements for attending a yoga class. I must feel comfortable. And I must feel blissful.

Comfortable: Not comfort in the sense of is the room too hot? Or did I wear clothes with the proper freedom of movement?

But comfort in terms of whether I feel safe showing up exactly how I am today. Am I trulyseen for who I am (gender-wise, body size and shape-wise, and mobility-wise). Are teachers using gender neutral terms like pecs or chest, instead of breasts? Do they offer suggestions “for those in the room that have tight hamstrings,” instead of saying “for the guys”?

Does the teacher really deeply understand what it might be like to have limitations in yoga poses (asana) arise, not because of a lack of flexibility or strength, but simply because of tissues of the body physically touching each other. If you have a big belly, you can only reach so much flexion in a forward fold before your belly hits your thighs for example. I because acutely aware of this situation when I was pregnant, but however a yoga teacher needs to experience this, that concept needs to present in the back of their mind.

You can’t draw assumptions about what a student’s asana is going to look like, based solely on how they appear. And you have no idea what injury or trauma or other lived experience is lurking below the surface. So you need to cue for possibilities, cue for exploration, cue for wonder and playfulness, and only then can the asana blossom.


Now, let me get one thing clear. I’m not asking to be spoon-fed rainbows and unicorns. (I can eat those quite skillfully with my own silverware, thank you!) And I know that I’m responsible for my own bliss (you know that state you get to…when your breath is smooth and you’re working hard and your body feels warmed up and your mind is clear). But there are some subtle things yoga teachers can do to allow the time and space for that to happen for a student.

Here’s a big one:

“Do what feels good to you.” Yoga teachers say this a lot. I’m as guilty as the next. And it’s a lovely thing to say, provided that you truly mean it and have an understanding of what it might mean to people of differing sizes and levels of mobility. And if it comes across as believable.

You know how some yoga teachers will say “do whatever feels good for YOUR body” and then they proceed to demo the full expression of a tricky pose right in front of your mat, sighing contentedly as if bending into that twisty pretzel position (that I could not have even achieved when I was a toddler) was the easiest part of their day?  

Well, that never seems blissful to me. There are a handful of power yoga teachers here in Oakland (cough: Rachel and Whitney at Left Coast Power Yoga) who have mastered the art of offering lots of options while keeping things playful. They’ve found the delicate balance between not taking ourselves too seriously, and trying to push yourself just a bit, but only if it is blissful.

Remind us to breathe. Be playful. Remind us that it’s no big deal if we fall out of a pose. And also, it’s no bid deal if we “nail” a pose, whatever that really means, anyway. Offer sitting and breathing as an option if we aren’t feeling twisty-pretzel-asana-version B. Or offer lying down if that’s what your body is asking for. And again, remind us to breathe.

And here’s one important word to avoid:

Just. Just twist into this complicated challenging pose, and then just lift your bottom arm over your top leg. Yes, just like that!

When we say just, it infuses the assumption that this should be easy for all bodies.

Luckily I’ve learned enough throughout my two decades of yoga practice about what works for my body and what doesn’t, to safely chose options and movements that feel good to me and still generally stay within the flow and energy or the group class. But what if I were a beginner?

It’s up to the yoga teachers to keep students safe. The responsibility extends in both directions, I do think you need to speak up if you have particular injuries or conditions that you aren’t sure yet how to navigate in a yoga class. But teachers, it’s up to you to keep us safe both physically and mentally.

Have you over been overwhelmed with the huge variety of foam rolling tools on the market and wondered “What is the best foam roller for my injury?” Well, I’ve got a tip for you…in some cases, the best foam roller isn’t actually a foam roller! While a traditional foam roller is great for rolling out the tight muscles in your back, increasing thoracic mobility, and stretching open tight pecs, there are better tools out there when it comes to foam rolling exercises for your legs and arms.

The biggest barrier to actually implementing a foam rolling routine is that people that are already in pain, don’t particularly want to get up and down from the ground. And they generally don’t want to or are unable to use their bodyweight to create the leverage necessary to get the right amount of pressure on their muscles from the foam roller. Enter the Rolflex Tool! This is a hinge-based tool originally developed as an arm-aid tool for musicians. It adjusts to a smaller opening for forearms and calves and adjusts to a larger opening for quads, hamstrings, biceps, and triceps. It requires very little grip strength to operate, which is important to those with arthritic hands or forearm injuries. Check out this video to hear more about what makes this the best foam roller tool and see applications for rolling forearms and legs.

If you have any questions about how to use this foam rolling tool, please comment below. Also, I’d love to hear about your favorite foam roller tool. How do you use it? What do you like about it? And what are your biggest challenges with incorporating self-care muscle work into your workout recovery practice? Is it that you can’t stand getting up and down? Never have a wide-open space? Dog keeps licking your face or your cat jumps on you? I want to hear about your experience and what you have found that works the best for you!

*Rolflex tool link is an Amazon affiliate link.

Which Tennis Elbow exercises actually work and which don’t? There is currently only one evidence-based tennis elbow exercise, and it involved using a Therabar or Flexbar. There’s nothing worse than having your physical therapist or chiropractor assign you a tennis elbow exercise in the office, and then you get home and can’t remember which hand goes where, and what direction to twist. Inspired by brilliant rap lyricist Missy Elliott, I show you an easy way to remember how to do this super-effective exercise for tennis elbow.

Also in this video I show you how to decide which color (level of resistance) to start with. Hint: if it is too difficult and your form breaks down, you would get better results by starting with a less-difficult resistance. This exercise is good for anyone who performs repetitive motions (dentist, guitar player, rock climber, keyboard/computer user. Most people who have tennis elbow aka lateral epicondylitis or lateral epicondylosis (find out more about the terms “itis” vs. “osis” here) don’t actually play tennis. But they get the same painful and annoying condition developing in their outer elbow as those who show up mentally and physically for a tennis match.

81% of subjects who did this eccentric exercise (in addition to traditional treatment) reported a decrease in pain compared to only 21% of subjects who skipped this exercise and only did traditional treatment. Building up eccentric strength in a tendon is important because we can tolerate more load in eccentric movement than we can in concentric movement, so it’s important to improve that particular type of tendon strength. This will help rock climbers resist forearm fatigue, and help computer users perform tasks for a longer period of time without having as much elbow pain.

So order a FlexBar on Amazon and get to it!

* Amazon affiliate link

* Tennis Elbow Exercises: Eccentric research article:

Riverstone Chiropractic is conveniently located on Grand Avenue in Oakland CA. We serve patients from Oakland, Berkeley, Albany, Richmond, Walnut Creek, El Cerrito, Emeryville, San Leandro, Alameda, and surrounding cities in the bay area. Riverstone sports chiropractor Dr. Sandy Baird uses their background in athletics and massage therapy to provide their patients with effective and personalized sports medicine treatments, which include Active Release Techniques, chiropractic treatment, deep tissue massage, and rehabilitation exercises. Riverstone Chiropractic - 3409 Grand Ave #5 Oakland California 94610 - (510) 465-2342