Dr. Ephraim Brenman on Selecting the Right Backpack for Your Child

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It’s Back to School shopping time and many parents are heading out this Tax Free Weekend to collect supplies for their children.  While you’re shopping, TSAOG’s Dr. Ephraim K. Brenman wants you to keep a few tips in mind to protect your child’s back from the dangers of an improper backpack.

Dr. Brenman, physical medicine and rehabilitation specialist with TSAOG, says that you need to “Be sure to get the right backpack, and make sure your child is wearing it and using it properly.”

Good backpacks are designed to distribute the weight across some of the body’s strongest muscles. But backpacks that are too heavy or backpacks that are worn incorrectly can cause problems for children and teenagers. Improperly used backpacks may injure muscles and joints, which can lead to severe back, neck, and shoulder pain, as well as posture problems.

When you go backpack shopping, look for one that is appropriate for the size of your child. Also, look for some of the following features:

  • Wide, padded shoulder straps
  • Two shoulder straps, not one
  • Padded back
  • Waist strap
  • Lightweight backpack
  • Rolling backpack

To prevent injury when using a backpack, make sure your child does the following:

  • Always use both shoulder straps to keep the weight of the backpack better distributed across the child’s back
  • Tighten the straps to keep the load closer to the back
  • Pack light: Kids should carry no more than 15 to 20% of their body weight
  • Organize the items: pack heavier things low and towards the center
  • Remove items if the backpack is too heavy: carry only those items that are required for the day, and if possible, leave unnecessary books at home or school
  • Lift properly by bending at the knees when picking up a backpack

Tips for Parents

  • Encourage your child or teenager to tell you about numbness, tingling, or discomfort in the arms or legs which may indicate poor backpack fit or too much weight being carried.
  • Watch your child put on or take off the backpack to see if it is a struggle.. If the backpack seems too heavy for the child, have them remove some of the books and carry them in their arms to ease load on the back.
  • Do not ignore any back pain in a child or teenager.
  • Talk to the school about lightening the load. Team up with other parents to encourage changes.
  • Be sure the school allows students to stop at their lockers throughout the day to drop off or exchange heavier books.
  • If your child has back pain that does not improve, consider buying a second set of textbooks to keep at home.

Dr. Ephraim K. Brenman is a board certified physical medicine and rehabilitation physician with The San Antonio Orthopaedic Group.  He specializes in the non-surgical treatment of neck and back pain for patients 12 years and up.  To schedule an appointment with Dr. Brenman, please call 210.281.9595.

Dr. Scott Seidel on Headache Treatment and Resolution

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So you have a pounding headache… Is it behind the eyes? Does it form a tight band around your head? Does it affect your daily enjoyment or productivity?

What will you do about it now?  What have you been doing so far?  Wouldn’t you agree it’s finally time to have this problem examined in order to figure out how to get rid of this menacing visitor for good? If so, there may be hope for you yet.

As far as headache treatments go, many people will try lying down, using ice and/or heat, applying muscle creams or popping various pills.  Additionally, some people try taking the day off work, sleeping in a dark room or restricting their normal daily activities.  These are a “band-aide” until the next headache surfaces -usually worsening in frequency, severity and duration as time progresses.

A better solution may be chiropractic care.  While there are many triggers for headaches (such as certain foods, lights or noise), most headaches actually result from excessive tension at the base of the skull or in the neck – except for the small percentage due to a disease process.  Our daily life leads to improper spinal posture – at the computer, driving, watching TV and using a smartphone/tablet.   When a headache hits, it is often a signal that the neck is in distress.  The tension that builds at the base of the neck creates pressure on the nervous system (nerves and spinal cord) leading to the headache.  For people who have this type of headache, chiropractic care can be quite effective in reducing / eliminating the headache and also preventing a return.  

As a Doctor of Chiropractic, spinal conditions that lead to these types of problems are my primary concern.  I will work with you to help determine the reason for your headache and the most effective way to quickly address, reduce and manage your condition – without the need for medication or other drastic measures.  I assure you, for most people it is completely possible to live life without headaches.

If you are suffering from headaches and the “solutions” you have tried up to this point are insufficient, please call our office for a complete consultation and examination to discuss your condition and treatment options.


Dr. Scott R. Seidel is a chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.



TSAOG Customer Survey Highlights – July 2013

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When our patients have something nice to say about us, we like to brag about it!
Please enjoy some of the highlights from TSAOG’s July 2013 Customer Survey:

  • Dr Jacobs and all his staff are great including the front office staff!”
  • “For my surgery I used North Central Baptist and that turned out to be a most pleasant experience. What a marvelous hospital!!!”
  • Dr. Seidel was great; I am confident he will do everything he can to help me.”
  • Dr. Frank Garcia is a very meticulous physician and answered all my questions. Furthermore in answering my question he showed me the MRI.”
  • “This is an outstanding group of physicians and staff. Thank you for participating in my recovery.”
  • Dr. Marx has taken excellent care of me. He is one of the kindest doctors I have ever met.”
  • “You have the best office in town! It is run very well, the staff and doctors are wonderful.”
  • Dr. Rowland was very informative and made me feel relaxed and confident in the procedure to be performed.”
  • “Everyone was personable. I went to Spurs Lane when I first had knee issues and felt like I was just passed around and lost in a sea of clients. I was rushed through the whole process and was just shipped off to have an MRI done without really speaking with anyone. That’s not at all how I felt when I was at your practice today. Even from the initial call I felt better about the experience. The lady walked me through the process, asked which doctor I would like and explained the online form process. I was welcomed when I arrived and the gentleman that took us back to the room was kind. Dr. Kaiser walked me through everything and I had a clear understanding of what I need to do to get better.”
  • “The PT team is outstanding”
  • Dr. Ursone really listens and I never feel rushed.”
  • “Dr. Bergfeld was very personable and explained my procedure (and results) thoroughly. She’s the bomb.”
  • “Dr. Hennessy is a wonderful doctor and he suggested I go to physical therapy prior to surgery on my neck. That solved the pinched nerve problem without surgery.”
  • Dr. Balldin knows his stuff. Very impressive.”
  • Dr. Drukker was excellent!  Happy that I made appointment. Hopefully wrist problems will be resolved!”
  • Dr. Tolin & his staff are consistently excellent. Linda is a wonderful nurse!”
  • “I loved the comfortable atmosphere and the fact that everyone always had a smile on their face. It was comforting to know that they are happy with where they work thus making the patient feel comfortable”
  • “The most courteous staff at a medical facility that I have encountered in a long time as well as proficient in what they do. Especially Kathy Yates who helped me coordinate my surgery and my return visits.”
  • “My Dr. took care of me in a very professional manner as always. He explains all my results and concerns in the manner I always clearly understand. He went beyond my expectations on this visit. I thank him!” (Dr. Viroslav)
  • “Scheduling staff was amazing. My insurance was being difficult and your staff still fit me into a full schedule to address my fracture to relieve my pain”
  • Dr. Brown is very caring & understanding.”
  • “I saw NP Allison Rice. She was amazing”
  • “My husband had surgery and we were both very impressed with your practice. Everything was very efficient and ran so smoothly. The surgery itself has been better than we ever thought possible. I guess what we like most about your practice is the quality of your physicians.” (Dr. Woodbury)
  • “I would highly recommend Dr. Taber and Derek Harper to anyone that has had hip injuries or hip disease.”
  • “Today is my last physical therapy session, and I have finally taken time to provide feedback. Dr. Connor is great; makes feel I am not just another patient; a very focused man with a sense of humor, and obviously knows what he is doing; I have complete confidence in him. Chris, who runs the physical therapy group, is a great manager and it looks like his crew is happy with their work. Special note on Cindy, who runs the intake desk: she is extra good and I really connected with her. She deserves the highest recognition. Also, Andrea who also runs an intake desk, is really good and has always been really good to me. Michele, who assists me in the physical therapy regime should be recognized for being very high energy and is perhaps the most attentive person in the group. She is tireless in keep everything geared up by paying constant attention. Really great person. My thanks to John, who has filled in as my therapist on occasion, and I felt I was in the hands of someone who was very advanced in both the theory and application of the therapy. Thank you John. Last but not least, Monica has been my regular therapist for more than a year. I am extremely grateful to her for her dedication and inspiration. I hope SA Ortho will recognize they have this prized person with great healing powers. This is my only feedback, so rather than providing comments on every session, this commentary should be multiplied by more than 60 times representing all of my visits. Thank you all for making a significant improvement in my life. Be encouraged and inspired because you are making the world a better place, not just for me, but many, many others.”
  • Dr Burkhart is AWESOME”
  • “Dr. Gonzalez is very patient and answered questions completely for me.”
  • “Great doctors; good treatment staff” (Dr. Pace)
  • “Always great service from Dr Brenman
  • “Excellent doctors and service” (Dr. Hibberd)
  • “I got an appointment right away! I was in so much pain, I could barely walk. So It was great to be able to get an appointment so quickly!”
  • “The San Antonio Orthopaedic Group is extremely efficient and courteous. Along with N.C. Baptist Hospital caused the procedure to run smoothly from the start of the initial paperwork and consultation to release from out-patient surgery.”
  • “I love Dr Galindo! So kind, smart…and puts up with me! But I will NEVER wear SAS shoes!!”
  • “Convenient, helpful staff, really like Dr. Ochoa.”
  • “I have always been impressed with the level of professionalism, courtesy and respect I have always received here. The staff is genuine in their concern and really care about what they do.”
  • “I can never thank Dr. Bell, April, and Dr.Bell’s staff enough. I can’t ever say enough great things about Ken, Christina, Dina, Mark and Megan. They have been genuine in their care and concern for my welfare and rehabilitation. I am in their debt.”

We encourage you to review and rate your experience with TSAOG.  The next time you visit us, please take the time to fill out our customer survey and you may see one of your comments online the next month!

Please note: Spelling and punctuation errors may have been corrected for readability.


Dr. Scott Seidel on Pregnancy-Related Back Pain

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Ask any expectant mother and they will tell you that with the many physical changes of pregnancy, back pain is one of the most difficult to adjust to.  There is good reason for this.  On average, most expectant mothers gain 25-35 lbs throughout their pregnancies.  As a result, tremendous stress may be placed on the regions of the low back – and also the growing baby.   

Complicating the clinical picture further, as a woman’s center of gravity changes in late pregnancy, shifting the hips and pelvis out of normal alignment, the baby’s head may press down upon the woman’s back, legs, buttocks and sciatic nerve, leading to consistent leg pain along with back pain. 

All of these changes, although significant, are natural and needed for regular development.  Given this fact, it is no surprise that a recent Swedish study revealed that 61% of pregnant women report back pain at some point in pregnancy.  

Expectant mothers today are often keeping up a household and continuing to work full time.  Severe low back or leg pain can significantly hamper daily activity.  Additionally, this pain can surface when at rest often leading to “rough” nights of sleep or even restless leg syndrome.

The good news is that there is a safe and natural method of relief for these complaints.  As a Doctor of Chiropractic, I have experience working with pregnant patients to help restore balance to the bones of the pelvis and hips. This process helps to relieve pain and also prepare the body for the stress of delivery.  Care for the pregnant patient is very gentle and relief can be immediate if the pain is spinal in origin.  If you are experiencing pregnancy-related pain, I invite you to call our office. You do not need to suffer with this pain any longer.

Dr. Scott R. Seidel is a chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.


Dr. Scott Seidel on Signs of a Herniated Disc

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Herniated discs are a common concern for people suffering from back pain.  While there are many possible causes of back pain, it is necessary to be certain if there is a herniated (or torn) disc leading to your discomfort.

Whether or not there has been a known injury, most patients with a disc herniation will typically feel back pain that extends into one of their legs that has developed over many days or even months.  A herniated disc is when the nucleus pulposus (the center of the disc) is contained within the anulus fibrosus (the outer layers of the disc).  The anulus fibrosus is very pain sensitive and a herniated disc could cause back pain and, if the herniated disc presses on a spinal nerve, may cause leg pain.  If the herniation is mild you may have pain into the gluteal region. If pain extends to the back of the thigh or knee, the herniation may be of moderate size.  For the severe herniation, the pain may go the ankle and foot.  The location of your leg pain could help to determine the actual nerve location in the back that is involved.  

Along with pain in the legs, patients with disc herniations will describe increasing pain with bending, lifting and twisting type movement. The pain may be sharp, burning, pins/needles or numb. In an attempt to reduce the pain, most patients try to lean away from the pain, therefore walking or standing in positions that are not normal.
If you are diagnosed with a herniated disc, the good news is that treatment does not necessarily have to be surgical.  There are many options available as long as the pain has not gone on too long and chiropractic care is one of them.  As a chiropractor, I use treatment protocols specifically directed to the region leading to your pain to correct the problem.   

Treatment for this condition is safe and comfortable, but patients should be aware that healing time for a torn/herniated disc could take 2-3 months before the disc is strong enough to withstand normal daily and/or heavy activity.  Your treatments may start out a little more intensive at first but will reduce as your condition improves (everybody is different). Because a herniated disc is considered a severe diagnosis, the treatment is usually more extensive than when dealing with other causes of low back pain. You may also require forms of care beyond chiropractic in order to alleviate pain and to build stronger core and back muscles to prevent the condition from returning.  Rest assured that all options are available to patients and will be selected based on each individual presentation.

If you feel that your back pain is getting worse or you notice leg pain, please call our office for an immediate evaluation to determine the best course of care for you.



Dr. Scott R. Seidel is a chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.



Online Appointment Scheduling Now Available at TSAOG

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You asked for it and you got it!  You can now schedule yourselves with TSAOG physicians online!

Here’s how it works:

  • New patients to TSAOG can request an appointment with any of our physicians.  Go to the Patient Portal, select “Create an Account” and respond “No” when asked if you are currently a patient at our practice.  You will then be taken to a screen where you can select one of our providers and a clinic location (make sure that the location you select is one at which your provider holds clinic).  That provider’s available time slots at that office will populate and you can choose the one you want.  Then, simply enter your personal contact and insurance information and you will receive a confirmation of your appointment

  • Current patients have the option to request an appointment with their current TSAOG physician(s) through their account on our Patient Portal.  Simply log in to your account and select “Request an Appointment” on the home screen.  This will allow you to request an appointment with any TSAOG physician whom you have seen before.  Please note: if you wish to see a different TSAOG physician than you have seen before, you can message our Scheduling department to request this.

Simplifying the scheduling process is one more way TSAOG makes your health our mission.

Dr. Scott Seidel – Back Pain is NOT a Fact of Life

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It’s just back pain, right?

It’s a common refrain from many people suffering with back pain and not getting the care required, but there is another angle to understand.  As a chiropractor, my focus is on treating those with spinal conditions (or helping them find the right care).  It is my goal to help my patients realize the importance of spinal care because spinal conditions are not to be taken lightly.

The Global Burden of Disease Project 2010 – a massive collaboration between worldwide public health departments of major universities – has some conclusions about the health burden of low back and neck pain that may shock you.

Low back pain is the number one cause of disability worldwide. Neck pain is a close number four.  According the project, these conditions are leading to an increasingly larger footprint on the burden of human disease compared to 20-30 years ago.  
In real numbers, the project estimates that more than 1.7 Billion people have neck or back pain.  That number means that back or neck pain have a greater impact on the health of the world than HIV/AIDS, tropical diseases, forces of war and nature and all neurological diseases – COMBINED!

Furthermore, low back pain accounts for over half of all musculoskeletal diseases and neck pain is one fifth.  The data collected in the Project suggests that painful spinal disorders are second only to ischemic heart disease (in terms of impact to global health). 

So, while you may think living with back or neck pain is “normal” or “just a fact of life”, I would like to offer a different perspective and suggest that you do something about it. Please don’t think you have to live with the pain! 

I offer safe, conservative, non-surgical care for spinal conditions as well as coordinated care options with other physician specialists as needed.  I invite you to call my office at The San Antonio Orthopaedic Group for an appointment to assess the cause of your pain and discuss your treatment options.

Dr. Scott R. Seidel is happy to be your San Antonio chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.


Dr. Scott Seidel on Chiropractic Care for Neck and Back Injuries

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If you have injured your neck or back, you may be unsure about when and how to pursue treatment.  Most people try to allow the injury to heal on its own using rest and medication.  However, if your symptoms do not improve within a few days or pain medication does not provide relief, your injury may be more serious and require medical attention.

Back/Neck injuries can involve any or all of the following:

  • Soft tissue injury – damage to muscles, ligaments, tendons, etc
  • Damage to spinal joints and spinal discs
  • Damage to nerve tissue and vascular structures

As a chiropractor, I seek to first determine the source of your neck or back pain, allowing for the proper care plan to be developed.  I then work to correct the problem by promoting healing as well as improving the movement and strength of your spine to prevent the problem from returning.  

Chiropractic care is a safe, drug-free and nonsurgical treatment option for your neck or back injury.  If you have a neck or back injury and are wondering if chiropractic care might work for you, I encourage you to contact my office.

Dr. Scott R. Seidel is a chiropractor with The San Antonio Orthopaedic Group.  He specializes in conservative treatment for acute and chronic neck and back pain and treats patients aged 6 years and up.  To schedule an appointment with Dr. Seidel, please call 210.804.5484.


TSAOG Welcomes Dr. Scott R. Seidel

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TSAOG is pleased to announce that Scott R. Seidel, D.C. will be joining our practice beginning Monday, June 3rd.

Dr. Seidel specializes in chiropractic care, treating pain of the neck and back using nonsurgical and drug free techniques.

According to Dr. Seidel, “My family and I are happy to call San Antonio home again.  I chose to practice with The San Antonio Orthopaedic Group because of its stellar reputation for clinical excellence and comprehensive orthopaedic care in the region.  I strive to offer my patients the same, with a unique experience in chiropractic care. My clinical setting with TSAOG will include state-of-the-art diagnostic and treatment options in an environment where, if needed, multiple physician specialties and services are available in one organization.  I believe that patients benefit from a complete and cohesive team of providers, allowing for a seamless treatment plan and the best possible outcomes.” 

Dr. Seidel will be holding clinic Monday through Friday at our Downtown location.

TSAOG is excited to have Dr. Scott Seidel as part of our team to provide comprehensive spinal care to the San Antonio area.  Offering drug free, conservative options to treat your pain is one more way TSAOG makes your health our mission.


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