Dr. Aaron Pan, DC

The omega-3 PUFA EPA and DHA are important throughout life and are a dietary necessity found predominantly in fish and fish-oil supplements. EPA and DHA are essential for proper fetal development, and supplementation during pregnancy has also been linked to decreased immune responses in infants including decreased incidence of allergies in infants. Omega-3 fatty acid consumption has been associated with improved cardiovascular function in terms of anti-inflammatory properties, peripheral arterial disease, reduced major coronary events, and improved antiplatelet effects in the face of aspirin resistance or clopidogrel hyporesponsiveness. Patients with Alzheimer’s disease have been shown to be deficient in DHA, and supplementing them with EPA+DHA not only reverses this deficiency, but may also improve cognitive functioning in patients with very mild Alzheimer’s disease. With increasing rates of pediatric allergies, cardiovascular disease, and Alzheimer’s disease in the United States, EPA and DHA may be a safe and inexpensive link to a healthier life. Further research should be conducted in humans to assess a variety of clinical outcomes including quality of life and mental status. In addition, because potent lipid mediator metabolites of EPA and DHA are of great interest currently, their influence on these important outcomes should be assessed because current evidence suggests that their anti-inflammatory and tissue-protective effects are nearly 1000 times greater than those of EPA and DHA

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262608/

Now seeing patients in both West Bloomfield & Garden City!!! See new hours listed below!

Garden City:
M, W, F: 9 AM - 12 PM, 2 PM - 6 PM

West Bloomfield:
Tu, Th: 9 AM - 1 PM, 3 PM - 6 PM
Sa: 9 AM - 12 PM

Call (248) 862-2226 to book an appointment in West Bloomfield!

Having excess fat is not about vanity. It’s related to the overall health and wellness of you body on the inside.

Signs like a protruding belly and/or a large waist can be a sign that you’re storing deadly visceral fat. However, even people with a “skinny” appearance on the outside can have visceral fat stores too.

Visceral fat is a body fat that is also stored around major internal organs such as the heart, liver, pancreas, and intestines.

Why is this fat so harmful?
Because this stored fat increases production of pro-inflammatory chemicals, called cytokines, which leads to inflammation. At the same time, it interferes with hormones that regulate appetite, weight, mood, and brain function.

Although men are more likely to be at risk than women of developing certain diseases, BOTH should be aware of the increased risk of the following health conditions:

- Heart Disease
- Depression
- Cancer
- Stroke
- Dementia
- Diabetes
- Arthritis
- Obesity
- Sleep Disorders

Dr. Aaron Pan, DC updated their phone number.

Dr. Aaron Pan, DC updated their address.

Dr. Aaron Pan, DC updated their business hours.

Pistol Squats and Knee Stability:

An advanced strength movement often included in CrossFit workout regimens; pistol squats test the strength of your core, stabilizing muscles and the entire leg from glutes to ankles. However, did you know that it can also be used to assess knee stability?

Most athletes do not have an issue in achieving full knee flexion. The main problem we see is the inability to control the knee during dynamic movements like the squat. When I say unstable, what I mean is the difficulty in keeping the knee in a steady and unwavering position.

Athletes who have knee pain or sustained traumatic injuries tend to have unstable knees. When we view the squat from the front we see the knee tends to wobble around like crazy and at times rotate inward, resulting in valgus collapse.

When an athlete presents with stiff ankles and/or hips, it will likely result in knee instability. Therefore, we should always address the hip and ankle prior to screening the knee. If you skip the hip and ankle, any knee stability that you try to establish will be short lived.

Mobility assessment includes the following:
• Hip Internal Rotation
• Ankle Mobility (specifically dorsiflexion)
• Tibial Rotation (as we squat, the tibia rotates internally while the femur externally rotates)

After clearing the ankle and hips, you can focus on the knee. It’s important to view your squats in BOTH the double and single leg stance as double leg squats can mask any stability issues. Often times, an athlete may be proficient in a double leg squat but then demonstrate valgus collapse with the pistol squat.

The knee joint would benefit greatly from increased stability to limit this inward collapse. Improving the control of our knees also allows us to avoid injury while increasing the efficiency of our movement. Therefore, we can produce more power and increase strength.

What do you notice when performing squats? Do your knees wobble around and fall inward or can you keep it in line with your feet?

Let’s talk Shoulder Impingement Syndrome.

Shoulder Impingement Syndrome is a tendonitis of the rotator cuff muscles as they pass thru the subacromial space. This condition is usually associated with tendonitis of the supraspinatus muscle and results in pain, weakness, and loss of movement of the affected shoulder.

The scapula plays an important role in shoulder impingement syndrome as one action that it performs during a throwing or serving motion is elevation of the acromion process in order to avoid impingement of the rotator cuff tendons. When the scapula fails to properly elevate the acromion, impingement may occur during the cocking and acceleration phase of an overhead activity. The two muscles most commonly inhibited during this first part of an overhead motion are the serratus anterior and the lower trapezius. These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle imbalance exists, shoulder impingement may develop.

A study published by BMC Musculoskeletal Disorders had a randomized control clinical trial of 80 shoulder impingement patients that evaluated the effectiveness of adding nerve mobilization to standard therapy. The study later found that patients receiving nerve mobilization had a nearly two-point greater improvement on the Visual Analog Scale (VAS). Nerve mobilization technique for Shoulder Impingement Syndrome includes the exercises of nerve flossing and nerve tension.

A caveat to consider here is that with Impingement Syndrome, you don’t necessarily want the patient’s arm at 90 degrees when doing it, especially if the patient reports pain during the exercise. Rather, have the patient lower their arm and employ flexion with abduction of the arm. Another point to consider is the presence of neuropathy.

Such studies serve as a reminder to consider the neurodynamic component of EVERY extremity problem. Employing simple nerve mobilization techniques for “mechanical” conditions that harbor a neuropathic component will improve clinical outcomes and patient satisfaction.

Do you have pain in your back, hips, knees, legs, or feet during or after runs? Running requires your entire body to work in unison to provide a smooth stride. Because so many areas are at work during a run, the lower body is subject to a wide range of injuries and conditions. Due to the wide range of causative factors, pain in the back, hips, knees, legs or feet may develop gradually or come on suddenly and even the most minor running injuries should be treated to help prevent progression.

Common running injuries include, but are not limited to the following:
- Plantar Fasciitis
- Achilles Tendonitis
- Sprained or Rolled Ankles
- Patellar Tendonitis
- IT Band Syndrome
- Hip Bursitis
- Piriformis Syndrome
- Shin Splints
- Other Various Types of Knee Pain

Chiropractic care is an effective part of making certain your body is in prime running condition and resistant to injury; and it’s been shown to help active athletes stay in top form by restoring proper motion to restricted joints via regular adjustments. It can reduce or eliminate common runners’ ailments such as those listed above. Running is a popular exercise routine for many, and yields a multitude of positive results to a person’s health and well-being. By taking proper steps to minimize the chance of injury, runners can enjoy the good points running brings to the table and steer clear of the bad.

Hi everyone! I'm Dr. Aaron Pan, and I'm a Michigan-based chiropractor who recently graduated from New York Chiropractic College.

I graduated from Bloomfield Hills Andover High School (now Bloomfield Hills High School) in 2012, and continued my education at Michigan State University (MSU) before graduating in 2016 with my B.S. in Biomedical Laboratory Science. During my time at MSU, I began to take interest in chiropractic after my Dad introduced me to his chiropractor, Dr. Adam Apfelblat, who would later become my mentor and the sole inspiration behind my decision to pursue chiropractic.

After finishing my undergraduate studies, I enrolled at New York Chiropractic College, where I completed four additional years of training. While there, I completed certifications in Whole Foods Nutrition, ConnecTX myofascial therapy, NIMMOCare, and FootLevelers Custom Stabilizing Orthotics while getting involved w/ student organizations such as motion palpitation and rehab & performance.

As a chiropractor, my mission is to not only help patients with their pain, but to empower them to take charge of their overall health and well-being. I'm dedicated to treating patients thru an evidence-based and integrated approach by combining manual therapy, prescriptive exercise, and lifestyle education.

I look forward to assisting you all in achieving your health goals for 2021!