Dr's Blog

The hip bone's connected to the knee bone.

We frequently see patients in our office with unresolved knee pain. Many times they have been to other providers for treatment and have only experienced minimal, temporary, relief. Often times the patient has lost mobility due to the pain in the knee. Many of these patients experience swelling, clicking, grinding, or stiffness on a regular basis. They are usually frustrated and tired of not being able to do the activities they want to do.

When I evaluate a patient, for any condition, I am focused on finding the cause of the symptom, and not singularly focused on the symptom itself. This can lead me away from the site of pain in my evaluation, but can unlock the true source of the patients' problem. For many of our knee pain patients the evaluation will lead us to their pelvis and hip joints.

Remember the children's song "Dry/Dem Bones?" Well, this song often plays in my head when evaluating a knee pain patient. The femur (thigh bone) makes the hip joint at the pelvis, and at the other end, the knee joint. When a problem occurs in one area of the system it can have a domino effect, causing problems in another area. So, what I often find is that a patient having knee pain will also have a pelvic alignment issue. If the pelvic issue is not corrected the knee pain may never fully resolve.

Are you having knee pain? Do you know someone who is? Maybe they need a thorough work-up to determine the source of their knee pain. Maybe conservative, non-evasive treatments will be just what the Dr. will order.

I have a team of healthcare professionals that will work to find the best solution for the problem. Our medical providers offer highly effective injection therapies using naturally based materials, and our rehabilitation treatments focus on increasing joint function. Click here to schedule a personal time to learn more. Please share this information with anyone you know who may be suffering with knee pain. Feel free to email me with questions, cprcreferral@gmail.com.

All the best,

Dr. Angela Tharnish

Chiropractic Physician

My Hormones Are Making Me Crazy!

Every woman will experience a change in hormonal balance from puberty to menopause. One major difference is how the changes manifest as symptoms. Some women experience debilitating cramping with menstruation, while others may not. Menopausal symptoms can vary wildly as well, but traditional treatment for these symptoms seems to be the same regardless of the symptoms. This can be thought of as getting an oil change for a problem with your radiator. Both issues can cause your vehicle to not function properly, but the cause or source of the problem is not being addressed properly.

Symptoms associated with hormonal imbalances are:

-Inability to Lose Weight - Hot Flashes - Hair Loss

-Fatigue - Trouble Sleeping - Dry Skin

-Anxiety - Depression - Night Sweats

-Facial hair growth - Breast Tenderness - Irregular Bleeding

-Water Retention - Heart Palpitations - Vaginal Dryness

-Loss of Sex Drive - Headaches - Breast Lumps

In 2002 and 2004 two government-sponsored trials were conducted to investigate traditional hormone replacement therapies (HRT). Both trials were stopped early because the health risks exceeded the health benefits. The participants had an increase in breast cancer, blood clots, and/or stroke.

Another option, many women choose as a solution, is to undergo a hysterectomy. I, personally, am not a fan of removing parts of my body in order to resolve symptoms. Surgically removing organs rarely resolves all of the symptoms, and can still result in the need for long-term drug therapy. Hysterectomies performed at a young age can lead to a lifetime of other chronic health problems; osteoporosis, early menopause, cancer, heart disease, headaches, blood clots.

There are safer alternatives available that thousands of women are utilizing. The key is to identifying the underlying cause, which when identified can tell us the most effective treatment option. The underlying factors that can cause these and other health problems include:

-Stress and its effects on the balance of your hormones

-Nutritional deficiencies

-Undetected nerve damage

We are hosting a FREE lecture on April 19th at 6:30pm, at my office in North Charleston. You will be able to get more information regarding Balancing Hormones Naturally. Please feel free to bring a friend, but spots are very limited. Contact us today to reserve your spot, 843-225-2550 or on our website, charlestonpainreliefcenter.com.

It's time to think further than the lettuce!

When it comes to salads, for me anything goes. Steak and ground sausage are two of my favorite toppings for a dark green bed of spinach. If you're trying to add more vegetables to your diet, making a salad into a meal can be as simple as reaching for leftovers.

Chicken is a common addition for salads, but don't get stuck in only one type of preparation. Leftover chicken breast from dinner the night before? Cube it, toss it with your favorite seasoning (garlic, lemon pepper, etc), and a drizzle of olive oil.

One of my favorite salad creations as of late has been a southwestern inspired theme. I take cooked ground sausage, bell pepper, corn, avocado, and put it with organic spinach. I use orange juice (yes, juice) as the dressing, and finish it with a sprinkle of garlic and cilantro. I'm hungry just thinking about it! I will often crumble corn tortilla chips on top for a little salty crunch. This salad came about by assessing the leftovers in my refrigerator and getting inspired. I've used juice and fruit in other salad concoctions before with great results. Pineapple chunks with spinach, dried cranberries, and almond slices is another favorite of mine.

I encourage people in my nutrition lectures to take ingredients (preferably low fat, high nutrient content) that they like and mix and match to make their perfect combo. If you feel like you need a protein to make a meal, add it to the salad. You'll feel fuller sooner, allowing you to eat less, than if you had eaten the protein by itself. Plus you'll be getting all of the added benefits of the vitamins and minerals in the vegetables.

Here are a few guidelines you should follow:

- Choose organic produce based off of the Dirty Dozen list. Read more here

- Avoid dressings, including low fat dressings. Try olive oil, juice, or vinegar instead.

- Avoid loading the cheese on your green salad. It adds fat, and can block some of the absorption of the vitamins in the greens.

- Don't add your dressing until you're ready to consume the salad.

If you would be interested in attending a nutritional lecture at no cost to you, or if you have any questions email me, drtharnish@gmail.com.

Yours in health and wellness,

Dr. Angela Tharnish


Pain in the temple area. Throbbing that effects your concentration. A dull ache that slows your thinking and annoys you all day. Do any of these sound familiar? If not, chances are you have someone in your life, that knows these symptoms all too well. Millions of Americans suffer on a regular basis with an assortment of different types of headaches. Many people have resolved to live with the headaches, but there might yet be something to try.

Research dating back nearly 20 years, has shown that treatment of the neck helps in decreasing the frequency and intensity of most headaches. Read a summary here. The research has been clear that drug therapy for the treatment of headaches is 70% more likely to cause an unwanted side effect.

In our office, with proper treatment, we've had so many success stories of people who have been given their lives back. Read one of our most recent success story here.

If you are suffering with headaches, or know someone who is, please call for a free consultation to find out if you would qualify for treatment in our office. 843-225-2550.

Wishing you all a healthful day!

Dr. Angela

Get Moving!!

After over 10 years of working with people to improve their health, one of the most common hurdles I still see is how to build more activity into their day. So many people I meet with are stuck thinking that they have to exercise for a hour to get any benefit from it. This simply is not true.

Think of it this way; you want to take a long weekend trip, and you want to pay cash for it. You start saving $50/month in order to reach a final goal to pay for the trip. You still plan the trip even though you don't have the ability to pay for the trip right away. You "bank" or save the money to reach your end goal.

Exercise can work the same way. Physiologically you can benefit from "banking" your exercise by breaking it into manageable chunks. You don't have walk 3 miles or lift weights for 30 minutes in order to reap the many benefits of physical activity. All you have to do is to get moving for 15 minutes, at least two times per day. If you can fit in more 15 minute sessions, even better!

In our physical medicine practice we see may people who are stuck in a very dangerous rut. It hurts them to move, so they stop doing most physical activity, which only compounds and makes their problems worse. I have encouraged patients to start small. Do laps around your backyard or in your driveway. The point is to get up and get moving! Our bodies were made to move, not sit. Sitting is literally detrimental to your health, especially the health of your spine.

If you don't feel like you can even walk without pain, sit and stretch your legs out in front of you (then make sure to call me for a consultation because that's not normal!). Get your body moving as much as you can without pain.

Get out there, and get moving!

Wishing you all the best,

Dr. Angela Tharnish


The first full week of the year always brings a lot of excitement for me. It's a time to get refocused after the holidays, and to get excited about all the people I want to be able to help in the next year.

There's always talk about new year resolutions and how people want to leave the previous year behind them for the promise of a better one ahead. I often wonder how this practice came into existence. Why do we place such emphasis on a new year as a starting point for goals? What happens to those goals when obstacles arise in our path?

For me, distractions abound as a working mother. Helping manage the lives of other people (little or big) lends itself to getting distracted from your own goals and life. It becomes easy to fall into a routine and "go with the flow" of every day life. If you add any physical aliments to your life, it can become easy to get off track. Frequently, I am reminded of how many people suffer with symptoms that interfere with their ability to live the life they want. Whether the interference affects their physical activity or their interactions with family and friends, the symptoms remove them from their life.

I want to encourage as many people as possible to stop letting physical obstacles keep them from attaining the goals they have for themselves. Headaches, back pain, diabetes, heart disease all take you out of your life and away from your path toward goal attainment.

I have a limited number of spots for people this first month, of this new year, to help them create action steps necessary to improve their success of fulfilling their goals. I am including a 30 minute consultation, at no charge, to remove any hesitations that might be present due to cost. I don't want cost to be a reason for anyone to ever stay stuck on a path they are no longer happy on.

Please don't wait. Seize the day and take control of your life and improve your future!

You can reach me via email, home page on the website, or call my office to schedule a consultation:


Wishing you a great start to a sweet 2016!

Dr. Angela Tharnish

What you should know about sunscreen

It’s that time of year to be out and about on boats, at the beach, or even just driving around in this nice sunny weather. Here are some things I want you to think about before you slather on the sunscreen. As I pointed out in a previous blog about skin health, what you use on your skin finds its way into your body.

8 Facts about Sunscreen

Do you depend on sunscreen for skin protection? Millions of Americans do, but they shouldn’t. The rate of melanoma diagnosis is increasing. The consensus among scientists is that sunscreens alone cannot reverse this trend. Yet a good sunscreen can play role in preventing sunburns that are a major risk factor for melanoma – provided you use it correctly.

Sunscreen should be just one tool in your arsenal. These eight little known facts about sunscreens will help you spot problem products and avoid getting burned.

1. There’s no proof that sunscreens prevent most skin cancer.
2. Don’t be fooled by high SPF.
3. The common sunscreen additive vitamin A may speed development of skin cancer.
4. European sunscreens provide better UVA protection.
5. Sunscreen doesn’t protect skin from all types of sun damage.
6. Some sunscreen ingredients disrupt hormones and cause skin allergies.
7. Mineral sunscreens contain nano-particles.
8. If you avoid sun, check your vitamin D levels.

Vitmain A exposure

The sunscreen industry adds vitamin A to nearly 18 percent of the beach and sport sunscreens, 17 percent of moisturizers with SPF, and 13 percent of all SPF-rated lip products in EWG’s 2015 sunscreen database.

Vitamin A is an antioxidant added to skin products because manufacturers believe it slows skin aging. They may be right in the case of lotions and night creams used indoors, but the federal study raised the possibility that it may speed the growth of cancerous tumors when used on skin exposed to sunlight.

Scientists have found that vitamin A can spur excess skin growth, known as hyperplasia, and that in sunlight retinyl palmitate can form free radicals that damage DNA (NTP 2000).

EWG recommends that consumers avoid sunscreens and other skin and lip products containing vitamin A, retinyl palmitate, retinol, retinyl acetate, retinyl linoleate, and retinoic acid.

I found the information above on www.ewg.org. You can click on the link for further info.

Make 2015 Great!!

The first few weeks of January always seem to hold so much promise and hope for what the coming year will bring. Many of us say “This will be the year I ____.” How many times has February rolled around, only to find that we let those promising first weeks of January slowly slip by?

If you are finding yourself making health goals for 2015, how will you set yourself up for success?What were some of the pitfalls that may have kept you from reaching your goals previously?

I want to be your partner as you embark down the path toward improving your health!

I am frequently asked why I do community based health education programs. My simple answer is always: My purpose is to help as many people as possible! Our society is at a critical and concerning tipping point.

-For the first time in history, school age children have a lower life expectancy than their parents. This means that many of you will live longer than your children.

-For over 10 years health experts have been using the term “The sickest generation” when referencing our children. In those 10 years little has changed in the overall health status of these children.

-Pharmaceutical drug dependency is at an all time high. According to the CDC, 120 people die each day from prescription drug overdose.

- In males, breast cancer is becoming the number one cancer surpassing that of prostate cancer because of overall obesity levels.Males being overweight causes a whole smorgasbord of side effects:low testosterone, sexual dysfunction, low libido, lethargy, muscle atrophy, continual weight gain, and increased risks of heart attacks and cancers.

These issues start with improving the health status of individuals. I am part of a growing number of health practitioners who are deeply concerned about these alarming trends and we’re tackling these issues head on!

Our services include: testosterone injections, medical weight loss, chiropractic care, therapeutic exercises, allergy testing, cold laser (low level light) therapy, orthotic bracing, ultrasound-guided joint injections, durable medical equipment, and trigger point injections.

Please email me with a simple, “Help me get healthy!”, drtharnish@gmail.com, or call the office to set-up your FREE consultation, 843-225-2550. Together we can make 2015 your best year yet!!

Feeling Sluggish??

Are you feeling sluggish or fatigued at least one time per week? There could be a number of factors, many of which you can control!

1- Diet: Gluten sensitivity can be a culprit. There is a growing body of research to show a strong connection between the gut and the nervous system, commonly refereed to as the brain-gut-connection. In addition to gluten, there may be other foods that you are consuming that are causing your body unnecessary stress. One way to find out what foods may be affecting you is to have a food sensitivity test done.

2- Hormone imbalances: Hormones are the regulators of the human body. When they are in proper ratios and quantities your body will hum like a well oiled machine. When an imbalance occurs you can experience many symptoms, one being fatigue. A simple blood or saliva test can check your hormone levels to determine if there is an imbalance.

3- Tightness/tension/pain: If you are experiencing any physical symptoms your body is not working at 100%. When your body doesn't work efficiently it takes more energy to do any task or activity. Think of a car that needs a tune-up. It will consume more gas because it is not running properly. Get your body a physical tune-up and see if your sleep improves!

Don't continue to rely on caffeine or sugar to keep you going. Get your body a tune up instead! Call our office for a Free Consultation to determine what is causing your fatigue, 843-225-2550.

Are you feeling sluggish or fatigued at least one time per week? There could be a number of factors, many of which you can control!

1- Diet: Gluten sensitivity can be a culprit. There is a growing body of research to show a strong connection between the gut and the nervous system, commonly refereed to as the brain-gut-connection. In addition to gluten, there may be other foods that you are consuming that are causing your body unnecessary stress. One way to find out what foods may be affecting you is to have a food sensitivity test done.

2- Hormone imbalances: Hormones are the regulators of the human body. When they are in proper ratios and quantities your body will hum like a well oiled machine. When an imbalance occurs you can experience many symptoms, one being fatigue. A simple blood or saliva test can check your hormone levels to determine if there is an imbalance.

3- Tightness/tension/pain: If you are experiencing any physical symptoms your body is not working at 100%. When your body doesn't work efficiently it takes more energy to do any task or activity. Think of a car that needs a tune-up. It will consume more gas because it is not running properly. Get your body a physical tune-up and see if your sleep improves!

Don't continue to rely on caffeine or sugar to keep you going. Get your body a tune up instead!

Fatigue is different than feeling tired. Tired: "I stayed up watching 10 episodes of Lost last night, and I am tired today." Fatigue often looks like this: "I slept 8 hours last night, but I am still dragging today". Many patients report they've had the "best sleep in years" once we start addressing their physical complaints, hormonal imbalances, or dietary toxins. Chronic fatigue can develop when underlying stress is not addressed, and the body becomes incapable of functioning at optimal levels. This is an important time of year to get this problem addressed as we head into shorter days and higher stress levels during the holidays.

We offer many options for assessment, and treatment of fatigue. Call me for a Free Consultation to determine if we can help you, 843-225-2550. You can also request an appointmet on our home page.

Stressed out?!

Do you ever feel physical ailments when you are mentally stressed? Ever wonder why?

The response to stressful situations in your body is the same whether you are being faced with your boss yelling at you or a bear wanting to eat you (or perhaps the other way around?). The stress hormones cortisol and norepinephrine are released in these situations to help the body with the “fight or flight” response. In controlled, short circumstances these hormones are very helpful. The problem for most Americans is that stress levels are staying high for longer periods of time, causing continued release of these hormones. The elevated levels of these hormones have damaging effects.

Stress tends to focus on areas of weakness in the body. Think of a frozen lake with thin ice. The ice maybe thick enough to support one person’s weight, but if a friend was to join them the stress of the added weight may be too much and the ice might break. If you have underlying physical problems from years of stress, and you stress that area more, you are likely to experience symptoms there. Do you feel tension in your neck or upper back when stressed? Do you experience headaches when stressed? Are you fatigued after a stressful day? These can all be signs of underlying problems caused by stress.

High blood pressure is also commonly associated with stress, but did you know that the ability to loose weight can be affected by stress hormones? How about an increased chance of infectious diseases (flu, common cold, etc)?

If you feel that you are having physical symptoms caused by stress it is important to have those areas checked by a practitioner trained to evaluate musculoskeletal problems. Our office is one such place. We have affiliate offices all over the lowcountry as well.

We probably can’t remove the stress from your life, but we may be able to better equip your body to handle the stress. Just like the thin ice in the example above, too much stress may push your body to its breaking point. Call us TODAY to see if we can help prevent that!

~ Dr. Tharnish

Can I received chiropractic treatments if I've had spinal surgery?

Chiropractic care is not only safe for the majority of post-spinal surgery patients, but is highly beneficial. Most spinal surgeries change the biomechanics of the spine, especially spinal fusions. What happens after a spinal fusion is that other areas of the spine must work harder in order to compensate for the decrease in movement at the sight of surgery. That means that those areas that are compensating will be under added stress and have a greater likelihood of developing degenerative arthritis. This degerative arthritis, or degenerative disc disease, is probably why you had surgery. We have many patients that benefit from chiropractic treatments following spinal surgery. However every case is unique and we base our treatments off of each individual presentation. If you have been told by other practitioners that you can not have chiropractic treatments I would encourage you to come in for a consulation so that WE can determine if you are a candiate. Chiropractors are the only practitioners that receive extensive training in the manipulation of joints and the effect on the nervous system. Would you trust an orthopedic surgeon to perform heart surgery on you? I know I wouldn't.

~ Dr. Tharnish

Headaches: How can chiropractic care help?

I was diagnosised with migranes at 12 years old. That began at least four years of taking horrible medication when I would feel the migrane coming on, followed by having to lay in a completely dark room in silence. As a young girl it was terrible listening to children play outside while I was in bed in pain. The migranes became less frequent, but headaches continued to plague me into high school. At 16 my mother took me to see her chiropractor and that's when it all changed for me. My migranes stopped and the headaches nearly disappeared.

Now as a chiropractor myself I get to pass the gift of being headache free on to my patients. One of the reasons chiropractic treatment is so effective for treating headaches is because of the relationship between the nerves in the neck and headache pain. Duke Medical University did a study that found an 80% link between changes in the cervical spine (neck) and frequency of headaches. This is were chiropractic care can help people who are suffering with headaches. 80% is a lot... and if there is a problem in the neck causing the headache pain then the treatment should focus on the neck and not just the symptom/headache. I meet people all the time that are taking medication to help with their headaches. The problem with this treatment is that it is completely ignoring the actual source or cause of the headache. If treatment is focused on the source, in this case the neck, then the symptom will never show up.

Chiropractic treatment may not be able to correct all causes or sources of headaches. With research showing that 80% of headaches come from problems in the neck, it is safe to say that headaches could be greatly improved with chiropractic treatment. If you're ready to kick your headaches out of your life give us a call to see if we can help!

~ Dr. Tharnish

Fibromyalgia: How can chiropractic care help?

Fibromyalgia is fast becoming a go to diagnosis when doctors can not explain wide spread pain that their patients are having. I believe that it is being over diagnosised, but I also believe that it is a real condition with very real symptoms. A diagnosis of fibromyalgia can truely only be given once a thorough physical examination is performed. Fibromyalgia has specific physical findings in conjunction with the syptoms reported by the patient. Chiropractic treatment can be effective in decreasing nerve irritation which is what is thought to be the source of fibromyalgia symptoms. Think of your nervous system as a complex web of electrical wiring controling every function in your body. If any of the nerves in the system start to malfunction, or "short circut", you are going to have problems with what ever that nerve connects to. In fibromyalgia patients there are multiple nerves malfunctioning causing irritation to many parts of the nervous system. Chiropractic adjustments can help improve joint mobility and restore spinal alignment which relieves irritation to spinal nerves. In addition, many therapies we utilize in our office have proven effective in decreasing the symptoms associated with fibromyalgia. Trigger point injections, electircal muscle stimulation, rehablitative exercises, and cold laser are utilized on a regular basis to help our patients symptoms.

The best way to find out if our treatments can help you is to call us for a free consultation, 843-225-2550.