Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Drug Overdose Deaths Decline for First Time in Five Years. The Centers for Disease Control and Prevention reports that there was a 3% reduction in drug overdose deaths in 2023 compared to the previous year, the first instance of a year-over-year decline since 2018.                                                                                                          National Center for Health Statistics, May 2024

Diet: Whole-Foods, Plant-Based Diet Benefits Advanced Breast Cancer Patients. New research suggests that switching to a diet emphasizing fruit, vegetables, whole grains, legumes, nuts, and seeds while avoiding animal-based foods, oils, and added solid fats can improve metabolic health, reduce fatigue, and increase mental
acuity in women with stage four breast cancer.                                                                            Breast Cancer Research and Treatment, March 2024

Exercise: Exercise Benefits COPD Patients. Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that makes breathing difficult, and it is a leading cause of death in the United States. Among a group of 71 COPD patients, those who participated in a 16-week exercise intervention experienced improvement in pulmonary function, walking capacity, and overall quality of life.
Journal of Cardiopulmonary Rehabilitation and Prevention, June 2024

Chiropractic: Chronic Tension-Type Headache? Tension-type headache is a common form of headache characterized by a dull, aching pain and tightness or pressure around the forehead or back of the head and neck. A recent case study described how a 63-year-old man with chronic tension-type headaches experienced full resolution of his symptoms following three treatments to address myofascial trigger points in the levator
scapulae muscle. Past research has demonstrated a link between musculoskeletal disorders in the neck, shoulders, and upper back and several types of headaches, including tension-type headache.
Clinical Case Reports, April 2024

Mental Attitude: Constantly Talking About Stress Can Backfire. Individuals who constantly talk about their stress levels to signify how important they are in the workplace are viewed by colleagues as less competent and less likeable, both of which reduce their willingness to offer help or support. Personnel Psychology, May 2024
Wellness/Prevention: Fruit and Veggies for Reduced Bladder Cancer Risk. A meta-analysis of data from eleven case-control studies revealed that a high intake of vegetables (particularly shoot vegetables) and a high intake of fruit (especially citrus, pome, and tropical fruit) are each associated with about a 20% reduced risk for
bladder cancer.                                                                                                                            European Journal of Nutrition, June 2024

Quote: “Perfection is not attainable, but if we chase perfection we can catch excellence.” ~ Vince Lombardi

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Congenital Heart Issues and Neurodevelopmental Disorders. Using data from the National Survey of Children’s Health, researchers report that children with a congenital heart disorder are at elevated risk for neurodevelopmental disorders, including difficulties with speech and language. While a causal mechanism
has not been established, the findings suggest that kids with congenital heart disorders should be monitored for potential neurodevelopmental issues.                                      Italian Journal of Pediatrics, April 2024

Diet: Avoid Caffeine and Big Meals Before Bedtime. Baylor College of Medicine notes that drinking caffeine before bed can significantly delay the time it takes to fall asleep, while high-calorie meals in the late evening can redirect blood from the brain to the gut to aid digestion, altering sleep cycles.
Baylor College of Medicine, May 2024

Exercise: Fitness Benefits Cancer Survivors. Following an analysis of data from the Korean National Health Insurance Service, researchers report that individuals who increase their physical activity levels (or remain active) following cancer diagnosis can reduce their risk for ischemic stroke in the following four years by about 15%. Unfortunately, the majority of sedentary cancer patients remain physically inactive after their diagnosis.
Cancer, May 2024

Chiropractic: Rotator Cuff Injury? A systematic review and meta-analysis of data from 24 studies concluded that the combination of manual therapy and specific exercises can improve pain and function in patients with a rotator cuff injury. Doctors of chiropractic often employ manual therapies and exercises as part of a multimodal
approach to address musculoskeletal disorders, including shoulder injuries.                      Biomed Reports, April 2024

Mental Attitude: One-in-Ten Kids Has ADHD? It’s estimated that 6.5 million children in the United States currently have attention-deficit/hyperactivity disorder (ADHD) with the majority exhibiting moderate-to-severe symptoms. However, 44% have not received any treatment for ADHD of any kind in the previous year and a
third has never undergone any ADHD-specific care.
Journal of Clinical Child & Adolescent Psychology, May 2024

Wellness/Prevention: A Matcha Mouthwash Might Fight Gum Disease. A recent experiment revealed that using mouthwash twice a day that contains matcha green tea can inhibit the growth of Porphyromonas gingivalis, a bacteria linked to gum disease.                                                                                                                            Microbiology Spectrum, May 2024

Quote: “Laziness may appear attractive, but work gives satisfaction.” ~ Anne Frank

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Concussions May Raise Later Cardiovascular Risks. Examinations of 4,080 former professional football players at midlife revealed that those with a history of concussion had an elevated risk for both hypertension and high cholesterol, both of which are linked to an increased risk for cardiovascular disease.
Annals of Clinical and Translational Neurology, May 2024

Diet: A Low-Calorie Keto Diet May Help Ease Acne. The ketogenic diet is a low-carb, high-fat eating plan that aims to shift the body into a state of ketosis, where it burns fat for energy instead of carbohydrates. In a recent weight loss study, researchers observed a reduction in acne among young women on a low-calorie ketogenic diet. Lead author Dr. Luigi Barrea writes, “These findings represent an opportunity to control a skin disease that affects most teenagers and many adults at some point in their lifetimes, causing distress, embarrassment, anxiety, and low self-confidence among sufferers, robbing them of their quality of life.”
European Congress on Obesity, May 2024

Exercise: Is It Safe to Run Every Day? While the concept of running at least a mile a day is gaining popularity, health experts caution runners the practice can result in overtraining, which can weaken the immune system and increase the risk for injury. To reap the most benefit, recreational runners are encouraged to include rest days in their training regimen.                                                                                                                              The Conversation, May 2024

Chiropractic: Manual Therapy vs. Oral Pain Medications for Neck Pain. A systematic review and metaanalysis that included nine clinical trials found that manual therapy interventions are likely more effective than oral pain medications for managing neck pain in both the short- and long-term, with a lower risk for adverse events. Doctors of chiropractic are well-versed in the application of several manual therapies for addressing neck pain.                                                                                                                    BMC Sports Science, Medicine and Rehabilitation, April 2024

Mental Attitude: Subtle Mental Decline Occurs Before Seniors Quit Driving. According to a recent study that monitored 283 older adults for nearly six years, slight changes in memory, thinking, and reasoning abilities often lead to the decision to stop driving an automobile, more so than advancing age or declining physical function. Neurology, May 2024

Wellness/Prevention: Concussion May Have Long-Term Effect on Kids’ Wellbeing. Using data from the 2020 National Health Interview Survey, researchers report that children with a history of concussion have an
elevated risk for current depression, anxiety, and difficulty making friends.                      Brain Injury, July 2024

Quote: “True happiness consists not in the multitude of friends, but in the worth and choice.” ~ Ben Jonson

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Cardiovascular Disease Will Be More Common in 2050. The American Heart Association estimates that the incidence of cardiovascular disease will increase by about 33% over 2020 levels by 2050. The findings shed light on the importance of population-level efforts to increase physical activity levels, reduce
sedentary time, stop smoking, avoid excessive alcohol intake, better manage stress, and eat a healthy diet—all of which can benefit cardiovascular health.                                Circulation, June 2024

Diet: Front-of-Package Nutrition Labeling Results in Healthier Products. Researchers from the University of Massachusetts Amherst note that after France required food manufacturers to place a nutrition score on the front of the package, the health quality of packaged foods increased relative to neighboring countries without
such regulations.                                                                                                                      European Review of Agricultural Economics, May 2024

Exercise: Most Older Women Don’t Exercise Enough. Using activity data concerning more than 14,000 participants from the Women’s Health Study, researchers calculated that the average older woman logs 62 minutes of moderate-to-vigorous physical activity a week. This falls short of fitness guidelines that recommend at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity a week.
JAMA Internal Medicine, May 2024

Chiropractic: Managing Tennis Elbow. For patients with lateral elbow tendinopathy, more commonly known as tennis elbow, a recent study found that a multimodal approach that included addressing trigger points in the forearm muscles, extremity manipulation, cervical spinal manipulation, and physiotherapy resulted in better outcomes with respect to elbow pain, pain intensity, function, and disability than physiotherapy alone. Such a multimodal approach is often utilized by doctors of chiropractic when managing lateral elbow tendinopathy.
Clinical Rehabilitation, April 2024

Mental Attitude: Creativity and Humor in the Elderly. Researchers at the University of Brescia and the Catholic University of the Sacred Heart report that engaging in activities that promote creativity and humor can improve well-being and overall quality of life in seniors.                                                                                          Neuroscience Letters, April 2024

Wellness/Prevention: Modifiable Risk Factors for Type 2 Diabetes. Following an analysis of data from both the UK Biobank study and the FinnGen study, researchers report that a high intake of fruit and cheese, as well as increase physical activity are protective against type 2 diabetes. On the other hand, smoking and being overweight are linked to an increased risk for the metabolic disorder.                                                              Cureus, April 2024

Quote: “Memories, even bittersweet ones, are better than nothing.” ~ Jennifer Armentrout

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Accelerated Aging Raises Risk for Some Cancers. Using data from the UK Biobank study, researchers found that accelerated aging—the presence of biomarkers in the blood more akin to an individual of an older age—is associated with an elevated risk for several early-onset cancers, including the lungs (42%), gastrointestinal system (22%), and uterus (36%). While genetics play a role in the aging process, an unhealthy lifestyle can lead to accelerated aging. Some factors include poor diet, physical inactivity, excessive sun exposure, stress, smoking, excessive alcohol intake, poor sleep, and exposure to environmental pollutants.
American Association for Cancer Research, April 2024

Diet: Diet May Slow Brain Shrinkage. New research suggests that a traditional Japanese diet characterized by a high intake of rice, fish, shellfish, miso, and seaweed may slow brain shrinkage in women, which may help protect against age-related cognitive decline.                                                                                                                            The Conversation, April 2024

Exercise: One Way Exercise Protects the Cardiovascular System. A recent animal study found that late-life aerobic exercise appears to prevent genomic instability in mice, particularly in cells associated with the circulatory system. The researchers suspect this may be one pathway by which exercise reduces the risk for cardiovascular disease.                                                                                                                                            American Physiological Society, April 2024

Chiropractic: Persistent Pain Following Endometriosis Surgery? For women with persistent myofascial and pelvic pain following surgical treatment for endometriosis, a recent study found that manual therapies—such as those provided by doctors of chiropractic—may be an effective intervention for addressing such symptoms.
Minerva Obstetrics and Gynecology, November 2023

Mental Attitude: Managing Stress During Standardized Tests. The Baylor College of Medicine offers the following tips to help teens manage stress related to studying for and taking standardized tests: don’t skimp on sleep, don’t skip meals, avoid junk food, eat a healthy diet, get regular exercise, take breaks while studying to stretch and get fresh air, manage expectations, and limit social media use.
Baylor College of Medicine, April 2024

Wellness/Prevention: Tips for Getting Rosacea Under Control. Rosacea is a skin disease that causes the skin to redden, become sensitive, and take on a bumpy texture, typically on the face. To help recognize and avoid triggers for rosacea flare-ups, look for rosacea-friendly products, test skin care products before use, protect your
skin from the sun, and use gentle cleansers and moisturizers.                                              American Academy of Dermatology, April 2024

Quote: “Be first the master of yourself.” ~ Balthasar Gracian

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Risk Factors for Chronic Post-Concussion Headaches. Headaches are common in patients recovering from traumatic brain injury (TBI), with most resolving within three months. However, 1 in 4 such individuals will continue to experience headaches for a year or longer. An analysis of data from the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury study identified the following predictors for recurrent headaches in TBI patients: younger age, severe TBI symptoms, fatigue, neck pain, and vision problems.                                    Journal of Headache and Pain, March 2024

Diet: Probiotics In Kombucha Mimic Fasting, Reduce Fat Stores. An animal study conducted at the University of North Carolina at Chapel Hill found that microbes in kombucha tea can alter gene expression related to fat metabolism in worms in a manner similar to intermittent fasting. Future research is needed to determine if these benefits extend to humans.                                                                                                                PLOS One, April 2024

Exercise: Active Lifestyle May Protect Against Pain Linked to Prolonged Sitting at a Desk. An analysis from a long-term study that included more than 2,000 German workers found that the risk for musculoskeletal pain in employees who spend most of their workday sitting is 30-46% greater among those who rarely, if ever,
engage in leisure time physical activity.                                                                              Journal of Occupational Medicine and Toxicology, March 2024

Chiropractic: Chiropractic Helps Radicular Low Back Pain Patients Avoid Opioids. Among a group of more than 2,300 patients with new-onset radicular low back pain, those who initially sought treatment from a doctor of chiropractic were 68% less likely to receive a subsequent prescription for tramadol, a less potent opioid, in the following year than patients who first received usual medical care.                                        BMJ Open, May 2024

Mental Attitude: Mood Disorders May Affect Teen Driving Privileges. According to a recent study, adolescents with anxiety, depression, or bipolar disorder are 30% less likely than their peers to obtain a driver’s license. Additionally, teenagers with mood disorders are more likely to be involved in motor vehicle collisions and to lose their license.                                                                                                                                JAMA Network Open, April 2024

 Wellness/Prevention: Blood Test Shows Promise in Early Detection of Pancreatic Cancer. Due to nonspecific symptoms, pancreatic cancer is often only diagnosed at advanced stages when a good outcome is less likely. Researchers have developed a blood test that looks for small RNA particles and larger DNA fragments
linked to early-stage pancreatic cancer with a 97% accuracy. Once approved, it’s hoped this blood test can serve as a non-invasive tool for early pancreatic cancer detection.
American Association for Cancer Research, April 2024

Quote: “Losing an illusion makes you wiser than finding a truth.” ~ Ludwig Borne

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Cardiac Comorbidities Can Worsen Knee Replacement Outcomes. Among a sample of more than 380,000 patients who underwent total knee arthroplasty (TKA), researchers observed that those with preexisting cardiac comorbidities (such as congestive heart failure, coronary artery disease, valvular dysfunction, and arrhythmia) have an elevated risk for adverse outcomes including a longer hospital stay, heart attack, acute kidney injury, transfusion, thromboembolic events, and infection. The authors conclude, “As our use of TKA rises, a lower threshold for preoperative cardiology referral in older individuals and early preoperative
counseling/intervention in those with known cardiac disease may be necessary to reduce adverse outcomes.”
Clinics in Orthopedic Surgery, April 2024

Diet: Vitamin C May Benefit Rheumatoid Arthritis Patients. Rheumatoid arthritis is a chronic inflammatory disorder that usually affects the small joints in the hands and feet. A recent animal study found that a vitamin C supplement given to mice with rheumatoid arthritis stimulated changes in the gut microbiota that led to a
reduction in several inflammatory biomarkers. The findings suggest that vitamin C has a role in the management of rheumatoid arthritis.                                                                Bioscience Trends, April 2024

Exercise: Just an Extra 1,500 Steps a Day… For patients at elevated risk for heart disease, a recent study found that increasing one’s daily step count by 1,500 steps can reduce the risk for cardiovascular disease-related
death by 10%.                                                                                                                              Circulation, April 2024

Chiropractic: Treating Frozen Shoulder. Adhesive capsulitis, also known as frozen shoulder, is described as a painful restriction of the shoulder’s range of motion. Among a group of 20 adhesive capsulitis patients, those who received a multimodal treatment plan that included specific exercises, heat therapy, and manual therapies—an approach that patients may encounter in a chiropractic setting—reported significant
improvements with respect to pain, function, and range of motion.                                    Cureus, January 2024

Mental Attitude: Spending Time in Nature Benefits Kids’ Mental Health. Researchers from the Frank Porter Graham Child Development Institute at the University of North Carolina report that the more green space (parks, trails, and other nature settings) within .75 miles of a young child’s home, the less likely they’ll
experience symptoms of a mood disorder by age five.                                                                JAMA Network Open, April 2024

Wellness/Prevention: Even Small Vision Issues Lead to Worse Grades. To underscore the importance of regular eye exams, a recent study found that children with nearsighted vision that remains uncorrected receive lower grades than their peers who wear glasses or do not have vision problems.                                                                              BMC Pediatrics, March 2024

Quote: “Everybody’s gotta learn, nobody’s born knowing.” ~ Harper Lee

Your Rio Vista Chiropractor Dr. Joseph T. Megna

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Health Alert: Gene Discovery May Offer New Avenue to Combat Alzheimer’s. In a recent study that included individuals at elevated risk for Alzheimer’s disease, researchers observed that those who did not develop the neurodegenerative condition carried a gene variant that helps the brain more efficiently remove the beta amyloid plaques from the brain that are a hallmark of the disease. If scientists are able to develop a therapy that mimics the gene’s effect in the brain, it’s hoped that Alzheimer’s cases may be reduced by up to 70%.
Columbia University, April 2024

Diet: Intermittent Fasting Benefits Intestinal Health. Intermittent fasting is a dietary strategy that alternates between periods of eating and fasting, typically within a structured time frame each day or week. A recent animal study found that intermittent fasting is associated with reduced inflammation and improved glucose control in the small intestine, which suggests this dietary practice may improve intestinal health.
American Physiology Summit, April 2024

Exercise: Sedentary Behaviors Raises COPD Risk. Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that makes breathing difficult, and it is a leading cause of death in the United States. An analysis of data from several long-term studies found that for every 2.8 hours an individual averages per day watching television, their risk for COPD doubles.                                                                                    BMJ Open Respiratory Research, April 2024

Chiropractic: Manual Therapy’s Impact on Ankle Dorsiflexion. For individuals with reduced ankle dorsiflexion following a lower limb injury, a recent study found that ankle joint mobilization and calf muscle massage are effective interventions for improving ankle range of motion. Doctors of chiropractic are trained in the use of these and other therapies in the management of musculoskeletal disorders of the extremities,
including the ankle and foot.                                                                                                            Journal of Bodyworks and Movement Therapies, January 2024

Mental Attitude: Long Commute and Musculoskeletal Pain Linked to Burnout. Questionnaire completed by 1,615 healthcare professionals revealed that the combination of a commute lasting longer than 50 minutes and either neck and shoulder pain or ankle pain alone are linked to an elevated risk for burnout.
BMC Health Services Research, April 2024

Wellness/Prevention: New Urine Test May Streamline Bladder Cancer Follow-Up. Researchers have developed a new urine test that can look for genetic markers of bladder cancer, which may reduce the need for follow-up cystoscopies in bladder cancer survivors while also detecting cancer recurrence for earlier treatment.
European Association of Urology, April 2024       

Quote: “The only failure is not to try.” ~ George Clooney

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Don’t Use Tap Water for Nasal Rinse. Individuals with sinusitis and allergic rhinitis often find relief using a nasal rinse—like a neti pot. However, officials from the Centers for Disease Control and Prevention remind users to use sterile water and avoid using tap water. The primary reason is that tap water may contain
microbes like the amoeba Acanthamoeba that can lead to a severe and potentially deadly infection.
Emerging Infectious Diseases, March 2024

Diet: Nutrition Education Benefits Adolescents. A recent literature review found that not only do nutrition education interventions help teens make healthier food choices, but they may also experience an improved selfimage.                                    Frontiers in Nutrition, March 2024

Exercise: Physical Activity Reduces Atrial Fibrillation Risk in Type 2 Diabetics. Past research has shown that type 2 diabetics are at elevated risk for developing atrial fibrillation, a heart rhythm disorder that can lead to stroke, heart failure, and other cardiovascular complications. In a recent study, researchers observed that diabetics who engaged in at least 214 minutes a week of moderate-intensity physical activity a week had a lower incidence of atrial fibrillation than less active diabetes patients.                                                                                                                                          Cardiovascular Diabetology, March 2024

Chiropractic: Chiropractic Care for Trigeminal Neuralgia. This case study involved a 55-year-old female with trigeminal neuralgia that failed to respond to conventional treatment. A chiropractic examination revealed joint dysfunction at several levels of the cervical and thoracic spine, as well as trigger points in the trapezius and levator scapulae muscles. The patient underwent a multimodal treatment plan that included spinal manipulative therapy, mechanical cervical traction, and focused radial shockwave therapy that led to a significant reduction in her symptoms that maintained at a six-month follow-up appointment. The authors conclude, “The lasting nature of the
pain reduction provides a compelling argument for the long-term benefits of chiropractic intervention in the management of [trigeminal neuralgia].”                    Cureus, February 2024

Mental Attitude: Depression Linked to Increased Heart Risks in Women. University of Tokyo researchers analyzed data concerning 4.2 million adults and found among women, depression is associated with an elevated risk for heart issues like heart attack, stroke, angina, heart failure, and atrial fibrillation.
American College of Cardiology, March 2024

Wellness/Prevention: Warning Signs of Colorectal Cancer. The Mayo Clinic notes that the incidence of colorectal cancer is on the rise in adults under age 50. Warning signs for this type of cancer include abdominal pain, diarrhea, blood in bowel movements, and iron deficiency anemia. Individuals experiencing these symptoms should contact their healthcare provider.                                                                                Mayo Clinic, March 2024

Quote: “I believe that fate is choices – it’s not chance.” ~ Wayne Newton

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Early-Life Tobacco Exposure May Set Stage for Type 2 Diabetes. New research suggests that individuals exposed to secondhand smoke during gestation or early life have up to a 22% elevated risk for type 2 diabetes in adulthood, while those who start smoking during adolescence may be up to 57% more likely to develop type 2 diabetes.                                                                                                      American Heart Association, March 2024

Diet: Healthy Diet May Keep Muscles Strong. An analysis of dietary questionnaire data collected from 528 middle-aged and older adults revealed an association between greater adherence to a healthy eating pattern, such as the Mediterranean diet, and both a stronger grip and greater muscle mass in the arms and legs. The findings suggest that consuming a healthy diet may preserve muscle mass in aging adults.                                                                                                                                  European Journal of Nutrition, April 2024

Exercise: Carrot or Stick? In a recent study, researchers observed that a system offering small rewards for meeting physical activity recommendations and small penalties for non-compliance resulted in more significant improvements in exercise behavior than a reward-only or penalty-only system.                                                        Leiden University, February 2024

Chiropractic: Conservative Treatment for Tennis Elbow. For patients with lateral elbow tendinopathy, a systematic review that included twelve studies found that a conservative treatment plan that includes manual therapy, electrotherapy, and exercise may provide greater long-term benefits and a lower risk of recurrence than corticosteroid injections. Doctors of chiropractic often manage patients with tennis elbow using such a multimodal approach.                                                                                Shoulder Elbow, March 2024

Mental Attitude: Establish a Cognitive Baseline. Experts from Northwestern Medicine recommend individuals begin undergoing cognitive assessments at midlife to both establish a baseline and to measure their thinking and memory skills over time. Neuropsychologist Dr. Sandra Weintraub notes, “All of us go to the doctor every year, and we know our blood pressure and heart rate, our sugar levels and bone density… But at no time are we ever told what our baseline cognitive functioning is. Because we know aging can bring potential problems with your thinking abilities, it is very important to know how a person is functioning even in their 50s or 60s. That way when those agerelated changes start to occur, we have a baseline to know if you have changed or not.”
Northwestern University, February 2024

Wellness/Prevention: Greenspace Access and Dementia. Using data from the Healthy Brain Project, researchers observed that greater access to green spaces is associated with a reduced risk for dementia for residents of socioeconomically disadvantaged neighborhoods. The findings suggest that measures to make parks and natural spaces easier to access could reduce the incidence of dementia in less affluent areas.
Preventative Medicine Reports, March 2024

Quote: “Winning isn’t everything. Wanting to win is.” ~ Jim “Catfish” Hunter

Your Rio Vista Chiropractor Dr. Joseph T. Megna