Carolina Beach residents don't sit still. Surfing, paddleboarding, kayaking, beach runs, fishing off the pier — physical activity is woven into everyday life on the island. That's a good thing. But it also creates a specific pattern of repetitive strain that accumulates over seasons and years in ways that eventually become impossible to ignore. Surfing is particularly demanding — the paddling motion creates repetitive thoracic extension, and wipeouts load the cervical spine in ways that build over time. Dr. Margie has treated surfers, paddleboarders, and beach runners from Carolina Beach for over 30 years. She understands how these activities load the body and what structural corrections need to happen to keep you doing them without pain. She's also seen the other side of island life: seasonal workers on their feet all summer, retirees managing long-term degeneration, and year-round residents dealing with the joint inflammation that coastal humidity genuinely accelerates.