What to do about your Stress Fracture

Stress Fracture

Continuing on from yesterday’s stress fracture information, today we look at what to do and what to avoid with a stress fracture.

Relative rest is a good way to protect your bone against further damage. Initially, limiting pain-provoking activities is necessary. Then, progressive return to weight-bearing during your activities of daily living, non-painful light cardiovascular exercises and therapeutic exercises will allow better recovery.

In the presence of a stress fracture, it’s important that physical activities, such as training, for example, are performed below the pain threshold.

Follow your practitioner’s advice. It will help you manage the different phases of the recovery process and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain your normal range of motion, strength and endurance, balance and pre-fracture functional status.

As per the principles of rehabilitation for stress fractures, reducing impacts is one of the main elements of functional recovery. In most cases, temporarily modifying training to focus on non-weight-bearing activities such as biking or swimming can help maintain your training level while allowing optimal bone recovery.

Avoid returning too quickly to running or activities that caused the fracture. A stress fracture can lead to a more important fracture if pain signals are ignored. People that reduce the volume of high-impact activities typically recover faster.

Stress Fractures

A stress fracture is an overuse injury. This type of fracture is defined by a tiny crack in the bone, mainly caused by repetitive forces over time.

This condition affects mainly people that are involved in activities such as walking, running or jumping, where the lower body must absorb the bodyweight. Stress fractures can also develop from the normal use of a bone that’s weakened by a condition such as osteoporosis.

Generally, this injury happens when training intensity and/or volume is increased too quickly with inadequate recovery. Starting a new activity, modifying the training surface and quickly transitioning to a new type of inadequate training shoes are among the risk factors.A stress fracture is most commonly seen in the weight-bearing bones of the lower leg and foot. Metatarsals, which are five long bones between the center of the foot and the toes, are the most affected. Stress fractures are also common in the calcaneus, the talus, the navicular, the tibia and the fibula. The stress fracture generally occurs at the base or center of the bone.

Everyone will react differently after an injury and recovery will depend on the severity. A stress fracture can cause but is not limited to, pain and difficulty in weight-bearing activities and localized swelling.

Your rehabilitation plan, your health status, your fitness level and your nutrition affect recovery time. Generally, you can expect to fully recover from a stress fracture. Typically, this type of fracture heals within four to eight weeks.

Thoracic Outlet Syndrome

Thoracic Outlet Syndrome
Thoracic Outlet Syndrome

Thoracic Outlet Syndrome

Thoracic outlet syndrome is a collection of symptoms of pain and numbness that can extend from the neck area to the hand.

Symptoms often result from the compression of nerve and blood structures in the space between the scalene muscles in the neck, collarbone and first rib.

Thoracic outlet syndrome occurs more often in people who perform repetitive activities above the shoulders such as swimming, racquet sports or simply in manual workers. This syndrome is more common in women than in men.

Nerves and blood vessels in the space between the muscles of the neck, collarbone and first rib are often involved in this condition.

A fracture of the collarbone, altered posture, a supernumerary rib or overdeveloped chest muscles can lead to thoracic outlet syndrome.

Symptoms depend on which vascular or nerve structures are compressed. Thoracic outlet syndrome can produce, but is not limited to, pain in the neck, shoulder, arm or hand. Symptoms may also include numbness in the forearm and some fingers. People may also experience a feeling of weakness on the affected side.

Compression of the blood vessels may cause a decrease in blood flow to the arm, resulting in increased swelling and redness in that arm. Symptoms usually appear or increase when the arms are extended, or held high above the shoulders for a period of time. They are often more acute at night.

Your rehabilitation plan, health profile and fitness level affect the recovery time. In most cases, you can expect a full recovery from thoracic outlet syndrome. Recovery will depend on the severity of the compression.

A few days of rest by reducing activities that cause pain may be necessary. A gradual return to your daily activities, light cardiovascular exercise and mobility and strengthening exercises will allow for better recovery.

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your rehabilitation program to help you regain optimal posture, joint range of motion, muscle flexibility, muscle endurance and functional status.

According to the principles of thoracic outlet syndrome, improving posture and reducing muscle tension would be two important elements for functional recovery. A progressive rehabilitation program over a period of a few weeks is quite common.Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Remember that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light and progressive exercises based on your tolerance.

Acupuncture and Tennis Elbow

Acupuncture for tennis elbow

#Acupuncture treatment has been shown to help provide significant pain relief for tennis elbow.

Acupuncture treatment can help to reduce inflammation and improve blood flow to injured areas to aid and speed healing of various types of tendonitis. Pain in the outer elbow or forearm pain are signs of tennis elbow.

Dr. Natalie Carriere is now offering Acupuncture treatment at #AberdeenChiropractic. Call 204-586-8424 today for your initial consultation and treatment!






Acupuncture Now Available

Photo by Karolina Grabowska on Pexels.com

Acupuncture and back pain

Back pain (especially lower back pain) is a common chronic pain issue. Acupuncture is a physical therapy that has become a popular and well-researched method for managing this pain. We are excited to now offer acupuncture at Aberdeen Chiropractic.

Acupuncture Now Available In Winnipeg

Treatment consists of inserting needles at various points on the body and through the skin. Needles are not meant to cause pain, harm, or discomfort; in fact many patients barely feel anything at all when the needles are inserted.

A professional acupuncturist will target specific points for treatment called meridians, with some being of special benefit to painful structures in the back.

There are a few meridians that an acupuncturist may focus on for back pain that are actually not IN the back at all.

Some acupuncture points for lower back pain are:

  • back of the knees points
  • foot points
  • lower back points
  • hand points
  • hip points
  • stomach points

Points for upper back pain (also called thoracic spine or T-Spine pain) are often very different. These can be found on the head, neck, shoulders, and upper back.

By stimulating these points, parts of the nervous system are also stimulated to relieve pain. Acupuncture can also provide pain relief from other similar neuromuscular issues for which there may not be too many pain remedy options.

These include:

Acupuncture and Science

There are a few ways by which acupuncture is thought to work for back pain:

  • Stimulates nervous system. Trigger points stimulated by acupuncture could release chemicals from the spinal cord, muscles, and brain. Some of these are naturally pain-relieving.
  • Releases opioid-like chemicals produced in the body. Along the same lines as the theory above, acupuncture may release pain-relieving chemicals. These naturally occur in the body and have similar properties to opioid pain relievers. (Hydrocodone or morphine are examples.)
  • Releases neurotransmitters. These are hormones that send messages regulating the on/off mechanisms of various nerve endings. Acupuncture may stimulate some that shut off pain.
  • Triggers electromagnetic impulses in the body. These impulses can help speed the body’s way of handling pain, including the release of endorphins.

Regardless of how it works, trials on acupuncture for treating back pain show great results with very little risk of side effects.

Some 2012 researchTrusted Source involved reviewing almost 20,000 people with chronic pain. They were given authentic acupuncture treatments, fake treatments, or no acupuncture at all. Those who received real acupuncture experienced 50 percent improvement in their chronic pain issues. 

Two similar reviews from 2013 showed strong favor for acupuncture as successful therapy. These were specifically for chronic lower back pain.

One these studies expressed promise that acupuncture could be better than most pain medications.