Shoulder Impingement Syndrome

Shoulder Impingement Syndrome
Shoulder Impingement Syndrome
Impingement syndrome
Impingement syndrome is an irritation of the structures between the upper portion of your arm and your shoulder blade mainly during overhead arm movements.The rotator cuff is comprised of four muscles that help position the humerus, your upper arm bone, into the shoulder socket during arm movement.The shoulder has great mobility but at the same time is prone to injury during falls or accident, or when there is a lack of motor control (altered biomechanics).Men over 40 performing manual labour are the most affected with this condition. It is also present in young athletes practicing sports involving repeated overhead motion such as swimming, baseball or tennis.

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Structures involved

The tendons of the rotator cuff, ligaments of your shoulder and subacromial bursa are the most commonly affected structures. The subacromial space gets smaller during overhead movements. This can cause, over time, irritation, inflammation and/or a lesion of the rotator cuff tendons.

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Signs & Symptoms that you may experience

Everyone will react differently after an injury and recovery will depend on the severity of it.

Impingement syndrome can cause but is not limited to, pain at the front of the shoulder and localized swelling. Pain or tightness is often felt when you lift your arm overhead or when you lower it from an elevated position. Pain can also be felt around your shoulder blade in your back.

Other early symptoms can include light pain with activities or during rest and in some cases, irradiating pain around your shoulder. In severe cases, you might feel pain at night and a loss of strength or range of motion. Impingement syndrome can lead to rotator cuff tendinitis or shoulder bursitis when left untreated.

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Recovery

Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Most of the time, you can expect to recover fully from impingement syndrome. As a rule of thumb, this condition can take up to three months to fully recover.

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▶ WHAT TO DO

Early Stage

Relative rest is a good way to protect your shoulder and prevent further damage, but it’s important to avoid overprotecting your injury. A few days rest where you avoid pain-inducing movement and activities might be necessary. A quick but progressive return to your activities of daily living, light cardiovascular exercise and specific range of motion and strengthening exercises will allow better recovery.

Rehabilitation

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, optimal motor control and functional status.

As per the principles of rehabilitation for impingement syndrome, movement training through therapeutic exercises is an important part of functional recovery. A progressive exercise program performed over a few weeks period is pretty standard.

▶ WHAT TO AVOID

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light strengthening exercises as tolerated.

Stress and Weight 

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Bottom Line:

A recent research study found over 75% of people experience at least a moderate amount of stress every day! 

Chronic stress is not fun to deal with, but did you know it can also affect your weight? 

When you are stressed your body goes into survival (or “fight or flight”) mode which changes your hormonal balance. You don’t need to be running from a saber tooth tiger to enter fight or flight mode. Even everyday events like traffic and stress at work can cause you to have that physiological response. 

Why it Matters:

Recent research suggests that chronic stress can result in:

  • high blood pressure,
  • changes in your brain,
  • and weight gain.

When you are stressed out, it is more likely that you will over-eat and less likely that you will get enough sleep and exercise. Stress causes your body to release cortisol, a hormone that can produce a build-up of fatty tissue and cause weight gain. Cortisol increases both your appetite and the amount of fat the body stores. By recognizing your stressors, and engaging in a few simple relaxation techniques, you can learn to reduce your body’s natural stress response. 

  • The hormone Cortisol is released in response to stress and increases your blood sugar.
  • Chronic stress can lead to elevated cortisol levels. 
  • An association has been found between increased cortisol levels and obesity.

Next Steps: 

Relaxation techniques such as meditation, yoga, or even simple breathing exercises can help your body counter the stress response. Also, exercise has been shown to decrease stress levels substantially. 

The next time you are feeling stressed out, take a moment to breathe a few deep breaths and try to get some exercise into your schedule that day. Not only will you feel better mentally, but your body will be able to reduce the amount of Cortisol produced which will limit your body’s fat storage and help curb any thoughts of over-eating. Staying fit and trim does start in your head! 

Science Source(s): 

Hair Cortisol and Adiposity in a Population‐Based Sample of 2,527 Men and Women Aged 54 to 87 Years. Obesity 2017

Shoulder Capsulitis

Shoulder Capsulitis

Shoulder capsulitis

Shoulder capsulitis happens when the strong connective tissue surrounding the shoulder becomes thick, stiff and inflamed, causing pain and loss of motion in the shoulder in all directions. It is sometimes called adhesive capsulitis or frozen shoulder.

The exact cause of this condition is unknown, but the risk of suffering from it increases following prolonged shoulder immobilization, a stroke or other shoulder conditions.

People over 40 are more prone to developing this condition and women are more commonly affected than men. Diseases such as diabetes, thyroid dysfunction and cardiovascular diseases can increase the risk of suffering from shoulder capsulitis.

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Structures involved

The glenohumeral joint capsule is involved in this condition. When it thickens, the capsule limits movements of the shoulder. The presence of a natural joint lubricant called synovial fluid also tends to diminish during a capsulitis.

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Signs & Symptoms that you may experience with Shoulder Capsulitis

Everyone will react differently in the event of capsulitis and recovery will depend on its intensity. Shoulder capsulitis generally causes pain and loss of range of motion in the shoulder. This condition typically develops slowly and can last from a few months to a few years. Symptoms of shoulder capsulitis can generally be categorized into three progressive stages.

In the first one, called the freezing stage, the shoulder becomes progressively stiffer and painful. Pain can be worse at night, especially if you sleep on your affected side.

In the second one, called the frozen stage, stiffness in the shoulder joint is important. Pain may begin to diminish during this stage but the range of motion in the shoulder is very limited and muscles start to lose their strength.

The last stage, called the thawing stage, is the beginning of recovery. There is a reduction in pain and a gradual increase in movement.

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Recovery

Prognosis is favorable for the majority of people affected but recovery can take a long time, ranging from one to two years. Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Although you can expect to recover from this condition, some mobility restrictions may persist, particularly in regard to range of motion at the shoulder.

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▶ WHAT TO DO

Early Stage

Relative rest is a good way to protect your shoulder and prevent further damage during the first stage, but it’s important to avoid overprotecting your shoulder. It might be necessary to reduce pain-inducing movement and activities. Progressive return to your activities of daily living, range of motion exercises and light cardiovascular exercise will allow better recovery.

Rehabilitation for Shoulder Capsulitis

Follow your practitioner’s advice. It will help you manage the different stages of a capsulitis 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 and functional status.

As per the principles of rehabilitation for shoulder capsulitis, range of motion exercises are an important element of functional recovery. A progressive exercise program is pretty standard.

▶ WHAT TO AVOID

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light range of motion and strengthening exercises as tolerated.

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Learn About Laser Therapy

Laser Therapy For Knee Pain

Laser Therapy For Knee Pain
Laser Therapy For Knee Pain

Those who have knee pain, whether acute or recurring, may find relief in cold laser therapy. This type of laser therapy is a non-invasive procedure that uses a class IV laser to stimulate the affected area and alleviate pain. Research has shown that it can be efficacious in alleviating knee pain whether it’s caused by injury or chronic conditions. Researchers think the lasers aid in healing because they may:

  • Improve circulation
  • Stimulate natural painkillers called endorphins
  • Improve cell regeneration
  • Encourage new tissue growth 

Those who have knee injuries, as well as those who have a knee injury caused by trauma, may be able to benefit from laser therapy. Bone on bone knee pain can be eliminated with a combination of LLLT and physical therapy. The LLLT reduces the irritation and subsequent inflammation of arthritis while the physical therapy strengthens the surrounding muscles and ligaments so that pressure on the joint is reduced.

An injured knee joint can heal faster when LLLT is applied because the body’s healing mechanisms are stimulated and circulation increases. Other types of pain that can be helped with LLLT include:

  • Bursitis
  • Tennis elbow
  • Carpal tunnel syndrome
  • Fibromyalgia

The time it takes to heal and how long the benefits lasts will vary by the individual. Currently, there is no cure for arthritis or similar bone diseases. However, LLLT can provide relief from the symptoms and improve quality of life for those who have a degenerative bone disease in their knees. For some, the use of LLLT can enable them to begin to exercise and lose weight, which can often alleviate much of the knee pain of arthritis and other conditions.

If you have knee pain and would like to try laser therapy in Winnipeg, feel free to contact us at 204-586-8424.

Knee Osteoarthritis

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Knee Osteoarthritis
Knee osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, the knee’s flexion and extension movements become limited, generally causing pain and an alteration of the normal biomechanics. Your thigh muscles also have to work harder during movement, generating a feeling of muscle tension.To date, the exact causes of osteoarthritis have not been fully identified. It is completely normal to have a mild level of osteoarthritis with age. However, the more advanced stages of osteoarthritis can affect the ability to carry out daily activities and sports. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the knee can increase the symptoms of osteoarthritis.

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Structures involved

In the knee, the joint affected by osteoarthritis is the t​ ibiofemoral joint​, formed by the femur bone and the tibia bone. It is mainly ​cartilage​ damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, certain muscles in the thigh area may compensate for the joint restriction and become more tense.page1image34813889601

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Signs & Symptoms that you may experience

Each person will react differently to osteoarthritis and management will depend on its stage. Knee osteoarthritis can produce, but is not limited to, local pain in the knee, localized edema and stiffness in certain knee movements. Repetitive movements of the knee during walking or other sports activities and a squatting position with direct pressure can cause pain.

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Developments

Knee osteoarthritis is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.

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▶​ ​WHAT TO DO

Painful episodes

Relative rest is a good way to prevent your symptoms from getting worse after a painful episode. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and knee and hip muscles strengthening exercises will allow for better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve range of motion of your knee’s joint, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of knee osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of knee osteoarthritis.

▶ ​WHAT TO AVOID

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. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage of osteoarthritis. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

Sunday’s Huge Health Update!

Mental Attitude: Stress Affects Women’s Recovery After a Heart Attack. Researchers analyzed data collected from 2,397 women and 1,175 men and found that women had more difficulty recovering from a heart attack than men, possibly due to the significantly higher levels of mental stress measured among the females in the study. The findings emphasize the need to consider how stress and other psychosocial factors can affect the recovery of patients following heart attack. American Heart Association, February 2015

Health Alert: Mercury Exposure May Be a Risk Factor for Autoimmune Diseases. Exposure to high levels of methylmercury is known to cause damage to the nervous system, and it can be particularly harmful to a developing fetus. Researchers now claim that even at levels considered to be safe, mercury exposure may be a risk factor for autoimmune disorders in women of childbearing age. They found that the higher the levels of mercury detected in women, the higher the levels of autoantibodies, proteins that are a characteristic of autoimmune diseases. Lead researcher Dr. Emily Somers explains, “The presence of autoantibodies doesn’t necessarily mean they will lead to an autoimmune disease. However, we know that autoantibodies are significant predictors of future autoimmune disease, and may predate the symptoms and diagnosis of an autoimmune disease by years.”

Environmental Health Perspectives, February 2015

Diet: Low Vitamin D Levels During Childhood Linked to Heart Risks. A multi-decade study found that low vitamin D levels during childhood are associated with a significantly higher risk for artery hardening in adulthood. The findings highlight the need to ensure children get adequate levels of vitamin D in their diet or through sun exposure.
Journal of Clinical Endocrinology & Metabolism, February 2015

Exercise: Why Should We Exercise? The Mayo Clinic lists seven benefits of exercise, which include the following: helps controls weight, helps combat chronic health conditions and diseases, improves mood, boosts energy levels, promotes better sleep, reduces stress, and it can even be fun! As a general rule, strive for at least 30 minutes of physical activity every day.
Mayo Clinic, February 2015

Chiropractic: Resolution of Plantar Fasciitis Following Adjustments. In this case study, a 23-year-old woman with plantar fasciitis presented for chiropractic care. Her previous medical care included prescription orthotics, stretching, and Ibuprofen, all which failed
to resolve her heel pain and related symptoms. Her chiropractic treatment regimen consisted of adjustment to the spine and lower extremities, ultrasound therapy, taping of the foot, and neuromuscular re-education. Over the course of ten treatments, the patient noted improvements in both pain and function, supporting the benefits of multi-modal chiropractic management of plantar fasciitis. Annals of Vertebral Subluxation Research, October 2014

Wellness/Prevention: Naps Improve Your Health. A new report claims that brief daytime naps can protect against the harmful health effects of a poor night’s sleep. The study included eleven healthy men and revealed that naps appear to return the hormones and proteins involved in stress response and immune function to more normal levels. According to the Centers for Disease Control and Prevention, lack of sleep can increase the risk of health problems such as obesity, diabetes, high blood pressure, and depression, and decreased sleep is also linked to reduced work productivity, as well as an increased risk of traffic and industrial accidents. Study author Dr. Brice Faraut adds, “Napping may offer a way to counter the damaging effects of sleep restriction by helping the immune and neuroendocrine systems to recover. The findings support the development of practical strategies for addressing chronically sleep- deprived populations, such as night and shift workers.” Journal of Clinical Endocrinology & Metabolism, February 2015

Quote: “You should never be surprised when someone treats you with respect, you should expect it.” ~ Sarah Dessen

For More Information on Back Pain, Neck Pain, Headaches, Carpal Tunnel Syndrome, Fibromyalgia, and Whiplash, and more, Go To: http://www.AberdeenChiropracticBlog.com

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Chiropractic and Headaches

According to the World Health Organization, headaches are among the most common disorders of the nervous system affecting an estimated 47% of adults during the past year. Headaches place a significant burden on both quality of life (personal, social, and occupational) and financial health. They are usually misdiagnosed by healthcare practitioners, and in general, are underestimated, under-recognized, and under-treated around the world. So, what about chiropractic and headaches… Does it help?

Suffice it to say, there are MANY studies showing chiropractic care helps headache sufferers. For instance, in a review of past research studies using an “evidence-based” approach, chiropractic treatment of adults with different types of headaches revealed very positive findings! Researchers note that chiropractic care helps those with episodic or chronic migraine headaches, cervicogenic headache (that is, headaches caused by neck problems), and tension-type headaches (chronic more than episodic). There appears to be additional benefit when chiropractic adjustments are combined with massage, mobilization, and/or adding certain types of exercises, although this was not consistently studied. In the studies that discussed adverse or negative effects of treatment, the researchers noted no serious adverse effects.

In patients suffering from athletic injuries, particularly post-concussion headache (PC-HA), chiropractic care can play a very important role in the patient’s recovery. With an estimated 1.6 to 3.8 million sports-related brain injuries occurring each year, approximately 136,000 involve young high school athletes (although some argue this is “grossly underestimated”).

Several published case studies report significant benefits for post-concussion patients after receiving chiropractic care, some of which included PC-HA from motor vehicle collisions, as well as from slips and falls. For example, one described an improvement in symptoms that included deficits in short-term memory as well as attention problems. In this particular study, a six-year-old boy fell from a slide in the playground, and after 18 months of continuous problems, underwent a course of chiropractic care. After just three weeks of care, his spelling test scores improved from 20% to 80% with even more benefits observed by the eighth week of care!

Another case study looked at a 16-year-old male teenager with a five-week-old football injury who had daily headaches and “a sense of fogginess” (concentration difficulties). He reported significant improvement after the second visit, with near-complete symptom resolution after the fifth visit (within two weeks of care). After seven weeks of care, he successfully returned to normal activities, including playing football.

Dizziness and vertigo are also common residuals from concussion and were present in a 30-year-old woman just three days following a motor vehicle accident. She also complained of headache, neck pain, back pain, and numbness in both arms. The case study noted significant improvement after nine visits within an 18-day time frame.

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for neck pain or headaches, we would be honored to render our services.

Trigger point massage

Trigger points are contracted knots in muscles. They form from overload stress causing muscle fibers to become locked together in a self perpetuateing spasm. Trigger points will then produce pain, usually deep achy pain, as well as refered pain. Because of the contraction of the tissue trigger points will also produce stiffness and weakness. Trigger points are also known to mimick other symptoms such as Carple tunnel, and sciatica symptoms. Trigger points are one of, if not the most common cause of pain in the body. Regular massage therapy is not specific or deep enough to release trigger points, a specific technique of applying deep focused pressure to the heart of the knot is required for the point to release. This is called trigger point massage.

How Does Laser Work? 

Over 2000 published research studies demonstrate:

• Laser therapy improves blood flow and lymphatic drainage
• Laser therapy has a strengthening effect on tissue repair
• It is an effective means of relief for many pain syndromes
• It can improve immune response
• Enhanced nerve regeneration & function
• Increased microcirculation & vasodilation
• Increased lymphatic flow
• Increased collagen production
• Increases the speed, quality and tensile strength of tissue repair
• Reduced inflammation
• Enhanced angiogenesis (creation of new blood vessels)

 

Call us today for more information about Class IV laser therapy and how it can help you!

 

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