Laser Therapy

Trigger Finger

~ Dr. Robert Speirs DC ~ Leave a comment

Trigger finger, also called stenosing tenosynovitis, is a condition in which a finger is locked in a flexed position due to inflammation of the tendon in the sheath that surrounds it, making it difficult for the tendon to glide. It can cause pain over time.

Trigger finger usually occurs on the third or fourth finger as a result of repetitive and excessive hand movements. This condition is found in athletes such as paddlers, tennis players and golfers.
Finger trauma can also damage the tendon and cause trigger finger.

This condition is more common in women than in men and often presents in people between the ages of 30 and 50. An inflammatory health condition such as rheumatoid arthritis or diabetes can increase the likelihood of having a trigger finger.

Trigger finger can cause, but is not limited to, pain and swelling in the affected finger. A clicking sound, sometimes painful, can be heard when the finger moves into a flexed or extended position. Symptoms may worsen in the morning upon rising or after a period of inactivity. In more advanced cases, trigger finger can lead to permanent locking of the joint.

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Shoulder Arthritis

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Shoulder osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, movements over the head become limited, generally causing pain and alteration of the normal biomechanics of the shoulder. Your muscles must therefore 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 shoulder can also increase the symptoms associated with osteoarthritis.

Each person reacts differently to osteoarthritis. It can produce, but is not limited to, local pain in the front of the shoulder, localized edema and stiffness in certain shoulder movements. Movements over the head and a sleeping position with direct pressure on the shoulder can cause pain.

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SLAP Shoulder Tears

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Overhead Athlete? This one’s for you!

SLAP Shoulder Tears

A labral tear occurs when the labrum, a ring of fibrocartilage used to stabilize the shoulder, tears. There are multiple types of labrum tears but the most common is called a superior labrum anterior and posterior tear (SLAP).

The shoulder is the most mobile joint in the human body, but this mobility also makes it more susceptible to injury.

A labral tear can happen slowly over time or suddenly from a car accident, a fall on an outstretched arm, or a dislocated shoulder. People participating in sports involving repetitive overhead movements, such as throwing athletes, are at greater risk of having a labral tear.

A labral tear can cause, but is not limited to, pain in the front of the shoulder, instability, weakness and a limited active range of motion. The pain is often felt when raising the arm above the head. Clicking or crackling sounds may also be heard during shoulder movement.

It is also possible to feel pain at night, especially when sleeping on the affected shoulder.

Treatment consists of Class IV Laser Therapy, management of any biomechanical stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Rotator Cuff Tendonopathy

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Overhead Athlete? This one’s for you!

Rotator cuff tendinopathy is an irritation of one or more tendons of a group of muscles stabilizing the shoulder called the rotator cuff.

Repeated overhead movement can, over time, cause irritation, inflammation and/or a lesion to these tendons.

The rotator cuff consists 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 is prone to injury during falls or accidents, or in case of altered motor control.

Rotator cuff tendinopathy can cause, but is not limited to, pain felt at the shoulder and sometimes the scapula, a pinching sensation, loss of strength and active range of motion, and localized swelling.

The pain and pinching sensation are often felt when raising the arm overhead or when lowering the arm from an elevated position. Pain may also be present at night. In more advanced cases, you may additionally feel pain during the day while at rest.

Treatment consists of Class IV Laser Therapy, management of any biomechanical stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Rotator Cuff Tears

~ Dr. Robert Speirs DC ~ Leave a comment

A rotator cuff tear means that one or more tendons of a group of muscles stabilizing the shoulder – called the rotator cuff – is torn either partially or fully.

The rotator cuff consists of four muscles that help stabilize the humerus (upper arm bone), in the shoulder socket during arm movements.

The shoulder has great mobility but is prone to injury during falls or accidents, or in case of altered motor control.

A tear of the rotator cuff can cause but is not limited to, pain at the shoulder and sometimes the scapula, loss of strength and active range of motion, and sometimes localized swelling.

Pain or weakness is often felt when lifting the arm overhead or when lowering it from an elevated position. Pain may also be present at night. In more advanced cases, one may additionally feel pain during the day while at rest.

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. Returning to your activities of daily living, light cardiovascular exercise and specific mobility and strengthening exercises will allow better recovery.

Treatment of rotator cuff injuries consists of Acupuncture, Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Plantar Fasciitis

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Plantar fasciitis is a lesion that generally occurs during significant and repetitive stress on the plantar fascia.

It can occur in people who perform activities or sports that involve jumping, running, or sprinting.

Typically, this injury occurs during a period in which training intensity or volume has been increased too quickly with inadequate recovery. The practice of a new activity, a change of training surface, and a rushed transition to another type of shoes can be risk factors.

Plantar fasciitis can produce, but is not limited to, pain on weight bearing and sometimes edema under the arch of the foot near the heel.

The pain is often characterized as a needle-like sensation. Symptoms are usually present upon waking up, particularly during the first few steps.

Treatment of plantar fasciitis consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Kneecap Pain

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Patellofemoral syndrome is an irritation of the articular surface between the kneecap and the femur, your thigh bone, that causes pain under and around the kneecap.

Climbing stairs, running and walking for a prolonged period of time often increases pain. Pain can also be felt after sitting for a long time or squatting.

Patellofemoral pain is more prevalent among young women than men, and more prevalent in the active population.

Patellofemoral syndrome can cause, but is not limited to, pain at the front of the knee, difficulty with weight-bearing and squatting and sometimes swelling. Pain can also irradiate under and around the knee. Creaking or grinding sensations can occur during physical activity.

Treatment of Patellofemoral Syndrome consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Pain on the inside of the knee?

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Pes anserine bursitis is the irritation of the bursa on the inside of the tibia, near the knee joint. This bony area constitutes an insertion zone for three muscles: the sartorius, the gracilis and the semitendinosus.

Sports and activities that require these muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Pes anserine bursitis may be associated with an injury to the tendons in that area. It can occur as a result of trauma directly to the knee. Muscle imbalance in the hip or knee may also contribute to the onset of symptoms.

Pes anserine bursitis can produce, but is not limited to pain on the inside of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface and climbing stairs.

Treatment of hamstring injuries consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Jumper’s Knee

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Patellar tendinitis, also known as jumper’s knee, is an injury that usually occurs when the patellar tendon is subjected to significant repetitive or prolonged overload. This overload causes irritation of the tendon and it can become painful.

This condition mainly affects people who perform activities involving jumping, running, or speeding.

Typically, this injury occurs during a period where training intensity and/or volume has been increased too quickly with inadequate recovery.

The patellar tendon is the main structure involved in this condition. This tendon is a band of connective tissue whose function is to attach the lower part of the patella to the tibia. It is tensed when thigh muscles, such as the quadriceps, contract during activity, or in positions where the knee is bent.

Patellar tendinopathy can produce, but is not limited to, pain in the front of the knee, difficulty in weight bearing and squatting, and swelling.

Treatment of jumper’s knee consists of Class IV Laser Therapy, management of any biomechanics stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

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Patellar Bursitis

~ Dr. Robert Speirs DC ~ Leave a comment

Patellar bursitis is the irritation of the bursa in the front of the knee, just below the kneecap. It is covered by the patellar tendon that connects the kneecap to the tibia.

Sports and activities that require the quadriceps muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Patellar bursitis may also occur as a result of trauma directly to the knee.

Patellar bursitis can produce, but is not limited to, pain in the front of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface, climbing and descending stairs, and squatting.

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