Leg Pain

Stress Fracture

~ Dr. Robert Speirs DC ~ Leave a comment

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 can cause but is not limited to, pain and difficulty in weight-bearing activities and localized swelling.

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IT Band Syndrome

~ Dr. Robert Speirs DC ~ Leave a comment
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IT Band Syndrome occurs when a band of connective tissues on the outside of your thigh, called the iliotibial band, becomes irritated as a result of repeated rubbing against the side of your knee during flexion and extension movements.

People who engage in activities or sports that involve jumping, biking or running are at higher risk. This injury is quite frequent among runners.

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

Treatment of IT Band injuries 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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Hip Fractures

~ Dr. Robert Speirs DC ~ Leave a comment
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A hip fracture usually occurs in the upper part of the thigh bone (femur), near the hip joint.


This type of fracture mainly occurs as a result of a fall or a direct impact on the bone, such as in a car accident. Osteoporosis and osteopenia can contribute to weakened bone integrity and increase the risk of fracture.


Older people and post-menopausal women are at higher risk of a hip fracture.
A stress fracture can occur following a period of overtraining and can also lead to a hip fracture.

Lateral Ankle Sprain

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A lateral ankle sprain (LAS) occurs when you twist or roll your ankle inward.
This can happen by walking/running on an uneven surface, stepping on someone else’s foot, pivoting or changing direction during sport.

The severity of the sprain can range from mild to severe.

Usually, this abrupt inward ankle twist or roll will lead to a stretch or
a tear, partial or complete, of the lateral ligament complex of your ankle.
In the very moment preceding the sprain, your ankle muscles will tend to protect you with a forceful contraction. Sometimes, this can lead to muscle spasms and/or a small bone fracture where the muscle attaches to your foot.

The peroneal nerve and the ligaments of your foot may also be overstretched during a lateral ankle sprain.

Everyone will react differently after an injury and recovery will depend on the severity of the sprain. LAS can cause but is not limited to, pain, difficulty in weight-bearing activities, swelling, ecchymosis, pins & needles.

The severity of the sprain, your rehabilitation plan, your health status, your fitness level and your nutrition affect recovery time. Generally, you can expect to fully recover from a lateral ankle sprain.

Class IV Laser and acupuncture are large parts of our treatments. They provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life.

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Shin Splints

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If you’re an avid runner, then you’ve probably experienced the pain of medial tibial stress syndrome at some point. Also known as shin splints, this condition is caused by repetitive stress on the tibia, or by excessive traction on the fascia (the muscle envelope) from the surface of the bone.

This condition, commonly known as “shin splints”, affects people who regularly participate in activities that put stress on the lower leg muscles and tibia, such as walking, running, or jumping. The condition is caused by training intensity and/or volume being increased too quickly, without allowing adequate time for recovery.

Shin splints are a painful condition caused by repetitive stress on the shinbone (tibia). This can be from excessive traction on the muscles and fascia around the bone, resulting in inflammation. Shin splints are a common injury, especially for runners. Treatment includes rest, ice, and stretching as.

Repetitive stress on the tibia, or excessive traction of the fascia, can cause medial tibial stress syndrome (shin splints). The fascia is a muscle envelope that covers the surface of the bone. When this tissue is overworked, it can lead to pain and inflammation in the shins.

This condition mostly affects people who do a lot of walking, running, or jumping. Their tibia and lower leg muscles have to absorb a lot of weight, which can lead to injury. Generally, this happens when people suddenly increase the intensity or volume of their training without giving their bodies enough time to recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for leg pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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What to do about your Stress Fracture

~ Dr. Robert Speirs DC ~ Leave a comment
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

~ Dr. Robert Speirs DC ~ Leave a comment

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.

Trigger points in the hamstrings.

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With all the sitting going on these days, tight hamstrings are becoming increasingly common. When your hamstrings are tight they almost certainly have trigger points. These contracted knots in the muscle are a common cause of pain felt in the back of the leg, knee and lower buttocks. Trigger points don’t go away with rest or stretching, they need a therapeutic intervention such as massage to be released.