Biceps Tendinitis: Causes, Symptoms, and Treatment Options

~ Dr. Robert Speirs DC ~ Leave a comment

Your biceps muscle attaches to your shoulder through two strong fibrous bands called “tendons.” The term “biceps tendinitis” means that one of these bands has become painfully irritated from strain or degeneration. Sometimes the tendon may be strained by an accident or lifting injury. Biceps tendinitis more often results from repeated pinching of the tendon beneath the bony part of your shoulder from a condition called “impingement.” Repeated overhead activity, like throwing, swimming, gymnastics, and racquet sports are known culprits. Biceps tendinitis is often accompanied by other conditions, like rotator cuff tears or injuries to the cartilage around the rim of your shoulder joint. Factors that make you more likely to develop biceps tendinitis include: improper lifting techniques, inflexibility, poor posture, or repetitive overloading.

Your symptoms likely include a deep, throbbing ache over the front of your shoulder. The pain often refers toward the outside of your arm. The main job of your biceps muscle is to flex your elbow and turn your palm up, so overhead movements or activities that require flexion of your elbow may cause pain. Patients often report increased discomfort when initiating activity. Night time symptoms are common, especially if you lie on your affected shoulder. Be sure to tell your doctor if you notice popping, catching, or locking during movements, as this may suggest an additional problem. A painful, loud “pop” followed by relief with a visible bulge in your biceps (Popeye deformity) suggests that your tendon has ruptured.

Surgery is rarely required for biceps tendon problems unless you are a young athlete or worker who performs exceptionally heavy physical activity and have completely ruptured your tendon. The most effective treatment for the majority of biceps tendinitis patients is conservative care, like the type provided in our office. Initially, you may need to avoid heavy or repetitive activity, (especially overhead activity and elbow flexion) as returning to activity too soon may prolog your recovery. You should specifically avoid military presses, upright rows, and wide grip bench presses until cleared by your doctor. You may use ice over your shoulder for 10-15 minutes at a time each hour. The exercises described below will be a very important part of your recovery and should be performed consistently. http://ow.ly/i/uGMvV

Understanding Facet Syndrome: Causes, Symptoms, and Effective Treatment

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The lower back, comprised of stacked vertebrae separated by intervertebral discs, forms a flexible and supportive structure. Each vertebra features a front body and posterior facets, which articulate with adjacent vertebrae. When these facet joints become irritated and inflamed, a condition known as facet syndrome occurs. Sprains, strains, improper joint movement, injury, overuse, arthritis, and obesity are common culprits.

Symptoms of facet syndrome typically manifest as unilateral back pain, which may radiate into the flank, hip, and thigh, worsening with backward arching or returning to an upright position. Relief is often experienced when lying down, and symptoms rarely extend beyond the knee. Notify your chiropractor of any symptoms below the knee, weakness, groin numbness, bowel or bladder changes, or fever.

Prolonged facet irritation can lead to arthritis, but effective treatment options are available. Supportive footwear, activity modification, and regular breaks from sitting are recommended. Your chiropractor may suggest heat or ice therapy and advise against prolonged bed rest while encouraging light physical activity. Yoga has shown benefits for back pain sufferers.

Your chiropractor can provide personalized treatment to alleviate facet syndrome symptoms and promote healing. By addressing underlying issues and implementing appropriate interventions, you can improve function and quality of life while managing facet syndrome effectively.

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Preventing Hamstring Strains: Strengthening and Stretching Techniques

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The hamstring, a crucial group of muscles at the back of the thigh, facilitates knee flexion, allowing movements like bringing your heel toward your buttock. A hamstring strain occurs when these muscles or their tendons are stressed beyond their capacity, akin to overstretching a rope. This overexertion can result from activities such as running or excessive stretching, leading to tearing, bleeding, bruising, swelling, pain, and loss of function.

Symptoms of a hamstring strain range from mild discomfort to severe pain, depending on the extent of tissue damage. Often, strains occur suddenly, characterized by tearing, burning, or popping sensations accompanied by immediate pain below the buttock. Pain exacerbates when straightening the leg, walking, or bending forward, with bruising commonly appearing near the injury site. Inform your doctor of any additional symptoms such as lower back pain, calf pain, exacerbation with coughing or sneezing, or the presence of a rash on the thigh.

Hamstring injuries are more prevalent when muscles are fatigued, occurring more frequently with age. Factors like excessive tightness or weakness in the hamstring, quadriceps dominance, insufficient core strength, or poor running form increase susceptibility to injury. Addressing these predisposing factors through appropriate stretching, strengthening, and technique correction can help prevent hamstring strains and promote overall muscle health and function.

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Preventing De Quervain’s Tenosynovitis: Lifestyle Changes and Relief Strategies

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Tendons are strong, fibrous bands of tissue connecting muscles to bones. Some tendons are covered by a protective, lubricated insulation called a “synovial sheath.” The two tendons on the thumb-side of your wrist that extend and abduct your thumb into a “hitchhiker” position are covered by a sheath. Normally, these tendons move freely within this covering, much like a sword sliding through a sheath. If these tendons and sheaths are forced to repetitively rub against the bones of your wrist, they can become painfully swollen. This condition is called De Quervain’s tenosynovitis.

The pain of De Quervain’s tenosynovitis may begin abruptly, but more commonly starts gradually and increases over time. The pain is provoked by movements of your thumb or wrist. In more severe cases, you may notice swelling on the outside of your wrist. Some patients complain of “catching” or a slight “squeaking” sound while moving their wrist.

Activities like gardening, knitting, cooking, playing a musical instrument, carpentry, walking a pet on a leash, texting, video gaming and sports like golf, volleyball, fly fishing and racquet sports are known triggers. The condition was once known as “Washer woman’s sprain,” since wringing out wet clothes can trigger the problem. Lifting infants or children by placing your outstretched finger and thumb beneath their armpit has led to the nicknames of “Mommy thumb” or “Baby wrist.”

The condition strikes women much more frequently than men. It typically affects middle-age adults and is more slightly common in African-Americans, patients with diabetes or rheumatoid arthritis may be at higher risk for this problem.
Many patients will experience resolution of their symptoms through conservative care, like the type provided in our office. You should avoid lifting, grasping and pinching movements, especially when your wrist is bent toward either side. You may need to find alternate ways to lift children and perform work, sport and leisure activities. Video game players and those who text should take frequent breaks and try to hold their wrists straighter. Avoid wearing tight wristbands. Applying ice to your wrist for 10 minutes every hour or performing an “ice massage” (freeze a paper cup filled with water, tear off the bottom to expose the ice, massage over the tendons in a figure-eight pattern for 6-10 minutes, taking breaks as needed) can provide relief.

Patients who have severe pain or swelling are less likely to respond to conservative care. These patients may require a cortisone injection to relieve their pain, however, surgery is rarely necessary.

Understanding Knee Sprains and Ligament Injuries: Grades, Symptoms, and Treatment

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“Ligaments” are made up of many individual fibers running parallel to each other and bundled to form a strong fibrous band. These fibrous bands hold your bones together. Just like a rope, when a ligament is stretched too far, it begins to fray or tear. “Sprain” is the term used to describe this tearing of ligament fibers.

Sprains are graded by the amount of damage to the ligament fibers. A Grade I sprain means the ligament has been painfully stretched, but no fibers have been torn. A Grade II sprain means some, but not all of the ligamentous fibers, have been torn. A Grade III sprain means that all of the ligamentous fibers have been torn, and the ligament no longer has the ability to protect the joint. Knee sprains commonly involve one or more of your knee’s ligaments including: the medial collateral, lateral collateral, anterior cruciate, and posterior cruciate.

Most knee sprains begin as the result of a sudden stop, twist, or blow from the side or front. Some patients recall a “pop” or “snap” at the time of injury. Knee sprains cause pain and swelling within the joint. Your knee may be tender to touch, and some patients report a sensation of “giving way” or difficulty walking.

Most knee sprains can be successfully managed without surgery but will require some work on your part. Initially, a period of rest may be necessary in order to help you heal. Mild Grade I sprains may return to activity in a couple of days, while more severe injuries may take six weeks or longer to recover. You can help reduce swelling by elevating your knee and using an ACE wrap for compression. Applying ice or ice massage for 10 minutes each hour may help relieve swelling. Depending upon the severity of your sprain, you may need to wear a knee brace to help protect you from further injury. If walking is painful, crutches may be necessary.

Understanding Acromioclavicular Sprain: Causes, Symptoms, and Treatment

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The term “acromioclavicular sprain” means that you have damaged the strong fibrous bands (ligaments) that hold the end of your collarbone (clavicle) to the tip of your shoulder blade (scapula). Another term sometimes used to describe this injury is “shoulder separation.” 40-50% of all athletic shoulder injuries involve the acromioclavicular (AC) joint. AC injuries are common in adolescents and young adults who participate in contact sports, like hockey and football. Males are affected five times more often than females.

Injuries may range from mild fraying of a single ligament to complete rupture of all of the supporting ligaments. Significant tears can allow your collarbone to move upward, out of its normal position, creating a raised bump under your skin. AC joint injuries are categorized (Grade 1-Grade 6) based upon the amount of damage. Grade 1 injuries are tender without joint separation. Grade 2 injuries may be accompanied by a slight separation of the joint. Grade 3 and above will show significant joint separation.

Injuries typically occur following a fall onto the point of your shoulder, while your arm is at your side, or by falling onto your outstretched hand. You will most likely feel pain and swelling on the very top of your shoulder. More significant injuries may produce bruising or a visible “bump” beneath the skin. Moving your shoulder will likely be painfully limited for a while.

Your treatment will vary, depending upon the severity of your injury. Grade 1, 2, and most Grade 3 injuries are best managed conservatively. A sling may be used only when needed to control painful movements. Initially, you will need to limit activity, especially reaching overhead, behind your back, or across your body. The exercises described below are an important part of your rehab and should be performed consistently to avoid long-term problems. Using an ice pack for 10-15 minutes each hour may help to limit swelling and pain.

Some mild separations will heal by themselves within a week or two. More significant injuries can take longer, and disabilities typically range between one and eight weeks. Patients who have suffered a significant amount of ligament damage may have a permanent bump on their shoulder, regardless of treatment. This bump does not usually cause ongoing problems.

Understanding Thoracic Outlet Syndrome: Causes, Risk Factors, and Symptoms

Thoracic Outlet Syndrome
~ Dr. Robert Speirs DC ~ Leave a comment

Thoracic outlet syndrome (TOS) occurs when nerves and blood vessels passing through the thoracic outlet, located just above the collarbone, become compressed. This compression leads to symptoms such as pain, numbness, or tingling in the arm, affecting daily activities and quality of life.

Several factors contribute to the development of TOS. Tight muscles in the neck and chest, as well as a narrow space between the first rib and collarbone, can cause compression. Additionally, individuals with an extra rib (cervical rib) or those who have experienced a recent neck injury are at increased risk of developing TOS.

Poor posture exacerbates TOS, making individuals who spend prolonged periods in positions that promote slouching, such as computer users, assembly line workers, and students, particularly susceptible. Athletes engaging in sports like swimming, volleyball, tennis, and baseball, which involve repetitive overhead movements, are also prone to TOS. Likewise, occupations like electricians and painters, requiring prolonged overhead activity, heighten the risk.

Symptoms of TOS manifest as arm pain, numbness, tingling, and possible weakness. These symptoms typically develop gradually and worsen with arm elevation or excessive head movement. Loss of grip strength may also occur, further impeding daily tasks.

Conservative treatments, like those provided by chiropractors, have shown efficacy in managing TOS symptoms. Avoiding activities that exacerbate symptoms, such as carrying heavy loads on the shoulder, is crucial. Measures like lightening the load of briefcases, laptop cases, or heavy shoulder bags can alleviate pressure on the thoracic outlet. Additionally, padding bra straps or opting for a sports bra may help reduce discomfort and prevent further aggravation of symptoms.

Overall, proactive management of TOS involves addressing contributing factors, modifying activities to reduce strain on the thoracic outlet, and seeking conservative treatments like chiropractic care to alleviate symptoms and improve quality of life. By adopting these strategies, individuals can effectively manage TOS and regain function and comfort in daily life.

Happy Canada Day!!!

~ Dr. Robert Speirs DC ~ Leave a comment

Happy Canada Day to all our wonderful patients! 🍁 Wishing you a day filled with joy, laughter, and cherished moments with loved ones as we celebrate the beauty and diversity of our great nation. Let’s take this opportunity to reflect on the values that unite us and the unique cultural tapestry that makes Canada so special. From coast to coast, may your day be filled with pride in our shared heritage and excitement for the future. Happy Canada Day! 🇨🇦

Choosing the Right Mattress for Optimal Spinal Health and Comfort

~ Dr. Robert Speirs DC ~ Leave a comment

Selecting the right mattress is crucial for ensuring a good night’s sleep and maintaining optimal spinal health. With numerous options available, it’s essential to consider several factors to determine the best mattress for your individual needs.

First and foremost, prioritize support and alignment. Opt for a mattress that offers medium to firm support, as this helps keep the spine in a neutral position throughout the night. Traditional coil spring mattresses and adjustable airbeds are excellent choices, providing sufficient support to prevent sagging and promote proper spinal alignment. Conversely, avoid waterbeds and mattresses with thick pillow tops, as these may lack adequate support and contribute to spinal misalignment.

Additionally, consider your preferred sleep position when selecting a mattress. Back sleepers typically benefit from mattresses that offer firm support to maintain proper spinal alignment. Placing a pillow underneath the knees can further support the lower back and alleviate pressure points. Side sleepers, on the other hand, may find greater comfort and support with a slightly softer mattress. Placing a pillow between the knees helps align the hips and pelvis, reducing strain on the lower back. It’s advisable to avoid sleeping on the stomach, as this position can strain the neck and lead to spinal misalignment.

Furthermore, pay attention to temperature regulation and comfort. Look for mattresses with breathable materials that promote airflow and dissipate body heat, ensuring a comfortable sleeping environment. Additionally, consider investing in mattress protectors or toppers to enhance comfort and extend the lifespan of your mattress.

Lastly, prioritize your personal preferences and comfort levels when choosing a mattress. Take the time to test different options and seek guidance from mattress professionals to find the perfect fit for your unique needs. Remember, investing in a high-quality mattress is an investment in your overall health and well-being, ensuring restful sleep and optimal spinal support night after night.

Effective Treatment for Low Back Pain and Joint Restrictions with Chiropractic Care

~ Dr. Robert Speirs DC ~ Leave a comment

Low back pain is a pervasive issue, affecting 80% of the population at some juncture in life and one-third annually. Often stemming from slightly misaligned or restricted joints in the spine, this discomfort disrupts normal functioning and quality of life.

Comprising five stacked bones with interposed discs for flexibility, the lower back ideally allows for independent movement of each spinal joint. However, our examination may reveal lumbar segmental joint restriction, colloquially termed “subluxation,” indicating slight misalignment and restriction. Analogous to a spring with welded sections, restricted joints impede spinal flexibility and function.

Various factors contribute to joint restriction, including accidents, repetitive strains, and poor posture. Lifestyle habits such as being overweight, smoking, and strenuous work exacerbate the risk. Joint restrictions trigger a cycle of discomfort, initiating inflammation and muscular guarding, perpetuating restriction and potentially causing compensatory issues elsewhere in the spine.

Typically manifesting as local tenderness and restricted range of motion, back pain from joint restriction may radiate to hips or thighs. Inform your chiropractor of any symptoms such as pain radiation below the knee, weakness, or changes in bowel/bladder function.

Untreated, long-standing restrictions may lead to arthritis, akin to misaligned car wheels causing tire wear. Fortunately, chiropractic care offers safe and effective treatment for joint restrictions. Our practice provides various tools to alleviate pain and expedite recovery, complemented by lifestyle adjustments like wearing supportive shoes and incorporating regular breaks from sedentary activities. Additionally, yoga classes may offer supplementary benefits for back pain management.

Recognizing the prevalence and treatability of low back pain underscores the importance of proactive management. By addressing joint restrictions promptly and adopting supportive lifestyle practices, individuals can mitigate discomfort and optimize spinal health. With chiropractic care as a cornerstone of treatment, individuals can reclaim mobility, alleviate pain, and restore overall well-being.