Stress Fracture

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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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Spondylolithesis

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Spondylolisthesis occurs when one vertebra slips out of place. This slight slippage can sometimes cause compression of the nerves and, in some cases, cause tingling, numbness, pain, and even weakness in the legs.

Spondylolisthesis can be the result of a trauma to the spine, a congenital defect or simply be a progression of osteoarthritis. Spondylolisthesis can occur, without apparent cause, as people age. In younger individuals, spondylolisthesis usually occurs as a result of trauma during sports such as gymnastics or football and can cause a fracture in the vertebra.

Each person will react differently to the presence of spondylolisthesis and symptoms can vary considerably. Initially, spondylolisthesis may be present without any noticeable symptoms.
When pain is present, it is often felt in the lower back or the buttocks. It can range from mild to severe and can affect daily activities such as walking. Burning and tingling sensations may be felt in the area of the buttocks and legs.

Sitting or leaning forward is often less painful than standing or walking because of the positioning of the spine.

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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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Frozen Shoulder

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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.

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.

Scoliosis

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Scoliosis is a deformation of the spine, that is, a deviation of it, which can vary from mild (10-25 degrees) to severe (> 40 degrees). Scoliosis affects the joints, muscles and surrounding organs such as the shoulders, ribs, hips and lungs. Over time, the rib cage becomes less mobile and makes breathing more difficult.

In most cases, scoliosis is idiopathic, that is, the reason for its occurrence remains unknown. Scoliosis usually progresses over time and often leads to increased curvature and twisting of the spine.

Scoliosis is more common in women than in men and most often presents in young adolescents during growth.

In some cases, scoliosis is hereditary and forms during the development of the fetus. It is also present in neuromuscular conditions such as spina bifida or cerebral palsy. Progressive degeneration of the spine, such as arthritis, can lead to scoliosis in older people.

Sacroiliitis

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Sacroiliitis is an inflammatory condition that affects the sacroiliac joint. This joint is located at the base of the spine, where the sacrum meets the pelvis.

This condition can be caused by trauma from a car accident or a fall on the buttocks. An inflammatory condition such as arthritis can also cause sacroiliitis.

Pregnant women can suffer from sacroiliitis. During pregnancy, the stretching of the ligaments makes the joint a little more mobile and this can cause pain.

Sacroiliitis is a very common condition. Pain is usually increased by movement in the acute phase, but improved by it afterwards.

Sacroiliitis can produce, but is not limited to, pain in the buttock area and lower back, that may radiate into the legs. The pain increases with standing or sitting for long periods of time and also increases during periods of activity such as climbing stairs and running. A feeling of stiffness in the lower back and hips is common in the morning. 

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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

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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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Pubalgia Pain

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Pubalgia is pain in the central point of the pubis, the pubic symphysis, which develops mainly after overexertion during sports activities. Repeated microtraumas or excessive strain on the abdominal and hip adductor muscles can cause slight shearing of this joint and generate pain felt in the groin area.

Pubalgia can produce, but is not limited to, pain in the pubic area and towards the groin area, difficulty in tolerating weight bearing and impacts during walking and running.

Relative rest is a good way to protect yourself and prevent your pubalgia from getting worse, but it’s important to avoid overprotecting. A few days of rest by reducing activities that cause pain may be needed. A progressive return to your activities of daily living, light cardiovascular activities that do not cause pain, and strengthening exercises will allow for better recovery.

#Chiropractic #PainRelief #Healthyliving #LaserTherapy #Winnipeg #BackPain #NeckPain #Headache #Fitness #Athlete #Wellness

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