Why Does My Back Hurt?

The muscles of the hip provide not only local stability, but also play an important role in spinal and lower extremity functional alignment. (1-4) While weakness in some hip muscles (hip extensors and knee extensors) is well tolerated, weakness or imbalance in others can have a profound effect on gait and biomechanical function throughout the lower half of the body. (5) Weakness of the hip abductors, particularly those that assist with external rotation, has the most significant impact on hip and lower extremity stability. (5,6)

The gluteus medius is the principal hip abductor. When the hip is flexed, the muscle also assists the six deep hip external rotators (piriformis, gemelli, obturators, and quadratus femoris). The gluteus medius originates on the ilium just inferior to the iliac crest and inserts on the lateral and superior aspects of the greater trochanter. While the principal declared action of the gluteus medius is hip abduction, clinicians will appreciate its more valuable contribution as a dynamic stabilizer of the hip and pelvis- particularly during single leg stance activities like walking, running, and squatting. The gluteus medius contributes approximately 70% of the abduction force required to maintain pelvic leveling during single leg stance. The remainder comes predominantly from 2 muscles that insert onto the iliotibial band: the tensor fascia lata and upper gluteus maximus. Hip abductor strength is the single greatest contributor to lower extremity frontal plain alignment during activity. (6)

Incompetent hip abductors and/or external rotators allows for excessive adduction and internal rotation of the thigh during single leg stance activities. This leads to a cascade of biomechanical problems, including pelvic drop, excessive hip adduction, excessive femoral internal rotation, valgus knee stress, and internal tibial rotation. (1,7-12)

Patellofemoral pain syndrome (PFPS), also called “Runners Knee”, describes the symptom complex of knee discomfort, swelling, or crepitus that results from excessive or imbalanced forces acting on the joint. It is the most common cause of knee pain in the general population, affecting an estimated 25% of adults.
PFPS is most commonly related to lateral tracking of the patella. The patella has a natural tendency to migrate laterally due to the pull of the quadriceps and the slight natural valgus of the lower extremity. A new study in the Journal of Sports Medicine (1) provides additional confirmation that when managing patellofemoral pain syndrome, clinicians must address two critical yet often overlooked issues.
This study concludes that PFPS and dynamic knee valgus do not arise primarily from knee dysfunction, rather from hip abductor/ external rotator weakness and/or foot hyperpronation.
“The most effective intervention programs included exercises targeting the hip external rotator and abductor muscles and knee extensor muscles.” and “PFPS patients with foot abnormalities, such as those with increased rearfoot eversion or pes pronatus, may benefit the most from foot orthotics.”
Since gluteus medius and VMO weakness are key factors in the development of PFPS, strengthening exercises that target those muscles prove most effective. Stabilization exercises may include pillow push (push the back of your knee into a pillow for 5-6 seconds), supine heel slide, terminal knee (short-arc) extension, clam, glut bridge, semi-stiff deadlift, posterior lunge, and monster walk.
Myofascial release and stretching should be directed at hypertonic muscles, including the TFL, gastroc, soleus, hamstring, piriformis, hip rotators, and psoas. Myofascial release or IASTM may be appropriate for tightness in the iliotibial band, vastus lateralis, posterior hip capsule, and lateral knee retinaculum.
Manipulation may be necessary for restrictions in the lumbosacral and lower extremity joints. Hypermobility is common in the ipsilateral SI joint with restrictions present contralaterally. Evidence has shown that patellar tracking braces, i.e. BioSkin® or PatellaPro®, may lead to better outcomes.
Lifestyle modification may be necessary to reduce pain-provoking endeavors, especially running, jumping and other activities that induce a valgus stress. Athletes should avoid allowing their knee to cross in front of their toes while squatting. Arch supports or custom orthotics may be necessary to correct hyperpronation. Runners should avoid cross-over gaits and change shoes every 250 to 500 miles.
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#pain
#kneepain
#chiropractic
#fitness
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#wellness
#fitness
#healthyliving
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References
1. Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access Journal of Sports Medicine. 2017;8:143-15

Becoming healthy and staying healthy is hard, challenging work but worth every second of persistence.

Whiplash Associated Disorders (WAD) is the appropriate terminology to use when addressing the myriad of symptoms that can occur as a result of a motor vehicle collision (MVC). In a recent publication in The Physician and Sports Medicine (Volume 43, Issue 3, 2015; 7/3/15 online:1-11), the article “The role of the cervical spine in post-concussive syndrome” takes a look at the neck when it’s injured in a car accident and how this relates to concussion.
It’s estimated about 3.8 million concussion injuries, also referred to as “mild traumatic brain injury” (mTBI), occur each year in the United States. Ironically, it’s one of the least understood injuries in the sports medicine and neuroscience communities. The GOOD NEWS is that concussion symptoms resolve within 7-10 days in the majority of cases; unfortunately, this isn’t the case with 10-15% of patients. Symptoms can last weeks, months, or even years in this group for which the term “post-concussive syndrome” (PCS) is used (defined as three or more symptoms lasting for four weeks as defined by the ICD-10) or three months following a minor head injury (as defined by the Diagnostic and Statistical Manual of Mental Disorders).
There have been significant advances in understanding what takes place in the acute phase of mTBI, but unfortunately, there is no clear physiological explanation for the chronic phase. Studies show the range of force to the head needed to cause concussion is between 60-160g (“g” = gravity) with 96.1g representing the highest predictive value in a football injury, whereas as little as 4.5g of neck acceleration can cause mild strain injury to the neck. In spite of this difference, the signs and symptoms reported by those injured in low-speed MVCs vs. football collisions are strikingly similar!
Research shows if an individual sustains an injury where the head is accelerated between 60-160g, it is HIGHLY likely that the tissues of the cervical spine (neck) have also reached their injury threshold of 4.5g. In a study that looked at hockey players, those who sustained a concussion also had WAD / neck injuries indicating that these injuries occur concurrently. Injuries to the neck in WAD include the same symptoms that occur in concussion including headache, dizziness/balance loss, nausea, visual and auditory problems, and cognitive dysfunction, just to name a few.
The paper concludes with five cases of PCS that responded well to a combination of active exercise/rehabilitation AND passive manual therapy (cervical spine manipulation). The favourable outcome supports the concept that the neck injury portion of WAD is a very important aspect to consider when treating patients with PCS!
This “link” between neck injury and concussion explains why chiropractic care is essential in the treatment of the concussion patient! This is especially true when the symptoms of concussion persist longer than one month!
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 Whiplash, we would be honoured to render our services.
Athletes are no strangers to the risk of injury that comes with pushing the limits of physical performance. Whether you’re a professional athlete, a dedicated gym-goer, or a weekend warrior, the last thing you want is to be sidelined by an injury. That’s where Pilates comes in. This low-impact exercise method offers a myriad of benefits for athletes, including injury prevention. In this article, we’ll explore how Pilates can help athletes stay injury-free and perform at their best.
Understanding Pilates
Pilates is a form of exercise that focuses on strengthening the core muscles, improving flexibility, and enhancing body awareness and control. Developed by Joseph Pilates in the early 20th century, Pilates emphasizes precise, controlled movements performed with proper alignment and breathing techniques. Pilates exercises can be done on a mat or using specialized equipment such as reformers, cadillacs, and barrels, offering a versatile and customizable workout experience.
Benefits of Pilates for Injury Prevention
Incorporating Pilates Into Your Training Routine
To reap the benefits of Pilates for injury prevention, consider incorporating Pilates into your training routine in the following ways:
Conclusion
In conclusion, Pilates is a valuable tool for athletes seeking to prevent injuries, improve performance, and maintain overall health and well-being. By strengthening the core, promoting muscle balance and flexibility, enhancing body awareness, and facilitating injury rehabilitation, Pilates empowers athletes to move with confidence, resilience, and efficiency. Whether you’re a competitive athlete or a fitness enthusiast, incorporating Pilates into your training routine can help you stay injury-free and perform at your peak.
Athletes are always seeking ways to optimize their performance and gain a competitive edge. While rigorous training, proper nutrition, and mental focus are essential components of athletic success, many athletes are turning to chiropractic care to enhance their performance and prevent injuries. In this article, we’ll explore the role of chiropractic care in improving athletic performance and how athletes can benefit from incorporating chiropractic treatments into their training regimen.
Understanding Chiropractic Care
Chiropractic care is a holistic healthcare approach that focuses on the relationship between the spine and the nervous system, emphasizing the body’s innate ability to heal itself. Chiropractors use hands-on techniques, such as spinal adjustments, manipulations, and soft tissue therapies, to correct spinal misalignments (subluxations), restore joint function, and alleviate pain and dysfunction. By optimizing spinal alignment and nervous system function, chiropractic care aims to promote overall health, well-being, and vitality.
Benefits of Chiropractic Care for Athletes
Incorporating Chiropractic Care into Athletic Training
Athletes of all levels can benefit from incorporating chiropractic care into their training regimen, whether they’re preparing for competition, recovering from an injury, or simply looking to optimize their performance and overall health. Here are some tips for integrating chiropractic care into your athletic routine:
Conclusion
In conclusion, chiropractic care offers numerous benefits for athletes seeking to improve their performance, prevent injuries, and recover from training and competition. By optimizing spinal alignment, enhancing nervous system function, and promoting overall musculoskeletal health, chiropractic adjustments help athletes move, perform, and feel their best. Whether you’re a professional athlete, weekend warrior, or fitness enthusiast, chiropractic care can be a valuable addition to your training toolkit, helping you achieve your athletic goals and excel in your chosen sport or activity.
In today’s fast-paced world, many of us lead lives that put significant strain on our bodies. Whether it’s from sitting at a desk for hours on end, participating in sports, or even just the stresses of daily life, our bodies can develop aches, pains, and imbalances over time. This is where chiropractic care comes in.
Chiropractic adjustments are a cornerstone of chiropractic care, and they offer numerous benefits beyond just pain relief. In this article, we’ll explore five key benefits of regular chiropractic adjustments that can improve your overall health and well-being.
1. Pain Relief
One of the most well-known benefits of chiropractic adjustments is their ability to provide relief from pain, particularly in the back, neck, and joints. By realigning the spine and other musculoskeletal structures, chiropractors can alleviate pressure on nerves and reduce inflammation, leading to decreased pain and improved mobility.
2. Improved Posture
Poor posture is a common problem in today’s society, often resulting from sedentary lifestyles and excessive screen time. Over time, poor posture can lead to muscle imbalances, joint dysfunction, and chronic pain. Regular chiropractic adjustments can help correct spinal misalignments, allowing your body to maintain better posture naturally.
3. Enhanced Functionality
When your spine is properly aligned, your nervous system can function more efficiently, facilitating communication between your brain and body. This improved communication can enhance the function of various systems and organs in your body, leading to better overall health and vitality.
4. Increased Energy Levels
When your body is in alignment, it doesn’t have to work as hard to maintain proper function. Many people report feeling more energized and alert after chiropractic adjustments, as their bodies are able to operate more efficiently. This increased energy can translate into improved productivity and a better quality of life.
In conclusion, regular chiropractic adjustments offer a multitude of benefits beyond just pain relief. From improved posture and enhanced functionality to a stronger immune system and increased energy levels, chiropractic care can help you achieve and maintain optimal health and wellness. If you’re looking for a natural, holistic approach to health care, consider incorporating regular chiropractic adjustments into your wellness routine. Your body will thank you for it!
Speed is a coveted attribute in various sports and physical activities. Whether you’re an athlete aiming to enhance performance, a fitness enthusiast looking to diversify your workout routine, or someone seeking to improve overall health, incorporating sprinting into your weekly regimen can be a game-changer. Sprinting three times a week is particularly effective for building and maintaining speed year-round. Here’s why this approach is so beneficial.
Sprinting primarily engages fast-twitch muscle fibers, which are crucial for explosive movements and speed. These fibers generate more power compared to slow-twitch fibers, making them essential for activities requiring quick bursts of energy. Regular sprinting stimulates these muscles, enhancing their strength and efficiency. By sprinting three times a week, you consistently activate and develop these fibers, leading to improved speed and explosive power.
Speed is not just about muscle power; it’s also about how effectively your brain and muscles communicate. Sprinting improves neuromuscular coordination by training your nervous system to send rapid, precise signals to your muscles. This heightened coordination translates into quicker, more efficient movements, essential for maintaining speed. Regular sprinting ensures these neuromuscular pathways remain sharp and responsive.
While sprinting is an anaerobic exercise, it significantly boosts cardiovascular fitness. Short, intense bursts of sprinting elevate your heart rate, improving heart and lung function. This enhanced cardiovascular capacity supports longer durations of physical activity and quicker recovery times, contributing to overall endurance. Better cardiovascular health also means your body can sustain high-speed performance for extended periods.
Sprinting is an excellent way to boost your metabolism. The high-intensity nature of sprinting triggers a metabolic response known as excess post-exercise oxygen consumption (EPOC), where your body continues to burn calories at an elevated rate even after the workout is finished. This increase in metabolic rate aids in fat loss and muscle definition, which can contribute to overall speed and agility.
Regular sprinting allows for continual refinement of technique and form. Proper sprinting mechanics are crucial for maximizing speed and efficiency while minimizing the risk of injury. Sprinting three times a week provides ample opportunity to focus on aspects such as stride length, arm movement, and body posture. Over time, these adjustments become ingrained, leading to improved overall speed.
High-intensity exercises like sprinting stimulate the release of growth hormone and testosterone, both of which are vital for muscle growth and recovery. These hormones help repair and build muscle tissue, ensuring that your muscles remain strong and capable of producing the power needed for sprinting. Maintaining a balanced hormonal environment is key to sustaining speed and athletic performance.
Sprinting is as much a mental challenge as it is a physical one. The intensity of sprinting workouts builds mental toughness and resilience. Pushing through the discomfort of high-intensity sprints develops a strong, determined mindset, which is crucial for athletes and fitness enthusiasts alike. This mental fortitude can be applied to various aspects of life, enhancing overall well-being and performance.
One of the most significant advantages of sprinting is its time efficiency. Unlike lengthy endurance workouts, sprinting sessions are short yet highly effective. A well-structured sprint workout, including warm-up and cool-down, can be completed in 30 minutes or less. This makes it easier to fit into a busy schedule while still reaping substantial benefits for speed and fitness.
Sprinting three times a week is a powerful strategy for building and maintaining speed year-round. By maximizing fast-twitch muscle fiber activation, enhancing neuromuscular coordination, boosting cardiovascular fitness, increasing metabolic rate, improving technique, promoting hormonal balance, supporting mental toughness, and offering time efficiency, sprinting proves to be an indispensable component of a well-rounded fitness regimen. Embrace the challenge and unlock your speed potential by incorporating regular sprints into your weekly routine. Your body—and your stopwatch—will thank you.

Mixed Martial Arts (MMA) is one of the most physically demanding sports, requiring a combination of strength, speed, flexibility, and endurance. Fighters subject their bodies to intense training regimes and rigorous competition, often leading to various physical strains and injuries. To maintain peak performance and longevity in the sport, many MMA athletes turn to chiropractic care. This holistic approach to health not only aids in injury prevention and recovery but also enhances overall athletic performance. Here’s how chiropractic care can be a game-changer for MMA fighters.
Chiropractic care focuses on maintaining and improving the alignment and function of the musculoskeletal system, particularly the spine. For MMA fighters, optimal spinal alignment is crucial for performance. Proper alignment ensures that the nervous system operates efficiently, which can enhance reflexes, coordination, and overall physical performance. Regular chiropractic adjustments can also improve joint flexibility and range of motion, which are essential for executing precise techniques and avoiding injury during training and fights.
MMA fighters are prone to a variety of injuries, including sprains, strains, dislocations, and fractures. Chiropractic care plays a significant role in both preventing and recovering from these injuries. By maintaining proper alignment and balance, chiropractic adjustments help distribute physical stress more evenly across the body, reducing the risk of overuse injuries. Additionally, chiropractors can identify and address minor misalignments and imbalances before they develop into more serious issues.
For injury recovery, chiropractic care can accelerate the healing process. Techniques such as spinal adjustments, soft tissue therapy, and rehabilitative exercises help reduce inflammation, improve circulation, and promote the body’s natural healing mechanisms. This holistic approach ensures that fighters can return to training and competition more quickly and with reduced risk of re-injury.
Pain management is another critical aspect where chiropractic care benefits MMA fighters. The physical demands of training and fighting can lead to chronic pain conditions, including back pain, neck pain, and headaches. Chiropractic adjustments can alleviate these pains by addressing their root causes, rather than merely masking the symptoms. By reducing nerve irritation and improving spinal function, chiropractic care provides long-term relief and helps fighters maintain their training schedules without being hindered by pain.
The benefits of chiropractic care extend beyond the physical realm. Mental clarity and focus are paramount for MMA fighters, both in training and in the octagon. Pain and discomfort can be significant distractions, impairing concentration and decision-making. By alleviating pain and promoting overall well-being, chiropractic care can enhance mental focus and resilience. Moreover, regular chiropractic sessions can reduce stress and anxiety levels, contributing to better mental health and a more positive mindset.
At River East Chiropractic, we understand the unique needs of MMA fighters and offer a comprehensive range of services to support their health and performance. Our facility is equipped with a full gym, and our team includes chiropractors, acupuncturists, massage therapists, occupational therapists, and personal trainers. This multidisciplinary approach ensures that fighters receive well-rounded care tailored to their specific requirements.
For MMA fighters aiming to reach their peak potential and extend their careers, chiropractic care is an invaluable resource. By addressing physical alignment, preventing injuries, managing pain, and promoting overall well-being, chiropractic care helps fighters stay at the top of their game. River East Chiropractic is dedicated to providing the comprehensive care that MMA fighters need to excel. Follow us on social media and visit our clinic to learn more about how we can support your journey to optimal performance and health.