Hip Osteoarthritis

Hip osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, certain hip movements become limited, usually causing pain and alteration of normal biomechanics. 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 and physical activities. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the hip can increase the symptoms of osteoarthritis.

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Structures involved

At the hip, the joint affected by osteoarthritis is the ​acetabulofemoral joint,​ formed by the p​ elvic ​bone and the ​femur​ bone. It is mainly cartilage damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, some muscles in the hip area may become tighter to compensate for the joint restriction.

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Signs & Symptoms that you may experience

Each person will react differently to osteoarthritis and management will depend on its stage. Hip osteoarthritis can produce, but is not limited to, local pain in the groin area, edema and stiffness in certain hip movements. Repetitive hip movements during walking or other sports activities, prolonged standing and sleeping with direct pressure may cause pain.

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Developments

Osteoarthritis of the hip is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.1
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▶​ ​WHAT TO DO

Painful episodes

Relative rest is a good way to prevent your symptoms from getting worse. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and hip muscles strengthening exercises will allow for better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve your hip joint range of motion, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of hip osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of hip osteoarthritis.

▶ ​WHAT TO AVOID

Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

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What is a Herniated Disc?

A herniated disc refers to a disc lesion in the spine, which can cause local symptoms and can sometimes radiate to the legs or arms depending on the location of the lesion. This condition can occur gradually or as a result of a false movement. The hernia is usually located in the neck or lower back. It sometimes appears in the thoracic region in the middle of the back.The intervertebral discs may be damaged due to poor lifting technique, repetitive intense activity or excessive body weight. A combination of several factors can contribute to the development of a herniated disc.With age, the discs lose their gelatinous property, decreasing the size of the disc and the space between the vertebrae. Therefore, the spine becomes less mobile and may become more prone to injury.

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Structures involved

The spine is made up of 24 ​vertebrae,​ each separated by an i​ntervertebral disc​, a small cushion that acts as a shock absorber during spinal movement. These discs consist of a fibrous ring called the​ annulus fibrosis w​ ith a gelatinous substance in the center called the ​nucleus.​ In a ​herniated disc,​ the nucleus pushes through the fibrous ring, exerting pressure on the nerves​ of the spine.page1image3462661504

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Signs & Symptoms that you may experience

Symptoms vary according to the pressure applied to the nerves and can vary greatly from one person to another. When nerves are irritated, a sensation of pain, numbness and/or weakness in the arms or legs may be felt. A herniated disc in the lower back often leads to irritation of the sciatic nerve, causing acute pain radiating towards the leg. A herniated disc in the neck causes pain in the neck and upper shoulders and may radiate towards the arm.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time.​ I​ n most cases, you can expect a full recovery from a herniated disc. As a general rule, this condition may take several

months to fully recover. In cases where the herniated disc is long-standing, the pain may sometimes resurface with no real cause or identifiable false movement and then subside with a return to an active lifestyle.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to prevent your condition from getting worse. A few days of rest while reducing activitiesthatcausesignificant​p​ ainmaybenecessary,butitisveryimportanttoavoiddeconditioning.A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain and exercises to strengthen the stabilizers in your neck or back, depending on the area affected by the hernia, will allow for a better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your personalized rehabilitation program to restore your joint range of motion, muscle strength and endurance, and functional state.

According to the principles of herniated disc rehabilitation, an active approach including the practice of physical activity, regaining a healthy body weight and the use of safe load-lifting principles are important elements for a functional recovery. A progressive training program over a period of a few weeks is quite common. Following that, maintaining an active lifestyle usually helps prevent the pain from returning.

▶ ​WHAT TO AVOID

Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Remember that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, cardiovascular and strength-building exercises based on your tolerance. Remember that exercise is an excellent way to manage pain related to herniated discs.

How Safe is Chiropractic Care?

 

Bottom Line: 

Safety first. Not only is “do no harm” part of the oath that doctors take, but it’s also a pretty good principle for all of us to live by. No matter how safe you are, there are times when you get hurt or injured, and finding a healthcare option that is safe, provides excellent results, and has high patient satisfaction can be tricky. Or is it? In 2007, SPINE (one of the worlds most respected research journals) looked at data from over 50,000 Chiropractic adjustments given to nearly 20,000 patients, and they found Chiropractic care to be incredibly safe and effective. 

Why it Matters:

Awkward sleeping positions, poor posture, and long hours at a computer can all lead to neck pain. By staying active, taking periodic breaks to stretch throughout the day, and setting up your workstation to minimize the stress on your spine, you can dramatically reduce the likelihood you will encounter a bout of neck pain. It’s great to know that if you do end up experiencing neck pain, Chiropractic adjustments are one of the safest and most effective options to help get you back on track. 

  • Research has shown Chiropractic care to be extremely safe.
  • SPINE examined nearly 20,000 patients and found zero complications.
  • Up to 85% of people with acute neck pain found relief with Chiropractic adjustments.

Next Steps: 

Believe it or not, many people are nervous to start Chiropractic care. The truth is that Chiropractic care is safer than many medications and has far less risk than surgery. Sharing research like this with your friends and family is a great idea. It will inspire them to make a smart decision using the Research That Matters! 

Science Source: 

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Safety of Chiropractic Manipulation of the Cervical Spine. SPINE, Volume 32, 2007 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Risk of Vertebrobasilar Stroke and Chiropractic Care. SPINE, Volume 33. 2008 

Decreasing Tension Headaches

Bottom Line:

Quick question: do you know anyone who isn’t interested in reducing the stress in their life? We’ll give you a minute. Still thinking? That’s what we thought! There aren’t too many of us who couldn’t benefit from reducing the stress in our daily lives. Between family, work, and the latest political thread on social media, the stress can be overwhelming! Chronic everyday stress can also significantly impact our brains and bodies, causing everything from fatigue and depression to debilitating headaches. 

Why it Matters:

Headaches caused by stress are often classified as tension-type headaches. Pain at the base of the skull that starts in the neck and wraps around to the front of the head is common with tension headaches. Research has shown that Chiropractic adjustments effectively treat and correct the cause of these headaches, providing both relief from symptoms and lasting results. In fact, in addition to reducing tension in the muscles supporting your neck, adjustments can also improve your range of motion and reduce your overall feeling of stress. This unique combination of benefits is why millions of people rely on Chiropractic care to help them find relief. 

  • Chronic stress can contribute to tension headaches.
  • Chiropractic care is one of the best ways to reduce stress on your musculoskeletal system and spine.
  • Adjustments have been shown to reduce the frequency, severity, and intensity of tension headaches. 

Next Steps: 

You don’t necessarily need to make drastic changes to your life to reduce your daily stress level. Picking up a new hobby, taking a few minutes to read before bed, or enjoying a relaxing activity like yoga can all help. If you would like to discover even more ways to help reduce your daily stress, we invite you to attend our complimentary workshop coming up soon. We’ll be covering everything you need to know to reduce stress and end your headaches now! 

Science Source(s): 

Do Manual Therapy Techniques Have a Positive Effect on Quality of Life in People with Tension-Type Headache? A Randomized Controlled Trial. European Journal of Physical and Rehabilitation Medicine. February 2016

The Connection Between Posture and Headaches 

Bottom Line:

Ergonomics is the study of the posture and positioning of your body. It sounds pretty boring until you consider that millions of people are suffering from headaches every day that are related to their posture! Whether it’s an assembly line, a computer, a tablet, or your phone, you’re likely spending a lot of time looking down. Research has found that up to 20 pounds of pressure is placed on the neck for every inch the chin extends forward or down. This increased pressure can irritate the tissues of the neck leading to everything from premature degenerative changes to chronic headaches. 

Why it Matters:

Maintaining a healthy posture not only helps reduce the stress and pressure on the spinal joints of your neck, it also helps dramatically reduce your headaches. The first step in regaining proper posture is to establish normal motion. This is why Chiropractic adjustments are likely to become your new best friend! Our care is focused on finding the areas of your spine that aren’t moving correctly and gently helping them regain their normal range of motion. After we’ve worked with you to restore proper movement, we can then focus on strengthening the muscles that support your neck and back. This personalized type of care is how we’ve been able to help many people (just like you!) establish better posture and reduce the frequency and severity of their headaches. 

  • Every inch of forward head posture adds up to 20 lbs. of pressure on your neck.
  • This added pressure can contribute to tension headaches.
  • Research has shown that Chiropractic care can dramatically improve your posture and, in turn, reduce your headaches.

Next Steps: 

Take a look around your workstation the next time you’re at the office. Is it set up in a way that’s ergonomically correct? If not, or if you’re not sure, just let us know! We would be happy to set up a time to come to your office, evaluate your workplace, and share our specific recommendations to help keep you and everyone you work with feeling great!  

Science Source(s): 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Headache. Journal of Manipulative and Physiological Therapeutics. Volume 34, Number 5. 2011

Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients with Tension-Type Headache: A Randomized, Controlled Clinical Trial Journal of Chiropractic Medicine. (2014) 13, 4-13 

Preventing Menstrual Migraines 

Bottom Line:

For many women, monthly menstruation means monthly migraines. In addition to hormone changes, your diet, physical activity and stress levels all contribute to this pattern. While pregnancy and menopause are two ways to eliminate these types of headaches, we also have a few more practical ways to find relief!

Why it Matters:

New research recommends Chiropractic adjustments as part of an evidence-based approach to reducing the pain associated with migraine headaches. Regular adjustments can both help reduce the stress on the muscles that support your neck and improve your range of motion. By keeping active, reducing your stress, maintaining enough hydration, and staying well adjusted, you’ll give your body the best opportunity to manage those monthly hormonal changes and take the first step towards ending your migraine headaches!  

  • Hormonal changes cause monthly migraines for millions of women.
  • Stress has been shown to have a significant impact on hormonal balance.
  • Adjustments are recommended as an evidence-based approach to reducing both migraine headaches and overall levels of stress.  

Next Steps: 

Did you suffer from migraine headaches before coming into our practice? If so, stop by the front desk and let us know! Sharing your journey and how Chiropractic care helped you find relief may inspire someone else in our community to take action and find a natural solution to their headaches. 

Science Source(s): 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Headache. Journal of Manipulative and Physiological Therapeutics. Volume 34, Number 5. 2011

Lateral Ankle Sprain

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.

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Structures involved

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.

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Signs & Symptoms that you may experience

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.

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Recovery

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.

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▶ WHAT TO DO

Early-stage

Relative rest is a good way to protect your ankle against further damage, but it is important to avoid overprotecting your injury. A few days rest might be necessary, but returning to progressive loading during your activities of daily living, non-painful light cardiovascular exercise and balance exercise will allow better recovery.

Rehabilitation

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 functional status.

▶ WHAT TO AVOID

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage as severe pain doesn’t necessarily mean a severe injury. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light exercises as tolerated.

The Intersection of Crossfit and Chiropractic

Bottom Line:

If you’re into Crossfit, then you know how addicting it can become. The mix of high-intensity interval training with a little competition can help you stay motivated and make amazing changes to your body. The key to success is staying consistent with your workouts, but it can be challenging if you start to suffer injuries. 

Why it Matters:

Injuries can often occur when your body doesn’t have the correct balance of strength and flexibility. Muscles tears, sprain and strains, and even painful arthritic changes can flare up by either lifting too much weight or by not having enough flexibility to support that weight through a full range of motion. So, here a few tips to reduce the likelihood of injuries:

  • Take a few minutes to stretch before and after your workout.
  • Increase the weight you lift slowly and focus on reps vs. max weight.
  • Use good posture and ergonomics during your workouts. Don’t “cheat” and increase your risk of an injury 

Next Steps: 

Researchers have discovered that a combination of proper warm up/cool down, a full range of motion and progressive intensity training can help reduce injuries when strength training. One of the most effective ways to improve your spinal mobility and flexibility is through Chiropractic care. Adjustments to your spine and extremities have been shown to increase their range of motion and may help you find that perfect balance of strength and flexibility.  

Science Source(s): 

Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2014

Progressive resistance strength training and the related injuries in older adults: the susceptibility of the shoulder. Aging Clinical and Experimental Research 2014

Diet: Healthy Diet May Lower Risk of COPD.

Diet: Healthy Diet May Lower Risk of COPD.

New research suggests that a diet low in red meat and rich in whole grains may reduce the risk of developing a chronic lung disease known as chronic obstructive pulmonary disease (COPD). Researchers tracked over 120,000 individuals and found that healthy eaters were one-third less likely to develop COPD when compared with regular consumers of red meat, refined grains, sugary drinks, and alcohol. The findings reveal that good eating habits appear to lower COPD risk for both smokers and nonsmokers alike.

 

British Medical Journal, February 2015

Photo by Alexandr Podvalny on Pexels.com

Stiff neck??

One of the most common causes of a stiff neck are trigger points in the levator scapulae muscle. This muscle runs up the side of the neck from the top of the shoulder blade. It helps to shrug the shoulders and move and stabilize the neck. When trigger points form in this muscle they will produce pain and stiffness in the neck. Deep tissue trigger point massage applied to these knots is an effective treatment method.

Photo by Karolina Grabowska on Pexels.com