Pain

Lateral Ankle Sprain

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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.

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Finding Headache Relief Without Drugs 

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line:

Waking up with a headache or consistently getting one by the end of work each day is not fun (or normal). Headaches can be caused by a variety of factors, none of which are a shortage of medication in your body! As a matter of fact, if you have been relying on drugs to find relief day after day, there is a variety of new research that encourages you to reconsider. 

Why it Matters:

Relying on medications to find relief each and every day places an enormous amount of strain on your liver and other internal organs. What’s more, researchers have found that a common “side” effect of many popular headache mediations is…more headaches! And if that wasn’t enough to encourage you to think differently about how to treat your headaches, new research has found an increased risk of heart attacks in people who had taken NSAIDs (or non-steroidal anti-inflammatory drugs). It’s easy to see why our firm belief is that the best way for most people to find relief from their headaches is through natural healthcare such as combination of Chiropractic and light stress-relieving exercise like yoga. 

  • Headache medications often have dangerous side effects. 
  • Research has shown little to no evidence that such drugs are effective at treating headaches.
  • In a recent study, over 30% of participants saw a 100% improvement in the frequency and severity of their headaches after receiving Chiropractic care. 

Next Steps: 

Our workshop on finding natural solutions and relief from headaches is coming up soon! We’ll help you discover the causes of many common types of headaches, share tips on reducing their impact in your life, and review the steps you can take to ensure that you don’t have to suffer from them in the future. Share this with a friend and be sure to let us know how many people will be attending the workshop with you! 

Science Source(s): 

Dose-Response and Efficacy of Spinal Manipulation for Chronic Cervicogenic Headache: A Pilot Randomized Controlled Trial. The Spine Journal. 2010 

Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial. BioMed Central. 2017 

Knee Osteoarthritis

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Photo by cottonbro on Pexels.com
Knee Osteoarthritis
Knee osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, the knee’s flexion and extension movements become limited, generally causing pain and an alteration of the normal biomechanics. Your thigh muscles also have to 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 knee can increase the symptoms of osteoarthritis.

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Structures involved

In the knee, the joint affected by osteoarthritis is the t​ ibiofemoral joint​, formed by the femur bone and the tibia 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, certain muscles in the thigh area may compensate for the joint restriction and become more tense.page1image34813889601

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Signs & Symptoms that you may experience

Each person will react differently to osteoarthritis and management will depend on its stage. Knee osteoarthritis can produce, but is not limited to, local pain in the knee, localized edema and stiffness in certain knee movements. Repetitive movements of the knee during walking or other sports activities and a squatting position with direct pressure can cause pain.

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Developments

Knee osteoarthritis 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.

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▶​ ​WHAT TO DO

Painful episodes

Relative rest is a good way to prevent your symptoms from getting worse after a painful episode. 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 knee 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 range of motion of your knee’s joint, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of knee 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 knee 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 of osteoarthritis. 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.

Your Arm Pain May Be Coming From Your Neck

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

Cervical radiculopathy is the medical term for when a spinal disc in your neck is irritating or compressing a nerve root, causing pain, numbness, tingling, or weakness in your arm and hand. Specific neck movements, like twisting or bending, may increase the pain. This can happen because of injury or degenerative changes in the spine. The good news is that over 95% of people get well with natural healthcare like Chiropractic. 

Why it Matters: 

A pinched nerve in your neck can cause a lot of pain, and it can be tempting to reach for medications to find relief. However, research shows us you may want to contact your Chiropractor before reaching for any pills. The Annals of Internal Medicine found that Chiropractic adjustments provided more pain relief than medications for people suffering from neck pain and the relief was long-lasting. The patients in the study experienced statistically significant relief up to 1 year after the initial treatment! 

  • Discs in your neck can compress or irritate your nerves causing pain, numbness, or weakness.
  • Research has shown that adjustments were more effective than medication in the short and long-term.
  • Chronic neck pain can be reduced by up to 75% or more after Chiropractic adjustments.

Next Steps:

Research has shown that Chiropractic is an extremely safe and effective healthcare option for treating neck pain or pinched nerves. Additionally, Chiropractors are trained to help you proactively combat neck pain and to prevent it from showing up in the first place. Ask us about some simple stretches and exercises you can perform to help improve your range of motion while keeping your discs and nerves healthy and happy. 

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

Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. 2013 

Neck Pain, Posture and Headaches

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

You know that feeling – the one where you start to feel a headache coming on. For many people, it is a daily occurrence and often begins in the neck and shoulders. That’s right – tight muscles around your neck can result in tension headaches. What’s more, if you sit at a computer all day, your posture may also be contributing to a decreased range of motion, premature degenerative changes in your spine, and headaches – but there’s good news! There are a few simple steps you can take to help you feel less pain, increase your energy, and fend off those degenerative changes. New evidence-based guidelines strongly recommend a combination of exercise, stretching, and Chiropractic adjustments to help reduce neck pain, headaches, and muscle tension. 

Why it Matters:

Chronic neck pain can rob you of the things you love. Enjoying your hobbies, taking a few moments to relax, and time with your family can all be affected. However, neck pain and headaches don’t have to be a part of your daily life. By understanding the latest research, you can take massive action to improve your health. Check out the next steps below to find a few tips to help you take your life back from pain. 

  • Research recommends a combination of Chiropractic, exercise, and stretching to reduce neck pain.
  • Chiropractic has an extremely high patient satisfaction score of over 90%.
  • An amazing 85% of people receiving Chiropractic adjustments for acute neck pain experienced significant improvement.

Next Steps:

It’s exciting that research has continued to showcase that you’re in charge of your health. Your habits and lifestyle can make a massive impact. Start reducing neck pain today by taking breaks every 45-60 minutes and stretching out your neck and shoulders. Take a brisk walk during lunch or hit the gym a few times a week to increase your activity levels. Finally, don’t forget about getting adjusted. Research proves that Chiropractic adjustments are a smart decision! 

Science Source(s): 

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

Perceived Value of Spinal Manipulative Therapy and Exercise Among Seniors with Chronic Neck Pain: A Mixed Methods Study. Journal of Rehabilitation Medicine. 2014 

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

Guyon’s canal syndrome

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One of the conditions best suited to laser therapy

This syndrome corresponds to a compression or irritation of the ulnar nerve at the level of the Guyon’s canal, located on the anterior surface of the wrist towards the fifth finger.

This condition is usually the result of a direct trauma to the hand or following a prolonged compression of the hand, such as in cyclists or golfers. Also, Guyon’s canal syndrome can occur as a result of repeated grasping movements along hand movements. This problem can also occur following a sustained position with the wrist bent.

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Structures involved

In the wrist, the ulnar nerve passes directly between the pisohamate ligament, which connects two carpal bones together, and the fascia of the palmaris brevis muscle located in the palm of the hand. These two structures together form Guyon’s canal. In addition to the ulnar nerve, the canal also contains the deep branch of the ulnar artery. The syndrome usually occurs when, for one reason or another, the space in Guyon’s canal is reduced and the ulnar nerve is compressed.

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Signs & Symptoms that you may experience

Guyon’s canal syndrome can cause, but is not limited to, numbness, tingling and loss of sensation in the fifth finger and half of the fourth. Atrophy of the hand muscles may also occur. During the night, you may experience pain and numbness from prolonged bending of the wrist. Symptoms are also exacerbated during repetitive activities involving wrist movements or prolonged pressure on the hand.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. Most of the time, you should recover completely from Guyon’s canal syndrome. This condition may take a few months to fully recover.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to protect your Guyon’s canal syndrome and prevent your injury from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercise and specific mobility and 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 successful rehabilitation. Your therapist will accompany you during your rehabilitation program to restore your joint range of motion, muscle strength and endurance, flexibility and functional status.

▶ ​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. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, mild strengthening exercises based on your tolerance.

Ischial Bursitis

~ Dr. Robert Speirs DC ~ Leave a comment
Photo by Edgar Martu00ednez on Pexels.com

Ischial Bursitis
Ischial bursitis is the irritation of the bursa at the bony prominence behind the pelvis,​ ​called ischial tuberosity. This bony prominence represents an insertion zone for several muscles, including the hamstrings, and provides support in the sitting position.

Activities and sports that require the hamstring muscles to be repeatedly contracted or stretched during running, jumping or kicking can cause irritation of the bursa and sometimes inflammation. Ischial bursitis usually results from injury to the hamstring tendons. Prolonged sitting on a hard surface or falling on the buttocks can also aggravate the irritation.

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Structures involved

The b​ursa ​is a small fluid-filled sac. The bursa located in the pelvis acts as a lubricant to reduce friction between the muscles and the ischial tuberosity.

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Signs & Symptoms that you may experience

Each person will react differently after an injury and recovery will depend on the severity of the injury. Ischial bursitis can produce, but is not limited to pain in the buttock area, localized swelling of the bursa and reduced mobility at the hip.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. In most cases, you can expect a full recovery from ischial bursitis. As a general rule, this condition may take a few months to fully recover.1

Facet Syndrome

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Facet syndrome represents an irritation of the articular facets at the level of the spine. This progressive condition is often associated with a sensation of pain and generally affects the quantity and quality of movement possible.

The spine is made up of several vertebrae, intervertebral discs, ligaments, nerves and many muscles. The facet joints are small joints, covered with cartilage, that connect the vertebrae together.

Facet syndrome most often affects the lumbar or cervical region and usually happens as a result of structural changes that occur in the spine with age. Facet syndrome can be caused by inflammatory conditions, such as arthritis, or following a spinal trauma, such as a car accident or a fall.

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Structures involved

The cartilage that covers the f​acet joint​ and allows the vertebrae to move easily against each other is often involved in this condition.

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Signs & Symptoms that you may experience

Facet syndrome is multifactorial and symptoms can vary greatly from one person to another. The symptoms of facet syndrome vary depending on the region of the spine affected. At the cervical level, symptoms are generally felt at the base of the skull, neck, upper back and shoulders. At the lumbar level, symptoms are usually located in the lower back, hips, groin and behind the legs. Pain and stiffness are often present after periods of rest and are often exacerbated in the morning. Burning and tingling sensations may be felt in the area of the buttocks and legs.

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Developments

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 facet syndrome. This condition can sometimes be associated with

osteoarthritis, which is a chronic condition that cannot be cured. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms. As a general rule, it can take a few months before you can return to a functional level. In cases of long-standing facet syndrome, 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 protect your facet syndrome and prevent your condition from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercises that do not cause pain and exercises to strengthen your lumbar and abdominal stabilizer muscles 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 regain your joint range of motion, your strength and muscular endurance of the spinal region involved and your functional state.

▶ ​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.

Carpal Tunnel Syndrome

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Carpal Tunnel Syndrome
Carpal tunnel syndrome is a compression or irritation of the median nerve at the carpal tunnel on the anterior side of the wrist.This condition is usually the result of repetitive wrist movement, such as regular and prolonged use of a computer mouse or repetitive movements at work. Carpal tunnel syndrome can also occur as a result of trauma or tendinitis of the flexor muscles of the wrist, or during pregnancy due to nerve compression as a result of swelling in the hands.It is estimated that about 8% of the adult population is affected, making it a relatively common condition. It is the most common compression neuropathy of the upper limb. Women are twice as affected as men.

Structures involvedThe nerves of the hand as well as the tendons of the flexor muscles pass to the anterior aspect of the wrist under the ​transverse carpal ligament​ that holds them in place. It is the passage formed by the transverse ligament and the bones of the wrist, called carpal bones, that forms the carpal tunnel. The syndrome usually occurs when, for some reason, the space in the carpal tunnel is reduced and the median nerve is compressed.In some cases, a dysfunction of the cervical spine can cause symptoms of carpal tunnel syndrome without repetitive wrist extension motion.page1image34618856961

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Signs & Symptoms that you may experience

Carpal tunnel syndrome can cause, but is not limited to, numbness and tingling in the first three fingers and half of the fourth, as well as atrophy of the hand muscles. During the night, you may experience pain and numbness from prolonged bending of the wrist. Symptoms are also exacerbated during repetitive activities involving wrist movements.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. Most of the time, you should recover completely from carpal tunnel syndrome. This condition may take a few months to fully recover.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to protect your carpal tunnel syndrome and prevent your injury from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercise and specific mobility and strengthening exercises will allow for better recovery.

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 rehabilitation program to restore your joint range of motion, muscle strength and endurance, flexibility and functional status.

According to the principles of carpal tunnel rehabilitation, reducing aggravating factors and recovering neural mobility, through neurodynamic exercises, would be an important part of functional recovery.

▶ ​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. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, mild strengthening exercises based on your tolerance.

Plantar Fasciitis and Laser Therapy

~ Dr. Robert Speirs DC ~ Leave a comment

What is it?

Plantar fasciitis is inflammation of the thick tissue on the bottom of the foot that connects the heel to the toes and creates the arch of the foot.

Symptoms

The most common complaint is pain in the bottom of the heel. The heel pain may be dull or sharp. The bottom of the foot may also ache or burn. This can be painful and make walking more difficult.
The pain is usually worse:

  • In the morning when you take your first steps
  • After standing or sitting for a while
  • When climbing stairs
  • After intense activity

The pain may develop slowly over time, or suddenly after intense activity.

What Causes Plantar Fasciitis?

Plantar fasciitis develops because of repeated small tears to the flat band of ligamentous tissue that connects your heel to the bones of your toes. These tears weaken the arch that supports the foot. As the arch of the foot weakens, increasing strain is placed on the deeper ligaments and tendons of the foot and lower leg. Over time, Plantar Fasciitis can result in Chronic Pain, Heel Spurs and Degenerative Joint Disease (Arthritis).
You are more likely to get plantar fasciitis if you have:
• Foot arch problems (both flat feet and high arches)
• Long-distance running, especially running downhill or on uneven surfaces
• Sudden weight gain or obesity
• Tight Achilles tendon (the tendon connecting the calf muscles to the heel)
• Shoes with poor arch support or soft soles
Plantar fasciitis is seen in both men and women. However, it most often affects active men ages 40 – 70. It is one of the most common orthopedic complaints relating to the foot.
Plantar fasciitis is commonly thought of as being caused by a heel spur, but research has found that this is not the case. On x-ray, heel spurs are seen in people with and without plantar fasciitis.

Signs and tests

The health care provider will perform a physical exam. This may show:
• Tenderness on the bottom of your foot
• Flat feet or high arches
• Mild foot swelling or redness
• Stiffness or tightness of the arch in the bottom of your foot.

Physicians typically treat Plantar Fasciitis with anti-inflammatory drugs and steroid injections. These medications temporarily reduce the pain associated with Plantar Fasciitis but do not treat the cause of the problem. Traditional methods can usually take between 9 months to two years to resolve this condition.

Class IV Laser Plantar Fasciitis Program 

Our program utilizes the latest class IV Lasers, and combines them with other therapies to help reduce the pain, strengthen the muscles around the foot and ankle joints, and increase range of motion. The Class IV Laser is at the heart of our treatment program. It provides a safe, effective, non-invasive, painless solution for plantar fasciitis. Patients generally respond exceptionally well to treatments and usually notice significant pain relief after just a few treatments.

Permanent correction of Plantar Fasciitis requires two procedures.

1. Heal the Damaged Fascia

Ending the pain caused by Plantar Fasciitis requires stopping the cycle of inflammation. This is critical because chronically inflamed tissues block the flow of needed nutrients and oxygen to surrounding muscles and joints. The advanced CLASS IV LASER restores the flow of nutrients and oxygen to the inflamed tissue allowing the cells to repair themselves at an accelerated rate.

2. Correct the Foot and Gait Mechanics

Most cases of plantar fasciitis are resolved very easily with Class IV Laser Therapy alone; however, if the condition has become chronic this can lead to alterations in the gait that will have to be addressed. This could involve stabilizing the arch with orthotics  or implementing a simple series of specific strengthening and stretching exercises.
Plantar fasciitis when treated early has an exceptionally good prognosis with our protocol. We encourage those with Plantar Fasciitis to seek our help right away. The longer one suffers with this painful condition the more likely it will cause other conditions in the knee, hip and spine.