Pregnancy and Low Back Pain?

Whiplash is an injury to the soft-tissues of the neck often referred to as a sprain or strain. Because there are a unique set of symptoms associated with whiplash, doctors and researchers commonly use the term “whiplash associated disorders” or WAD to describe the condition.
WAD commonly occurs as a result of a car crash, but it can also result from a slip and fall, sports injury, a personal injury (such as an assault), and other traumatic causes. The tissues commonly involved include muscle tendons (“strain”), ligaments and joint capsules (“sprains”), disk injuries (tears, herniation), as well as brain injury or concussion—even without hitting the head!
Symptoms vary widely but often include neck pain, stiffness, tender muscles and connective tissue (myofascial pain), headache, dizziness, sensations such as burning, prickly, tingling, numbness, muscle weakness, and referred pain to the shoulder blade, mid-back, arm, head, or face. If concussion occurs, additional symptoms include cognitive problems, concentration loss, poor memory, anxiety/depression, nervousness/irritability, sleep disturbance, fatigue, and more!
Whiplash associated disorders can be broken down into three categories: WAD I includes symptoms without any significant examination findings; WAD II includes loss of cervical range of motion and evidence of soft-tissue damage; and WAD III includes WAD II elements with neurological loss—altered motor and/or sensory functions. There is a WAD IV which includes fracture, but this is less common and often excluded.
Treatment for WAD includes everything from doing nothing to intensive management from multiple disciplines—chiropractic, primary care, physical therapy, clinical psychology, pain management, and specialty services such as neurology, orthopedics, and more. The goal of treatment is to restore normal function and activity participation, as well as symptom management.
The prognosis of WAD is generally good as many will recover without residual problems within days to weeks, with most people recovering around three months after the injury. Unfortunately, some are not so lucky and have continued neck pain, stiffness, headache, and some develop post-concussive syndrome. The latter can affect cognition, memory, vision, and other brain functions. Generally speaking, the higher the WAD category, the worse the prognosis, although each case MUST be managed by its own unique characteristics. If the injury includes neurological loss (muscle strength and/or sensory dysfunction like numbness, tingling, burning, pressure), the prognosis is often worse.
Chiropractic care for the WAD patient can include manipulation, mobilization, and home-based exercises, as well as the use of anti-inflammatory herbs (ginger, turmeric, proteolysis enzymes (bromelain, papain), devil’s claw, boswellia extract, rutin, bioflavonoid, vitamin D, coenzyme Q10, etc.) and dietary modifications aimed at reducing inflammation and promoting healing.
* 83% of those patients involved in an MVA will suffer whiplash injury and 50% will be symptomatic at 1 year.
* 90% of patients with neurologic signs at onset may be symptomatic at 1 year.
* 25- 80% of patients who suffer a whiplash injury will experience late-onset dizziness
* Clinicians should be observant for radiographic signs of instability, including interspinous widening, vertebral subluxation, vertebral compression fracture, and loss of cervical lordosis.
* Horizontal displacement of greater than 3.5 mm or angular displacement of more than 11 degrees on flexion/extension views suggests instability.

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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#kneepain
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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

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.

Moving is good for your back and muscles, especially if you have back pain.
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.
Sports injuries are a common occurrence among athletes of all levels, from weekend warriors to professional competitors. Whether it’s a sprained ankle, strained muscle, or tendonitis, injuries can sideline athletes and disrupt their training and performance goals. While rest, ice, compression, and elevation (R.I.C.E) have long been the standard protocol for treating sports injuries, there’s a growing interest in alternative therapies that can accelerate the healing process and get athletes back in the game faster. One such therapy gaining attention is laser therapy. In this article, we’ll explore how laser therapy can help speed up recovery from sports injuries and get athletes back to peak performance.
Understanding Laser Therapy
Laser therapy, also known as low-level laser therapy (LLLT) or photobiomodulation, involves the use of low-intensity laser light to stimulate cellular activity and promote tissue repair and regeneration. Unlike surgical lasers that cut or vaporize tissue, therapeutic lasers emit non-thermal light energy that penetrates the skin without causing damage. This light energy is absorbed by chromophores (light-sensitive molecules) within cells, leading to a cascade of biological effects that accelerate the healing process.
How Laser Therapy Works for Sports Injuries
Laser therapy offers several mechanisms by which it can promote healing and recovery from sports injuries:
Applications of Laser Therapy in Sports Medicine
Laser therapy can be used to treat a wide range of sports injuries, including:
Conclusion
In conclusion, laser therapy offers a safe, non-invasive, and effective treatment option for accelerating the healing process and promoting recovery from sports injuries. By reducing inflammation, improving circulation, stimulating tissue repair, and providing pain relief, laser therapy can help athletes get back to their training and competition goals faster. If you’re dealing with a sports injury or looking to optimize recovery, consider incorporating laser therapy into your rehabilitation plan under the guidance of a qualified healthcare professional. With its potential to expedite healing and minimize downtime, laser therapy may be the key to getting you back in the game and performing at your best.
In today’s fast-paced world, stress has become an inevitable part of daily life for many people. From demanding work schedules to personal responsibilities, the pressures of modern living can take a toll on our physical, mental, and emotional well-being. While there are numerous strategies for managing stress, one alternative therapy that has gained attention for its potential effectiveness is acupuncture. But does acupuncture really help relieve stress, or is it just a myth? In this article, we’ll explore the science behind acupuncture for stress relief and examine the evidence supporting its use as a therapeutic tool.
Understanding Acupuncture
Acupuncture is an ancient healing practice that originated in China thousands of years ago. It involves the insertion of thin needles into specific points on the body known as acupuncture points or acupoints. According to traditional Chinese medicine (TCM) theory, the human body contains meridians or energy pathways through which vital energy, known as Qi (pronounced “chee”), flows. By stimulating acupoints along these meridians, acupuncturists aim to restore the balance and flow of Qi, thereby promoting health and well-being.
The Stress Response and Acupuncture
Stress is the body’s natural response to perceived threats or challenges, triggering a cascade of physiological and psychological reactions designed to help us cope with or escape from danger. While short-term stress can be beneficial, chronic or excessive stress can have detrimental effects on our health, contributing to a wide range of physical and mental health problems, including anxiety, depression, insomnia, digestive issues, and cardiovascular disease.
Research suggests that acupuncture may help modulate the body’s stress response and promote relaxation through various mechanisms:
Scientific Evidence Supporting Acupuncture for Stress Relief
While more research is needed to fully understand the mechanisms underlying acupuncture’s effects on stress, numerous studies have demonstrated its potential efficacy in reducing stress levels and improving stress-related symptoms. For example:
Conclusion
While acupuncture may not be a cure-all for stress, the growing body of research suggests that it can be a valuable tool for stress management and relaxation. By modulating neurotransmitter activity, balancing hormonal levels, regulating the autonomic nervous system, and reducing muscle tension, acupuncture offers a holistic approach to stress relief that addresses both the physical and psychological aspects of stress. If you’re struggling with stress or looking for natural ways to promote relaxation and well-being, consider exploring acupuncture as part of your self-care routine.