Shockwave treatment is quickly becoming the treatment of choice for chronic tendinopathies such as those involving the shoulder, elbow and foot. We are now seeing evidence that shockwave therapy has useful applications in the treatment of shin splints. Research conducted by Phillip Newman at the University of Canberra was recently reported on in the Sydney Morning Herald about this very application. Read more
Headaches are so common these days for some they are almost considered a normal part of everyday life. Just as with any other sort of pain, the headache is just the symptom of an underlying problem not the actual problem itself. Painkillers are not a solution, they are a cover-up. Even if the painkiller takes the pain away the cause of your headache is still there stressing your body until it causes a bigger and better problem to get hold of your attention. Read more
Neck pain is most commonly caused by forward head posture where the head is pushed forward of the base of support. This is turn promotes rounding of the mid-back and shoulders.
The image here is a very common example of this sort of postural distortion. Here are some important points to consider:
1) The approximate weight of this person’s head based on height and weight is 5.1kg
2) Given the forward shift here of 5.17cm forward of the shoulders the effective weight of the head now becomes 31.8kg. This is an amazing 624% increase in the amount of load that has to be supported by the bones, ligaments muscles and tendons of the spine.
Is it no wonder that with this sort of posture someone would complain of neck pain and stiffness and that this would ultimately lead to some degree of osteoarthritis. Because of the pain that occurs in the overworking muscles most people tend to go running off for a massage to get some relief. While this would appear to make sense it is also needs to be recognised that massaging the overworking muscles is not going to fix the underlying postural cause of the problem. Without correction of the forward head posture any relief from work on the muscles will be short lived. Read more
Shock wave therapy involves the application of pressure waves to a specific site in the body.
The pressure waves are high positive waves of up to 100 times that of atmospheric pressure.
Shockwave therapy has many applications one of which is the treatment of shoulder pain secondary to calcific tendonitis. Here the pressure waves are believed to induce fragmentation of calcium deposits and stimulate their resorption (Daecke et al 2002). The low energy form of these waves are believed to relieve pain while high-energy waves have been found to increase regional blood flow, produce capillary lesions and growth of new capillaries (Charrin & Noel 2001). Conventional treatment for this condition involves physiotherapy, analgesics and sub-acromial injections of steroids (Schmitt et al 2001) or in chronic cases, arthroscopic surgery to remove the calcification (Daecke et al 2002). Read more
Sciatica can be very commonly confused for other types of injuries which in actual fact do not affect the sciatic nerve. In my last post I spoke about common misconceptions sciatica and some other causes of back and leg pain such as sacroiliac joint dysfunction. In this post I am going to focus on another of these, lumbar facet joint sprain. Read more
In my last post I spoke about some of the common misconceptions about sciatica and some other causes of back and leg pain. In this post I am going to focus on one of these, sacroiliac joint dysfunction. As you can see in the picture, the sacroiliac joint and sciatic nerve are anatomically very close to each other. The sacroiliac joint forms a vital bony connection between the hip and the spine allowing for movement, stability and the appropriate transmission of forces generated from the ground up and the head down. When irritated, strained and inflamed the sacroiliac joint can refer pain into the back, buttocks and lower leg in much the same way that sciatic nerve damage can. Therefore sacroiliac joint injuries are often confused for sciatica and consequently treated incorrectly Read more
Sciatica, probably one of the most common self diagnoses I hear in practice! For the most part people inaccurately use the term “sciatica” to describe any pains that occur in the lower back and radiate into the leg. True sciatica, is the result of compression and or irritation of the spinal nerves either as they exit the low back or further down where they form a bundle (the sciatic nerve) passing through the pelvis into the back of the leg. Sciatica can be a combination of pain, pins and needles, numbness and or weakness in the affected leg and can be on one or both sides. Read more
A spinal disc herniation is commonly referred to as a slipped disc. This description is quite misleading though as the disc cannot actually slip out of place and therefore your chiropractor cannot put it back in! The disc is actually fused together with the vertebrae on either side. A spinal disc can be squeezed, stretched and twisted in small degrees. It can also be torn, ripped, herniated, and degenerated, but it cannot “slip”. Read more
When we think of posture memories normally come flooding back of our teachers and parents telling us to sit up straight. As life goes by our concerns tend to be more aesthetic. No-one wants to have that “hunchback” look about the way they stand and move. And of course no ones wants to deal with […]
Your chiropractor could be the solution to that knee problem that just won’t go away. The knee is a relatively simple joint which is primarily designed to flex and extend, a bit like a door hinge. Other movements are possible but only within the smallest of degrees. On the other hand joints of the spine, hips and ankles and feet are much more complex. These joints are capable of moving quite freely (and to varying degrees) within the 6 planes of motion which are: Read more