Chiropractic

Rotator Cuff Injury

Rotator cuff injury is one of the causes when you are dealing with shoulder pain. Tears in the rotator cuff can occur when there is a single injury or due to gradual onset of repetitive motions around the shoulder joint. Rotator cuff injury is when there are inflammation, tears or overuse of the muscles or tendons that make up the rotator cuff in the shoulders. They are important for motions such as rotating your arms inward (internal rotation of the arm at the shoulder joint) or outwards (external rotation of the arm at the shoulder joint).

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Some symptoms you may experience if you have injured your rotator cuff are pain, weakness, limited motion, and feelings of instability at the shoulders. There are many factors that contribute to an increased risk of developing injury to the rotator cuff; some factors are age, family history, occupation or sports that rely on repetitive prolonged movements of the shoulder girdle. If you believe your shoulder pain is associated with rotator cuff injury, it is always recommended to make an appointment with your family doctor to eliminate other common causes.

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As mentioned above, the best method to understand what your body is attempting to warn you is to visit your family doctor or a shoulder specialist to be properly diagnosed with rotator cuff injury. There are different ways for your doctor to check what is the cause of your shoulder pain. One method would be the physical and history exam which consists of applying different motions around the shoulder to know which movements makes it better or worse and what occupation or repetitive motions you have done leading to this gradual onset of shoulder pain. Other methods consist of x-rays and MRI to see what is occurring at your shoulder comparing with a healthy shoulder girdle.

There are a wide variety of treatments depending on the type of injury you were diagnosed with. If it is a mild condition, the most common treatment would be exercises that target the rotator cuff muscles aiming to provide stability and strengthen the shoulders. If the injury is more serious and critical, then surgery may be suggested. Depending on the type of injury, there are different kinds of operations to help with shoulder pain.

 

Carpal Tunnel Syndrome

Posted on May 5, 2017 by

Carpal Tunnel Syndrome is a term that is commonly mentioned about when people have pain in their wrists. Exactly what is Carpal Tunnel Syndrome?

First of all, where is your carpal tunnel? It is located in your wrist or the base of your hand and it is a narrow tunnel containing ligaments, bones and specifically the median nerve. The median nerve is important for bending the fingers, specifically the thumb, index, middle and ring finger. The median nerve does sensory innervation in the hand as well. Now that we know where it is in your body and what runs through it, we are able to understand the symptoms that occurs when someone has Carpal Tunnel Syndrome.

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This condition happens when the surface area has been decreased which results in the compression of the median nerve. Symptoms include tingling or numbness of the fingers, weakness, and pain. As this condition prolongs, the muscles at the base of the thumb begin to waste away and grip strength of the hand decreases significantly. Also, sensation in the fingers or hands can worsen to the point where it can be difficult to determine whether something is hot or cold. How do you know if you have Carpal Tunnel Syndrome? If you are experiencing some or all of the symptoms discussed above then it could be a possibility and making an appointment with a doctor would be the best diagnosis. Your family or chiropractic doctors will do a few examinations to determine the pressure within the carpal tunnel and how much the median nerve is compressed.

There are different forms of treatment for Carpal Tunnel Syndrome. There is non-surgical treatment and then there are surgical ones. It is best to check with your doctor to know which treatment is suitable for you. One non-surgical method would be to wear braces or night splints to sleep, this prevents the wrist from bending (flexion) while you sleep in order to relieve some pressure. Another method would be surgery, which widens the carpal tunnel so there is less compression on the median nerve.

Who is at risk for this condition? Everyone can have Carpal Tunnel Syndrome but some individuals are more at risk than others. People who have a family history of Carpal Tunnel Syndrome, pregnant women, individuals who are always creating repetitive flexing motions on the wrist, and people who have injured their wrists have a higher risk of getting this condition.

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Your wrists are very important for hand movement and you use your hands everyday to complete tasks so make sure to stretch and let your wrist rests and they will appreciate it!

Custom Orthotics and How They Can Be Helpful

Posted on May 4, 2017 by

Everyday, we use our feet to help us get to our destination, whether it is to the bus stop or walking around the mall looking for a gift. We rely on our feet for the majority of our daily movement that we do not realize how much stress is put upon them. When we stand, a lot of our body weight is supported and stabilized by the hips and feet to prevent us from falling over. If our feet has to endure the amount of stress we give daily then what can we do to give them our support back?

Wearing custom orthotics is one of the solutions for providing our feet some support.

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Orthotics can be custom made or found off the shelf because every individual has different arches and foot structure. They are devices that are externally used and can help with many issues such as reducing pain when standing or walking, controlling biomechanical alignment, and ease pressure from muscles and tendons. By giving the right support for your feet, it can help eliminate pain in the lower leg or hip. When you walk, many muscles in the leg work together to create that motion which is why foot pain can be associated with other pain located in the knee, ankle and hip.

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Everyone has differently structured feet. Some have a higher foot arch than others and some experience overpronation, meaning the foot rolls inward and the arch of the foot flattens. This is where orthotics play a role.

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If someone has a high foot arch, we can imagine that the heel and the ball of the foot will be receiving a greater level of pressure compared to the middle portion of the foot. To make it simple, we can look at the foot as a bridge where there is an arch in the middle that makes no contact with the ground while the two ends of the bridge does. How orthotics can help is that it shapes the foot of interest and evens out the weight and lower the pressure points localizing to specific areas. Another problem associated with foot pain is when the connective tissue lining the bottom of the foot, the plantar fascia, is irritated and inflamed, pain would occur when there is moving and stretching of the foot. This is known as Plantar Fasciitis. With orthotics, it helps shape the bottom of the foot so there is less tension on the plantar fascia therefore reducing inflammation and pain.

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Here are Rupert Health Centre, our practitioners, Dr. Kevin Leung and Dr. Jason Cheng, provide custom made orthotics after a careful evaluation of the foot’s condition along with a slipper cast. This cast is then sent to Excel Biomechanics to be made and picked up here at Rupert Health Centre. If you are experiencing pain or would like to get a new set, do not hesitate to make an appointment with one of our practitioners today!

 

Your First Chiropractic Appointment

Chiropractors can work wonders for those suffering from musculoskeletal or joint pain. Whether you have back or neck pain, have recently been injured in a car or work-related accident, or are suffering from conditions such as sciatica or some headaches, a chiropractic appointment can help relieve many of your symptoms. Here at the Rupert Health Centre, our practitioners work hard to improve your physical well-being, while guiding and supporting you along the way. For those who are new to chiropractic, this is what you can expect during your first visit.

At Rupert Health, the first appointment will usually last around 45 minutes, depending on the severity and complexity of your conditions. A chiropractor will meet with you and inquire about your symptoms, your medical and family history, discuss with you any possible risks to injury that can occur during treatment, and make sure you have given informed consent before any treatment begins. Afterwards, they may complete a series of physical tests to measure your range, strength, and neurological integrity, in order to assess what treatments might be necessary for recovery.

Based on your medical history and symptoms, a chiropractor may choose to use a diagnostic study to more accurately diagnose your condition. If needed, the Rupert Health practitioners occasionally use an on-site X-ray to get more information on any conditions.

Treatment may or may not be offered during the first appointment. Within the chiropractic practice, there are many different treatment options available for a variety of symptoms and patients. The practitioner will discuss with you which treatment options may be best, which can include spinal mobilization and manipulation (manual therapy), shockwave or laser therapy, heat pads, and other modalities, all of which are non-invasive. In addition to therapy, the chiropractor may suggest and demonstrate some stretches or exercises to help you improve your condition, with Rupert Health also providing products such as exercise balls, resistance bands and supports for purchase.

If you’re experiencing muscle or joint pain and wondering about seeing a chiropractor – don’t fret! The practitioners here at Rupert Health will make sure you have all the information, and support you through the steps and treatment toward your recovery. Make an appointment with a Rupert Health Centre practitioner today!

Spinal Manipulation and Mobilization

If you have ever walked into a chiropractic office before, chances are that you have heard the terms “spinal manipulation and mobilization.” For new patients it may be a little unnerving, but these chiropractic techniques can do wonders to painful joints and muscles. What exactly do these two treatments do, and how do they benefit you?

Both of these techniques work toward the same goal, which is to help reduce pain, and restore joint function and range. Depending on the condition and the patient’s overall health, chiropractors can often use a variety of techniques to most benefit the patient [1].

Spinal manipulation, one of the oldest and most commonly used maneuvers in chiropractic, is a high-velocity low-amplitude (AKA short and quick) thrust technique. The chiropractor or practitioner generally uses their hands to apply sudden and direct pressure to a certain joint. This can release the ‘pop’ sound, called “cavitation” similar to cracking your knuckles, which is when gas is released from the joint [2].

This maneuver helps correct any misalignment, and according to a number of extensive studies, have helped reduce patients’ back pain and neck pain, comparable to medication and physiotherapy.

 

Spinal mobilization is a gentler approach to spinal treatment which focuses on restoring joint movement and range. It uses slow movements of the joints until it reaches the endpoint of its range to gradually reduce the tension, unlike the sudden force used during spinal manipulation [3].

Chiropractors may favor spinal mobilization due to a number of factors, such as severe pain, presence of certain physical conditions such as obesity or osteoporosis, or patient preference.

During the first appointment with a chiropractor, they discuss with you the risks of these techniques, and gauge what treatment is right for you based on your condition. These techniques are usually used specifically for joint and muscle pain, and should ONLY be performed by a licensed and trained professional chiropractor or medical practitioner, to greatly reduce the risks of any side effects or complications.

If you’re feeling any joint or muscle pain, it may be wise to meet with a chiropractor to explore your options. Make an appointment with a Rupert Health Centre chiropractor today!