Learning all the chiropractic vocabulary and commonly used terms can feel overwhelming. Therefore, Meiri chiropractic’s glossary of commonly used chiropractic terms and vocabulary should help you make the most of your appointments. By familiarizing yourself with basic chiropractic terminology beforehand, you can be sure to understand your prognosis.  Then you can ask your chiropractor the proper questions after your examination. Review the list of terms below for a more productive appointment!

 

Acute (traumatic) Injuries

Injuries that occur due to a traumatic and unexpected event such as a fall, a car accident, or a sports injury.

 

Adjustments

The chiropractic adjustment or manipulation is a manual procedure applying a gentle yet firm thrust, typically delivered in the direction of reduced joint motion to restore normal motion and alignment. Spinal or extremity joint dysfunction, termed subluxation (chiropractic subluxation complex), can adversely affect nerve function, and the body’s ability to regulate and maintain health. Chiropractic adjustments address disturbed joint biomechanics and the associated effects on nervous system function.

 

Arthritis

A gradual breakdown, or deterioration, of the joint spaces in your musculoskeletal system. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. There are many different types of arthritis. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.

 

Bulging Disc

A bulging disc occurs when the spongy discs in the spine become compressed, usually due to age related degeneration.

 

 

Chiropractic

A healthcare discipline which emphasizes the inherent recuperative ability of the body to heal itself without the use of drugs or surgery.  In practice, chiropractic “focuses on the relationship of structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship effects the preservation and restoration of health.

 

Chiropractor

A Chiropractic Physician also known as a Doctor of Chiropractic (D.C.), diagnoses and treats a broad range of physical conditions in patients with muscular, nervous and skeletal system problems.

Doctors of chiropractic are extensively educated in the diagnosis and treatment of conditions affecting the spinal and extremity joints and associated neurology. Furthermore, based on examination findings and indication for care, the chiropractor will recommend a course of care to help relieve pain and improve function.

 

Disc Herniation

Extrusion of the nucleus pulposus (jelly-like center of the disc) into a defect in the annulus fibrosus (tough circular exterior of the intervertebral disc).

 

Electrical Muscle Stimulation (E.M.S.)

A form of electrical stimulation applied by the chiropractor designed to help reduce swelling and inflammation.

 

Extremity

Limb (anatomy); arms and legs.

 

Homeopathy

A system of medicine that uses extremely dilute concentrations of specially prepared plants, animals and minerals to stimulate the body’s defense mechanisms and healing processes. Additionally, it is nontoxic, and when administered according to homeopathic principles, are safe in infants, children, and adults.

 

 

Soft Tissue Manipulation Techniques

Are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body.

 

Sprain

Joint injury in which some of the fibers of a supporting ligament are ruptured, but in which the continuity of the ligament remains intact.

 

Strain

An overstretching and tearing of musculotendinous tissue.

 

Subacute 

Less than acute, between acute and chronic.

 

Meiri Chiropractic’s Glossary of Commonly Used Chiropractic Terms and Vocabulary was meant to be informative for terms used in our office.  Please don’t hesitate to contact us with any questions at 561-253-8984.  Meiri Chiropractic offers the best comprehensive alternative treatment solutions for patients in North Palm Beach, Jupiter, Palm Beach Gardens, Juno Beach, and West Palm Beach.  Call for an appointment or to learn more today.

 

References:

  1.  Chiropractic Technique- Bergmann, Peterson  pp.84, 419

 

Meiri Chiropractic

11985 US-1, STE 102

North Palm Beach, FL 33408

561-253-8984

 

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care for Foot Pain

This was a 68 year old patient with low back and bilateral (both) foot pain. To be HIPAA compliant, I will call him Earvin instead of his real name.   Earvin’s chief complaints were in his low back and both feet.  His low back pain had started following a car accident over 20 years ago.  The pain and numbness in both feet had started insidiously (slow, subtle and cumulative development) 10 years ago. Earvin was taking many prescription drugs for pain and numbness in his feet for years.  Inspite of all the meds, Earvin had  sleepless nights due to his feet. Magnesium, B vitamins and other supplements gave no results.

Earvin’s Past History

He had been to numerous doctors including other chiropractors. They all gave the same diagnoses of:  lumbosacral spondylosis without myelopathy (osteoarthritis or wear and tear arthritis without effecting the spinal cord) for his low back. Additionally, idiopathic (unknown cause) neuropathy (dysfunction in a nerve) and osteoarthritis (wear and tear arthritis) for his feet.  Finally, the plantar fasciitis (painful inflammation or degeneration of fibrous tissue connecting your heel bone to your toes along the bottom of your foot ). And then recently, the right torn plantar fascia was found on a MRI.

 

Earvin had no history of diabetes or trauma to his feet. The right torn plantar fascia was a repetitive stress injury from walking in improper shoes. He had been to the podiatrist and had a MRI (magnetic resonance imaging) on his right foot a few weeks ago. The MRI found a 0.6cm “partial thickness” torn plantar fascia. He had received one cortisone shot to his right foot at the podiatrist office, but was still in a lot of pain.

 

Earvin presented to my office using a cane and a special orthopedic boot.   He had the cane because he wasn’t able to weight bear on that foot. His boot was a special boot for the right torn plantar fascia. Earvin wanted to get back to walking for exercise.  Furthermore, he wanted to sleep better.

Earvin’s Examination and Imaging

 

Upon examination, there were positive tests for his feet, ankles, knees, hips and lumbar spine (low back). He also had some tenderness and palpatory findings (examine by touching) in the muscles/soft tissue around the feet and both lower legs. Earvin had several nerve entrapment syndromes (peripheral nerve becomes compressed by surrounding tissues) in his legs and feet. 

The x-rays taken in my office showed osteoarthritis in his lumbar spine. Moreover, a MRI report of his lumbar spine done years ago found “minimal mild disc bulges, no central canal or foraminal stenosis at most levels and minimal, mild foraminal stenosis at L4-L5 due to degenerative changes”. So the disc bulge (stiffening of cartilage and dehydration of spinal disc) and minimal foraminal stenosis at one level ( nerve in the spine becomes compressed as the openings between the vertebrae become smaller) all due to osteoarthritis, were contributing to his problems in his back and feet as well.  Nerve root irritation or compression in the lumbar spine (lower back) may cause pain into the foot. In Earvin’s case, it was stenosis in his spine contributing minimally.

Most importantly however, Earvin’s past NCV/EMG (nerve conduction velocity/ electromyography measuring the electrical activity in your muscles) done by previous doctors, also showed findings consistent with neuropathy in his feet. This neuropathy was a separate condition from his low back as seen in my exam findings and previous NCV/EMG studies. I would order another, current MRI and/or NCV/EMG for legs/feet only if he didn’t show some improvement within 12 visits.

 

Earvin’s Chiropractic Care for Foot Pain

 

Firstly, Earvin’s treatments consisted of chiropractic manipulation/ adjustments of the lumbar (lowback) spine, knees, ankles, feet and associated regions.  The knees and ankles were adjusted along with the feet to address the nerve entrapment problems.  Associated regions that were adjusted were the thoracic spine (mid back) and both his hips which were misaligned (chiropractic subluxations or intersegmental dysfunctions) due to the conditions he had.  Secondly, soft tissue therapy (myofascial release, pressure point and various therapeutic muscle stretching) was performed on all his tender/spasmed muscles and plantar fascia. Furthermore, the muscles and soft tissue indicated for the nerve entrapment sites were targeted. Thirdly, ice/heat therapy recommendations and exercises to continue his treatment at home were given. Finally, homeopathic medicines were prescribed to help reduce his pain and healing time.

Earvin was able to treat only 8 times with me during his  2 1/2 week vacation in Florida, but showed improvement.  Within the first few visits, he started sleeping through the night!  He had been waking every night due to numbness in his feet for as long as he could remember!  And the low back pain was improved and “minimum” as he stated on his last 2 treatments. 

Earvin walked without his cane on the last visit to my office. He planned to return the following year to continue his chiropractic care for foot pain in North Palm Beach, Florida.

If you are suffering from foot problems/conditions, contact Dr. Natalie Meiri for chiropractic care for foot pain. Your North Palm Beach foot chiropractor will get you pain free and on the road to recovery.

 

Meiri Chiropractic

11985 US-1 #102

North Palm Beach, FL 33408

561-253-8984

 

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care For a Frozen Shoulder (Adhesive Capsulitis)

Author: Natalie Meiri, D.C.  Posted: 01/07/21

 


This was a 45 year old patient with a chief complaint of right upper arm pain. To be HIPAA compliant, I will call her Josephine instead of her real name. She was a “snowbird” visiting Florida and had just seen an orthopedist a day ago. She stated the orthopedist recommended drugs (which she didn’t want), physical therapy and/or surgery (which she didn’t want). Josephine came to see me for natural chiropractic care and therapeutic exercises/modalities offered at my office.

During the history, she stated that about 3 months ago, she had right shoulder tendonitis. At that time, she couldn’t sleep due to the pain.   Josephine couldn’t recall any specific event that triggered it.  Now the pain is much less in her right shoulder.  However, her upper arm and especially the biceps brachii muscle (large muscle that lies on the front of the upper arm between the shoulder and the elbow) is very painful.

   

Dr. Natalie Meiri adjusting the spine

Josephine’s Examination


Upon examination, Josephine’s loss of shoulder range of motion (movement) was significant. Even with the loss of range of motion, her muscle testing was strong within the available range of motions. Josephine tested positive for a frozen shoulder in all the tests performed.

 

I explained to Josephine, her biceps brachii muscle hurt from the extra work it was doing.  This was due to the loss of normal motion in her shoulder. Moreover, although her upper arm hurt more than her shoulder, the real problem was her frozen shoulder (also called adhesive capsulitis).  She then realized that she had been having difficulty with certain activities like putting on her shirt.  Josephine couldn’t lift, turn her shoulder or reach like she used to. The upper arm pain was from the unnatural movements to compensate for the lack of shoulder range of motion.

 

Lastly, I took some shoulder x-rays to rule out any bony blockage possibly due to osteoarthritis (wear and tear type arthritis).  The x-rays showed osteoarthritis, but nothing blocking her arm from her range of movements/motion (i.e. bony spur or osteophyte).

 

Josephine’s Treatments


Josephine’s treatments consisted firstly, of various rhythmic stabilization, “hold-relax” and post isometric relaxation techniques to increase range of motion in her right shoulder. Secondly, muscle stretching and soft tissue therapy, along with exercise, the use of modalities (i.e. moist heat therapy, electric muscle stimulation) and rehabilitation/ home exercises were rendered as necessary. Thirdly, Josephine also had some stiffness in her cervical (neck) and thoracic (mid back) spine.  This was from the loss of shoulder abduction (raising your arm out from the sides of your body) and subsequent substitution by shoulder shrugging or trunk leaning. Therefore, chiropractic manipulative therapy (adjustments) was performed to her neck and thoracic spine. Lastly, postural/ergonomic advice and recommendations for activities of daily living (i.e. sleep position to not exacerbate condition) were given.

 

Josephine regained most of her range of motion back in her right shoulder by her 12th visit and her upper arm no longer hurt. She was able to perform a lot of her activities with ease again. She would continue treatment up north after she left Florida with another chiropractor.

What is a Frozen Shoulder (Adhesive Capsulitis)?

The cause of frozen shoulder/adhesive capsulitis is unknown. It has been associated with diabetes, thyroid disorders, lung disease, trauma, immobilization, and cervical (neck) disk disease. Primarily, thickened shoulder capsular contractures is how it occurs. This capsule is a fibrous sheath (tissue composed of bundles of collagenous white fibers and between are rows of connective tissue cells) which encloses the structures of the joint.   Secondary contractures of other areas of the shoulder occur in the following: shoulder ligaments, bursa (sac of fluid that reduces friction between the surfaces of a bone and soft tissue), tendons. Adhesive Capsulitis is more common in 40-65 year olds and is prevalent in sedentary individuals.

 

The process of  developing a frozen shoulder begins as an inflammatory stage/ phase lasting from 2 to 9 months (i.e. similar to acute tendonitis).  Next, a stiffening stage lasting 4 to 12 months, where there is a loss of  range of motion.  Finally, in the thawing stage lasting 6 to 9 months, range of motion is increasing and pain is decreasing.

 

As in many other conditions, the longer you wait, the more difficult to treat your condition.  Josephine presented to my office in the stiffening stage of her frozen shoulder/adhesive capsulitis.

 

Meiri Chiropractic in North Palm Beach offers a range of body treatments to bring pain relief and healing for a variety of conditions .

Contact us today to learn more about chiropractic care for a frozen shoulder (adhesive capsulitis) or to make an appointment in North Palm Beach.

 

Meiri Chiropractic

11985 US-1 #102

North Palm Beach, FL 33408

561-253-8984

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care for Pseudotorticollis:

Inability to Move the Head in Any Direction Without Pain

Author: Natalie Meiri, D.C.  Posted: 12/17/20


This was a 33 year old patient who presented to my office with neck and mid back pain. To be HIPAA compliant, I will call her Carla instead of her real name.  Carla’s pain had come on while preparing her christmas holiday party for 20 people at her house which was in a week.  Even though she was excited and happy, this caused her a lot of stress.  She didn’t have a history of trauma and couldn’t think of anything she had done.  She just “woke up” with this condition a day ago. Carla was particularly concerned since she couldn’t move her head in any direction without pain. Carla had come directly to my office after taking some pain medication which “did nothing”. 

 

 

 

Since Carla’s head was held in neutral (posture when the joints are not bent), I thought it was pseudotorticollis and not the classic torticollis where the neck is deviated/twisted in one direction.  Pseudotorticollis has no known cause. However, the exam had to be fully performed to rule out any number of causes for classic torticollis. And causes for classic torticollis included CNS (central nervous system) infection, tumor, and basal ganglion (group of neurons/nerve cells in the brain involved in voluntary movement) disease.  Above all, Carla didn’t have congenital torticollis (from birth trauma, i.e. breech delivery).

 

Carla’s consultation and chiropractic care for pseudotorticollis: inability to move the head in any direction without pain

 

Upon examination, there were positive tests for Carla’s cervical (neck) and thoracic (mid back) spine for pseudotorticollis.  She didn’t have a fever with the temperature check (to rule out an infection).  Moreover, she had global muscle spasm in her neck.  A neurological check for upper motor neuron (nerves that send messages between brain and spine) and lower motor neuron (nerves that relay messages between spine and muscles) dysfunction was negative.

 

Carla was only 33 years old, but was a smoker for many years which necessitated taking x-rays (to rule out cancer). I took some x-rays of her neck and mid back. Findings on her x-rays were early degenerative joint disease/osteoarthritis (wear and tear type arthritis) of her spine.

 

 

Carla’s chiropractic treatment consisted of chiropractic manipulation/ adjustments of the cervical (neck) and thoracic (mid back) spine.  Additionally, soft tissue therapy (myofascial release, pressure point and post isometric relaxation to patient tolerance) and modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Finally, she was given therapeutic exercises to continue her treatment at home. 

 

Carla came in 3 days in a row for treatment the first week.  Then 1-2 times a week thereafter for a number of weeks.  She was able to host her holiday party feeling much better a week after her initial treatments.  Furthermore, she gained full range of motion back in her neck and was pain free at the end of her chiropractic care.

 

Torticollis and Pseudotorticollis…

 

Torticollis is an acute or chronic often painful condition characterized by involuntary intermittent or sustained contraction of the muscles of the neck.  This causes the head to tilt or turn sideways, bend forward or backward. For instance, these muscles could be the  sternocleidomastoid (muscle located at the base of your skull on either side of your neck, behind your ears and goes to the sternum and clavicle) or trapezius (either of a pair of large triangular muscles extending over the back of the neck and shoulders and moving the head and shoulder blade).  In Pseudotorticollis (as in Carla’s case), the patient presents with the inability to move the head in any direction without pain.

Torticollis (called also wryneck) may occur secondary to an injury or a preexisting condition (such as a musculoskeletal abnormality or a neurological disease) but is often of unknown cause.  In pseudotorticollis, there is no history of injury/trauma and no obvious cause.

Do you know someone in Jupiter, Palm Beach Gardens, West Palm Beach or North Palm Beach who needs chiropractic care for pseudotorticollis: inability to move the head in any direction without pain? Contact Dr. Natalie Meiri of Meiri Chiropractic in North Palm Beach today for chiropractic treatment for pseudotorticollis or another ailment. Call 561-253-8984 to learn more or to schedule an appointment.

 

Meiri Chiropractic

11985 US Highway 1, Ste 102

North Palm Beach, FL 33408

561-253-8984

 


From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care For Temporomandibular Joint (T.M.J.) Disorder

 

This was a 50 year old patient with a chief complaint of temporomandibular joint (T.M.J.) disorder/pain bilaterally (both sides).  To be HIPAA compliant, I will call her Rachel instead of her real name. Her dentist gave her a (mouth guard) splint and a prescription for NSAIDS (nonsteroidal anti-inflammatory drugs). Rachel’s dentist told her she “grinds her teeth” and so she wore a splint at night. She came to see me since she still had pain.

She didn’t know how it happened except that it came on with a lot of stress in her life from family issues.  Rachel also had a history of trauma where she had fallen on her chin/jaw a year ago.  She had gone to an urgent care clinic for this. And she was sent home with a prescription for pain medications after they ruled out a fracture.  However, she got headaches after this and noticed her TMJ “clicked” when opening/closing her mouth.

 

   Rachel’s Examination

Upon examination, Rachel’s mandibular “gait” (way lower jawbone moves) was out of alignment.  She also had involvement of the cervical (neck) spine contributing to her pain.  Moreover, her headaches were coming from both her TMJ and neck.  Tendinitis and trigger points were found by increased tenderness in the belly and tendons of the masseter  (muscles on mandible that help close the mouth) and temporalis (muscle on temporal bone that help move jaw bone).  Her neck x-rays done in my office showed moderate osteoarthritis (wear and tear type of arthritis).  Plain film x-rays are virtually useless for TMJ disorder diagnosis (except perhaps for fracture which she got at urgent care when she fell) so were not performed. If she didn’t respond to the chiropractic treatment in 12 visits or approximately a month, she would get a magnetic resonance image (MRI) of her temporomandibular joints.

 

 

Rachel’s treatments

Rachel’s treatments consisted firstly, of spinal adjustments to her neck and manipulation/mobilization to her TMJ and cranium (skull). Secondly, muscle stretching and soft tissue therapy, along with exercise, the use of modalities (i.e. heat therapy, electric muscle stimulation) and rehabilitation/ home exercises were rendered as necessary. Thirdly, homeopathic consultations/ prescriptions were provided to expedite healing and help the emotional stress she was experiencing in her life.  Finally, postural advice/ recommendations were made for her “forward head posture.” 

Rachel had a positive outcome at the end of her 12 visits and didn’t need the MRI.  Not only did her TMJ pain and headaches go away, she also found more energy, better posture and slept better.  Therefore, she continued to get her spine aligned with regular chiropractic care.

Meiri Chiropractic in North Palm Beach offers a range of body treatments to bring pain relief and healing for a variety of conditions. We offer chiropractic care for temporomandibular joint (T.M.J.) disorder caused by stress, poor alignment, trauma and other issues. Contact us today to learn more about chiropractic care for temporomandibular joint (T.M.J.) disorder or to make an appointment in North Palm Beach.

 

Meiri Chiropractic

11985 U.S. Highway 1, #102

North Palm Beach, FL 33408

Tel: 561-253-8984

 

 

 

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 From Dr. Natalie Meiri’s Clinical Pearl Stories:

Low Back and Hip Pain From Prolonged Sitting and the Relief of Chiropractic Care

Author: Natalie Meiri, D.C.        Posted: 11/27/20

 

This was a 39 year old male patient with a chief complaint of low back pain. To be HIPAA compliant, I will call him Justin instead of his real name. Justin had an information technology job for over 10 years so always sat in front of a computer. While sitting at a computer all day can obviously cause various neuromusculoskeletal problems, he felt it even more after COVID-19 started.  This was due to having to work at home.  At the office he took regular breaks throughout the day with different tasks.  However, at home every meeting was via the internet which kept him continuously sitting.  He tried taking some over the counter NSAIDS (nonsteroidal anti-inflammatory drugs), but continued to have low back pain so he came to see me.

 

On his intake he indicated pain in his lumbar (low back) spine without any referral into his legs.  Upon examination, there was no pain with lumbar range of motion (measurement of the amount of movement around a specific joint or body part) except with flexion (to bend forward).  This was almost impossible due to pain.   However, all his left hip ranges of motion reproduced pain in his low back.  Above all, an orthopedic test  (called Patrick Fabere) also reproduced the same pain in his low back.  It was also apparent that his problem was also in his left hip with his chiropractic alignment assessment.  Findings on his x-rays were mild degenerative joint disease/osteoarthritis (wear and tear type arthritis) of both his low back and hips. 

 

 
Low Back and Hip Pain From Prolonged Sitting and the Relief of Chiropractic Care: Justin’s Treatment

 

Justin’s chiropractic treatment consisted of chiropractic manipulation/ adjustments of the lumbar spine, left hip and associated regions.  Associated regions that were adjusted were his cervical (neck) and thoracic (mid back) spine which were misaligned (subluxations or intersegmental dysfunctions) due to the condition he had. The realignment of the neck and mid back was helpful for his low back/hip condition because the upper half of the body can contribute strongly to the musculoskeletal problems in the lower half of the body and vice versa.  Additionally, soft tissue therapy (myofascial release, pressure point, and various post isometric relaxation to patient tolerance) and modalities (cold/heat therapy and electric muscle stimulation) were administered. Finally, he was given therapeutic exercises to continue his treatment at home. 

 

Low Back and Hip Pain From Prolonged Sitting and the Relief of Chiropractic Care: Ergonomics and Posture

 

To avoid repetitive injury again, recommendations were made on the importance of good posture and ergonomics at his home work station.  Firstly, Justin’s undesirable posture was corrected such as his “head forward” posture at his desk. Justin’s head, neck, and/or shoulders were bent forward excessively when working at his computer, placing the upper half of the body in a round-shouldered, slumped position.  When he worked at his desk, it was important to place the computer monitor at eye level. 

 

 

Secondly, his chair and desk were a problem. The chair needed an addition of a lumbar pillow or roll to maintain the normal lumbar lordosis (curve).  The lack of an armrest for adequate elbow support created a drag on his shoulders. And the low desk top increased flexion (bending) of his spine.  He got a different chair with armrests and also elevated his desk which created more adequate knee room. Justin’s feet now rested solidly on the floor or on some type of footrest and not dangling. While flexibility and comfort were important, his seating provided support of the normal spinal curves. In particular, the cervical and lumbar lordosis were supported with a minimum of muscular energy on his part.

 

Thirdly, he was to arrange his work station to be able to change positions as needed for specific tasks and as needed to provide adequate circulation and nutrition to his body structures. Twisting movements were to be avoided especially when leaning forward. A headset was beneficial since he spent a significant amount of time talking or listening on the telephone. Lastly, frequent breaks were recommended to stand momentarily, walk a few feet, or change the activity. 

 

Justin recovered quickly and made the recommended necessary ergonomic corrections.  Consequently, he didn’t re-injure himself at his home work station. 

 

At Meiri Chiropractic in North Palm Beach, we offer low back and hip pain relief.  We are a low back and hip pain chiropractor located in North Palm Beach, but also serve Jupiter, Palm Beach Gardens, Juno Beach, and West Palm Beach.  We also examine, diagnose and treat many other conditions, injuries and ailments .  Call us in North Palm Beach today to learn about low back and hip pain from prolonged sitting and the relief of chiropractic care or to make an appointment.

 

Meiri Chiropractic

11985 US-1 #102,

North Palm Beach

FL 33408

tel: 561-253-8984

 

 

 

 

Whether you’re a high school all-star, professional in the big leagues or even a little league player, sports injuries occur when engaging in sports or exercise. Over training, lack of conditioning, and improper form or technique can lead to this. Also, failing to warm up increases the risk of sports injuries. Staying fit by eating right and exercising is very beneficial for your health and overall well-being. Therefore, you certainly don’t want an injury to set you back!

Bruises, strains, sprains, tears, and broken bones can result. Soft tissues like muscles, ligaments, tendons, fascia (band or sheet of connective tissue), and bursae (fluid-filled sac) may be affected. Here are 5 common sports injuries a chiropractor can help with to learn about.

 

1. Contusion

Contusion is the medical term for a bruise. You may think of a bruise as a black-and-blue spot. So when small blood vessels get torn and leak blood under the skin, you get a bruise/contusion. A contusion is the result of a direct blow or an impact, such as a fall. For instance, it can happen in kickboxing class to your hand due to improper glove/equipment.  The contusion may even be on your face. TMJ (temporomandibular) pain maybe a result of injury to the jaw or face (for example, a fall or hit that affects the chin).

 

2. Ankle Sprain

You may simply step on an uneven surface or land on the outside heel while running/jumping and get an ankle sprain.  Moreover, if you keep getting subsequent sprains, ligament laxity (looseness of a limb or muscle) plays an important role.

The vast majority of ankle sprains are due to plantar flexion (movement in which the ankle and foot bends forward or downward) and inversion (bending the ankle and foot inward toward the mid-line of the body).  Furthermore, these sprains involve the lateral (outer side) ligaments (fibrous connective tissue that connects bones to other bones). In a sequence of injury: the anterior talofibular (ankle bone and long, thin and side bone of the lower leg) ligament, calcaneofibular (heel bone and long, thin and side bone of the lower leg) ligament, and the posterior talofibular (rear ankle bone and long, thin and side bone of the lower leg) ligament which are the lateral (outer side) ligaments. The more rare eversion turning (movement where ankle/foot bends inside-out) sprain damages the medial (toward middle) ligament complex referred to as the deltoid ligament.

3) Medial Tibial Stress Syndrome (Shin Splints)

The pain of shin splints along the tibia (shinbone) is most likely caused by overuse.  Hyperpronation of the foot (when the ankle bone turns inward and the rest of the foot turns outward) and tight heel cords, especially in joggers and runners, have been implicated. Several theories have been proposed, but nothing definite has been proven.  The American Medical Association limited the definition to musculotendinous (muscle-tendon) inflammations, and excluded stress fractures (tiny cracks in a bone).  Shin Splints are also common in dancers and military recruits.

 

 

4) Tennis Elbow (Lateral Epicondylitis) /Golfers Elbow (Medial Epicondylitis)

“Tennis elbow” is due to repetitive movements requiring forceful wrist extension (straightening arm so that the elbow joint is open), radial deviation (movement of bending the wrist to the thumb), and supination (movement where palm or forearm faces up). Other sports and occupational activities are also possible causes besides from tennis such as meat cutters, plumbers, and weavers. With tennis, novice players with poor backhand technique account for most cases. With professional players, forehand and serving may be the cause. The more frequently an individual plays, the higher the risk of developing tennis elbow.

With golfer’s elbow, you may feel medial (inside) elbow pain following a repetitive activity such as hammering or use of a screwdriver. In athletes, the inciting activity usually involves wrist flexion (bending) and pronation (palm or forearm faces down) such as in serving and overhead strokes. Golfing or throwing may also cause symptoms. You may also complain of pain or weakness on gripping.

 

5) Hamstring strain

Perhaps you were sprinting or jumping and you over contracted the hamstrings while in a position of stretch.  You may be an athlete who feels a sudden pull or pop at the back of the thigh following a forceful knee extension maneuver. The hamstrings are a group of three muscles that run along the back of your thigh. They allow you to bend your leg at the knee. Tendons and aponeurosis (a sheet of pearly white fibrous tissue) connect the muscles with the structures (i.e. bones ) to be moved. Tearing of the hamstrings occurs most often at the junction of the muscle and aponeurosis . Avulsion of the ischial tuberosity (sitting bone) apophysis (natural protuberance from a bone for the attachment of muscles) is possible in younger athletes.

 

Recovering from a Sports injury

While ice and rest from the inciting activity are a start.  And you may try a drug for fast pain relief for the moment. This is not a long term solution.  A sports injury chiropractor serving North Palm Beach, Palm Beach Gardens, Jupiter, Juno Beach and West Palm Beach can help you with the 5 common sports injuries a chiropractor can help with to get you back to your sport.  Even better, prevent future injuries and achieve peak performance by ensuring proper alignment on a regular basis with chiropractic. Contact Meiri Chiropractic today on the 5 common sports injuries a chiropractor can help with and/or other ailments you may have.

 

 

Meiri Chiropractic

11985 U.S. Hwy 1, #102

North Palm Beach, FL 33408

561-253-8984

    

Many chiropractic doctors offer natural adjunctive therapies and supplementation proven to effectively augment chiropractic treatment. Homeopathy is included in this list.  Read on to learn how homeopathy is a natural alternative treatment used by chiropractors.

Homeopathy is a system of medicine that has been used by millions of people worldwide for over 200 years.  It is prescribed and recommended by health care providers in over 65 countries.  Moreover, homeopathic medicines are used in extremely dilute concentrations that are nontoxic. And when administered according to homeopathic principles, are safe in infants, pregnant women, children, and adults.  While homeopathy is not a substitute for allopathic (conventional) medicine, it is effective and beneficial for a wide variety of acute and chronic problems such as: allergies, coughs, colds, influenzas, stress, digestive problems, migraine headaches, insomnia, arthritis pain, muscle pain, sports injury pain, chronic fatigue, premenstrual syndrome, and menopausal trouble.

 

 

Homeopathy is a natural alternative treatment used by chiropractors….Why a natural alternative?

Patients have asked for years about natural, reliable treatments without the unwanted side effects.  Conventional drugs are made from synthetic substances and can cause toxic side effects.  Homeopathic medicines are composed of herbal, mineral and animal substances.  Above all, non-invasive and non-toxic, it works by stimulating a natural healing reaction in a person. The FDA (U.S. Food and Drug Administration) regulates the remedies/medicines and pharmacies.

What does research and experience tell us?

For two centuries, homeopathy has been systematically proven by doctors’ observations of thousands of successfully treated cases.  Today, an increasing number of scientific studies are being conducted on homeopathy.  And there are 1000s of preclinical and clinical positive outcome studies.  Furthermore, many have been published in medical journals.

 

Celebrities that use homeopathy are numerous.  Cindy Crawford (super model) and Roger Daltrey (The Who) first discovered homeopathy because of an illness their child had, and they found that homeopathy worked where conventional medicine had not. Robin McGraw, (wife of “Dr. Phil” McGraw) used it for hot flashes of menopause.   “Cher” (singer/actress) used it for recurrent pneumonia and chronic fatigue. Tina Turner writes in her autobiography, “Life in the fast lane wore me down, changes in my diet and homeopathy saved me.” Some of the more well-known supporters of homeopathy are the royals, such as The Queen and HRH Prince Charles and more recently Prince Harry and Meghan Markle.

 

Sports stars/athletes who use homeopathy include: Jose Maria Olazabal(pro golfer), for rheumatoid polyarthritis (arthritis in multiple joints);  James Ellingon, the British Olympic sprinter, used homeopathy for muscle and joint pain before his competitions; the soccer star David Bekham used homeopathy for his broken foot before competing in the World Cup; Paul O’Neill, former right fielder for the Yankees; Arnie Kander, strength and conditioning coach of the NBA Detroit Pistons.

 

Homeopathy is a Natural Alternative Treatment Used by Chiropractors.

How do they Work Together?

 

Homeopathy can be used beneficially in conjunction with chiropractic. The National Center for Complementary and Alternative Medicine categorizes homeopathy as an alternate medical system because it has a complete system of theory and practice that evolved independent of the conventional biomedical (conventional medical) approach. Samuel Hahnemann, M.D., developed homeopathy beginning in the 1790’s. Classical homeopathy rests on the belief that the body is possessed of self-healing energy called the “vital force” (energy).  Also, that applying the correct homeopathic medicine can stimulate the body’s self-healing mechanisms.

 

Looking at the various array of natural therapies, each one has a significant role to play in healing the body and mind. Firstly, chiropractic is on the structural/biomechanical side of the array of therapies.  For instance, soft tissue therapy/manipulation is also a “structural” therapy.  Secondly, diet and nutrition, herbal medicine, and detoxification would be on the biochemical/biological level of the array of therapies.  Thirdly, homeopathy would be on the “energetic or information” medicine level of the array of therapies.  Finally, homeopathy can depending on the potency level, work specifically on the structural/material, biochemical or subtler “information/energy” medicine levels.   

 

Homeopathy is a natural alternative treatment used by chiropractors such as Meiri Chiropractic serving North Palm Beach, Jupiter, Palm Beach Gardens and West Palm Beach. We integrate chiropractic joint manipulation, along with physiotherapy, and patient education in diet and injury prevention.  In addition, homeopathic recommendations and prescriptions also help patients reduce healing time and minimize their pain naturally.  Contact our North Palm Beach office with any questions at 561-253-8984 to see how homeopathy may help you or someone you know.

 

References

 

  1. The Homeopathic Revolution: Why Famous People and Cultural Heroes Choose Homeopathy by Dana Ullman pp.162-163

 

Meiri Chiropractic

11985 U.S. Highway 1, Ste. 102

North Palm Beach, FL 33408

tel: 561-253-8984

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

A Chiropractor Can Treat a Dancer’s Injuries and Improve Their Performance

Author: Natalie Meiri, D.C.    Posted: 10/25/20


This was a 25 year old patient with multiple chief complaints due to ballet and contemporary dancing.  To be HIPAA compliant, I will call her Alice instead of her real name.  Alice had “stiffness” in her low back, both hips, both knees, and both ankles with numbness/tingling into both feet/toes.  Alice had been a professional dancer for 4 years and knew the stiffness was from ballet and contemporary dancing.  Even though it had been a year since the strenuous dancing, she felt the same “stiffness”.  So she came to see me.

 

She noted on her intake that she needed a “realignment” since she felt “out of alignment”. Furthermore, she checked off in her intake form: her condition interfered with her sleep, work, recreation, daily routine and was painful to sit, stand, walk, bend or lie down.  She also noted her pain “comes and goes”. There had been no falls or trauma to cause her condition.  Alice was very fit and lean having been a dancer, ate a balanced, nutritious diet, but needed to do the other activities (good night’s sleep, exercise)  to keep healthy.  She also wanted to take dance classes again, which she was unable to do currently due to her condition.

 

Alice’s Examination and X-rays

Upon examination, she had positive tests for the low back, both hips, both knees, and both ankles.  After that, I took some x-rays of her low back. Findings on her low back x-rays were decreased lumbar lordosis (normal inward curve of the low back was straight) consistent with lumbar myospasm (muscle spasm).  Alice had myalgia and myositis (muscle pain and inflammation) in her low back.  In addition, she had the decreased lordosis (loss of normal curve) probably acquired during her dancing years. Her hips, knees and ankles were given the diagnosis of segmental dysfunction (chiropractic misalignments/ subluxations) at those specific joints. 

 

Even though Alice did not have any falls (trauma) during her professional dancing years, she did have repetitive stress injuries.  These stress injuries occurred from repeating the same movements over and over again.  Moreover, a lot of these dance positions created poor posture for the spine contributing to the decreased lordosis in Alice’s spine. For instance, Alice spent many hours in the ballet pointe position in which the body is balanced on the extreme tip of the toes.

 

Alice’s Treatment

Alice’s chiropractic treatment consisted of chiropractic manipulation/ adjustments of the lumbar spine, both hips, knees, and ankles.  I also adjusted  her cervical (neck) and thoracic (mid back) spine to improve her overall posture/ alignment, nervous system function and optimize her dance performance. Additionally, soft tissue therapy (i.e., myofascial release, pressure point and post-isometric relaxation) and modalities (cold/heat therapy and electric muscle stimulation) were administered. Finally, Alice was given therapeutic exercises to continue her treatment at home. 

 

Alice was already at a dance class after her first visit! Gradually her stiffness, pain and numbness/tingling subsided.  She also gained the normal lordosis back in her low back along the way.  She continued treatment for several months.  Then Alice returned once a month on a regular basis to prevent future injuries and help her dance performance.

 

Many professional dancers are seeing their chiropractors on a regular basis. Your properly aligned spine and extremities (arms and legs) can boost your dance performance and also prevent future injuries.  Meiri Chiropractic in North Palm Beach offers comprehensive alternative treatment options for recreational and professional dancers. And while a chiropractor can treat a dancer’s injuries and improve their performance, it is imperative that you work with an experienced chiropractor.  Contact us today to learn more or to schedule your appointment.

 

 

Meiri Chiropractic

11985 U.S. Highway 1, Ste. 102

North Palm Beach, FL 33408

561-253-8984

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

A Chiropractor Can Treat Thumb Carpometacarpal Arthritis

Author: Natalie Meiri, D.C.  Posted: 10/17/20

 


This was a 59 year old patient who enjoyed sewing and “machine quilting”. To be HIPAA compliant, I will call her Milly instead of her real name. Milly was a patient who was treating with me for her neck and back problems for many years.  Then one day, she told me her thumbs were hurting constantly. Her pain ranged from moderate to severe and was becoming disabling. Her hands felt stiff and weak.  Furthermore, she was loosing dexterity in her hands. Gripping and pinching activities aggravated her condition and she would even drop objects.  Milly wasn’t able to sew or “machine quilt” due to her thumb(s) condition.

 

Her thumbs had been hurting for over 10 years on and off, but now it was consistent, severe pain. She didn’t know how it started and couldn’t remember any injuries to her thumbs. Therefore, she had seen an orthopedic hand surgery specialist who told her it was “bone on bone” arthritis.  He diagnosed it as osteoarthritis at her trapeziometacarpal joints (joint at the base of thumb close to wrist) — also known as the carpometacarpal (CMC) joint seen on her x-rays on both hands.  Moreover, he said she would need surgery if conservative treatments failed. 

 

Milly didn’t want surgery if at all possible, but was in severe pain.  Therefore, she got a cortisone (steroid) injection and was given a hand splint to wear. This gave her some relief for a few months. But then due to the pain, she got another cortisone injection. Yet again a few months later, the same pain was back. She came to see me after the second injection, since she knew continuous and repeated steroid injections have been shown to weaken the joint capsule and the surrounding area.

 

 

Milly’s examination

Upon examination, she had limitation of range of motion, muscular weakness and positive tests for thumb carpometacarpal arthritis of both hands. Milly’s x-rays of her hands showed  carpometacarpal joint space loss and degenerative arthritic findings worse in her right than her left hand. The carpometacarpal joint of the thumb is formed by the trapezium bone of the wrist and the first metacarpal bone (metacarpals are long bones within the hand that are connected to the carpals, or wrist bones, and to the phalanges, or finger bones) of the thumb.

 

More precisely, Milly had osteoarthritis of her carpometacarpal joints of her thumbs. Osteoarthritis is a “wear and tear” arthritis with inflammation of bones in a joint due to a reduction of cartilage. The “bone on bone” reference made by her orthopedist refers to the increased severity of osteoarthritis in a joint. In a healthy joint, cartilage aids in the movement of the joint between the two bones. “Bone on bone” refers to this lack of cartilage because of advanced osteoarthritis.

 

Milly’s chiropractic treatment

The goal of Milly’s treatment was firstly to relieve pain. Secondly, conserve and restore the mobility of the carpometacarpal joints of her thumbs.  Finally, to preserve and strengthen surrounding musculature. 

 

Treatment consisted of:

-Chiropractic manipulation or mobilization of the carpometacarpal joints of her thumbs, and associated regions consisting of her hands and wrists.                             

-Soft tissue manipulation (myofascial release, pressure points, postisometric relaxation) to the muscles and soft tissues (i.e., tendons, ligaments) involved.

-Home exercises for self stretching and strengthening muscles.

-Nutritional support for osteoarthritis were recommended  (i.e., glucosamine sulfate, boswellia, horsetail, SAM (S-adenosylmethionine), Vitamin E, Niacinamide, Vitamin C) along with the homeopathic consultations in which specific remedies for Milly’s condition were prescribed.

Milly gradually got pain relief and improved function in her thumbs so she could resume sewing and “machine quilting”.  It took almost a year of treatment before Milly was completely pain free and had full mobility of her thumbs. 

A Chiropractor Can Treat Thumb Carpometacarpal Arthritis

Thumb carpometacarpal arthritis is found primarily in postmenopausal females over 50 years old, due to hormonal and structural factors. However, since I treated Milly, I have also treated a number of patients that were men with similar problems in their hands from osteoarthritis.  Sometimes the patient’s cause for the thumb/hand pain was due to certain hereditary conditions (joint ligament laxity and malformed joints), injuries (sprains), diseases that change the normal structure and function of cartilage (i.e., rheumatoid arthritis), and jobs that put high stress on the thumb joint.

 

Meiri Chiropractic in North Palm Beach offers a range of treatments to bring pain relief for a variety of conditions. A north palm beach chiropractor can treat thumb carpometacarpal arthritis naturally.   Contact us to learn more or to make an appointment with a chiropractor serving North Palm Beach, Jupiter, Palm Beach Gardens and West Palm Beach today.

 

 

Meiri Chiropractic

11985 U.S. Highway 1, Ste. 102

North Palm Beach, FL 33408

561-253-8984