From Dr. Natalie Meiri’s Clinical Pearl Stories: Chiropractor West Palm Beach: From Lifting Injury to Bertolotti’s Syndrome
This was a 40 year old male patient with a chief complaint of thoracolumbar (junction of mid and low back) pain. To be HIPAA compliant, I will call him Todd instead of his real name. Todd had been coming to see me for close to 3 years on and off for back pain.
This year, he had another injury to the same area as the last few times. He worked in a warehouse for a shipping company. Todd spent most of his day lifting heavy boxes. He also worked out at the gym. He could barely turn his torso or flex forward when he presented to my office.
Todd’s Examination for his Back Pain
Upon examination, I found positive tests for a lumbar (low back) sprain with thoracic (midback) myalgia (muscle pain) diagnoses. Also, a test showed that his neck was problematic. Todd described the neck as “stiff” but not painful as his thoracolumbar spine felt.
I ordered x-rays of Todd’s cervical, thoracic and lumbar spine. Upon review, Todd’s x-rays revealed sacralization in his low back xray. Additionally, Todd’s cervical
x-ray showed he had a loss of lordosis. So a loss of lordosis refers to a natural inward curve of the spine is lost. In other words, the curve straightens out. This is due to bad posture, injury, osteoarthritis (wear and tear arthritis), or a congenital condition. Todd’s spine also showed moderate osteoarthritis throughtout,
What is Sacralization?
Sacralization affects roughly 4% to 10% of the population. Sacralization is a spinal congenital (born with) anomaly. And the lowest lumbar vertebra (usually L5) completely or partially fuses with the sacrum. Also, it is called a type of lumbosacral transitional vertebrae. Because the condition decreases normal mobility, it causes spinal stress. Lastly, when sacralization causes chronic lower back pain, it is called Bertolotii Syndrome.
The types of sacralization are various: Types range from unilateral (one sided), bilateral (both sided), fully fused and a pseudoarthrosis (false) joint.urthermore, diagnosis is confirmed only through imaging (x-ray, MRI).
Todd’s Treatment
Firstly, Todd received chiropractic adjustments to his spine. Next, soft tissue manipulation to his spasmed muscles. Subsequently, Therapeutic exercises was incorporated for development of endurance, range of motion/flexibility, and strengthening.
Secondly, I recommended acupuncture after the 5th visit to enhance his recovery from his spasmed muscles and inflamed joints.
Thirdly, while chiropractic and/or acupuncture cannot physically unfuse or restructure the bones, it targets the secondary problems caused by the sacralization. For example, the muscles around his hips and lower back (quadratus lumborum and gluteal muscles) were compensating. These muscles were hypertonic due to the impact of the uneven spine. Both chiropractic and acupuncture reduce inflammation. Moreover, chiropractic normalizes function to the joints. And acupuncture stimulates the nervous system to release endorphins (natural opioids).
Dr. Natalie Meiri
Todd’s Outcome to Treatment
Todd responded well to his treatments. In fact, by the 7th visit his pain had decreased to 50%. And his full range of motion was back. After 12 visits, Todd was able to return to his gym activities. Importantly, he was mostly pain-free. Finally, Todd continued care with me for supportive care and exacerbations with me as needed.
Unfortunately, there is no “cure” for Bertolotti syndrome. This is because it is caused by an inherited spinal variation. It occurs with the lowest vertebra fusing with the pelvis during fetal development. However, symptoms can be successfully managed. Also, further injury, degeneration and dysfunction can be prevented.
Chiropractor West Palm Beach: From Lifting Injury to Bertolotti’s Syndrome
Meiri Chiropractic serving West Palm Beach and the surrounding areas offers excellent chiropractic and acupuncture treatments for back pain. Call us in West Palm Beach at 561-253-8984. Schedule an appointment or to find out more about Chiropractor West Palm Beach: From Lifting Injury to Bertolotti’s Syndrome.
Chiropractor West Palm Beach: Ear Pain and Acupuncture is about the natural treatments available for Ear Pain through Acupuncture. Pain in the ear can happen with various diseases of the ears, suppurative inflammation or otitis media. In fact, almost all children get an ear infection before they are 4 years old. And it is the second most common diagnosis in medicine since adults get it also.
Causes of Ear Pain:
What is Serous Otitis Media?
Serous Otitis Media is effusion or a collection of non-infected fluid in the middle ear space. Typically, you will have a feeling of fullness for several weeks. And you will have possible hearing loss or pain. It is usually associated with a past history of upper respiratory infection. In addition, it can be from an episode of acute otitis, or barotrauma (injury caused by a change in air pressure).
The cause of serous otitis media is a persistently closed eustachian tube. This allows negative pressure to develop in the middle ear. This then causes discharge of fluid into the middle ear space. It is common in children because of a more horizontal canal. However, it can happen in adults. The culprit can be infection, allergy, or barotrauma.
What is Otitis Media?
In the United States, acute otitis media (infection of middle ear) counts for as much as 30 million patient visits to the primary care doctor annually. And it may cost as much as $5 billion.
It is an infection of the space behind your ear drum in your middle ear. With acute otitis media there is a fever. There is deep ear pain, a pressure sensation, and decreased hearing.
Acute otitis media often occurs after serous otitis media (effusion in the middle ear). Typically, the eustachian tube (tube that links the nasopharynx/upper throat to the middle ear) is involved. In addition, viral infections and other causes of eustachian tube inflammation can cause blockage. So middle ear fluid resulting from negative pressure provides a culture medium for bacteria. In other words, it is an adequate liquid environment for bacterial growth.
What is External Ear Infection/ Otitis Externa?
Otitis Externa or swimmer’s ear can absolutely happen from swimming. It affects the outer ear. Especially, it happens during warm, humid weather. The cause of otitis externa is due to an infection (bacterial or fungi) of the ear or ear canal. Is is caused by exposure to infected water. Additionally, it is caused by scratching or overaggressive use of cotton applicators. Keeping your ear dry is especially important for prevention.
Often, you will have ear pain, itching, and discharge. Also, your ear canal may have erythema and edema (redness and swelling).
Chiropractor West Palm Beach: Ear Pain and Acupuncture- How it Works
Firstly, Acupuncture may be helpful for patients with ear, nose, and throat (ENT) conditions. For instance, conditions are allergic rhinitis, tinnitus, and meniere’s disease.
Secondly, some studies indicate Acupuncture has immune-modulating effects. This can strengthen the body’s defense mechanisms against infections and allergens. By enhancing immune function, acupuncture may help prevent recurrent ear, nose, and throat issues.
Thirdly, Acupuncture involves the insertion of sterile needles into acupoints on the body. Acupoints are carefully selected based on the patient’s symptoms and diagnosis. Specific acupoints are used for the underlying imbalances contributing to the patient’s symptoms. For example, acupoints near the ears may alleviate tinnitus or reduce ear pressure associated with sinus congestion.
Fourthly, Inflammation is a common factor in many ear- nose- throat conditions. Acupuncture has been shown to have anti-inflammatory effects. Subsequently, acupuncture helps to reduce swelling.
Fifthly, Acupuncture triggers the release of neurotransmitters and endorphins. Next, this helps reduce pain and inflammation. Acupuncture works by stimulating nerves in the affected areas. And nerve stimulation promotes circulation. The goal is to encourage the body’s natural healing response.
Chiropractor West Palm Beach: Ear Pain and Acupuncture: Research
First, in one study, two cases of sudden sensorineural hearing loss in the left ear were followed. It was diagnosed by an ear, nose, and throat specialist. The first case was a 22-year-old male college student. He had moderately severe hearing loss, tinnitus, and a feeling of fullness in the ear for 5 days.
Second, the other case was a 48-year-old male pilot. He had severe hearing loss, tinnitus, and fullness in the ear for 7 days. In both cases, their hearing loss became worse after not responding to conventional medical treatment.
Third, both patients were treated with acupuncture. The outcome was, fullness in the ear disappeared during the first treatment in both cases. The study concluded acupuncture is worth a try. Specifically, it is worth a try when patients do not heal from conventional medical intervention.
Dr. Natalie Meiri
Chiropractor West Palm Beach: Ear Pain and Acupuncture
Indeed, Acupuncture is beneficial for patients looking for a form of complementary or integrative treatment for ear pain from various causes. Meiri Chiropractic offers acupuncture for ear pain and many other ailments. Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call today for your acupuncture treatment for ear pain at 561-253-8984.
Ninety percent to 95% of school-age children have “normal” eyesight. The majority of the children with eyesight problems have refractory errors (needs glasses). In the adult and senior group, eye and vision problems are more common. Some of these conditions are cataracts, glaucoma, diabetic retinopathy, dry eye disease and macular degeneration. Read on to learn more about these conditions and how acupuncture is a complementary natural treatment for eye diseases.
Eye Diseases and Causes Acupuncture Can Help
Of course, Eye pain may mean you have a disease in the eye. However, it can also reflect a reaction to a systemic infection, metabolic abnormalities, or vascular/neurologic problem. Similarly, your eye pain may be a side effect to medications (e.g. diuretics). Certain autoimmune diseases such as Sjogren’s syndrome and rheumatoid arthritis can also have eye symptoms. Allergic Conjunctivitis (itchy eyes from allergies) can cause eye discomfort. Also, postsurgical (e.g. cataract) eye dryness and pain are common. Indeed, Acupuncture has a beneficial effect when helping treat many diseases and painful eye conditions. Therefore, acupuncture is thought to be useful as a complementary and integrative therapy for eye conditions.
Acupuncture for Dry Eye Disease
For instance, dry eye disease (DED) is a common ocular (eye) condition. You will have symptoms such as stinging, burning and blurred vision. Typically, autoimmune, drug-induced, and mechanical factors can lead to this. And research shows acupuncture enhances tear production, reduces ocular inflammation, and regulates nervous system function. Therefore, acupuncture offers a natural approach to DED management. Potentially, acupuncture may reduce reliance on medications, thereby decreasing the risk of side effects and drug interactions. Additionally, it has the potential to improve patients’ quality of life. Acupuncture helps with pain, enhances ocular health, and even promotes overall well-being.
How Does Acupuncture Help Eye Diseases?
Firstly, Acupuncture has been used for over 4000 years to treat pain and other health problems. The acupuncture treatment stimulates the imbalanced pathways along the meridians to bring balance back. Mainly, the goal is to activate the body’s natural healing abilities.
Secondly, Traditional acupuncture is based on the belief that an energy, or “life force”(Qi, pronounced “chee”), flows through the body in these channels called meridians. And the stimulation of acupuncture points in the meridians is most effective through needle insertion.
Thirdly, today, Researchers believe when an acupuncture needle is inserted, nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs (e.g. eyes).
Fourthly, Acupuncture consists of the insertion of one or several very thin metal needles into the skin and underlying tissues. Because the sterile needles are so slender (hair thin) application is painless or at most, the equivalent of the most slightest prick. Most importantly, the needles are not placed in the immediate eye area at our office.
Dr. Natalie Meiri
West Palm Beach Chiropractor: Acupuncture for Eye Diseases: Research
In one study, it stated, “Acupuncture shows potential benefits in treating degenerative eye diseases.” This was especially in improving clinical response rates. A total of 3362 records were investigated, with 21 studies meeting parameters for the study. They concluded, “Acupuncture shows improvements in visual acuity, ocular blood flow, and intraocular pressure (IOP)”. The degenerative ocular diseases included—glaucoma, age-related macular degeneration (AMD), optic atrophy, and retinitis pigmentosa (RP). All of the diseases cause vision loss. And acupuncture was able to help in the healing of these eye diseases via vascular and neuroprotective processes.
In another study, acupuncture’s benefit for dry eyes following cataract surgery was evaluated. The scientists concluded that, based on the results, “acupuncture has the potential to become one option for complementary treatment in DED following cataract surgery.”
West Palm Beach Chiropractor: Acupuncture for Eye Diseases
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: West Palm Beach Chiropractor: Acupuncture for Eye Diseases.
References:
A Review of Acupuncture for the Treatment of Dry Eye Syndrome: Mechanisms, Efficacy, and Clinical Implications
This post is about West Palm Beach Chiropractor: Acupuncture for Abdominal Muscle and Fascial Pain. Symptoms of abdominal muscle and fascial injury include being painfully flexed over (bent forward). And you can’t seem to straighten up due to the injury. Additionally, pain on bending to the opposite side of the injury is common. Read on to learn more about West Palm Beach Chiropractor: Acupuncture for Abdominal Muscle and Fascial Pain.
Causes of Abdominal Muscle and Fascial Injury
Firstly, abdominal muscle and fascial injuries are common in tennis or football players. Secondly, a tennis player hitting an overhead stroke with the ball slightly behind them and reaching back may whip the body forward. This may contract the rectus abdominus muscle into injury. Thirdly, football players due to repetitive movements, like twisting and turning may get this injury as well. Fourthly, anyone can incur this injury through the following:
–Overuse/Repetitive movements involving the abdominal muscles and fascia
-Sudden/Fast movements, twisting, or jumping
-Muscle fatigue/Strenuous activity
Abdominal Muscle and Fascia Anatomy
Almost all the muscles that originate or insert into the pelvis may be strained including the rectus abdominis, external oblique, latissimus dorsi, gluteus maximus and medius, tensor fasciae latae, sartorius, quadratus lumborum, iliocostalis lumborum and transversus abdominis muscle. The various soft tissue structures that may get injured include:
the muscles, which allow you to move.
the tendons, which connect your muscles to the bone.
the ligaments which are bands of tough elastic tissue around your joints. They connect bone to bone, give your joints support, and limit their movement.
the fascia – stretchy, thin, white fibrous tissue. All your muscles are enveloped in fascia.
West Palm Beach Chiropractor: Hip Pointer
Strain and contusion (bruise) of the muscles attached to the iliac crest (top part of ilium/hip bone) are referred to as a hip pointer injury. This may lead to abdominal muscle spasm and pain. There may be swelling and ecchymosis (discoloration of the skin resulting from bleeding underneath). Hip pointer causes include traumatic contusion of the iliac crest and contact sports. Pain is immediate and acute. And you may flex toward the side of your injury. Next, swelling may present over the hip area with pain in both the hip and abdominal muscles.
West Palm Beach Chiropractor: Chronic Abdominal Fascial Strain
You may have groin pain above the inguinal ligament (ligament located in the groin area) due to a fascial strain. And this injury is usually seen in runners. Moreover, it may end up as a chronic problem.
West Palm Beach Chiropractor: What is a Sprain or Strain?
A sprain is a sudden or violent twisting injury of a joint with stretching or tearing of ligaments. And a strain occurs when a muscle is overstretched or torn. This usually occurs as a result of fatigue, overuse, or improper use. Furthermore, damage to your attached tendons can also occur with a strain.
Dr. Natalie Meiri
West Palm Beach Chiropractor: Acupuncture Treatment for Abdominal Muscle and Fascial Pain- Research
First, one study looked at Abdominal cutaneous nerve entrapment syndrome (ACNES) which is a leading cause of Chronic abdominal wall pain (CAWP). ACNES is a frequent and commonly overlooked cause of chronic abdominal wall pain. It occurs when small intercostal sensory nerves are compressed. This happens in the muscular layers and fibrous rings in the rectus abdominis muscle. Typically, patients report localized, persistent, or recurrent stabbing pain, burning sensations, or abdominal tenderness. Moreover, fibrous inflammation, adhesions, or pressure changes can lead to nerve entrapment.
Second, the study stated the common problem of misdiagnosis of this syndrome. Therefore, the acute pain would become a complex chronic state.
Third, a case study noted in this study was a woman who had chronic abdominal pain with constipation for several years. Management included long-term laxatives, analgesics, and psychological counseling. After acupuncture treatment, this patient reported significant pain relief. Furthermore, weekly acupuncture treatments over 12 weeks nearly eliminated the abdominal pain. Sleep and constipation improved though occasional laxatives were still required. Finally, after 4 additional treatments, she was pain-free.
West Palm Beach Chiropractor: Acupuncture Treatment for Abdominal Muscle and Fascial Pain- More Research
First, the next research study involves a case with dyspnea. Dyspnea is the medical term for shortness of breath or the subjective feeling of difficult, labored, or uncomfortable breathing. It can involve cardiovascular and respiratory disease as the cause. Moreover, the causation can be multifactorial. Therefore, treatment has to target neurological, hematologic (blood related), psychologic and musculoskeletal disease.
Second, in this study, the researchers describe an (unknown cause) idiopathic dyspnea case. The patient was unresponsive to medical drug interventions. Subsequently, the study stated the dyspnea completely resolved with acupuncture of abdominal trigger points. Trigger points are hyperirritable spots. Also, they are a palpable nodule in the taut bands of the skeletal muscles’ fascia. Additionally, the closest “points” related to trigger points in acupuncture are called ashi points.
Third, scar tissue where the rectus abdominus attaches and the abdominal fascia blends into the pectoralis can lead to difficult breathing movements . Upon palpation, significant trigger points were found in the rectus abdominus. The trigger points were released utilizing acupuncture needling. And immediate improvement of breathing was the outcome.
Fourth, the study noted the possibility of myofascial trigger points (MTP) in the differential diagnosis for dyspnea. Indeed, Acupuncture is a noninvasive and cost effective treatment for dyspnea due to MTP.
West Palm Beach Chiropractor: Acupuncture Treatment for Abdominal Muscle and Fascial Pain
Acupuncture has been used for over 4000 years to treat pain and other health problems. Acupuncture effects what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. Traditional acupuncture is based on the belief that an energy, or “life force”, flows through the body in these channels called meridians.
Today, Researchers believe when an acupuncture needle is inserted, nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs.
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: West Palm Beach Chiropractor: Acupuncture Treatment for Abdominal Muscle and Fascial Pain.
References:
Rethinking chronic abdominal wall pain: A new approach to integrating Western medicine and traditional Chinese medicine
Do you have pain in the hand or medial (closer to the body) forearm? You may also have paresthesia (pins and needles) into the ring and little finger of the same arm/hand. It could be due to ulnar nerve syndrome. This post is about Chiropractor West Palm Beach: Acupuncture Treatment for Ulnar Nerve Syndrome.
Anatomy of the Ulnar Nerve
The ulnar nerve is one of the 5 terminal (end) branches arising from the medial (closer to mid line) cord of the brachial plexus (network of nerves in the shoulder). It supplies motor and sensory innervation to the upper extremity. The ulnar nerve originates from contributions of the C8 and T1 nerve roots of the spinal cord. The nerve courses along the medial arm and forearm, and then it passes into the wrist, hand, and fingers.
The ulnar nerve provides motor (voluntary movement) innervation to part of the forearm and a majority of the hand. It supplies sensory cutaneous (skin) innervation to the medial forearm, medial wrist, and medial fifth digit, medial half of the fourth digit, and the corresponding part of the palm.
In the hand, the ulnar nerve branches to give rise to a palmar cutaneous (relating to the skin) and dorsal cutaneous branch.
Chiropractic Care in West Palm Beach: Causes of Ulnar Nerve Entrapment at the Wrist and Elbow
Wrist Entrapment Site: Tunnel of Guyon
The ulnar nerve enters the hand through the Tunnel of Guyon’s canal. The tunnel of Guyon relays the ulnar neurovascular bundle (ulnar nerve, ulnar artery/vein, lymphatic vessels) into the hand. This is a fibro-osseous tunnel formed by the pisiform and hook of the hamate (2 of 8 carpal/wrist bones). And the ulnar nerve may be compressed in the tunnel of Guyon at the wrist.
Of course, the cause could be due to a traumatic sporting activity. For example, you may have slammed the ball while playing basketball against the rim of the hoop. Also, prolonged pressure over the hypothenar eminence (base of fifth digit/little finger) can be a culprit. For instance, constant compression on handlebars, as with cyclists, may cause this problem (i.e. handlebar or cyclist’s palsy). In addition, other causes include vascular abnormalities and/or a ganglion cyst.
Elbow Entrapment Site: Cubital Tunnel
Firstly, the humerus, radius and ulna bones articulate to form the elbow synovial joint. The cubital tunnel is just distal to the medial epicondyle of the humerus (upper arm). And the cubital tunnel floor is made up of the ulnar collateral ligament and the capsule of the elbow joint. The cubital tunnel’s ceiling is formed by Osborne’s ligament (triangular arcuate ligament) and the cubital retinaculum (fascia). This is a ligament spanning from the medial epicondyle to the olecranon process of the elbow. And the medial epicondyle and olecranon act as the walls on either side. Lastly, the ligament is continuous with the fascia connecting the humeral and ulnar heads of the flexor carpi ulnaris muscle.
Secondly, irritation of the ulnar nerve at the elbow can be due to compression, stretch or direct trauma. Typically, a stretch injury is due to a valgus (turned outward) force to the elbow. Moreover, compression may be at the two heads of the flexor carpi ulnaris muscle where the nerve can get entrapped. Also, you may have arthritis and osteophytes (bony spur) at the cubital tunnel causing nerve irritation.
Thirdly, research indicates the cubital tunnel syndrome is the second most common compressive neuropathy in the upper extremity (limb). Often, you may have had throwing activities (e.g. Baseball). Subsequently, this is where the ulnar nerve was medially stretched. Therefore, the pressure in the tunnel is increased with elbow flexed and wrist extended as in throwing. Additionally, you may have slept wrong with your elbow flexed causing compression and “sleep paralysis”. Also, less common causes include lipomas, ganglions, and abnormal soft tissue structures (e.g. scar tissue).
Chiropractor West Palm Beach: Acupuncture Treatment for Ulnar Nerve Syndrome: Research
First, Ulnar Nerve syndrome is a peripheral neuropathy. And a peripheral neuropathy is a result of damage to the nerves located outside of the brain and spinal cord. It is a disease characterized by pain or loss of function in the nerves that carry signals to and from the brain and spinal cord (the central nervous system) to other parts of the body.
Second, Researchers looked at fifteen studies which included neuropathy patients. Furthermore, they studied acupuncture for neuropathy caused by diabetes, Bell’s palsy, carpal tunnel syndrome, and idiopathic (unknown cause) conditions.
Third, in conclusion, most benefited with acupuncture. Specifically, this was true for diabetic neuropathy, Bell’s palsy, and carpal tunnel syndrome. Indeed, Acupuncture appeared to improve nerve conduction (evaluates peripheral nerve strength) study parameters (strength and speed etc). And this was true in both sensory and motor nerves.
Chiropractor West Palm Beach: Acupuncture Treatment for Ulnar Nerve Syndrome: More Research
First, in one study researchers presented a standardized acupuncture protocol for the treatment of peripheral neuropathy.
Second, the standardization included point selection, number of needles used, needle-retention time, needling depth, amount of needle manipulation, and use of moxibustion and electroacupuncture (EA) .
Third, the outcome for patients was that the standardized protocol was effective. And it was effective for the treatment of neuropathy of various causes.
Dr. Natalie Meiri
Chiropractor West Palm Beach: Acupuncture Treatment for Ulnar Nerve Syndrome
Acupuncture has been used for over 4000 years to treat pain and other health problem. Acupuncture effects what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. Additionally, traditional acupuncture is based on the belief that an energy, or “life force”, flows through the body in these meridians.
Today, Researchers believe when an acupuncture needle is inserted, nerves are stimulated. Next, this sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. Similarly, this triggers nerve signaling that affects bodily functions. And this includes other parts of the body such as organs.
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: Chiropractor West Palm Beach: Acupuncture Treatment for Ulnar Nerve Syndrome.
References:
Acupuncture for the Treatment of Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Do you have Paresthesia (tingling, numbness or “pins and needles”) in your shoulder or arm (above the elbow)? Also, do you have weakness in your arm? You may have limitation of motion of your triceps muscle? These are all symptoms of Radial Nerve Syndrome above the elbow. It could be due to Radial Nerve Syndrome. This post is about Chiropractor West Palm Beach: Acupuncture Treatment for Radial Nerve Syndrome.
Symptoms/ Signs of Radial Neuropathy
As mentioned previously, there is usually weakness of the triceps if the compression is in the axillary area. This differentiates higher from lower levels of compression. Moreover, entrapment from the level of the spiral groove of the humerus down usually does not affect the triceps.
However, if severe enough, compression in the axilla can be very extensive. It can lead to loss of elbow, wrist (wrist drop) and finger extension. This is because entrapment at the axilla affects all of the motor and sensory (possible numbness) radial distributions.
Radial Neuropathy/Nerve Entrapment Causes
Firstly, your pain and paresthesias (numbness and tingling) could have come on insidiously (gradually). However, radial neuropathy/nerve entrapment can be due to various causes such as trauma, tumor, scaring/fascial restrictions, fracture, and tourniquet or crutch use causing pressure at the axilla.
Secondly, Saturday night palsy; where you are sleeping with the head on an outstretched hyperabducted (stretched above head) arm may lead to it as well.
Thirdly, sports such as gymnastics and wrestling may be a cause due to some of the maneuvers.
Fourthly, other sports such as baseball and weight lifting where your elbow is forcefully extended may be a cause.
Fifthly, even runners are at risk for radial neuropathy. Runner’s Radial nerve palsy occurs due to keeping the elbow tightly flexed while running. This causes numbness in the forearm and dorsal (upper) hand.
Sixthly, repetitive or prolonged muscle contracture in laborers and throwers may be a cause.
Anatomy of the Radial Nerve
The radial nerve is the terminal (end) continuation of the posterior (back) part of the brachial plexus. And the brachial plexus is a bundle of nerves that originate from nerve roots in the cervical (neck) and upper thoracic (torso) sections of the spinal cord (C5-T1). Ultimately, the brachial plexus creates a network that connects to the nerves in the arm. Therefore, the radial nerve contains fibres from nerve roots C5 – T1.
It arises from the axilla and exits the axilla inferiorly (below). Next, it supplies branches to the long and lateral heads of the triceps brachii muscle.
The radial nerve then descends down the arm. It travels in a shallow depression within the surface of the humerus (long upper arm bone), known as the radial groove.
To enter the forearm, the radial nerve travels anterior (front of) to the epicondyle of the humerus, through the cubital fossa of the elbow. The nerve then ends by dividing into two branches:
-Deep branch (motor) – innervates (supplies) the muscles in the posterior (back) compartment of the forearm.
-Superficial branch (sensory) – contributes to the cutaneous (skin) innervation of the dorsal (back) hand and finger
Acupuncture Care in West Palm Beach: Causes of Radial Nerve Entrapment/ Neuropathy
Radial Nerve Syndrome is a peripheral neuropathy. And a peripheral neuropathy is a result of damage to the nerves located outside of the brain and spinal cord. It is a disease characterized by pain or loss of function in the nerves that carry signals to and from the brain and spinal cord (the central nervous system) to other parts of the body.
Entrapment Sites of the Radial Nerve:
High Radial Nerve compression
High radial nerve compression involves compression from the axilla to the proximal (beginning) elbow. Entrapment can first occur as the radial nerve passes in front of the subscapularis (one of 4 rotator cuff muscles), tendons of the latissimus dorsi and teres major muscles.
Furthermore, entrapment can include axillary compression and compression at the spiral groove of the humerus, fibrous arcade (band) at the origin of the lateral head of triceps muscle and within the triceps muscle.
Compression proximal (near) to the elbow
Entrapment occurs proximal (nearer) to the elbow on the lateral (side) position between the brachialis (muscle goes from humerus and inserts to ulna bone of elbow) and brachioradialis (muscle goes from humerus to radius bone at wrist).
Also, with Cheiraigia Paresthetica (Wartenberg’s Syndrome) there is numbness or tingling over the dorsolateral (back and the sides) aspect of the wrist and hand. The superficial branch of the radial nerve is susceptible to trauma between the tendons of the extensor carpi radialis longus (ECRL is a forearm extensor muscle) and the brachioradialis (muscle of the forearm that flexes the forearm at the elbow).
Dr. Natalie Meiri
Chiropractor West Palm Beach: Acupuncture Treatment for Radial Nerve Syndrome:Research
Firstly, in one study, a patient with “Saturday Night Palsy” came for treatment. This palsy is caused by pressing on the radial nerve in the upper arm or armpit. Furthermore, it often happens when a person falls asleep in an awkward position. After suffering for a week, the patient’s Wrist motion returned immediately after treatment. Subsequently, the patient reported increasing strength in wrist and finger extension as the day progressed.
Secondly, the patient cancelled the second acupuncture treatment the following day. This was because her hand had recovered.
Thirdly, a follow up with the same patient 4 months later revealed normal wrist and finger extension, sensation, and return of the brachioradialis reflex. Additionally, the patient was symptom-free 1-year post injury.
Fourthly, in conclusion, Acupuncture potentially facilitates recovery and may enhance treatment of peripheral motor nerve injury.
Chiropractor West Palm Beach: Acupuncture Treatment for Radial Nerve Syndrome (CTS): More Research
First, 52 patients took part in an acupuncture study in a hospital in China, and 50 cases were cured. This was 96.2% remarkable finding of a cure with acupuncture. Also, the patient’s had radial nerve syndrome from 3 days to 4 years, at the average of 1 1/2 months prior to the cure. The radial nerve entrapment targeted in the study was Cheiraigia Paresthetica (Wartenberg’s Syndrome).
Second, only needling at the forearm in the treatment was utilized.
Third, the outcome was a satisfactory clinical therapeutic effect on the entrapment syndrome of superficial radial nerve.
Chiropractor West Palm Beach: Acupuncture Treatment for Radial Syndrome
Acupuncture has been used for over 4000 years to treat pain and other health problems. Acupuncture effects what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. Traditional acupuncture is based on the belief that an energy, or “life force”, flows through the body in these channels called meridians.
Today, Researchers believe when an acupuncture needle is inserted, nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs.
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: Chiropractor West Palm Beach: Acupuncture Treatment for Radial Nerve Syndrome.
References:
Acupuncture treatment of compression neuropathy of the radial nerve: a single case report of “Saturday Night Palsy” Paul J Millea 1 Affiliations PMID: 15750377 DOI: 1089/acm.2005.11.167
2) 52 cases of entrapment syndrome of superficial radial nerve treated with short thrust needling at Shànglián (上廉LI 9)Rehabilitation Department of Hebi Jingli Hospital, Hebi City 458030 Henan Province, China</p>
World Journal of Acupuncture- Moxibustion Volume 28, Issue 4, Pages 294-296
Do you have pain, numbness, and tingling in the palmar (palm side or grasping side) surface of the thumb and radial (toward the thumb side) two and one half fingers? It could be due to Carpal tunnel syndrome. This post is about Chiropractor West Palm Beach: Acupuncture Treatment for Carpal Tunnel Syndrome.
Chiropractic Care in West Palm Beach: Causes of Median Nerve Entrapment at the Carpal Tunnel of the Wrist
Carpal Tunnel Syndrome is a peripheral neuropathy. And a peripheral neuropathy is a result of damage to the nerves located outside of the brain and spinal cord. It is a disease characterized by pain or loss of function in the nerves that carry signals to and from the brain and spinal cord (the central nervous system) to other parts of the body.
With carpal tunnel syndrome (neuropathy at the wrist), the median nerve runs through an osteofibrous tunnel created by the transverse carpal ligament and carpal (wrist) bones. Direct compression from ganglions (sac-like swelling or cyst), fractures, and dislocations is possible. However, it is more common to have a history of direct external pressure on the tunnel. Also, a history of prolonged wrist use in full flexion or extension (down or up) can be the culprit. Lastly, pressure inside the tunnel increases in these extreme repetitive positions. Additionally, other factors may contribute such as rheumatoid arthritis, diabetes, connective tissue disorders and fluid retention as in pregnancy. Deficiency in B vitamins may predispose you to carpal tunnel syndrome as well.
Anatomy of the Median Nerve
First, the median nerve is a major peripheral nerve of the upper limb and are formed from the nerve roots of C6 – T1. Also, contains fibres from C5 in some individuals. The median nerve comes from the medial (inner) and lateral (outer) cords of the brachial plexus. And the brachial plexus is a bundle of nerves that originate from nerve roots in the cervical (neck) and upper thoracic (torso) sections of the spinal cord (C5-T1). Ultimately, the brachial plexus creates a network that connects to the nerves in the arm. Therefore, the median nerve contains fibres from nerve roots C6 – T1.
Second, it arises from the brachial plexus in the axilla and descends down the arm. At first, it is lateral to the brachial artery. Halfway down the arm, the median nerve crosses over the brachial artery. It is then in the medial (inner) arm. Next, the median nerve enters the anterior (front) compartment of the forearm via the cubital fossa at the elbow.
Third, in the forearm, the nerve travels between the two heads of pronator teres muscle, and then descends in a plane between the flexor digitorum profundus and flexor digitorum superficialis muscles. Here, the median nerve gives rise to two branches in the forearm:
Anterior interosseous nerve – supplies the deep muscles in the anterior forearm.
Palmar cutaneous nerve – innervates the skin of the lateral (outer) palm.
Fourth, after giving off the anterior interosseous and palmar cutaneous branches, the median nerve enters the hand via the carpal tunnel. Finally, the median nerve terminates by dividing into two branches:
Recurrent branch – innervates the thenar muscles.
Palmar digital nerves – innervates the palmar surface and fingertips of the lateral three and half digits. Additionally, provides branches to the lateral two lumbrical muscles.
Chiropractor West Palm Beach: Acupuncture Treatment for Carpal Tunnel Syndrome (CTS): Research
In one study, participants were randomly assigned to either a control group (without acupuncture) or an intervention group (with acupuncture). One group had night splinting, vitamin B1, B6 and sham acupuncture for four weeks. And another group got acupuncture in 8 sessions over 4 weeks and night splinting. So the short term effects of acupuncture for mild to moderate carpal tunnel syndrome was assessed. The results showed acupuncture significantly improved clinical symptoms of CTS. Therefore, acupuncture can improve the overall subjective symptoms (e.g. pain) of carpal tunnel syndrome.
Chiropractor West Palm Beach: Acupuncture Treatment for Carpal Tunnel Syndrome (CTS): More Research
Firstly, in another study, funded in part by the National Center for Complementary and Integrative Health and conducted by a multicenter team of scientists at Massachusetts General Hospital, Logan University, the Korean Institute of Oriental Medicine, Spaulding Rehabilitation Hospital, Harvard Vanguard Medical Associates/Atrium Health, and Beth Israel Deaconess Medical Center, is the first sham-controlled neuroimaging acupuncture study for CTS. It was published in the journal Brain.
Secondly, the scientists looked at local pain-relieving effects in people with carpal tunnel syndrome (CTS) with acupuncture. Similarly, they looked at how acupuncture was effecting the brain’s pain centers. The conclusion was, acupuncture may improve CTS pathophysiology (body’s changes due to disease) by both local and brain-based mechanisms. The scientists looked at the neuroplasticity of the primary somatosensory cortex. So they were looking at the brain’s ability to reorganize. Specifically, its touch, pain, and “body-position maps” following injury, learning, or changes in sensory input. This dynamic rewiring allows healthy neurons (nerve cells) to take over areas that lose input. It also allows the brain to adapt through repetitive practice.
Thirdly, the aim was to study the short term effects of acupuncture treatment of mild to moderate carpal tunnel syndrome. The results showed that patients receiving acupuncture had significantly better outcomes in clinical symptoms of CTS.
Dr. Natalie Meiri
Chiropractor West Palm Beach: Acupuncture Treatment for Carpal Tunnel Syndrome
Acupuncture has been used for over 4000 years to treat pain and other health problem. Acupuncture effects what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. Traditional acupuncture is based on the belief that an energy, or “life force”, flows through the body in these channels called meridians.
Today, Researchers believe when an acupuncture needle is inserted, nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs.
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: Chiropractor West Palm Beach: Acupuncture Treatment for Carpal Tunnel Syndrome.
Runners participating in sports have shown positive outcomes from acupuncture interventions. Acupuncture isn’t just for pain management. Indeed, acupuncture helps you with injury repair and recover faster. Ultimately, acupuncture gives you the extra ability to achieve peak performance. West Palm Beach Chiropractor: Runner’s Lower Extremity Injuries Acupuncture Can Help is about just that.
Acupuncture has been used for over 4000 years to treat pain and other health problems. The acupuncture treatment stimulates the imbalanced pathways along the meridians to bring balance back. Mainly, the goal is to activate the body’s natural healing abilities and bring balance back to your body. It’s often used as part of a broader approach to healthcare.
Every athlete is different and so treatments are different for everyone. For example, an athlete with digestion issues will not get the same treatments as someone with hormonal issues or allergies. Indeed, Acupuncture enhances peak oxygen levels, maximum heart rate, delayed-onset muscle soreness, pain, swelling, explosive force production, and joint mobility. Furthermore, the efficacy of acupuncture appears to be similar regardless of age and sex.
Athletes may also use acupuncture immediately before or after a major event. And then as part of the recovery phase afterward.
3 common runner’s lower extremity injuries acupuncture can help
Achilles Tendonitis
The achilles tendon is a very large tendon which connects the gastronemius and soleus (calf muscles) to your calcaneus (heel bone).
The Achilles tendon is covered by a peritenon (connective tissue sheath surrounding a tendon) composed of mainly areolar tissue (fatty tissue) which functions as a cushion. The area most affected in tendinitis is approximately 2 cm proximal (close) to the calcaneal insertion (heel attachment). The demands on the tendon are high in running and jumping.
Next, at the heel insertion (attachment site) there can be a complicating problem. The retrocalcaneal bursa (small cushioning sac between the heel bone and the achilles tendon) can get irritated. Eventually, this may lead to a Haglund’s deformity (bony enlargement found on the back of the heel).
Common symptoms of achilles tendonitis include a dull pain above your heel, swelling along the tendon, or a limited range of motion when you try to flex your foot toward your shin.
Acupuncture can be part of your treatment for an Achilles tendon injury right away when you begin to feel pain. Otherwise, the risk of rupturing it increases. Then you will need surgery and months of recovery will delay your training and running.
“Runner’s Knee”
Runner’s Knee is also called patellofemoral syndrome or chondromalacia patella. It is seen in various athletes, but most commonly seen among runners. You may have anterior (front) knee pain. However, your knee pain may be found behind, in and around your patella (knee cap) as well. It may be vague aching pain that is aggravated by going up and down stairs. Moreover, there may be associated crepitus (cracking or grating) and knee pain going through any squatting maneuver.
Certainly, biomechanical (study of living body) abnormalities can lead to an erosion and fragmentation of the sub patellar (beneath kneecap) cartilage. This breaking up of the patella articular cartilage due to repetitious stress leads to chondromalacia. So patella tracking problems can occur primarily from injuries to the knee and quadriceps (group of four muscles that cover the front and sides of your thighs) mechanism. And it can secondarily be in response to problems affecting the ankle or hip. An acupuncture treatment can be rendered for healing.
Hamstring Strain or Adductor Strain/Sprain (Groin Pull)
Perhaps you were running, sprinting or jumping and you over contracted the hamstrings while in a position of stretch? You may be a runner 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. Strains (injury to muscle) of hamstrings occurs most often at the junction of the muscle and aponeurosis.
Perhaps you were sprinting or jumping and felt a sudden pulling sensation in the groin that was incapacitating? The adductors are a group of muscles on the inside of your thigh. So a sprain is an injury to the ligaments, a fibrous connective tissue that attaches bone to bone, and usually serves to hold structures together. And the cause of an adductor sprain (injury to ligaments) is often a sudden contraction from a stretched position.
While ice and rest from the inciting activity are a start. And you may try a conventional drug for fast pain relief for the moment. However, drugs are not a long term solution. Get your acupuncture treatment if it’s not getting better.
Firstly, in one study, there was a reduction in swelling at the injury site, measured in centimeters, between days 7 and 14 in patients who underwent acupuncture along with physical medicine (e.g. chiropractic). In contrast, physical medicine alone had more swelling than the acupuncture group.
Secondly, in a knee study, Researchers saw significant improvements in “peak power and work” (overall energy measurement). This was in comparison to those of “10 right knees” treated without acupuncture.
Thirdly, in another study, the various injuries treated with a good outcome with acupuncture were lateral meniscus rupture, femoral acetabular impingement, ganglion cysts, and sports hernia.
Firstly, researchers found athletes who receive acupuncture exhibit improved regulation of blood pressure and heart rate. And those who forwent acupuncture didn’t have the same benefits. Similarly, acupuncture has been reported to markedly increase blood volume within the Achilles tendon with treatment.
Secondy, the healing ability of acupuncture for athletes also includes psychological components (e.g. competition anxiety or/and cognitive ability). Therefore, athletes receiving acupuncture experience less competition related stress. For example, wrist-ankle acupuncture helped resolve precompetition nervous syndrome in youth track and field athletes. Additionally, acupuncture enhanced emotional regulation, attention, and concentration among archers.
If you’re recovering from a runner’s injury, acupuncture can be especially helpful when used alone or in conjunction with chiropractic. Dr. Natalie Meiri is an experienced chiropractic physician who is board certified in acupuncture, why go anywhere else? Call 561-253-8984 today to schedule a acupuncture treatment.
The National Osteoporosis Foundation reports about 54 million Americans have osteoporosis and low bone mass. And this places them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis. Osteoporosis is the most common metabolic disorder of bone, affecting approximately 100 million people worldwide. The disease affects men by age 75 years, even though osteoporosis is often focused on as a women’s health issue. Read on to learn about West Palm Beach Chiropractor: Acupuncture Helps Osteoporotic Fractures.
West Palm Beach Chiropractor: What is Osteoporosis?
Firstly, Osteoporosis is a loss of bone mass associated with deterioration of the microarchitecture (structure and connectivity of bone elements and the thickness of the cortical shell) of bone tissue.
Secondly, Osteoporosis is typically divided into bone loss associated with age, called senile osteoporosis (type II). And postmenopausal osteoporosis is type II. Of course, Women can get both types.
Thirdly, generalized (whole body) osteoporosis is the most common form found with both senile and postmenopausal causes. A regional osteoporosis may occur that is restricted to a bone or part of a limb. Moreover, regional/localized osteoporosis may occur in certain areas of bone as a result of infection, cancer, or an inflammatory arthritis.
“Female Athlete Triad” Condition: Young female athletes with osteoporosis
Specifically, in young female athletes, osteoporosis may be part of the “female athlete triad” condition. This is when the athlete has a condition of disordered eating, menstrual irregularity, and osteoporosis/osteopenia. “Disordered eating” is known to occur often in young female athletes. Disordered eating is classified as restricted eating behaviors. While it is not anorexia nervosa, it is a clinical disorder. For instance, Menstrual Irregularity in young competitive female runners is linked to disordered eating and low bone mineral density (BMD). Similarly, low BMD shows up with disordered eating in young female athletes even without menstrual irregularity.
Compression Fracture and Osteoporosis
The decreased bone mass or increased porosity that occurs with osteoporosis weakens the structural support of the spinal column. In severe cases of osteoporosis, everyday normal activities may cause a spinal compression fracture. This type of vertebral fracture causes loss of height and a “humped” spine even after it is healed, especially in elderly women. This disorder (called kyphosis) is an exaggeration of your spine that causes the shoulders to slump forward and the top of your back to look humped. Pain may subside as the compression fracture is healing. However, many continue to feel some pain even after the compression fracture has healed. Over time, individuals may begin to show a loss of height, stooped over posture, and back pain.
How Does Acupuncture Help Osteoporosis?
Studies have shown that acupuncture improves bone mineral density, bone strength and raises hormone levels. However, the exact mechanism of how is unknown.
Acupuncture is a treatment that has been used for over 4000 years for health problems. Moreover, Traditional Chinese Medicine (TCM) explains acupuncture as a balancing of energy (qi) in each human being to achieve overall wellness. Similarly, TCM says the loss of kidney qi and blood stagnation are mainly responsible for osteoporosis. Acupuncture is a painless technique used to affect what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. In summary, acupuncture can regulate the balance of qi and blood by stimulating acupoints. And the aim is at improving physiological function.
Today, Researchers believe when an acupuncture needle is inserted, the sensory and proprioceptive nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs. In summary, Researchers believe acupuncture may help initiate and regulate certain signaling pathways in the body, allowing cells to communicate with each other.
Dr. Natalie Meiri
West Palm Beach Chiropractor: Acupuncture Helps Osteoporotic Fractures: Research
In one study, acupuncture aided recovery following a percutaneous vertebroplasty for osteoporotic vertebral compression fractures. Percutaneous vertebroplasty surgery involves injecting a medical grade acrylic cement into a fractured vertebra. The goal is for more stabilization. One group in the study received “percutaneous vertebroplasty monotherapy” and the other received percutaneous vertebroplasty plus acupuncture. The outcome was the patient who received acupuncture did better in healing overall. However, another outcome was that the acupuncture group also reported much less pain. The study concluded, “benefits of acupuncture include improving local circulation to promote efficient healing, reducing swelling and inflammation, and significantly relieving pain”.
West Palm Beach Chiropractor: Acupuncture Helps Osteoporotic Fractures: More Research
Electroacupuncture (EA) is a form of traditional Chinese acupuncture therapy utilizing electrical stimulation.
Because of the analgesic effects of acupuncture, EA speeds fracture healing with less pain. In clinical studies, EA showed significantly faster healing time for fractures and reduction in complications occurring.
In studies, Electroacupuncture was an auxiliary and an adjunctive treatment method for fractures. Researchers found EA positively impacts vascular regeneration and tissue formation throughout the fracture healing course. In contrast, conventional pain-relief drugs, such as opioid and non-steroidal anti-inflammatory drugs has side effects, does not aid fracture healing and has the risk of addiction.
West Palm Beach Chiropractor: Acupuncture Helps Osteoporotic Fractures
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: West Palm Beach Chiropractor: Acupuncture Helps Osteoporotic Fractures.
Did you know the signs of osteoporosis often appear suddenly with the development of a painful kyphosis (hunchback) or hip fracture? Astoundingly, over half of women over age 50 years will have a fracture due to osteoporosis. And it is estimated over 1.3 million number of fractures will be due to osteoporosis with an enormous cost. However, 50% of osteoporotic hip fractures and 90% of vertebral spinal compression fractures are preventable. Your Bone Mass should not be thought of only in an emergency, but should be a lifelong striving for preservation and development. This post is about West Palm Beach Chiropractor: Acupuncture Helps Osteoporosis.
West Palm Beach Chiropractor: What is Osteoporosis?
Firstly, Osteoporosis is a loss of bone mass associated with deterioration of the microarchitecture (structure and connectivity of bone elements and the thickness of the cortical shell) of bone tissue.
Secondly, Osteoporosis is typically divided into bone loss associated with age, called senile osteoporosis (type II) and postmenopausal osteoporosis (type I). Of course, Women can get both types.
Thirdly, generalized (whole body) osteoporosis is the most common form found with both senile and postmenopausal causes. A regional osteoporosis may occur that is restricted to a bone or part of a limb. This can be found with immobilization and Sudeck’s atrophy (associated bone changes found with reflex sympathetic dystrophy). Moreover, regional/localized osteoporosis may occur in certain areas of bone as a result of infection, cancer, or an inflammatory arthritis.
West Palm Beach Chiropractor: Osteoporosis classification/diagnosis
Radiographically (x-ray), osteoporosis is classified based on the area or region found. The classification of Osteoporosis is often primary or secondary. Primary causes include senile and postmenopausal types. And secondary causes include hormonal dysfunction such as hyperthyroidism and hyperparathyroidism. So the thyroid gland uses iodine from food to make two thyroid hormones that regulate the way the body uses energy. While the parathyroid glands are four tiny glands located behind the thyroid gland. The parathyroid glands produce a substance (parathyroid hormone) that helps control the amount of calcium in the blood.
The World Health Organization distinguishes the degree of loss of bone mass by two terms:
osteopenia-bone density greater than 1 standard deviation (SD) below the normal mean but less than or equal to 2.5 SD below the normal mean
osteoporosis-bone density greater than 2.5 SD below the normal mean
West Palm Beach Chiropractor: Anatomy and Physiology of Osteoporosis
First, Osteoporosis occurs due to loss of bone quantity without an associated decrease of bone quality (mineralization is normal). It appears there is increased resorption in the process of bone formation. Indeed, the process of bone formation and resorption is a delicate balance. And environmental, nutritional, and hormonal factors are all involved in this. While genetics play a huge part in bone mass variation, lifestyle is still essential.
Second, Production of bone exceeds resorption (bone breakdown) in early life. Next, the production of bone peaks during and after puberty. Gradually, the production does decline during the mid-20s to early 30s. After this, a small period of balance occurs when production equals resorption. Especially in women, an imbalance in favor of resorption begins in the late 30s and early 40s. The fact is, the rate of bone loss is greater in women than in men in a lifetime. Men only lose 25% of bone mass while women lose 50%. Decreases in estrogen at menopause causes cortical bone loss and therefore increases the risk of fracture.
Third, Bone is composed of two thirds mineral (mainly hydroxyapatite, a mineral composed of phosphorus and calcium). The remaining one third is collagen, water, proteoglycans (type of protein), and other noncollagenous proteins. Type I collagen acts as a framework for deposition of minerals. The process of bone formation and repair is determined by an interaction of three cell types: osteoblasts (form collagen), osteocytes (coordinate bone formation function), and osteoclasts (break down bone).
West Palm Beach Chiropractor: Risk Factors and Osteoporosis
Risk factors for osteoporosis include:
female gender
white or Asian background
early menopause
family history
lean body form
lack of exercise in all age groups or excessive exercise in young people
use of glucocorticoids, phenytoin, aluminum antacids, lithium, loop diuretics, tetracycline, warfarin, thyroid medication, corticosteroids
heavy alcohol use, smoking, low calcium intake or vitamin D deficiency, high phosphate, fiber, or sodium intake, more than four cups of coffee per day, excessive carbonated drinks (several a day), and possibly a high animal-protein diet
How Does Acupuncture Help Osteoporosis?
Studies have shown that acupuncture improves bone mineral density, bone strength as well as hormone levels. However, the exact mechanism of how is unknown.
Acupuncture is a treatment that has been used for over 4000 years for health problems. Moreover, Traditional Chinese Medicine (TCM) explains acupuncture as a balancing of energy (qi) in each human being to achieve overall wellness. Similarly, TCM says the loss of kidney qi and blood stagnation are mainly responsible for osteoporosis. Acupuncture is a painless technique used to affect what the ancient chinese practitioners called Meridians (energy channels) in your body under the skin. In summary, acupuncture can regulate the balance of qi and blood by stimulating acupoints. And the aim is at improving physiological function.
Today, Researchers believe when an acupuncture needle is inserted, the sensory and proprioceptive nerves are stimulated. This sends a message to your brain and nervous system. Ultimately, Acupuncture improves blood flow and calms the nervous system. This triggers nerve signaling that affects the function of other parts of the body, including organs. In summary, Researchers believe acupuncture may help initiate and regulate certain signaling pathways in the body, allowing cells to communicate with each other.
West Palm Beach Chiropractor: Acupuncture Helps Osteoporosis: Research
Animal studies have found that acupuncture could increase estrogen and testosterone levels. Estrogen acts as a protector of bones in both men and women by slowing bone resorption. Next, Testosterone plays a double role by stimulating bone formation and may naturally convert estrogen within bone tissue. This may improve bone density.
Additionally, research has been done to prove the benefits off acupuncture towards increasing bone metabolism. Specifically, when acupuncture points are stimulated it works towards building calcitonin. This hormone is responsible for recalcification of bone and reducing bone pain.
West Palm Beach Chiropractor: Acupuncture Helps Osteoporosis: More Research
In another study, a clinical trial was conducted in 226 patients with osteoporosis for 6 months. Participants were randomized to the control group and the acupuncture group. All participants received basic treatment with daily calcium carbonate and vitamin D3 tablet (containing calcium 600 mg/tablet) supplementation. And the acupuncture group received additional acupuncture treatment. After 6 months of treatment, effectiveness in the acupuncture group was significantly higher than those without treatment. The results showed, Acupuncture can increase hip bone density, reduce bone turnover rate and improve bone metabolism. Also, acupuncture can improve body balance and lower limb muscle strength in patients with osteoporosis.
Dr. Natalie Meiri
West Palm Beach Chiropractor: Acupuncture Helps Osteoporosis
Dr. Natalie Meiri is a chiropractic physician, board certified in acupuncture with over 20 years of experience. Call 561-253-8984 today! Ask to make an appointment or find out more about: Chiropractor West Palm Beach: Acupuncture Helps Osteoporosis.
