Did you know Chiropractors treat nonspinal joints such as the temporomandibular joint (TMJ)? Applying manual hands on care and procedures to the nonspinal/peripheral joints is a special skill. And this skill is taught in all accredited chiropractic schools. Irritation to the TMJ structures can cause symptoms such as ear pain, tinnitus, vertigo, subjective (patient’s perception) hearing loss, hyperacusis (increased sensitivity to sound), tongue pain, and muscle pain. Chiropractor West Palm Beach: Temporomandibular Joint (TMJ) Pain is about TMJ pain causes and how chiropractic can help.
Chiropractor West Palm Beach: Temporomandibular Joint pain (TMJ) Anatomy
The TMJ is composed of:
–Synovial cavity– space between the bones in a synovial joint that’s filled with synovial fluid (nourishing thick fluid).
–Articular cartilage– specialized type of connective tissue that covers the ends of bones in joints. It provides a smooth surface for joint movement.
-Articular capsule– fibrous connective tissue encloses the joint capsule
–Several ligaments- ligament is a band of tissue that connects bones and joints. Ligaments hold the TMJ in place and help move it properly.
–Disk- articular fibrocartilaginous structure located between the mandible (jaw bone) and the temporal bone (sides of skull).
Temporomandibular Joint (TMJ) Pain Causes
TMJ problems can be due to developmental abnormalities, intracapsular diseases, and dysfunctional conditions:
-Developmental abnormalities include hypoplasia/hyperplasia (under or over development of TMJ)
-Impingements (pinching) of the various TMJ structures (e.g. coronoid process, synovial fold)
-Ossification (calcification) of TMJ ligaments (e.g. stylohyoid ligament; Eagle syndrome).
-Intracapsular (located within a capsule) diseases (e.g. disk adhesions/displacements, degenerative arthritis, rheumatoid arthritis, psoriatic arthritis, infections, and gout)
Certainly, chiropractic can be helpful for the conditions above. However, chiropractic excels in treatments of extracapsular (outside the capsule) conditions. Indeed, these include myofascial pain syndromes and muscular imbalance. Moreover, even capsular sprain, hypomobility (decreased movement), and hypermobility (increased movement) can be relieved through chiropractic care.
Chiropractor West Palm Beach: Temporomandibular Joint Pain (TMJ) and the Cervical Spine (Neck)
There are definite clinical relationships between neck pain, headache, orofacial (mouth and face) pain, and abnormalities of chewing and swallowing. For example, a dysfunction in the TMJ and the atlanto-occipital (C0 and C1 joint) joint connection can cause head and neck pain.
Firstly, a biomechanical relationship exists between the cervical (neck) spinal segments and movements of the TMJ.
Secondly, tension in the deep cervical (neck) fascia (three-dimensional matrix of loose connective tissue) that surrounds bone, muscle, visceral organs, and skin can cause TMJ dysfunction. This is because the fascia helps to shape and support your TMJ.
Thirdly, activity of the hyoid (U-shaped bone in the neck) bone muscles play a part in TMJ health. So the hyoid bone moves during respiration, mastication, swallowing, and phonation. These are functions affected by the temporomandibular joint (TMJ).
Fourthly, structures of the shoulder girdle can contribute to TMJ dysfunction.
Lastly, postural stresses, muscle tone, malocclusion/dysfunction of the teeth can affect the TMJ.
Dr. Natalie Meiri
Chiropractor West Palm Beach: Treatment for TMJ at Meiri Chiropractic
First, spinal adjustments to your neck and manipulation/mobilization to the TMJ and cranium (skull). Second, muscle stretching and soft tissue therapy, along with exercise, the use of modalities (i.e. heat therapy, electric muscle stimulation) and rehabilitation/ home exercises as necessary. Third, postural advice/ recommendations.
Chiropractor West Palm Beach: Temporomandibular Joint Pain (TMJ)
Do you have TMJ pain or dysfunction? Call 561-253-8984 today to make an appointment or to find out more about Chiropractor West Palm Beach: Temporomandibular Joint Pain (TMJ).
Cranial manipulation is the science and technique of the therapeutic application of forces through manipulation by hand to correct cranial dysfunction. It is a form of alternative medicine that involves the gentle manipulation of the bones and tissues of your skull.
The cranium (skull) is made up of 22 individual bones that are capable of misaligning and causing acute and chronic health issues. Indeed, Imbalances in the cranial bones can occur during birth, head and spinal injuries from falls, accidents and other trauma. Cranial Dysfunction can lead to:
-Interference in Cerebrospinal fluid(CSF) flow
-Blood pressure disturbances
-Irritation of sutural nerve pathways
-Cranial nerve entrapment
-Impeded vascular circulation to the brain
-Endocrine dysfunction
-Sensory disturbances
-Neurologic disorganization
-TMJ dysfunction
Chiropractor West Palm Beach: Cranial Manipulation Facts
Firstly, Cranial manipulation was developed in the mid 1930s. However, there is a lot of controversy over. Many mistakenly look at the cranium as a fused structure. Nevertheless, both the original osteopathic and chiropractic developers believed the cranial bones moved. Today, cranial manipulation is practiced by both chiropractors and osteopaths.
Secondly, the idea that cranial bones are fused in early life is untrue. The process of ossification (bone fusion) does start in your 20’s. However, your cranial sutures remain open all through your life. Moreover, there is some motion and flexibility which may last into your senior years.
Thirdly, your cranial bones are connected and are bound together by connective tissue. This tissue is called the sutural ligament or membrane. And this ligament remains non-ossified (non-bone tissue).
Fourthly, nerve fibers go along with the collagenous connective tissue in your cranium.
Chiropractor West Palm Beach: Cranial Motion
There are 3 theories about cranial motion:
First, the hypotheses regarding cranial motion is there is a continuous, rhythmic, oscillating motion within the dural tube. And the dural tube is a tough, fibrous sheath that encases the brain and spinal cord. It is part of the meninges. The meninges are a protective membrane that cover the central nervous system. Furthermore, dysfunction in the “dural tension” system leads to abnormal conditions that are found and correctable.
Second, your cranium moves naturally without notice. It’s motion follows the pressures of the vascular and cerebro-spinal fluid (CSF) circulation.
Third, the idea is that the cranium does not move much. Specifically, the stresses and pressures that can be influenced by cranial dysfunction accumulate in the joints and bones.
Dr. Natalie Meiri
Chiropractor West Palm Beach: How does Cranial manipulation work?
Firstly, Cranial manipulation works with palpation of the pulsations. And these are the rhythmic (8 to 14 oscillations per minute) cranial movements. In other words, the pulsations inside the dural tube. These pulsations help the circulation of CSF.
Secondly, afterall, the CSF bathes and nourishes your central nervous system. So the rate, rhythm and amplitude of the cranio-sacral (cranium and sacrum) movement is important.
Thirdly, Cranial manipulation addresses the sutural asymmetry and muscle tightness surrounding the painful area. And Examination of cranial dysfunction includes location of skull asymmetries, palpation of skull contours and the sutures. Specifically, the sutures can widen, narrow and be tender to palpation.
Chiropractor West Palm Beach: Meiri Chiropractic
Patients who could benefit from cranial manipulation have many disorders: jaw/TMJ pain, jaw clenching (bruxism), vertigo, swallowing difficulty, chewing difficulty, migraines/ headaches, sleep apnea, chronic sinus, and post concussive disorders. Do you need a chiropractor in West Palm Beach for cranial manipulation? Call 561-253-8984 today.
References:
Bergman, Thomas. Peterson, Lawrence. Chiropractic Technique Principles and Procedures 2011. Third Edition
You may have had some trauma or injury involving your hip? Perhaps you have thigh pain from a sudden movement? Moreover, as a weight bearing joint, the hip is commonly affected by degenerative joint changes and soft tissue damage. Or you may think your pain is in the low back or buttocks when it is in fact due to your hip. Also, your hip pain may not be coming from your hip at all! This post is about West Palm Beach Chiropractor: 4 Causes for Hip Pain.
Hip Anatomy
The hip, like the shoulder, is considered a ball-and-socket joint. It is formed by the head of the femur (thigh bone) which sits in what’s called the acetabulum, a part of the pelvis. The head of the femur is large (ball) and the acetabulum (socket) is deep. The soft tissues (refers to non-bony structures that connect, support, or surround other structures) in your hip are:
the muscles, which allow you to move.
the tendons, which connect your muscles to the bone.
the ligaments 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.
the bursae – fluid-filled pads that act as cushions at the joints. Bursae reduce friction between the surfaces of a bone and soft tissue.
1) Referral of Pain
Hip joint pain can be actually be coming from the L3 nerve root segment (low back nerve root). So the pain is a referred pain from the nerve at the L3 level of your low back. Of course, hip joint innervation is from segments L2 to S1.
Alternatively, hip pain can be the result of referral from the facets (small joints in between the vertebrae in the back of the spine) of the lower lumbar spine.
Furthermore, the knee also refers pain to the hip area. And the hip can refer pain to the knee.
2) Muscle Strain
The muscles working across the hip joint are subject to strain, either through overuse (chronic strain) or overstress (acute strain or trauma). A strain occurs when a muscle or tendon is overstretched or torn. Commonly strained hip muscles include: sartorius, rectus femoris, iliopsoas, hamstrings, and the adductors.
3) Bursitis
Trochanteric bursitis presents as pain felt primarily over the lateral (away from body) hip region. Additionally, this can be a result of overuse or direct injury. You may find tenderness at a specific point over the inflamed greater trochanter. The greater trochanter is a bony prominence located at the upper end of the femur (thigh bone) area of the hip. Typically, bursitis hip pain is often aggravated by going up stairs. Bursitis pain is usually described as deep and aching pain that began insidiously (came on gradually and without noticeable symptoms). Getting in and out of a car repeatedly can sometimes trigger hip brusitis.
4) Nerve Entrapment
Firstly, entrapment of several peripheral nerves can occur in association with hip pain and dysfunction. For instance, the femoral nerve lies close to the femoral head (top part of the thigh bone that fits into the hip socket). Indeed, trauma or swelling may produce entrapment. Subsequently, this can cause weakness of your hip flexors and tenderness in the groin area.
Secondly, another example would be the sciatic nerve entrapment. This occurs when the nerve passes through the piriformis muscle. Subsequently, the sciatic nerve may be compressed by the piriformis muscle. As a result, a sciatic radiculopathy (nerve root injury) with related motor and sensory changes may present.
Thirdly, the lateral femoral cutaneous nerve is prone to entrapment near the anterior superior iliac spine (ASIS). The ASIS is a bony projection on the ilium bone in the pelvis. The nerve passes through the lateral end of the inguinal ligament (band of connective tissue in the groin that connects the abdomen to the pelvis). Entrapment of the femoral cutaneous nerve creates a condition called meralgia paresthetica. It is characterized by a burning pain in the anterior and lateral (front and side) portions of the thigh.
A 2017 review in the Journal of the American Medical Association, found that spinal manipulation reduces lower back pain.
A2013 study published in Osteoarthritis and Cartilage found that patient education combined with 12 chiropractic treatments (twice a week for six weeks) were more effective for hip Osteoarthritis than a daily stretching program or patient education alone.</p>
Are you looking for hip pain relief from a West Palm Beach chiropractor? Call 561-253-8984 today for an appointment. Find out more about West Palm Beach Chiropractor: 4 Causes for Hip Pain and feel better today.
References:
Thomas Bergman, David Peterson, Chiropractic Technique Principles and Procedures, 3rd edition, 2011
A healthy lifestyle and regular chiropractic care is a great foundation for keeping yourself well both mentally and physically. This is because chiropractic gets your nervous system functioning at its optimum. Particularly, when your autonomic nervous system is imbalanced you get symptoms such as high cortisol, high adrenalin, difficulty sleeping (insomnia), agitation, and anxiety most probably due to a hyperactive sympathetic nervous system. Moreover, if your neuroendocrine system (network of cells that produce and release hormones into the bloodstream) is not functioning at its optimum (e.g. due to diabetes, thyroid disease) it can make matters worse.
Chiropractic care and spinal manipulation regulate the autonomic nervous system at the peripheral level. And this regulation projects to your central nervous system. In particular, it may activate the parasympathetic system to counterbalance the activity of the sympathetic system. So your vagus nerve will be functioning at its optimum. Keep reading to find out about Exploring the Role of Chiropractic Care in Stress Relief and Emotional Health.
Your Nervous System
Firstly, your nervous system has a central nervous system and a peripheral nervous system. Secondly, the central nervous system is made up of the brain and spinal cord. Thirdly, the peripheral nervous system is made up of nerves that branch off from the spinal cord and extend to all parts of the body. Fourthly, your nervous system transmits signals between the brain and the rest of the body. Lastly, your nervous system’s activity controls the ability to move, breathe, see, think, and all functions to live.
Your Autonomic Nervous System
Your autonomic nervous system is a component of the peripheral nervous system that regulates involuntary physiologic processes. This includes heart rate, blood pressure, respiration, digestion, and sexual arousal. There are three anatomically distinct divisions: Sympathetic, parasympathetic, and enteric.
Sympathetic Nervous System (SNS)
Activation of the sympathetic nervous system leads to the “fight or flight” response. This response leads to a state of overall increased activity. Your blood pressure and heart rate will increase because your body is getting ready to physically react. Furthermore, glycogenolysis (release of glucose) occurs. This happens because you would require extra energy (glucose) for a “fight or flight” response. In contrast, gastrointestinal peristalsis (part of digestion) ceases.
Your sympathetic nervous system innervates nearly every living tissue in your body. The origin of the sympathetic nervous system is found within the thoracic (mid) and lumbar (lower) segments of the spinal cord also known as the thoracolumbar division (T1 to L2).
Additionally, the following are more specific organ innervations (distributing of nerves for body function). Interestingly, it is said that the levels specified may be painful when the organ is involved (viscerosomatic pain):
heart-C8-T5(T8)
lungs-T3-T5(TIO)
stomach-T5-T8(T9)
pancreas-T7 -T9
gallbladder, liver, spleen, caecum, and duodenum-T6-TIO
appendix- T9-Tll
kidneys- T9- L2
Parasympathetic Nervous System (PNS)
In the opposite way, your parasympathetic nervous system promotes the “rest and digest” processes. Your heart rate and blood pressure lower, gastrointestinal peristalsis/digestion restarts, etc. The PNS is significantly smaller than the SNS. It innervates only the head, viscera (organs), and external genitalia. Notably, the PNS is vacant in much of the musculoskeletal system and skin.
The parasympathetic system originates from cranial nerves III, VII, IX, and X as well as sacral levels S2–4. While the sympathetic chain synapses closer to the spinal cord, the parasympathetic synapses at the target organ. A synapse is a junction between two nerve cells, consisting of a minute gap across which impulses (electrical signal traveling along the axon of a nerve cell) pass.
The Enteric Nervous System
The enteric nervous system (ENS), also known as the intrinsic nervous system, controls the gastrointestinal tract. It contains complete reflex neural circuits that detect the physiological condition of the gastrointestinal tract. Next it integrates information about the state of the gastrointestinal tract, and provides outputs to control gut movement, fluid exchange between the gut and its lumen, and local blood flow.
It is the only part of the peripheral nervous system that contains extensive neural circuits. Your ENS is capable of functioning independently of the remainder of the nervous system. Because of the extent of autonomy, the ENS has been called a second brain. Of course, the ENS has extensive, two-way, connections with the central nervous system (CNS). Similarly, the ENS works along with the CNS to control the digestive system for your body’s physiological demands.
The Vagus Nerve
The vagus nerve, cranial nerve X (CN 10), makes up about 75% of the PNS and provides parasympathetic input to most of the thoracic and abdominal viscera, with the sacral parasympathetic fibers innervating the descending and sigmoid colon and rectum. The vagus nerve arises from four nuclei (clusters of brain cells) in the brainstem: the dorsal motor nucleus, the solitary tract nucleus, the spinal trigeminal nucleus, the nucleus ambiguous.
Your vagus nerve is the longest and most complex of the cranial nerves.
The vagus nerve runs from the brain through the face and thorax to the abdomen. It is a mixed nerve. The vagus nerve has sensory ganglia (masses of nerve tissue that transmit sensory impulses) innervating the skin in the concha (middle external) of the ear. So the vagus also gives off cardiac, esophageal, and pulmonary branches. In the abdomen the vagus innervates the greater part of the digestive tract and other abdominal viscera.
Indeed, the vagus nerve has the most extensive distribution of all the cranial nerves. For instance, its pharyngeal and laryngeal branches transmit motor impulses to the pharynx (throat) and larynx (voice box). Secondly, its cardiac branches act to slow the rate of heartbeat. Thirdly, its bronchial branch acts to constrict the bronchi. Fourthly, its esophageal branches control involuntary muscles in the esophagus, stomach, gallbladder, pancreas, and small intestine, stimulating peristalsis and gastrointestinal secretions.
Dr. Natalie Meiri adjusts a patient
Why Chiropractic Adjustments Can Correct Sympathetic /Autonomic nervous system Dysfunction
Chiropractic Subluxations (Misalignments) in your spine can cause neurodysfunction. It can potentially cause direct mechanical irritation of your Sympathetic nervous system. This model is based on the anatomic closeness and vulnerability of the posterior chain ganglion (masses of nerve tissue) between T1 and L2 (thoracic level 1 to lumbar level 2) to the posterior (further back) chest wall and costovertebral joints (joints that connect the ribs to the spinal vertebral column). This is part of your sympathetic chain which is located bilaterally (both sides) to your spine. The sympathetic chain extends from the base of the skull to the coccyx.
In conclusion, altered spinal and costovertebral mechanics are hypothesized to irritate the sympathetic ganglia. In turn, this induces segmental sympathetic “hypertonia” (increased tone). The target organs within the segmental distribution are then theoretically affected. The outcome is the organs have dysfunction in autonomic regulation and function as a result of altered sympathetic function.
Why Chiropractic Adjustments Can Correct Autonomic Dysfunction: Parasympathetic Nervous System (PNS)
In contrast to the sympathetic chain, the parasympathetic system, with its origins in the brain, brainstem, and sacral segments of the spinal cord, does not have anatomic proximity to the spinal joints. Models of mechanically induced dysfunction of the parasympathetic system have dysfunction in cranial (head), cervical (neck), and pelvic (pelvis) mechanics as potential sources of entrapment or tethering of the parasympathetic fibers. Altered cervical, cranial, or cranio-sacral mechanics are likely to induce traction of dural attachments and the cranial nerves as they exit through the dura (membane surrounding brain and spinal cord) and skull foramina (opening in skull). Indeed, the parasympathetic nervous system regulates the upper cervical (neck) region. So a cervical or cranial manipulation/adjustment results in a parasympathetic response (lowering of heart beat, reduction of blood pressure, pupil constriction).
In one research study, scientists found Chiropractic and spinal manipulative therapies along with vagal nerve stimulation may therefore be regarded as treatment options for depression (2).
The chiropractic treatment goal in mechanically induced autonomic dysfunction is to identify the sites of joint dysfunction and apply appropriate manual therapy to balance tension/misalignments.
Chiropractic therapy works on the nervous system, stimulating it to release various chemicals and hormones that regulate blood pressure and flow, calm the brain and reduce inflammation. Many studies have explored chiropractic cranial and vertebral adjustments, and spinal manipulative therapy in relation to autonomic functions. In conclusion, chiropractic adjustments may improve autonomic imbalance.
In conclusion, chiropractors focus on the evaluation and treatment of neuromusculoskeletal (NMS)-based disorders. However, chiropractors also help treat the multiple potential causes of ill health including chronic stress and your emotional health/wellness. The chiropractor holistically views the human being as a dynamic, integrated, and complex living being who has an innate capacity for self-healing. Successfully reduce your stress and its consequences with natural chiropractic care!
Do you know anyone who would benefit from chiropractic care? Call your chiropractor serving West Palm Beach, Jupiter, North Palm Beach, Palm Beach Gardens and the surrounding areas at 561-253-8984 to make an appointment or to learn more about Exploring the Role of Chiropractic Care in Stress Relief and Emotional Health .
References:
(1) Thomas Souza, (2018) Differential Diagnosis and Management for the Chiropractor
A West Palm Beach Chiropractor Can Help Snapping Hip Syndrome. Snapping hip syndrome is a condition that causes a snapping or clicking sound in the hip when it moves. Read on to find out more about what Snapping Hip Syndrome is and how a West Palm Beach Chiropractor can help.
A West Palm Beach Chiropractor Can Help Snapping Hip Syndrome:
Hip Anatomy
The hip, like the shoulder, is considered a ball-and-socket joint. It is formed by the head of the femur (thigh bone) which sits in what’s called the acetabulum, a part of the pelvis. The head of the femur is large (ball) and the acetabulum (socket) is deep. The soft tissues (refers to non-bony structures that connect, support, or surround other structures) in your hip are:
the muscles, which allow you to move.
the tendons, which connect your muscles to the bone.
the ligaments 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.
the bursae – fluid-filled pads that act as cushions at the joints. Bursae reduce friction between the surfaces of a bone and soft tissue.
Snapping Hip Syndrome Causes
Other than “snapping”, many patients do not have pain. Snapping hip syndrome is due to either an intraarticular (within the joint) or extraarticular (not within the joint) problem. Intra-articular causes include loose bodies, synovial chondromatosis (benign bone tumors), hip subluxation (dislocation) and osteocartilaginous exostoses (bumps of bone) and hip labral (dense fibrocartilaginous ring) tears.
However, the most common cause includes a thickening of the posterior (back) border of the iliotibial band over the greater trochanter of the hip. And less often, a thickening of the tendon of the iliopsoas (muscle group in front of the spine and connects to the lower limbs and flexes the hip), the iliofemoral ligaments, or the long head of the biceps femoris (one of hamstring muscles) tendon in the hip or pelvic area. So these thickened soft tissue structures are “snapping” over bony prominences or bursae.
Firstly, treatment focuses on restoring normal mobility to the hip joint and pelvis. Indeed, if painful and/or irritating to you the strengthening is particularly important. So stabilization through therapeutic exercise seems to reduce the “snapping” occurrence. And Stretching is less important for snapping hip syndrome, but also utilized.
Secondly, chiropractic manipulative therapy to the hip joint, pelvis and associated regions.
Thirdly, gentle myofascial release and/or post isometric relaxation techniques to the soft tissues (e.g. muscles, tendons, ligaments, fascia) involved.
Fourthly, electric muscle stimulation, ice and heat therapies for pain relief and inflammation reduction.
Finally, recommendations for prevention of further dysfunction for the spine, pelvis, and hip.
Are you looking for the best chiropractor in West Palm Beach? Dr. Natalie Meiri can definitely help you. Call 561-253-8984 today for an appointment or to find out more about A West Palm Beach Chiropractor Can Help Snapping Hip Syndrome.
Having your head on top of the neck allows the best view of the surroundings. However, biomechanically, this lever arrangement creates a potentially damaging position for injury events. It forces the head to move quickly into extreme ranges of motion during whiplash for example. In addition to the cervical spine (neck) itself, soft tissue and neural (nerve) structures may be damaged in whiplash injuries. Similarly, in a more insidious manner when a forward head position or an “incorrect sleeping posture” is maintained for prolonged periods damage occurs as well. So poor ergonomics can lead to postural pain or stiffness. Studies show approximately 80% of people experience neck pain during their lifetime, and 40% deal with it annually. Here are 3 causes of neck pain and stiffness a chiropractor can help with to learn about.
1. Chiropractor West Palm Beach: Torticollis verus Pseudotorticollis
If your head is held in neutral (posture when the joints are not bent) in pain and you are unable to move it, it could be pseudotorticollis. In “classic torticollis” the neck is deviated/twisted in one direction. Pseudotorticollis has no known cause. However, an exam must be performed to rule out any number of causes for classic torticollis. And causes for classic torticollis include CNS (central nervous system) infection, tumor, and basal ganglion (group of neurons/nerve cells in the brain involved in voluntary movement) disease. Finally, congenital (born with it) torticollis is due to birth trauma (i.e. breech delivery).
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, the person is unable to move the head in any direction without pain. This could happen due to incorrect sleeping posture.
So 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 except perhaps you “woke up with it”.
2. Chiropractor West Palm Beach: Neck Pain Due to Cervical Facet Joints
The facet joints are on either side of the back of each vertebra in the cervical part of the spine (neck). The vertebral bodies make up the bony building blocks of the spinal column. There are two facet joints at each level of the vertebral column (spinal column).
Facet joints provide stability to the spinal column while allowing movement. Encased with capsules the synovial fluid within protects and lubricates the facet joints. Moreover, irritation of the facet joints is the cause. The facet joints become inflamed and may cause pain, soreness and stiffness. Similarly, your deep cervical (neck) muscles may also be spasmed and be a contributing factor.
3. Chiropractor West Palm Beach: Neck Pain from Arthritis
Primary Osteoarthritis occurs usually in middle-aged to elderly people (>45 years old). It is more prevalent in women (female to male 10:1). Primary means this osteoarthritis develops due to aging and the wear and tear that comes along with it. Often initially asymptomatic, you will have a gradual increase in joint stiffness and pain. Primary osteoarthritis is due to progressive degeneration of the joint or joints involved by an accumulation of microtrauma. A microtrauma is an injury resulting from repetitive stress to tissues.
Dr. Natalie Meiri adjusts a patient
Chiropractic Adjustments Offer an Alternative to Pain Medication
Adjustments can help keep painful joints more comfortable while also improving function and range of motion. Chiropractors use gentle manipulation to adjust your joints and manipulate muscles to return to their proper structure. With proper alignment, your body’s equilibrium is restored, which in turn helps increase the healing of your damaged joint tissues. In summary, the chiropractic adjustment works by restoring function which decreases the inflammation and the pain goes away.
Chiropractor West Palm Beach: 3 Causes of Neck Pain and Stiffness
Do you know someone who needs chiropractic care? Contact Dr. Natalie Meiri of Meiri Chiropractic in West Palm Beach today for chiropractic treatment for neck pain or stiffness or another ailment. Call 561-253-8984 to learn more about Chiropractor West Palm Beach: 3 Causes of Neck Pain and Stiffness or to schedule an appointment.
From Dr. Natalie Meiri’s Clinical Pearl Stories: West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident
This was a 58 year old female patient with neck, back and left wrist pain following a Bicyclist Versus Motor Vehicle Accident. To be HIPAA compliant, I will call her Selma instead of her real name.
Selma came to my office in a lot of pain. She had gone to the hospital after the accident. There she was tested, given a prescription for drugs and then was released. This was Selma’s second car accident. At the hospital, they had told her chiropractic was not appropriate at this time. However, Selma had been a regular chiropractic patient for many years. Selma knew she needed to get chiropractic care as soon as possible. She had experienced the benefits of chiropractic following her first car accident. So Selma came in the next day to my office.
West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident: Selma’s History
Selma fell off her bike when hit by a car from behind. She suffered multiple lacerations/contusions and a concussion besides from her neck, back, and left wrist injury. Selma stated she did loose consciousness (was wearing a helmet) after hitting her head. And she had headaches due to this accident that were constant.
Selma’s pain started right after the car accident and got progressively worse. Moreover, she had difficulty sleeping due to the pain. Selma was taking NSAIDS (e.g aspirin) and/or acetaminophen (e.g. tylenol) prescribed by the hospital and icing which helped a little.
West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident: Selma’s Examination
Selma presented to my office with her neck forward in antalgia (away from pain) and guarding/holding her left painful wrist with her uninjured right hand.
Upon examination, I found positive tests for sprains in her cervical (neck), thoracic (mid back), and lumbar (low back) spine. A sprain is a joint injury in which some of the fibers of a supporting ligament are torn or ruptured. However, the continuity of the ligament (ligaments connect bones to bones within a joint) remains intact.
Selma’s left wrist diagnosis was a strain. Tendons connect bones to muscles. A strain is an overstretching and tearing of musculotendinous tissue (tendons connect bones to muscles).
West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident: Selma’s Emergency/Hospital Imaging/report
Selma’s imaging (e.g. x-rays, Cat-scan) reports for her head and spine all stated no fractures found and “unremarkable” from the hospital/E.R.
I would order further imaging (e.g. MRI) if there was no improvement after 12 visits or possibly sooner if necessary.
Whip-lash, Post-Concussion/traumatic Brain Injury and Chiropractic Care
The World Health Organization (WHO) estimates that approximately 10 million people are affected annually by traumatic brain injury (TBI). And it is an injury that will possibly surpass many fatal diseases as the primary cause of death and disability in the future.
Post-Concussion Syndrome (traumatic brain injury), is an alteration in brain function caused by an external force. Symptoms include: headache, cognitive/emotional symptoms (e.g. foggy, unstable feeling), physical signs (loss of consciousness, amnesia, neurological deficit), Balance problems, behavioral changes (irritability), cognitive impairment (e.g. reaction times slowed), sleep disturbances.
Conventional treatment for Post-Concussion Syndrome/ traumatic brain injury (TBI) involves medication and education/ support. There are case studies reporting improvement in TBI symptoms through chiropractic management.
The current research suggests that spinal misalignments (chiropractic subluxation) can change the way the central nervous system (CNS) processes sensory motor integration. TBI is known to cause cognitive (thinking) changes leading to abnormal brain function. Moreover, the symptoms seen in TBI are influenced by a combination of sensory information such as balance, visual processing, motor control and proprioception. And the current research demonstrates improvement in sensory integration following chiropractic spinal manipulations. Indeed, there is a cause for chiropractic research to investigate these sensory integration functions.
Whiplash Injuries
Whiplash is defined (by the Quebec task force on whiplash) as “bony or soft tissue injuries” resulting “from rear-end or side-impact, predominantly in motor vehicle accidents, and from other mishaps” as a result of “an acceleration-deceleration mechanism of energy transfer to the neck” as Selma had in her bicycle accident.
Chiropractic treatment/management of whiplash injuries is effective. Chiropractors are quite diverse in their manual treatment approaches for the evaluation and management of concussions and whiplash injuries. Patients who have sustained a concussion may find chiropractic therapy important as a part of their recovery because of the presence of cervicogenic (neck) components.
Dr. Natalie Meiri adjusts a patient
West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident: Selma’s Treatment
Firstly, starting at 3 times a week and then 2-3 times a week, Selma’s treatments included chiropractic adjustments/manipulation to her neck, mid back, left wrist and associated regions. Secondly, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) were administered as needed. Thirdly, nutritional recommendations were made for as well. Fourthly, therapeutic exercises were prescribed and continued at home. Lastly, Selma did see her primary Care physician to monitor the concussion and was provided advice for cognitive and physical issues.
Selma’s condition improved slowly, but steadily. After a few months of care she got her range of motion/function back in her neck, back and left wrist. Her headaches also dissipated.
Chiropractic helps you heal without invasive surgical procedures or drugs as in Selma’s case. It restores your mobility, functionality and overall health!
West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident
At Meiri Chiropractic we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have. Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition. Meiri Chiropractic has been offering effective chiropractic care in Palm Beach county since 2006. Many of our patient reviews note our excellence. Call us today at 561-253-8984 to make an appointment or to find out more about West Palm Beach Chiropractor: Bicyclist Versus Motor Vehicle Accident.
Chiropractor West Palm Beach: How Does Proper Breathing Help Your Posture and Back and Shoulder Pain?How do you properly breathe? Can my lungs affect my posture? How can breathing exercises help to alleviate back and shoulder pain? Can my chiropractor teach me the breathing exercises and adjustments that will help with my back and shoulder pain? These are the questions that will be addressed in Chiropractor West Palm Beach: How does proper breathing help your posture and back and shoulder pain?
Chiropractor West Palm Beach: Paradoxical Breathing
Chronic overload of the anterior (front) and lateral (side) neck muscles (e.g. scalenes) can occur with paradoxical breathing. Paradoxical breathing occurs when the chest wall or the abdominal wall moves in when taking a breath and moves out when exhaling. This is the opposite of normal breathing movement.
Paradoxical respiration is a common source of abuse and overload of the neck muscles. For instance, this is often seen following abdominal surgery or by people protruding the abdomen for cosmetic purposes. Furthermore, if you are practicing paradoxical breathing you will be “always out of breath,” or feel like you are “running out of breath” when talking.
Chiropractor West Palm Beach:Proper Breathing/ Respiration
Proper breathing should be practiced by those used to paradoxical breathing. In normal contraction of the diaphragm muscle ( located below the lungs, is the major muscle of respiration), it pushes the abdominal contents down toward the pelvis. Next, this will cause protusion of your abdomen. Therefore, this will increase the volume of your lungs during inhalation. This is especially true in the lower chest. Additionally, normal resting inhalation should cause the contraction of the diaphragm with expansion of the lower thorax. And the elevation of the rib cage. In the end, this results in increased of lung air volume.
In contrast, in paradoxical respiration, the chest and abdominal functions oppose each other. So paradoxical respiration effort produces less than necessary air in your lungs. And the muscles of the neck and upper chest (e.g scalenes, sternocleidomastoid, intercostal muscles of ribs) overwork to get sufficient air.
Chiropractor West Palm Beach: Learning to Breath Normally
Firstly, if you breathe paradoxically, you must learn to synchronize diaphragmatic (abdominal) and chest breathing. Poor inhalation results in the abdomen moving in while the chest moves out.
Secondly, you can learn to identify the poor pattern by placing one hand on the abdomen and one hand on the chest while taking a deep breath. So to practice normal diaphragmatic breathing, exhale fully with one hand on the chest and the other on the abdomen. When respiration is coordinated, the chest and abdomen move in and out together.
Thirdly, you should note the proximity of the hands during exhalation and during inhalation. The hands should move up and down together. You should practice this throughout the day. Similarly, taking a count of 3 in and 3 out, then a pause and repeat may help.
Fourthly, you can practice this while sitting and/or supine (lying down face up).
Dr. Natalie Meiri adjusts a patient
Chiropractor West Palm Beach: How Does Proper Breathing Help Your Posture and Back and Shoulder Pain?
Movement of the chest wall during breathing is a process that requires coordination of the muscles, spine, sternum and ribs. The objective of chiropractic spinal manipulative therapy to enhance breathing is to increase the motion of the thoracic cage (mid back), mobilize the ribs, and to affect nervous system activity. Researchers have found certain breathing techniques have been proven to enhance the functioning of the heart and lungs, improve mental wellness, decrease stress, increase energy and concentration, and promote better sleep. Not breathing properly, particularly paradoxical and/or shallow breathing, can significantly affect posture by creating tension in your upper body.
Incorrect neck posture causes elevated, rounded shoulders. And not being able to move your shoulders smoothly will eventually cause pain and dysfunction in your shoulders as well. Finally, all of this leads to the posture in your thoracic spine (mid back) becoming a hyperkyphosis (hunchback).
Meiri Chiropractic offers spinal manipulation to the lower cervical spine (neck), upper thoracic spine (mid back), and costovertebral joints (ribs) for posture/breathing problems. Furthermore, trigger-point therapy and post-isometric relaxation techniques (soft tissue technique) utilized for the hypertonic/spasmed musculature have been beneficial for our patients. We also offer constitutional homeopathic treatment in conjunction with chiropractic.
Meiri Chiropractic, a Chiropractor in West Palm Beach can help posture/breathing problems for you and your family. Contact Meiri Chiropractic at 561-253-8984 for the best care in West Palm Beach, Jupiter, Palm Beach Gardens, and North Palm Beach and surrounding areas today.
Pelvic Crossed Syndrome is a muscle imbalance syndrome. Muscle imbalance Syndrome is when some of your muscles become shortened/tight and overactive or weak and inhibited. Inhibition means that the neural (nerve) connection is absent, bypassed, incomplete, weak, or overridden. Moreover, this often happens to specific muscles. Typically, postural antigravity slow-twitch muscles tend to tighten and shorten. In contrast, the phasic fast twitch muscles usually weaken and elongate. Read on to learn more about West Palm Beach Chiropractor: Pelvic Crossed Syndrome.
Obviously, there are some differences in muscle strength which cause a normal imbalance. After all, not all muscles are equal. The smaller muscles tend to react rapidly and strongly to a stimulus and are called phasic. Similarly, the larger muscles hold our posture and are called tonic. And then certain movement patterns are notable. For example, internal (inward) rotation of the shoulder is stronger than external (outward) rotation of the shoulder. Additionally, the size and number of the muscles used for the particular movement matters. Alternatively, position also makes your balance of muscles stronger or weaker. However, there is another point of view clinically in regards to muscle imbalance; weakness and tightness. This type of muscle imbalance is dysfunctional and needs evaluation and treatment for correction.
West Palm Beach Chiropractor: What is Pelvic Crossed Syndrome?
Firstly, in Pelvic crossed syndrome there is an imbalance between the shortened tight hip flexors (e.g. iliopsoas, rectus femoris) and the tight lumbar erector spinae muscles (back extensors). So tight erector spinae and a tight iliopsoas muscle (hip flexor that’s made up of the psoas major, psoas minor, and iliacus muscles) with the weak and/or inhibited gluteal muscles will alter the pattern of hip extension during gait. A tight psoas may result in decreased hip extension as well. And imbalance is seen in weakened and/or inhibited (restrained function) gluteal and abdominal muscles.
Secondly, the tight hip flexors cause a slight flexion of the hip and an anterior (forward) pelvic tilt. Therefore, there is an increased lumbar lordosis (low back inward curve) with a concentration of pressure on the posterior (back) portion of the spinal disk (cushion of fibrocartilage between spinal vertebral bones) and decreased pressure on the anterior (front) spinal disk.
Thirdly, this would lead to compression of the lumbar spinal facet joints and increased pressure on the posterior disks. Ultimately, this would lead to more wear and tear and degeneration of the area.
Fourthly, this imbalance will cause problematic movement patterns especially in the L5-SI spinal region and cause hypermobility (excessive abnormal “motion” in the joints), irritation and pain.
West Palm Beach Chiropractor: Pelvic Crossed Syndrome Can Lead to a Pelvic Lateral (Side) Tilt
The hamstrings are often tight in this syndrome in order to lessen the pelvic tilt or are working harder due to weak gluteal muscles. And with weakness of the gluteus medius (muscle in outer surface of pelvis), tightness of the ipsilateral (same side) quadratus lumborum (low back muscle) and/or tensor fasciae late (hip muscle) this can alter the lateral (side) lumbopelvic (low back and pelvis) mechanics. Furthermore, this affects the gait and normal patterns of hip abduction (movement of hip away from midline). A tight quadratus lumborum could cause an increased elevation of the pelvis during gait. Finally, all this will lead to an increased movement of the pelvis. And you will develop a oblique/ lateral tilt in your pelvis.
West Palm Beach Chiropractor: Pelvic Crossed Syndrome Causes Dysfunctional Movement
In pelvic crossed syndrome, the pelvis is unable to perform normal hip extension. Moreover, to extend the hip, it is necessary for the pelvis to be tilted anteriorly (forward). However, the anterior pelvic tilt during gait may cause hypermobility (excessive motion) of the L4 and L5 spinal segments. Consequently, because of the abnormal motion pattern the lower lumbar spine can no longer work as the central point (fulcrum of lever where bones meet) around which movement occurs. The new central point is established in the lower thoracic (mid back) and upper lumbar (low back) area. Ultimately, combinations of tight and weak muscles in the syndrome lead to abnormal movement patterns that changes the biomechanics of joints. And this can lead to degenerative (wear and tear) changes and/or fixated joints.
West Palm Beach Chiropractor: Causes of Pelvic Crossed Syndrome
While there are many reasons for muscle imbalance, the most common cause may be chronic overuse or traumatic injury. Without proper treatment, there is a muscle elasticity change. Of course, having a sedentary lifestyle without a variety of movements also causes imbalance. Your connective tissue will shorten over time if left in the same position for long. Indeed, forced movements, stress, and even fatigue can lead to muscle imbalance. Next, this can even affect your central nervous system. Your nervous system remembers these imbalances of abnormal movement patterns. Also, even though appearing often together, a muscle that is tight, shortened and overactive is not the same as muscle spasm. This Tightness is due to hypertrophy (overgrowth) of the connective tissue.
Dr. Natalie Meiri
West Palm Beach Chiropractor: Pelvic Crossed Syndrome Evaluation and Treatment at Meiri Chiropractic
Generally, practitioners test muscle strength to evaluate imbalance. With pelvic crossed syndrome which is a muscle imbalance syndrome, some Researchers (e.g. Vladimir Janda) introduced using movement patterns as part of the evaluation.
First, when the patient first presents, it’s important to get them out of pain. So the total treatment of the chronicity should begin with restoring as much joint motion by chiropractic adjustments/manipulation as possible and substantially decreasing pain before balancing the muscular system.
Third, proprioceptive (sense that lets us perceive the location and movements of our body parts) training is incorporated. This is done with various balance activities (e.g. wobble boards, exercise balls, trampolines). Studies show these types of activities help the nervous system on a subconscious level regarding the new correct movement pattern. The result is improvement of gait, coordination, body posture, and stabilization.
West Palm Beach Chiropractor: Pelvic Crossed Syndrome
Do you suffer from Pelvic Crossed Syndrome? We offer excellent Chiropractic care in West Palm Beach, Florida. At Meiri Chiropractic, we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have. Indeed, Chiropractic is a holistic and natural way to not only treat pelvic crossed syndrome, but to keep your body in its best working condition. We have been offering effective chiropractic care in West Palm Beach since 2006. Many of our patients reviews note our excellence. Call us today at 561-253-8984 to make an appointment or to find out more about West Palm Beach Chiropractor: Pelvic Crossed Syndrome.
Reference: Warren Hammer, Functional Soft Tissue Examination and Treatment by Manual Methods 3rd edition
Do you have pain and burning over the outer border of the distal (closest to foot) calf and dorsum (top) of the foot and ankle? Perhaps you also have numbness and paresthesia (pins and needles)? These are all symptoms of superficial peroneal nerve entrapment and neuropathy.
Runners involve the superficial peroneal nerve frequently due to repetitive stretching during inversion (turning sole of foot inwards) and plantar flexion (turning foot towards sole of foot), causing the nerve to push up against the fibula neck (top part of outer of 2 leg bones).
You may have had a lateral (side) ankle sprain. This may have also stretched and damaged the superficial peroneal nerve at the level of the fibular head (top of side leg bone). Similarly, a previous problem with this nerve may create a weakened peroneal muscle. And the peroneal muscle is essential for ankle positioning (especially for inversion) and stability. Next, this results in recurrent ankle sprains.
Other causes may be:
-prolonged knee crossing (especially if you have recently lost a large amount of weight)
-tight knee band or cast
-repetitive trauma
-ganglions, cysts, or tumors
Anatomy of the Superficial Peroneal Nerve
Firstly, the superficial peroneal nerve originates from the common peroneal nerve along with the deep peroneal nerve. The superficial peroneal nerve is the smaller of the two common peroneal nerve branches.
Secondly, the common peroneal nerve arises from spinal nerves L4 through S1. Furthermore, the common peroneal nerve branches out from the sciatic nerve, which is composed of fibers from spinal nerves L4 through S3.
Third, the sciatic nerve terminates at the popliteal fossa of the knee. It divides into the common peroneal and tibial nerves as it wraps around the top of the fibular bone.
Fourth, after separating from the common peroneal nerve, the superficial peroneal nerve courses through the peroneus longus muscle. The superficial peroneal nerve provides motor stimulation to the peroneus longus and peroneus brevis muscles (group of muscles that run along the outside of the lower leg and attach to the bones of the foot).
Fifth, the superficial peroneal nerve leaves the peroneal muscles on the anterolateral (front and side) aspect of the lower leg above the ankle joint.
Sixthly, the medial and intermediate dorsal cutaneous nerves appear from the superficial peroneal nerve. And these nerves provide sensory innervation to the leg’s anterolateral aspect, the dorsum (top) of the foot, and the dorsal (top) aspect of the toes, except the 1st interdigital space (between toes), which is innervated by the deep peroneal nerve.
Dr Natalie Meiri adjusts a patient’s ankle/foot
Chiropractor West Palm Beach: Ankle/Foot Pain Due to Superficial Peroneal Neuropathy-Examination
Usually patients are diagnosed by the physical (orthopedic, neurological etc.) examination. Sites of possible entrapment of the superficial peroneal nerve located during your exam could include: deep fascia of leg, extensor digitorum longus muscle and extensor hallucis longus muscle (lower leg muscles that move the foot and big toe), superior and inferior extensor retinaculum (thickened fascia located at the ankle joint).
However, your doctor may order a nerve conduction study in a difficult unremitting case. Often, you may also need an x-ray.
Treatment at Meiri Chiropractic for Superficial Peroneal Nerve Pain
First, soft tissue techniques will be rendered to the contracted fibrotic muscle, fascia and collagen at entrapment/dysfunctional sites. Second, chiropractic adjustments (chiropractic manipulative therapy) to the foot, ankle, leg, knee and associated restricted joints along the kinetic chain is important.
Third, therapeutic exercise will be given for stretching and strengthening.
Lastly, if trauma or swelling is involved, ice, compression, elevation, and physical therapy modalities are utilized to reduce swelling.
Are your suffering from leg, ankle or foot pain from Superficial Peroneal Neuropathy?
We offer excellent Chiropractic care for Superficial Peroneal Neuropathy. At Meiri Chiropractic, we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have. Indeed, Chiropractic is a holistic and natural way to not only treat leg, foot and ankle pain, but to keep your body in its best working condition. We have been offering effective chiropractic care in West Palm Beach since 2006. Many of our patients reviews note our excellence. Call us today at 561-253-8984 to make an appointment or to find out more about Chiropractor West Palm Beach: Ankle/Foot Pain due to Superficial Peroneal Neuropathy.
