If you have knee pain from an anterior cruciate ligament injury, Chiropractic can provide relief! This post is about Knee Pain and Chiropractic Treatment: A.C.L. Injury.

 

Acute Phase of  the Anterior Cruciate Ligament (ACL) Injury

If you are in the acute phase, you may have sudden knee pain after a “contact injury”.  Your knee may  get hit very hard on the side. In addition, it may get hit while in a hyperextension (knee bent backwards) position.  Furthermore, you may have heard a “pop” during the injury.  Next, your joint will swell and you won’t be able to weight bear. 

 

Chronic Phase of the Anterior Cruciate Ligament (ACL) Injury

If you are in the chronic phase, you may have had the above happen in the past.  Of course, it may have resolved gradually after some swelling and pain.  Finally, you may feel more of an instability than pain in your knee.  Moreover, you may not even remember what happened. So this would be a noncontact/ nontraumatic ACL injury.  And this often occurs when an athlete slows down, pivots while running, and lands from a jump. Typically, these movements are common in sports, especially in soccer, basketball, and football.

 

Anatomy: Femur (thigh bone), Tibia (shin bone), Fibula (thin, outer long bone of the leg), and the Patella (kneecap)

There are three “articulations” (joint or juncture between bones or cartilages) at the knee: the tibiofemoral, patellofemoral, and tibiofibular articulations. However, only the tibiofemoral and patellofemoral articulations participate in knee joint activity. The tibiofibular articulation/joint does not actually contribute to the actions of the knee. Instead, it is part of the ankle joint complex moving the ankle in all the various ranges of motion. However, dysfunctional processes in the proximal tibiofibular articulation/joint can affect other knee functions and can be a source of knee pain.

So the tibiofemoral and tibiofibular are synovial articulations.  These are freely movable joints. And the bony surfaces are coated with hyaline cartilage.  It is unified by a fibrous articular capsule. However, the third articulation, patellofemoral, is a functional joint (non-synovial joint).   

 

More Anatomy of the Knee: About the ACL

First, the knee is supported by the joint capsule, its cartilage “thickenings”, and the collateral-ligamentous system.  And the collateral ligaments (band of tissue that connects a bone to another bone) are located on either side of your knee outside your knee joint.

Second, internally the knee is stabilized and the control of rotation is provided by the meniscocruciate system. There are two C-shaped cartilage like structures, each one called a meniscus. The menisci aid in shock absorption and help govern rotational movement at the knee.

Third, the cruciates, capsule, and collateral ligaments connect the femur to the tibia. The cruciates are a pair of ligaments that cross each other in the knee, connecting the tibia and the femur. The Anterior Cruciate Ligament (ACL) is smaller (size of the little finger) than the Posterior Cruciate Ligament.  It’s usually more readily injured than the Posterior Cruciate Ligament (PCL) (size of the thumb). The cruciates allow tension to develop through most ranges of motion. 

 

Complications and Causes of Knee Pain from the ACL Injury

An anterior cruciate ligament injury is the over-stretching or tearing of the anterior cruciate ligament (ACL) in the knee.

As mentioned previously, ACL damage can be from a noncontact injury or a sudden traumatic contact event.   Usually, excessive contraction of the quadriceps muscle with insufficient hamstrings co-contraction occurs with sudden stopping or cutting manuevers.  Also, contact injury with a rotary component is more likely to damage the ACL and other structures such as the menisci or MCL (medial collateral ligament).

When the ACL tears, it usually occurs in the mid substance of the ligament. And because of the closeness of the vasculature, blood vessel rupture often occurs.  Lastly, this causes quickly developing joint swelling that is both tense and painful. 

 

ACL injury Grade 1-3

Sprain is grade 1– microscopic tears that stretch the ligament.

Partial ACL tear is grade 2– stretched and partially torn.

Complete ACL tear or an avulsion is grade 3- the Tibial spine avulsion ACL injury occurs in teens. The ACL hasn’t torn, but the attachment of the ligament to the tibia has pulled off partially or entirely.  With a complete tear you may need surgery.  However, you should always try conservative therapy/treatments such as chiropractic first.

 

 

Evaluation, Tests and Management

After examining your knee, your doctor may order imaging such as an x-ray or/and M.R.I. Grade 1 ACL injuries may not require bracing.  However, second to third grade tears (without involvement of the meniscus) may require a month of restricted bracing.

 

Knee Pain and Chiropractic Treatment: A.C.L. Injury Treatment at Meiri Chiropractic

First, the knee and associated spine and extremity (limb) joints are adjusted.

 

Second, manipulation of muscle contractures with soft tissue techniques is utilized.  Some Techniques include gentle PNF/PIR (e.g. post isometric relaxation) and/or myofascial release techniques. 

 

Finally, Therapeutic exercises for rehabilitation/ strengthening are prescribed. 

 

Getting regular chiropractic treatment at a chiropractic center in West Palm Beach can help naturally relieve the pain and dysfunction of the knee. Chiropractic is a holistic and natural way to not only treat existing conditions, but to keep your body in its best working condition.

Contact Meiri Chiropractic today at 561-253-8984  to make an appointment on Knee Pain and Chiropractic Treatment:  A.C.L. Injury or/and other ailments.

 

 

If you have knee pain from osteoarthritis (wear and tear arthritis), Chiropractic can provide relief! This post is about Knee Pain and Chiropractic Treatment: Knee Arthritis

You may have stiffness and knee pain. Your knee pain may be worse with prolonged sitting and walking.  Moreover, you may have a history of trauma or surgery to your knee.  Additionally, you may have recurrent bouts of swelling and “bowlegged” appearance to the knee.

 

The Femur (thigh bone), Tibia (shin bone), Fibula (thin, outer long bone of the leg), and the Patella (kneecap)

There are three “articulations” (joint or juncture between bones or cartilages) at the knee: the tibiofemoral, patellofemoral, and tibiofibular articulations. However, only the tibiofemoral and patellofemoral articulations participate in knee joint activity. The tibiofibular articulation/joint does not actually contribute to the actions of the knee. Instead, it is part of the ankle joint complex moving the ankle in all the various ranges of motion. However, dysfunctional processes in the proximal tibiofibular articulation/joint can affect other knee functions and can be a source of knee pain.

So the tibiofemoral and tibiofibular are synovial articulations.  These are freely movable joints. And the bony surfaces are coated with hyaline cartilage.  It is unified by a fibrous articular capsule. However, the third articulation, patellofemoral, is a functional joint (non-synovial joint).  Nevertheless, many of the same problems such as arthritis arise here.

 

More Anatomy of the Knee

First, the knee is supported by the joint capsule, its cartilage “thickenings”, and the collateral-ligamentous system.  And the collateral ligaments (band of tissue that connects a bone to another bone) are located on either side of your knee outside your knee joint.

Second, internally the knee is stabilized and the control of rotation is provided by the meniscocruciate system. There are two C-shaped cartilage like structures, each one called a meniscus. The menisci aid in shock absorption and help govern rotational movement at the knee.

Third, the cruciates, capsule, and collateral ligaments connect the femur to the tibia. The cruciates are a pair of ligaments that cross each other in the knee, connecting the tibia and the femur. The Anterior Cruciate Ligament (ACL) is smaller (size of the little finger) than the Posterior Cruciate Ligament.  It’s usually more readily injured than the Posterior Cruciate Ligament (PCL) (size of the thumb). The cruciates allow tension to develop through most ranges of motion.

 

Causes of Knee Pain from Osteoarthritis

Degeneration of articular (joint) cartilage is often secondary to meniscal tearing or degeneration. Unfortunately, this occurs with age. Additionally, single trauma events or a past knee surgery (including ACL or meniscal surgeries) predispose you to early degeneration.

 

What is Osteoarthritis (Degenerative Joint Disease)?

Degenerative arthritis or degenerative joint disease is also referred to as osteoarthritis.  It is a “wear and tear” arthritis. This serious, painful condition can affect any joint of the body (e.g. hands, knees, hips, shoulders, back and neck). It is by far the most common form of arthritis, affecting more than 32.5 million adults in the United States, according to the Centers for Disease Control and Prevention.

Firstly, osteoarthritis is a disease of the entire joint, including bone, cartilage, ligaments, menisci (e.g. knee meniscus) and the tissues lining the joint (the synovium). There can also be changes in periarticular (around the joint) muscles, nerves, bursa, and local fat pads that may contribute to the symptoms of osteoarthritis.

Secondly, it degrades cartilage, changes bone shape and this causes inflammation. 

Thirdly, the result is pain, stiffness and loss of mobility.

Lastly, pain and other symptoms of osteoarthritis may lead you to feel tired, have problems sleeping, and possibly feeling depressed.

 

Options for managing Osteoarthritis along with chiropractic care:

-Exercise is an effective management approach to OA of the knee with significant reductions in pain and improvements in function. 

– Taping and bracing may also be effective management approaches. A recent blinded, randomized controlled trial was conducted to evaluate the effectiveness of knee tape. Those who were given therapeutic taping had significant improvement in pain.These effects were maintained after three weeks. Another study designed to evaluate the effectiveness of an elastic knee brace produced results that indicate small, short-term beneficial effects with acute exacerbations.

-Use of glucosamine and chondroitin supplementation appears to have both an effect on symptoms and structural changes in the knee. The results from a recent meta-analysis indicate that both glucosamine and chondroitin demonstrated improvements in joint space narrowing.

 

 

When thinking of chiropractic, people always think it’s only for the spine.  Moreover, the question people ask often is, “can a chiropractor adjust knees?”  The answer is, yes. In fact, it is an effective natural treatment option for those suffering from many conditions leading to knee pain.  Chiropractic adjustments can help with knee pain by improving joint function, thereby providing relief.

Is knee pain affecting your life and causing discomfort and limiting mobility? In this post we will explore 3 Common Knee Injuries Chiropractic Knee Adjustments Can Help.

 

1.  Knee Meniscus Tears

The knee meniscus is the rubbery knee cartilage that cushions the tibia (shinbone) from the femur (thighbone).

You may have knee pain usually following a rotational injury to the knee. Next, there may be swelling in your knee that developed over a number of hours. And since the injury, you may have episodes of knee locking wherein you experience significant pain.  Also, you may not be able to move the leg for a few seconds until the injured knee is forcefully extended (straightened). Furthermore, you may complain of the knee “giving way”.

 

Imaging and Evaluation

There are examination (e.g. orthopedic/neurologic/chiropractic ) tests that have a positive finding for a meniscal tear. Of course, Meniscal Tears are seen on a magnetic resonance imaging (MRI).  However, clinical correlation (results of the test should be interpreted in conjunction with the patient’s clinical symptoms, medical history, and other relevant diagnostic information) with MRI findings are important.  This is because there may be other pathologies (cause of the disease) causing pain as well.

 

Cause of Meniscus Tears

Firstly, most meniscus injuries are due to combined compression with rotation at the knee. Secondly, there are many types of tears. They are generally divided into horizontal and vertical tears. Thirdly, because of the minor blood supply, meniscus tears do not bleed much into the joint. However, the free edge of the tear may cause irritation along with the synovial (thin membrane of joint) fluid production. Fourthly, the meniscus is often involved when the anterior cruciate ligament (ACL) is torn.

 

 

2.  Popliteus Tendinitis

First, the popliteus muscle lies behind the knee joint. It forms the base of the popliteal fossa (diamond-shaped space behind the knee joint). Second, it inserts at the lateral femur, lateral meniscus and inserts onto the proximal (nearer to the center of the body) tibia (shin bone). Third, the popliteus muscle does lateral rotation of the femur relative to the tibia. And this ‘unlocks’ the knee joint so that the knee can flex (bend). Fourth, Popliteus is a major stabilizing muscle of the knee.  Fifth, tendinitis is a condition in which the tissue connecting muscle to bone becomes inflamed.

You will have pain in the lateral (side away from body) knee following downhill running or walking. Your foot on the injured side may have hyperpronation problems. 

 

3.   ProximaI TibiaI-Fibular Chiropractic Subluxation (chiropractic intersegmental dysfunction/misalignment)

The tibial-fibular joint is formed by the tibia and the fibula (outer of the two bones between the knee and the ankle). The proximal tibial-fibular articulation is a synovial joint (freely movable joint). Synovial joints are the main functional joints of the body.  Synovial joint cavities contain synovial fluid secreted by the synovial membrane (synovium), which lines the articular capsule.

Movement at this joint is influenced by movement at the ankle.  Sudden forced movements (in particular dorsiflexion of ankle) may force the fibula into a fixed position. With hamstring curls, the biceps femoris (one of heads of hamstrings) may draw the fibular head posteriorly (back), leading to a chiropractic subluxation/misalignement.  If left untreated, it may lead to entrapment of the peroneal nerve by the fibula.  So compression or entrapment of the nerve may occur with the result of radiating pain down the outside lower leg.

 

 

3 Common Knee Injuries Chiropractic Knee Adjustments Can Help

The chiropractic approach to the treatment of knee injuries involves a thorough understanding of the anatomy, biomechanics, motor patterns, and kinetic chains of the lower extremity (limb), including the pelvis. Your kinetic chain is a combination of several successively arranged joints. These joints constitute a complex unit, as links in a chain.

By identifying the underlying problem or dysfunction, your chiropractor can implement a multilevel treatment protocol (detailed plan) that involves chiropractic manipulative therapy.  A chiropractic realignment will restore faulty biomechanics. Lastly, your chiropractor can prescribe exercises to strengthen weakened muscle groups and motor pattern re-education.

At Meiri Chiropractic we provide chiropractic adjustments/ manipulation for your knee and any associated regions (e.g. foot, ankle, hip, pelvic or lumbar (low back) indicated.  Additionally, soft tissue therapy (myofascial release, pressure point and various relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) are rendered as necessary.

Do you know someone who needs Chiropractic adjustments for a knee injury? Contact Meiri Chiropractic serving West Palm Beach, Jupiter, North Palm Beach, and Palm Beach Gardens today at 561-253-8984 for this or some other ailment.

 

    Video Vlog on same post

 

A common source of joint fixation/chiropractic subluxation (hypomobility) and dysfunction is periarticular (surrounding joint) soft tissue injury with its resultant fibrosis (thickening or scarring of the tissue) and loss of elasticity and strength. So soft tissue injury and fibrosis may result from trauma to muscular, tendinous, myofascial, or ligamentous tissue. And you may have had acute trauma or repetitive injury to the area to cause it. 

 

Chiropractic Adjustments Restore Motion

 

First, an inflammatory response is triggered resulting in an extracellular (taking place outside of cell) accumulation of exudates (fluid that leaks out of blood vessels) and blood. Platelets (tiny blood cells that help your body form clots to stop bleeding) then release thrombin (molecule which helps in clotting process) converting fibrinogen into fibrin, which organizes into collagenous scar tissue. This results in a variety of soft tissue and articular (joint) adhesions.

 

Second, the above response can often be excessive especially in traumatic neuromusculoskeletal injuries. Therefore, therapies for minimizing inflammatory exudates are helpful.  This will in turn reduce pain and muscle spasm. Ultimately, this leads to early pain-free mobilization and flexible repair.

 

Third, early care and mobilization provide the best opportunity for optimal healing.

In contrast, bed rest and prolonged inactivity increases the chances of long-term disability and eventually lost time from work.

 

Fourth, the exudates that arise due to injury and inflammation gets the next step ready of connective tissue repair. Moreover, the matrix for the development of granulation tissue (new connective tissue) and scar formation is set. And the formation of granulation tissue is mostly carried out by the rapid increase of fibroblasts (cells that contribute to the formation of connective tissue).  Next, fibroblasts synthesize and deposit collagen tissue. At first, the collagen is poorly organized.  And additional collagen cross-linkages to reorganize along planes of stress which improves the tensile (stretchability) strength of the injured area sets forth.

 

Fifth, this repair and remodeling process may take months and may result in less than optimal healing and extensibility (stretchability) of the involved tissue.  Of course, immobilization slows recovery. This results in a loss of strength and flexibility and possible intra-articular (within the joint) fatty adhesions.  Immobilization also leads to dehydration, causing proteoglycans (substance which provides hydration and swelling pressure to the tissue enabling it to withstand compressional forces) to get closer and stick together. 

 

In conclusion, if injury or immobilization leads to decreased flexibility, therapies such as chiropractic adjustments are directed toward the restoration of motion.

 

 

Myofascial Cycle of Pain

 

Myofascial refers to the muscle or of the fascia (layer of connective tissue that supports tissues and organs) surrounding the muscle.  So myofascial conditions are triggered by many reasons.  This can become self-perpetuating sources of pain, muscle spasm, and joint dysfunction.

Additionally, painful conditions which cause chronic muscle hypotoncity (deficient tone) are additional origins of restricted joint motion. In other words, muscle contraction, once initiated, may become a self-perpetuating source of pain and muscle hypotoncity.  Protective splinting in the joint’s intrinsic muscles may further this process by stopping passive joint movement and the pain-inhibiting qualities of certain joint receptors.

If contractions continue, over time they may develop into muscle contractures.  This is a result of adaptational shortening and loss of elasticity from disuse or underuse. Problems capable of producing muscle contraction are: trauma, structural inadequacies, visceral (organ) disease, emotional distress, and exposure to cold.

 

Myofascial Cycle Summary

 

1. Joint Dysfunction leads to muscle strain.
2. Muscle strain is caused by: Repetitive use, Emotional tension, Chronic postural stress, Exposure to cold, Visceral disease, Physical trauma, structural inadequacies, uncoordinated movements
3. Vasoconstriction (narrowing of blood vessels by small muscles in their walls) and ischemia (inadequate blood supply) is caused by the pain of muscle strain. So pain causes muscle splinting. This in turn leads to retained metabolites and edema (inflammation).
4. Sustained contraction happens due to vasoconstriction/ischemia and along the way myofascial syndromes and joint dysfunction occur.
5. Fibrous reaction occurs finally and leads to soft tissue contractures.
6. And Soft tissue contractures lead to Persistent joint and somatic (skin, muscles, joints, and bones) dysfunction as the end result.

 

Some Causes of Chiropractic Subluxations: Stopping the Myofascial Pain Cycle

 

Behaviors or bad habits can cause subluxations.  For example the following may contribute: continuously carrying a purse or bag on the same side of your body, sleeping on your stomach, sleeping with a pillow that is too big or too flat for you, crossing your legs or looking down at a computer monitor for long periods of time, sitting for long hours, and improper lifting. Also, de-stressing and decreasing your exposure to cold (e.g. excessive air conditioning) may help. 

Meiri Chiropractic utilizes the best joint manipulation and adjustments to the spine and peripheral joints. We provide soft tissue procedures, hot and cold modalities, stretching/ rehabilitation exercises, and homeopathic consultations as well.

At Meiri Chiropractic in West Palm Beach we spend the time necessary to examine, diagnose and treat every neuromusculoskeletal condition and various ailments you have. Through regular chiropractic visits, you can get pain relief and improve function. Chiropractic is a holistic and natural way to treat existing conditions.  And your body will be in its best working condition with regular chiropractic care.  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 in West Palm Beach to make an appointment.

 

References: Thomas Bergman, David Peterson, (3rd edition) Chiropractic Technique: Principles and Procedure

 

 

From Dr. Natalie Meiri’s Clinical Pearl Stories: Chiropractic Care for Mid-Back and Right Hand Pain Over the Holidays

 

This was a 45 year old patient who was getting ready for the Christmas holidays. To be HIPAA compliant, I will call her Kathlyn instead of her real name.  Kathlyn was at a holiday party when a “7 foot tall enormous man” gave her a “bear hug”.  She stated “although I was happy to see my friend, the hug injured my spine”.   To make matters worse, she was getting her Christmas gifts ready when she somehow injured her right hand. She presented to my office the next day with mid back and right hand pain.

Kathlyn hadn’t gone to urgent care or her primary care, just took some NSAIDS (Non-steroidal anti-inflammatory drugs) without much relief.   On the intake form she reported pain in her midback and right hand.

 

Kathlyn’s Examination and Treatment

Upon examination, there were positive tests for her thoracic spine (midback) as well as the right hand/fingers.  After that, I explained her diagnosis (strain of thoracic spine and sprain of right hand), prognosis and treatment plan.

Firstly, Kathlyn’s chiropractic treatment for thoracic strain and right hand sprain consisted of chiropractic manipulation/ adjustments of the thoracic spine, right hand, and associated regions.  Associated regions that were adjusted were her cervical spine (neck), lumbar spine (low back) and right wrist which were misaligned (subluxations or intersegmental dysfunctions). 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, she was given therapeutic exercises to continue her treatment at home. Fifthly, Kathlyn was given a brace to wear during strenuous activities for her right hand.

 

 

What is a strain?

A strain is an overstretching and tearing of musculotendinous tissue. Tendons are connective tissue that attach a muscle to other body parts, usually bones.

 

What is a sprain?

A sprain involves a ligament.  It is a short band of tough, flexible fibrous connective tissue.  Furthermore, it connects two bones together in proper articulation at the joints.

A Joint injury in which some of the fibers of a supporting ligament are torn or ruptured is a sprain.  However, the continuity of the ligament remains intact in a sprain.  Grade 1 (mild) sprains cause slight stretching and tiny tears in the ligament. Kathlyn had a grade 1 sprain of her right hand. Grade 2 (moderate) sprains refer to partially torn ligaments with pain and swelling.

 

Kathlyn’s Outcome

The outcome for Kathlyn was excellent! She felt a little better immediately from the first visit.  Moreover, after only a few visits she enjoyed the rest of the holiday season pain-free.

 

Chiropractic Care for Mid-Back and Right Hand Pain Over the Holidays

Many people “throw their back out” every year around the holidays. This could be due to stress or “holiday bear hugs” as in the case of Kathlyn. Chiropractic is powerful and great at com-batting the negative effects of stress on the body. Adjustments restore joint mobility and function, resolves joint inflammation and reduces the patient’s pain.

Do you know someone who is in need of chiropractic care this holiday season? Contact Dr. Natalie Meiri of Meiri Chiropractic today at 561-253-8984 to learn more about Chiropractic Care for Mid-Back and Right Hand Pain Over the Holidays or to schedule an appointment.

 

 

 

Your feet and ankles are important for the balance of your whole body. Not only do your feet and ankles provide support, they absorb shock.  The stability of your feet and ankles are important for walking, running and jumping. And your feet and ankles have to provide mobility while adapting to different terrain.

Shock absorption is distributed through complex movements through your kinetic chain.  So these forces from various movements are distributed through the lower extremity from your feet/ankle to the knee, hip, and then the pelvis. Therefore, dysfunction at your ankles or feet may have consequences throughout your entire body. Furthermore, your foot problems may be local or referred.  In other words, the need for lower-extremity compensation may result in pain somewhere else, including low back pain.

 

Problems in the Feet

Most foot complaints are due to lack of proper support or inappropriate footwear. Ill-fitting or irritating shoes may result in corns or calluses, sesamoiditis (inflammation of the sesamoid bones in the ball of the foot and the tendons they are embedded in) or aggravation of hallux valgus (bunion) at the first toe, or fat pad syndrome at the heel . Moreover, tight-fitting shoes may also cause compression of metatarsals (5 forefoot bones).

Also, if the foot is too mobile (i.e., hyperpronated), there may be a lack of support.  This may cause plantar fasciitis and strain of the tibialis posterior muscle (deep calf muscle). Indeed, proper shoes are important.  And if you have any forefoot (front of foot) or hind foot (back of foot) abnormalities (i.e. varus or valgus) you are more likely to strain your feet.  

Complicating Factors

Firstly, as the furthest part of your body, your foot is commonly affected by vascular disorders. Arterial occlusive (inadequate blood flow due to narrowing of the arteries) disorders block blood flow. Valvular insufficiency in veins along with gravity may lead to vascular stasis (veins can’t send blood back to heart).

Secondly, neurologic dysfunction associated with metabolic neuropathies can occur.  For instance, as seen with diabetic neuropathy.

Thirdly, being bare footed may lead to trauma. In contrast, the supported foot is susceptible to the pressure effects and biomechanical alterations of footwear. Especially if you are diabetic this can lead to unnoticed and untreated problems due to sensory deficits (i.e. touch, temperature, pain and other sensations).

Common Conditions of the Foot and Ankle

Some common conditions involving the foot and ankle that are biomechanical in nature include the following:

1. First toe-hallux valgus/rigidus (stiff first toe), turf toe (sprain to the main joint of the big toe), and sesamoiditis
2. Metatarsalgia (pain and inflammation in the ball of your foot)
3. Peroneal tendinitis (inflammation in the tendons that run along your outer ankle/foot)
4. Plantar fasciitis (inflammation of fascia tissue on the bottom of your feet)
5. Achilles tendon/heel-tendinitis, bursitis (painful inflammation of small, fluid-filled sacs that cushion the bones, tendons and muscles near your joints) and fat pad syndrome
6. Neuropathy

In addition to the above, ankle inversion and eversion sprains are very common. The most common are plantar flexion/inversion (foot turned inward) sprains. Also, chronic ankle pain and/or instability is not uncommon following repeated ankle sprains.

It is important not only to treat the acute injury, but also to prevent future occurrences. This often entails evaluation of the activity or sport coupled with a post injury rehabilitation program.

 

Chiropractic for Ankle and Foot Pain and Conditions at Meiri Chiropractic in West Palm Beach

Are your suffering from ankle or foot pain? We offer excellent Chiropractic adjustments/manipulation to the ankle, foot and associated areas (i.e. knee, hip, pelvis). Soft tissue techniques along with the use of modalities (i.e. heat therapy, electric muscle stimulation) and rehabilitation/home exercises are utilized along with the adjustments to get you pain-free.

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 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 Chiropractic for Ankle and Foot Pain and Conditions.

 

This is my clinical pearl story about Rib Pain and Rib Dysfunction: Chiropractic Care is Effective.  She was a 24 year old female patient. To be HIPAA compliant, I will call her Jean instead of her real name. 

Jean reported severe pain and graded the pain level to be 10/10. It was a dull, achy, sharp, stabbing pain radiating along the periphery of one or more ribs from the back to the front of her torso. She had difficulty breathing and couldn’t bend or twist at the waist due to pain.  Jean also had difficulty even lifting her legs while sitting due to the pain in her left mid back.

Jean’s rib and back pain had come on suddenly while she was walking in the grocery store. There wasn’t any history of trauma.  She did report having a similar incident of rib and back pain in the past. Recently, Jean was under a lot of stress from her college exams and projects.  These projects had entailed a lot of leaning forward in a lab with bad posture.  At first, she tried taking an over the counter NSAID (Non-steroidal anti-inflammatory drugs) and then called for an appointment with me.

 

Jean’s Examination

Upon examination I did find her range of motion was extremely limited in her thoracic and lumbar spine due to the mid back pain. Also, Jean’s cervical (neck) range of motion was decreased in several directions due to the pain in her mid back. Furthermore, she had an inability to raise her thighs from a sitting position during the muscle testing due to the pain in her mid back. She also tested positive for left rib chiropractic subluxations (fixated/misaligned joint) in her mid to lower thoracic (mid back) spine. Additionally, I explained to Jean that she had a lot of spasm in the surrounding musculature due to the chiropractic rib subluxations (serratus posterior and superior muscles, longissimus thoracis, iliocostalis lumborum, quadratus lumborum, and serratus posterior and inferior muscles).

I would order an x-ray of her left rib and mid back if she wasn’t making progress within 12 visits. 

 

Jean’s Treatment and Outcome at Meiri Chiropractic in West Palm Beach

Jean received chiropractic adjustments/ manipulation to her cervical (neck), thoracic (ribs and spine in mid back) and lumbopelvic (low back) spine along with soft tissue work (myofascial release, pressure point and various post isometric relaxation procedures) and exercises to continue at home.

After her first adjustment, Jean started to feel better.  In fact, she was able to rotate and bend her torso better.  And by the second visit, she reported a pain level of 6/10 and had better range of motion overall.  However, she still couldn’t lift her thighs from a sitting position.  Finally, by her third visit she reported feeling “90%” better.  Moreover, she was able to lift her thighs from a sitting position and had regained most of her range of motion back in her neck and back. So Jean at this point chose to return in a month for a followup.

 

 

Anatomy of the Thoracic (mid back) Spine and Ribs

12 Vertebrae (spinal bones) compose the thoracic vertebral column or spine. Your spine protects the spinal cord, nerves, supports your thorax and enables movement of your body. The intervertebral discs, along with the laminae, pedicles, and articular processes of adjacent vertebrae, create a space through which spinal nerves exit. A typical vertebra also contains four articular (joint) processes, two superior and two inferior, which contact the inferior and superior articular processes of adjacent vertebrae, respectively. The point at which superior and articular facets meet is known as a facet, or zygapophyseal, joint (synovial joint).  These maintain vertebral alignment, control the range of motion, and are weight-bearing in certain positions. Also, these joints are what chiropractors mostly adjust in the thoracic spine.

Thoracic vertebrae are unique in that they have the additional role of providing attachments for the ribs.  One special feature of thoracic vertebrae is the presence of costovertebral and costotransverse joints, which form the articulations for the ribs. The costovertebral joints (demifacets) are located on either side of the vertebral body to form an articulation with the heads of the ribs. The costotransverse joints are located on the anterior (front) aspects of the transverse processes of vertebrae to articulate with the tubercles of the ribs.

Anteriorly (front), the first seven ribs connect to the sternum (breast plate) directly, and the eighth, ninth, and tenth ribs attach indirectly via the costocartilage. The eleventh and twelfth ribs are free floating, with no anterior attachment. The anterior articulations move mainly because of the elastic quality of the costocartilage. 

What is the Chiropractic Subluxation/ Joint Subluxation/Dysfunction Syndrome (JSDS)?

A Joint Subluxation/Dysfunction Syndrome (JSDS) diagnosis is defined by a combination of signs and symptoms for dysfunction of spinal, pelvic, or peripheral (limb) joints. It is a functional (biomechanical) diagnosis, not a structural (pathoanatomic) diagnosis. If you have JSDS, your spinal and peripheral motion segments and associated soft tissues are the source of your symptoms.

The chiropractic subluxation is the alteration of the normal dynamic, anatomic, or physiologic relationships of contiguous (neighboring) articular (joint) structures. It is a motion segment in which alignment, movement integrity, or physiologic function is altered.  However, the contact between the joint surfaces remains intact.  So the ORTHOPEDIC SUBLUXATION term which means a partial or incomplete dislocation, is different from the chiropractic subluxation.

And this aberrant relationship between two adjacent articular structures may have functional or pathologic sequelae (consequence of disease). The chiropractic subluxation can ultimately cause an alteration in the biomechanical or neurophysiologic changes to occur not only to your articular structures, but also your entire body systems.

Indeed, the rib synovial joints are prone to the same pathologic conditions that affect other synovial joints (also called diarthroses are freely movable joints), including the chiropractic subluxation and dysfunction complex.

Rib and Back Pain and Rib Dysfunction: Chiropractic Care is Effective

Chiropractors are specially trained to examine you for the presence of chiropractic rib subluxations, as well as involvement of any surrounding tissues. If detected, your chiropractor in West Palm Beach will use safe and effective chiropractic adjustments to restore proper rib movement.  This will correct your “subluxations”, restore normal function to the affected area and get you out of pain.

Are you suffering from rib pain and searching for an experienced chiropractor in West Palm Beach? Dr. Natalie Meiri can definitely help you.  Call 561-253-8984 today to find out more about Rib and Back Pain and Rib Dysfunction: Chiropractic Care is Effective or to make an appointment.

 

 

Commonly asked questions and answers for chiropractic care in West Palm Beach (Part II) can help educate you on the truth about chiropractic.  Chiropractic can treat acute or chronic back/extremity pain, chronic fatigue, stress, help with digestive issues, and a variety of other health problems. You need to make an informed decision about the care you need. Read below about the benefits and realities about chiropractic.

 

 

1. What is a Chiropractor?

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

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

 

2. What Symptoms Can Chiropractors Treat?

Chiropractors treat a wide range of symptoms that impact your physical and emotional well-being. Your chiropractor in West Palm Beach will help you effectively manage the following symptoms and more:

• Pain
• Cramping
• Tingling
• Dizziness
• Nausea
• Headache
• Shortness of breath
• Inflammation
• Limited range of mobility
• Exhaustion

Many patients also notice their mental health improves after a chiropractic treatment. Reason being, living with chronic pain can trigger bouts of depression and anxiety.  In fact, many patients confess they felt hopeless about the future until they visited our office. Indeed, we help alleviate your discomfort so you can get back to living life to the fullest!

 

3. What Conditions Can Benefit From Chiropractic Care?

Patients visit us for a variety of conditions, ranging from minor ailments to severe conditions that haven’t benefited from conventional medicine. The following are some conditions your chiropractor in West Palm Beach can help you with:

• Neck, back, shoulder, elbow, wrist, hand, thumb, TMJ, knee, leg, and foot pain
• Carpal tunnel syndrome
• Tendonitis
• Tennis elbow
• Headaches and Migraines
• Sciatica
• Asthma
• Neuralgia
• Herniated discs
• Fibromyalgia

The above is not a full list of ailments we treat.  Please contact us with any questions.

 

4. What is an Adjustment?

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

 

5. Can I Perform My Own Spinal Adjustments?

The answer is No. Only Chiropractors are trained to diagnosis chiropractic joint fixations/ “subluxations” and correct them. A Joint Subluxation/Dysfunction Syndrome diagnosis is actually a clinical diagnosis.  There are certain signs and symptoms that are assumed to identity dysfunction of spinal, pelvic, or peripheral (arms, legs, TMJ) joints.

For example, in most cases when a person has a restricted joint, it will make the spinal joint or vertebrae above and below become hypermobile (increase movement).  This is due to the fixated vertebrae in the middle. So when you twist/ lean back in a chair to “adjust” yourself, you are moving the hypermobile segments instead of the fixated/“subluxated” vertebrae. Furthermore, this could worsen the degeneration or whatever present damage exists in that area. In conclusion, it’s dangerous to adjust your own neck or back if you don’t have training in chiropractic care.

 

6. Are the benefits one can receive from chiropractic care be life changing?

   Yes! Chiropractic has shown benefits for all ages and various problems. Some benefits include: better sleeping, increased energy, increased movement, ability to perform things that use to be challenging in sports and activities of daily living, better bowel movements and much more. 

 

7. Can You Receive Chiropractic Care at any age or during Pregnancy?

Firstly, chiropractors see patients that range from an infant to elderly in their 80s and up. Using gentle adjustments for infants can help them with the following: Ear infections, Colic, Tonsillitis, and Reflux to name a few. Afterall, the birthing process itself can be traumatic for an infant’s spine!

Secondly, pregnant women have so much to gain from chiropractic care. During pregnancy the pelvis can get misaligned or “subluxated” making a pregnancy more difficult than it needs to be. With a protruding abdomen and an increase in the lumbar spine curve, it is possible to see postural changes take effect on the mother.

Thirdly, while Chiropractic care is generally safe during pregnancy, it’s a good idea to double check with your OB/GYN before scheduling an appointment. Many patients find that chiropractic treatments are a great drug-free and natural way to alleviate the aches and pains associated with pregnancy.

 

8. Can I Request Chiropractic Care Without a Referral?

We treat patients who do not have referrals from their primary care physicians or other medical providers. And Chiropractors are portal of entry providers which means you can visit us before any other doctor. As chiropractic physicians, we examine, diagnose and then treat you.

 

9. How do I get started with chiropractic care in West Palm Beach?

Contact our West Palm Beach office at 561-253-8984 for further information on Commonly asked questions and answers for chiropractic care in West Palm Beach (Part II). We will be glad to schedule an appointment for you and get you on your way from injury repair to peak performance naturally.

 

References:

Chiropractic Technique- Bergmann, Peterson  

 

 

Dementia is the name for a group of symptoms associated with an ongoing decline of brain functioning.  And Alzheimer’s Disease is the most common cause of dementia in the United States.  It accounts for approximately 65% to 75% of all cases. In fact, there are more than 4 million Americans affected by Alzheimer’s. Furthermore, it appears women live longer than men with Alzheimer’s and so represent twice as many cases. The combined cost of direct management and lost productivity is at least $100 billion annually. In fact, the National Institute on aging estimates that as many as 5 million Americans over the age of 65 have some form of Alzheimer’s disease. In its latest statement, the Alzheimer’s Association states that as many as one in three older people will die from Alzheimer’s disease or dementia in the United States. And more and more patients are afraid of losing their memory. 

While there is no cure for Alzheimer’s disease, there are things you can do to maintain your cognitive health as you get older in regard to cognitive dysfunction. This post is about Alzheimer’s and Chiropractic.

 

What is Alzheimer’s Disease?

It is a progressive condition, which means the symptoms develop gradually over many years and eventually it severely affects multiple brain functions.  The first sign of Alzheimer’s disease is usually minor memory problems.  For instance, this could be forgetting about recent conversations or events, and forgetting the names of places and objects.  Next, common symptoms include memory loss, concentration problems, confusion with familiar tasks, difficulty communicating, mood changes, and anxiety.  Finally, the stages of Alzheimer’s disease leads to increased mental and physical deterioration until eventually the person needs 24-hour care.

Scientists think Alzheimer’s disease is caused by the abnormal build-up of proteins in and around brain cells. These deposits (amyloid) form plaques around brain cells. Yet another protein (Tau) deposits in tangles within brain cells.  Although it’s not known exactly what causes this process to begin, scientists now know that it begins many years before symptoms appear. Lastly, neurotransmitters (chemical messengers) are decreased so brain signals/messages are not sent.

 

 

Risks for developing Alzheimer’s Disease

Firstly, age is the single most significant factor. The likelihood of developing Alzheimer’s disease increases after you reach 65. However, early- or young-onset Alzheimer’s disease can affect people from around the age of 40.

Secondly, the genes you inherit from your parents can contribute to your risk of developing Alzheimer’s disease. Nevertheless, the actual increase in risk is small unless you have a specific single gene.  Then the risk is much higher.

Thirdly, if you have Down’s Syndrome, suffered head injuries, hypertension, diabetes and/or have cardiovascular disease you are at a greater risk.

Fourthly, you can lower your risk by: not smoking/avoiding second hand smoke, eating a healthy diet and loosing weight if necessary, leading an active life mentally and physically, avoiding excess alcohol/drugs.

Fifthly, the latest research shows that factors that increase the risk also include: hypertension, hearing impairments, social isolation, untreated depression, toxins/air pollution.

 

Chiropractic and Your Nervous System/ Brain

As chiropractors, we believe in the concept of wellness for our patients and we recognize things like receiving chiropractic adjustments, exercising, eating healthy and sleep hygiene as important parts of a wellness program.  Such a wellness program will certainly lower your risk of developing Alzheimer’s disease.

Even if you don’t have a family history of Alzheimer’s, as you age, your nerve cells lose speed and flexibility. You might start forgetting more and remembering less.  You will need antioxidants (like vitamins A, C, and E) to counter the oxidative stress of aging. Eating right and supplementing with a multivitamin everyday will help. Some possible nutritional supplements for dementia include: Ginko biloba, Ginseng (Panax ginseng), Coenzyme Ql0.

Finally, this is where your chiropractic adjustment comes in. Getting regular adjustments to get your body aligned keeps your nervous system/ brain  functioning at it’s optimum.

Contact your West Palm Beach Chiropractor at 561-253-8984 today to make an appointment or to learn more about Alzheimer’s and Chiropractic.

 

*Please consult your doctor prior to trying above supplements.

 

 

 

 

Many people dealing with diabetic neuropathy feel as though they have few treatments available. They are relying on pain medications, living with pain and increased stress. For people seeking relief from the discomfort of diabetic neuropathy, a chiropractor in West Palm Beach might be the answer. Continue reading to learn more about how a chiropractor can provide care for Diabetic Neuropathy naturally.

 

What is Diabetes?

Diabetes mellitus is a disorder that results in chronic hyperglycemia (high blood sugar) due to absence of insulin, decreases in insulin, and/or decreased sensitivity of insulin receptors (areas on the outer part of a cell that allow the cell to join or bind with insulin that is in the blood). Generally, Diabetes mellitus is evident in two forms: (1) type 1, insulin-dependent diabetes mellitus , and (2) type 2, non-insulin-dependent diabetes mellitus. Usually, type 1 diabetes becomes apparent in childhood or adolescence.  And type 2 diabetes shows up later in life (over the age of40).

Microvascular complications of diabetes are those long-term problematic changes to small blood vessels. Unfortunately, it can lead to various health problems such as: retinopathy (disease of retina of eye), nephropathy (kidney disease), and neuropathy (nerve damage disease).

 

What is Diabetic Neuropathy?

With Diabetic Neuropathy, you will typically have low back pain along with burning pains in the lower extremities (limbs) and poor balance. Also, it can affect your arms and hands with numbness and pain. Indeed, neuropathy is a diabetes complication that causes nerve damage throughout your body.  About half of all people with diabetes have some form of neuropathy. Furthermore, it is more common in those who have had diabetes for many years. 

 

Chiropractic Care for Diabetic Neuropathy

In one study a patient with diabetic neuropathy was treated with chiropractic manipulation to the intertarsal and mortise joints (foot and ankle joints) and chiropractic myofascial therapy to the quadratus plantae muscles (muscle at bottom of foot) 18 times over 4 months. This treatment brought about dramatic improvement in both symptoms and clinical signs of nerve function. (1)

The study found that joint dysfunction may play a role in susceptibility to diabetic neuropathy and the treatment brought about improvement. Therefore, chiropractic treatment may bring about improvement by normalizing joint and nerve function in the areas affected.

 

How a Chiropractor Can Provide Care for Diabetic Neuropathy Naturally: Nutrition, Exercise and Supplements

First, keeping your blood glucose (blood sugar) levels on target is your best line of defense against neuropathy. Moreover, a healthy diet and consistent exercise is vital to your management of diabetic neuropathy. Researchers concluded that a western dietary pattern (i.e., high in red meat, fat, refined grains, and sweets/desserts) combined with low physical activity or obesity substantially increased the risk of type 2 diabetes.  In contrast, a more healthy dietary pattern (i.e., high consumption of vegetables, fruit, fish, poultry, and whole grains) decreased the risk. Among many studies emphasizing the need for exercise in reducing the morbidity (condition of suffering from a disease or medical condition) of diabetes, some indicate minor lifestyle changes may affect mortality (relating to death).

For example, in an 8-week walking program of 10,000 steps/day for women, the benefits of improved glucose tolerance and a reduction in blood pressure was realized.

In addition to the recommendations of eating a healthy diet and keeping weight down, some specific dietary supplements and herbs have been suggested in the scientific literature:

• vitamin E
• vitamin C
• vitamin B6 (pyridoxine alpha-ketoglutarate)46
• biotin
• chromium
• Gymnema
• Asian ginseng
• aloe vera

*Please Check with your doctor prior to utilizing any of the above

 

How a chiropractor can help provide care for Diabetic Neuropathy naturally

Diabetic Neuropathy can be helped naturally at Meiri Chiropractic.  Firstly, this involves spinal adjustments or extremity (limbs) manipulation and may include mobilization.  Secondly, soft tissue techniques along with the use of modalities (i.e. heat therapy, electric muscle stimulation) and rehabilitation/home exercises. Finally, homeopathic consultations/ prescriptions along with recommendations on nutrient and vitamin/herbal supplementation will be provided as necessary.  These treatments along with regular exercise and stress reduction can give you relief. 

Are you suffering from diabetic neuropathy?  Neuropathic pain is an issue that no one wants to deal with. It can be an uncomfortable and often debilitating condition, so it’s crucial to seek treatment as soon as possible. Your chiropractor in West Palm Beach can help you manage your symptoms and improve your overall quality of life. Call 561-253-8984 today!