Articles in Category: Chiropractic

Popliteus Injury

on Wednesday, 05 September 2018. Posted in Massage, General Health, Sporting Injuries, Chiropractic

Popliteus Injury

By Luke Attkins

Diploma of Remedial Massage, Certificate IV of Massage Therapy

Member: AAMT, SCA, CAA, CA.

 

Have you ever tried to go for a run or walk and had the feeling that your knee was going to ‘lock up’ or ‘give out’ on you? This is a common cause of popliteus muscle injuries. The popliteus muscles is a small but strong muscle, that’s main action is to internally rotate the tibia (shin bone). Another action this muscle is involved with is the unlocking of the knee joint whilst bending the leg from a fully straightened position.

 

Common injury symptoms associated with this muscle can be back and outside knee pain, and the feeling of being unstable upon loading the joint. With the areas of pain that are associated, doctors frequently view the area as having a ligament tear of either the lateral collateral, anterior cruciate or posterior cruciate ligaments; however MRI or X-Ray scans will show up clear, therefore leaving the patient in pain and discomfort with no answers.

 

This posterior-lateral knee pain is commonly caused by the under activation of the hamstrings whilst walking or running, therefore making the popliteus muscle over exert itself and be strained under the pressure.

 

Treatment that is very effective in decreasing the pain and helping to relieve the unsteadiness that is felt within the knee joint is remedial massage. Remedial Massage treatment helps by identifying the problem and using different massage styles to release and take the strain off the popliteus.

 

If you think this sounds like something that may be affecting you, call (07) 3398 7022 to book in for an appointment to see one of our accredited remedial massage therapists.

What’s the difference between a Chiropractor, a Physiotherapist, and an Osteopath?

Written by Don Williams BSc, MChiro, ICSSD. on Tuesday, 17 April 2018. Posted in General Health, Chiropractic

What’s the difference between a Chiropractor, a Physiotherapist, and an Osteopath?

By Don Williams

B.Sc., M.Chiro., ICSSD., PG Dip. NMS Rehabilitation Cert DNS. Memb: FICS, CEA

 

One of the more common questions we get from patients is what is the difference between a Chiropractor, a Physiotherapist, or an Osteopath?

 

On the surface this would appear to be a simple question however the number of questions and confusion support that it evidentially is not. On the basis of the evolution of these practices it is quite common for Chiropractors to deal just with manipulation and joints, where by a Physiotherapist tends to deal more with stretching and muscles, and an Osteopath tends to do soft tissue work manipulation similar to a Chiropractor. However the evolution of these professions has blurred the boundaries considerably, it is not uncommon to see a Physiotherapist that does a lot of manipulation and it is not uncommon to see a Chiropractor that does lots of soft tissue work and stretches.

 

So where do we draw the lines?

I generally believe that anytime someone has an injury it is always a joint and a muscle involved. When you think about it, every joint in the body is crossed by at least one muscle, and every muscle in the body crosses at least one joint. So as a result, anytime you injure a muscle it will affect the joint and every time you injure a joint it will affect the muscle so we must deal with both areas simultaneously.

 

The team at Institute of Sports and Spines do a range of different treatment interventions that would commonly be more regarded as Physiotherapy techniques. The confusion is that these techniques while being used often by Physiotherapist are not specifically Physiotherapy techniques. So when we look at rehabilitation from a knee injury, sporting injury, a muscle tear, or a strain people predominately think this is a Physiotherapy only activity, however this makes up a large proportion of the injuries that the team see at Institute of Sports and Spines.

 

Generally the management of different injuries is time based surrounding milestones that are inherit in recovery of the tissue in question. What this essentially means is that a strain of a muscle will improve or repair faster than a tear of a muscle, ligament injuries take longer to repair than muscle injuries, and tendon issues can be extremely stubborn if you don’t address the underlying concern.

 

Although our treatment strategies with the Chiropractic team at Institute of Sports and Spines may confuse our patients as to the background of why we’re using a particular technique and whether it is Chiropractic or Physiotherapy we certainly deal with a wider range of complaints then most people would realise.

 

When we look at athlete injury management particularly, we would always use a combination of soft tissue work in conjunction with manipulation or adjustments when and if indicated followed by corrective exercises to address the underlying movement patterns. This tends to be the model we use with the general population as well; adjustments to relieve the irritation, soft tissue to take out tension, and exercises to re-educate the muscles and postural system.

 

I think that the only reason that Chiropractic, Physiotherapy, and Osteopathy don’t amalgamate into one profession is due more to egos and understanding in the public rather than the actual differences between the professions. I would think that if we sub-specialised into the different areas that we treat this would probably be a clearer distinction than whether it was a Chiropractic, Physiotherapy, or Osteopath problem.

 

For many conditions any of the three professions or modalities could get a great result and interestingly some people seem to respond more to a particular person or style of intervention rather than a particular profession. This doesn’t stop people from having the impression that all Physiotherapists ‘are stupid’, or all Chiropractors ‘hurt you’, or all Osteopath’s ‘don’t do anything’ these opinions are often based on hearsay and not always in reality. However there are certain cases of people who may have had an interaction with someone previously that has not gotten a good result and unfortunately this often leads them to label all of that profession as ineffective.

 

I hope this has cleared up some of your thoughts or questions in regards to Chiropractors, Physiotherapists, and Osteopaths. If you have any further questions, please contact us at Institute of Sports and Spines and we would be glad to help.

 

Hyperlordosis - Are you Over Arching?

on Friday, 26 May 2017. Posted in Newsletters, General Health, Ergonomics, Chiropractic

Hyperlordosis - Are you Over Arching?

Hyperlordosis - Are you Over Arching?

Hyper Lordosis – Are you Over Arching? 

 

Tight Psoas 

Anterior pelvic tilt is the postural position where your butt sticks out more, accentuating the arch on your lower back. So say if you are overarching the lower back doing a back squat or a plank, the odds are high you are over tilting your pelvis forward.

 

Overtime, this issue can contribute to a disc bulge/slipped disc due to the overloading and pressure on the back part of the disc during overextension of the spine and let's not forget the probability of a hip impingement as well from the jamming of the pelvic and femur together in hip flexion and internal rotation.

Facet Joints in Motion

We tend to see this problem a lot more often now as we do spend long hours sitting at a desk or in the car which over activates the hip flexors and lengthens the hip extensors; causing a forward pull of the pelvis.

 

Some of the signs and symptoms of anterior pelvic tilt are:

1.back pain/stiffness especially standing for long periods and/or lying flat on back

2.tight hamstrings

3.gut (protruding belly)

4.gluteal muscles (butt muscles)

5.curve in the lower spine

 

In order to correct this dysfunction, we have to solve the muscle imbalances around the pelvic area. APT is more a stability issue than a mobility one. That being said though, the mobility side of things still need to be addressed.

 

 

Important tight muscles to be stretched to tackle the mobility issues are:

Hip Flexors - https://youtu.be/ut4mGaPvbZk

Hip Flexor 1 Hip Flexor 2

 

Erector Spinae - https://youtu.be/P_4yDo-hiHw  

Erector Spinae 

 

Rectus Femoris (The Quad muscles) - https://youtu.be/ei9Gh6RogDg

Rectus Femoris 

Do these stretches 10-15 times, hold 10-15 seconds post workout and throughout the day. 

 

As mentioned above, the root of APT is from the lack of muscle stability to hold your spine in a neutral position. Without these muscle controls, the body then tries to lock the joints together for stability instead (therefore the overextension of the lower back in squats when further loaded with a barbell/weights).  

 

When addressing stability, start off by reactivating these few muscles: 

Transverse Abdominis (Core stability) – https://youtu.be/T6CaTUBTtUA

Transverse Abdominis 1 Transverse Abdominis 2

Glutes - https://youtu.be/depTc0ME7wk

Glutes 1 Glutes 2

 

Pelvic mobility - https://youtu.be/CU7w8zjrzIc

Pelvic Mobility 1 Pelvic Mobility 2

 

Start with 10-15 reps throughout the day increasing to 30 reps as you progress and have better control.

 

I highly recommend these reactivation exercises to be done in the mornings to ease off any tension built during sleep the night before and before bedtime to de-load the body after a long stressful day at work.

 

You may not feel much progress on the first day, but persist for a week or more; a difference in pain intensity and stiffness will definitely be noticeable!

 

By Iris Tan

B.App.Sc (Chiropractic) M.Clin.Chiropractic. 

Memb: CA, Gonstead (Australia)

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