Articles in Category: Chiropractic

Osteoarthritis Vs Rheumatoid Arthritis

on Thursday, 03 March 2016. Posted in General Health, Chiropractic

Osteoarthritis Vs Rheumatoid Arthritis

By Jakob van Vlijmen

M Chiro, DC

 

Arthritis is often referred to as a single disease. In fact, it is an umbrella term for more than 100 medical conditions that affect the musculoskeletal system, specifically joints where two or more bones meet. Today we will discuss Osteoarthritis and Rheumatoid Arthritis as they are the most common and there is some confusion about their causes and possible treatment methods.

 

Between the bones and joints of our body sits our cartilage, this cartilage prevents the bones from rubbing against each other and helps joints move with ease. Some wear and tear of this cartilage is a natural process and happens to all of us when we age; this is called Osteoarthritis (OA). Rheumatoid Arthritis (RA) however is an auto immune disease in which the body attacks its own cartilage causing it to break down. The cause of Rheumatoid Arthritis is not clear, it is believed however, to involve a combination of genetic and environmental factors such as smoking, obesity, and heavy drinking.

 

OA most often affects the knees, hips, lower back, big toe of the feet and the small joints in the hand at the very end of the fingers. While RA most often affects the small joints in the hand closest to the body, the feet and the cervical spine, however some bigger joints like the shoulder and knee can be involved. Patients complain of stiff and painful joints, the pain is usually worse on waking or after having been stationary for some time and decreases after movement. It takes a lot longer for the morning pain in RA to subside than it does with OA which usually subsides within the hour. Surrounding muscles can cramp up due to joint dysfunction which can further exacerbate the symptoms and cause difficulties in adjacent areas. For example OA in the lower back can give pain in the buttock area and OA in the hip can cause pain in the groin.

 

In most cases of RA a Rheumatologist may prescribe a number of different medications depending on your symptoms and the severity of your condition. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to reduce pain and inflammation. The disease-modifying anti-rheumatic drugs (DMARDs) are a special group of medications used to decrease the abnormal function of the immune system that drives Rheumatoid Arthritis. Biological DMARDs are the newest class of Arthritis medication and work to stop the disease progressing by targeting specific molecules in the immune system. Often you may be on a combination of medications. Chiropractic care cannot stop the immune system from attacking the joint so it has a limited role to play in the care of RA. Chiropractic care can help however with symptomatic relief of pain that has a mechanical origin due to compensatory movement patterns caused by the RA. In simple terms if your left hand hurts due to RA using the right one more can cause a strain on it. Chiropractic care can help manage or prevent this.

 

In some cases of OA a joint replacement might be the best strategy however, depending on the degrees of discomfort and the patient’s lifestyle it might be managed with conservative care. In spinal OA conservative management is the only option as spine replacement is not (yet) possible. In this area chiropractic care can be of great service. How well a joint functions is influenced by many different factors; the quality of the articulating bones, the surrounding ligament and the muscles that move the joint. So there are quite a few factors that chiropractic care can influence and this makes a world of differences for some and for others less so. Talk to us today to find out if chiropractic care can help you.

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.

Red Flags

Written by Don Williams BSc, MChiro, ICSSD. on Wednesday, 23 September 2015. Posted in Massage, General Health, Acupuncture, Training and Performance, Chiropractic

Red Flags

Red Flags

By Don Williams

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

 

Health care practice is an interesting and ever changing profession. One of the challenges that keep us on our toes is the assessment and management of different injuries and ailments.

 

The first goal in assessment is (or certainly should be) to identify what the complaint is, whether it is a serious or potentially serious condition that requires urgent intervention.

 

Recently, we have had a number of quite serious cases which have left us a little baffled as to the management they had unfortunately NOT received.

 

So this month I thought I would write an article on important symptoms to watch out for so you are not feeling sore and sorry.

 

Red Flags; this is believe it or not, a technical term for signs and symptoms which may indicate serious underlying pathology. These flags are many and varied and their presence is merely a potential indicator of pathology. This means that just because you have a “Red Flag” doesn’t mean you have a problem.

 

In compiling this list, it is by no means exhaustive and is a reflection of some of the things that we see showing up in our clinic.

 

So regionally, what are the things you should watch out for and what can they mean?

 

Back Pain

If you have back pain with referral down the leg, total numbness or loss of muscle strength it may be important. Loss of bowel and bladder control is certainly something we would want to know about.

 

Chest Pain

Most people know that chest pain can be an indicator of a heart attack. Most people realise that this is more commonly on the left side, however, pain in the lower front of the neck, the left arm, the left upper back and the right side of the chest can also be indicators. This would be reinforced by an increase in pain with exercise and or shortness of breath.

 

Night pain

Pain that wakes you from sleep is a concern, additionally; if this pain is accompanied by night sweats we would be a little more concerned. Sudden loss or gain in weight for no apparent reason is also a concern.

 

Headaches

“The worst headache I have ever had” is not a great thing to hear. If this is in conjunction with vomiting and dizziness it is more of a concern. The feeling that the head is going to explode is more of a concern. Disturbances in any of your higher senses (vision, taste, hearing or smell) can also be a concern

 

Pain

Unremitting pain of 6 months or more of duration may be serious. If this is high intensity pain, then it is more of a concern. If the problem is not responding to conservative treatment then it is more concerning again.

 

If you have had a problem which won’t go away or you have some interesting symptoms that you are just not sure about, then get them checked out. Sometimes they may mean nothing, sometimes they may be important. My thought, always, if in doubt check it out.