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Shoulders
and Shoulder Injury
You have probably heard "Put
your shoulder into it!" and "Shoulder
your responsibilities!" But how often
do you really think about your shoulders?
Doctors of chiropractic encourage patients
to get to know their shoulders, particularly
the muscles, ligaments and your rotator
cuff. Your natural health care providers
will educate you on how to keep the area
healthy and strong and prevent disease and
injury.
What is the rotator
cuff?
This is an area of soft tissue
(muscle, ligament, cartilage) that surrounds
the ball and socket joint at the shoulder,
attaching the arm to the trunk of the body.
The cuff is created by four
short muscles: supraspinatus, infraspinatus,
teres minor and subscapularis (abbreviated
by SITS). Originating at the shoulder blade,
these muscles wrap around the shoulder and
their tendons fuse into a cuff
of tissue, connecting the shoulder blade
to the upper arm bone. Rotation of the shoulder
is controlled by the contraction and relaxation
of the SITS muscles.
Just like the spokes on a
wheel, the rotator is often taken for granted
when it works properly and difficult to
ignore when it is not functioning properly.
Rotator cuffs are particularly vulnerable
to repetitive injury and overuse. Tendonitis,
a painful inflammation of a tendon, is the
most common ailment of the shoulder.
How do injuries
occur?
Any sports activities like
baseball, tennis, or swimming are particularly
susceptible because they require repetition
of rotation of the shoulder or reaching
upward and forward. Individuals whose work
requires constant arm rising or keeping
shoulders in an elevated position are also
at high risk for shoulder injury.
"Construction workers
exposed to routine overhead work have high
rates of shoulder pain that frequently progresses
to functional loss and disability,"
reported one study (Occup
Environ Med 2003;60:841-9).
Ignoring the inflammation
and pain and continuing to use the arm (for
elevating) may cause the tendons to tear.
This also happens if a sudden severe strain
is placed on the rotator cuff tendon. The
most likely tendon to tear is the supraspinatus,
or the tendon at the top of the rotator
cuff. In extreme trauma, the infraspinatus
and teres minor are susceptible to tears
as well. A possible, but less likely, strain
may occur to an individual tendon as well.
Repetitive stain leads to
degeneration of the shoulder joint, a leading
cause of rotator cuff dysfunction (Eur J
Radiol 2003;35:88-102). Continual stretching
of the rotator cuff will cause the shoulders
to go out of balance. In addition to pain,
the shoulder joint will become weakened
and the muscles will lose the ability to
function smoothly and fluidly. (J
Shoulder Elbow Surg 2003;12:422-6).
Shoulder Conditions
A vulnerable shoulder joint
can lead to injury. The cause can also be
the shoulder structure itself.
The supraspinatus tendon is
located directly under the acromion bone
(located at the top of the shoulder blade.
If the bone and tendon are too close, or
sometimes the bone has a rough spot (bone
spur) on the front edge, the muscle may
be pinched whenever the arm is raised. Frequent
repetition of the pinching can cause chronic
inflammation known as chronic impingement
syndrome. Symptoms include shoulder pain
and pain that can sometimes cause neck symptoms
as well.
Untreated chronic impingement
syndrome can result in the tendons separating
from the bone. The shoulder will be weak,
numb and lack its former power and range
of motion. This condition is called rotator
cuff disease, even though it is actually
an injury instead of a disease. This serious
condition may leave its sufferers
with permanent shoulder damage. Traditionally,
it was repaired with surgery. Surgery is
not always effective; many suffer post-surgery
pain and never again recover their full
range of motion.
The advantage of chiropractic
care for a rotator cuff injury or pain is
that it does not require risky multiple
surgeries and it is a natural, multi-faceted
approach. Non-invasive procedures called
chiropractic adjustments combined with specific
exercises, nutritional counseling and physiotherapy
have proved effective in alleviating shoulder
pain (J Manipulative
Physiol Ther 1994;17:43-53). Chiropractic
care often ends the vicious surgery-relapse-surgery-relapse
cycle, according to research (J
Manipulative Physiol Ther 2001;24:425-30).
Shoulder Injury
Prevention
- Schedule regular chiropractic
checkups.
- Plan frequent breaks, warm
up and cool down properly if you play
sports that involve repetitive throwing
or arm rotation or work requires frequent
lifting (like placing things on high shelves).
- Ask your chiropractor to
recommend exercises specifically tailored
to your diagnosis
- Apply ice in covered packs
at 10 minute intervals if your shoulder
feels sore after extended use
- If you are having discomfort
or pain, schedule a chiropractic check
up.
- Beware! If you neglect
shoulder pain at the onset of symptoms,
the pain may lessen or go away. This does
not mean that the problem has gone away;
you still need a check up.
- While a torn tendon may
"patch" itself, and the pain
decreases over time, it does not reverse
the damage and is not cured.
- Listen to your doctor.
Your chiropractor will listen and consider
your activities and physical condition
when planning a rehabilitation program.
- If you have suffered a
rotator cuff injury an regularly participate
in sports or other strenuous activity
which uses your shoulders heavily, ask
your chiropractor when it is safe to return
to your activities.
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Neck Tips: |
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- If your
pain/injury is less
than 72 hours old always
use ice, never heat.
- If your
pain is chronic use
moist heat packs, not
heating pads
- If it
hurts to turn your head
use PNF type of stretching
to release muscle spasms.
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| *Nutrition
Neck Tips: |
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- If your
pain/injury is less
than 72 hours old use
Intenzyme Forte as an
alternative to OTC pain
medications.
- If your
pain is chronic use
1-2 grams of Bio-Omega
3s daily.
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| *Consult
a chiropractor or medical
doctor before beginning
any nutritional program.
Please fill out our online
nutritional analysis for
greater details of your
individual case. |
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Neck Pain
Your neck is packed with all
kinds of things: bones (vertebrae), your
spinal cord, cranial and spinal nerves,
nerve ganglions, blood vessels, glands such
as the thyroid, your larynx (voicebox),
esophagus (food tube), trachea (wind pipe)
and muscles, ligaments, tendons and other
structures. Your amazing neck balances your
heavy head and turns, lifts, tilts and bends
without damaging its vital occupants.
Your neck is referred to as
the Cervical vertebrae. You have seven small
neck bones, numbering C-1 to C-7 down your
neck. The top two bones called the atlas
(it balances the globe or head in this case)
and axis which permits neck movement in
many different directions. The seven neck
bones work together to balance your head
and to protect your brain stem and spinal
cord. Your vertebrae are connected by muscles,
ligament, tendons and the gel-like discs
between the bones which give the cervical
vertebrae a reverse C-shaped curve.
Pinched Nerves (subset
of neck pain)
Cervical nerves can become
irritated, inflamed or pinched
causing head, neck, facial, or upper extremity
pain in the shoulders, arm, elbow, wrist,
and hand. The symptoms of an irritated nerve
can be sharp or dull pain and commonly pins
and needles type sensation or an increased
or decreased sensitivity. Cervical nerve
pressure usually occurs at the intervertebral
foramen, or hole between each cervical bone.
This commonly comes from a slightly misaligned
bone in the neck which is referred to as
a subluxation.
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Subluxations (subset of neck pain)
Subluxations can be caused by physical
stress such as an accident or injury but also from working
in one position for too long, or sleeping in a poor
position. Emotional stress can cause subluxations and
even the birthing process! We make it a point to check
each family member for subluxation before symptoms occur.
Chiropractic care corrects nerve problems
known as vertebral subluxations. It also restores proper
movement to the seven intricate spinal bones which protect
your spinal cord. This allows proper energy and information
to flow through your bodies own information superhighway
to correct your pain or problem at its cause. Correction
of the spine occurs by adjusting or realigning the vertebrae,
and rebalancing the muscular system through the use
of targeted hands on soft tissue therapy as well as
PNF(proprio-neural facilitation) stretching. Once you
are feeling better AND functioning optimally, periodic
spinal check-ups can ensure a nervous system free of
interference.
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Headache Tips: |
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- Roll a bath towel
into a log and place an ice pack
on it. Then lie on your back with
the ice pack and towel as a pillow
at the base of your neck forcing
a normal reverse C-shape curve.
Lie like this daily for 10 mins.
- Stretch you upper
neck by tucking your chin straight
in, and then gently flexing your
neck forward using your hands on
top of your head. Hold for 3 deep
breaths while focusing your breathing
on relaxing the tiny muscles which
attach the neck to the head.
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Headache Tips: |
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- Did you know that
food sensitivities often trigger
headaches. Some common food sensitivities
for headache are artificial sweeteners,
corn and corn sweeteners, dairy,
wheat, peanuts, and citrus fruits
to name a few. Food elimination
diets can help
determine if this is a factor in
your headaches.
- 3
Mg-zyme tablets 30 minutes before
bed works well for tension headaches.
- Accumulations of
toxins is a common contributing
factor for headaches. A detox program
using Nutriclear or Ultraclear for
7 days is recommended quarterly.
- It may be simple,
but that doesnt mean it is
not effective, drink at least 8
glasses of pure or filtered drinking
water every day.
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| *Consult
a chiropractor or medical doctor before
beginning any nutritional program. Please
fill out our online nutritional analysis
for greater details of your individual
case. |
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Headaches
Did you know that the ache in headaches
do not come from your brain? Your brain does not feel
pain, in fact during brain surgery you can be wide awake
and feel nothing! So what aches in headaches?
It is the blood vessels, membranes, cranial and spinal
nerves in the brain and skull. When these structures
are compressed, irritated, or inflamed a headache often
results.
Chiropractors look to these structures
for the cause of your headaches. Irritated or inflamed
nerves cause tissue inflammation, cause muscles to tighten
and knot, cause fatigue, weakness and sets the stage
for illness. Just as you may have a cavity in your teeth
and not know it, you may be unaware of vertebral subluxation
which can be causing damage to your body. Vertebral
subluxation is a small misalignment of your spinal bones
which causes a distortion to your nervous system and
leads to abnormal signals to your body.
Dozens of studies support the fact that
Chiropractic care works great for headaches. In a study
performed at the University of Odense, Denmark, there
was a dramatic improvement in the number of headache
hours per day which decreased by 69% after receiving
chiropractic care. In another landmark study of 6,000
long term headache sufferers it was determined that
the single most important factor in the cause of headaches
was neck injury. When the neck is out of alignment due
to a past injury it creates pressure on the delicate
structures of the neck causing headaches.
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Whiplash &
Neck Injuries
To Millions of people who have
sought out care for their neck and whiplash injuries
the chiropractic approach has been a blessing.
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Whiplash Tips: |
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- Ice the area of pain
as soon as possible after an accident
or injury. Generally, it is a good
idea to ice 15 minutes of every
hour until your symptoms become
manageable.
- Do not use neck braces
unless prescribed by a qualified
physician. Studies show that your
results are better when you get
back to normal motion and activities
as quick as possible.
- Use a neck roll and
sleep on your back with your lower
legs elevated with pillows.
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Whiplash Tips: |
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- Use Intenzyme Forte
5 tablets 2-3 times daily without
food until your inflammation subsides.
- Black Currant Seed
Oil or Bio-Omega 3s One capsule
three times daily with food.
- Bio-C Plus 1000 take
1 tablet three times daily with
meals.
- Bioprotect antioxidants
1 capsule three times daily with
food.
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| *Consult
a chiropractor or medical doctor before
beginning any nutritional program. Please
fill out our online nutritional analysis
for greater details of your individual
case. |
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What is Whiplash?
Whiplash does not describe a disease,
but it is a description of how an injury occurred. In
a whiplash injury the head and neck portion of the spine
are thrown very quickly in one direction and then rebounded
in the opposite direction. The head is usually whipped
back to front, but can also be injured in a side to
side motion. [1] In whiplash
injury, the majority suffer misaligned spinal bones
and nerve, joint, ligament, tendon, muscle and disc
stress, irritation, or damage. Vertebral subluxations
(misaligned bones) are the most common source of pain
and discomfort from whiplash injuries. [2]
Chiropractors are the only professionals trained to
correct subluxations. Vertebral subluxations are often
caused by an accident or trauma, such as whiplash, but
can also be caused by micro-trauma such as the build
up of daily stress. Other causes include poor posture,
weak muscles, poor diet, bad sleeping positions and
dental work. [3] A
chiropractic exam always includes a discussion of your
past accidents, injuries and falls in addition to your
personal habits and other situations which may contribute
to subluxations.
Your neck is referred to as the Cervical
vertebrae. You have seven small neck bones, numbering
C-1 to C-7 down your neck. The top two bones called
the atlas (it balances the globe or head in this case)
and axis which permits neck movement in many different
directions. The seven neck bones work together to balance
your head and to protect your brain stem and spinal
cord. Your vertebrae are connected by muscles, ligament,
tendons and the gel-like discs between the bones which
give the cervical vertebrae a reverse C-shaped curve.
Those who have suffered whiplash in an
accident may feel neck pain and stiffness, even headaches.
This may develop into more pain and/or tingling, numbness,
or a pins-and-needles feeling in the arm, between the
shoulder blades, in the fingers or hands. Other symptoms
may include ear ringing, dizziness, hearing loss, eye
pain, blurred vision, nasal problems, low back pain,
sensitivity to light or other internal organ problems
depending upon which nerves have been affected. Research
has shown that a subluxation in your neck can cause
decreased blood flow to your brain. [4]
The result is sometimes whiplash sufferers have memory,
vision, thinking, and psychological problems [5]
despite the fact that they do not have any head or brain
injury. They may, however, have a concussion, a condition
in which the brain is thrown around inside the skull,
just like scrambling an egg without breaking the shell.
If you have had a concussion your symptoms may be insominia,
headache, restlessness, moodiness, emotional jitters,
irritability and depression. These may last for hours,
days or months after the accident.
[6]
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After an Accident
After an accident, emergency medical specialists
check for broken bones, bleeding, abrasions, internal
organ damage or shock. Patients are often released
after an injury even if they are not yet well. Even
though an X-ray, MRI or CT scan has found nothing, the
spine still has not been analyzed for subluxations.
Since a chiropractor is the only medical professional
trained to find and correct subluxations, it is essential
for the accident victim to be examined by a chiropractor
once their condition has stabilized.
[1] Cailliet
R. Neck and Arm Pain. Philadelphia,
PA: F.A. Davis Co. 1997:64.
[2] Lord
WM, Barnsley L, Wallis BJ, Bogduk N. Chronic cervical
zygopaphysial joint pain after whiplash: a placebo-controlled
prevalence study. Spine. 1996;21:1737-1745.
[3] Smith
GH. Headaches Arent Forever: How Incurable
Headaches Can Be Cured. Newtown, PA: Intl Ctr
for Nutrientional Research. 1986:96.
[4] Otte
A, Ettlin TM, Nitzsche, EU et al. PET and SPECT in whiplash
syndrome: a new approach to a forgotten brain?
J Neurol Neurosurg Psychiatry. 1997;63368-372
[5]
Di Stefano g, Radanov BP. Course of attention and memory
after common whiplash. Acta Neurol Scand. 1995;91:346-352.
[6] Bohnen
N, et al. Late outcome of mild head injury: results
from a controlled postal survey. Brain Injury.
1994;8(8):701-708.
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Neck Pain
Your neck is packed with all kinds of
things: bones (vertebrae), your spinal cord, cranial
and spinal nerves, nerve ganglions, blood vessels, glands
such as the thyroid, your larynx (voicebox), esophagus
(food tube), trachea (wind pipe) and muscles, ligaments,
tendons and other structures. Your amazing neck balances
your heavy head and turns, lifts, tilts and bends without
damaging its vital occupants.
Your neck is referred to as the Cervical
vertebrae. You have seven small neck bones, numbering
C-1 to C-7 down your neck. The top two bones called
the atlas (it balances the globe or head in this case)
and axis which permits neck movement in many different
directions. The seven neck bones work together to balance
your head and to protect your brain stem and spinal
cord. Your vertebrae are connected by muscles, ligament,
tendons and the gel-like discs between the bones which
give the cervical vertebrae a reverse C-shaped curve.
Back to top...
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Pinched Nerves
(subset of neck pain)
Cervical nerves can become irritated,
inflamed or pinched causing head, neck,
facial, or upper extremity pain in the shoulders, arm,
elbow, wrist, and hand. The symptoms of an irritated
nerve can be sharp or dull pain and commonly pins and
needles type sensation or an increased or decreased
sensitivity. Cervical nerve pressure usually occurs
at the intervertebral foramen, or hole between each
cervical bone. This commonly comes from a slightly misaligned
bone in the neck which is referred to as a subluxation.
Back to top...
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| Home
Subluxation Tips: |
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- If your pain/injury
is less than 72 hours old always
use ice, never heat.
- If your pain is chronic
use moist heat packs, not heating
pads
- If it hurts to turn
your head use PNF type of stretching
to release muscle spasms.
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| *Nutrition
Subluxation Tips: |
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- If your pain/injury
is less than 72 hours old use Intenzyme
Forte as an alternative to OTC pain
medications.
- If your pain is chronic
use 1-2 grams of Bio-Omega 3s
daily.
*Consult
a chiropractor or medical doctor before
beginning any nutritional program.
Please fill out our online nutritional
analysis for greater details of your
individual case.
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Subluxations (subset of neck pain)
Subluxations can be caused by physical
stress such as an accident or injury but also from working
in one position for too long, or sleeping in a poor
position. Emotional stress can cause subluxations and
even the birthing process! We make it a point to check
each family member for subluxation before symptoms occur.
Chiropractic care corrects nerve problems
known as vertebral subluxations. It also restores proper
movement to the seven intricate spinal bones which protect
your spinal cord. This allows proper energy and information
to flow through your bodies own information superhighway
to correct your pain or problem at its cause. Correction
of the spine occurs by adjusting or realigning the vertebrae,
and rebalancing the muscular system through the use
of targeted hands on soft tissue therapy as well as
PNF(proprio-neural facilitation) stretching. Once you
are feeling better AND functioning optimally, periodic
spinal check-ups can ensure a nervous system free of
interference.
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Neck Range of Motion Increased with
Chiropractic
The results of a recently published study
in the November/December 2001 issue of the Journal of
Manipulative and Physiological Therapeutics showed that
cervical range of motion was significantly improved
with chiropractic adjustments. The study was a
double-blind randomized controlled trial performed at
the outpatient clinic at Phillip Chiropractic Research
Centre, RMIT University, Melbourne, Australia.
The initial study involved 105 subjects
who were randomly separated into two groups. One group
received chiropractic adjustments while the other group
received a "sham", or fake adjustment. Range
of motion testing was performed every few weeks over
the course of the 12 week study. Active range of motion
was measured with a strap-on head goniometer consisting
of an inclinometer dial for measuring lateral flexion
and a compass dial for measuring rotation. These motions
were chosen because gravity would play less of a role
and therefore the results were more accurate.
According to the researchers, in the group
that got the real adjustments, "active range of
motion in the cervical spine increased significantly."
Their conclusion was, "Spinal manipulation of the
cervical spine increases active range of motion."
As obvious as this may seem, the results
are profound for a large portion of the population.
Not only does restricted range of motion play a large
part in many health problems, but one of the largest
areas of concern for the aging population is mobility.
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Severe Neck Problems After Unsuccessful
Spinal Surgery
Helped With Chiropractic
In the September 2001 issue of the peer
reviewed, "Journal of Manipulative and Physiological
Therapeutics" comes a case report study titled,"Chiropractic
care of a patient with vertebral subluxations and unsuccessful
surgery of the cervical spine". This was
a report of a 55-year-old man who had neck pain along
with radiating pain down both arms after unsuccessful
cervical (neck) spine surgery.
The man's history was similar to many
seen in chiropractic offices. While responding to an
auto accident during an ice storm, the 55 year old highway
patrolman slipped getting out of his car and fell backward,
landing on his upper back and neck After a few
days he began to experience pain in his neck. Two months
later he consulted a medical doctor, who referred him
to a neurologist. During the neurological examination,
the patient experienced a seizure that eventually led
to a diagnosis of a tumor of the adrenal gland. Several
weeks later, the patient had surgery to excise the tumor
which resulted in temporary relief of the neck pain.
He returned to work, and 6 weeks after
surgery he began to experience neck pain again, which
he described as sharp, along with pain,
numbness, and tingling in both arms. His condition worsened,
for about 6 to 7 months, and he was was referred to
a neurosurgeon. The patient eventually consented
to neck surgery, and an anterior cervical diskectomy
(disc removal) was performed.
When he returned to the surgeon for a
postsurgery check-up and had continuing complaints,
he then asked when the surgeon wanted to see him again.
The reply was, I never want to see you again.
This answer was devastating for the patient, and he
assumed that he was destined to live with these problems
for life.
Approximately 312 years after surgery,
the patient started chiropractic care. The chiropractic
care began and after receiving the first set of adjustments,
the patient indicated that his ability to raise his
left arm had increased by 50% and that his neck pain
and arm complaints were also relieved. He was
astonished and excited by the results of the care he
received. Within 2 weeks of starting care he was able
to fully abduct his left arm and to loop his belt to
his pants. A year after the onset of chiropractic
care, the patient was working on his small ranch performing
various odd jobs and has, on occasion, had some problems
because of over activity.
This documented and published case
is not unfamiliar to chiropractors world wide.
The unique aspect of this case is the fact that it was
published in a peer reviewed scientific journal.
The authors of the study summed this situation up with
the following; "This is the first description
in the indexed literature of the chiropractic care of
a patient with vertebral and sacroiliac subluxations
with a history of unsuccessful cervical diskectomy of
the cervical spine. In our experience, allopathic (medical)
practitioners usually do not offer patients the option
of chiropractic care before surgery. Perhaps more rarely
is chiropractic care considered a viable option in instances
of unsuccessful surgical care." It is obvious
from this study that chiropractic should have been considered
first.
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