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Degenerative Disc Disease.
01.10.2012 Article #: 57


Degenerative disc disease is misnomer, because it’s not really a disease. It is a term that refers to the normal changes in the spine as we age. In particular, it refers to the deterioration of our spinal discs, which are the soft, cushiony discs between our bony vertebrae.

Spinal discs are like shock absorbers, in that they separate the bones and allow the spine to bend, twist, and flex. Degenerative disc disease usually occurs in the lumbar region of the spine (lower back) and the cervical region (neck). It results in

The breakdown of cartilage, also known as osteoarthritis
The bulging of discs, also known as disc herniation, and
The narrowing of the spinal canal, also known as spinal stenosis.
These conditions can lead to pain and nerve problems, due to pressure on the nerves and spinal cord.

A cause of degenerative disc disease is stuck joints in the spine. Stuck joints in your spine cause a lack of motion in the spine leads to a loss of fluid in the discs, making them more brittle and less flexible. They also become thinner, which brings the vertebrae closer together. In addition, small cracks or tears in the discs may cause leakage of the jellylike material inside. This causes bulging, breaking, or fragmenting of the discs.

Degenerative disc disease does not affect everyone the same way and at the same rate. It is usually worse among smokers and those who do heavy physical labor that taxes the spine. People who are overweight and obese tend to have worse symptoms as well. A sudden injury can also initiate the process of deterioration.

When the discs between the vertebrae get thinner, there is less cushion for the spine and it loses stability. In response, the body generates bone spurs, also known as osteophytes, which can cause pain due to pressure on the spinal nerves. The pain may be felt in the back or the neck, depending on the person and the location of the degeneration. Discs that are affected in the neck region can lead to pain in the arms or neck, while affected discs in the lumbar or lower region can lead to leg, back, or buttock pain.

Your doctor or chiropractor can diagnose degenerative disc disease through the use of a physical examination, imaging and a medical history. He or she will look for areas of tenderness, range of motion, pain, numbness, reflexes, and any additional conditions such as fractures or infections. Imaging tests are useful for understanding the severity degenerative disc disease. Treatment may includes chiropractic adjustments, ice or heat, anti-inflammatory medications, and rest. Stretches and physiotherapy can also be recommended. In severe cases, surgery may be recommended to remove the damaged disc(s).




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Chiropractic Care for Elbow Pain
01.03.2012 Article #: 56


Chiropractic care can be an excellent choice for relief of elbow pain. Not only does chiropractic care avoid the use of medications or surgeries, it aims to address the source of the pain as well as treat the symptoms. By correcting the structural components of your elbow (bones, muscles, etc.), you can experience both pain relief and prevention of future elbow problems.

There are three bones involved in the elbow joint: the radius (forearm), ulna (lower arm) and humerus (upper arm). This hinge joint allows us to move the arm in a variety of ways, such as when we do bicep curls or when we turn the arm from palm facing down to palm facing up. The complexity of this joint means there are plenty of opportunities for strain and injury, irritation or inflammation. Pain in the elbow can be caused by overuse, overexertion, joint fixation, genetic makeup and/or degenerative disease.

Common elbow conditions that can be treated by chiropractors include tennis elbow, golfer’s elbow, and bursitis. Tennis elbow, also known as lateral epicondylitis, is a kind of tendonitis that results from overuse of the muscles and tendons that connect the forearm muscles. The repetitive motion of tennis can lead to this condition and usually causes a small amount of pain at first. The pain gradually increases and can make shaking hands or squeezing objects difficult. It is unlikely to go away on its own, and chiropractic treatment may likely include rest and ice, exercises, massage, and joint manipulation.

Golfer’s elbow is similar to tennis elbow, but instead of the back or outside of the elbow, the condition usually affects the inside of the elbow. It is usually caused by repetitive stress from golf maneuvers, although golfer’s elbow can also arise from one violent swing. In addition to golfers, other people who use their elbows in a similar manner to golfers, such as carpenters, can experience this particular pain. Treatment for golfer’s elbow is very similar to that for tennis elbow.

Bursitis refers to inflammation or injury to the bursae, which are our joints’ shock absorbers. The elbow bursa is located at the end of the elbow, between the bones and loose skin. Bursitis is usually caused by trauma, prolonged pressure such as leaning on a desk, infection, or medical conditions such as rheumatoid arthritis. If left untreated, pain and difficulty moving the elbow can result. The usual treatment for bursitis is ice and ultrasound.

As you can see, chiropractors have much to offer those with elbow pain. Consult your chiropractor to find out how to best evaluate, treat, and relieve common elbow conditions.




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Chiropractic for Cyclists
12.28.2011 Article #: 55


A burning sensation in the shoulders, numbness of the arms and hands, and tightness in the neck are common sensations among both recreational and competitive cyclists. They might be easy to ignore at first, but if they come back again and again they can seriously interfere with both enjoyment and training progress. Upper and lower back problems are another common consequence of regular cycling. Can a chiropractor help with these problems?

Absolutely. In addition, chiropractors can help prevent injuries and even enhance speed, strength, and efficiency for healthy cyclists. Athletes of all kinds can find help with rehabilitation, maintenance, prevention, and treatment in the hands of a well-trained chiropractor.

Chiropractors have a unique set of skills to offer cyclists, in addition to their general musculoskeletal expertise. Both specific and general skills are critical to successful treatment of cyclists because everything in cycling is interconnected: the nerves, the muscles, and the joints. In fact, if your physician or chiropractor doesn’t address all three of these issues at once, you are likely to continue to have the symptoms, pain, or injury without relief. In particular, a chiropractor that specializes in sports medicine will probably have the most to offer you as a cyclist. He or she will also work with adjunct professionals such as sports trainers or physical therapists as needed to address your particular needs.

Solutions to problems cyclists experience will likely be multi-dimensional. That is, a combination of adjustments, deep tissue massage, exercises, and stretches will likely be required. For example, if a cyclist is suffering from lower back pain, it’s possible the chiropractor will determine that it is due to hip rotation. An adjustment of the sacroiliac joints will be quite helpful, but appropriate stretching and strengthening exercises will also be needed to address the weakness and tightness in the muscles that affect the hip joints. Strengthening exercises will contribute stability to the joint, while stretching will help to lengthen the muscles in the region thus preventing them from contracting when stressed.

In fact, it is absolutely essential that patients do their part to contribute to their recovery from cycling injuries or pain. The chiropractor can do adjustment after adjustment, but if you do not complete the required stretching and strengthening exercises at home, you may not see the relief you expect.

Finally, a chiropractor who specializes in sports medicine will likely be able to help you professionally fit your bicycle so that it causes the least strain on your body. Seat placement, bicycle size, handlebar height, and cycling posture all have a significant impact on both performance and stress on the body. Many chiropractors offer in-house bicycle analyses and adjustments to help you get the most out of cycling with the least stress on your joints.

Resources:
http://www.athleticamps.com/cycling/coaching/id0068/
http://www.progressivechiropractic.com/cond_sports4.php




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