Ready to Be Done With Hip Pain?

29 03 2011

I have a patient at my sports chiropractic columbia md office who came to me about 2 months ago.  She was a runner, and wasn’t able to run anymore because of right hip pain for the last year.  She also could not lift her foot off the ground from a seated position.   She was incredibly frustrated with it, because she had been to numerous doctors, only to be told many different things.  She was told that she had Avascular Necrosis.  Avascular Necrosis, which is a decreased blood supply to the femoral head of the hip bone, leads to degenerative and death of the bone.  From, Avascular Necrosis  “usually progresses to joint destruction, requiring total hip replacement. In fact, 50% of patients with avascular necrosis experience severe joint destruction as a result of deterioration and undergo a major surgical procedure for treatment within 3 years of diagnosis. Femoral head collapse usually occurs within 2 years after development of hip pain.”  Now that doesn’t sound like a diagnosis I would want to hear.  Then another doctor told her that she doesn’t have it, but there’s not a lot they can do with her pain.  She didn’t know what to do.  She was seemingly out of options.

So she was referred to me by a friend of hers.  I did an evaluation, and it seemed to me that she had hip dysfunction, both within the femoral-acetabular joint (hip joint) itself, but also in the muscles that connect to the hip.  I used Active Release Technique (one of only 3 chiropractors in the area that are certified in the area) at my chiropractic columbia md office,  on many of the muscles in the hip region, followed by some mobilization (movement planes) of the hip, and within a few visits, she had regained strength in her hip and decreased pain.  She could now lift her foot off the ground and was able to perform her activities of daily living mostly pain free.  After several more treatment sessions, she now has full strength and only occasional discomfort in her right hip.  Correction of mechanical dysfunction is an incredibly important tool that should be done before deciding on any invasive procedures.

Her quality of life has improved tremendously, and she doesn’t have to have thoughts of getting a hip replacement and being in pain the rest of her life.  For more information, go to my website for my sports chiropractor columbia md office.


Put Some Marinade on My Back

24 03 2011

“Put some marinade on my back.”  That’s the exact quote of a patient of mine at my sports chiropractic columbia md office.  Rick came to my office about two months ago.  He is a man around 50 years of age who has had low back pain for years.  Everyday, all day, his back felt tight or he was in pain.  His back pain affected every part of his life; work, exercise, sleep.  You name it, his life was affected.  He gained weight because he couldn’t exercise.  His ability to do his job suffered.  His ability to enjoy life was diminished.  He tried many different kinds of doctors to get help.  No one relieved his pain.  He would also get massages from his cousin.  These massages helped in the short term, but the pain/tightness came back the next day.  This particular massage therapist was very astute and realized that Rick needed additional help.  She sent him to me at my chiropractic columbia md office to get evaluated.  He came to my office and my immediate impression was that the muscles that run along your spine were incredibly tight.  They were like rocks.  He also lacked flexibility in his hip flexors, which was likely causing a “tug of war” with his low back muscles.  Therefore, if I had just treated the low back, the hip flexors would cause his low back muscles to start pulling again.  His tightness/pain would return.  As Rick had asked for, I applied “marinade” in the form of Graston lotion, and used the Graston Technique on his low back muscles.  I also did Active Release Technique on his hip flexors, did some other stretching and strengthening, and within about 6 visits he had a significant decrease in pain and tightness.  After another couple of weeks of treatment, he was, for the first time in years, able to go about his day without any low back pain or tightness.  He had lost several pounds because he was able to exercise. The icing on the cake for me was  one day he came to my office, looked me in the eye, and said “you have given me my life back.”  That’s all I needed to hear.  That’s why I do what I do.  For more information, go to my chiropractic columbia md website.

Cycling Can Take a Toll on Your Wrist

22 09 2010

A couple of months ago, I began training for my first triathlon.  I enthusiatically got on my bike and was ready to take on the world.  I rode almost everyday for 2 weeks, until I noticed my left wrist started to hurt.  As a chiropractor, I diagnosed what was wrong as the beginnings of Carpel Tunnel Syndrome.  Carpel Tunnel, which is generally felt as pain on the inside of your wrist with occasional numbness or tingling in your first 3 fingers, is caused by inflammation where your nerve (the median nerve) crosses from your forearm to your wrist.  Cycling can put your wrist into a position of extension as you grab the handlebars.  Over a prolonged period of time, this extension can pull on your nerve, eventually producing inflammation and causing the pain you feel.  Even though I’m new to the cycling/triathlon world, I realized quickly how common this is.  Every time I would mention to a cyclist I have write pain, immediately they would say, “Carpel Tunnel?”

I have had to adjust my hand position to take the stretch off the nerve.  This had helped alleviate some pain, but typically a soft tissue technique like Active Release Technique or Graston Technique are needed to break down any adhesions or scar tissue built up in that area.  This will speed up the healing process now and help prevent injury in the future.

So for any cyclists out there, the easiest advice I can give is to try to get your wrist in as much of a neutral position as possible.  Limit as much write extension as possible.  Also look for a chiropractor in your area that does Active Release or Graston Technique.

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