How Chiropractic Helps Those That Suffer From Acromioclavicular Pain

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When most people think of chiropractors, the first thing that comes to mind is back pain. However, chiropractic care can be used to treat a variety of conditions from joint pain to migraines. When a patient comes in with complaints of pain in the shoulder and restricted motion in the joint, one possible diagnosis may be acromicioclavicular (AC) joint injury. While it is often an injury that is common among athletes, it can happen to anyone. Fortunately, chiropractic is a very effective treatment.

What is an acromioclavicular joint injury?

There are two bones, the clavicle and acromion, that make up the AC joint. Four ligaments hold the joint together. When those ligaments are strained to stressed, it results in an AC joint injury, often causing at least some joint separation. AC injuries fall into one of two categories: overuse and traumatic.

Overuse injury occurs over a period of time and is caused by excessive stress on the joint that is repeated or consistent. This causes damage to the cartilage and can lead to AC joint arthritis.

Traumatic injury occurs when the damaged ligaments cause a disruption of the joint called a shoulder separation. This is different from a shoulder dislocation which involves the actual ball and socket shoulder joint.

What causes acromioclavicular joint injury?

The cause of an AC joint injury depends on the type of injury.

Overuse AC joint injuries is caused by overuse and is commonly seen in people who perform tasks that involve lifting heavy weight (including military or bench presses) or that perform physical labor that involves often stretching their arms over their heads.

Traumatic AC joint injuries are often caused by a fall. The person may fall and land on their shoulder or fall on their hand then they put it out to brace their fall. It is often seen in cyclists who are involved in crashes, football players when they are tackles, or a laborer who falls from a high place, such as a ladder. These injuries are graded from mild to severe, depending on how much the separation there is in the joint.

What are the symptoms of acromioclavicular joint pain?

A patient with AC joint pain may experience the following symptoms:

  • A bump that sits above the shoulder and is easily visible
  • A catching sensation or popping sound when the shoulder moves
  • Pain and swelling in the shoulder
  • Loss of range of motion of the shoulder
  • Loss or decrease in shoulder strength
  • Tenderness and swelling over the AC joint
  • Pain when lying on the affected side
  • Discomfort and pain in the shoulder when performing activities that place stress on the AC joint, including:
    • Carrying heavy objects at the side
    • Reaching across the body
    • Lifting objects overhead

What are the treatments for acromioclavicular joint pain?

Mild cases of traumatic AC joint injuries are often treated with physical therapy and chiropractic. Ice, rest, and immobilization can also be used to manage the pain.

Overuse AC joint injuries can also be treated with immobilization and ice as well as physical therapy and chiropractic. More severe cases may require surgery. Doctors may prescribe muscle relaxants, pain medication, or NSAIDs to help manage the pain.

Is chiropractic for acromioclavicular joint pain effective?

Chiropractic has been proven to be very effective for AC joint pain. The chiropractor performs what is called an AC adjustment which involves manipulation of the shoulder.

While it can be a little uncomfortable for the patient, it is one of the best ways to quickly decrease the pain. After the procedure, the chiropractor may recommend icing the area to minimize or prevent swelling and pain. Regular chiropractic care can ensure continued mobility and continued decrease in pain.

Pericardium 6 and Acupuncture for Fertility/Pregnancy

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Pericardium 6 (PC-6) is an incredibly useful point on the inside of the wrist and is known as the anti-nausea point. Whether the nausea is caused by morning sickness, indigestion or motion sickness, PC-6 is your point! This point is also a command point of the chest, which means it is great at treating palpitations, chest tightness and acid reflux. It is also used in combination with other points in most anxiety treatments. This acu point is found on the inside of the wrist, two thumb breadths below the wrist line and between the two tendons. Many people may have seen “anti-nausea” wristbands which actually just use acupressure on PC-6 to resolve symptoms!

How can acupuncture help with fertility?

Acupuncture is an excellent tool for couples who are trying to conceive (TTC). Whether you are actively TTC or are just starting the journey and want to learn more about your cycle, your acupuncturist can help. Acupuncture improves fertility by regulating the menstrual cycle/hormones, increasing blood flow to the uterus and ovaries, promoting ovulation, and supporting a healthy luteal phase for successful implantation. It also works to increase libido, reduce stress and anxiety surrounding the TTC process, and can increase sperm count and motility.

Acupuncture can support patients who are trying to conceive naturally, as well as those going through the IUI or IVF process. A recent study found that when used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26% (Tel Aviv University, 2016).

Is acupuncture safe during pregnancy?

The short answer is YES! Acupuncture is completely safe for the entire duration of pregnancy. However it is important you inform your practitioner if you are pregnant as they will need to tailor the treatment to suit your needs. Acupuncture is extremely beneficial in treating any symptoms you may experience during pregnancy. Most women find it especially helpful during the first trimester when symptoms of fatigue, nausea and vomiting tend to be most severe. This is where the point Pericardium 6 is most useful.

As pregnancy progresses, your acupuncturist will be able to address any symptoms that may arise such as insomnia, body pain, and acid reflux. If the baby is breech presentation, your acupuncturist can utilize a technique called moxabustion to turn the baby. At around 36 weeks, you can begin having labour prep treatments which aim to ripen the uterus and prepare the body for delivery. At 38 weeks gestation you can start doing labour induction treatments which promote a downward movement in the body and can help induce labour. Even after delivery acupuncture can help the body to recover more quickly, and can increase milk supply or resolve mastitis.

Whatever stage of conception or pregnancy you are at, your acupuncturist will be able to create a customized plan to support your needs.

For more information on how acupuncture can help you or to schedule an initial consult contact us at info@ocwc.ca or 780-455-2112

What Chiropractic Patients Want To Know About Herniated Discs

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The spine is a very intricate structure and when one component fails to function properly it can affect the entire body, causing pain and loss of mobility. Tiny bones, called vertebrae, are stacked on each other to form the spine. They are joined in such a way to facilitate movement, flexibility, and a wide range of motion. There are small, fluid-filled discs that rest between each vertebra, providing a cushion between the bones. When one of these discs becomes damaged it can affect the surrounding nerves, causing pain and making movement difficult. A herniated disc is one of the most common spinal disc issues.

What is a Herniated Disc?

A herniated disc is a common spinal condition that typically affects the cervical spine (neck region) or the lumbar spine (lower back), although it can occur in any part of the spine. Most often, a herniated disc occurs at the L4 – L5 and at the L5 – S1.  This is because this portion of the spine, the lumbar region, bears the bulk of the body’s weight.

It is often referred to as a ruptured disc or slipped disc and occurs when the disc moves or slips out of place. It can also be the result of a disc that has a small tear and is leaking the jelly-like substance that is inside. This can put pressure on the surrounding nerves, causing pain and discomfort.

What are the Progression and Symptoms of Herniated Disc?

There are four stages of a disc herniation:

  1. Disc protrusion
  2. Prolapsed disc
  3. Disc extrusion
  4. Sequestered disc

The first two stages are called incomplete herniations while the last two stages are called complete herniations.

Symptoms of a herniated disc may increase or worsen as the condition progresses although some patients do not experience any at all Typical symptoms include:

  • Pain in the affected area
  • Tingling
  • Numbness
  • Weakness
  • Leg or arm pain
  • Loss of reflex
  • Loss of mobility
  • Loss of flexibility
  • Decreased range of motion

What Causes Herniated Discs?

A herniated disc can have several causes. The most common are aging and degeneration, overuse, and normal wear and tear on the body.

A herniated disc resulting from an injury or trauma, such as a blow to the back, is less common, but it does happen. Because the back does bear most of the body’s weight, it can put a significant amount of pressure on the spine and discs. Over time, the discs may begin to weaken and a herniation can occur.

Injury or trauma that results in a herniation may include a car accident that involves sudden jerking, or incorrectly lifting heaving objects can put excessive pressure on the spine, causing it to herniate.

How is a Herniated Disc Diagnosed?

A physical examination is usually the first step in diagnosing a herniated disc. The physician or chiropractor will examine the spine while the patient is standing, then while they are lying down. Depending on the severity and location of the herniation, they may note a decrease in spinal curvature.

Radicular pain will also be assessed, when the spine is unmoving, while in motion, and when pressure is applied. Other tests may also be administered. X-rays may also be taken, but an MRI is usually more accurate and provides greater detail.

What are the Treatments for Herniated Discs?

Medications may be recommended or prescribed, including NSAIDs, narcotics, muscle relaxers, and anticonvulsants. Some doctors may advise cortisone injections to reduce inflammation. Physical therapy may be recommended as a stand-alone treatment or in conjunctions with other treatments. Surgery for herniated discs is rare and usually reserved for a last resort option.

Chiropractic has been very effective in helping patients manage their pain and regain their mobility so they can return to their normal life. Therefore, it should be your first option for treatment before you go down the road with drugs or surgery.

Chiropractors in our office have experience managing cases of herniated discs. Check out our website @ www.ocwc.ca or gove us a call @ 780-455-2112.