admin-lc

Knee Pain: Iliotibial Band Syndrome, or Runner’s Knee

/in , /by

What is the Iliotibial Band?

The Ilio Tibial Band (ITB) is the longest tendon in the body, it originates from the anterior iliac crest outer lip, anterior border of the ilium and the outer surface of anterior superior iliac spine. As well as from the Gluteus Maximus and Tensor Fascia Lata muscles. (In normal words that is an area of the upper outer edge of the pelvis, the muscles originating from the very front upper outer region of the pelvis and part of your bum muscle). Previously thought of as just a connective piece of tissue, recent research has found that tendons and fascia do in fact often contain smooth muscle fibers. ‘Smooth’ muscle fibers are the type more often found in the gut, ‘striated’ fibers are found in the muscles of movement attached to the joints. It aids in leg abduction (leg raising directly out to the side) and force distribution through the leg, it is also an important player in producing fascial tension that supports the Thoraco Pelvic Canister and therefore the lower back.

So What Happens?

,

ITBS basically is due to repetitive rubbing of the band on the outer part of the knee (lateral femoral condyle), this leads to thickening of the band over time and eventually irritation that takes a number of months to resolve if not managed correctly. Self management of the lower limbs and building good movement patterns when not in pain are key to preventing this injury from coming back.

What can I do About it?

ITB Syndrome can be self managed in a variety of ways- a foam roller, tennis ball and an Ice pack are your key utensils to getting over this condition. Many rehab ‘specialists’ will recommend simply using a foam roller on the ITB to stretch it out (youtube it to see). However, there is so much more you can do to help this problem. It requires a lot of time and effort but the results will come a lot faster than simply ice and ITB foam rolling. A home treatment plan is not within the scope of this post and causes will differ from one person to another so a bio-mechanical assessment by a movement specialist is what we would recommend getting and a second opinion is always something worth considering. Just remember, the whole lower limb has to function correctly, not just one area. It is all related – foot, knee and hip, though it is the connecting musculature and fascia that are the cause of the problem with some areas more related to the ITB than others.

Sports Chiropractors at this clinic are movement specialists with further qualifications in sports science. We are constantly reading the latest books and research to enable us to get your body functioning better (not just the latest rehabilitation fad!). If you are suffering from ITBS or repeatedly suffer, then contact us for more info and advice.

 

admin-lc

Award Winning Clinic and Chiropractors – That’s Us!!!

/in , , , , , , , /by

It’s exciting times for the Longlevens Chiropractic & Sports Injury Clinic!  On 30th January 2013 we will be awarded the prestigious Patient Partnership Quality Mark (PPQM) 2013 – 2015 by the College of Chiropractor’s, who were themselves recently awarded Chartered status by the Queen.

The College of Chiropractor’s states: “The College of Chiropractors believes that chiropractic services should be centred on the users of those services. The College supports the delivery of services that are flexible and responsive to the needs of patients, acknowledging them as partners in their own care.” (Tim Jay DC FCC, President)

The award recognises the achievement of outstanding levels of care and service provided to patients, in areas including cleanliness and safety, communication and patient education, privacy, accessibility and record keeping.  More information will follow and of course pictures, after the 30th January ceremony!

In addition to the PPQM award, one of the Longlevens Chiropractic & Sports Injury Clinic’s Chiropractors, Danny Adams, will be presented with an award identifying him as Outstanding PRT Chiropractor of the Year on the College of Chiropractor’s postgraduate Training Scheme, under Mentor and Clinic Director, Simon Rose.

Congratulations also to Danny (who has been busy!) for recently achieving his International Chiropractic Sports Science Diploma, awarded by the International Federation of Sports Chiropractic.  This post doctoral qualification ensures extremely high standards of theoretical and practical competency in treating sports injuries and qualifies him to participate in major national and international events such as the Olympic Games.

More information will follow soon about all of the above.

 

 

admin-lc

Look After Your Neck and Back at Christmas Time!

/in , , , /by
 


A few seasonal tips to help you have a pain free Christmas this year :-)

Tip 1: Did you know everyone has a built in lower back safety belt? To put it on all you have to do is maximally contract your abs, then back it off 50%, then 50% again, this leaves you with a 25% of maximum contraction at the lower part of your abs. When wearing this belt your lower back is exponentially stronger, if you keep using this safety belt it will become natural and you wont even have to consciously think about putting it on. Just make sure your are wearing it when lifting any heavy Prezzies ;-) .

Tip 2: To avoid muscle tightness you have to move properly, when using your arms, whether it be for lifting, reaching, even subtle motions such as waving make sure you keep your upper shoulder muscles relaxed. Try to concentrate on using your arms without shrugging your shoulders, shrugging the shoulders repeatedly leads to chronic tightness. Make sure your aware of this when your around the house putting up those Christmas decorations :-) .

Tip 3: Stay loose, a tight muscle is usually sore, relatively stiff into touch and occasionally feels like it has strings of linguini running through it. If you notice you have muscles like these then I would recommend getting a massage or seeing a manual therapist such as a chiropractor help get them loosened out. Depending on the region of tightness tight muscles can lead to strains, sprains, headaches and muscle tears.

Remember, as Santa always says “HO HO HO!!” “always be pro active, not reactive!” :p and finally…

Have a Very Merry Christmas from us all at Longlevens Chiropractic and Sports Injury Clinic!

Danny Adams

admin-lc

Is Wearing High Heels Bad for my Back?

/in , , /by

This is a common question I often get asked about, I have written this post as a recent study looked at the effects of high heels >10cm on the lower back.

The paper is called “The effect of walking in high- and low-heeled shoes on erector spinae activity and pelvis kinematics during gait” by Mika A, Olesky Ɫ, Marchewka A, Clark BC published in October 2012.

The conclusion they found was “wearing high-heeled footwear may have clinical consequences, including increasing general or muscular fatigue, creating swelling or limited movement, raising the possibility of cumulative strain, promoting fibrosis in the paraspinal musculature, altering joint loading profiles…this list could go on and all these factors could be both consequences and potential causes of LBP.” LBP is short for ‘Lower Back Pain’.

As usual like most research papers state there is always more research required. However, as you can see this paper found good reason to suggest high heels >10cm as a cause of lower back pain.

My answer to the question is usually that the high heels may be a contributing factor but not the sole reason for your back pain. There are usually lots of individual reasons that all add up to the crescendo that is the back pain. Eliminating/treating each small reason bit by bit is the route to a healthy back. Maintaining a healthy back requires continuing exercises and stretches at home to combat the inevitable compensations your body has to make due to the activities of daily life and our hobbies.

If you are going to wear heels, I would recommend doing the exercises and stretches necessary to reverse the effects they cause. Some of which are stated by the above stated research paper. A good Chiropractor should be able to help you with these problems and any back pain you may have.

Danny Adams

admin-lc

Postural Advice From Danny Adams: The Brugger Break

/in , /by

The Brugger Break, also known as the Brugger relief position is an exercise that is brilliant for desk workers as it reverses the effects of sitting at a desk for long periods. It is a quick exercise at only 10 seconds duration and is easy to perform. When performed regularly (every 20 minutes) it can be one of the answers to the nagging question “how can I improve my posture?”

Here is how to perform it: i) Sit forwards onto the front edge of your seat ii) spread your legs out to 45 degrees each side and lean forward slightly so that your body weight is distributed in to your feet as well as your back. iii) extend your arms and then pull them back and down behind your body with your thumbs turned outwards and palms open. iv) tuck your chin straight back in to your chin (essentially giving  your self a double chin) v) push you chest forwards vi) take a deep breath in… then out, as you are breathing out push your chest even further forwards, remember to keep your hands back and to the sides behind you. vii) hold the out breath for 10 seconds and then return to work. viii) Set a timer or write yourself a post it note reminder for on your computer so that every 20 minutes it can be performed.

it only takes 10 seconds and will improve your posture, decrease your chance of back pain and aid any on-going treatment you are currently receiving.

admin-lc

Great advice on Sleeping and Beds from the BCA

/in , , /by

Research carried out on behalf of Premier Inn suggests that you can tell a lot about someone’s personality by the position they sleep in. Your bed can also be the cause of back pain and the British Chiropractic Association has some great advice for sleep posture and how to choose your bed and pillow.

Choosing the right bed can minimise those factors that may lead to, or aggravate back pain. Research by the British Chiropractic Association in 2011 showed that of those experiencing back pain, 41% of women and 36% of men said that their pain could be brought on by a night’s so-called ‘rest’.
We come in different weights, shapes and sizes, but have one thing in common; we spend more than a third of our lives in bed, so should choose our beds carefully.
Which is better, a hard or soft mattress? – The best mattress is a ’supportive one‘. A 16 stone person sleeping on a mattress may not get the same support as a 10 stone person sleeping on the same mattress.

How do I know which is the right mattress for me? – If you are lying on your side, your spine should be parallel to the mattress and your spine should not sag (bed too soft) or bow (bed too hard). The longer you can spend lying on a mattress before you buy it, the more accurate this feeling will be. – Your pillow should be an extension of this i.e. your neck should be a continuation of the straight spine and not too high or too low.
What about my partner? –   Always shop with your partner as your respective ideal mattress tensions could be very different.  If this is the case, buy beds from a range that allow two single mattresses to be zipped together, so that you both get the support you need.

How do I know if my current bed/mattress needs replacing? –  Are you and your partner getting comfortable nights sleep? If the answer is no, your bed may be the problem. -Can you feel the springs through the mattress? If the answer is yes, it is definitely time to buy a new one. –  Is the bed more that 10 years old? If the answer is yes, consider purchasing a new one – beds wear out and may sag or lose support with time.

What things can I do to help prevent back problems even with my new mattress? – Try and adopt a sleeping position which creates less physical stress on the back. For example, lying on your side is better than lying on your front with your neck twisted to one side. –  Keep moving and avoid being in any one position for too long.

No matter how comfy the position may initially feel, the longer you stay in one position, the more this will ‘load joints’. If your partner moves around a lot at night, try separate beds for a while as your partner’s movement could aggravate YOUR back condition! –  Drink water. Keep well hydrated; dehydration can make muscles ache. –   Don’t leap out of bed first thing in the morning. After you have woken up wake up, try some gentle stretches. –   Wake up your body. Once up, avoid bending or doing anything sudden or strenuous until you back wakes up!

admin-lc

Sacro-Iliac, also known as SI, Joint pain

/in , , /by

The Sacro-Iliac joint is a common cause of lower back pain due to the large amount of force it has to cope with, patients often get this joint confused with the hip as it is quite low and slightly to the side of the spine (wider in women).


This joint connects the spine to the pelvis and takes on a lot of force during motions involving the legs and torso. The joint essentially is a wedge of bone (The Sacrum) at the base of the spine fitting into wedge shaped region (between the ‘Ilia’, pleural of the ilium which is one of three parts of the pelvis) at the pelvis hence the name Sacro-iliac. Because this joint takes on so much force it requires a lot of stabilising, hence there are many ligaments connecting the sacrum to the surrounding structures. These ligaments are prone to injury, if the muscles around the joint, above or below are not working efficiently to support the spine then the S.I joint’s ligaments and cartilage are prone to increased forces and therefore damage.

Front view:

Rear view:

Pain that originally starts in this region often spreads across the whole of the lower back, this is because inflammation is a very clever but also very crude system. When the inflammatory process starts, it essentially dumps inflammatory chemicals on a region. What it often does however is go a bit too far, this can actually damage healthy cells, giving the feeling of pain in a general region. The S.I. joint can also refer pain to various other regions, this is because where the pain fibers from the S.I joint enter the spine, fibers often cross with fibers that innervate other regions of skin of the body, therefore producing pain at the region also. When this occurs, it is known as an S.I. joint Syndrome as all three components of pain, restriction and pain referral are involved to make up the ‘syndrome’.
Purely using an Ice pack regularly for 10-15 minutes every 2 hours for a week will make a massive difference and should localise the pain back to the joint where it originated. To clear out the rest and to prevent recurrence, a Chiropractor may be needed to get the joints moving properly and the muscles loosened and functioning correctly once more. There is only around 2-4 millimeters of movement at the joint therefore a Chiropractor will help regain as much movement as possible. This will get rid of the pain completely and with the correct assessment and treatment of your bio-mechanics and function it will prevent the problem from recurring in the future.

There are more serious conditions that can affect this joint such as various arthropathies, (there are many types of arthritis) though a well trained Chiropractor should be able to determine the exact cause of the pain from your history and assessment.

admin-lc

STRAIGHTEN UP UK! Simon Rose gives an insight into the South West’s Back Pain Issues

/in , /by

 This week is Back Care Awareness Week. Chiropractor Simon Rose of Longlevens Chiropractic & Sports Injury Clinic encourages people to straighten out their approach to back care, as new consumer research shows that almost half the UK population (48%*) has suffered from back pain.  Nearly 40% of sufferers in the South West have suffered from back or neck pain for more than ten years! Ouch!

 The research, commissioned by the British Chiropractic Association, shows that 23% of people in the South West have suffered for over a year, yet 19% of these people have never sought any professional treatment or consultation for their pain even though back pain has prevented 54 % of people in the South West from sleeping.

Simon Rose comments: “Back pain is something which must not be swept aside – not just by sufferers but by people of all ages who should think about preventative measures. Research shows that 43% of people are limited in their activity by back and joint pain, so we all need to act to ease and prevent future problems to live life to the fullest”.

The British Chiropractic Association has developed a simple program of exercises called “Straighten Up UK” to help people get more active and prevent back pain in both adults and children. Easy to learn and do, it consists of precise, slow stretches, each with a specific purpose.

Simon Rose says: “The three minute exercise routine helps to promote an active lifestyle as well as balance, strength and flexibility in the spine, therefore reducing the risk of problems arising. Education on the importance of posture and back care cannot begin early enough, the sooner action is taken the less likely future back pain will be. With recent research by the BCA showing that 42.5% of people do not participate in any physical exercise, we must shape up and straighten up to keep our backs healthy”.

Visit the BCA website to see instructional videos on the Straighten Up UK routine and begin to tackle potential problems this Back Care Awareness Week. You will also find a range of advice, leaflets and video guides available to download from the BCA website www.chiropractic-uk.co.uk.

*research conducted in February 2012

 

admin-lc

Rugby Injuries: The Stinger

/in , , /by

 

 

In this post I will be explaining what occurs and what is felt with a stinger injury and I will also give some advice on what to expect with regards to recovery.

“Stingers”, also known as “Burners”, occur when a persons neck is taken too far to one side too quickly whilst at the same time the shoulder is depressed downwards too far and too quickly also. The usual mechanism is as a result of a tackle during Rugby or American Football, the resulting pain is described as stinging or burning sensation. The reasons for these symptoms are because the nerves exiting the neck that innervate the arm (via the “brachial plexus”) are stretched during the tackle and therefore injured.


The type of pain that is felt is regarded as a sharp shooting neurological type pain with regions of stinging and burning locally and often distally down the arm. The pain location can vary, though the most commonly affected area is that which is innervated by the C5 nerve as this is the nerve where most of the over stretching is likely to occur as the shoulder is depressed too far downwards. As you can see in the picture below, the C5 nerve root is the highest exiting nerve that innervates the arm from the neck region.
Look at the yellow nerves exiting the spine in to the arm in this picture, C5 is the highest level.

The regions of skin innervated by C5, C6, C7, C8 and T1 are shown here in this picture, when suffering from a Rugby stinger you may feel discomfort along one or more of these regions with C5 being the most likely.

The muscles that you may find weak as a result of a stinger playing Rugby are most likely to be those innervated by C5 and then decreasing in likelihood C6, C7, C8, T1.

As you can see the main muscles innervated by C5 and C6 are those surrounding the shoulder girdle, therefore expect dysfunction to occur in this region. The rate of healing for a nerve is very slow so make sure you are patient and perform rehab sensibly. I would recommend seeing a specialist (e.g chiropractor) for advice and guidance throughout this process as too little or too much rehab or treatment at the wrong time could decrease your recovery rate and prolong your return to action.

admin-lc

Kate’s Write Up of the Paralympics

/in , /by

What a fantastic yet exhausting week at the paralympics! The response for the massage was brilliant everyone kept coming back for more!

Most clients were media people carrying cameras all day long who were looking for relief for their shoulders.  Firstly I would ask them to take 3 deep breaths in to relax.  Then I started on their lower back to make sure they felt a release of tension all over the back, not just at the shoulders. Every person I saw had shoulders up by their ears with tension and the muscles that run parallel to the spine (Paraspinals) were solid too. I would use broad techniques with the palm of my hand to begin with to warm up the muscles, then move onto using my thumbs (butterfly technique) to increase the pressure to release tension. I then moved onto specific stretch technique, in which I apply pressure down into the muscle as the client stretches out the muscle that has been pinned by me. This is a fantastic technique that has instant results, however it is sometimes quite tender. I used this technique on the paraspinals, upper trapezius, and neck muscles with which you can see visible increases in range of movement of the cervical spine (neck) straight after the technique has been used.

The therapists I got to work with at the paralympics were fantastic, it was lovely to meet new faces and learn from other people. All in all it was a great experience and I even got to meet some famous faces!!

Call us
Directions