On a Run

JOINT COMPLAINTS

Tendonitis/ Tendon irritation

What is a tendon?

A tendon is a connection between a muscle and a bone that transfers muscle activity to the bone. A tendon has much less circulation and is more difficult to heal than a muscle. The healing process is often to rest and then slowly rebuild the load. But unfortunately this is not always the case. In order to recover as quickly and as effectively as possible, it is important to determine the cause of the tendon complaints.

 

The most common tendon complaints:

 

​UPPER. BODY

  • Shoulder (several tendons around the shoulder head)

  • Elbow (tennis elbow or golfer's elbow)

  • Wrist (De Quervains syndrome)

LOWER BODY

  • Hamstrings (back of thigh, sometimes just below the buttock)

  • Hip Tractus Iliotibalis (runners knee, outside knee, often at hip level)

  • Buttock Gluteus Medius (side of pelvis, oblique to buttock)

  • Groin pain (adductors / iliopsoas) kneecap (suprapatellar or patellar tendon)

  • Shin MTSS (Medial Tibial Stress Syndrome, also known as "compartment syndrome" or "shin splint")

  • Achilles tendon (achilles tendinopathy, achillodynia)

  • Heel and sole of foot  (plantar fascia, "heel spur")

For a tendon irritation, there can be various causes:

  • incorrect position of the foot: flat feet, sagging foot movement

  • restriction of the spine, shoulders, elbows, wrists, hips, knees, ankle and feet

  • wrong posture pattern / move pattern

  • incorrect training

  • structure muscles that are too weak or shortened

  • instability of the spine / pelvis, shoulders, elbows, wrists, hips, knees, ankle and feet

  • overweight

Frozen Shoulder

What is a frozen shoulder?

A frozen shoulder is inflammation of the capsule in the shoulder joint.  As a result, the capsule is going to shrink and thicken the joint. This makes the shoulder stiff, so that it can no longer make all movements. Doing everyday activities such as washing, dressing and cooking can make it more difficult or even impossible. A frozen shoulder is therefore different from shoulder osteoarthritis: in osteoarthritis in the shoulder, wear/tear of the cartilage and inflammation in the joint as a result of this is the culprit.

 

What are the symptoms of a frozen shoulder?

This condition develops gradually and goes through three stages. It starts with the "freezing phase". The inflammation creates an annoying pain that is continuously present in the shoulder. This can get worse at night, especially if you sleep on the shoulder. Pain increases when the arm is used, especially with sudden movements. In this phase - which can sometimes last for months - the mobility of the shoulder decreases. In the "frozen phase" the shoulder feels stiff and the range of movement is limited. Moving the shoulder joint now hurts less. This phase can also last for months.

 

The final stage of the disease process is called the "thawing phase". The stiffness and pain decrease and the range of motion of the shoulder joint increases. The patient experiences that performing everyday activities is getting easier.

 

Full recovery will eventually follow. These three stages of a frozen shoulder can last a total of three years. Sometimes the course of this condition can be shorter, Chiropractic can help with that.

Chiropractie and frozen shoulder

Most shoulder complaints are an indirect result of the malfunctioning of the spine of the neck, upper back and associated ribs. In this opinion, the muscle balance of the shoulder girdle is disturbed as a result of vertebral and rib blockages causing overload that manifests itself as an inflammation of the structures around the joint. These are therefore primarily functional disorders, which therefore require a functional approach. The chiropractic approach in which shoulder complaints are addressed through manipulative treatment, dry needling and shockwave, which is aimed at functional improvement of both the vertebral column and the shoulder joint, is now supported by the results of recent medical research.

RSI (Pain in the shoulder, elbow, wrist or hand).

The letters RSI stand for Repetitive Strain Injury. These injuries to hands, wrists, arms, shoulders and / or neck are caused by repetitive small movements. As a result, the muscles of the shoulders and arms must be continuously contracted.

 

Overloading reduces blood flow and makes the muscles ache. If these symptoms are ignored, painful inflammation can develop or nerves can become trapped. Although computers and mobile gadgets cause the most complaints nowadays, RSI is not a new condition. It has been around for centuries and is best known as an occupational disease. Musicians, mail sorters, cashiers and assembly line workers, for example, always perform the same action. They have always had a great chance of getting RSI.

 

RSI is a collective term for a number of disorders. Doctors prefer to speak of tennis elbow, mouse arm or carpal tunnel syndrome. Then you know exactly where the problem occurs. Tablet neck, smartphone wrist, gameboy back and even text thumb can now be added to this list. Doctors nowadays prefer to call RSI CANS. This stands for "Complaints of Arm, Neck and / or Shoulder", so arm, neck and / or shoulder complaints. In this article we will continue to use the more common name RSI.

Chiropractic and RSI

From a chiropractic perspective, an RSI is usually a manifestation of a much more extensive, mechanical dysfunction, which encompasses the entire chain of motion of the arm. On examination, movement blockages are found not only in the arm, but also between the vertebrae of the neck and upper back, the adjacent ribs and in the shoulder joint. It will be clear that in such a situation, the treatment of only the painful spot offers little chance of result. The chiropractic treatment of an RSI is therefore aimed at restoring movement function of the entire chain of movement from neck to wrist. Results are usually good if treatment is carried out in a timely manner. However, in those cases, where irreversible tissue changes have already taken place as a result of long-term chronic inflammatory processes, it remains a difficult problem.

Bursitis (shoulder, elbow, hip, knee)

A bursa is a type of cushion that is filled with slimy fluid. They are found between tendons and bones of a joint. Bursa allow the joint to move smoothly, without the tendon rubbing the bone joint. An inflammation of the bursa is called bursitis. Since this protective pad is located close to the attachment of the tendon to the bone, it is sometimes difficult to distinguish bursitis from tendonitis. After all, both conditions cause comparable complaints.

 

Bursitis can take a toll on your life. Sometimes the pain can be so severe that you can barely function. Since bursa are found all over the body, this condition can develop in many joints. The most inflamed bursa are in the shoulder, knee, hip, elbow and ankle. This condition is as common in women as in men.

Chiropractic and bursitis

Chiropractic and bursitis The treatment of bursitis often consists of muscle relaxing techniques in combination with relaxation of the connective tissue around the bursa. In addition, we use manipulations and mobilizations to restore the function of the hip joint, pelvis and lower back or neck, shoulder and elbows. It may also be necessary to apply muscle stretches, trigger point therapy or dry needling. The research makes it clear which muscles do not function properly. To correct this, we provide targeted functional exercises, with which recovery accelerates and reduces the chance of relapse.

Meniscus irritation/tear (Knee)

What can cause the meniscus to tear?

A small or large tear in one of the menisci is a common knee injury. These are two loose pieces of cartilage in the shape of an orange slice. They are located on the inside and outside of the knee. Great forces are exerted on the inner and outer meniscus during movements. This makes this cartilage very vulnerable.

 

With a powerful rotational movement - for example during sports, work or in an accident, the pressure becomes so great that a small or large tear can occur in the meniscus. In most cases, the meniscus on the inside is damaged. Most injuries to the meniscus occur during sports. This is therefore also referred to as the "football knee".

 

A meniscus can also tear as a result of wear and tear on this cartilage. This is called a degenerative meniscal injury, but it is actually a form of osteoarthritis. The likelihood of this increases as we get older. Because the elasticity of the cartilage has decreased, it can also tear without twisting movement. This form of meniscal injury can also arise from prolonged and continuous overuse of the knee.

Chiropractie en Meniscus klachten

From chiropractic, the problem is seen in a different, more functional, perspective. We assume that the degeneration in the knee (as well as in other joints, by the way) is a result of years of dysfunction of the joint because lower and upper leg do not track properly in relation to each other. The overload that this causes on the one hand causes pain in ligaments on the (usually) inside of the joint, and on the other hand extra wear of the cartilage. The pain is generally not caused by the wear and tear of the cartilage, but by the chronic overload of surrounding pain-sensitive structures. Only in cases of very advanced degeneration can the wear itself occur as a new cause of pain. The dysfunction of the knee is usually not a stand-alone fact but fits into a pattern, which also involves the pelvic girdle. On the basis of functional examination of the pelvic girdle, it can be indicated years in advance whether there is a risk of knee or hip wear and, if so, on which side or both sides.