ClickCease
+1-915-850-0900 spinedoctors@gmail.com
Select Page

Hip Pain & Disorders

Back Clinic Hip Pain & Disorders Team. These types of disorders are common complaints that can be caused by a variety of problems. The precise location of your hip pain can give more information about the underlying cause. The hip joint on its own tends to result in pain on the inside of your hip or groin area. Pain on the outside, upper thigh, or outer buttock is usually caused by ailments/problems with the muscles, ligaments, tendons, and soft tissues surrounding the hip joint. Hip pain can also be caused by diseases and conditions in other areas of your body, i.e. the lower back. The first thing is to identify where the pain is coming from.

The most important distinguishing factor is to find out if the hip is the cause of the pain. When hip pain comes from muscles, tendons, or ligament injuries, it typically comes from overuse or Repetitive Strain Injury (RSI). This comes from overusing the hip muscles in the body i.e. iliopsoas tendinitis. This can come from tendon and ligament irritations, which typically are involved in snapping hip syndrome. It can come from inside the joint that is more characteristic of hip osteoarthritis. Each of these types of pain presents itself in slightly different ways, which is then the most important part in diagnosing what the cause is.


Osteoporosis Relieved By MET Therapy

Osteoporosis Relieved By MET Therapy

Introduction

The musculoskeletal system allows the various muscle groups to surround the bones and joints through ligaments and muscle tissues that help with mobility and stabilizes the skeletal structure from pain. As the body ages naturally, the muscles, bones, and joints get affected as numerous factors begin to cause the body to be dysfunctional. Many of these factors could take a toll on the body and cause bone mass density loss, leading to osteoporosis. A person experiencing osteoporosis can generate overlapping risk profiles affecting the body’s muscles and joints, leading to painful symptoms. Today’s article looks at osteoporosis, how it affects the muscles and joints, and how numerous treatments can help reduce osteoporosis symptoms. We utilize information about our patients to certified medical providers using MET therapy to mitigate the effects of osteoporosis on the musculoskeletal system. We encourage patients by referring them to associated medical providers based on their diagnosis while supporting that education is a remarkable way to ask our providers the most interesting and essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer

 

What Is Osteoporosis?

 

If you’ve been experiencing severe back or hip pain or struggling to breathe, you may be experiencing osteoporosis. This condition causes bones to become porous, making them brittle and weak, and it affects around 200 million people worldwide, with women being more commonly affected than men, as studies revealed. Many risk factors can cause bones to deteriorate quickly and become weaker, leading to an increased risk of fragility, fracture, and muscle and joint pain. Additional studies have revealed that some risk factors that can lead to osteoporosis development include:

  • Race
  • Ethnicity
  • Age
  • Sex
  • Metabolic syndrome

Osteoporosis can often go undetected for a long time, with individuals only noticing symptoms such as a forward-curved upper back or a broken bone.

 

Osteoporosis Affecting The Muscles & Joints

Osteoporosis can affect the body’s bones, muscles, and joints, especially major skeletal portions like the spine, hips, wrists, and shoulders. Studies have shown that individuals with or without trauma can experience symptoms like pain due to osteoporosis caused by hormone deficiency. “Clinical Applications of Neuromuscular Techniques” by Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., explain that bone density can decrease when bone resorption happens faster than bone formation. This decrease in bone density could lead to joint fractures and cause musculoskeletal disorders that affect a person’s stability and mobility, leading to complaints in the upper and lower body extremities.

 


An Overview Of Osteoporosis-Video

Are you experiencing pain in your arms or legs? Do your joints ache more than usual or do you have persistent back pain? These symptoms are often associated with osteoporosis, a chronic condition where bones become weak and brittle due to fractures or trauma. Osteoporosis can go undetected for an extended time, and when it affects bone density, it can also impact surrounding muscles and joints, leading to various musculoskeletal conditions. The video above explains osteoporosis, including risk factors and treatment options such as chiropractic care to reduce its effects.


Treatments To Reduce Osteoporosis Symptoms

 

If you risk developing osteoporosis, it’s best to consult your primary doctor for confirmation. Once confirmed, you have several options for your next steps, such as incorporating exercises, vitamins, minerals, and supplements for bone health, lifestyle changes, and utilizing treatments like MET therapy or chiropractic treatments. MET therapy can help restore bone density and promote a mindful approach to one’s body and lifestyle when combined with proper nutrition and exercise. Studies show that individuals with osteoporosis can use MET therapy to reduce pain and improve range of motion in affected joints. Pain specialists often use MET to stretch and shorten muscles to help restore the body to normal.

 

Conclusion

Osteoporosis is a chronic silent disease that affects the bones silently, causing pain and correlating with numerous factors that can increase its progression. When bones become porous, weak, and brittle, it can lead to pain-like symptoms in the musculoskeletal system. This can cause chronic issues that misalign the body, leading to mobility and stability problems. Fortunately, numerous ways exist to prevent and reduce the effects of osteoporosis. Some effective measures include incorporating vitamins and supplements for bone health, exercising for 30 minutes to an hour, and getting MET therapy to restore the body’s range of motion. These small changes can greatly impact an individual’s health and wellness journey.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Porter, Joann L, and Matthew Varacallo. “Osteoporosis.” In: StatPearls [Internet]. Treasure Island (FL), 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK441901/.

Pouresmaeili, Farkhondeh, et al. “A Comprehensive Overview on Osteoporosis and Its Risk Factors.” Therapeutics and Clinical Risk Management, 6 Nov. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6225907/.

Sözen, Tümay, et al. “An Overview and Management of Osteoporosis.” European Journal of Rheumatology, Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5335887/.

Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.

Disclaimer

Groin Strain & The MET Technique

Groin Strain & The MET Technique

Introduction

The muscles surrounding the hips in the lower extremities provide stability to the lumbar spine and pelvis while allowing mobility, flexibility, and rotation to the groin, legs, and thighs. The muscles surrounding the groin consist of three large muscle groups: the abdominalsiliopsoas, and adductors, which have a casual relationship with the various ligaments and soft tissues that can be succumbed to injuries or other symptoms that can lead to pain and misalignment to the body. This happens to many individuals who participate in sports or frequently exercise, which can cause strain near the groin and the surrounding muscles. Today’s article focuses on the causes of a groin strain, how it affects the hips and pelvis, and how available treatments can help reduce groin strain. We mention and provide valuable information about our patients to certified medical providers who use techniques like the MET and therapy for individuals with a groin strain and causing mobility issues when functioning. We give encouragement to patients by referring them to associated medical providers based on their diagnostic findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

The Causes Of Groin Strain

 

Have you experienced any mobility issues when walking? Do you feel pain near your hips or groin? Or do you feel muscle weakness in your thighs when exercising? Many of these issues are associated with a muscle strain near the groin affecting your lower body. The muscles surrounding the groin allow the legs and thighs to move around in flexion, rotation, and extension without feeling pain. However, when a person starts to feel pain radiating around their groin, it can become an issue if not taken care of. Studies reveal that some of the causes, like adductor strain or injuries from physical activities, can cause the muscle fibers in the three muscle groups of the groin to be in pain. In “Clinical Applications of Neuromuscular Techniques,” authors Leon Chaitow and Judith Walker DeLany, stated that chronic joint and soft tissue conditions predate presenting acute symptoms to the groin muscle regions. To that point, if a person has predisposed injuries in the groin muscles, it can affect how a person walks and functions when in motion, potentially leading to issues affecting the hips and pelvis.

 

How Groin Strain Affect The Hips & Pelvis

Studies reveal multiple pathologies that can coexist in the hips and pelvis that could cause similar symptoms to the hips and pelvis that can correlate with several organ systems like the gut and reproductive system that causes referred pain to the groin. Additional studies also mentioned that groin pain is widely known as an issue among professional and amateur athletes. They could experience different symptoms and injuries from groin pain associated with the hips and pelvis. An example would be if an individual is participating in a sports event, they could be experiencing myofascial trigger points related to the groin, affecting the pelvis and hips. Some of the symptoms associated with groin strain include:

  • Stiffness
  • Swelling
  • Muscle weakness
  • Groin discomfort 
  • Bruising around the area
  • Leg discomfort when flexing
  • Walking issues
  • Lower stomach or back symptoms

Many of these symptoms that affect the hips and pelvis can lead to many issues that cause people to be in constant pain or discomfort until they find relief.


Chiropractic Care: The Ancient Healing Art for Modern Life- Video

Have you been experiencing mobility issues? What about pain in your hips, pelvis, or groin? Or do you often feel discomfort when stretching? Many of these issues are associated with groin strain along the hips and pelvic region. Groin strain occurs in the three large muscle groups: the abdominals, iliopsoas, and adductors, when they are overstretched and cause referred pain to the hips and pelvis. This causes many individuals to have instability and mobility issues. Some of the present symptoms that occur to these muscles include:

  • Pain in active movement
  • Pain during palpation
  • Localized swelling
  • Pain while stretching the muscle-tendon

When pain is causing issues in the groin, many individuals will go to available treatments to help reduce the pain and regain mobility when exercising. One of the available treatments is chiropractic care. The video above shows how chiropractic care is incorporated into modern life as it uses non-invasive hands-on treatment to realign the body and help lengthen the affected muscles. 


Available Treatments To Reduce Groin Strain

 

Numerous treatments can help reduce groin strain from affecting the lower extremities and help bring mobility back to the surrounding muscles. Many individuals would utilize ice packs, resting and elevating the leg to prevent future injuries from re-occurring. However, if left untreated, it can worsen and lead to chronic conditions. Luckily treatments like chiropractic care combined with soft tissue stretching techniques like MET (muscle energy techniques) can help to mobilize restricted joints and relax acute muscular spasms or contractions while preparing the joint for manipulation. A chiropractor will utilize these techniques to realign the spine from subluxation and loosen stiff joints and surrounding muscles that have been affected. Chiropractors will also inform their patients to incorporate various exercises and stretches to help strengthen the affected muscle group and become more aware of their bodies.

 

Conclusion

Overall, the various muscles, tendons, and ligaments surrounding the lower extremities, like the thighs, legs, and groin, allow mobility, flexibility, and rotation to the lower portion of the body. When injuries begin to affect these extremities, it can lead to referred pain to the hips and pelvis, causing groin strain and invoking pain. If not treated right away, it can develop into chronic conditions that cause mobility and stability issues in the lower body. The upper body would have to compensate for the pain causing subluxation to the spine. Luckily, treatments like chiropractic care combined with stretching techniques like MET can help reduce the pain in the groin muscles while lengthening the short muscles. These techniques allow mobility back to the lower extremities and realign the body so the individuals can be pain-free.

 

References

Bisciotti, Gian Nicola, et al. “Groin Pain Syndrome: An Association of Different Pathologies and a Case Presentation.” Muscles, Ligaments and Tendons Journal, U.S. National Library of Medicine, 20 Oct. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4617224/.

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Kiel, John, and Kimberly Kaiser. “Adductor Strain.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 21 June 2022, www.ncbi.nlm.nih.gov/books/NBK493166/.

Tyler, Timothy F, et al. “Groin Injuries in Sports Medicine.” Sports Health, U.S. National Library of Medicine, May 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3445110/.

Disclaimer

Hamstring Injuries Relieved By The MET Technique

Hamstring Injuries Relieved By The MET Technique

Introduction

With the body being a complex machine with various muscle groups and sections that work to keep the body mobile, it is important to know that weak muscles in the upper and lower portions of the body can cause unwanted pain-like symptoms that can lead to dysfunction over time. When numerous environmental factors and habits affect the muscle groups, it can lead to overlapping risk factors that cause tightness in the affected muscles and lead to injuries. In the lower portions of the body, the hips, thighs, hamstrings, and glute muscles help stabilize the pelvis region. When these factors start to cause issues with these muscles, it can lead to injuries and problems for those muscle groups. Today’s article will examine how hamstring injuries occur, how it affects the lower body, and how treatments and techniques like MET (muscle energy techniques) are utilized to relieve hamstring injuries. We mention valuable information about our patients to certified medical providers who provide therapy techniques like the MET and care treatment for individuals with hamstring injuries associated with the lower body portions. We give encouragement to patients by referring them to our associated medical providers based on their diagnostic findings. We provide the support that education is a spectacular way when asking our providers the most helpful questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., utilizes this information as an educational service. Disclaimer

 

How Do Hamstring Injuries Occur?

 

Have you noticed that your hamstrings are feeling tight? Are you constantly sitting down for an extended period? Or are you experiencing low back pain that is affecting your hamstrings? Many individuals will usually experience low back pain along the thigh with associated symptoms of muscle weakness that causes the muscle fibers to be tighter and sore. When the muscle fibers are tight consistently, it causes the back of the leg muscles uncomfortable and can make movement difficult. Studies reveal that the back of the leg muscles or hamstrings is highly susceptible to injuries, especially in athletes. The hamstring muscles comprise three major muscles in the posterior location of the thigh. When a person is overstretching the hamstrings or having muscle tightness from being sedentary can cause these injuries and discomfort to the lower extremities. Additional research studies mentioned that hamstring injuries could range from acute muscle strain to chronic proximal hamstring tendinopathy associated with muscle ruptures. 

 

How Does It Affect The Lower Body?

Since the hamstring muscles succumb to injuries from overstretching or becoming weak, how would it affect the lower body and cause mobility issues? Well, when the hip flexors or the hamstrings become tight and tense, it can cause an altercation to the pelvis region and cause spinal misalignment. To that point, it can lead to muscle stiffness and pain in the hamstrings while correlating to low back pain and can cause the individual to be confused as they think it is sciatica instead of a hamstring injury. Studies reveal in “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., states that when there is a range of other biomechanical features that could be predisposed to hamstring injuries that can cause a chain of reactions that can involve not only the hamstrings but the toes, the spine, the trunk, and the upper extremities. Losing the ability to function in the lower extremities can cause dysfunction, muscle weakness, and instability in an individual.

 


Natural Healing: Chiropractic Care for Injury Recovery- Video

Have you been experiencing stiffness or pain in your hamstrings? What about feeling discomfort in one side of your hips and glutes? Or are you experiencing muscle strain? Many of these issues are correlated with hamstring injuries that can cause muscle weakness and instability in the body. Fortunately, when dealing with a hamstring injury, techniques like gentle stretching and warming up the muscles allow the injury to recover and bring relief. Another way a person can get pain relief from a hamstring injury is through chiropractic care. Chiropractic care can help relieve the problem without using medications, injections, or surgery through spinal manipulation and incorporating various techniques to stretch the stiff muscles and realign the body. The video above explains how chiropractic care is utilized for injury recovery.


Treatments For Hamstring Injuries

 

When dealing with hamstring injuries, it is important to rest to prevent future injuries from occurring and incorporate gentle stretches of the targeted muscles to avoid cramping and pain. If gentle stretching doesn’t bring relief, then it is recommended to have a personalized treatment and program with a chiropractor. A chiropractor uses hands-on therapy to loosen and relieve tense muscles, thus reinforcing flexibility and range of motion back to the hamstrings. Chiropractic care also incorporates stretching techniques like MET to improve hamstring flexibility. Studies reveal that the MET technique uses soft tissue mobilization to increase the hamstring’s ROM (range of motion) while bringing mobility back to the hips and reducing pain. Furthermore, these stretches and treatments can help decrease instability and allow the individual to be pain-free.

 

Conclusion

The hamstrings are located along the back of the thigh and just below the knees, as they can succumb to injuries due to overstretching or other factors that cause symptoms of pain and weakness. Hamstring injuries are common and can range from acute to chronic, depending on the injury. Many people with hamstring injuries often deal with overlapping issues of sciatica and low back pain that can lead to instability in the lower body. Luckily, different treatments and stretching techniques can help lengthen the hamstring muscles, promote flexibility back to the hamstrings, and cause relief to the affected muscle.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.

Chu, Samuel K, and Monica E Rho. “Hamstring Injuries in the Athlete: Diagnosis, Treatment, and Return to Play.” Current Sports Medicine Reports, U.S. National Library of Medicine, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5003616/.

Gunn, Leanna J, et al. “Instrument-Assisted Soft Tissue Mobilization and Proprioceptive Neuromuscular Facilitation Techniques Improve Hamstring Flexibility Better than Static Stretching Alone: A Randomized Clinical Trial.” The Journal of Manual & Manipulative Therapy, U.S. National Library of Medicine, Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6338275/.

Poudel, Bikash, and Shivlal Pandey. “Hamstring Injury – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 28 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK558936/.

Disclaimer

Tibial Stress Fracture Relieved By The MET Technique

Tibial Stress Fracture Relieved By The MET Technique

Introduction

We are constantly on the move throughout the day, from walking, running, or standing doing errands, all because of the lower and upper portions of our bodies. The body is a complex, unique machine with upper and lower portions with specific jobs and functions. The body’s upper portion provides mobility and functionality to the neck, shoulders, head, arms, and hands. At the same time, the lower portion of the body offers stability and motor functions to the hips, legs, knees, and feet. When there are issues that affect the body, it can, over time, causes stress in the musculoskeletal system and affect the joints in the lower extremities, thus invoking pain and disability. Today’s article looks at tibial stress fractures, how they affect the lower body, and how treatments like the MET technique can help the lower body. We provide and mention valuable information about our patients to certified medical providers who offer therapy techniques like the MET combined with treatment care for individuals with tibial stress fractures in their lower body extremities. We encourage each patient by referring them to our associated medical providers based on their findings appropriately. We acknowledge that education is a spectacular way when asking our providers the most helpful questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., utilizes this information as an educational service. Disclaimer

 

What Are Tibial Stress Fractures?

 

Have you been dealing with heaviness in your legs and feet? What about unwanted pain radiating from your knees to your shin? Or do your feet constantly feel tired? Many of these issues could be due to muscle overload on the lower extremities associated with tibial stress fractures. Research studies reveal that when the lower extremities are subjected to repeated mechanical stress, that can cause microscopic fractions in the tibia. This condition is most common in military recruits, athletes, and runners. In the book “Clinical Applications of Neuromuscular Techniques” by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., stated that two types of stress fractures can occur in the tibia that is the result of tibial stress fractions. They are:

  • Fatigue stress fracture: Caused by repeated abnormal muscular stress (torque) applied to the normal bone, which has appropriate elastic resistance potential and density.
  • Insufficiency stress fracture: Caused by normal muscular forces applied to mineral-deficient or abnormally inelastic bone.

 

How Do They Affect The Lower Body?

Numerous factors can cause stress fractures in the lower body extremities, affecting motor-sensory and mobility function. Some of the factors associated with stress fractures in the tibia include:

  • A sudden increase in training or activities
  • Uneven surfaces
  • Inappropriate footwear
  • Inappropriate running style
  • Misalignment in the lower limbs

Studies have revealed that when these risk factors cause the development of stress fractures in the legs, it can lead to symptoms like pain and swelling in the legs and feet. If it continues without treatment over time can cause the bones to weaken and can be confused with musculoskeletal disorders like osteoporosis or shin splits. 

 


Gain Mobility Back With Chiropractic Care-Video

Have you been dealing with pain in your legs or feet? Do you feel that you have mobility issues when walking or standing? Or have you noticed that your legs are extremely tired a few days after intense training? Many people experiencing these issues are associated with stress fractures on the lower extremities. Repetitive motions cause stress fractures in the lower extremities over time that causes small, hairline fractures in the bone. This causes the surrounding muscles around the joint to overload the bone and cause muscle and joint pain symptoms. Luckily, there are ways to reduce stress fractures on the lower extremities and restore leg mobility. Treatments like chiropractic care can help many musculoskeletal disorders correlated with stress fractures in the lower body extremities. The video above talks about how non-invasive treatments like chiropractic care incorporates different techniques and manipulations to realign the spine and reduce the pain associated with stress fractures.


How The MET Technique Helps The Lower Body

 

Incorporating stretching techniques and chiropractic care can help reduce stress fractures in the tibia and prevent future musculoskeletal injuries. Regarding reducing the effects of stress fractures in the lower extremities, available treatments like chiropractic care can help relieve the pain. Using stretching techniques like MET (muscle energy technique) can help stretch and lengthen muscle fibers to reduce muscle fibers pain. The MET technique allows chiropractors to utilize mechanical and neuromuscular stretches to enhance the range of motion through isometric stretching to loosen stiff muscles and will enable the body to heal itself naturally. Other treatments like ice massages, electrotherapy, and non-impact activities (swimming and cycling) combined with chiropractic care can enhance recovery and let the individual know how much stress impacts their joints.

 

Conclusion

The lower portions of the body allow mobility and stability to enable the individual to move around and perform various actions without pain. However, many risk factors that cause the musculoskeletal system to cause overload power to the lower extremities could develop stress fractures in the bone and cause pain and discomfort. Stress fractures can, over time, cause pain and swelling to the legs and can affect a person by making them unable to walk without feeling pain in every step they take. Luckily, treatments like chiropractic care and stretching techniques like MET can help loosen up, lengthen stiff muscles, and relieve the legs. Through continuous treatment, many individuals become aware of how much overloading pressure they put on their legs and can become more mindful of their daily activities pain-free.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.

May, Todd, and Raghavendra Marappa-Ganeshan. “Stress Fractures – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 17 July 2022, www.ncbi.nlm.nih.gov/books/NBK554538/.

Robinson, Patrick G, et al. “Stress Fractures: Diagnosis and Management in the Primary Care Setting.” The British Journal of General Practice : the Journal of the Royal College of General Practitioners, U.S. National Library of Medicine, Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6428476/.

Disclaimer

The MET Technique On Myofascial Trigger Points & Gait Performance

The MET Technique On Myofascial Trigger Points & Gait Performance

Introduction

How a person walks or their gait performance can determine how their body’s balance and stability are functioning. Since the body has many muscles, ligaments, and tissues in the musculoskeletal system protecting the spine and the vital organs that work together to maintain proper functionality when a person is in motion; however, the body can succumb to numerous issues that can affect a person’s gait performance and cause the upper and lower extremities to develop myofascial trigger points in the muscle fibers. When these issues begin to cause dysfunction in the body, it can lead to many disorders associated with gait disturbances. Today we will focus on how to approach gait disturbances, how trigger points affect gait performances, and how treatment techniques like MET can help. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with gait disturbances associated with trigger points that correlate to how a person walks. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer

 

How To Approach Gait Disturbances?

 

Have you been dealing with mobility issues when walking? How about feeling stiffness in your hips or lower body extremities? Or have you experienced headaches or neck pain? Many of these issues are associated with gait disturbances that can affect your ability to walk. When it comes to gait disturbances, studies reveal that underlying systemic disorders or other environmental factors could trigger the prevalence of gait disturbances. Regarding gait disturbances, it is important to know that as the body ages, it can cause issues to the musculoskeletal system naturally, and environmental factors can further affect the central nervous system to cause gait disturbances. Additional studies have mentioned that gait disorders in the elderly could potentially lead to various issues that affect a person’s quality of life. When approaching gait disturbances, many doctors will examine to see the causes of these gait disturbances that correlate with the musculoskeletal system. It could be:

  • Orthopedic problems
  • Neurological conditions
  • Musculoskeletal disturbances
  • Metabolic disturbances

Many of these issues can cause the lower half of the body to shift the skeletal joints, leading to tight, stiff muscles and developing tiny hard nodules in the muscle fibers that can further affect gait performance.

 

How Do Trigger Points Affect Gait Performances

 

So how can these tiny hard nodules affect gait performance in the body? These small hard nodules are trigger points and often correlate with overlapping risk profiles associated with musculoskeletal disorders. “Clinical Application of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O, and Judith Walker DeLany, L.M.T., mentioned that various additional causes and maintaining factors may be associated with dysfunctional patterns that correlate with trigger point involvement. The book also says that different influences affecting the muscles can increase trigger point activity while inducing influences from acute or chronic soft tissue dysfunction. Research studies reveal that myofascial pain syndrome is a collection of sensory, motor, and autonomic symptoms that correlate with musculoskeletal symptoms like local/referred pain, decreased range of motion, and muscle weakness. When trigger points are causing problems in the muscle fibers, it can affect a person’s gait performance and cause them to lose function when walking.

 


Balance Issues Associated With Myofascial Trigger Points-Video

Have you been dealing with balancing issues when walking? Do your muscles feel tight in certain areas? Or do constant headaches or neck pain affect your day? The video above explains what can cause balancing issues that affect gait performance and cause numerous symptoms like headaches and neck pain. Many balance issues are associated with myofascial trigger points affecting your gait performance. Myofascial trigger points can overlap risk profiles that can affect the muscle fibers in the body. Many correlating factors can affect a person’s gait performance, leading to musculoskeletal disorders related to trigger points. When musculoskeletal disorders are correlated with myofascial trigger points, it can decrease a person’s health and wellness if not treated early on. Fortunately, some treatments incorporate techniques to reduce muscle and joint pain while alleviating symptoms associated with myofascial trigger points.


How The MET Technques Helps With Gait Performance & Trigger Points

When a person is dealing with imbalances affecting their gait performance and having overlapping risk profiles associated with trigger points, treatment techniques can help improve their gait while reducing pain-like symptoms. Many pain specialists will use the MET technique (muscle energy technique) to help stretch affected muscles that are stiff and help regain mobility back to the body. Therapies like chiropractic care utilize this technique combined with spinal manipulation to help realign the body while loosening up stiff muscles affecting gait performance. When a person continues treatment care to regain mobility, it allows them to be aware of how they walk and carry themselves without pain.

 

Conclusion

How a person walks is how their balance and stability function in different environments. A person’s gait performance has to maintain the functionality that allows the various muscles, ligaments, and tissues in the musculoskeletal system to move. When environmental factors or musculoskeletal disorders affect the different muscles, it can cause overlapping issues that affect gait performance. To that point, it leads to stiffness and pain associated with trigger points. Luckily techniques like the MET combined with chiropractic care can help realign the body and loosen up stiff muscles and joints to regain mobility back to the body and help improve overall gait performance.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.

Jafri, M Saleet. “Mechanisms of Myofascial Pain.” International Scholarly Research Notices, U.S. National Library of Medicine, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4285362/.

Marshall, Frederick J. “Approach to the Elderly Patient with Gait Disturbance.” Neurology. Clinical Practice, U.S. National Library of Medicine, June 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3613197/.

Pirker, Walter, and Regina Katzenschlager. “Gait Disorders in Adults and the Elderly : A Clinical Guide.” Wiener Klinische Wochenschrift, U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5318488/.

Disclaimer

How The MET Technique Is Used For Gait Analysis

How The MET Technique Is Used For Gait Analysis

Introduction

Many people don’t often realize that stability and balance are two of the most reliable abilities to keep the body from falling, and it is often taken for granted from the earlier stages, where infants and toddlers are learning to stand upright, to adulthood where we are walking, running or performing any physical activities. Our bodies are complex machines comprised of upper and lower portions that provide balance and stability. The lower half of our bodies helps stabilize and balance the upper half weight and allows us to move around. This is known as gait. However, when the body begins to age naturally or chronic issues begin to affect the muscles and cause an imbalance in the lower half, it can lead to many disorders associated with these imbalances. Today’s articles examine what gait is, how gait disturbances are associated with the body, and how the MET technique improves gait. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with chronic conditions associated with gait disturbances that could affect a person’s ability to walk. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer

 

What Is Gait?

 

Have you been dealing with issues when walking for a short or long distance? Do your feet or ankles seem to feel tired or ache when stepping? Or have you been dealing with mobility issues in your hips? Many of these issues are associated with gait and can cause balance disturbances in the body. So what is gait? In the book by Leon Chaitow, N.D, D.O., and Judith Walker DeLany, L.M.T, titled “Clinical Applications of Neuromuscular Techniques,” gait is defined as how you walk and how each lower body section contributes to how you walk. This includes:

  • Feet
  • Ankles 
  • Knees
  • Hips 
  • Spine

The book also mentions how a person progresses from one location to another using muscular action and gravity to make them walk. Two functional units are in a casual relationship contributing to gait: the passenger and locomotor units. The passenger unit consists of the upper extremities, like the head, neck, arms, trunk, and pelvis, to be the center of gravity when moving forward. At the same time, the locomotor unit comprises the pelvis and lower extremities, like the legs, knees, feet, and ankles, to support the weight of the upper extremities and perform structural stability and mobility to make the body move forward.

 

Gait Disturbances Associated With The Body

So what happens when traumatic factors or natural aging begins to affect the body and causes gait disturbances. Research studies reveal that since gait depends on the interplay of the nervous, musculoskeletal, and cardiorespiratory system which can be influenced by age and other factors that can lead to issues in the lower extremities causing falls and injuries. Many factors can lead to gait disturbances that can affect how a person walks and how it can affect the joints and muscles, which can lead to pain-like symptoms. Additional studies mentioned that gait disorder affects elderly adults, increasing their fall risk and leading to mobility issues in their hips. Muscle shortening and joint health are other issues that can cause gait disturbances in the lower extremities. When the muscles in the lower extremities are tight and weak, it can cause them to be short and be accompanied by joint dysfunction. The health of the joints in the lower extremities depends on the balancing strength of the opposing flexor muscles. When the flexor muscles lose part or all of their function, it can cause the joint to be hyperextended. To that point, it causes abnormal joint stress, corresponding to lower back pain associated with gait disorders affecting a person’s ability to walk and keep their body balanced.

 


An Overview Of Gait Analysis-Video

Have you been dealing with mobility issues in your joints? Do you find yourself becoming unstable every time you walk? Or do your leg muscles feel tight? If you have been dealing with these issues, it could be due to a gait problem. Many people have different ways of walking; if there are issues, they can be pointed out in an examination. When there is an issue with gait, it can indicate pain and other revealing problems that can affect the entire body. The video above explains the gait cycle and gait analysis of a person’s walk. Gait analysis is often used in a normal examination to evaluate how a person walks, their body mechanics, and muscle activity to provide insight into the issue. A person’s gait can offer many important clues that doctors and pain specialists can see and identify the problem by developing a treatment plan to improve a person’s gait and reduce pain-like symptoms.


How The MET Technique Improves Gait

So many treatment plans can effectively improve balance and gait disorders in the body. Many pain specialists like chiropractors use manual spinal manipulation to re-align the spine to loosen stiff joints that may have contributed to imbalances in the lower extremities. MET (muscle energy technique) and physical therapy can help stretch the tight muscles and strengthen the muscle groups affected. MET and other approaches to improve gait allow many individuals to regain their stamina and adopt new strategies for their posture and movement. These therapy treatments will enable a person to feel more confident and more aware of how they walk while providing muscle strength to the affected muscles to prevent fatigue and decrease the chances of injuries in the future, as studies reveal.

 

Conclusion

Walking is determined by a person’s gait and how they move in different scenarios. Our bodies are comprised of upper and lower portions that correspond with gait and allow us stability and balance when we are in motion. When various issues like traumatic factors or just normal aging affect the body, the joints and muscles can cause problems with a person’s gait, leading to balance issues and fall injuries. Incorporating treatment plans to improve gait can help prevent future chances of injuries and help stretch and strengthen the affected muscles while loosening up stiff joints. This allows a person to regain their balance and improve stability in their bodies.

 

References

Baker, Jessica M. “Gait Disorders.” The American Journal of Medicine, U.S. National Library of Medicine, 27 Dec. 2017, pubmed.ncbi.nlm.nih.gov/29288631/.

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Pirker, Walter, and Regina Katzenschlager. “Gait Disorders in Adults and the Elderly : A Clinical Guide.” Wiener Klinische Wochenschrift, U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5318488/.

Van Abbema, Renske, et al. “What Type, or Combination of Exercise Can Improve Preferred Gait Speed in Older Adults? A Meta-Analysis.” BMC Geriatrics, U.S. National Library of Medicine, 1 July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4488060/.

Disclaimer

Increase Hip Flexion and Improve Hip Strength

Increase Hip Flexion and Improve Hip Strength

The iliopsoas muscle is a primary hip flexor that assists in the femur’s external rotation and maintains the hip joint’s strength and integrity. It also helps to stabilize the lumbar spine and pelvis. Athletes often overuse these muscles with all the sprinting, jumping, kicking, and changing directions when running, causing strains and/or tears. Repetitive hip flexion can result in chronic degenerative tendon changes. Chiropractic care and physical therapy can assist in the early phases of healing, safely transitioning to rehabilitation, and returning to physical activities.

Increase Hip Flexion and Improve Hip Strength

Iliopsoas Muscle

The hip flexors are the group of muscles, including the iliac and psoas major muscles/iliopsoas and the rectus femoris/quadriceps. One of the largest and thickest muscles in the body, the psoas, extends from the lumbar vertebrae, crosses in front of each hip, and attaches to the inside top of the thigh bone. The muscle works by flexing the hip joint and lifting the upper leg towards the body. These fibers can tear if tension is more than the muscle can bear. An iliopsoas strain occurs when one or more of these hip flexor muscles become overly stretched or begin to tear.

Injury

The injury can occur from sports or everyday physical activities. This leads to inflammation, pain, and scar tissue formation. An iliopsoas injury is commonly caused by sudden movements, including sprinting, kicking, and changing direction fast while running. Individuals participating in any sports, especially cycling, running, dance, tennis, martial arts, and soccer, are more likely to experience this injury. Other contributing factors include:

  • Muscle tightness
  • Joint stiffness
  • Muscle weakness
  • Inadequate core stability
  • Not warming up correctly
  • Improper biomechanics
  • Decreased fitness and conditioning

Individuals will feel a sudden stinging pain or pulling sensation, usually on the front of the hip, groin, or abdominal area. Other symptoms include:

  • Stiffness after resting.
  • Swelling
  • Tenderness
  • Bruising around the area.
  • Anterior hip pain and/or burning sensation.
  • Groin discomfort sensations.
  • Hip snapping or a catching sensation.
  • Discomfort when flexing the leg.
  • Walking problems and discomfort.
  • Lower stomach and/or back symptoms.

Healing and recovery depend on the severity of the injury. A minor iliopsoas muscle injury can take around three weeks to recover fully. More serious strains and tears take six to eight weeks before returning to activity, as the tissue needs time to repair before starting rehabilitation.

Chiropractic Rehabilitation and Recovery

The first steps when dealing with this injury should be P.R.I.C.E. protection, rest, ice, compression, and elevation. It is important to rest and seek treatment immediately; if left untreated, the condition could worsen, lead to a chronic condition, and require surgery. A chiropractic treatment and rehabilitation plan will consist of the following:

  • Soft tissue massage
  • Joint mobilization
  • A chiropractor may recommend crutches to keep the weight off the hip.
  • A brace can help compress and stabilize the hip flexor to expedite healing.
  • A flexibility and strengthening program will be implemented to target the muscles around the hip.
  • Core strengthening exercises will improve the stability of the pelvis area to prevent any further overuse problems.
  • Wearing compression clothing could also be recommended, as the clothing helps maintain muscle temperature.

Labral Tear


References

Dydyk AM, Sapra A. Psoas Syndrome. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK551701/

Lifshitz, Liran BPt, MSc, PT; Bar Sela, Shlomo BPt MPE; Gal, Noga BPt, MSc; Martin, RobRoy PhD, PT; Fleitman Klar, Michal BPt. Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Current Sports Medicine Reports 19(6):p 235-243, June 2020. | DOI: 10.1249/JSR.0000000000000723

Rauseo, Carla. “THE REHABILITATION OF A RUNNER WITH ILIOPSOAS TENDINOPATHY USING AN ECCENTRIC-BIASED EXERCISE-A CASE REPORT.” International journal of sports physical therapy vol. 12,7 (2017): 1150-1162. doi:10.26603/ijspt20171150

Rubio, Manolo, et al. “Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly.” Geriatric orthopedic surgery & rehabilitation vol. 7,1 (2016): 30-2. doi:10.1177/2151458515627309