Back Clinic CrossFit Type Sports Injuries Chiropractic Team. CrossFit is a form of exercise that incorporates rapid and successive high-intensity, ballistic movements and has become a popular fitness option. People who participate in this type of training begin to develop tightness in their muscles and joints more quickly than in other sports. This makes them at a high risk of injury. And, as with any fitness regiment, and despite doing everything a trainer tells you to do and doing it correctly; injuries can and do occur.
Chiropractic treatment gives these participants and their musculoskeletal system the ability to release stress quickly and recover quickly in order to perform. Injury rates with intense fitness training programs look to be similar to those reported for various sports i.e. weightlifting, powerlifting, and gymnastics. The injuries that are commonly reported are spine and shoulder injuries.
Participants in training that receive chiropractic treatment before and after training sessions have better results when it comes to injuries, as chiropractic analysis can discover underlying issues. A doctor of chiropractic can explain to athletes what exercises to modify or steer clear of. Plus with a chiropractor, exercises can be customized to help correct dysfunctional movements for optimal performance.
Sports Chiropractor: To figure out what these professionals dont want you to do before making an appointment, Runners World asked two chiropractors who specialize in running about what common training flaws are leading to patients ending up in their offices over and over again.
While studies go back and forth on whether or not specific types of running shoes lead to injury, it’s still a good idea to opt for a proper fit over a pair of kicks that look cool or that you got for cheap. Ian Nurse, D.C., founder of Wellness in Motion Boston and a sub-2:30 marathoner, believes that many running injuries can start from not having the right shoes on your feet.
The nurse recommends going to a run specialty store and having someone watch your gait outside or on the treadmill. This will allow someone at the store to find a range of shoes that might work best for your specific running/walking mechanics. (You can find a nearby running store by checking out our Store Finder.) From there, you can go by what feels the best when running.
The nurse said he also asked his patients if there had been a change in running shoes from one style to another. For example, switching to a zero-drop shoe from a normal shoe, without easing into them, may increase your risk of injury. Like a fitter at a running store, a sports chiropractor like a Nurse may even look at your running gait in the office to diagnose imbalances in your foot’s motion mechanics.
The whole biomechanics starts in your foot, Nurse said. We all have different foot strikes. If it hits the ground in a certain way, the shoe has to support that. If you are a forefoot striker, rearfoot striker, overpronator, or under pronator, all of those foot strikes can lend themselves to various running injuries.
DONT Do Static Stretching Before A Run
Holding a static stretch for longer than 10 seconds can take away from your explosive muscular power before a run, according to Derek Vinge, D.C. at Fit Chiropractic & Sports Therapy in Courtenay, British Columbia. One study even showed that stretching cold muscles before a tough 3K left individuals starting their runs slower and at a greater perceived effort. And when your muscles aren’t signaling properly, it can lead to small injuries turning into larger problems over time.
You are better off with a series of dynamic stretches like lunges and squats to get the blood flowing in the body. (This 2-minute warmup should do the trick.) The benefits will be noticeable if you add five to 10 minutes of dynamic stretching before hitting the roads or trails.
If you do some activation and dynamic warmups, you will be a stronger, faster runner. I also forget to do a busy stretch, and I think maybe it is a time thing where you tell yourself I’ll do this later. I’ll deal with it later, Vinge said.
DONT Overdo It On Foam Rollers
Foam rolling and other ways to work out a knot or refresh your legs can be a good thing in moderation. But less sometimes is more, according to Nurses.
I see a lot of people who tend to go overboard on that, Nurse said. They do so much foam rolling on their IT band and quads and are even more in pain. It’s more like a finesse, where you are trying to get blood flow into the area, but you aren’t trying to beat up the room so badly that you are causing more damage.
Stop if you’re working out on a foam roller and something continues to hurt or gets worse. Overdoing a problem spot may inflame it more. If you’re feeling relatively good, the Nurse suggests doing light work on the foam roller after a run to hit any problem areas for one to two minutes.
DONT Clam Up When You Get Into The Office
It would be best if you didn’t arrive at an office visit with pages and notes from WebMD. But you shouldn’t be silent and think a sports chiropractor has all the answers just by looking at you.
Going into an appointment, think about what has been consistently driving you crazy on a stiff run neck, a cranky left ankles that will allow a dog to focus on what’s bothering you.
Runners know their bodies a lot better than a lot of people, Nurse said. As we run, we are constantly checking in on different body parts, and people can recognize what is wrong, and they can tell if their gait is altered and what is hanging them up. The information I get from my patients helps me a lot.
DONT Forget To See Someone If You Need It & Listen To Your Sports Chiropractor
With training goals and miles to complete, runners often dont admit when there is something wrong. It’s almost a badge of honor to stay off the table for long periods.
But Vinge thinks there’s more to what he does than fixing injuries. Once an underlying issue is taken care of, you can teach your body to perform at a higher level than you thought was possible.
After they start to get better, then we can work on other issues to get some more performance out of them, said Vinge. If you’ve never been looked at, you have no idea what’s going wrong.
Daniel Alvarado, owner of PUSH Fitness, in order to participate in his activities that are physical, he depends on his health. After fighting with shoulder pain during the course of several months, Daniel Alvarado went to visit Dr. Alex Jimenez, chiropractor, to receive shoulder pain rehabilitation. Chiropractic care is a treatment for subluxations, which might be causing symptoms, or an alternative treatment option used to cautiously help restore any misalignments. Dr. Alex Jimenez assisted Daniel Alvarado to enhance his strength, flexibility, and freedom through using spinal adjustments and manual manipulations. Daniel Alvarado was able to come back to his daily physical tasks after receiving shoulder pain rehabilitation together with Dr. Alex Jimenez, chiropractor. Daniel Alvarado highly recommends Dr. Alex Jimenez because he is the non-surgical pick for shoulder pain.
Chiropractic Rehab
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Running Shoes: Feet are important. By the time the typical American reaches the age of 50, they will have walked 75,000 miles.
Runners put even more miles on their feet, and stress. Your feet are your foundation. A problem with your feet can throw your entire body out of balance. That is why when it comes to running shoes, it is important to find the right type. This guide will help you find the running shoes that are right for you.
Running Shoes
Before You Shop
Know the type of runner you are.
Different types of running require different features in shoes.
Some questions to consider:
Do you run or jog?
What surface do you run on � asphalt, treadmill, or trails?
A larger person will not move and run the same way a thin, wiry person does. An overweight person will put more stress on their feet � and shoes.
Know your running style.
The way you run, the motion of your stride and how your foot strikes the ground has great bearing on the type of running shoe you need. When your foot comes in contact with the ground, what hits first? Does the inside of your forefoot hit first? The center of your heel? The outside of your heel? Where your foot first hits is where you really want the cushion.
Know what injuries you may have sustained from running.
Plantar fasciitis, shin splints, tendonitis, and blisters are a few common injuries can be reversed or improved when you wear running shoes that fit properly.
Know the type of arch you have.
Whether you supinate (foot rolls to the outside) or pronate (foot rolls to the inside) is determined, at least in part, by the shape of your arch. While supinators are rare, quite a few people over pronate. This can be the source of injuries due to overuse.
When You Shop
Give it the 360-degree test.
When people try on shoes they typically check for fit in the toe box, but look no further than that. When you try on running shoes, you do need to make sure you have adequate space in the toe box, but you also need to check that your entire foot fits on the shoe�s platform.
Give your foot enough space.
The upper should have enough room but should not be loose. It shouldn�t squeeze your foot either though. It should fit well with no pinching or binding.
Shop later in the day.
Throughout the day your feet swell. When you run they also swell so when you shop for shoes, going when your feet are the largest will help ensure that you get the most accurate and more comfortable fit possible.
Bring your old running shoes along when you shop.
Having your old shoes with you when you shop will help the sales person determine what kind of running shoe you need. They can look at the wear on the shoe to see your running patterns and help you find a shoe that works best for you.
Get your foot measured.
As you age your feet actually change; they can expand or flatten. Don�t every assume your shoe size, get your foot measured every time. A comfortable fit is dependent upon wearing the right size shoe. You also need to keep in mind that shoe sizes may differ from brand to brand.
Dress for the run.
When you are shopping for a new pair of running shoes, dress as you would when you run. Don�t show up wearing flip flops or when you are dressed for the office. Definitely don�t show up without socks.
Forget the latest trend or what�s fashionable; think functionality.
There are plenty of sharp looking shoes, but that doesn�t mean they are the right running shoe for you. Go for fit and functionality first and fashion second.
Take them for a test drive.
Once you have settled on a pair or two, try them both on and try them out. Many stores that specialize in running shoes have a treadmill or area where runners can try their shoes. That is the only way you can tell for shoe if the shoe is right for you.
Patellofemoral Syndrome: As the weather warms and spring is in full swing, more and more runners are heading outside, hitting the pavement to train for upcoming races or to just step up their game after a long winter. While there are some die hard runners who don�t let even the most brutal winter stop them, most tend to retreat indoors, waiting for warmer days and a more pleasant environment. Unfortunately, increased activity can also lead to an increased risk of injury, particularly patellofemoral pain syndrome (PFPS), also known as runner�s knee.
What Is Patellofemoral Pain Syndrome?
Runner�s knee is often used to describe PFPS, but runner�s knee is actually a broader term describing several different knee injuries or ailments. PFPS is a painful condition that is caused when the tissue that is between the femur (thigh bone) and the patella (kneecap) becomes inflamed or irritated.
Most people will notice pain in the front portion or anterior part of the knee, but pain can be experienced in other parts of the knee and even back pain may occur. Running increases the discomfort, as does sitting for long periods and going up or down stairs.
The causes of PFPS can also vary widely. Overuse is often the first thing that people think, but a problem with the way the knee is aligned is actually the most common reason.
If the patella is not properly aligned, when it moves through the groove that is at the end of the femur, it causes irritation to the surrounding tissues. This usually happens because the muscles and joints are out of balance.
For instance, if the quad muscle on one side is weaker than the other side it throws the entire system out of balance, causing the knee to become misaligned. This leads to knee pain and discomfort.
Treatment For Patellofemoral Syndrome – Runner�s Knee
When treating PFPS, rest is usually first on the list, followed by icing the area to reduce inflammation. Once the pain is under control, the next step is to determine what is causing the problem. It is important to rule out more serious conditions or injuries first in order to determine the best course of treatment.
If it is indeed PFPS, strengthening the muscles in and around the knee is generally the first step in treatment. It is important that the muscle strength is balanced so that the knee can be properly aligned. Getting a good pair of running shoes is also recommended so that future injury can be prevented.
Chiropractic For Runner�s Knee
Runner�s knee, or PFPS, responds very well to chiropractic treatment. The chiropractor is able to do a complete exam and find the cause of the problem, then tailor the treatment accordingly. This is typically done on a case by case basis with treatment that is based on the individual�s unique needs. The chiropractor may do various chiropractic alignments and manipulations on the spine, hip, ankle, and knee in order to bring the body back into proper balance.
The chiropractor may also recommend other complimentary treatments including special supplements, dietary adjustments, and an exercise plan. The chiropractor may also recommend certain stretching exercises to aid in healing. Kinesio taping is another common treatment that may be used in conjunction with chiropractic care. It is particularly beneficial when there is a muscular strength imbalance. The tape can help support the weaker muscle group.
Chiropractic care is a very effective treatment for patellofemoral syndrome and the associated knee pain. It works to correct the problem by bringing the body back into proper alignment, allowing it to function as it should.
IT Iliotibial band syndrome is a very common injury among runners. If it is diagnosed early and treatment commences immediately the chances of it becoming a chronic condition are reduced. It responds very well to chiropractic since it involves the pelvis and related muscles. When pelvic mechanics are not functioning properly the muscle don�t work efficiently which hinders flexibility and mobility. This can lead to tight muscles which may inhibit motion and cause pain. Chiropractic adjustments have been proven to help with the condition.
What Is The Iliotibial Band?
The Iliotibial Band, or fasciae latae, is the outer casing of muscle that extends along the outer thigh, from the top of the hip to the outside of the knee. IT Iliotibial band syndrome occurs when that casing becomes thickened. It is flexed or tight when you stand; it is what keeps your let straight, allowing the larger thigh muscle to rest.
There are two primary muscles that are involved in iliotibial band syndrome, the buttock muscle, or gluteus maximus, and the tensor fasciae latae muscles. Sometimes Iliotibial Band Syndrome is referred to Tensor Fasciae Latae Syndrome and the two terms can be used interchangeably.
IT Iliotibial Band Syndrome Defined
As the iliotibial band thickens it pulls in the area where it connects to the knee. This results in knee pain due to the application of too much pressure on the bursa. The bursa then becomes swollen, inflamed, and painful. During activity, such as running on an incline, the glutes are heavily involved.
The other end of the iliotibial band is inserted at the glutes so as the band tightens from this activity, it can trigger iliotibial band syndrome pain. Repeated activity further aggravates it, as does running on tight indoor tracks or uneven roads as well as having collapsed arches or running it inferior or worn out running shoes.
Symptoms Of Iliotibial Band Syndrome
There are several symptoms that can be used to diagnose iliotibial band syndrome. Lateral knee pain (pain on the outside of the knee) is a primary symptom and often used as a key diagnostic tool. Few conditions involve lateral knee pain. Other symptoms include:
Pain that worsens after running, particularly after running on an incline, climbing stairs, or climbing hills
There may not be any pain until you do something that aggravates it like climbing a hill.
The pain may not begin until you are mid-way through a run.
The pain can be intense and debilitating.
It can accompany a snapping hip, which occurs when the muscles that cross the outer hip may click or snap while running or walking.
The pain may be present along the lateral thigh without incorporating the knee, but it is only in very rare instances that it is concentrated on the gluteal or hip muscles.
Iliotibial band syndrome is often attributed to over training. This can mean suddenly increasing hill repeats or doubling your mileage.
Treatments For IT Iliotibial Band Syndrome
If your iliotibial band syndrome is caused by a problem with pelvic function, relieving the pain from the condition can be difficult. Stretching is not likely to bring relief � and if it does it won�t last long. If the pain from iliotibial band syndrome lasts for more than two weeks even if you are only stretching, your regular exercise routine, and ice and you don�t see much improvement, a chiropractor can help.
Even if the pain is located in the knee, the problem could originate in the pelvis. A chiropractor can assess your condition, check to see that your pelvis is functioning properly. If it isn�t, spinal adjustments and other chiropractic treatments can bring the body back into alignment and make the pelvis more functional.
Chiropractic Clinic Extra: Sport Injury Treatments
Feeling back pain, being unable to perform daily tasks, workout and play sports can be frustrating for anyone. The debilitating symptoms can drive individuals to seek fast relief. But, while a person�s only concern maybe only to fix the day�s pain, fixing the root/cause of the problem is far better in the long run and�can be easily achieved from chiropractic treatment. After receiving a single adjustment, many people especially athletes can expect an increase in their range of motion and less pain. Regardless of the reasons for seeking chiropractic treatment, one question always crosses people�s minds, how often should one see a chiropractor?
The answer to that question depends on the individual�s goals. Generally, spinal complications are not the result of a single day�s activities but tend to occur gradually over a period of time. Many spine conditions and injuries result in symptoms that may intermittently increase and decrease over several years, causing constant, nagging pain or sharp, extreme pain due to wear and tear type of injuries that the body is no longer able to heal on its own.
Chiropractic Treatment Sports Injury
Healing requires time and patience, a person also needs to be aware of what caused the complications in the first place. Suddenly stopping strict exercise routines or gaining weight in a certain amount of time can create an accelerated aging process on the joints.
If an individual�s goals are solely focused on alleviating the pain resulting from one time, then it won�t take much time to heal. Generally, receiving adjustments 2-3 times per week for several weeks can ease pain and decrease other symptoms. But, if a person is seeking to relieve the symptoms associated with an underlying condition or injury, or if a person is seeking to correct an improper posture or a mechanical dysfunction, the process could be much longer. This healing process often may require about 2-3 months of regular adjustments.
Despite completing treatment and successfully alleviating any symptoms, it is recommended to continue chiropractic adjustments on a regular basis. What is considered a regular basis for adjustments? Getting adjusted at least once a week by a chiropractor can help maintain a person�s overall health and can prevent small problems from becoming greater issues. For a greater majority of individuals, especially those who sit most of the day, it�s recommended to maintain an adjustment schedule every week or two. A chiropractor will explain what is the right schedule.
By Dr. Alex Jimenez
Chiropractic Clinic Extra: Sport Injury Treatments
Chiropractic care is extremely beneficial for many different conditions; some obvious while others are more obscure. Structural issues that affect the knees are often very responsive to chiropractic treatment. In the case of chondromalacia patellae and other knee problems, it has proven to reduce pain and help improve the condition considerably, providing the patient with increased mobility and flexibility.
Chondromalacia Patellae (aka Runner�s Knee)
Approximately 40 percent of injuries that runners experience are knee injuries. These injuries fall under the umbrella term of �runner�s knee.� This includes chondromalacia patellae which may also be referred to as patellofemoral pain syndrome (PFMS).
Other runner�s knee injuries include iliotibial band syndrome, and plica syndrome. Chondromalacia patellae is one of the more common forms of runner�s knee, along with PFMS. Rest and ice are typical remedies, but when that doesn�t work or when the pain and mobility difficulties return once the patient returns to normal activities, chiropractic care is often a good treatment option.
Chondromalacia Patella
The knee is a marvelous piece of machinery. It is constructed to take the impact of the body�s weight, bending, and moving. Under the kneecap is a layer of cartilage which acts as a natural shock absorber. Injury, overuse, aging, or other conditions can cause damage to that cartilage.
This condition causes pain and impaired mobility, most commonly when the knees are in use such as walking up or down stairs. The pain may decrease with rest and ice, but sometimes that simply isn�t enough. Traditional treatments include physical therapy, medication for pain, and surgery.
Symptoms
The most common symptom of chondromalacia patellae is pain in the front of the knee. It is often described as a dull ache that is deep in the knee. This pain is often made worse when the patient sits with their knee bent for a long time, when they squat or kneel, or when they walk up and down stairs.
The more the patient uses the knee, the worse it is. However, rest and ice can work fairly quickly to help relieve the pain. If the pain persists even with rest and ice, then more aggressive care is usually advised. While traditionally doctors prescribe medication and even surgery, more patients are gravitating to drug free, less invasive treatments for knee pain. Chiropractic is a viable option.
Causes & Risk Factors
The exact cause of chondromalacia patellae is not known. Doctors have been able to link the condition to several factors. Overuse of the knee places repetitive stress on the joint. This is commonly seen in sports or activities that involve a lot of jumping or running.
Poor muscle control is another common factor. The muscles that surround the knee and hip don�t function properly so that tracking of the kneecap is �off.� Injury is another common factor with chondromalacia patellae. When the kneecap endures a trauma such as fracture or dislocation.
There are several factors that may increase a person�s risk of developing chondromalacia patellae. Age is often noted in young adults and adolescents. Older individuals with knee pain are usually experiencing effects of arthritis.
Gender is another risk factor. Women develop the condition twice as often as men. Doctors theorize that this is due to the skeletal structure of a woman � the pelvis is wider which increases the angle where the bones of the knee joint meet.
Individuals who participate in certain sports, such as those that involve a lot of jumping and running, are at an increased risk of developing the condition. This is particularly true if they suddenly increase their level of training.
Chiropractic Treatment
Successful chiropractic treatments for chondromalacia patellae include nutritional intervention as well as adjustments and stretches. The treatment is designed to stretch shortened hamstrings and adjust the sacroiliac joint.
The point of much of the treatment is to improve tracking of the kneecap and increase motor control. Some practitioners use soft tissue work to help patients with knee pain. The whole body approach that chiropractic care offers not only provides relief from knee pain, but often cures or reduces the condition itself.
If you or a loved one are suffering from knee pain, give us a call. Our Doctor of Chiropractic will do a thorough exam to determine the proper treatment protocol for your condition. You don�t have to live with pain. Again, give us a call. We�re here to help!
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Symptoms Of Iliotibial Band Syndrome
