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Bowling Injuries: Chiropractic Care and Rehabilitation

Bowling Injuries: Chiropractic Care and Rehabilitation

Bowling is a fun physical activity that is enjoyable for all ages. Today, there are college bowlers, recreational bowlers, amateur, semiprofessional, professional leagues, and tournaments worldwide. Although it might not be the first sport that comes to mind when thinking of injuries and chronic pain conditions, it can place significant stress on the muscles and tendons of the upper and lower body. It is important to know and understand how to avoid injuries.

Bowling Injuries: Chiropractic Care and Rehabilitation

How Bowling Injuries Happen

There are two main causes of injuries and chronic pain related to bowling. The first is poor mechanics, and the second is repetitive over-use. Both cause/develop painful symptoms that can turn into injuries that become chronic conditions. Many injuries are caused by:

  • Slip and fall accidents
  • Players dropping the ball on their feet
  • The majority of injuries come from overuse/repetition and improper body mechanics.
  • Overuse injuries result from repetitive and/or strenuous actions/movements that place profound stress on the body’s musculoskeletal system.

For example, a semi-pro and professional bowler will play fifty or more games a week. This means throwing a sixteen-pound ball for ten frames per game. When consistently repeated over and over, this can cause serious wear and tear to the body. With amateur and recreational bowlers, they don’t play as much, so they don’t experience overuse injury as much, but what they do experience is improper/poor form techniques that shift the body in non-ergonomic ways, wrong equipment like oversized/too-small shoes that can cause awkward postures and body motions, a ball that is too heavy causing an individual to overthrow and strain their arms, backs, hips, and legs. Or a ball with small finger holes that get stuck or too large, causing finger, hand, arm, shoulder pulls strains, and sprains.

Common Bowling Injuries

The most common injuries and conditions associated with bowling include:

Many of the injuries can lead to tendonitis or arthritis later in life.

Trigger/Bowler’s Finger

Symptoms include:

  • Hand pain after bowling, specifically in the fingers
  • A clicking or popping when moving the fingers
  • A finger gets locked in a bent position

Rest, and no bowling is recommended. How long a rest depends on how long the symptoms have been presenting. Physical therapy, along with chiropractic exercises, can help improve finger strength. Splinting the finger could be required to improve the condition. If all fails or does not generate adequate relief, hand surgery could be optioned with a trigger finger release. The surgery allows the finger to move more freely.

Bowler’s Thumb

This usually happens to bowlers that want to generate a lot of spin on the ball. If the thumb’s hole is too tight, it can pinch the ulnar nerve inside the thumb. If the thumb injury is not serious, rest and getting the correct ball size can correct the issue. This is where purchasing a personal bowling ball can help.

Finger Sprain

This is an injury to one or more of the ligaments in the fingers. It most often takes place in the collateral ligaments along the sides of the fingers inside the ball. The ligament/s gets stretched or torn when the finger is forced beyond its normal range of motion. Common symptoms of a finger sprain include swelling, tenderness, stiffness, and pain in the affected finger. This usually occurs from:

  • The weight of holding the ball with the fingers alone
  • A poor release
  • Using a ball that doesn’t properly fit the fingers
  • A finger sprain falls into grades on the severity of how much the ligament is stretched or torn:

Grade 1

Stretching or microscopic tearing.

Grade 2

Less than 90% of the ligament is torn.

Grade 3

More than 90% of the ligament is torn. Grade three sprains can be accompanied by joint instability and immobility.

Herniated Disc

A herniated disc is when the discs get injured/damaged from overuse, wear, and tear, or a traumatic injury to the spine. The disc can dry out, become less flexible, bulge out, or rupture. Bowlers are constantly:

  • Bending during the final approach and throw
  • Carrying a heavy ball
  • Shifting, twisting, and releasing, increasing the pressure within the discs

In bowling, the majority of herniated discs happen in the low back. The most common symptom is backaches and back pain. Lumbar herniated discs left untreated can cause sciatica.

Avoid and Prevent Injury

The best way to prevent injury is to stay aware of body position, mechanics, equipment, and what the body says.


Stretching is one of the best things to avoid injury before practicing, competing, or just playing. Stretching will increase flexibility, especially in the wrist, hand, arm, and low back.

Improving technique

Continually using poor techniques over and over is a perfect set-up for injury. Working with a coach will ensure the proper form. This is important when it comes to generating spin on the ball, as well as, making sure the grip does not place too much strain on the hands.

Using the right ball

The ball being used might not be the right fit for your hand or strength. The holes could be too far apart, causing strain on the fingers. Get as much information as possible and try out different styles and weights to get a comfortable feel for the right ball.

Bowling less

Hard-core bowlers could be overdoing it. Cutting back, and creating a balance will allow the body to recover thoroughly and not cause flare-ups.

Getting in shape

Studies show that individuals who bowl and do not exercise significantly increase the risk of a back injury than those who exercise their back and core. Bowling is not as strenuous as other sports, but it still requires the body to be able to handle the stress.

Body Health

Test Body Composition

Testing body composition regularly is the best way to ensure the body stays healthy. Tracking body composition tracks Lean Mass and Fat Mass gain or loss. The information provided allows the individual to make the necessary changes to ensure they stay fit and healthy.

Diet adjustment

Diet needs to be adjusted to match the individual’s current activity level, or risk running a caloric surplus. A great way to optimize diet is to use Basal Metabolic Rate which will make sure the body is getting enough nutrients to fuel muscle growth, and lose belly fat.

Physical activity that fits the new lifestyle

Increase physical activity levels that work with current lifestyle. This does not mean performing at high levels every day. Be active on a schedule that works for you. Two days of strength training a week offer great physical and mental benefits. The key is to maintain the balance between food consumption and exercise/physical activity that fits your current lifestyle.


Almedghio, Sami M et al. “Wii knee revisited: meniscal injury from 10-pin bowling.” BMJ case reports vol. 2009 (2009): bcr11.2008.1189. doi:10.1136/bcr.11.2008.1189

Kerr, Zachary Y et al. “Epidemiology of bowling-related injuries presenting to US emergency departments, 1990-2008.” Clinical pediatrics vol. 50,8 (2011): 738-46. doi:10.1177/0009922811404697

Kisner, W H. “Thumb neuroma: a hazard of ten pin bowling.” British journal of plastic surgery vol. 29,3 (1976): 225-6. doi:10.1016/s0007-1226(76)90060-6

Miller, S, and G M Rayan. “Bowling related injuries of the hand and upper extremity; a review.” The Journal of the Oklahoma State Medical Association vol. 91,5 (1998): 289-91.

The Hands: Injuries, Symptoms, Causes, Medical Care

The Hands: Injuries, Symptoms, Causes, Medical Care

The hands are a magnificent piece of work. Its intricate design and functional form follow the hand. However, any injury to the underlying structures of the hand can overlap with other injuries/conditions. Even the smallest hand injuries require a proper medical examination. The objective is a quick and accurate initial evaluation along with treatment. Early treatment is done quickly to minimize short and long-term effects.

The Hands: Injuries, Symptoms, Causes, Medical Care


The hand consists of 27 bones that include 8 bones in the wrist. If the associated structures:

  • Nerves
  • Arteries
  • Veins
  • Muscles
  • Tendons
  • Ligaments
  • Joint cartilage
  • Fingernails
  • Get injured or damaged in some way; there is increased potential for various injuries.


The most common cause of injury/s is blunt trauma, followed by injury from a sharp object. Hand injuries are divided into categories:

Other hand injuries include:

  • Finger injuries
  • Wrist injuries
  • Broken hand
  • Nail injuries
  • Finger infection


Symptoms vary depending on the type of injury, how the injury occurred/mechanism, the depth, severity, and location. Common symptoms:


  • Tenderness
  • Pain
  • Bleeding
  • Numbness
  • Decreased range of motion
  • Difficulty moving
  • Weakness
  • Pale appearance

Fractures and Dislocations

  • Swelling
  • Discoloration
  • Tenderness
  • Deformity
  • Reduced range of motion
  • Numbness
  • Weakness
  • Bleeding

Soft Tissue Injuries and Amputations

  • Swelling
  • Discoloration
  • Tenderness
  • Deformity with or without tissue loss/bone loss
  • Bleeding
  • Weakness
  • Numbness


  • Tenderness
  • Swelling
  • Warmth/Heat around the area
  • Redness
  • Deformity
  • Reduced range of motion
  • Fever is rare in hand infections


  • Redness
  • Tenderness
  • Blistering
  • Complete numbness
  • Discoloration
  • Loss of tissue
  • The texture of the skin change
  • Areas of tissue blackened
  • Deformity

High-pressure Injection Injury

  • Pain
  • Swelling
  • Bleeding
  • Skin discoloration
  • Muscle, tendon, ligament tears
  • Cracked/Broken bones

Medical Care

Anyone with a hand injury is recommended to call a doctor or seek medical attention. When medical attention is delayed, the possibility of worsening or creating further injuries increases. Even the smallest cut or what looks like a minor injury could require advanced treatment to prevent infection or loss of function. Any cut or laceration that requires stitches to repair should also have a medical evaluation to make sure the musculoskeletal system of the hands is functioning properly. Injuries causing the following symptoms require emergency medical attention at an emergency clinic.

  • Severe bleeding
  • Severe pain
  • Numbness
  • Loss of motion
  • Loss of strength
  • Deformity
  • Signs of infection – tenderness, warmth/heat, redness, swelling, pus, or fever
  • Exposure of structures – tendons, bones, joints, arteries, veins, or nerves


A medical examination can include a medical history and physical examination.

Medical History

  • Past medical history
  • Does the patient have diabetes or arthritis?
  • Is the patient right or left-handed?
  • Occupation
  • Extracurricular activities and hobbies
  • How does the patient use their hands?
  • How did the injury occur, mechanism of injury?
  • Does the patient smoke?

Physical Exam

  • Visual inspection look at the injury
  • Sensory nerve exam feeling
  • Vascular exam circulation of blood supply
  • Muscular and tendon exam movement and strength
  • Bone exam broken bones or dislocated joints


A doctor will order X-rays after the history and physical exam if necessary. Certain injuries will require imaging to identify fractures/dislocations or to rule out foreign bodies. Many types of injuries can lead to compartment syndrome. Compartment syndrome is a condition in which there is swelling and an increase in pressure within a limited space or a compartment that presses on and compromises blood vessels, nerves, and/or tendons that run through that particular area. Once the immediate injury is addressed, a personalized treatment plan can be developed .to rehabilitate the hand/s to optimal function quickly

Body Composition

Artificial Sweeteners And Muscle Gain

Artificial sweeteners don’t individuals that are trying to build lean body mass. The body needs carbs after a workout for replenishing the depleted glycogen stores. Many commercially prepared protein supplements are made with artificial sweeteners that don’t provide an adequate source of carbohydrates. If an individual consumes only protein made with sugar substitutes after a workout, they are missing essential components of post-workout recovery. A study found that supplementing with carbohydrates before and during strength training can increase performance, compared to participants that were taking the artificial sweeteners saccharin and aspartame. To properly refuel after a workout, remove the artificially sweetened protein powders and replace them with a snack packed with protein and high-quality carbohydrates. These include:

  • Greek yogurt
  • Fruit with nuts or nut butter
  • Hummus with whole-grain crackers
  • Tuna
  • Hard-boiled eggs

Banting, Joshua, and Tony Meriano. “Hand Injuries.” Journal of special operations medicine: a peer-reviewed journal for SOF medical professionals vol. 17,4 (2017): 93-96.

Fuhrer, Reto et al. “Tipps und Tricks in der Behandlung offener Handverletzungen in der Notfallpraxis” [Treatment of acute injuries of the hand]. Therapeutische Umschau. Revue therapeutique vol. 77,5 (2020): 199-206. doi:10.1024/0040-5930/a001177

Harrison, BP, and M W Hilliard. “Emergency department evaluation and treatment of hand injuries.” Emergency medicine clinics of North America vol. 17,4 (1999): 793-822, v. doi:10.1016/s0733-8627(05)70098-5 High-Pressure Hand Injury. Soft Tissue Hand Injury Differential Diagnoses.

Siotos, C et al. “Hand injuries in low- and middle-income countries: a systematic review of existing literature and call for greater attention.” Public health vol. 162 (2018): 135-146. doi:10.1016/j.puhe.2018.05.016 Finger, Hand, and Wrist Injuries.

Musicians Benefit From Chiropractic, Here’s How El Paso, TX.

Musicians Benefit From Chiropractic, Here’s How El Paso, TX.

Piano players will sit or stand at a piano or keyboard, often in the same position for hours. A clarinet player must keep their head, neck, and jaw in a precise position in order to play properly. A guitarist must sit for long periods while holding the guitar in a certain position while moving their fingers over the frets in a very precise manner.

In other words, musicians put their bodies through some vigorous training. They practice for hours a day and engage their bodies in repetitive motions for long periods of time.

It’s no wonder that many musicians complain of headaches, migraines, carpal tunnel, clicking jaw, numbness in the fingers, and back and neck pain!

Some of this pain can be debilitating and make it more difficult for them to perform their normal activities. Many live with chronic pain.

musicians benefit with Injury Medical & Chiropractic Clinic El Paso, TX.

There was a time when these conditions were considered to be just a part of playing an instrument and the musician would push through the pain. However, many are turning to chiropractic and are enjoying not only a pain-free life but improved performance as well.

The Way Playing an Instrument Affects the Body

Some doctors liken musicians to athletes � instrumental athletes. They do have very similar practices such as practicing for hours a day so that they can perfect their abilities and skills. And like athletes, they also experience certain break downs within the body.

Posture is a common malady as the musician may stand or sit a certain way in order to play their instrument. This prolonged activity can lead to imbalances in the spine, pelvis, and other parts of the body.

When the body is not in balance, it cannot function as it should. Organs are affected and other the body may try to make accommodations for the imbalance which only exacerbates the problem.

This is further compounded each time the musician plays their instrument because by doing so they are consistently underworking and overworking certain muscles. This can lead to further imbalance.

The muscles that are worked, the ones used to play the instrument, get shorter, tighter, and stronger as scar tissue forms. By contrast, the underworked muscle groups stay underdeveloped and get weak. This muscular imbalance puts a great deal of stress on the spine and other joints in the body like the fingers, wrists, and elbows

They may also experience Repetitive Strain Injury or RSI. This condition is often quite painful and is concentrated in the soft tissues, nerves, tendons, and muscles.

These areas may become painful or inflamed when performing repetitive activities, pressing against hard surfaces, vibrations, awkward sustained positions, and forceful exertions. This causes the body to become out of alignment but also impacts the function of the skeletal system, nervous system, and muscular system.

musicians benefit with Injury Medical & Chiropractic Clinic El Paso, TX.


Chiropractors are very good for musicians because the can assess misalignments in their spine and make adjustments. When proper original alignment is stored to the body, it begins to function properly. This leads to a decrease in pain and other symptoms that may be experienced due to the long hours of playing an instrument.

Musicians also benefit from chiropractic because it can make them better at what they do. When the pain is decreased or eliminated and the other symptoms are relieved, it is easier to play.

When the spine is in proper alignment and the body is balanced, the musician will experience a boost in energy, their muscles will not fatigue as quickly, and their muscles will be more relaxed. With all those benefits, it�s no wonder that chiropractors and musicians make beautiful music together.

Chiropractic Care For Migraine El Paso, TX

Trigger Finger Strain/Injury! Chiropractic Care Can Help!

Trigger Finger Strain/Injury! Chiropractic Care Can Help!

Stenosing tenosynovitis, also known as �trigger finger,� is a repetitive strain injury that is one of the most common injuries in the workplace. It is marked by one finger or thumb that is stuck in a bent position and pops or snaps when straightened. The�cause is an inflamed or irritated flexor tendon.

As it slides through the sheath tunnel, the back and forth motion creates irritation which can lead to thickening of the tendon and even the formation of nodules. This can impede its movement through the sheath which can also thicken so that the opening that the tendon slides through becomes smaller.

What are the symptoms of trigger finger?

A person that has�trigger finger may experience several symptoms in one or more fingers or thumb including:

  • Pain when straightening or bending the finger
  • Swelling
  • A lump in the palm that is tender
  • The finger or thumb joints have a popping or catching sensation
  • Stiffness
  • The impaired tendon may suddenly break free causing the finger to snap straight or feel like it is dislocating

Some symptoms, like the stiffness, popping, and catching, may be more pronounced after periods of inactivity. The patient may find that upon waking they have difficulty, but as they move their fingers they loosen, and the symptoms aren�t as cause. In severe cases, the patient is unable to straighten their finger, even with help.

trigger finger injury chiropractic care el paso tx.

What causes trigger finger?

Many times the cause of trigger finger is not known. They may notice a gradual decline or they may wake up one day and experience symptoms. There are certain health conditions and circumstances that put some patients at a higher risk of developing trigger finger:

  • Men tend to get trigger finger more than women do
  • The most common age group for trigger finger is between 40 and 60 years old
  • It is prevalent in patients with rheumatoid arthritis, diabetes, and other medical conditions
  • Repetitive hand motions such as typing, gripping power tools, or playing video games
  • Activities where the hands are in constant repetitive�action.

What are the treatments for trigger finger?

There are surgical and nonsurgical treatments for trigger finger, depending on the severity of the condition. When the symptoms are mild, the patient may be advised to, rest the finger and take over the counter pain relievers like acetaminophen or cause to help reduce inflammation and minimize pain. The patient may also wear a splint to facilitate the resting position of the finger better.

In some cases, the doctor may advise steroid injections administered directly into the tendon sheath to correct the problem. Sometimes this procedure only provides temporary relief and requires a�second injection. If the condition shows no improvement after the second injection, the patient may be advised to undergo surgery. If the patient has had trigger finger for a long time or if they have a medical condition such as diabetes, injections are not likely to be as, or a permanent solution.

Some patients undergo surgery to correct trigger finger. The is purely elective since the condition is not considered dangerous. The operation opens the tendon sheath, the tunnel that the tendon slides through, to move easier. It is usually done on an outpatient basis.

Chiropractic for trigger finger

  • Two chiropractic treatments for trigger finger:
  • Active Release Technique (ART)
  • Graston technique
  • Studies have found these chiropractic techniques to be very useful in treating trigger finger.

An instrument based soft tissue therapy may also be used to help reduce tension in the muscles around the area. Chiropractors typically use a whole-body approach to help the patient achieve relief and healing. They recognize that most conditions are not limited to only what appears to be the affected area so they will employ techniques that treat the associated regions of the body as well, which, provides the patient with more reliable relief without the use of invasive procedures. Chiropractic is a practical, natural way to treat trigger finger.

Chronic Hand Pain Treatment