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Overexertion, Repetitive Stress Injuries: EP Back Clinic

Overexertion, Repetitive Stress Injuries: EP Back Clinic

Overexertion and repetitive stress injuries make up a fourth of all work injuries. Repetitive pulling, lifting, punching in numbers, typing, pushing, holding, carrying, and scanning are the most common causes of job-related injuries. These types of injuries are the most common that cause missed days at work.  Overexertion can lead to lasting physical chronic conditions, ranging from chronic back pain to chronic joint pain caused by the advanced wearing and tearing of the various musculoskeletal tissues. Chiropractic medicine takes a comprehensive and whole-body approach to treating neuromusculoskeletal injuries. Chiropractic relieves tight or damaged muscles, increases nerve energy flow, and properly aligns the joints through adjustments, spinal traction, decompression, and various forms of manual manipulation.

Overexertion, Repetitive Stress Injuries: EP Chiropractic Specialists

Overexertion and Repetitive Stress Injuries

Overexertion and repetitive stress injuries typically occur over time/years of engaging in the same strenuous activity regularly. However, an overexertion injury can occur with one sudden or extreme movement. A worker can injure muscles, tendons, joints, and ligaments. Overexertion can lead to musculoskeletal disorders with symptoms including:

  • Inflammation
  • Swelling
  • Numbness
  • Stiffness
  • Chronic pain
  • Limited or total loss of mobility in the muscles, tendons, ligaments, and joints.

Types

A few of the most common examples of overexertion injuries include:

Soft-Tissue

  • Injuries to muscles, ligaments, tendons, and joints.

Back

  • Pulled, strained back muscles.
  • Herniated discs.
  • Compressed nerve roots.
  • Fractured vertebrae.

Dehydration and Heat Stroke

  • Most common among workers doing outdoor manual labor.

Repetitive and Overuse

  • Injuries range from carpal tunnel syndrome to stress fractures.
  • Often the result of weeks, months, or years of repeated movements
  • In many cases, two or more injuries can happen simultaneously.
  • For example, a worker is more likely to sustain an injury if they are dehydrated or they are performing dual tasks.

Causes

Certain movements and activities are more likely to cause overexertion injuries. Some of the most common include:

  • Daily lifting of objects, light and heavy.
  • Performing awkward movements that cause the body to be in unhealthy positions.
  • Standing and/or sitting or for long periods.
  • Using excessive force to perform tasks.
  • Operating heavy machinery.
  • Working in hot and/or humid conditions.

High-Rate Injury Industries

Industries in which overexertion injuries are most common include:

  • Education.
  • Health services.
  • Manufacturing.
  • Construction.
  • Warehouse work.
  • Transportation.
  • Wholesale trade.
  • Retail stores.

Chiropractic Treatment

These injuries can lead to missed work, debilitating pain, and medical bills. Depending on the severity of the injury, chiropractic care will use massage techniques, spinal manipulation, traction, and decompression therapies, to increase flexibility and mobility to reduce the chances of a recurring injury. The benefits of chiropractic include:

  • Prevents the risk of worsening or future injuries.
  • Expedites recovery to help individuals rehabilitate and get back to work sooner.
  • Improves physical and mental well-being.
  • Provide recommendations on how to properly stretch and strengthen muscles.
  • Nutritional anti-inflammatory recommendations.

By learning how to avoid overexertion injuries, workers can be more productive, enjoy work, and improve their quality of life.


From Injury To Recovery


References

Anderson, Vern Putz, et al. “Occupational fatalities, injuries, illnesses, and related economic loss in the wholesale and retail trade sector.” American Journal of industrial medicine vol. 53,7 (2010): 673-85. doi:10.1002/ajim.20813

Choi, Hyun-Woo, et al. “Characteristics of occupational musculoskeletal disorders of five sectors in the service industry between 2004 and 2013.” Annals of Occupational and environmental medicine vol. 29 41. 19 Sep. 2017, doi:10.1186/s40557-017-0198-4

Friedenberg, Rivi, et al. “Work-related musculoskeletal disorders and injuries among emergency medical technicians and paramedics: A comprehensive narrative review.” Archives of Environmental & occupational health vol. 77,1 (2022): 9-17. doi:10.1080/19338244.2020.1832038

Galinsky, T et al. “Overexertion injuries in home health care workers and the need for ergonomics.” Home health care services quarterly vol. 20,3 (2001): 57-73. doi:10.1300/J027v20n03_04

González Fuentes, Aroa, et al. “Work-related overexertion injuries in cleaning occupations: An exploration of the factors to predict the days of absence by means of machine learning methodologies.” Applied ergonomics, vol. 105 103847. 30 Jul. 2022, doi:10.1016/j.apergo.2022.103847

Schoenfisch, Ashley L et al. “Declining rates of work-related overexertion back injuries among union drywall installers in Washington State, 1989-2008: Improved work safety or shifting of care?.” American Journal of industrial medicine vol. 57,2 (2014): 184-94. doi:10.1002/ajim.22240

Williams, J M et al. “Work-related injuries in a rural emergency department population.” Academic emergency medicine: official journal of the Society for Academic Emergency Medicine vol. 4,4 (1997): 277-81. doi:10.1111/j.1553-2712.1997.tb03548.x

Knee and Ankle Automobile Collision Injuries: EP Back Clinic

Knee and Ankle Automobile Collision Injuries: EP Back Clinic

Automobile accidents and collisions can cause knee and ankle injuries in various ways. Automobile crashes are considered high-energy collisions versus slip and fall traumas which are generally low-energy. However, a 30mph or under-collision can have serious and detrimental effects on the knees and ankles. The sudden forces can cause the knees to collide with the dashboard or push the feet and legs into the body, generating intense pressure and compressing the bones, muscles, and ligaments damaging soft tissues and bone structures from the impact. The Injury Medical Chiropractic and Functional Medicine Clinic Team can rehabilitate, realign, strengthen, and restore function to individuals with minor to severe auto collision injuries.

Knee and Ankle Automobile Collision Injuries: EP Chiropractic Team

Knee and Ankle Injuries

Musculoskeletal motor vehicle crash/collision injuries affect the body’s movement. The impact can pull, tear, crush, and smash bones, muscles, tendons, ligaments, discs, and nerves. These injuries restrict the range of motion and can cause pain and sensation symptoms. The National Accident Sampling System reports 33% of injuries sustained during vehicle collisions are to the lower extremities.

  • Despite the knees and ankles having soft tissues that absorb and distribute the energy’s impact, the forces from the collision often happen instantly and unexpectedly, causing the individual to tense up, which overwhelms the structures.
  • Even panic stepping on the brake pedal can cause injury to the ankle and foot.
  • A passenger’s reflex of trying to resist forces can experience foot, ankle, and knee injuries from bracing off the vehicle’s floorboard.
  • Automobile collisions can cause strains, sprains, fractures, and dislocations.

Torn, Strained, or Sprained Knee

  • If the foot becomes planted on the floorboard while the body continues to move forward or sideways, the force can travel into the knee, causing twisting or shearing.
  • Depending on the injury type, the impact strength can damage different ligaments.
  • The ligaments resist forces that push the knee inwards/medially and outwards/laterally and slightly resist rotational forces.
  • When any of these ligaments are damaged, swelling, pain, and limited ranges of motion can result.
  • Putting weight on the affected leg can be difficult.
  • In some cases, the ligaments tear completely, necessitating surgical repair.
  • Once the individual can engage in mild activity, they can begin a rehabilitation program to restore function.
  • Recovery times vary based on the location and severity of the injury.

Fractured Knee or Ankle

  • When a fracture occurs in a joint, like the knees or ankles, surgical procedures may be necessary to repair the broken bone/s.
  • Broken bones can result in simultaneous damage and/or inflammation of the connective tissues that can cause the muscles to contract/tighten or atrophy during the recovery and healing phases.
  • Joints and bones are kept healthy with moderate movement and weight-bearing.
  • Fractures require immobilization of the affected area.
  • A physical therapy rehabilitation program can begin when the brace or cast comes off.
  • Targeted exercises and resistance will strengthen and stretch the joint to improve flexibility and promote healing through improved circulation.

Torn Meniscus

  • The meniscus is a C-shaped area of cartilage that rests between the thigh and shin bones.
  • It acts as a shock absorber.
  • The meniscus can become torn, resulting in pain, stiffness, and loss of motion.
  • This injury can heal independently with the right rest and therapeutic exercises.
  • A chiropractic auto collision specialist can diagnose the severity of the tear and provide the recommendations needed to rehabilitate and strengthen the knee.
  • If the tear is severe enough, surgery may be required.

Strained or Sprained Ankle

  • Strained tendons and sprained ligaments can result from the ankle being subject to tremendous force.
  • Strains and sprains vary in severity.
  • Both indicate that the connective tissue has been damaged or stretched beyond normal limits.
  • They can present with pain, inflammation, and problems moving the affected area.
  • With proper medical attention and rehabilitation, recovery is possible.

Torn Achilles Tendon

  • The Achilles tendon connects the calf muscle to the heel and is necessary for walking, running, physical activity, and bearing weight.
  • If the tendon gets torn, surgery will be required to reattach the muscle and tendon.
  • After recovery, the individual can begin physical therapy to work the tendon and muscle, slowly building strength and range of motion.
  • It is critical to do this with the supervision of an expert in musculoskeletal rehabilitation to avoid re-injury or developing new injuries.

Chiropractic Treatment

Any musculoskeletal motor vehicle injuries can result in intense pain that worsens with activity, inflammation, swelling, redness, and/or heat in the affected area. This is why correctly diagnosing the injury is essential if the condition is to be properly and thoroughly treated. A physical examination will vary based on the individual’s state and can include:

  • Strength assessment
  • Range of motion
  • Reflexes
  • Other variables to determine the underlying issues.
  • Diagnostic imaging such as X-rays, MRIs, and CT scans can help identify and clarify injuries’ extent, nature, and location and rule out problems.

A qualified healthcare professional will combine the data with medical history to develop an accurate diagnosis. Our ability to effectively treat accident individuals is based on applying clinical expertise in musculoskeletal diagnosis and care. Our medical team takes a practical approach to help individuals quickly heal from musculoskeletal injuries using the latest treatments possible. When you meet with one of our professionals, you will feel relaxed and confident that you have come to the right place.


From Injury To Recovery


References

Dischinger, P C et al. “Consequences and costs of lower extremity injuries.” Annual proceedings. Association for the Advancement of Automotive Medicine vol. 48 (2004): 339-53.

Fildes, B et al. “Lower limb injuries to passenger car occupants.” Accident; analysis and prevention vol. 29,6 (1997): 785-91. doi:10.1016/s0001-4575(97)00047-x

Gane, Elise M et al. “The impact of musculoskeletal injuries sustained in road traffic crashes on work-related outcomes: a protocol for a systematic review.” Systematic reviews vol. 7,1 202. 20 Nov. 2018, doi:10.1186/s13643-018-0869-4

Hardin, E C et al. “Foot and ankle forces during an automobile collision: the influence of muscles.” Journal of biomechanics vol. 37,5 (2004): 637-44. doi:10.1016/j.jbiomech.2003.09.030

Li, Wen-Wei, and Cheng-Chang Lu. “Knee deformity following a motor vehicle accident.” Emergency medicine journal: EMJ vol. 38,6 (2021): 449-473. doi:10.1136/emermed-2020-210054

M, Asgari, and Keyvanian Sh S. “Crash Injury Analysis of Knee Joint Considering Pedestrian Safety.” Journal of biomedical physics & Engineering vol. 9,5 569-578. 1 Oct. 2019, doi:10.31661/jbpe.v0i0.424

Torry, Michael R et al. “Relationship of knee shear force and extensor moment on knee translations in females performing drop landings: a biplane fluoroscopy study.” Clinical biomechanics (Bristol, Avon) vol. 26,10 (2011): 1019-24. doi:10.1016/j.clinbiomech.2011.06.010

Gymnastics Injuries: El Paso Back Clinic

Gymnastics Injuries: El Paso Back Clinic

Gymnastics is a demanding and challenging sport. Gymnasts train to be powerful and graceful. Today’s moves have become increasingly technical acrobatic moves with a much higher degree of risk and difficulty. All the stretching, bending, twisting, jumping, flipping, etc., increases the risk of neuromusculoskeletal injuries. Gymnastics injuries are inevitable. Bruises, cuts, and scrapes are common, as are overuse strains and sprains, but severe and traumatic injuries can occur. Injury Medical Chiropractic and Functional Medicine Team can treat and rehabilitate injuries and help to strengthen and prevent injuries. The therapy team will thoroughly evaluate the individual to determine the injury/s severity, identify any weaknesses or limitations, and develop a personalized plan for optimal recovery, stability, and strength.

Gymnastics Injuries: EP's Chiropractic Specialists

Gymnastic Injuries

One of the main reasons injuries are more prevalent is because today’s athletes start earlier, spend more time practicing, perform more complex skill sets, and have higher levels of competition. Gymnasts learn to perfect a skill and then train to make their bodies look elegant while executing the routine. These moves require precision, timing, and hours of practice.

Injury Types

Sports injuries are classified as:

  • Chronic Overuse injuries: These cumulative aches and pains occur over time.
  • They can be treated with chiropractic and physical therapy and prevented with targeted training and recovery.
  • Acute Traumatic injuries: These are typically accidents that happen suddenly without warning.
  • These require immediate first aid.

Most Common Injuries

Gymnasts are taught how to fall and land to lessen the impact on the spine, head, neck, knees, ankles, and wrists. 

Back

Bruises and Contusions

  • Tumbling, twisting, and flipping can result in various bruises and contusions.

Muscle Soreness

  • This is the sort of muscle soreness experienced 12 to 48 hours after a workout or competition.
  • Proper rest is necessary for the body to recover fully.

Overtraining Syndrome

Sprains and Strains

  • Sprains and strains.
  • The R.I.C.E. method is recommended.

Ankle Sprains

  • Ankle sprains are the most common.
  • When there is a stretching and tearing of ligaments surrounding the ankle joint.

Wrist Sprains

  • A sprained wrist happens when stretching or tearing the ligaments of the wrist.
  • Falling or landing hard on the hands during handsprings is a common cause.

Stress Fractures

  • Leg stress fractures result from overuse and repeated impact from tumbling and landings.

The most common include:

  • Shoulder instability.
  • Ankle sprains.
  • Achilles tendon strains or tears.
  • Gymnasts wrist.
  • Colles’ fracture.
  • Hand and Finger injuries.
  • Cartilage damage.
  • Knee discomfort and pain symptoms.
  • A.C.L. tears – anterior cruciate ligament.
  • Burners and stingers.
  • Low back discomfort and pain symptoms.
  • Herniated discs.
  • Spinal fractures.

Causes

  • Insufficient flexibility.
  • Decreased strength in the arms, legs, and core.
  • Balance issues.
  • Strength and/or flexibility imbalances – one side is stronger.

Chiropractic Care

Our therapists will start with an evaluation and a biomechanical assessment to identify all the factors contributing to the injury. This will consist of a thorough medical history to understand overall health status, training schedule, and the physical demands on the body. The chiropractor will develop a comprehensive program that includes manual and tool-assisted pain relief techniques, mobilization work, MET, core strengthening, targeted exercises, and injury prevention strategies.


Facet Syndrome Chiropractic Treatment


References

Armstrong, Ross, and Nicola Relph. “Screening Tools as a Predictor of Injury in Gymnastics: Systematic Literature Review.” Sports medicine – open vol. 7,1 73. 11 Oct. 2021, doi:10.1186/s40798-021-00361-3

Farì, Giacomo, et al. “Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes.” International journal of environmental research and public health vol. 18,10 5460. 20 May. 2021, doi:10.3390/ijerph18105460

Kreher, Jeffrey B, and Jennifer B Schwartz. “Overtraining syndrome: a practical guide.” Sports Health vol. 4,2 (2012): 128-38. doi:10.1177/1941738111434406

Meeusen, R, and J Borms. “Gymnastic injuries.” Sports medicine (Auckland, N.Z.) vol. 13,5 (1992): 337-56. doi:10.2165/00007256-199213050-00004

Sweeney, Emily A et al. “Returning to Sport After Gymnastics Injuries.” Current sports medicine reports vol. 17,11 (2018): 376-390. doi:10.1249/JSR.0000000000000533

Westermann, Robert W et al. “Evaluation of Men’s and Women’s Gymnastics Injuries: A 10-Year Observational Study.” Sports Health vol. 7,2 (2015): 161-5. doi:10.1177/1941738114559705

Why The Spine Goes Out of Alignment: El Paso Back Clinic

Why The Spine Goes Out of Alignment: El Paso Back Clinic

As humans, there are a variety of stressors experienced daily. Stress collects in various body areas, most commonly the upper back, jaw, and neck muscles. Stress leads to tension in the muscles. The built-up tension can cause the spinal bones to shift out of alignment, irritating the nerves between the spinal bones. A cycle begins as increased nerve tension causes the muscles to continue to contract/tighten. The extra muscle tension continues to pull the spinal bones out of alignment, making the spine stiff and less flexible affecting posture, balance, coordination, and mobility, causing the spine to become further unstable. Chiropractic treatment at regular intervals is recommended to help realign and maintain proper position.

Why The Spine Goes Out of Alignment: EP Chiropractic ClinicWhy The Spine Goes Out of Alignment

The nerves in the body are intricately linked to the spinal cord, and small distortions in the alignment can cause nerves to misfire and malfunction. When the spine goes out of alignment, the nervous system/brain and nerves get stuck in a stressed or tense state. Even a minor misalignment can cause a series of discomfort symptoms to travel throughout the body.

Causes

Causes of misalignment that creates tension in the nerves and muscles include:

  • Previous injuries.
  • Unhealthy sleep.
  • Stress – mental and physical.
  • Physically demanding jobs.
  • Overtraining.
  • Sedentary habits.
  • Foot conditions and problems.
  • Unhealthy eating habits.
  • Being overweight.
  • Chronic inflammation.
  • Arthritis.

Chiropractic Treatment

Chiropractic examination procedures:

Palpation

  • A chiropractor will feel/palpate the spine to see if the bones are in alignment, move well, or are out of alignment and not moving correctly or moving at all.

Posture Exam

  • If the head, shoulders, and hips are uneven or the shoulders and head are pulling forward, the spinal bones are out of alignment/subluxations.

Balance and Coordination

  • Unhealthy balance and coordination can indicate the brain, nerves, and muscles are malfunctioning by spinal misalignment.

Range of Motion

  • A loss of spinal movement flexibility can show tension in the nerves, muscles, and misalignments.

Muscle Test

  • Loss of strength in a muscle can indicate the nerve signals are weak.

Orthopedic Tests

  • Tests that put the body in stressful positions focus on what tissue/s may be injured and the causes.

X-rays

  • X-rays look for abnormalities, dislocations, bone density, fractures, hidden/invisible injuries, and infections.

Injury Medical Chiropractic and Functional Medicine Clinic provide personalized treatment plans. These specific therapies are made to generate long-term spine benefits. Spinal manipulation, deep tissue massage, MET, and other manual therapy techniques, combined with exercise, help get the bones moving properly, the muscles functioning correctly, and the spine back into proper form. Treatment relieves muscle spasms, tension, and joint dysfunction, increases circulation, and retrains the muscles to remain relaxed.


The Natural Way to Heal


References

Ando, Kei et al. “Poor spinal alignment in females with obesity: The Yakumo study.” Journal of Orthopaedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006

Le Huec, J C et al. “Sagittal balance of the spine.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1

Meeker, William C, and Scott Haldeman. “Chiropractic: a profession at the crossroads of mainstream and alternative medicine.” Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010

Oakley, Paul A et al. “X-Ray Imaging is Essential for Contemporary Chiropractic and Manual Therapy Spinal Rehabilitation: Radiography Increases Benefits and Reduces Risks.” Dose-response: a publication of International Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437

Shah, Anoli A, et al. “Spinal Balance/Alignment – Clinical Relevance and Biomechanics.” Journal of biomechanical engineering, 10.1115/1.4043650. 2 May. 2019, doi:10.1115/1.4043650

Invisible Injuries – Auto Accidents: El Paso Back Clinic

Invisible Injuries – Auto Accidents: El Paso Back Clinic

Automobile accidents are emotionally and physically traumatic events. After an accident, individuals assume that they are okay if they don’t have any broken bones or gashing cuts. However, even minor accidents can lead to significant damage, but the individual doesn’t know it. An invisible/delayed injury is any injury that is not immediately obvious or is not experienced by the individual until hours, days, or weeks later. The most common are soft tissue injuries, back injuries, whiplash, concussions, and internal bleeding. This is why it is imperative to see a doctor or chiropractic accident specialist as soon as possible after an accident.

Invisible Injuries - Auto Accidents: EP's Chiropractic Specialists

Invisible Injuries Auto Accidents

The body goes into a fight or flight mode in a vehicle accident. That means a massive adrenaline surge makes anything happening to the body go unnoticed and unfelt. The individual does not feel pain and discomfort symptoms until later or much later.

Soft Tissue

  • A soft tissue injury affects muscles, tendons, ligaments, and body parts other than bone.
  • Even at low speeds, accidents, and collisions generate a significant force on the body.
  • Drivers and passengers often come to a sudden stop along with the vehicle or get thrown around.
  • This places intense stress on joints and other areas of the body.

Whiplash

The most common invisible soft-tissue injury is whiplash.

  • Where the neck muscles are suddenly and forcefully thrown forward and then back, causing the muscles and ligaments to stretch beyond their normal range of motion.
  • The injury typically results in pain, swelling, reduced mobility, and headaches.
  • Symptoms may not present right away.
  • Left untreated, whiplash can lead to long-term chronic pain.

Head Injuries

  • Head injuries are another common invisible injury.
  • Even if the head did not hit/impact anything, the force and momentum can cause the brain to collide with the inside of the skull.
  • This can lead to a concussion or even more serious brain injuries.

Concussion

A concussion is a traumatic brain injury. Individuals can have a concussion without losing consciousness, depending on the accident’s severity. Symptoms may be delayed or not experienced, but delayed treatment can lead to a longer recovery. Symptoms can include:

  • Fatigue.
  • Headache.
  • Confusion.
  • Inability to remember the accident.
  • Nausea.
  • Ringing in the ears.
  • Dizziness.

Back Muscles or Spine Injuries

Back muscles and spinal cord injuries are invisible injuries that can happen after an automobile accident. Signs of a back injury include:

  • The back muscles can be strained due to the impact and tension build-up.
  • Sore muscles or pain may not present until a day or two later.
  • Body stiffness.
  • Reduced mobility.
  • Muscle spasms.
  • Trouble walking, standing, or sitting.
  • Headaches.
  • Numbness and tingling.

Injuries to the spine, even serious ones, may not be apparent immediately.

  • The impact can cause the spine to shift out of alignment profoundly.
  • Swelling and bleeding in or around the spinal cord can cause numbness or paralysis that can gradually progress.
  • This invisible injury can have long-term consequences, including paralysis.

Chiropractic Care

Chiropractic is an effective treatment for neuromusculoskeletal injuries. The chiropractor will assess the damage and its severity to determine the best treatment for the individual. It relieves pain and discomfort symptoms, loosens and relaxes the muscles, and restores alignment, mobility, and a full range of motion. Chiropractic uses several tools and techniques to restore the spine and body balance. Results include:

  • Pain relieved.
  • Improved circulation.
  • Restored alignment.
  • Released compressed/pinched nerves.
  • Improved posture and balance.
  • Improved flexibility.
  • Restored mobility.

Don’t Ignore Post-Accident Pain


References

“Automobile-related injuries.” JAMA vol. 249,23 (1983): 3216-22. doi:10.1001/jama.1983.03330470056034

Barach, P, and E Richter. “Injury prevention.” The New England Journal of Medicine vol. 338,2 (1998): 132-3; author reply 133. doi:10.1056/NEJM199801083380215

Binder, Allan I. “Neck pain.” BMJ clinical evidence vol. 2008 1103. 4 Aug. 2008

Duncan, G J, and R Meals. “One hundred years of automobile-induced orthopedic injuries.” Orthopedics vol. 18,2 (1995): 165-70. doi:10.3928/0147-7447-19950201-15

“Motor Vehicle Safety.” Annals of emergency medicine vol. 68,1 (2016): 146-7. doi:10.1016/j.annemergmed.2016.04.045

Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9

Vassiliou, Timon, et al. “Physical therapy and active exercises–an adequate treatment for prevention of late whiplash syndrome? Randomized controlled trial in 200 patients.” Pain vol. 124,1-2 (2006): 69-76. doi:10.1016/j.pain.2006.03.017

Softball – Baseball Injuries: El Paso Back Clinic

Softball – Baseball Injuries: El Paso Back Clinic

Softball and baseball require running, jumping, throwing, and swinging movements. Even for the fittest athletes and weekend warriors, the body and the neuromusculoskeletal system will go through overuse injuries, throwing-related injuries, sliding injuries, falls, collisions, and getting hit by the ball. Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery.

Softball - Baseball Injuries: EP's Chiropractic Team

Softball and Baseball Injuries

Baseball and softball injuries are generally defined as either acute/traumatic or cumulative/overuse injuries. Both types can occur in various body areas, for example, a knee injury caused by a fall or quick repositioning shift.

Acute/Traumatic

  • Injuries occur from traumatic force or impact.

Overuse/Cumulative

  • These occur over time from repeated stress on the muscles, joints, and soft tissues.
  • Often athletes return too soon to play, not giving the injury enough time to heal fully.
  • They begin as small aches and pains that can progress into chronic conditions if not treated.

Shoulder

Shoulder overuse injuries are very common. Constantly performing the throwing movements and high-speed throwing strains the joints, muscles, tendons, and ligaments.

  • In softball, bicep injuries are more common than shoulder injuries.
  • In baseball, the overhead throwing position leads to shoulder problems.

Frozen Shoulder

  • Characterized by a restricted range of motion and pain.
  • Athletes with frequent shoulder injuries have an increased risk.

Shoulder Instability

  • Softball and baseball players are more susceptible to injury from overhead throwing, which stretches the shoulder capsule and ligaments.
  • Shoulder instability can lead to loose joints and dislocation.

Shoulder Separation

  • This is the tearing of the ligaments that connect the shoulder blade to the collarbone.
  • This is often a traumatic injury that occurs during a collision or fall with outstretched hands.

Shoulder Tendinitis, Bursitis, and Impingement Syndrome

  • These are overuse injuries in which the shoulder joint becomes inflamed, restricting movement.

Torn Rotator Cuff

Elbow

Elbow injuries are very common, especially damage to the ulnar collateral ligament, which stabilizes the elbow when pitching and throwing.

  • Pitchers can also develop elbow sprains.
  • Damage or tear to the ulnar collateral ligament
  • Damage often is caused by pitchers throwing too much.

Bursitis

Little League Elbow

  • This is an injury to the growth plate on the inside of the elbow.
  • It can be caused by the wrist flexors pulling on the inside.
  • It is typically attributed to overuse and improper mechanics when throwing.

Tennis Elbow

  • This overuse injury on the outside of the elbow makes it difficult to lift or grasp objects.

Hand and Wrist

Softball and baseball can cause hand and wrist injuries from catching, colliding, falling, and overuse. Damage to a hand or wrist is typically caused by repetitive stress and/or a sudden impact.

Finger Fractures

  • These can be caused by impact on the ball or falls.
  • This can happen during contact with another player or diving for a ball and hitting the ground hard or at an awkward angle.

Sprains

  • A fall or impact from the ball or another player can cause these.

Tendinitis

  • This is an overuse injury, often from pitching and/or throwing.

Back

  • Catchers are especially prone to back injury because of the crouched position and overhead throwing.
  • Softball pitchers also experience back strain from the windmill pitching action.
  • Common conditions include chronic muscle strains, herniated discs, low back issues, sciatica symptoms, and pain.

Knee

Softball and baseball players quickly twist or rotate their knees, making them more susceptible to injuries. Sprains, meniscus tears, ACL tears, and hamstring strains are common.

  • Aggressive twisting and pivoting can cause swelling, stiffness, and pain.
  • Running and sudden changes in direction can result in acute knee injuries and overuse injuries.
  • Knee issues require examination for proper diagnosis.
  • Other common injuries include ankle sprains, stress fractures, and tendonitis in the foot and ankle.

Chiropractic

Chiropractors work with a massage therapy team to treat various musculoskeletal conditions. Chiropractic specializes in spinal adjustments and other treatments, including joint manipulation, myofascial release, MET techniques, trigger point therapy, and electrical stimulation. It encourages expedited recovery for sports-related injuries because instead of focusing on just the injuries, chiropractic assesses the mechanics of the whole body through proper alignment and release of constricted tissues. Adjustments of the spine and extremities allow the body to realign for better overall functionality, reduce pressure, improve blood circulation, and reduce inflammation to promote increased and thorough healing.


Improving Athletic Performance Through Chiropractic


References

Greiner, Justin J et al. “Pitching Behaviors in Youth Fast-Pitched Softball: High Pitching Volumes With Unequal Pitch Counts Among Pitchers are Common.” Journal of pediatric orthopedics vol. 42,7 (2022): e747-e752. doi:10.1097/BPO.0000000000002182

Janda, David H. “The prevention of baseball and softball injuries.” Clinical orthopedics and related research,409 (2003): 20-8. doi:10.1097/01.blo.0000057789.10364.e3

Shanley, Ellen, and Chuck Thigpen. “Throwing injuries in the adolescent athlete.” International Journal of sports physical therapy vol. 8,5 (2013): 630-40.

Shanley, Ellen, et al. “Incidence of injuries in high school softball and baseball players.” Journal of athletic training vol. 46,6 (2011): 648-54. doi:10.4085/1062-6050-46.6.648

Trehan, Samir K, and Andrew J Weiland. “Baseball and softball injuries: elbow, wrist, and hand.” The Journal of hand surgery vol. 40,4 (2015): 826-30. doi:10.1016/j.jhsa.2014.11.024

Wang, Quincy. “Baseball and softball injuries.” Current sports medicine reports vol. 5,3 (2006): 115-9. doi:10.1097/01.csmr.0000306299.95448.cd

Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18

Motorcycle Crash Injury Rehab: El Paso Back Clinic

Motorcycle Crash Injury Rehab: El Paso Back Clinic

Injuries after a motorcycle crash include contusions, skin abrasions, soft tissue injuries to tendons, ligaments, and muscles, sprains, strains and tears, facial and jaw fractures, traumatic brain injury, broken bones, misalignment, neck and back injuries, and biker’s arm. The Injury Medical Chiropractic and Functional Medicine Team can develop a comprehensive view of the sustained injuries to create a personalized treatment plan to reduce inflammation, increase flexibility, correct misalignments, rehabilitate the body, relax, stretch, and strengthen the musculoskeletal system, and restore mobility and function.

Motorcycle Crash Injury Rehab: EP's Chiropractic Team

Motorcycle Crash Injuries

Motorcycle crash injuries are not easy to recover from. Acute soft tissue injuries caused by sudden trauma are common, as well as herniated discs, pelvis, and spinal misalignments that can have a cascading effect on the rest of the body.

Pelvic Misalignment

  • The pelvis comprises the pubic joint in the front and two sacroiliac joints in the back.
  • The sacroiliac joints work to connect the pelvis to the spine.
  • The pelvis also connects various muscles, including the pelvic floor and hip.

When the hip sustains a crash/collision impact or the impact causes the individual to fall on their hip, the hip or pelvis can become misaligned. Pelvic misalignment is one of the leading causes of severe back problems and pain. To realign the pelvis, a chiropractor will develop a physical therapy program that will include the following:

  • Therapeutic massage to relax the muscles and increase blood circulation.
  • Directed stretching of tight and overactive muscles.
  • Strengthening or reactivating weak and inhibited muscles.
  • Exercises to train proper pelvis positioning awareness.

Neck Injuries

In addition to whiplash, spinal misalignment to the vertebrae in the neck can occur. A chiropractor can help restore the range of motion. The treatment team will develop a therapy program in addition to chiropractic. The primary focus is to improve the flexibility and strength of the neck. The common types of physical therapy include:

  • Massage.
  • Neck stretches.
  • Back strengthening.
  • Core strengthening.

Leg and Foot Injuries

Extremity injuries frequently occur, particularly to the feet and legs, and include:

  • Sprains.
  • Strains.
  • Muscle tears.
  • Road Rash.
  • Bone fractures.

The therapy team will build a treatment plan that works through each system up the foot, knee, and hip. This plan will help heal soft tissue injuries by applying techniques like massage therapy and at-home exercises.

Rider’s Arm

Motorcyclists may extend their hands out to protect themselves from the impact when falling. This position can lead to injuries that affect the shoulders, arms, wrists, and hands. The physical therapy team can help heal soft tissue injuries and increase mobility using mobilization. Chiropractic can restrengthen damaged shoulder muscles, support torn ligaments, and treat tissue damage.

  • This hands-on technique involves easing a joint or muscle through normal movement patterns to release and relax stiffness and increase mobility.
  • Manual adjustments, deep tissue massage, exercise, and hot/cold therapy help restore health and mobility and expedite recovery.

Injury Rehabilitation


References

Dischinger, Patricia C et al. “Injury patterns and severity among hospitalized motorcyclists: a comparison of younger and older riders.” Annual proceedings. Association for the Advancement of Automotive Medicine vol. 50 (2006): 237-49.

Mirza, M A, and K E Korber. “Isolated rupture of the anterior tibialis tendon associated with a fracture of the tibial shaft: a case report.” Orthopedics vol. 7,8 (1984): 1329-32. doi:10.3928/0147-7447-19840801-16

Petit, Logan, et al. “A review of common motorcycle collision mechanisms of injury.” EFORT open reviews vol. 5,9 544-548. 30 Sep. 2020, doi:10.1302/2058-5241.5.190090

Sander, A L et al. “Mediokarpale Instabilitäten der Handwurzel” [Mediocarpal instability of the wrist]. Der Unfallchirurg vol. 121,5 (2018): 365-372. doi:10.1007/s00113-018-0476-9

Tyler, Timothy F et al. “Rehabilitation of soft tissue injuries of the hip and pelvis.” International journal of sports physical therapy vol. 9,6 (2014): 785-97.

Vera Ching, Claudia, et al. “Traumatic tracheal injury after a motorcycle accident.” BMJ case reports vol. 13,9 e238895. 14 Sep. 2020, doi:10.1136/bcr-2020-238895