Scar tissue if left untreated/unmanaged could lead to mobility and chronic pain issues. Individuals that are recovering from a traumatic injury often have issues brought on from scar tissue. Scar tissue build-up is part of the healing process but in some cases, the tissue build-up can create another set of health issues. Restricted mobility and range of motion and lack of flexibility can worsen over time.
Chiropractors are taught to consider the presence of scar tissue when performing adjustments. This is especially true for patients recovering from a traumatic injury. If left untreated it could affect:
Recovery progress
Treatment approaches
The capability of the individual to handle the treatment
The planning and execution for a chiropractic recovery strategy
Scar Tissue Breakdown
Scar tissue can be broken up, managed, and kept loose/relaxed through various chiropractic/physical therapy techniques, stretches, exercises, and diet adjustments. Breaking up scar tissue and keeping it relaxed is necessary to restore full movement and range of motion. A certain degree of scar tissue will remain to mark the wound, but the pliability and softness of these tissues can be treated. Chiropractors can implement several techniques to break down scar tissue.
Graston Technique
The Graston technique uses instrumentation for addressing scarring in soft-tissue areas like the legs, neck, and lower back. A chiropractor targets the thicker scar tissue areas gently breaking them down.
Instrument Adjustment
Using a pulsating instrument, chiropractors can target specific areas of scar tissue buildup. The instrument massages the areas to improve flexibility and reduce stress in the tissue.
Assisted Manipulation
The assisted manipulation technique soothes the area before performing manual adjustments. A chiropractor could use light oil for heat, transcutaneous electrical nerve stimulation to loosen tension, or numbing gel/cream to soften any sensitivity.
Trigger point therapy
This therapy focuses on heavily scarred tissue areas, where there is substantial buildup. A chiropractor breaks down the scar tissue while continually testing the motion.
Therapeutic massage
Therapeutic massage is necessary with widespread scar tissue. It improves blood flow and gently stimulates scar tissue to improve movement and alleviate pain. These techniques and how they are applied depending on the individual and the amount of tissue build-up. For example, certain techniques work better for different situations like:
The Graston technique could help after surgery
Trigger point therapy can help when muscle spasms, and knots present
Therapeutic massage could be best suited for soft tissue scarrings, like whiplash or muscle strains
Adjustment Attention
Recent injuries that produce scar tissue can usually be felt while a chiropractor palpates the area, while radiological imaging shows scar tissue from past injuries. A chiropractor will take note of these areas when developing a treatment plan. Severe scar tissue will need special focus, which could mean a longer recovery. This is because the body could take longer to adjust to the adjustments being made. A thorough consultation and investigation will be performed/examined before any adjustments begin.
Chiropractic Massage Rehabilitation
References
Shin, Thuzar M, and Jeremy S Bordeaux. The role of massage in scar management: a literature review. Dermatologic surgery: official publication for American Society for Dermatologic Surgery [et al.] vol. 38,3 (2012): 414-23. doi:10.1111/j.1524-4725.2011.02201.x
The thoracic spine known as the middle back starts below the cervical or neck spine at around the level of the shoulders. It continues down to the first level of the low back or lumbar spine. There are twelve vertebrae, numbered T1-T12 top to bottom, and it is these vertebrae that make up the thoracic spine. When seen from the side, a normal forward curve can be seen.
The ribs are attached to the thoracic spine�s vertebrae making this region of the spine strong and stable. However, this area has less range-of-motion than the neck region. Because of its location, the thoracic spine deals less with injury/s than other areas of the spine. But it is the most common area for fractures from osteoporosis. Scoliosis and abnormal kyphosis are also thoracic spine disorders.
Getting to know the body’s spine and how it functions can help individuals have a better and thorough understanding of possible causes to upper and middle back pain, a doctor�s diagnosis, and the reasons for how simple lifestyle changes/choices can keep the middle back, as well as, the rest of the spine healthy.
Thoracic Support
The thoracic spine gives support to the torso, chest and provides an attachment point for each of the rib bones, minus the two at the bottom. The vertebral bodies are rounded with bony arches that project from the back of each and form a hollow protective space for the spinal cord. Facet joints are paired at the back of each and allow for limited movement.
Intervertebral Discs
There is a fibrous pad called an intervertebral disc that is held in place by the endplates between each level�s upper and lower vertebral bodies. Each disc acts like a spacer creating disc height/space between the upper and lower vertebrae. This space opens nerve passageways called a foramen or neural foramina at both sides. Nerve roots branch off the spinal cord and exit the canal through the neural foramina.
Soft Support Structures Limited Movement/s
The entire spinal column consists of:
Ligaments
Tendons
Muscles
These soft tissues attach to the bones, the discs, and work together to stabilize the midback when resting and when in motion. Ligaments are the strong bands of tissue that connect/protect the vertebrae, discs, provide stability, and help with excessive movement. Muscles hold the body upright and allow spinal flexion which is bending forward, extension bending backward, and rotation twisting from side to side. And the tendons are fibrous tissues that attach the muscle/s to the bone.
Nerves Role
The twelve pairs of nerve rootlets that branch off the cord through the neural foramen are to supply and generate sensation/feeling along with function/movement to the body. These nerves provide nutrients to the midback and chest area and relay signals between the brain and major organs, including:
Lungs
Heart
Liver
Small intestine
Spinal Disorders
Osteoporosis raises the chances of a thoracic fracture. A vertebral compression fracture can cause one or more bodies of bone to flatten or become wedge-shaped creating spinal cord/nerve compression. Sudden and severe back pain can be associated with vertebral compression fractures.
Scoliosis is an abnormal side to side curvature of the spine and is well known to develop in the thoracic spine causing deformity.
Abnormal kyphosis means the forward curvature has become extreme. The appearance of a kyphotic deformity can be seen as a hump.
Metastatic cancer where it travels from the chest, or lung causing spinal tumor/s that can develop and potentially lead to structural deterioration
Thoracic disc herniations are not common because of the middle back’s strength and stability created by the ribcage.
Spine Maintenance
Talk with your doctor, chiropractor, spine specialist about stretches and exercises that will work for your specific situation to strengthen the core, and middle back musculature. This will help significantly with injury prevention during flexion, extension, and rotation.
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The way a person walks is known as gait. A problem with gait can indicate pain in a patient as well as serious conditions like diabetes and arthritis. An individual’s gait can be very telling revealing problems in the:
It is a diagnostic tool for a variety of conditions, injuries, and syndromes including autism. When it comes to chiropractic, an individual’s gait can offer important information regarding the root of the complaints, allowing for a more well-rounded, whole-body approach. If you think that the way you walk or moves does not matter, think again, as it could save you from developing back problems in the long run.
Gait Analysis
Gait analysis consists of a set of tests designed to provide a comprehensive evaluation of an individual’s gait. It is a study of human movement/motion that involves observing the individual and using specialized instruments that measure body movements, muscle activity, and body mechanics.
It is an assessment tool to provide insight into creating a treatment plan for people who have conditions or injuries that affect their ability to walk. It is utilized in sports biomechanics to help athletes gain optimal movement and for identifying problems with movement or posture, especially those with injuries. During the analysis, the individual may be asked to walk in a certain pattern or on a treadmill, that is usually connected to a computer, while the chiropractor/therapist looks at them from different angles.
Cameras are placed at different points to capture various views/perspectives including the front, back, and sides. The individual might have markers placed at certain points on the body like the knee, ankle, pelvis, etc. As the person moves, the computer captures data of the movement with a three-dimensional calculation of each marker. It generates a model to assess the movement of the skeletal structure, resulting in a detailed analysis of each joint�s movement.
Factors that Affect Gait
There are factors that affect an individual’s gait and that information is necessary for the analysis to be accurate. Age, gender, height, and weight of the individual is vital because men and women move differently and as individual age their body structure changes. Excess weight or physique can affect an individual’s posture and gait.
Shoes or not wearing shoes will also affect gait, as the terrain individuals walk on, and articles they carry, like a purse or backpack, changes how we walk. Other factors include:
Body proportion
State of mind
Emotions
Stress level
Personality type
Pathological factors such as
Neurological diseases
Psychiatric disorders
Trauma
Musculoskeletal issues
This is also measured and factored into the analysis data that includes the patients:
Length of stride
Cadence
Hip angle
Foot angle
Step length
Walking
Motion speed
Advantages of a Gait Analysis
Getting a gait analysis can be very helpful because it can provide invaluable insight into how your body is aligned and how it moves. It is a great diagnostic tool for identifying health issues related to the gait, spine, and feet and can also help provide early detection of health issues before the onset of symptoms.
If your chiropractor recommends you get a gait analysis it could be they suspect that something is going on, or it could mean they want a more thorough examination to provide optimal care. If you have any concerns talk with your chiropractor and ask them any questions that you have prior to the analysis, as stress and anxiety can put tension on the muscles and body, thus affecting the results.
Reduce Excessive Foot Pronation with Custom Foot Orthotics
Certain jobs or�daily�activities require us to do the same action over and over again. It can be enjoyable but these repetitive movements can cause serious injury to the body. Most affected are the:
Hands
Wrists
Elbows
Shoulders
Neck
Back
These injuries are quite common in the United States and are referred to as Repetitive Motion Disorders (RMDs).
Repetitive Motion Disorders
Repetitive motion disorders are musculoskeletal conditions caused by movements/motions done over and over. RMDs can be caused by:
Muscle/ligament friction from unnatural or awkward motions like twisting the arm, wrist, hands or other areas of the body where repeated motions are used.
Incorrect posture/positioning when doing these movements.
Overdoing it, either trying to go faster or with added strength that really strains the muscles.
RMD’s cause symptoms because of muscle fatigue, inflammation, and swelling or compression of the nerve’s tissues. Examples include:
Carpal tunnel syndrome happens when the tunnel of bones and ligaments in the wrist begin to pinch the nerves in the fingers and the muscles around the thumb.
Bursitis is inflammation of the bursa that’s between the tendon and skin, or between a tendon and bone/s.
Tendonitis�is inflammation, irritation, and swelling of a tendon/s.
Epicondylitis (elbow pain) is inflammation, soreness, and pain on the outside of the upper arm around the elbow.
Ganglion cyst occurs when tissues surrounding specific joints get inflamed and swell up with fluid.
Tenosynovitis happens when the lining of the sheath that surrounds a tendon gets inflamed.
Trigger finger can be a painful or painless clicking, snapping, or locking of a finger/s.
All of the above conditions can be caused by other means and not repetitive movement/s.
RMD Work Risk
Jobs vary all over, but if repetitive movements are how the job gets done those individuals have a higher risk to get a repetitive motion disorder. There are professions and activities that increase the risk that include:
Assembly/factory linework
Carpentry
Computer work like typing, digital/graphic design where a digital pad/pen and mouse are the main tools that have to keep moving
Pain, soreness, pinching and stiffness in the fingers, hands, wrists, forearms, elbows, shoulders, neck and back
Tingling or numbness.
Swelling or redness around the area.
Loss of flexibility and strength.
There could be no visible sign of injury or pain, but individuals find that the normal and easy tasks they’re used to become more and more difficult to do.
Injuries that are caused by repetitive movements often develop gradually. This is the time when the symptoms are mild and come and go, so the individual just works through it and doesn’t think about it. It’s not until the symptoms get very painful and debilitating that the individual realizes that something is wrong, and then they seek medical attention. Don’t wait, as soon as you feel a tingle, slight pinch, or a little soreness and you feel that it stems from your work’s repetitive movements, get in touch with a doctor or chiropractor before it becomes excruciating.
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Safely Operating Tools that Cause Whole-Body Vibration
There are power tools that vibrate no matter what and�transmit vibration into the operator�s arms and hands, legs, and feet.�Using a tool like this can cause a condition called white finger or�Raynaud�s Phenomenon�to present.
The symptoms include:
Aching in the wrists and muscles of the forearm
Tingling sensations
Numbness
Whiteness in the fingers from restricted circulation
This type of vibration from riveting tools, grinders, pneumatic hammers, drills, and chain saws will affect the whole body�s well being.
Take frequent breaks to avoid overuse of muscles with little rest breaks of whatever muscles/ligaments you are using.
Regular exercise along with stretching and relaxation helps build strength, increase mobility, range of motion and prevent future injury.
Look at your posture to make sure it is correct for the task at hand. This helps the elbows, wrists, hands, and spine maintain alignment during repetitive motions.
Don’t stay in a single position for too long. Change your posture frequently during any type of activity to relax one set of muscles and use another set, then switch and so on and so forth.
Practicing correct form and technique will go a long way in preventing a repetitive injury.
Avoid over-reaching, stretching and twisting.
Use protective equipment and gear.
Have a properly designed workstation with office or work equipment at the proper height, distance and allows you to work safely and comfortably.
Staying Healthy
Staying healthy and avoiding RMD’s is first priority if you work at a job or regularly participate in activities where repetitive motion/s and movement/s are used.
Give yourself time to rest, exercise, and implement proper techniques. See a doctor or injury chiropractor if you are experiencing any of the symptoms listed. Ergonomically evaluating the causes is an important part of the diagnostic evaluation for patients with these conditions.
Therefore, mapping out a customized treatment plan for changing the way you work/perform these motions is the ultimate goal.
We focus on what works for you. We also strive to create fitness and better the body through researched methods and total wellness programs. These programs are natural and use the body�s own ability to achieve goals of improvement, rather than introducing harmful chemicals, controversial hormone replacement, surgery, or addictive drugs.
We want you to live a life that is fulfilled with more energy, a positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of every one of my patients.
The “LIFE CHANGING” Foot Orthotics | El Paso, Tx (2020)
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Barring traumatic injury due to an accident, working in a factory environment can cause problems with mobility, pain, and flexibility. The�nature of the job�places specific demands on the human body that can lead to certain types of injuries and health conditions, which include:
Repetitive motion injury � When a worker performs the same task that involves the same movements over and over, it can lead to certain types of injuries. Carpal tunnel is a common repetitive motion injury.
Overexertion � Lifting, pulling, even standing can take a toll on the body, especially when it is done without adequate breaks. The person can get muscle fatigue, pulled muscles, and pulled tendons.
Body movement injuries � When the worker is continuously reaching, twisting, crawling, and bending, it can cause problems with the muscles and joints.
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