Columbia Advanced Chiropractic, LLC

Menu
02 Feb 2018
0
View Post
How To Identify and Address Tarsal Tunnel Syndrome

How To Identify and Address Tarsal Tunnel Syndrome

February 2, 2018 | 0 Comments | , , , , , , , , , , , , , , , , ,

Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist.  We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’  Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness.  In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.

The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →

02 Oct 2017
0
View Post
Femoroacetabular Impingement and What Is Done About It

Femoroacetabular Impingement and What Is Done About It

October 2, 2017 | 0 Comments | , , , , , , , , , , , , , , , , , , , ,

Femoroacetabular Impingement (FAI), or hip impingement syndrome, is a painful hip condition that limit a person’s activities and can inhibit an athlete’s ability to perform.  Many times people can function just fine with an FAI, depending on their activity, but many times it’s necessary to get surgery to correct the problem.  After surgery though, proper rehabilitation is necessary so as to reduce scar tissue buildup in the hip joint region.  There are 3 types of FAI and each one can cause significant problems. Continue Reading →

11 Jul 2017
0
View Post
Meralgia Paresthetica…What Is It and How Is It Treated?

Meralgia Paresthetica…What Is It and How Is It Treated?

July 11, 2017 | 0 Comments | , , , , , , , , , , , , , , ,

Meralgia Paresthetica aka Roth’s Disease aka Lateral Femoral Cutaneous Nerve (LFCN) syndrome is a condition we see from time to time.  The patient tends to present with pain in the lateral thigh that almost feels like an itchy feeling.  The discomfort can be anything from burning pain to tingling.  The pain is not a deep pain but is superficial.  This means you only feel it on the outside of the thigh vs. deep in.   It can be very bothersome and it is certainly annoying enough that people will go to find a solution.  Left untreated, it tends to get worse with time. Continue Reading →

22 Jun 2017
0
View Post
Elbow Pain…What The Heck Is The Issue?

Elbow Pain…What The Heck Is The Issue?

June 22, 2017 | 0 Comments | , , , , , , , , , , , , , ,

The elbow…well, it certainly isn’t the ‘funny/crazy bone’ when we hurt it.

The elbow…when it hurts, it certainly isn’t so ‘funny’ or ‘crazy’.

We treat a LOT of elbow problems in our office.  Why is this?  Well, we have an active patient base and most all we do affects the musculature in our elbows.  It used to be that when you had medial, or inside, elbow pain, that would be called ‘golfer’s elbow’ and when the pain was on the lateral side, or outside, that was called ‘tennis elbow.’  Well, needless to say, times have changed and people in many sports get medial and lateral elbow pain and they certainly are not playing golf or tennis.  For that matter, not all golfers get medial elbow pain and tennis players lateral elbow pain anyway…sometimes, it’s the opposite.  As as far as that ‘funny bone’ issue we’ve all heard about, that occurs when we bang a certain part of the elbow that the ulnar nerve runs through.  The sensation we feel is irritation to the nerve and the distally affected tissues feel ‘funny.’ Continue Reading →

23 Mar 2017
0
View Post
The Achilles and Two Reasons Why It Might Be Hurting You

The Achilles and Two Reasons Why It Might Be Hurting You

March 23, 2017 | 0 Comments | , , , , , , , , , , , , , , ,

Figure 1.:  The Calcaneal Bursa Sacs, picture from WebMD

The Achilles tendon is a rather avascular (lacking blood) thick tendon that is made up of two of your major back side calf muscles: the gastrocnemius and the soleus.  The tendon attaches into a part of your heel bone, the calcaneus, and this part is called the calcaneal tubercle. We have to major bursa sacs (bursa sacs are pockets that only fill with fluid when they are inflamed), the subcutaneous calcaneal bursa and the retrocalcaneal bursa (see figure 1 right). The subcutaneous bursa seldom presents as an issue, but the retrocalcaneal bursa can be a major headache. Continue Reading →

13 Mar 2017
0
View Post
Why Your Back Might Not Be Getting Better

Why Your Back Might Not Be Getting Better

March 13, 2017 | 0 Comments | , , , , , , , , , , , , , , , , , , , ,

There are many reasons as to why people develop back pain and luckily, conservative treatment can help most all of them.  Only in the rarest of instances is surgery needed.  The problem with treating back pain is that all too often the practitioner focuses so much on the pain that he/she doesn’t actually address what is causing the pain.  We’ve all been guilty of this!

I could write volumes on contributing factors to back pain but this blog was written to address one common problem that we are seeing more and more: a hypermobile sacroiliac joint (SIJ).  Now, the naysayer will try to suggest that this does not occur, but with over 18 years of treating sports and back injuries, I can assure you that it does, and it does with frequency.  I’ve seen this problem in active kids to my professional athlete clientele base.  It is usually not properly diagnosed as few practitioners know how to assess it. Continue Reading →

20 Feb 2017
2
View Post
The Truth About Plantar Fasciitis and How To Treat It

The Truth About Plantar Fasciitis and How To Treat It

February 20, 2017 | 2 Comments | , , , , , , , , , , , , , ,

Plantar Fasciitis (PF) can be a rather debilitating condition.  It doesn’t matter if you have flat feet (pes planus) or high arches (pes cavus).  If there is added stress to the bottom of the foot that occurs quickly, it can result in plantar fascial pain.

What exactly is the plantar fascia?  Consider the plantar fascia to be similar to a ligament.  It runs from the heel (the medial calcaneal tubercle) to the heads of your metatarsals (point at about where you see the webbing of your toes).  Despite what you might have been told, its function is NOT to hold the arch of the foot. Rather, the PF more-so holds the muscles under it together so that they can suspend your arch. Continue Reading →

06 Feb 2017
0
View Post
The Dreaded DCO and What It Means To You and Your Shoulder!

The Dreaded DCO and What It Means To You and Your Shoulder!

February 6, 2017 | 0 Comments | , , , , , , , , , , , , , , ,

DCO, or Distal Clavicular Osteolysis, is a rather bad shoulder condition that all too many athletes suffer from.

DCO occurs when we have damage to our AC (acromioclavicular) joint and it goes unattended to for a period of time.  More-so than that, additional damage is done with further activity and the bones that make up the joint get significant damage.

The AC joint is made up of where the distal clavicle bone meets the acromion process of the scapula (see photo below).  A sprain of the AC joint tends to involve a macrotrauma (one significant injury) such as a bad fall or other form of side shoulder impact.  The AC joint tends to get hypermobile (or move too much) easily as it is not a very stable joint to begin with.  When the joint is injured, or sprained, care is needed to stabilize the joint and allow for it to heal.  In-office treatments can significantly reduce recovery time and this is important as a healing AC joint sprain is susceptible to further injury.   Continue Reading →

30 Jan 2017
3
View Post
It’s Not Your Neck Silly, It’s Your First Rib! It’s My What?

It’s Not Your Neck Silly, It’s Your First Rib! It’s My What?

January 30, 2017 | 3 Comments | , , , , , , , , , , , , ,

Many people seek care from a chiropractor for neck pain.  After all, it’s one of the most common conditions we treat.  Sometimes, however, the reason your neck hurts is not due to the neck itself but rather something else close by: the first rib.

The first rib is just that…it’s the rib that is highest up and close to your neck.  It goes from the T1 vertebra (the vertebra just below the ‘cervical’, or neck, vertebrae) to the upper portion of the sternum, on the front side.  The clinical importance of the first rib (in this case) is that it has two very important muscles that attach on it.  Those muscles are the anterior and middle scalenes muscles. Continue Reading →

23 Jan 2017
0
View Post
The Biceps Tear…What You Should Know

The Biceps Tear…What You Should Know

January 23, 2017 | 0 Comments | , , , , , , , , , , , , , , , ,

There are two heads to the biceps brachii, the long head (that goes from the labrum to just past the elbow…the outside one in the picture) and the short head (that goes from the coracoid process to just below the elbow…the inside one in the picture).  We rely on each muscle for shoulder flexion, elbow flexion, and some supination (hand rotated upward) of the forearm/wrist/hand.  Of the two heads, the long head tends to tear more as it thins out as it travels into the shoulder and it is more susceptible to damage at its attachment on the shoulder labrum.

The muscle can tear due to age-related wear and tear, labral tearing, overuse and trauma.  Generally, muscles tear from either the origin (where it begins proximally), or the insertion (the distal attachment).  When the biceps tears from the insertion, it will tend to roll up the arm and form a ball in the middle of the biceps region.  This type of tear tends to be very noticeable. Continue Reading →

Verified by MonsterInsights