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Tennis Elbow Treatment in Nashville

LATERAL EPICONDYLITIS (TENNIS ELBOW)

Lateral epicondylitis - commonly called tennis elbow - is a tendonitis problem around the elbow. Tendinitis is inflammation of the tendon. Inflammation is the body’s response to injury, whether it is an acute strain or in this case more commonly a repetitive overuse injury.

The muscles on the backside of the forearm originate from a small tendon that attaches on the bony prominence along the outside edge of the elbow called the lateral epicondyle. The injury or inflammation is localized to this area, thus the name “lateral epicondylitis”. These muscles are actually more responsible for wrist motion. Thus, it is often wrist activities that worsen the pain more than use of the elbow. A whole group of tendons attach to the epicondyle, but the one most clearly responsible for epicondylitis is that of the extensor carpi radialis brevis (ECRB) that lies deepest on the bone and closest to the joint.

Lateral epicondylitis actually exists as a spectrum of injury, ranging from varying degrees of inflammation to partial tendon injury. Approximately 98% of all epicondylitis will respond successfully to conservative treatment.

Mild inflammation may resolve spontaneously. Simply avoiding painful activities and a course of over the counter anti-inflammatory medication may be sufficient. Applying ice to the area of soreness for 20 or 30 minutes may help subside acute symptoms.

More stubborn cases may require attention from your Nashville Chiropractor. Examination will reveal point tenderness over the bony prominence. Pain is typically elicited when the patient is instructed to cock their wrist up against resistance by the examiner. This causes pain over the epicondyle because of tension created on the tendon when the forearm muscles contract to move the wrist.

TREATMENT OF TENNIS ELBOW

The doctors at Art of Health Chiropractic are able to instruct patients on how to gently stretch the muscle groups, maintaining flexibility as well as providing instruction on when best to use ice or heat. Strengthening can be helpful to protect the elbow for future use, but cannot be implemented when it is acutely inflamed. The doctors will also apply treatment modalities that reduce the localized inflammation and help with discomfort.

Deep tissue laser therapy is warranted in cases where inflammation and pain are disruptive to activities of daily living.  Laser therapy allows for the inflammation to be drastically decreased and the body's natural healing process to be accelerated.  Most patients experience results in 3 to 5 short visits.

Surgery is indicated in only 1 to 2% of all cases of lateral epicondylitis and is considered only after an appropriate trial of conservative treatment.


Dr. Callie Gant and Dr. Michael Buczynski founded Art of Health Chiropractic with the goal of creating a happier, healthier Nashville.  Feel free to call the office at 615-953-7544 with any questions or to schedule your first appointment.

Hip Pain Treatment - Chiropractor in Nashville

WHAT IS HIP OSTEOARTHRITIS?

Osteoarthritis of the hip, also known as degenerative joint disease, is a chronic disease of the joint cartilage and bone that causes joint inflammation and hip pain. It is often thought to result from "wear and tear" on a joint. Joints appear larger, are stiff and painful, and usually feel worse with increased use throughout the day. Most patients feel pain and limitations in movement when using the joint. Approximately 10 million Americans have been diagnosed with this condition.

COMMON CAUSES OF HIP ARTHRITIS

Anybody can develop osteoarthritis of the hip, but patients who have a family history of the condition are more at risk. Older people or those who are obese are also more at risk for developing osteoarthritis; however, traumatic incidents can put any one at risk.

DIAGNOSIS

Doctors diagnose a patient with osteoarthritis of the hip after performing certain tests, including checking for pain when the hips are in certain positions and examining X-rays of the hips to assess the condition of hip joints.

PREVENTION

Patients who are in the early stages of osteoarthritis of the hip can take certain measures to prevent the disease from progressing further, such as: avoiding overuse of the hip, gentle exercise to help improve hip strength and, for patients who are overweight, weight loss.

HIP PAIN TREATMENTS

While it is not possible to cure osteoarthritis or reverse its effects once in the very late stages of the condition. It is possible to manage it and slow the progression of this disease.

The Class IV LiteCure Deep Tissue Laser (aka Cold Laser) is at the heart of our treatment program. It provides a safe, effective, non-invasive, painless solution for managing pain and restoring range of motion for degenerative hip problems. Patients respond exceptionally well to treatments and usually notice significant pain relief after just a few treatments.

The doctors at Art of Health Chiropractic combine the laser treatment with other therapies to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps improve overall function.


Dr. Callie Gant and Dr. Michael Buczynski founded Art of Health Chiropractic with the goal of creating a happier, healthier Nashville.  Feel free to call the office at 615-953-7544 with any questions or to schedule your first appointment.

Arm and Hand Pain Prevention for Nashville Musicians

REPETITIVE STRAIN INJURIES IN MUSICIANS

Many musicians have heard of repetitive injuries, but are not really sure what they are, how they are caused, or if they should worry about them or not. Horror stories are heard over and over about musicians whose careers where threatened or ended by such conditions as carpal tunnel syndrome, tendinitis, thoracic outlet syndrome and other conditions. Little is taught though, about these injuries in schools, colleges, or conservatories.

Do not neglect your body’s signal that something is wrong. It may be your only chance to correct a serious condition. Neglect may cost you your career.

WHY YOUR ARMS AND HANDS ARE HURTING

The most common complaints in musicians are hand, forearm, and arm pain. This is due to the repetitive hand and arm movements involved with playing music. Repetitive bending of the fingers (for example, to play repeated notes on the fretboard of a guitar) can lead to inflammation and micro-tearing of the tendons. The muscles in the forearm can fatigue, strain, and weaken from injuries due to continuous playing.

WARNING SIGNS

If you begin to experience any of the following warning signs, seek chiropractic or medical attention immediately.

  • Tingling, numbing or burning sensations in the extremities
  • Difficulty grasping objects
  • Weakness of the hands
  • Pain during or after playing or practicing
  • An increased feeling of clumsiness with your hands
  • Neck pain that seems to travel down to the arm
  • Constantly sore arm and forearm muscles.
  • Pain upon moving your shoulder, elbow, wrist, or fingers
  • Feelings of depression due to pain or potential loss of job.
  • Pain upon lifting hand-held instruments.
  • Pain upon carrying instruments to and from gig.
  • Coldness in the fingers while playing (more than usual) .
  • Hands turn blue or flush erratically.
  • Restricted motion (stiffness) of the neck or arm.

PREVENTION TECHNIQUES TO AVOID INJURY

The following list will help you learn what to do to avoid injury.

  1. Listen to your body: If you hurt during or after playing, you body needs to rest and heal!
  2. Take more breaks during practice sessions. A 5 - 10 minute break every 45 minutes of practice is helpful to rest tired muscles. Perform stretches during this time and drink water.
  3. Avoid sudden increases of practice time. This is sure to strain your body.
  4. Be careful when changing instruments. Instruments have different “actions.” Instruments that needs a great deal of force from the fingers to produce tones may cause injury.
  5. Be aware of your playing environment. Cold temperatures increase the risk of repetitive injury, due to decreased blood flow to the extremities.
  6. Prepare your body before playing. Just as an athlete stretches, warms up, and prepares for an athletic event, the musician needs to do the same.
  7. Watch your posture! This is an important issue. Take a good look at your posture while playing your instrument. Are you slouching, bending your head, or elevating your shoulder? Try videotaping yourself to really see what you are doing.
  8. Become “one with the music”: if you let your body move with the music, instead of staying rigid, you will notice your muscles staying looser are a decreased soreness.
  9. Drink plenty of water. Your muscles are 75% water. Do them a favor and begin drinking about 8 glasses of water per day. This will reduce your risk of injury.
  10. Eat a healthy diet. Your body’s chemistry and overall health are dependent upon you eating the right foods. Don’t rely upon fast foods to achieve optimum performance.

As members of the Chiropractic Performing Arts Network (CPAN) and providers for MusiCares, our mission is to treat and help the artists that make Nashville such a vibrant musical city.  For questions or to schedule an appointment feel free to call the office at 615-953-7544.  (Article credit to Dr. Jameson at www.musicianshealth.com)

Chiropractor in Nashville - Cold Laser Therapy FAQ's

We've had a lot of questions about the cold laser therapy available at the office, so we put together a quick video going over the most common FAQ's we have received over the past two months. Feel free to contact the office with any questions at 615-953-7544.

Thanks for watching, and we look forward to treating you soon.

Dr. Mike and Dr. Callie

[youtube=http://youtu.be/v_KujAe7O1M]

Dealing with Knee Pain?

pain in the knee. Chiropractor doing massage in sick knee in redBasic movements like walking and getting up from a couch are activities we can take for granted until we have knee pain.  If your knees are aching, you are not alone.  Theprevalence of knee pain and knee replacement surgeries has risen substantially during the last 20 years according to a study published in the Annals of Internal Medicine.  

It's not a condition of the elderly either.  "The knee is the most commonly injured joint by adolescent athletes with an estimated 2.5 million sports related injuries presenting to emergency departments annually..." according to a 2012 article by the Academy of Emergency Medicine.

Although surgery and pain medication can be necessary, there are many conservative treatments available to manage your pain and help maintain function.  Knee pain can start for a multitude of reasons, and knowing where the pain began is a good start for developing a proper treatment plan with your doctor.

Common Causes of Knee Pain

  • ACL injury - An ACL injury is the tearing of the anterior cruciate ligament. ACL injuries are particularly common in people who play basketball, soccer or other sports that require sudden changes in direction.
  • Torn meniscus - The meniscus is formed of tough, rubbery cartilage and acts as a shock absorber in your knee. It can be torn if you suddenly twist your knee while bearing weight on it.
  • Knee bursitis - Some knee injuries cause inflammation in the bursae, the small sacs of fluid that cushion the outside of your knee joint so that tendons and ligaments glide smoothly over the joint.
  • Patellar tendinitis - Tendinitis is irritation and inflammation of one or more tendons. Runners, skiers, cyclists, and those involved in jumping sports and activities are prone to develop inflammation in the patellar tendon, which connects the quadriceps muscle on the front of the thigh to the lower leg.
  • Iliotibial band (IT band) syndrome - This occurs when the ligament that extends from the outside of your pelvic bone to the outside of your tibia (iliotibial band) becomes so tight that it rubs against the outer portion of your femur. Distance runners are especially susceptible to iliotibial band syndrome.
  • Hip or foot pain - If you have hip or foot pain, you may change the way you walk to spare these painful joints. But this altered gait can place more stress on your knee joint. In some cases, problems in the hip or foot can refer pain to the knee.
  • Osteoarthritis - Sometimes called degenerative arthritis, osteoarthritis is the most common type of arthritis. It's a wear-and-tear condition that occurs when the cartilage in your knee deteriorates with use and age.
  • Post Surgical knee pain - Surgery is invasive and with it comes swelling, damaged soft tissue, pain, bruising, and stiffness.

Treatments for Knee Pain

  • Chiropractic care - Chiropractic care for knee pain is typically most focused onremoving pain and restoring motion in the knee.  Typically, the doctor will instill movement in the knee joint by distraction.  This technique is similar to treatment for a jammed finger - a slight distraction or pulling apart of the joint to release pressure and restore proper movement. This type of treatment is beneficial for arthritis sufferers as it allows for more joint motion.  A 2008 study showed that a short-term manual therapy knee protocol significantly reduced pain suffered by participants with osteoarthritic knee pain and resulted in improvements in self-reported knee function immediately after the end of the 2 week treatment period.   In arthritis, if you don’t use it, you lose it.  Maintaining mobility is key.
  • Deep Tissue Laser Therapy (AKA Cold laser therapy) - This type of treatment is beneficial for post surgical knee pain and stiffness, and for repetitive stress injuries such as those that can occur during running. Laser therapy works similarly to how sunlight is converted into Vitamin D in our bodies.  The light enters the deep tissues of the muscle or joint and is converted into energy by specific markers inside of the cells.  From there, the body’s natural healing processes are accelerated, blood flow is increased, and pain is decreased.
  • Myofascial Release - There are many specific techniques that fall under this umbrella, but they all have the main goal of reducing soft tissue (muscle, tendon, ligament) adhesions, scar tissue buildup, restoring motion, and reducing pain.  This type of therapy has been found effective for IT band syndrome, patellar tendonitis, and even arthritis as it works to increase motion by loosening tight tissue around the joint.

Prevention

Although it's not always possible to prevent knee pain, the following suggestions may help prevent injuries and delay joint deterioration:

  • Maintaining a healthy weight - It’s one of the best things you can do for your knees. Every extra pound puts additional strain on your joints, increasing the risk of injuries and osteoarthritis.
  • Be in shape to play your sport - To prepare your muscles for the demands of sports participation, take time for conditioning.
  • Get strong - Because weak muscles are a leading cause of knee injuries, you'll benefit from building up your quadriceps and hamstrings, which support your knees. Balance and stability training helps the muscles around your knees work together more effectively.
  • Watch what you eat - Inflammation runs rampant in painful joints.  Try incorporating anti-inflammatory herbs and spices into your daily diet, and eliminate processed foods and refined sugars.
  • Be smart about exercise - If you have osteoarthritis, chronic knee pain or recurring injuries, you may need to change the way you exercise. Consider switching to swimming, water aerobics or other low-impact activities — at least for a few days a week. Sometimes simply limiting high-impact activities will provide relief.

Dr. Callie Gant and Dr. Michael Buczynski founded Art of Health Chiropractic with the goal of creating a happier, healthier Nashville.  Feel free to call the office at 615-953-7544 with any questions or to schedule your initial consultation.