Many people suffering from back pain also experience pain in the legs. Back pain and leg pain accounts for a very high percentage of cases treated by Chiropractors.
One of the key factors in determining the cause of pain in the legs is whether the pain extends below the knee. Pain that is felt above the knee is often related to the joints of the back (facet joints) and sacro-iliac joints (SI joints). Facet joint pain and sacro-iliac joint pain is often very responsive to Chiropractic treatments.
Pain that extends below the knee often involves a problem with the discs or narrowing of the spinal canal (stenosis). One key Chiropractic technique to treat disc problems is intersegmental traction via a special table called a Flexion Distraction table. This type of table combines traction of the spine with slight bending and is often very effective in dealing with disc type pain. The pelvic tilt exercise is also an effective stetch and exercise and is effective in combination with Chiropractic techniques.
Another key point about leg pain and Chiropractic treatment is the type of the pain. Often pain referred from the joints of the back (facet joints) and the sacro-iliac joints (SI) is felt as more of a dull, deep, achy type pain in the thigh. Disc associated pain tends to be sharper and more lightening like.
Dr. Etter is a Chiropractor practicing in Olathe, Kansas and Lenexa, Kansas. He is a graduate of Palmer College of Chiropractic in Davenport, Iowa and has over ten years of Chiropractic practice experience in Lenexa/Olathe, Kansas. Dr. Etter’s Chiropractic practice focus is back pain, neck pain, shoulder pain and running injuries.
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The discs of the spine make up about 25% of the height of the spine. The discs are a common cause of back pain, disability and cause many people to seek Chiropractic care.
The discs allow the neck to have a large range of motion. The joints of the upper neck (C1 and C2 or Atlas and axis) provide most of the turning of the head while the lower neck provides most of the forward and back bending. The joints of the lower spine are the most susceptible to whiplash injury and degenerative joint disease. The upper two joints of the spine have no discs. The first joint of the spine to have a disc is the joint between the C2 and C3 vertebrae. One key fact about intervertebral discs is that they thin as one ages. As a result of disc thinning it is generally considered unlikely to have a cervical disc herniation after age 40. The core of the discs (called the nucleus pulposus) is considered to be largely non existant after age 45. The key point of disc thinning after age 40 is that disc herniation in the neck is largely overdiagnosed in persons over age 40.
Furthermore the outer layer of the disc has a nerve supply which means it may be the cause of neck pain in itself. The discs are also innervated to provide proprioception which tells the body how the neck and head are oriented in space.
Dr. Etter is a Chiropractor with over ten years of practice experience. Dr. Etter’s Chiropractic practice focus is back pain, neck pain, whiplash and sports injuries. His Chiropractic office is located at 112th and Strangline and serves Lenexa, Kansas, Olathe, Kansas and Overland Park, Kansas.
Plantar fasciitis is one of the most challenging conditions of the foot in the Chiropractic practice. Plantar fasciitis is common in runners, effecting an estimated 10%. A calcaneal spur is found in about half of persons suffering from plantar fasciitis. The condition may effect both flat arches and high arches.
Plantar fasciitis is caused by overstretch of the ligament between the heel and ball of the foot. The over tension causes injury and inflammation to the ligaments attachment to the heel. The heel spur may result from the long term inflammation. The heel spur is not the cause of the problem and is not on the weight bearing part of the heel. Heel spurs may be totally asymptomatic and cause no pain whatsoever.
Chiropractic management of plantar fasciitis is a multipart process. Chiropractic adjustments to the foot are helpful to remove any joint restrictions. Orthotics are in my opinion the most essential part of management of plantar fasciitis. Orthotics work by supporting the arch and removing the tension from the plantar ligament which is the cause of the condition. The orthotic should support the middle arch of the foot to be really effective. Taping of the foot can be a good one use approach to managing plantar fasciitis but is fairly impractical for daily use. Icing of the heel is an effective way to reduce inflammation as well. Supports such as the Strassborg Sock or orthopedic boot aim to stretch the plantar ligament during rest. They may be effective for some people but may be hard to sleep in or reduce circulation.
Stretching of the foot and calves should not be done when the plantar ligaments are painful and inflammed. Stretching a painful and inflammed ligament can further aggrevate the problem. A better approach is non weight bearing active movements of the foot to increase the stretch of the ligament in non weight bearing. Over stretch of the ligament in weight bearing is the cause of the condition which is why orthotics can be so effective (they control the stretch of the ligament in weight bearing).
Dr. Etter is a graduate of Palmer College of Chiropractic. He has over ten years of Chiropractic practice experience in Olathe, Kansas and Lenexa, Kansas. Dr. Etter’s Chiropractic practice focus is running injuries, back pain, neck pain and whiplash.
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Tagged chiropractic, chiropractor, foot pain, heel pain, heel spurs, lenexa chiropractor, morning heel pain, plantar fasciitis, ponca chiropractor, running injuries, sports injury
Neck pain is one of the most common complaints in today’s Chiropractic office. Often patients have concerns of disc herniations. In cases of disc herniation in the neck there is often some kind of neck injury. However, there may be no history of any kind of injury and the pain may begin over a longer period of time. Usually a person with a disc injury to the neck will have multiple episodes of neck pain following minor injuries. Weakness in the hand is also a possible syptom. The pain felt with a disc herniation in the neck is usually described as a deep ache. Some persons may also get relief with holding the hand over the head.
Some key points about disc herniations: There are no discs at the junction of the head and first cervical vertebrae. There is also no disc between the first and second cervical vertebrae. The upper two vertebrae of the neck are responsible for most of the turning of the neck. After age 40 the chances of a cervical disc herniation decrease due to thinning of the disc and the disc naturally drying out.
A person with a disc injury the neck often has a restricted range of motion of the neck and it may be more limited on one side. The main may also radiate to between the shoulder blades.
MRI and CT imagine of the neck is a diagnostic procedure usually used for those patients who cannot get relief through conservative methods. Chiropractic techniques for disc herniations involve mild manipulation of the neck as tolerated, manual traction of the neck and myofascial release. Home traction of the neck may also be helpfull.
Dr. Etter is a graduate of Palmer College of Chiropractic and has over ten years of Chiropractic experience. He has been practicing in Lenexa, Kansas and Olathe, Kansas for over ten years. Dr. Etter’s Chiropractic practice focus is neck pain, back pain, sports injuries and whiplash.
The condition of tennis leg may effect the middle aged athlete while playing tennis or some other similar activity. The pain is often felt as a sudden pain in the back of the upper calf and an inability to walk on the toes. The pain is often described as that of having been shot or hit in the back of the knee.
Tennis leg is caused by tearing of the medial head of the gastrocnemius muscle (calf). The tear is caused by extending the leg with the foot in a flexed position.
A full tear of the gastroc may require a long leg cast with the knee bend for several weeks. Milder injuries can be treated with rest and avoidance of stretch to the calf muscle. Gradual stretching after 1 week should be helpful.
Dr. Tom Etter is a graduate of Palmer College of Chiropractic. Dr. Etter’s Chiropractic focus is back pain, neck pain, sports injuries and running injuries. Etter Chiropractic also features acupuncture treatment. Dr. Etter has been practicing Chiropractic in Olathe, Kansas and Lenexa, Kansas for over ten years.