Archives for posts with tag: leg pain

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer as we are starting to warm up outside to talk about Hamstring Strains as runners start to get back out on the roads and so forth.  This is a condition that I see a lot in the spring months as people begin to become more active to try and get those beach bodies

Hamstring Strain

In the image above by MendMeShop, we are able to to clearly see a Hamstring Strain of the biceps femoris muscle.  This condition call also occur in the semitendinosus and semimembranosus muscles.  The reason this injury occurs is from an overcontraction of the hamstring while it is in a position of being stretched.  Tearing occurs most often at the junction of the muscles and aponeurosis (A sheet of pearly-white fibrous tissue that takes the place of a tendon in sheetlike muscles having a wide area of attachment). An Avulsion Fracture (An avulsion fracture is a bone fracture, which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma) is possible at the ischial tuberosity (sit bone) in younger athletes whose growth plates haven’t closed yet.

These patients are usually what we would call “weekend warriors” all the way to the serious athlete who feels a sudden pull or pop at the back of the thigh following some sort of forceful knee extension maneuver.

Treatment for this condition consists of rest, ice, use of crutches for several days, gentle stretching as soon as possible as well as soft-tissue treatments such as Active Release Technique (ART) and Graston Technique, and a long-term goal of restrengthening beginning when 75% of the normal range of motion is available.  Kinesiology Tape can be applied to decrease the amount of tension being placed on the hamstring.  Prevention of future injury should focus on preevent stretching, maintaining a proper strength ratio between the hamstrings and the quadriceps (0.6:1), and strength balance between the two hamstrings.

If you are struggling with Hip Pain, Leg Pain, or Knee Pain, call my office today at (480) 366-4041.  We can Help!

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to review a condition called Ankylosing Spondylitis.  This is a condition that is not very common at all in my office, but I do see it, and therefore, I believe that it is important that I provide some information about it.

ankylosing spondylitis

The image above by Healthwise, gives a great representation of the stages of Ankylosing Spondylitis.  Ankylosing Spondylitis is an inflammatory arthritis that usually starts by affecting the sacroiliac (SI) joints in the pelvis with progression into the spine.  It is characterized by inflammation at the site where ligaments attach to the bone.  This condition affects men more than women at a 3:1 ratio with the severity of the condition being worse in men as well. Typically, the earlier in the life it starts, the more progressive the disease will be.  As it progresses, there is a gradual stiffening, loss of the curvature of the low back, increase in the curvature of the mid back, and decrease in chest expansion due to the ribs attaching to the spine.  There is involvement with joints in the extremities approximately 50% of the time, with permanent changes occurring 25% of the time.  The joints most affected outside the spine are the hips, shoulders, and knees.

These patients usually come into my office complaining of chronic low back pain and stiffness with the occasional radiation of pain into the buttock, back of the leg, or front of the leg.  They generally feel the stiffness when getting up and has some relief with light activity.

Ankylosing Spondylitis, like other rheumatoid and rheumatoid-variant diseases, is unpredictable in its course of remission and relapse.  Treatment include chiropractic manipulation to keep the spine flexible, stretching, and postural and breathing exercises.  Getting these individuals into a Posture Shirt as soon as possible is imperative.

IntelliSkin337_157

When performing manipulation to the spine, it must be gentle to prevent inflammation.

If you are suffering from low back, buttock, or leg pain, call my office today (480) 366-4041.  We can Help!

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this afternoon to discuss a problem know as Piriformis Syndrome that I see a lot in my marathon/ultra-marathon runners; however, we see it in other individuals quite frequently as well.

Piriformis Syndrome

In the image above, by RelayHealth, gives us a fantastic illustration of Piriformis Syndrome.  In Piriformis Syndrome the Sciatic Nerve is compressed by the piriformis muscle.  In most individuals, the Sciatic Nerve runs under the piriformis muscle; however, in approximately 15% of individuals, there are two muscle bellies with the Sciatic Nerve coursing directly between them, which leads to compression between the muscle bellies when muscle gets tight or goes into spasm.

These individuals generally come into my office with complaints of buttock and posterior leg pain with no apparent cause.

Treatment for Piriformis Syndrome is quite simple.  It has been shown in many cases that individuals with foot pronation or pelvic rotation are prone to this condition.  Simple solutions for both of these include arch supports for the pronator and for the individual with pelvic rotation chiropractic manipulation is implemented to correct the rotation, and soft-tissue therapies such as Active Release Technique (ART) and Graston Technique are utilized to lengthen the shortened piriformis muscle.

If you are struggling with low back, buttock, or leg pain, call my office today (480) 366-4041.  We can Help!

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this afternoon trying to get back into writing my blog posts.  Today, I am going to address the Lumbar Disc Herniation.  This is a topic that I have yet to write about, and in all reality I have no idea why I have not written about it because it is so common.  We are constantly hearing about it on the radio have to do with pain injections or minimally invasive back surgeries.  Hopefully today, I can provide some incite into all of this.

lumbar_herniation_cause02

In the image above by MMG 2000, we are able to see the problems that can occur from a Herniated Disc pushing back and irritating the nerve roots.  In the image below we can see different areas affected by a Lumbar Disc Herniation depending on the level of herniation in the spine.

lumbar_herniated_prob_areas

In the past it was believed that all leg pain that radiated from the low back was due to compression of a nerve root by a Herniated Disc; however, the current belief is that the nerve root is inflamed, but not necessarily compressed.  It is currently believed that the Herniated Disc material causes the release of irritating substances or initiated an autoimmune inflammatory reaction.  With that being said, the disc, the corresponding inflamed nerve root, or the compression of the nerve root by the disc may be the source of the pain.

These individuals generally come into my office complaining of low back and leg pain below the knee.  This usually is of sudden onset from a bending and/or twisting movement.  It is very common for these individuals to have a history of multiple bouts of low back pain.

Management of this condition can be quite complicated based on what provokes the pain.  There are times when bending forward at the waist makes the pain worse, and other times when it makes it better.  The same goes for bending backwards.  In any case, chiropractors have been proven through multiple studies to be the best source of treatment for this condition.  There are multiple different chiropractic manipulative techniques that can be used based on specific patient needs.  Surgery for this condition is very rarely ever needed, but there are times when I will co-manage the case with a pain management doctor to help my patients get out of pain initially so that I can work better with the patient.  However, pain management alone is never a good option because the injections do not correct the problem.

If you are struggling with low back and leg pain, please call my office today (480) 366-4041.  We can Help!