Archives for posts with tag: median nerve

Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to write about Hip Stress Fractures.  I do not see Hip Stress Fractures a lot in my practice, but I have dealt with them on occasion making it something that I feel I should address.



In the image above by MMG 2000, we are able to see the different types of Hip Stress Fractures that occur at the femoral neck.  Within the bone we have different types of cells one of which is an osteoclast and the other an osteoblast.  Osteoclasts in a sense eat bone or destroy it, and osteoblasts on the other hand create bone.  With repetitive stress to the femoral neck, microfractures occur.  This damage leads to increased bone remodeling, or the removal of old bone by osteoclasts and the formation of new bone by osteoblasts.  When osteoclastic activity surpasses osteoblastic activity, the bone becomes weakened leading to fracture.

In most cases that I have had in my office the patient is usually young and active, often participating in cross country, gymnastics, dancing, or marching band.  The pain comes on rather slowly and is worse when standing.  The pain is normal felt on the front and deep into the leg.

Treatment for the Tension/Transverse Stress Fracture is different from that of the Compression Stress Fracture.  With the Transverse Stress Fracture surgical pinning is required to stabilize the hip.  With the Compression Stress Fracture an elastic support is necessary as well as rest for 2 weeks.  After the two weeks non-weight-bearing exercises are implemented such as cycling and swimming.  The Displaced Fracture require surgical pinning as well.

If you are struggling with Hip 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 morning to write about Carpal Tunnel Syndrome.  Carpal Tunnel Syndrome is one of those syndromes that we have all heard about, but we seem to be hearing less and less about it every year.  A few years ago it was the diagnosis everyone got when their wrists hurt, which lead to a lot of misdiagnosis, which in turn, lead to a lot of people having surgery for something they did not have.  Furthermore, Carpal Tunnel Syndrome can generally be treated without surgery.


The image above by MMG 2003 clearly shows compression of the Median Nerve in the right hand, which is the cause of Carpal Tunnel Syndrome.  The reason I mention that it is the right hand is because the image below by 2004 MedicineNet, Inc. will demonstrate the area of pain and numbness, but it is showing it in the left hand.


The Median Nerve runs through runs through the Carpal Tunnel created by the Transverse Carpal Ligament and the carpal bones, which are the bones of the hand.  Carpal Tunnel Syndrome can occur through compression from ganglions, fractures, and dislocations; however, it is more common to have a history of direct pressure on the tunnel or a history of extended periods of wrist use in full flexion or extension.  The pressure in the tunnel will increase with these extreme positions.  Other additional factors have to do with fluid retention such as with pregnancy, RA, diabetes, and connective tissue disorders.  It has also been shown that individuals who are deficient in vitamin B may be predisposed.

Treatment for Carpal Tunnel Syndrome does not have to include surgery.  Initial treatment involves night splinting in in extension of neutral positions, avoiding the compressive or overuse activities such as resting the wrists on the desk while typing, and perhaps the use of a B-complex vitamin.  It has been shown that adjustments to the lunate bone, one of the carpal bones, is extremely helpful.  Myofascial release techniques such as Active Release Technique (ART) and Graston Technique are also utilized to help relieve the pressure within the Carpal Tunnel.

If you are struggling with Carpal Tunnel Syndrome or any other form of Wrist Pain or Hand Pain, call my office today (480) 366-4041.  We can Help!