There are many spinal stenosis treatment options you should consider before resorting to surgery. Most patients with spinal stenosis respond well to non-surgical treatments such as medication, physical therapy, and gentle chiropractic care. Spinal stenosis is a narrowing of the spinal canal, typically caused by age, injury, or congenital disorder. The condition can cause difficulty […]
Chiropractic Treatment of Neck Pain
Spinal Stenosis Treatment Options
There are many spinal stenosis treatment options you should consider before resorting to surgery. Most patients with spinal stenosis respond well to non-surgical treatments such as medication, physical therapy, and gentle chiropractic care.
Spinal stenosis is a narrowing of the spinal canal, typically caused by age, injury, or congenital disorder. The condition can cause difficulty with movement and can be debilitating. According to the American Academy of Orthopedic Surgery, spinal stenosis affects 8 to 11 percent of the population.
What is Spinal Stenosis?
Spinal stenosis is a condition where the spinal canal narrows, putting pressure on the spinal cord. Bone spurs can cause a narrowing of the spinal canal. Bone spurs are one cause of spinal stenosis. They are small bony growths that form from calcium deposits and can put pressure on the nerve roots as they exit the spine. Other causes of spinal stenosis include:
- Disc degeneration
- Spinal arthritis
- Herniated disc
- Tumor
- Osteoporosis
What Causes Spinal Stenosis?
The most common cause of spinal stenosis is osteoarthritis. It usually develops slowly over time. Most people who develop symptoms of spinal stenosis are over 50 with women at a higher risk than men.
Besides osteoarthritis, other conditions or circumstances can cause spinal stenosis:
- Narrow spinal canal
- Injury to the spine
- Spinal tumor
- Certain bone diseases
- Past surgery of the spine
- Rheumatoid arthritis
How Do Doctors Diagnose Spinal Stenosis?
Spinal stenosis is often diagnosed using diagnostic imaging. Diagnostic imaging can determine the exact location, type and extent of the problem.
What are the Symptoms?
The most common symptoms are pain and weakness or numbness. Stenosis can affect any part of the spine and often occurs in the lower back and neck.
Other symptoms of spinal stenosis include:
- Radiating pain
- Numbness or tingling in the arms, hands, legs, or feet
- Weakness in the extremities
- Neck pain
- Clumsiness in the arms and hands
- Abnormal reflexes
What are Non-surgical Treatments?
The majority of patients (70%) are able to manage their symptoms through nonsurgical treatments. 1
Treatments for spinal stenosis pain vary depending on the type and location of the pain. Non-surgical treatments include medication, chiropractic care, and acupuncture.
- Pain medications are prescribed to relieve the pain and reduce inflammation. Unfortunately, these medication can cause side effects.
- Gentle Chiropractic care is recommended to help relieve muscular skeletal pain. Chiropractic care improves the movement of the spine. This helps to relieve strain on the discs and nerves in the back. Gentle chiropractic care avoids the twisting, snapping and torque of traditional chiropractic adjustments.
Surgery may be recommended if non-invasive methods don’t provide symptoms relief.
Spinal stenosis is a common condition that affects millions of Americans each year. The symptoms can vary from person to person. Treatment options for spinal stenosis vary depending on how severe symptoms are and what other health conditions are present.
Acupuncture for spinal stenosis is effective for fighting the pain associated with the condition. Clinical studies 4 have shown that this holistic therapy can help relieve the types of pain caused by the condition of spinal stenosis.
Gentle chiropractic care is preferable to traditional chiropractic care for spinal stenosis.
Treatment Options for Spinal Stenosis
The most common treatment is nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDS treat pain and inflammation.
In 2007, the American Heart Association issued a scientific statement warning of the long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) 5 which included this warning:
“Consumers are advised that all over-the-counter (OTC) pain medications, including NSAIDs, should be used in strict accordance with the label directions. If use of an OTC NSAID is needed for longer than ten days, a physician should be consulted.”
If non-surgical treatments can’t provide adequate pain relief, you may need surgery. There are many kinds of surgery for spinal stenosis. The health care professionals at Advanced Wellness Solutions will help get you the care you need if they aren’t able to relieve your pain.
Call to schedule your appointment today at 772-403-7640.
Chiropractic Treatment: Facet Syndrome
Do you have dull aching pain in the back of your neck?
Does that pain sometimes travel down to your arms?
Is your neck not moving as well as it has before?
If you answered yes to any of these questions, you could be suffering from facet syndrome. Facet syndrome is degenerative joint disease of the facet joint that can mimic the symptoms of a herniated disc.
The facet joints play an important role in stabilizing the spine while allowing movement. When these joints become injured in some way, it can result in considerable pain and disability. Since there are facet joints throughout most of the spine, this is a condition that can affect the neck, upper back and the lower back. Even though facet syndrome can occur in any facet joint, it appears most often in high movement and weight bearing areas such as the neck and low back.
While facet syndrome often presents in patients older than age 50, anyone suffering from repeated trauma such as whiplash or multiple car accidents can suffer from facet syndrome.
Chiropractic care specializes in treating disorders of the musculoskeletal system and can offer some of the most effective treatment options for facet syndrome.
What causes facet syndrome?
The cause of facet syndrome is still unclear. There are several factors that can contribute to the presentation of facet syndrome.
These factors are:
- Age 50 or older
- Repeated trauma to the neck or low back
- Repetitive stressful movement
- Genetics
Degeneration of the facet joint due to age or trauma causes the inflammation that produces pain in facet syndrome. Inflammation irritates the small nerves located in the facet joint causing pain.
What are the symptoms of facet syndrome?
The symptoms vary from depending on the area that is involved.
In the cervical region the symptoms that may present are:
- Headaches
- Inflammation
- Neck and shoulder pain
- Limited range of motion when turning the head and bending the neck
- Stiffness
In the lumbar region the symptoms that may present are:
- Lower back pain
- Tenderness
- Stiffness
- Radiating pain down the buttocks or back of the thighs
- Pain when twisting or arching the lower back
How do you treat facet syndrome?
In both the cervical and lumbar regions treatment usually starts conservative.
Conservative treatments include:
- Chiropractic adjustments
- Acupuncture
- Massage
- Physical Therapy
- NSAIDs
- Hot/Cold therapy
- Range of motion exercises
- At home stretching
If conservative treatment fails there are other options such as:
- Intra-articular facet injections
- Median nerve block
- Radiofrequency neurotomy
- Cervical Fusion
Surgical options are usually not necessary because conservative treatment often resolves the issue. All surgical intervention should not be taken lightly and should only be considered if a great deal of conservative treatment has failed.
If you are experiencing symptoms of facet syndrome and wish to discuss your treatments options, contact us at 855-509-5400
Chiropractic Treatment: Thoracic T4 Syndrome
Thoracic T4 Syndrome symptoms include upper back discomfort and diffuse pain in the arms. Thoracic T4 Syndrome occurs when the T4 vertebrate in the spine is damaged and causes pain in the back and into the arms.
Your upper back hurts and your hands are swollen and feel heavy. As you read the symptoms of T4 syndrome, you realize that if you look at your hand long enough, you could swear they’re turning blue.
It’s understandable that you would look up these symptoms online before scheduling an appointment to see your health care provider. If you typed your symptoms into a search engine and saw a possible diagnosis of “T4 syndrome” which lead you here, STOP! Schedule an appointment with your physician or chiropractor and allow them to make a diagnosis. Your health care professional needs to rule out any cardiac, respiratory or visceral issues before making a diagnosis of Thoracic T4 Syndrome.
It’s important to keep in mind when checking with “Dr. Google” and his associate “Dr. WebMd” that neither are trained and licensed health care professionals. Instead, their “higher calling” is to get you to pick up the phone and schedule an appointment with a trained and licensed health care professional such as a chiropractor. A chiropractor is able to diagnose and treat T4 syndrome.
If you live near Stuart, Florida, Advanced Wellness Solutions has two Martin County, Florida locations offering gentle chiropractic care.
What is T4 syndrome?
T4 syndrome symptoms include upper back discomfort and diffuse pain in the arms
When the nerves become at T4 damaged, the pain and discomfort caused is known as T4 Syndrome. T4 syndrome is rare yet deceptive issue that can present in many different ways.
T4 syndrome most often appears in people whose profession requires long hours in the same position. Working at a computer most of the work day would be a perfect example.
Check out our article 7 Tips to Creating an Ergonomic Home Office
T4 syndrome can be confused with carpal tunnel syndrome, myofascial pain syndromes, cervical spine degenerative conditions, thoracic outlet syndrome, cardiac pain and pain originating from the viscera.
It is crucial that you seek the advice of a qualified healthcare professional if you are experiencing any of the symptoms of T4 syndrome.
What causes T4 syndrome?
Symptoms may arise following a change in normal routine. A new job or hobby may require constant extreme postures which can lead to blood loss in multiple tissues contributing to symptoms.
Another possible cause for T4 syndrome is that the facet joints in the thoracic spine become damage, either from poor posture or trauma. This causes inflammation to the nerve root at that level, leading to symptoms of T4 syndrome.
More often found in women than men, the reason for the sex discrepancy for T4 syndrome is unknown.
What are the symptoms of T4 syndrome?
The symptoms of T4 syndrome can vary and presents as:
- Neck pain
- Headaches
- Upper limb pain (bilateral or unilateral)
- Pain around the T4 area
- Scapular pain
- Reduced hand dexterity
- Thoracic spine stiffness
- Tenderness on palpation of T4 vertebra
- An abnormal sensation tingling, pricking, chilling, burning, or numbness with no apparent physical cause in all five digits, or whole hand, or forearm-hand
- feeling heaviness in the upper extremities
- Hands feel hot or cold
- Hand may feel and/or appear swollen
- Non-dermatomal aches/pains in arm and/or forearm
- Pain often described as crushing or like a tight band
How do you treat T4 syndrome?
Treatment for T4 syndrome includes:
- Chiropractic adjustments
- Soft tissue work on the upper back and neck muscles
- Ultrasound
- TENS unit
- Postural exercises
- Stretching muscles of the chest
- Strengthening muscles of the upper back
- At home exercises to keep good posture
If you are experiencing symptoms of T4 syndrome and wish to discuss your treatments options, please call 855-509-5400 so schedule your appointment with Advanced Wellness Solutions.
Chiropractic Treatment of Neck Pain: Brachial Plexus
Have you ever taken a fall and almost landed on your head? When you got up from your fall did you notice that the side of your body you fell on was burning or stinging? If you answered yes, then you may have experienced a brachial plexus injury.
What is a brachial plexus injury?
A brachial plexus injury is commonly known as a burner/stinger. A brachial plexus injury is when the network of nerves going from the spine to the shoulder, arm and hand become stretched, compressed and in some cases torn.
What causes a brachial plexus injury?
This injury happens when your shoulder is pressed down forcefully and your head is pushed in the opposite direction of your shoulder. A direct hit to the upper part of the shoulder can also cause this injury.
Here are signs that warrant immediate medical attention:
- Weakness in the arm or hands
- Weakness following trauma
- If you have suffered multiple burners/stingers
- Neck pain
- Symptoms in both arms
What events can cause a brachial plexus injury?
- Contact sports such as football
- Non-contact sports such as golf.1
- Trauma such as a motor vehicle accident
- For children difficult births
- Inflammation
- Tumors
What are the symptoms of a brachial plexus injury?
The symptoms of a brachial plexus injury vary depending on the severity of the injury. However symptoms are most commonly on one side of the body.
Less severe symptoms are:
- Burning or stinging pain going down the arm
- Numbness and weakness in that arm
These less severe symptoms are often due to a stretch or compression of the plexus due to a contact sport or fall.
More severe symptoms are:
- Unable to move or feel the injured arm
- Severe pain
- Weakness in the muscles of the hand
These more severe symptoms are often due to a tear in the nerves of the plexus.
How long do symptoms last?
In less severe cases the symptoms last anywhere from a few seconds to several days. In more severe cases the injury can be permanent if not address immediately.
When to see a doctor
A brachial plexus injury should always be evaluated by a qualified medical professional such as a medical doctor or chiropractor.
In some cases a brachial plexus injury can lead to permanent damage and loss of function if not treated in a timely manner.
Here are signs that warrant immediate medical attention:
- Weakness in the arm or hands
- Weakness following trauma
- If you have suffered multiple burners/stingers
- Neck pain
- Symptoms in both arms
How do you treat a brachial plexus injury?
Treatment for brachial plexus injuries depends on the severity of the injury.
For less severe injury:
- Time, most minor injuries will correct itself over time
- Muscle strengthening and posture exercises: to maintain motion in the joint and to prevent further injury
- Transcutaneous electrical nerve stimulation (TENS) for pain control
For more severe injury:
- Surgery for nerve repair
- Physical therapy
The best treatment for brachial plexus injuries that do not tear a nerve is prevention of multiple injuries. Prevention comes from strengthening exercises for the surrounding muscles, range of motion exercises to keep the joints of the shoulder and arm moving, and recommendations for proper protective gear when playing contact sports.
If you are in or near Stuart, Fl and are experiencing symptoms of a brachial plexus injury, contact us to schedule an appointment.
Chiropractic Treatment of Neck pain: Cervical spondylosis
Sometimes referred to as “arthritis of the neck,” cervical spondylosis is an age related cause of neck pain.
If you answer yes to any of the following questions, then you may have cervical spondylosis.
- Are you over 65?
- Have you played a lot of sports throughout your life?
- Have you had a fair amount of physical trauma in your past such as multiple motor vehicle accidents?
What is cervical spondylosis?
Cervical spondylosis is the medical term for wear & tear of your cervical discs and joints. Cervical spondylosis occurs when trauma or age causes the discs to shrink and bone spurs to form and other signs of osteoarthritis to appear.
What are your risk factors for cervical spondylosis?
- Age
- Multiple neck injuries
- Jobs that have strenuous physical demands
- Genetics
Cervical spondylosis is very common and worsens with age. There are some suggestions that there is a genetic component to the severity of degeneration that will occur. This means that if someone in your family has serious arthritic symptoms in their neck then you may be more likely to develop more severe cervical spondylosis.
According to the Mayo Clinic,
“More than 90 percent of people older than age 65 have evidence of cervical spondylosis and osteoarthritis that can be seen on neck X-rays.”
What are the symptoms of cervical spondylosis?
Often cervical spondylosis produces very few symptoms. When symptoms do occur they are often pain in stiffness located in the area of the neck.
However symptoms can arise from the bone spurs and disc height loss associated with cervical spondylosis. Bone spurs and loss of disc height can narrow the space required by the spinal cord and nerve roots.
If this space is compromised it can cause symptoms that present as:
- Numbness or tingling
- Loss of balance
- Loss of reflexes, decreased sensation and loss of muscle strength along one part of the arm
- Loss of bladder or bowel control.
If you are experiencing sudden numbness, loss of strength or loss of bladder or bowel control seek emergency medical help as soon as possible.
What causes cervical spondylosis?
There are many causes for cervical spondylosis and all increase in severity with age. The most common causes of cervical spondylosis are:
- Dehydrated discs
- Herniated discs
- Bone spurs
- Stiff ligaments
What are the treatments for cervical spondylosis?
Treatments for cervical spondylosis are geared toward pain relief and motion preservation.
Chiropractic adjustments can help to reduce the loss of motion in cases not presenting with worsening neurological symptoms.
The treatments available for cervical spondylosis are:
- Chiropractic adjustments (in cases not presenting with worsening neurological symptoms)
- Range of motion exercises
- Cervical stretches
- Cervical traction
- Pain medication
- Steroid injections
- And in cases of severe neurological symptoms surgery
A word of caution to anyone experiencing cervical spondylosis/arthritis in the neck. Cervical traction should only be done under direct supervision of a medical professional! Even at home units leave the potential for serious harm and should only be used under a professional’s guidance. The infomercials and online ads make it look easy to use, but please check with your healthcare provider to see if this treatment is right for you.
If you live in or near Stuart, Fl and are experiencing any of the symptoms associated with cervical spondylosis symptoms, please contact Advanced Wellness Solutions to schedule an appointment. If you’re outside this area, please contact a local chiropractor.
Neck Pain and Whiplash
Neck pain and whiplash are common complaints, especially if you’ve been injured in a Florida car accident.
Whiplash is a generic term used to describe a hyper extension and flexion injury to the neck. It is a soft tissue injury to the neck.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
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Did you know that whiplash injuries aren’t limited to car accidents? A fall, a sports injury, or anytime there’s a sudden jolt of the head can cause whiplash.
What is whiplash?
Whiplash describes a soft tissue injury to the neck. Whiplash is cause by a forceful back and forth movement of the neck. The force of the back and forth movement causes injury to the ligaments and muscles of of the neck. Whiplash is technically a strain/sprain injury to the ligaments and the muscles of the neck.
What causes neck pain and whiplash?
Any large force that causes the head to “whip” back and forth can cause whiplash.
Such forces include:
- Car accidents: rear-end collisions.
- Physical abuse or violence
- Contact sports: football, soccer, and lacrosse to name a few.
What are the symptoms of whiplash?
Symptoms for whiplash usually develop within 24 hours of the accident. In rare cases, symptoms can take longer to appear. Symptoms of whiplash are:
- Neck pain
- Neck pain worse with movement
- Loss of range of motion or inability to move the neck
- Headaches
- Pain in the shoulders, arms and upper back
- Tingling and numbness in the arms
- Dizziness
- Fatigue
Other whiplash symptoms include:
- Blurred vision
- Ringing in the ears (tinnitus)
- Irritability
- Inability to sleep
- Nausea
If you have been in any type of accident and experience any of the above symptoms, seek the advice of a qualified medical professional immediately.
Treating neck pain and whiplash?
It is important to remember to keep active after a whiplash injury.
After the first 24 hours, movement is vital.
Inactivity and foam cervical collars lead to the weakening of the cervical muscles. This can prolong your healing time.
It is highly recommended to seek professional medical care within 24 hours of your injury. Your doctor can make recommendations on bed rest and cervical collars based on your individual case.
Treatments for neck pain and whiplash include1:
- Chiropractic care
- Physical Therapy
- At home exercises
- Massage
- TENS unit therapy
- Ice or heat therapy
- Over-the-counter pain medication
- Prescription medication
If you are experiencing neck pain and live or work in the Stuart, Fl area, feel free to schedule a consultation with Dr. Danielle Hurd, DC. Call 855-509-5400.
Chiropractic Treatment of Torticollis Neck Pain
When you went to bed, everything was fine, but you woke up one morning unable to turn your head in any direction. If this has happened to you, there’s a distinct possibility that you’re suffering from torticollis.
What is torticollis?
Torticollis is a condition where the muscles of the neck spasm causing the head to be tilted. The head tilt can happen in several directions depending on what muscles in the neck are in spasm. Torticollis can result from a traumatic event, such as a car accident or a fall.
There are two types of torticollis acquired and congenital .
Acquired torticollis can affect anyone at any age. It has a myriad of causes but often develops as a result of damage to the muscles, nervous system or upper spine.
The most important key in treating acquired torticollis is to identify the root cause of the condition.
Symptoms of torticollis:
The symptoms of torticollis can differ from person to person but generally they are:
- Limited range of motion of the head
- Headache
- Head tremor
- Neck pain
- Shoulder that is higher on one side of the body
- Stiffness of the neck muscles
- Swelling of the neck muscles (possibly present at birth)
Congenital torticollis is rare and is often due to birthing trauma. When an infant is suffering from congenital torticollis, you’ll notice that the baby is always lying down or sitting with his head tilted to to one side. No matter what your baby does, the baby’s head is constantly tilted to the same side.
The muscle most often injured is the sternocleidomastoid (SCM). This damage often occurs in babies who were delivered breech or where removed with forceps. Treatment for babies with congenital torticollis is often successful, especially when it is started within three months of birth.
What are the treatments for torticollis?
Congenital torticollis is treated by:
- Passive stretching of the neck muscles
- Postural training/proper positioning of the head
If conservative treatment fails then surgery can be done to correct the problem. Surgery is most often performed in the child’s preschool years.
Acquired torticollis is treated after all underlying pathology is ruled out by:
- Heat
- Chiropractic adjustments
- Cervical traction
- Massage
- Stretches and exercises for cervical muscles
In severe cases, surgery may be required. Before you consider surgery, you should first try 8 weeks of conservative care treatment like chiropractic care 1.
Complications from untreated torticollis could be muscle swelling due to constant contraction and damage to nerves from compression.
If you are experiencing neck pain, it could be torticollis. If you live or work in Stuart, FL then call 855-509-5400 to schedule an appointment with Advanced Wellness Solutions.