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 […]
pain relief without surgery
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 care for shoulder pain
Gentle chiropractic can effectively treat shoulder pain. Shoulder pain is musculoskeletal pain. Gentle chiropractic care shines as an effective, drug free way to relieve musculoskeletal pain.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
The shoulder is a complex arrangement of bone, muscles, nerves, bursa, tendons, and ligaments. No other joint in the body has the range of motion that a fully functioning shoulder does. It’s easily the most mobile joint in the body. This incredible mobility and flexibility comes at a price. Shoulders are prone to injury.
If shoulder pain comes on suddenly and was not caused by an injury, call 911 immediately. Shoulder pain can be a symptom of a heart attack.
It’s important to diagnose the cause of shoulder pain. We will perform a variety of orthopedic tests to determine the cause of shoulder pain. Imaging will be ordered if the prescribed treatment plan isn’t providing pain relief.
Causes of Shoulder Pain:
Golfing
Common shoulder problems affecting golfers include rotator cuff tears, long head of the biceps tendon injuries, shoulder impingement, osteoarthritis, and shoulder joint instability. Due to the golf swing, the lead shoulder is particularly vulnerable to injury. Golf injuries often respond well to nonsurgical gentle chiropractic treatment.
Rotator Cuff Injuries
If you’re a sports fan, you’ve probably heard of a rotator cuff injury. Rotator cuff injuries are a common reason for shoulder pain.
Four different muscles and associated tendons make up the rotator cuff. This unique arrangement of muscles, tendons surround a ball socket like joint allowing you to raise, rotate and move your arm in a wide variety of ways.
There are three different types of rotator cuff injury: 1
- RCT or Rotator Cuff Tendinitis: the tendons are irritated and/or damaged,
- RCI or Rotator Cuff Impingement: the bony process on the scapula is rubbing (impinging) upon the tendons and bursa of the rotator cuff.
- RCB or Rotator Cuff Bursitis : the bursa is inflamed and swollen
Postural Syndrome
Poor office posture injuries (postural syndrome) are repetitive use injuries. Poor ergonomics can cause musculoskeletal disorders. Ergonomics describes how you interact with your environment. Poor workspace ergonomics can result in
- headaches
- shoulder pain
- back pain
- neck pain
- wrist pain
Postural syndrome is common if you spend 8-10 hours a day with
- your shoulders rolled forward
- your head jutting forward
- and your upper back slouched.
The human body is great at “making do” with whatever situation you put it in. It will do it’s best to adapt. Ifyou keep stressing your body, you will cause a repetitive use injury. In repetitive use injuries, pain develops over time. As you can see from the list above, shoulder pain is part of postural syndrome.
Chiropractic care is very effective at relieving shoulder pain and other symptoms of postural postural syndrome. For long term relief, you should address your workplace ergonomics. Click here to learn how to create an ergonomic home office.
Frozen Shoulder
Adhesive capsulitis (a,k.a. frozen shoulder) is sneaky. It isn’t caused by an injury. Patients will try to describe it as a dull pain located deep inside the shoulder.
In the earliest stages, the symptoms are mild becoming more severe over time. Over time, the shoulder may become almost impossible to move. Thus the moniker, “frozen shoulder.” 2
Frozen shoulder can be treated with gentle chiropractic care.
Osteoarthritis
Osteoarthritis of the shoulder is rare and usually caused by a previous injury. Chiropractic care maximizes the function of arthritic joints. Gentle chiropractic care can treat osteoarthritis 3 and is recommended for arthritis pain management.
Chiropractic Care of Shoulder Pain
Chiropractors focus on the relationships between the structure and function of joints, muscles and other soft tissues. They accomplish drug free pain relief without surgery through manual manipulations and other therapies. These therapies reduce inflammation and swelling and aid in natural healing.
There are many therapies chiropractors use to relieve shoulder pain. Chiropractic treatments include:
- Chiropractic adjustments
- prescribed exercises
- ultrasound
- electrical muscle stimulation
- application of ice/heat
These chiropractic therapies can
- provide pain relief
- restore mobility
- increase range of motion.
Most patients choosing chiropractic care of shoulder pain are able to return to their normal activities within 6-8 weeks without resorting to steroid injections or surgery.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
If you’re experiencing shoulder pain, call Advanced Wellness Solutions to schedule your appointment at either of our two Martin County, Florida gentle chiropractic locations.
3 Reasons to Choose Chiropractic Care after a Car Accident
If you live in Stuart, Palm City or Hobe Sound Florida, and are injured in a car accident here are 3 reasons to choose chiropractic care after a car accident.
Car accidents can not only cause injury but anxiety as well. Even if your car accident was minor, your injuries could be serious, even life altering. According to a study published in the Society of Automotive Engineers, 1 vehicle crash damage does not directly correlate to the degree of occupant injury.
Unfortunately, it’s common for people to develop chronic issues as a result of a seemingly minor accident. What’s worse, you may not be aware that you’ve been injured immediately following the accident.
Accepting new patients. Call 855-509-5400 to schedule your appointment.
We Accept All Major Medical Health Insurance and Medicare.
Chiropractic care is the best option for musculoskeletal injuries, including those suffered in car accidents. Many of these injuries can be effectively treated without drugs or surgery. Fortunately, the injuries suffered in most minor auto accidents don’t require surgery and drugs.
Here are the top three reasons to choose chiropractic care after a car accident in Martin County, FL
#1: Imaging can’t catch micro-tears that are caused by a car accident.
Unfortunately, medical imaging such as X-rays or MRIs can’t detect the micro-tears in ligaments and muscles after a traumatic injury like those resulting from an auto accident. These microscopic tears in the muscle are why you may wake up with severe pain the day after an accident. Whiplash is a soft tissue neck injury that occurs when the neck snaps back and forth in a rapid motion. That rapid snapping back and forth causes microscopic tears in the neck muscles.
Soft-tissue injuries (a.k.a. micro-tears in ligaments and muscles) like whiplash can take a long time to heal. One study found that more than 70 percent of people who visited the emergency room after a car accident were still in pain six weeks later. Other researchers have noted that nearly half of whiplash sufferers continue to experience symptoms three months later, while 25 percent remain symptomatic for six months.2
Traumatic injuries such as those suffered in a car accident often include micro-tears and micro lesions. These cause inflammation which in turn causes pain. 3 Studies show that chiropractic adjustments help the body release anti-inflammatory Interleukin 6 (IL-6)4. Interleukin 6 (IL-6) plays an integral role in the body’s healing ability, including trauma, burns, cancers and infections.5
#2: Chiropractic Care After a Car Accident Helps Heal Internal Scar Tissues
When you hear the word “scar tissue” you might think of the scar from a nasty fall off your bike when you were young. Your body also forms this special type of tissue inside your body when your ligaments and muscles are injured. Just as the scar tissue you see on your skin doesn’t look or act like your undamaged skin, the scar tissue inside your body doesn’t have the same elasticity or mobility of uninjured soft tissue.
When scar tissue forms in the ligaments, especially those in your neck or back, it can lead to long term pain and reduced mobility. Scar tissue continues to grow and change throughout the recovery process which may take from twelve to eighteen months.6 Prompt chiropractic care after a car accident is very effective at remodeling scar tissue. Chiropractic treatment and stretching of scar tissue helps align the collagen fibers, allowing it tolerate daily activities. 7
Studies show that car accident victims treated within one week of their accident saw the best overall improvement. 8 Many chiropractors refer to this time period as the “golden week” because the inflammatory reaction which occurs during this period, if left unchecked, will produce scars and adhesions that make future management more difficult.
#3: Chiropractic Care After a Car Accident Releases Pain Relieving Hormones
Studies also show that chiropractic care helps release pain reducing hormones.9 These hormones provide natural pain relief from both acute and chronic pain. They will help relieve the pain from the acute injuries suffered in a car accident. Fortunately, they don’t stop there! They will also help any other areas that were causing pain before the accident.
Unfortunately, turning to pain pills can actually make pain worse in the long run. Contrary to marketing messages that imply otherwise, pain medications do not speed up the healing process. Pain medications (both OTC and prescription) can be very beneficial for the first 7 – 10 days after a traumatic injury. Used in the short term, these can provide symptomatic relief while chiropractic care breaks up scar tissue and adhesions, relieving stiffness, pain and the discomfort it causes.
We’re learning that you won’t find the solution to pain – even chronic pain – in a pill. Not only are opioid medications dangerous and addictive, they can actually cause your pain to worsen. Studies show that when you use an opioid pain reliever, it sets off a chain of immune signals in the spinal cord that amplify pain rather than dulling it, even after the drug leaves the body. 10
Prompt Chiropractic Care is Key
Gentle chiropractic care will help prevent long-term, chronic pain conditions and allow you to achieve optimal recovery after an auto accident. Gentle Chiropractic Care is a newer method of chiropractic care. It replaces high-velocity adjustments with low-velocity, low amplitude manipulations. It is performed with a gentle touch, targeting a specific area. Gentle chiropractic care is more comfortable and provides maximum benefit from minimal visits.
If you or someone you know has been in a car accident and you need gentle chiropractic treatment, call 855-509-5400 to schedule an appointment.
Is Your Smartphone Use Causing Your Neck Pain?
You should know that “text neck” is not an official medical diagnosis. Instead it’s a description of a repetitive stress injury from the way you hold your head while using a mobile device.
Text Neck Causes
Text neck a.k.a. postural syndrome is caused by forward head posture and rounded shoulders. When you’re in this position, muscles in the neck, chest, and upper back can become imbalanced due to prolonged forward head posture. Over time, this imbalance can make it difficult to maintain good posture.
A healthy cervical spine has curves that begin by gently curving forward from the base of the skull. A healthy spine then curves backward into the top of the chest/upper back. When the head drifts forward in poor posture it causes an unnatural, forward positioning of the head and cervical spine. This creates additional stress on the inter-vertebral discs, vertebrae, and facet joints, which may accelerate spinal degeneration.
Text Neck Pain
Text neck isn’t limited to pain in your neck. Instead, you may feel pain in your upper back, and/or your shoulders. You may have a stabbing or intense pain in one spot or you may feel sore over a broader region. For example, you might have pain spanning from the bottom of the neck and into the shoulder(s). In addition to upper back pain, shoulder pain and neck pain, you may also be experiencing headaches.
If you notice that your pain increases when your neck is flexed forward into the position that originally caused the problem, then that’s a sign that you may have text neck.
Text Neck Impact
The stiffness resulting from text neck can reduce your mobility. Your neck, upper back, and shoulders may all experience tightness and reduced mobility. This reduced mobility can make driving dangerous.
Text neck can also cause headaches. These headaches are a result of muscle spasms in the neck and shoulders.This pain can then be referred from the neck and shoulders up into the head. Excessive amounts of time looking at screens, regardless of posture, may also increase the risk for eyestrain and headache.
Text Neck Treatment
Chiropractic care is ideally suited to treating neck pain, no matter what the cause. A careful patient history and physical exam can help to determine whether the pain and/or stiffness in your neck is caused by a repetitive stress injury, such as text neck or tech neck.
If a more serious cause of your neck pain is suspected, such as nerve root compression, fracture, or a serious underlying medical condition, Dr. Danielle will order imaging, nerve conduction studies and other tests to confirm her diagnosis.
Schedule your appointment today by calling 855-509-5400.
Pain Medications for Pain Management
Pain medications often play a prominent role in pain management. Unfortunately, long-term painkiller abuse can lead to serious cardiovascular issues, liver and/or kidney disease or failure, decrease in immunity, gastrointestinal problems and even death resulting from toxicity or overdose.
Gentle chiropractic care can be a powerful tool in providing drug free pain relief.
Advanced Wellness Solutions is accepting new patients.
We Accept All Major Medical Health Insurance and Medicare.
Call 855-509-5400 to schedule your appointment.
In pain? Inflammation is to blame.
Pain is one of the body’s vital defense mechanisms. Injuries often cause micro-tears and micro lesions. These cause inflammation which in turn causes pain.
Pain lets the brain know that damage or death has occurred to the cells in the affected area. It’s also the way our body tells us not to use the affected area. Pain can also guide us in what to do and not do after an injury. Persisting in activities that cause sharp pain can cause even more damage and slow healing.
If you’ve ever been in a car accident, you may have refused treatment at the scene only to wake up the next morning feeling intense pain. The reason behind this cue to your body’s incredible ability to keep you alive. During your Florida car accident, your body released an adrenaline rush. An adrenaline rush, like pain, is another of the body’s vital defense mechanisms. This hormonal rush triggers specific processes in the body to help you survive. It decreases your ability to feel pain, increases your strength temporarily and sharpens your mental focus.
If you were being mauled by a tiger, an adrenaline rush is a good thing. It allows you to ignore your injuries and escape becoming a meal for a hungry tiger. However, the rush of adrenaline only decreases pain temporarily. After the effects wear off, you may be desperate to get your hands on immediate pain relief.
When you’re in pain, you want fast effective pain relief. You want to get back to doing everything you were doing before your injury. The fastest easiest way to treat pain is by using pain medications for pain management. Unfortunately, we’re learning that pain relief medications – both prescription and OTC – have an unexpected dark side.
Painful Truth: Pain medications do not speed up the healing process.
Pain medications for pain management – used in the short term – can provide symptomatic relief. OTC and prescription pain relief medications can be very beneficial for the first 7 – 10 days after a traumatic injury. They are especially beneficial to use while gentle chiropractic care breaks up scar tissue and adhesions, providing long term relief from stiffness and pain.
Unfortunately, we’re learning that you can’t find chronic pain relief in a pill. Opioid analgesics also known as narcotic analgesics, modify pain messages in the brain. Often prescribed for chronic pain, these drugs can be dangerous and addictive. In a horrific catch-22, they can actually cause your pain to get worse,
Prescription painkillers cause the pain you feel to increase over time.
New studies on pain medications for pain management are painting an especially grim picture pointing to the long term effects of using opioids for chronic pain. It’s call Opioid-Induced Hyperalgesia or OIH. OIH is the increased perception of pain leads to needing higher doses to achieve the desired effect.
Studies show that when you use an opioid, it sets off a chain of immune signals in the spinal cord that amplify pain rather than dulling it, even after the drug leaves the body.1
Peter Grace, a neuroscientist at the University of Colorado Boulder is trying to trace hyperalgesia to the way opioids affect the immune system. His team injured rats to mimic the nerve pain humans feel. Ten days after the injury, half the rats received a 5-day treatment of morphine. Over the next 12 weeks, the researchers periodically measured the rodents’ threshold of pain. After 6 weeks, the injured rats that had received no morphine returned to the same sensitivity as uninjured control rats. Meanwhile, it took morphine-treated rats 12 weeks – twice as long – to return to the same pain sensitivity as the control rats. 2, 3
Using prescription painkillers to manage pain is a lot like blowing your nose with a tissue filled with sneezing powder!
The higher the dose, more risk of overdose all the while with the patient experiencing increasing pain levels. Some studies suggest that it makes the pain even worse than when the patient began treatment.
Based on what has been learned from animal and human studies, the following may be true:4,5
- The treatment of pain with high doses of opiates may increase the chance of greater levels of pain at later times.
- Taking high doses of opiates for chronic pain may increase levels of postoperative pain, even when their opiate doses are increased.
- People who use or who have used opiates in the past, may have increased pain responses to such procedures as having their blood drawn.
The key takeaway here is that your pain can keep increasing not because of an injury, but due to the action of the opioids themselves.
According to Dr. Al Clavel who specializes in pain medicine, there’s another reason opioids can make pain worse. He writes:
Our bodies have natural opioids called endorphins. If your body becomes used to opioid pain medication, its ability to create and use natural endorphins will decrease. This makes you lose the ability to reduce pain on your own.
Over the Counter Pain Relief
There are many safer, proven ways to help relieve chronic pain. One is by using over the counter (OTC) painkillers. OTC painkillers include NSAIDs (non-steroidal, anti-inflammatory drugs) and acetaminophen relieve (brand name Tylenol). NSAIDS relieve pain by reducing the production of prostaglandins, which are hormone-like substances that cause pain. Acetaminophen works on the parts of the brain that receive the pain messages.
OTC painkillers are easily available, aren’t habit-forming, and won’t leave you constipated. However, even OTC painkillers can increase the risk of heart attack or stroke. OTC painkillers have also been known to cause stomach ulcers and bleeding as well as liver and kidney problems. These risks increase with sustained use.
If you’ve been using OTC pain relievers for more than 14 days straight, you should probably talk to your health care provider about the risks. Just because its sold without a prescription doesn’t mean that OTC pain relievers are “safe” for long term use.
Topical Pain Relief
Topical pain relievers or liniments are also available without a doctor’s prescription. These products include creams, lotions, or sprays that are applied to the skin in order to relieve pain from sore muscles and arthritis.
Chiropractic Care for Pain Relief
Chiropractors specialize in treating the musculoskeletal injuries that cause acute and chronic pain. Chiropractic care includes a variety of pill free/drug free treatment modalities that allow your body to heal naturally.
Chiropractic care is proven effective. A study that compared the effectiveness of prescribed medications to spinal manipulation found that 94% of patients who underwent chiropractic treatment saw a 30% reduction in low back pain after 4 weeks. In comparison only 56% of patients who used regular medical care saw a 30% reduction in low back pain after 4 weeks.6
Acupuncture for Pain Relief
Acupuncture has been providing effective drug free pain relief for thousands of years.
Many studies have been performed to measure the effectiveness of acupuncture. Researchers with the Acupuncture Trialists’ Collaboration compiled the raw data from trials where the main outcome measures were pain and function. The results from these studies concluded that acupuncture is an effective method of treating chronic pain. They concluded that 7
- acupuncture is effective for the treatment of chronic pain
- that the effects of acupuncture persist for up to 12 months,
- and that the benefits of acupuncture cannot be explained away solely by the placebo effect.
The report itself 8 states:
Acupuncture is effective for the treatment of chronic musculoskeletal, headache, and osteoarthritis pain.
At Advanced Wellness Solutions, we would love to help you get back to living the life you love pain free! Call us at 855-509-5400 to schedule an appointment today.
Chiropractic Treatment of Migraine Headaches
Migraine headaches have become part of our everyday lingo. Many times, if someone is having a severe headache, they assume they’re having a migraine. There are many different types of headaches, many of which respond well to chiropractic care. However, the question remains:
What is a migraine?
A migraine is defined as recurring episodes of one sided headaches that are usually throbbing and can last 1 to 3 days. Some migraine sufferer see an aura, also known as a visual disturbance, but others may not.
There are two types of migraines classic migraine and common migraine.
Classic Migraine
According to the International Headache Society the criteria for a classic migraine are:
- Migraine with aura
- Minimum of 2 attacks of headache with any 3 of the following:
- Reversible aura
- Aura develops gradually over 4 min+
- Aura does not last more than 1 hour
- Unilateral headache follows the aura
- With at least 1 of the following:
- Nausea or vomiting
- phonophobia or photophobia
- Aura may show a blind spot (scotoma)
- Surrounded by flashing lights (scintillation)
Common Migraine
The International Headache Society criteria for a common migraine are:
- Migraine without aura [common]
- Minimum of 5 attacks
- Plus any 2 of the following:
- Unilateral location
- Pulsatile quality
- Worse on climbing stairs
- At least 1 of the following:
- Nausea or vomiting
- Photophobia or phonophobia
The primary difference between Classic Migraines and Common Migraines is the absence or presence of visual disturbances.
Despite the fact that there are differences between the two types of migraines, the causes and treatments for both types of migraines are the same.
What causes migraines?
To date there is no one true cause of migraines. Genetics seems to play a role along with hormonal changes and dietary triggers.
Triggers for migraines include:
- Hormonal changes, especially in women during their menstrual cycle
- Foods such as cheese, salt and high nitrate foods (processed foods)
- Drinks such as alcohol and highly caffeinated drinks
- Stress
- Changes in sleep patterns and environment
- Physical activity
- Sensory stimuli such as bright light or smells of certain foods
What are the treatments for migraines?
There are many medications available to someone who suffers from migraines. OTC painkillers can help to reduce the pain of a migraine.
Chiropractic care and lifestyle changes can make a huge impact on migraine episodes.
Dealing with the triggers in one’s diet and relieving tension in cervical muscles can help to reduce the pain and frequency of migraines.
It is important to note that migraines to date cannot be cured; however migraines can be managed through lifestyle modifications. Discovering your migraine triggers can help you to avoid those triggers in the future. Stress reduction is also an important part of controlling migraine headaches.
If you are experiencing migraine headaches and wish to discuss your treatments options, please contact us.