With Dr Adam Luc
David presented to the clinic with back pain. His pain was constant, daily and aggravated by sitting. His examination and X-rays revealed a scoliosis, spinal degeneration and a degenerative condition called Scheuermann’s disease. His spine was extremely stiff in most ranges of motion. Since undergoing postural therapy David is now feeling more mobile and rarely feels any pains in his back.
Before Postural Treatment After Postural Treatment
Posture changes to note:
- Body less crooked
- Head back over shoulders
- Chest more out
- Pelvis less tipped
Patellofemoral Pain Syndrome (PFPS) is the most commonly diagnosed sports injury and yet its cause and treatment are still relatively unclear.
Pain is localized to retropatellar (behind the knee) and is directly related to the tracking of the kneecap. It is a multifaceted pain syndrome that is related to biomechanical dysfunctions, muscular problems, overuse and overload that result in the patellar misaligning and not following it’s structural tracking through the femur.
Weak quadriceps – weakness of one or more of the quadriceps muscles will result in a lack of correct tracking of the patellar. Strengthening of the quadriceps muscles is the most effective known treatment of patellofemoral pain syndrome.
Weakness of the medial quadricep (vastus medialis obliqus -VMO) – the medial quadriceps muscle is a key factor as it is the most commonly identified weak quadricep muscle in this pain syndrome. A weak VMO, often in conjunction with a tight ITB, allows for the lateral displacement of the patellar.
Tight iliotibial bands – the iliotibial band runs from the side of your hip through to the side of your knee. If the ITB is tight it effectively pulls the kneecap laterally thus causing displacement and pain. Regular foam roller exercises are recommended to aid the loosening of the ITB.
Tight hamstrings – as a knee flexor, tight hamstring put greater force between the patellar and femur, which causes greater friction and pain.
Weakness or tightness of the hip muscles – the quadriceps muscles originate from the pelvis area, more specifically the VMO originates from the adductor tendons. Dysfunction with the hip muscles directly affects the quadriceps so optimum strength of these muscles is also required.
Tight calf muscles – the calf muscles run down and under the foot so if they are tight they can lead to compensatory foot pronation (flat foot) and similarly to the tight hamstrings can also cause an increase in the force between the patellar and the femur, which in turn causes pain.
Hip misalignment – misalignment of the bones of the pelvis directly affect the muscles that anchor to it. In compromising the leverage of these muscles it reduces their strength and thus leads to muscle dysfunction of the quadriceps.
Foot pronation/supination – similarly to hip misalignment, if the arch of the foot is too high or too low it changes the angles of the tibia/fibula in relation to the femur which changes the tracking of the knee cap, and thus causes pain.
Patellofemoral Pain Syndrome is a multifaceted condition that requires a whole body analysis in order to correctly diagnose and treat the pain.
The chiropractors at Spine and Health are the experts in Pain and Posture. If you are suffering from pain behind your knee it is possible that you have one of the many factors listed above, which could all cause PFPS. In order to diagnose this condition and start treatment we recommend you visit one of our clinics on the lower North Shore and we can conduct a Digital Postural Anaylsis. This analysis will aid us in ascertaining if you have a postural/biomechanical condition that could be the underlying factor.
The Chiro’s will create a personalised plan to correct your posture and in doing so may be able to give you symptomatic pain relief. In identifying the key cause of your pain syndrome the chiropractors can help you to counter the problematic muscle/structural issues and return you to a happier, healthier, more upright you!
To look better, move better and feel better please contact one of our clinics today:
Crows Nest Ph 9460 8459
North Sydney Ph 9955 8055
It is common for women from around the 12-week mark of their pregnancy to feel pain down the front of their pelvis.
And an all too common response is that it is “normal” and so women put up with it! But they need not!
In preparation for birth a pregnancy hormone, ‘relaxin’ is released to soften ligaments and cartilage to make it easier for the baby to travel down the birth canal. The reason that pain is often felt from the 12-week mark is relaxin levels reach their peak at this point.
The pelvis is made up of several bones that are joined with ligaments:
– The joint at the front of the pelvis is known as the public symphysis and;
– The large joint at the back of your pelvis is known as the sacroiliac joint.
At these joints, ligaments bridge the gap, holding them in tightly. The release of relaxin in the body causes these ligaments to relax and frees movement of the bones.
On average a pregnant woman will have an increase in the public symphysis gap by 2-3mm. It is possible, however for this gap to increase by 4-5mm, which means that the pelvis can easily misalign, and this is when it becomes painful.
Symptoms of Pubic Symphysis Dysfunction
– Pain/tenderness of the pubic area
– A feeling of deep bruising
– Vaginal pain
– Lower back pain
– Reduced range of motion of hips
– Pain in separating legs (walking, getting out of bed, climbing stairs)
– Bladder dysfunction
Chiropractic Can HELP!
You don’t need to suffer! Chiropractic care will aim at realigning your body and in doing so relieving you of pain. Your pelvis bears the weight of your body and is the anchor point for key muscle groups so it is no wonder that if it is misaligned we suffer.
The Chiropractors located at Spine and Health in Crows Nest, North Sydney and Gladesville are the experts in pain and posture. If you are suffering from pubic symphysis dysfunction, are pregnant, or are planning on falling pregnant, we recommend that you visit one of our clinics and have a postural analysis conducted. We will construct an individual plan that will alleviate your pain, and/or ensure that you minimize your chances of suffering at all!
Just because you might not be suffering from pain right now does not mean that you won’t! Pregnancy causes dramatic changes in your body so minimize the likelihood of misalignment and the potential debilitating pain throughout your pregnancy. Be proactive and maintain your good posture with regular chiropractic care.
Helpful Hints for Home:
– Sleep with a pillow between your legs
– Take smaller steps when walking
– Move your legs as a unit – when getting in and out of your car/bed/lounge chair etc, keep your legs together.
– Avoid lifting heavy things
– Have regular rests (avoid standing for long periods of time)
– Change your exercise plan to include swimming (excluding breaststroke)
Join the growing statistic of women with reduced labor time due to chiropractic care! Make sure your body is in correct alignment and give yourself the best opportunity for a good pregnancy and birth!
To Look Better, Feel Better and Move Better please call your local North Shore Chiropractor today:
Crows Nest Ph 9460 8459
North Sydney Ph 9955 8055
Gladesville Ph 9817 6611