Specific Conditions Treated
The following is a common list of conditions that
have been seen and treated at this clinic as examples of types of care
delivered. A brief description of the symptoms is outlined for each.
Acute low back pain: A low back problem
often originating from the joints of the back. This condition involves
varying degrees of muscle spasm as guarding of the injured spinal joint.
Inflammation is often present, but is not the primary cause of the pain.
Subsequently, little relief is derived from only anti-inflammatory
medication. Joint involvement means that only limited relief comes with
muscle relaxant medication. Cryotherapy (ice pack applications to the low
back region limited to 10 minutes exposure, 2-3 applications per day) offers
relief without the side effects of NSAIDS/muscle relaxants.
Chronic Low Back Pain: Radiographic and
clinical evidence of degenerative changes to the joints and soft tissue
elements of the lumbar spine and/or pelvis. Morning stiffness or
aggravation of symptoms with sitting/rest and changing position are
typically noted. Increasing difficulty with walking, and aggravation of
symptoms on attempts to exercise are also common symptoms.
Pelvic and hip pain: Soft tissue irritation
such as tendonitis or bursitis with both localized pain and referred pain to
back and thigh regions. Therapy utilizes cryotherapy, ultrasound and
electrotherapy for pain management and inflammation reduction. Appropriate
stretches and exercises are recommended as part of recovery. Back pain and
sacroiliac components are addressed with SMT.
Knee pain: Capsulitis is addressed with
specific mobilization techniques, cryotherapy and electrotherapy to reduce
muscle irritation/involvement. Variations include Osgoode-Schlatter's
Syndrome, popliteal bursitis (Baker's Cyst), and patello-femoral syndrome.
Stabilization-type knee bracing is prescribed for unstable ligamentous
Leg pain: Compartment syndrome disorders are
addressed with electrotherapy and cryotherapy management. Dorsal night
splints are prescribed for plantar fasciitis treatment. Ankle joint
mobilization techniques are used for management of most leg pain disorders.
The use of ankle bracing devices such as Aircast ankle splints are
prescribed for unstable ligamentous disorders. Leg pain as a result of
biomechanical disorders of the foot and ankle are addressed with the use of
custom-made prescription orthotics. Our podiatric-style laboratory can make
custom sandal footwear as well as custom design sport application orthotics
for optimal athletic performance.Moderate to severe Restless Legs Syndrome (RLS)
symptoms are addressed with cryotherapy and compression supports. Severe
RLS symptoms can be co-ordinated with a patient's physician for appropriate
pharmaceutical management in conjunction with physical therapeutic means.
Portable TENS* (transdermal electrical nerve stimulation) devices can be
prescribed for prolonged periods of sitting (ie. Long trips, lecture and
class use) with effectiveness, as they can imitate the sensation of movement
to reduce RLS symptoms.
*TENS units are also prescribed for management of
sciatica and chronic low back pain as a treatment option.
Shoulder pain: Rotator cuff injuries are
treated with cryotherapy and ultrasound. Manipulation and mobilization
techniques are administered to the shoulder joint when ranges of motion are
compromised/limited. Rib cage involvement (subscapular) is addressed with
SMT and electrotherapy, when appropriate.
Wrist pain: Carpal tunnel disorders are
treated with carpal mobilization techniques of the wrist bones, especially
where joint movement has become altered or lost. Wrist splints are
prescribed to reduce positional strain, especially at rest. Stretching and
mobilization exercises are prescribed to maintain movement and reduce
Neck pain: Whiplash Associated Disorders are
classified in degrees of severity from (WAD) I to IV. Treatment includes
cryotherapy, traction techniques and soft tissue mobilization techniques to
improve ranges of motion and reduce soft tissue and joint based pain. SMT is
utilized for joint based cervical disorders and strains when appropriate.
The upper neck and temporomandibular joint (TMJ) complex is assessed when
appropriate. Jaw joint pain can be assessed for capsular injury or
stiffness affecting movement.
Tennis elbow: Lateral epicondylitis is
treated with ultrasound therapy and cryotherapy. Appropriate elbow bracing
is prescribed when necessary. Referred pain to the forearm region is
treated with electrotherapy to the involved region.
Whiplash injuries: Neck pain and stiffness,
usually with some form of muscular headache, occasionally with pain into the
shoulder, arm or forearm area (from nerve involvement), and graded as Type
I, II, III, or IV, depending on the severity. Treatment involves SMT,
cryotherapy, ultrasound, electrotherapy to muscle of the upper back and
shoulder regions, rehabilitative stretches and strength recovery programs.
Costovertebral strain: Pain involving the
shoulder girdle, arm, and occasionally into the forearm and hand, often with
a "numbness" or "tingling" sensation, that often changes or improves with
shoulder and arm positioning. Neck pain may be present, but usually there is
no neck stiffness present. Intense pain may be felt between the shoulder
blades, often more to one side. There is difficulty in sleep positioning
due to the rib cage pain. This is a common diagnosis for patients who have
just been to the ER for emergency examination for possible cardiac
involvement but whose ECG and blood work was found to be normal.
Note: The ER is the first and best place to be with
any presenting symptoms of chest pain. Never assume chest pain is anything
other than heart originating, and should be assessed as soon as possible
at your closest hospital ER or call 911.