Shoulder Pain? What to know and when to seek help!

Shoulder pain is unfortunately quite a common complaint. It seems to increase as we age. There are many potential causes of shoulder complaints which can occur with injury or trauma, everyday wear and tear or even overuse. The pain may also be referred from another part of your body such as your neck.

shoulder pain

Shoulder Pain

The shoulder is a very flexible ball and socket joint, but with this wonderful flexibility we sacrifice stability. In contrast, think how stable your hip joint is. The trade off however, is the hip is nowhere near as flexible as your shoulder.

Shoulder pain is very common, and since your shoulder moves basically every time you move your arm, it is not hard to see why this condition could affect upwards of 20% of adults at any one time. Interestingly, shoulder pain is a very common reason for presenting to a Chiropractor. A Chiropractor is a registered health professional who has the skills, training and experience to arrive at the appropriate diagnosis and to suggest appropriate management.

When to seek help for shoulder pain?

If your pain does not resolve after a few days of rest, ice and/or heat it is sensible to seek a professional opinion. Additionally if you find it difficult to use the arm or to carry objects due to your pain then seek help. Other possible scenarios such as pain while at rest, swelling or significant bruising around the shoulder or inability to raise the arm it is time to see the Chiropractor.

Management options for you may include prescription of special tailored exercises to prevent and manage shoulder pain as well as attention to the shoulder and surrounding muscles. A thorough examination of your spine may also reveal possible causes of shoulder pain which even be referred from your neck or elsewhere.


Chiropractor Ipswich QLD | (07) 3282 4478

If you need a great Chiropractor in Ipswich QLD, give Booval Chiropractic a call today. We are here to help with all your spinal health needs including providing advice and effective treatment for many causes of shoulder pain. Healthy spine, Healthy life!

Tingling or numbness in hands or feet?

Tingling or numbness in hands or feet?

Do you suffer from tingling or numbness in hands or feet? This can actually be quite common and can be quite distressing. The feeling can sometimes be temporary and simple in nature. It could, for example, result from poor sleep posture placing temporary pressure on a nerve when your arm is bent under your head when you fall asleep. It may be from spending too much time sitting on the toilet or with your legs crossed. Either way, you may experience tingling or numbness in hands or feet. In a simple case, as described, the “pins and needles” that you may feel is soon relieved when you change the position or posture causing the pressure.

tingling or numbness in hands or feet

Interestingly, there are many other causes of tingling or numbness in hands or feet, some of which are more serious, and the sensations experienced may be severe and/or chronic. You may also experience other symptoms such as pain, itching or muscle wasting. This may be a sign of nerve damage, which can result from a wide variety of causes. It may be due to a traumatic injury, repetitive stress injury, from various infections or even from a systemic disease like diabetes. It may be the result of a vitamin deficiency, a consequence of alcoholism or even a side effect of some medications.

Peripheral neuropathy is the term given to such nerve damage as it affects nerves in the periphery (the outside) away from the brain and spinal cord. If you experience persistent tingling or numbness in hands or feet it is important to seek advice promptly from a healthcare professional. The earlier an accurate diagnosis can be made the less likely your are to suffer potentially longer lasting consequences.

Should you seek care for tingling or numbness in hands or feet, your health professional should perform a thorough physical examination and take an appropriate case history examining all relevant areas including your family history. Additional tests may be ordered to confirm or rule out possible disease processes and guide further steps.

Successful management depends on an appropriate and accurate diagnosis of what is causing your tingling or numbness in hands or feet. It may include many facets, both Chiropractic and otherwise.

Can we at Booval Chiropractic help? Schedule an appointment today and let us provide you with a comprehensive history and examination to allow appropriate treatment and recommendations as soon as possible to allow you to feel your best. If we think we can help we will tell you, if we think we can’t we will refer you to an appropriate health professional who may be able to.


Chiropractor Ipswich QLD | (07) 3282 4478

If you need a great Chiropractor in Ipswich QLD, give Booval Chiropractic a call today. We are here to help with all your spinal health needs including providing advice on tingling or numbness in hands or feet. Healthy spine, Healthy life!

 

Slipped disc? Sciatica or leg pain?

Do I have a slipped disc? My back hurts! My leg hurts!

Slipped disc? Although it’s not widely known, Chiropractic has considerable success in treating disc disorders, especially in the low back. In fact, very few people who are told they have a disc problem understand what such a diagnosis really means.

The disc is a fibrous bean bag chair between the weight-bearing parts of the vertebrae at every level except the very top of the spine. It has a chewing-gum like nucleus, not quite liquid or solid which acts as the mobile cushion for shock absorption and multi-axial motion.

slipped disc

Slipped disc?

The disc nucleus has a chemical attraction for the water contained in tissues and bone around the disc, and inflates with this when gravity isn’t applied (i.e. when we lie down). That’s why we are all taller and have a stiffer back in the morning and shorter before bed-time. No-one took this into account when the first astronauts went aloft and they came back almost 5cm taller, stiff as a board, rammed down tight inside their space suits when they returned to earth! That’s one of the reasons they exercise in space… with no gravity, their spines get too stiff if they don’t bend about a bit.

What of us on Earth? Well, the spine has a leathery coating around the front and sides, but not much of it at the back at the bottom. This means if a disc develops a hernia (it’s not a slipped disc!), it’s usually backwards where there’s little protection for the spinal cord and the nerves and we can get sudden excruciating back or leg pain. Rarely, the disc fragment
extrudes into the spinal canal and we need to have surgery to fix it. On the other hand, much disc damage occurs slowly over time, with risk factors of: bending occupations, vibration when sitting (farmers on tractors), and smoking (it interferes with disc nutrition chemically).

Note that if we stoop forward for long, we are tending to squish the nucleus backward towards the spinal cord and nerves, and if we bend backward we do the reverse. That’s why, if we stoop for long, perhaps working on the car engine, periodically, intuitively, we stand up and lean back (body smarts!).

A Kiwi physiotherapist called Robin McKenzie cleverly used this understanding to design a back exercise to help disc patients, but the exercise hurts backs if sacro-iliac (tailbone) joints
are the cause of the back or leg pain.

Finally, the only way to treat back or leg pain is to have an accurate diagnosis of the underlying cause of the pain first. BUT the fact you have been told you have a disc problem (perhaps after an MRI or CT scan) does not mean it can’t be successfully treated conservatively by a chiropractor, and often with a bit of help from Mr McKenzies’ clever exercises.


Chiropractor Ipswich qld | (07) 3282 4478

If you need a great Chiropractor in Ipswich QLD, give Booval Chiropractic a call today. We are here to help with all your spinal health needs including back pain, sciatica and lHealthy spine, Healthy life!

Is Chiropractic care safe?

Is Chiropractic care safe? Generally, very much so! Chiropractic is widely recognized as one of the safest, drug-free, non-surgical healthcare approaches available for the management of neuromusculoskeletal complaints. Even with such an enviable safety record, it must be recognized all health interventions carry risk. Despite what some sensationalist media reports may suggest, the risks associated with Chiropractic are generally considered to be very small.

Is Chiropractic care safe

Is Chiropractic care safe?

Many patients feel relief instantly following Chiropractic treatment. Some can feel mild soreness, aching or stiffness; a little bit like you have just been to the gym for the first time in a while. This feeling is typically very short lived.

Neck pain and some types of headaches are commonly treated through precise neck manipulation, which Chiropractors may call a neck adjustment. This can often help to improve joint movement in the neck, improving range of motion (how far you can move your neck) and reducing muscle spasm. This can relieve pressure and tension. Neck manipulation, when performed by a skilled professional such as a registered Chiropractor, is a remarkably safe procedure. It must be acknowledged that some reports have associated high-velocity upper neck manipulation with a certain type of stroke (or vertebral artery dissection). Recent evidence suggests that this type of artery injury often takes place spontaneously in patients who have pre-existing arterial disease. These dissections have been associated with everyday activities such as turning the head while driving, swimming, or having a shampoo in a hair salon. That said we don’t yet have the data to say definitely that one does not cause the other.

The best quality research is pointing away from a causal link between neck manipulation and cervical artery dissection. A 2016 systematic review and meta-analysis of Chiropractic care and cervical artery dissection (CAD) (done by medical doctors in a neurosurgical department) found “The quality of the published literature on the relationship between chiropractic manipulation and CAD is very low.” They also concluded “There is no convincing evidence to support a causal link between chiropractic manipulation and CAD. Belief in a causal link may have significant negative consequences such as numerous episodes of litigation.”

In a non peer-reviewed article Dr Anthony Rosner concludes: “Nonetheless, the clear trend appears to be more and more likely: Cervical manipulation as performed by chiropractors fails to register as a significant specific cause of vertebral basilar artery dissections and stroke. Although always worthy of further study, the issue of stroke now needs to be retired as a specific reason to avoid chiropractic care.”

If you are seeing your Chiropractor with upper neck pain or headache, be very specific and detailed with describing your symptoms. A thorough patient history coupled with an appropriate clinical examination will aid your Chiropractor in offering the safest and most effective approach for your case. This may involve referral to another health care provider.

When evaluating the risks of any health care procedure, it is important to look at them in comparison with other common treatments available for the same condition. In this regard, the risks of serious complications from spinal manipulation for conditions such as neck pain and headache compare very favourably with even the most conservative care options. For example, the risks associated with some of the most common treatments for musculoskeletal pain, such as over-the-counter or prescription nonsteroidal anti-inflammatory drugs (NSAIDS) and prescription painkillers- may be significantly greater than those of chiropractic manipulation.

What to do if you would like to see a Chiropractor?
Should you wish to seek help from a Chiropractor you may do so without a medical referral. If you have any questions or concerns make sure to raise them with the Chiropractor and if you don’t feel you have been given appropriate answers then let the Chiropractor know. If you still don’t feel you have obtained appropriate answers then seek another opinion.
There should be an open discussion of what treatment is proposed, what risks (and their likelihood) may be associated with the proposed treatment (including any risks of not treating) as well as discussion of other possible alternatives for treatment. Should you choose to proceed with care this discussion (legally referred to as informed consent) should be documented. A good health professional in any discipline should be happy to address any questions to allow you to make an informed choice.
Should you wish access to payment from Medicare under the Chronic Disease Management (CDM) scheme (what used to be referred to as Enhanced Primary Care or EPC), from Workcover or DVA you may require a referral from your GP.
When consulting with the Chiropractor make sure to mention any previous medical history you have, what medications and supplements you may be taking and ideally bring any previous imaging studies (X-ray, CT, MRI) and relevant medical testing results if performed (Bone density scans, blood tests etc). A good Chiropractor will also suggest an open dialogue with your usual GP to help ensure coordinated and safe care for the best health outcome for you.


Ipswich Chiropractor | (07) 3282 4478

If you live in Ipswich and need a Chiropractor, give Booval Chiropractic a call today. Healthy spine, Healthy life!