At CBD Wellness Centre our practitioners have a wealth of experience providing assessment and treatment for a wide variety of spinal and peripheral musculoskeletal problems. If you would like more information or to book an appointment call (08) 9486 8653 today.
Neck Pain Treatment
Your neck is a complex interlocking structure consisting of bones, joints, nerves, muscles, tendons and ligaments. Injury to any of these structures can cause pain and dysfunction. Symptoms of common neck pain include: muscle ache and spasm, stiffness, loss of movement and headaches. In more severe cases, this may also include: nerve pain radiating down the arms, dizziness, blurred vision and nausea.
Headaches have several different classifications and sub-classifications and each type has a variety of contributing causes. The two most common types we treat are ‘tension’ and ‘cervicogenic’ headaches. Tension headaches are caused by excessive contraction or tightening of the muscles that cover and insert onto the skull and is quite often present with upper shoulder and neck pain. They most commonly present as a pain that begins in the back of the head and upper neck as a band-like tightness or pressure.
Cervicogenic headache refers to a pain in different areas of the head emanating from the joints of the neck. Excessive pressure or stiffness in these joints creates a pain that begins in the base of the skull and gradually works its way across the top or side of the head to eventually sit in behind the eye. They are most commonly caused by a progressive overload on these joints due to poor sitting posture.
Tension and cervicogenic headaches can occur in isolation, but more commonly present together due to poor sitting posture being a major cause of both. Both types of headache are easily treatable by our experienced practitioners.
Whiplash commonly occurs following high velocity injuries such as a car accident, sports injury, hitting your head on the ground, being punched or aggressively shaken. In these injuries the person’s head is first thrown backwards and then when their body stops moving, the head is thrust forward. This type of injury causes overstretching to the muscles and ligaments of the neck. The pain from whiplash, which is usually worse with movement, does not always start immediately — it may take several days to come on. Neck pain and stiffness may be accompanied by muscle spasm, dizziness, headaches, nerve pain and shoulder pain.
Postural Dysfunction Treatment
Postural dysfunctions are very common in people that sit at a desk for long periods and are a common cause of neck and back pain. Sitting or standing with the shoulders slouched and chin jutted forward, working with your head down for long periods of time, slumping while seated and sleeping face-down are common postural problems that affect the neck and back by putting extra strain on ligaments and muscles, this in turn causes pain.
Scoliosis is the medical term for a lateral (sideways) curvature of the spine. The curvature may be functional (correctable) or structural (fixed). Structural scoliosis occurs in approximately 2% of women and less than 1/2% of men. There is a fine line between the term scoliosis and a very mild curve in a normal spine. Curves are measured in degrees. People with a curve of 10⁰ or less are often thought to have just an asymmetry of the spine. Consultation with a physiotherapist or chiropractor will determine whether the scoliosis is structural or functional. They will then provide the most appropriate treatment and advice to reduce pain and enhance function.
Low Back Pain Treatment
Low back pain, technically known as lumbosacral pain, is a common problem that effects up to 90% of Australians during their lifetime. Symptoms of lumbosacral dysfunctions include:
- Pain and stiffness in the lower back and/or buttock, especially with movement
- Pain that radiates down the front, side, or back of your leg
- Pain with prolonged sitting, standing or walking
- Pins and needles, numbness or weakness in parts of your leg
There are many structures that cause lumbosacral pain are they are difficult to isolate, they also tend to respond to different directional loading patterns. As such, it is important to undergo a thorough assessment to identify the main structure causing your dysfunction as different structures will be treated with different techniques and in different directions.
Intervertebral Disc Prolapse Treatment
Intervertebral discs are tough fibrous pads joining each of the spinal vertebrae. Each disc is composed of a tough outer layer of ligament and a soft gelatinous core. The structure acts as a shock absorber to cushion the vertebrae during movements of the spine, and to minimise jarring when jumping or running. A disc prolapse occurs when the gelatinous core breaks through the outer layer of ligament causing inflammation and pressure on sensitive structures in the spine.
The term ‘sciatica’ describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. This is generally caused by a prolapsed disc putting pressure on a sensitive nerve root in the lower back.
It is important to note that sciatica is a symptom of something compressing or irritating the nerve roots that comprise the sciatic nerve rather than a medical diagnosis or disorder in and of itself. The vast majority of people who experience sciatica get better with time and find significant pain relief with non-surgical treatments including physiotherapy and chiropractic.
Arthritis refers to the inflammation of a joint (an area where two bones meet) and is one of the most common causes of joint pain, especially in the aging population. There are many forms and causes of arthritis with the most common being osteoarthritis. Osteoarthritis refers to the pathology resulting from gradual deterioration of joint cartilage, which acts as a shock absorber inside the joint. Over time this deterioration causes fissures in the cartilage resulting in bone on bone contact leading to tiny micro-fractures occurring in the joint surface. As these micro-fractures heal they leave bone spurs which through ongoing loading cause extensive pain and inflammation within the joint.
Bruises, Sprains and Strains Treatment
Bruises (aka contusions), sprains, and strains occur as a result of trauma, and even though there is no broken bone, these injuries can still be very painful. Bruises occur after a knock or bump and are caused by bleeding beneath the skin. A sprain is damage to a joint, more specifically the ligament/s designed to stabilise that joint and strains occur due to damage to muscles and tendons from overstretching.
This broad term refers to inflammation of tendons (the tissue that connects muscles to bones) in the body. Whilst it can affect any tendon it is most common in those that supply the hand and foot due to their repetitive use. Tendinopathy is usually caused by repetitive overstretching of the tendon that results in pain, swelling, inflammation and restricted use.
Trigger Points Treatment
Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and the formation of trigger points. Palpation of a hypersensitive bundle of harder than normal consistency is the physical finding typically associated with a trigger point. Palpation of the trigger point will elicit pain directly over the affected area and/or cause radiation of pain toward a zone of reference and a local twitch response. Trigger points respond particularly well to physiotherapy and chiropractic treatment techniques such as dry needling (accupunture) and deep muscle release.
Shoulder Pain Treatment
Technically know as the glenohumeral joint, their are many conditions that can cause pain in the shoulder area. The most common is injury to the soft tissues including the muscles, tendons, ligaments, labrum and bursa that make up the joint. Specific injuries include:
- Subacromial Impingement Syndrome – Results when the bursa and tendons are pinched between the bones in the shoulder, causing pain and inflammation. Commonly known as ‘swimmers shoulder’, this generally results from repetitive overhead movement and causes pain when lifting arms overhead.
- Rotator cuff injuries – The rotator cuff is a group of 4 tendons that surround the humeral head and provide muscular support to the shoulder. These tendons can be injured during lifting, when playing throwing sports, or after repetitive use. They present with pain on lifting or with exercise.
- Acromioclavicular (AC) joint sprain – The bones that comprise the AC joint, the collarbone (clavicle) and shoulder blade (scapular) are connected by ligaments. With trauma to the shoulder, these ligaments can be stretched or torn resulting in separation of the two bones. Injury to this joint usually results in a ‘step-deformity’ on top of the shoulder.
- Tendonitis – With repetitive strain and overstretching the tendons in the shoulder can gradually become swollen and inflamed. This is referred to as tendinitis and presents with pain and weakness when lifting or when lying on the affected shoulder.
- Glenohumeral joint subluxation/dislocation – Results when the head of the humerus ‘pops’ out of the glenoid cavity. This tends to be more common and frequent in those people that have a pre-existing labral tear and normally occurs during high velocity injuries. Early relocation of the joint is imperative to minimise the damage to the surrounding soft-tissue and subsequent level of impairment.
- Glenohumeral labral tear – is a tear in the labrum or cartilage of the shoulder. The labrum provides addition stability to the shoulder joint and when damaged makes it more prone to dislocation. Labral tears are often caused by repetitive throwing or a single accident where one falls onto an outstretched arm (FOOSH injury).
- Adhesive capsulitis – better known as ‘frozen shoulder’, this is a poorly understood pathology that results in significant shoulder pain and restriction of movement. It is important to detect frozen shoulder as early as possible to limit the extent of dysfunction once the shoulder has reached a ‘frozen’ state.
Tennis Elbow Treatment
Also known as lateral epicondylitis, tennis elbow refers to pain and inflammation in the muscles on the outside of the elbow (pain on the inside is known as ‘golfers elbow’ or medial epicondylitis). In both conditions, the cause of the pain and weakness is repeated stress that creates tiny tears in the muscles at the point of attachment on the inside or outside of the elbow. Besides using a racquet, the repetitive nature of common tasks such as typing, using a screwdriver, or a hammer can cause these symptoms.
Carpel Tunnel Syndrome Treatment
Carpal tunnel syndrome is a condition that causes altered sensation and/or pain in the fingers and palm. It is caused by excess pressure being placed on the median nerve as it passes through the carpal tunnel (wrist). The medial nerve provides sensation to the thumb, index finger, middle finger, and half of the ring finger and it is symptoms into this distribution that indicate you may have carpal tunnel syndrome. The condition is most common in computer operators who engage in repetitive finger movements as they type and use the mouse. Symptoms start as a mild tingling or pins and needles into the hand but as it progresses can develop into numbness and reduced grip strength as the muscles get smaller and weaker (atrophy).
Osteitis Pubis Treatment
Osteitis pubis refers to inflammation of the Pubic Symphysis – the area behind the groin where the pelvic bones meet. It is most common in people who engage in sports that require the repetitive scissor action of the legs (i.e. running or kicking). Coupled with poor core strength, this action leads to constant movement through the two ends of pubic bones which causes friction on the pubic symphysis leading to inflammation. Osteitis pubis can be particularly debilitating and frustrating for the athlete and needs to be diagnosed and treated early.
Hip Pain Treatment
The hip joint attaches the leg to the pelvis. In this joint, the head of the thigh bone (femur) swivels in a socket made up of pelvic bones, called the acetabulum. Pain can arise from structures that are within the hip joint or from structures surrounding the hip. These include:
- The acetabular labrum – A horseshoe shaped cartilage that lines the acetabular rim. It can gradually wear away or be torn acutely in accdidents. this is known as a ‘labral tear’
- Bursa – The trochanteric bursa is a large fluid filled sac on the outside part of the hip that serves to protect muscles and tendons as they cross the greater trochanter (a bony prominence on the thigh bone). The bursa may become irritated and inflamed for a variety of reasons, often due to minor trauma or overuse, when this occurs it is known as trochanteric bursitis.
- Ligaments – Thick bands of tissue that surround the hip joint, forming a capsule. These help maintain joint stability and can be torn leading to joint instability
- Muscles – Several small muscles run from the sacrum to the greater trochanter of the femur and all are prone to inflammation through overuse, this is known as tendonitis. The most common muscles that cause pain include the gluteus medius and minimus, piriformis, and the larger hip flexor muscles called iliopsoas (iliacus and psoas major) and rectus femoris.
Knee Pain Treatment
Knee pain is the most common musculoskeletal complaint that brings people to their therapist. The knee joint’s main function is to bend and straighten however, it also twists and rotates. In order to perform all of these actions and to support the entire body while doing so, the knee relies on a number of structures including bones (femur, tibia and patella), ligaments (ACL, PCL, LCL, MCL), tendons (quadriceps and patella), cartilage (medial and lateral) and muscles (quadriceps, hamstrings, ITB, calf and popliteus). Injury to any of these structures can result in pain and dysfunction.
Ankle Sprains Treatment
Also known as ‘the rolled ankle’, ankle sprain refers to pain coming from damaged ligaments and tendons on the inside or, more commonly, the outside of the ankle.
Achilles Tendonitis Treatment
Achilles tendonitis refers to recurrent inflammation of the Achilles tendon, the strongest and largest tendon in the body. Felt as a dull ache in the lower part of the calf, Achilles tendonitis is caused by repetitive overstretching of the tendon, common in people that participate in sports involving sudden stops and starts, change of direction and change in acceleration. Symptoms usually develop gradually with pain being mild at first and getting progressively worse with repetitive overuse. In severe cases, the tendon may even rupture or snap. Symptoms of Achilles tendonitis include:
- Stiffness and pain (especially first thing the morning) that eases with movement
- Pain in the tendon when warming up, that eases during exercise, and returns after you’ve cooled down
- Swelling or painful nodules around the tendon
- Pain in the tendon when walking (especially up hills)
- Stiffness and inability to stretch the Achilles tendon without pain
Plantar Fasciitis Treatment
Plantar fasciitis is a syndrome in which inflammation occurs in the band of the tissue that runs from the heel to your foot’s arch. This band is known as the ‘plantar fascia’. The pain is usually localized to the inside of the heel area on the bottom of your foot and tends to be more severe when you first stand after sitting or lying for prolonged periods. It is particularly common in people who have flat feet.
Foot Problems Treatment
Apart from the more common foot pathologies such as tendinopathies, ankle sprains, plantar fasciitis and Achilles tendonitis, our practitioners also have extensive experience treating less common causes of foot pain, usually caused by poor foot posture and subsequent loading patterns, some of these include:
- Sinus tarsi syndrome – Inflammation of the sinus tarsi which is a small, bony tunnel, formed by the congruency of the bones of the foot and ankle
- Antero-lateral impingement syndrome – Inflammation caused by the repetitive impingement of the synovial fluid and soft tissue along the outside of the foot and ankle
- Mortons neuroma – A nerve trapped between the long bones in the foot leading to neural symptoms such as pins and needles, tingling and numbness
- Metatarsalgia – Inflammation of the metatarsal heads and first joint of the toes
If any of these conditions sound familiar, call (08) 9486 8653 now and start your journey to being pain free today.