Posts Tagged "neck"

3 month old baby girl with a torticollis

Posted by Marc Croker | 2 comments

On 24 May 2011 a three month old baby girl was brought into this clinic by her parents who weren’t actually chiropractic patients themselves.  They had noticed that she couldn’t turn her head to the right side at all.  When she was being changed and when she slept she always had her head turned to the left.  When she was being cuddled she would look at people over her left shoulder but wouldn’t turn her head to look at people over her right shoulder.  This little girl had had a normal uncomplicated delivery and was feeding and sleeping normally.

On examination it was noted that she wasn’t feverish or unwell.  She was generally settled and happy while ever her head was turned to the left.  She became uncomfortable and cranky when her head was turned towards the right side.  On palpation it was found that she had an inflamed and restricted facet joint at C12 (upper neck joint) on the left causing an acute torticollis, and there was a mild inflamed facet joint at T67 (mid rib cage).

These joints were treated using the activator (a non manipulative, low force impulse instrument) over five visits.  After the first consultation this little girls parents noticed that she seemed more settled and happier than normal but hadn’t noticed a great deal of improvement in the amount of movement in her neck.  After two visits she was able to turn her neck to the right better.  Her third visit was eleven days after her first visit and she was able to turn her head to the right with ease although she didn’t have full range of movement.  Her last two treatments were each two weeks apart and her symptoms have fully abated.  She is now able to turn her neck fully to the right without any obvious pain or discomfort.  She is also a happier and more settled bub.

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Tinnitus

Posted by Marc Croker | 0 comments

A 54 year old man presented to this clinic in October 2010 complaining of a high pitched ringing sound in his ears.  He had been suffering with this tinnitus for the last eight months.  His GP could not find any medical reason for the tinnitus.  He found that the tinnitus was aggravated by certain neck movements and also by putting pressure on his head.  Thinking that it might be coming from his neck he decided to give chiropractic a chance to alleviate his symptoms.  He had previously seen a chiropractor 20 years ago.  In the last two years he had also suffered from a headache on a weekly or fortnightly basis.  The headache was accompanied by some blurry vision and loss of balance.

The short movie below shows how the middle ear works.

On examination it was found that the tinnitus was aggravated by all movements of his neck and by compression of the cervical spine.  It was found that there was acute inflammation of the C12 facet joint on the right side of his neck and there was muscle spasm and pain in his suboccipital muscles.  He also had acutely inflammed ribs on both sides at the level of T34.  Otherwise the rest of his spine and musculoskeletal system was unremarkable.

An upper cervical adjustment was performed on the initial consultation and there was an immediate relief of the tinnitus in the right ear.  There was no change in the tinnitus in the L ear.  By the third consultation there was a definite improvement in the tinnitus in both ears.  By the fifth and final consultation the patient reported that there was no longer any tinnitus, and that he had complete relief of his headaches.

This patient suffered from subjective tinnitus and the most common cause of this disorder in the absence of any ear pathology is inflammation of the upper cervical spine or inflammation of the tempero-mandibular joint.  It is thought to be the result of abnormal neuronal activity caused by inflamed structures immediately adjacent to the ear canal.

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Dizziness

Posted by Marc Croker | 0 comments

Dizziness, or vertigo, is a very debilitating symptom to suffer from. Many people with pain can simply put up with it and get on with their day however the feeling of dizziness can stop you dead in your tracks.  It is not easily ignored and many people are left to suffer with it for many years.

The most common causes of vertigo are middle ear infection, Meniere’s disease, and positional vertigo.  It is this latter cause that is the most responsive to chiropractic care.  Positional vertigo (also called Benign paroxysmal positional vertigo) is triggered when the head is placed in a particular position and severe dizziness is felt until the head is moved into a different position.  Nystagmus (rapid involuntary movements of the eyes) also occurs with positional vertigo. It is often the result of head or neck injury that may not necessarily be traumatic in nature.  Anything that causes inflammation to arise in the upper cervical spine has the potential to cause dizziness.  It is thought that the reason for this is that there is irritation to the proprioceptors of muscles, tendons and joints in the neck which causes abnormal positional messages back to the brain effectively confusing the brain as to where the head is in space.

As the vertigo is triggered by neck movement, chiropractors find that restoring normal neck function by way of manipulation, massage and stretching, can significantly alleviate the dizziness symptoms.  The most common tissues involved in patients presenting with vertigo are the suboccipital muscles which are taut and tender to touch, and the facet joints of C12 and C23.  Of course the biggest concern that chiropractors have with regards to dizziness is that a rare cause of this disorder is vertebral artery insufficiency.  In this condition sudden strong rotational or extension movements of the neck can cause vertigo by reducing blood flow to the brain.  This can also give rise to stroke or stroke like symptoms.  As such it is imperative that vascular insufficiency be ruled out as a cause of vertigo.  This can be done by doppler ultrasound or to a lesser extent by a vertebral artery occlusion test.

Clinically many patients with vertigo respond very well to chiropractic care and are grateful for being able to live without this debilitating condition.  Positional vertigo does tend to recur in much the same way that headaches or general neck pain recurs due to the activities of daily living.

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Preventative Care – Treat yourself

Posted by Marc Croker | 0 comments

The thing that is becoming most apparent to me when treating pain syndromes is that a lot of the conditions that people present with can easily be prevented. As treatment providers we are constantly correcting non traumatic acute injuries that are the result of long term muscle shortness and stiffness, and joint restriction. The most common cause of an injury is a strain/sprain injury. This is the result of too much muscle and joint tension. The treatment for these injuries involves massage, stretching and manipulation to minimise the tension and hence reduce the strain on an area.

So rather than waiting until an injury develops you can do a lot to prevent acute strain/sprain injuries. A general stretching program will go a long way to maintaining and improving flexibility and preventing injury. This can be made very specific to your body by having your chiropractor identify areas of muscle tension, muscle weakness, and joint restriction and giving exercises appropriate for your particular condition. Here at Parramatta Chiropractic we offer a ‘Length and Strength’ assessment to identify muscle weaknesses that should be strengthened and muscle shortness that needs stretching. Pop in today for a check up and a full musculoskeletal assessment.

In the meantime it is worth knowing the best stretches to prevent some common injuries.

1. Calf stretches.
   A lot of people suffer from plantar fasciitis, heel pain or knee pain.  Tightness of the calf muscles is a major contributor to these painful conditions.  Tightness builds up in the calf muscles as a result of standing and walking and causes tendonitis in the foot, heel, and knee.  The best stretch for the calf muscle is to stand with one heel on the ground in front of a step and the ball of the foot on the edge of the first step.  Then lean forward so as to bring the pelvis over the ankle.  This stretch can be done with the knee straight (tension develops higher up the calf muscle) and the knee bent (tension develops lower down the calf muscle).
2. Hamstring stretches.
   Tightness in the hamstrings will often develop with standing, walking and running, and will result in knee and lower back pain.  The easiest and safest way to stretch your hamstrings is to stand with one foot on a low bench.  Ensure that the raised leg is slightly bent and that the lower back is straight (this is achieved by lifting the head and bringing the chest forward).  Lean forward without bending the lower back and feel the tension develop in the back of the leg.  If any back pain is experienced cease the exercise and consult your chiropractor.
3. Adductor stretches.
   The adductor muscles are your groin muscles – those inner thigh muscles.  These muscles are hardly ever stretched.  Tightness in these muscles are responsible for a lot of knee injuries and groin strains.  The adductor muscles run down the inside of the thigh and cross the knee joint.  In so doing any tightness in the adductor muscles creates excessive force on the knee joint and is largely responsible for arthritis in the knee.  The best way to stretch the adductor muscles is to stand with the legs about 3-4 shoulder widths apart.  Then lean the torso to the left and to the right so tension develops inside the thigh on either side (on the left when leaning to the left and vice versa).
4. Quadriceps and hip flexor stretches.
   The quadriceps and hip flexors are the muscles of the front of the thigh.  These muscles often get short in people who sit a lot.  Tightness in the quadriceps is a common cause of lower back pain as the hip flexors cross the pelvis and joints of the lumbar spine.  The most common symptom of tight hip flexors is that the person will get pain in the front of the hip or groin area when standing from a sitting position, and they will find it hard to fully straighten up.  The best way to stretch the quadriceps is to stand with something to lean on for support.  Bend the knee and reach behind you taking your foot in one hand.  Pull the foot so that it approaches your bottom.  Ensure that your bent knee is close to the standing knee and that the torso is upright and not leaning forward. Tension should develop down the front of the thigh.  Stop the stretch if you experience pain in your knee or lower back. The hip flexors can be stretched by performing a deep lunge so that the shin of the front leg is vertical and the knee of the same leg is almost at 90 degrees.  Lean the torso backwards so that tension develops in the front of the hip and groin on the same side as the back leg.  Stop the stretch if you experience pain in your lower back.
5. Gluteal stretches.
   Tight hip muscles commonly cause hip pain and some thigh pain.  These muscles are used for standing, walking, running, lifting, and getting upright.  The best way to stretch these muscles is either to lie on your back and pull one knee to the opposite shoulder or to sit with one foot on the other knee and then bend your nose to the toes of the elevated foot.  In this sitting stretch do not push down on the elevated knee and bring the chest forward rather than rounding the lower back.  This stretch should be felt in and around the back of the hip.
6. Rotator cuff stretches.
   The rotator cuff muscles are the stabilisers of the shoulder joint and are used a lot of the time when active. They are responsible for a majority of shoulder injuries.  The easiest way to stretch the rotator cuff muscles is to use one hand to pull the opposite elbow across your face, stretching the back of the shoulder.  A more challenging stretch for these muscles is to place one hand in your back pocket of your trousers with the palm facing backwards. Using the other hand reach around and pull the elbow forward, stretching the back of the shoulder. These two stretches will prevent most non traumatic shoulder injuries.
7. Neck muscle stretches.
   Neck tension develops largely as a result of stress, working on computers, and any activity in which the arms are held in front of the body in an unsupported fashion.  This will lead to neck and shoulder pain, headaches, and even arm pain.  The neck muscles most in need of stretching are the scalene muscles and the levator scapular muscles. Generally speaking stretching your neck from side to side and turning it as far as you can to the left and the right is sufficient to alleviate some neck tension.  If this is insufficient in alleviating the tension or if you are suffering from neck pain or headaches it is best to see a chiropractor to get more specific help.

These stretches form the basis of a good general stretching program.  Once you are comfortable with these exercises consult your chiropractor or other qualified health professional for deeper, more specific stretches.

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