Back Injuries From Vehicle Collisions Sciatica Clinic

Female Driver With Whiplash Injury Standing By Damaged Car After — Young woman rubbing neck in pain from whiplash injury standing by damaged car after traffic accident

Back injuries from vehicle collisions vary from person to person. Common injuries may include strains, sprains, herniated discs, and fractures, and individuals dealing with certain spinal conditions like spinal stenosis may cause the medical condition to accelerate. Still, the force and physical impact the body absorbs during a crash, no matter how minor the accident or how safe the car is, will cause bodily aches and pains with the potential for other spinal conditions. Chiropractic care, massage, decompression, and traction therapy can relieve symptoms and restore mobility and function.

Table of Contents

Back Injuries From Vehicle Collisions

Depending on how the impact affects the spine, problems can present in various areas of the back. The violent motion can sprain, strain, and fracture spinal components. Even minor incidents can impact mobility. Symptoms can stem from inflammation, compressed nerves, or fractures. Any damage can have long-lasting effects on the vertebrae, nerve roots, and back muscles. A vehicle collision can affect the following:

Lumbar vertebrae – lower back
Thoracic vertebrae – middle/upper back
Cervical vertebrae – neck

Each area consists of bones, tissues, muscles, nerves, tendons, and ligaments extending from the neck to the pelvis.

The most common back injuries are to the neck and lower back, where the most movement and shifting occurs, often causing nerve damage.
The central placement and rigid structure make middle back injuries less common.
Upper back injuries that connect the rib and chest region can affect breathing.
Soft tissue injuries might not show up immediately.

Symptoms

After a vehicle collision, it’s common to feel sore all over. The symptoms can range from manageable discomfort to complete immobility. Individuals may experience the following:

Muscle spasms

The muscle may repeatedly twitch, feel like hard knots, and feel tender to the touch.
Muscle spasms can vary in pain levels from mild to debilitating.

Stiffness

Individuals may not feel as flexible because of the muscle tension that activated during the crash to protect the body.
Stiffness can go away after light stretching or continue throughout the day.

Burning or Shooting Pain

A burning or shooting pain may travel down the back and buttocks through the back of one or both legs.
It can be mild, dull aches and pains that go away quickly or last for days.
Changing positions, such as sitting up after waking up or standing up after sitting, can cause sharp acute pain.
Facet disease may cause neck or shoulder pain.

Discomfort When Walking or Standing

Certain physical activities can cause a throbbing sensation or mild pain when attempting to perform various tasks.

Tingling and/or Numbness

Tense muscles can pinch nerves leading to sensations of tingling or numbness in the legs, feet, arms, or hands.

Head Issues

Headaches, dizziness, or disorientation can present.

Spinal Disorders

Back injuries from vehicle collisions can result in a degenerative disc disorder months or years later. It can also speed up health issues individuals didn’t know they had before the crash. As the body ages, previous damage combined with degeneration can result in:

Pinched nerves
Sciatica
Bulging discs
Herniated discs
Spinal stenosis
Degenerative disc disease
Foraminal stenosis
Spondylolisthesis
Spinal osteoarthritis
Bone spurs
Degenerative scoliosis

Discogenic pain

Damage to spinal discs causes discogenic pain, often sharp impulses or shooting sensations.
Individuals can experience symptoms in different ways:
Some individuals feel better when standing, sitting, or lying down, while the positions or motions worsen the symptoms for others.

Chiropractic Care and Therapies

Chiropractic treatment can rule out critical issues and expedite recovery time. Benefits include:

Pain Symptom Relief

Chiropractic relieves pain in the affected areas and throughout the body.
Massaging and decompression release endorphins.

Inflammation Alleviation

Micro-tears within the muscles and ligaments are common and cannot be found through a standard x-ray.
Spinal adjustments can bring the spine back into alignment, producing natural anti-inflammatory properties to assist with discomfort and heal the tears.

Scar Tissue Breakdown

Muscles can get scarred, causing stiffness and soreness.
Chiropractic massage targets these areas and breaks down the build-up quicker than if it was left to heal on its own.
Less scar tissue means faster recovery.

Range of Motion and Mobility Restored

Back injuries can result in restricted mobility.
It may be difficult to turn or move when the muscles are inflamed.
Mobilizing the spine through adjustments restores the proper range of motion.

Decreased Medication Use

Prescription pain medications can turn into dependency.
Chiropractic adjustments can ensure that the injury is healed and the pain is not just masked.

Long-Term Benefits

Receiving chiropractic care can help prevent minor injuries from worsening into serious and chronic conditions.

Post Whiplash Symptoms

References

Erbulut, Deniz U. “Biomechanics of neck injuries resulting from rear-end vehicle collisions.” Turkish neurosurgery vol. 24,4 (2014): 466-70. doi:10.5137/1019-5149.JTN.9218-13.1

National Spinal Cord Injury Statistical Center. (2020) “Spinal Cord Injury: Facts and Figures at a Glance.” www.nspine injurysc.uab.edu/Public/Facts%20and%20Figures%202020.pdf

Rao, Raj D et al. “Occupant and Crash Characteristics of Elderly Subjects With Thoracic and Lumbar Spine Injuries After Motor Vehicle Collisions.” Spine vol. 41,1 (2016): 32-8. doi:10.1097/BRS.0000000000001079

Rao, Raj D et al. “Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions.” The spine journal: official journal of the North American Spine Society vol. 14,10 (2014): 2355-65. doi:10.1016/j.spinee.2014.01.038

The Effects Of Trigger Points Affecting The Chest

Dr. Alex Jimenez

Table of Contents

Introduction

The chest in the upper half of the body comprises various structures that each have a job to keep the body functioning. The chest has different large muscles surrounding the ribcage and helps protect the vital organs that allow the host to breathe. The essential organs protected by the ribcage and the chest muscles include the heart and the lungs. These two organs aid the chest with blood circulation, breathing, and digestion to keep the body moving and functional. When injuries or chronic conditions begin to affect the chest, it can cause the muscles surrounding the ribcage to contract and tighten, causing the heart and lungs to work harder and causing various issues to affect the body. This can lead to chronic symptoms in the chest and affect a person’s life. Today’s article looks at the pectoralis major muscle in the chest, how trigger point pain is associated with chest pain, and how to manage trigger points in the chest. We refer patients to certified providers who specialize in chest pain therapies to aid many people suffering from trigger point pain affecting the pectoralis major muscles. We brief patients by referring them to our associated medical providers based on their examination when appropriate. We indicate that education is a great solution to asking our providers profound and complex questions at the patient’s request. Dr. Alex Jimenez, D.C., takes note of this information as an educational service only. Disclaimer

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The Pectoralis Major Muscles In The Chest

Have you been experiencing unexplainable chest pains that mimic heart issues? Do you feel muscle stiffness near your clavicle? Or do your chest muscles feel tenser and sorer than usual? Many of these issues affecting the chest could result from trigger points associating with the chest along the pectoralis major muscles. The pectoralis major is the superior and largest muscle in the chest wall’s front area. This muscle looks like a thick fan that surrounds the clavicle and works with the chest and arms to provide mobility and power to the upper body. Studies reveal that the pectoralis major muscle plays an important role in upper limb movements. To that point, it can help with the adduction and medial rotation of the arm, according to the book by Dr. Travell, M.D. “Myofascial Pain and Dysfunction,” the pectoralis muscle works with the rest of the chest muscles while being assisted by the teres major and minor muscles, the anterior and posterior deltoid muscles, the subscapularis muscles, and the tricep muscles. The pectoralis major muscles can also be affected by multiple issues affecting the chest and the rest of the upper half of the body.

Trigger Point Pain Associated With The Chest

When the pectoralis major muscles are affected by various issues, they can mimic other chronic conditions that are causing referred pain in different body areas. This is known as trigger point pain, and it can cause overlapping risk profiles on the pectoralis major muscles that can affect the chest. Trigger points are slightly difficult to diagnose as many factors, like repetitive motions or lifting heavy objects, can cause the affected muscles to develop tiny knots along the muscle fibers and cause pain-like symptoms. Many people with chest pains often complain that something is affecting their heart as they place their hands on their chest and gently rub the affected area. However, when their doctors examine them, the issue is not their hearts but their chest muscles. Studies reveal that trigger points affecting the affected muscle can mimic issues like cardiovascular dysfunction in the heart. To that point, active trigger points in the pectoralis major muscle can cause somato-visceral pain to the heart, mimicking cardiovascular issues like paroxysmal arrhythmia. It can also cause visceral-somatic pain where the heart suffers from cardiovascular problems affecting the pectoralis major muscles.

Trigger Point Therapy On The Pectoralis Major-Video

Trigger Point Therapy - Pectoralis Major

Have you been dealing with chest pains that cause you to hunch over? Does your chest seem to feel tight when you stretch? Or have your chest muscles feel tender to the touch? These pain symptoms are caused by trigger points affecting the pectoralis muscles. Trigger points are generated when a person overuses their muscles from daily activities or succumbs to muscle injuries that cause referred pain in different body areas. So trigger points affecting the pectoralis major muscle may cause chest pains. The video above explains the pectoralis muscles and where the trigger points are located that cause referred pain to the shoulders and the rest of the upper half of the body. Trigger points associated with the chest along the pectoralis major muscles can be treatable through various treatments and techniques that can reduce the symptoms and prevent trigger points from forming along the affected muscle in the future.

Ways To Manage Trigger Points On The Chest

When trigger points affect the pectoralis major muscles, they can invoke chest pain-like symptoms that resemble a cardiovascular disorder. Fortunately, pain specialists like chiropractors, massage therapists, and physiotherapists can utilize various techniques to help reduce the pain caused by trigger points. Studies reveal that when local and referred pain affects the pectoralis major muscle, multiple massage treatments targeting the trigger points can help alleviate the symptoms causing chest pains. Another way people can manage trigger points is by stretching the pectoralis major muscle to relieve tension and soreness in the chest. Incorporating various stretching techniques to alleviate chest pain can help loosen up the stiff muscles and warm them up before a vigorous workout. This allows the pectoralis muscles to provide optimal output on a person’s health and wellness.

Conclusion

The pectoralis major is a thick fan-shaped muscle located on the chest. This muscle works with the shoulders and upper half of the body while protecting the heart and the lungs from various injuries and chronic conditions. When these muscles become affected by injuries or chronic conditions, they can develop trigger points along the chest, causing referred pain to the pectoralis major muscles. This can lead to somato-visceral and visceral-somatic pain symptoms in the chest and make many individuals miserable. Luckily pain specialists who can help manage trigger points along the affected muscle utilize various techniques to reduce the symptoms and prevent trigger points from forming in the affected muscle again. This allows the individual to continue with their daily activities without worrying about chest pains.

References

Haładaj, Robert, et al. “Anatomical Variations of the Pectoralis Major Muscle: Notes on Their Impact on Pectoral Nerve Innervation Patterns and Discussion on Their Clinical Relevance.” BioMed Research International, Hindawi, 2 Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6466946/.

Moraska, Albert F, et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial.” American Journal of Physical Medicine & Rehabilitation, U.S. National Library of Medicine, Sept. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5561477/.

Simons, David G. “Cardiology and Myofascial Trigger Points: Janet G. Travell’s Contribution.” Texas Heart Institute Journal, U.S. National Library of Medicine, 2003, www.ncbi.nlm.nih.gov/pmc/articles/PMC152827/.

Solari, Francesca, and Bracken Burns. “Anatomy, Thorax, Pectoralis Major Major.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 July 2021, www.ncbi.nlm.nih.gov/books/NBK525991/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Williams & Wilkins, 1999.

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Muscle Twitching Chiropractor: Sciatica Clinic

Dr. Alex Jimenez

Chiropractor stretches a female patient leg. Male physiotherapist is helping woman stretching his leg in exercise room

Nerves control muscle fibers. Muscle twitching is an involuntary contraction of the muscle fibers. When individuals play sports/work out vigorously or for a long time, they may experience muscle twitching and can often see and/or feel the twitches happening. The most worked-out muscles are likely to twitch, which includes the biceps, thighs, and calves, but twitches can occur in any muscle. Chiropractic care, massage therapy, and functional medicine can help relax the muscles, improve circulation, restore function, and train individuals to prevent future episodes.

Table of Contents

Muscle Twitching

A muscle twitch often occurs after intense physical activity or a hard workout because the muscle or muscles have been overworked, and there is hyper-excitability of the nerve/s that makes the muscle/s continue to contract.

A muscle twitch that can be seen is called fasciculation.
A muscle twitch that cannot be seen is called fibrillation.
If there is pain or the twitching is prolonged, it is a muscle spasm.

Causes

The most common causes include the following:

Intense exercise and rigorous physical activity build up lactic acid in the muscles.
Dehydration is a very common factor for shaky muscles.
Vitamin D and calcium deficiencies could cause muscle spasms in the hand, calves, and eyelids.
Using caffeinated products to increase physical performance.
Not enough or a lack of healthy sleep.
Anxiety or stress.
Certain medications like estrogen and corticosteroids.
Nicotine and tobacco use.

Physical Activity/Exercise

Intense exercise and physical activity can cause muscle fatigue.
Muscle fatigue triggers twitching and cramping in overworked muscle fibers.
Electrolytes play a role in muscle contraction.
Electrolyte loss and imbalances within muscle fibers through sweating can lead to twitching.

Dehydration

Muscle mass comprises 75% water.
Water carries nutrients and minerals to muscles to support function.
Not being properly hydrated can cause twitching and cramping.

Vitamin D Deficiency

Nerves need vitamin D to relay messages to and from the brain to the body’s muscles.
A vitamin D deficiency can cause muscle weakness and twitching.

Magnesium Deficiency

Magnesium deficiency is known as hypomagnesemia.
Magnesium plays a role in maintaining nerve and muscle health.
Magnesium helps transport calcium across cell membranes to support nerve and muscle function.
A magnesium deficiency can cause twitching anywhere in the body, including the face.

Causes of magnesium deficiency include:

Poor diet
Diarrhea
Drinking too much alcohol
Not addressing magnesium deficiency can increase the risk of cardiovascular disease.

Caffeine

Caffeine is a stimulant.
Drinking too much coffee, tea, or energy drinks can cause fasciculation.

Not Enough Sleep

Brain chemicals or neurotransmitters transmit information from the brain to the nerves that control muscle contraction.
Sleep deprivation can affect how neurotransmitter receptors work.
This means excess neurotransmitters can build up in the brain.
Lack of sleep can affect neurotransmitter function.
A common site of fasciculation tiredness occurs in the eyelids.

Anxiety and Stress

Experiencing psychological stress or high anxiety levels can cause excess muscle tension.
This can lead to muscle twitching.
Muscle fasciculation caused by stress can occur anywhere in the body.

Certain Medications

Certain medications can lead to involuntary muscle twitching.
The reaction can be a side effect due to interactions with other medications.
Individuals should discuss side effects and medication interactions with their doctor when taking a new medication.

Chiropractic Care

Chiropractors are experts on the musculoskeletal system and have many techniques to treat muscle fasciculation and spasms. It often depends on the cause/s, and specific treatment varies on a case-by-case basis. Common chiropractic treatments include:

Massage therapy
Heat and ice therapy
Manual manipulation
Joint adjustments
Ultrasound
Stretches to keep the muscles flexible
Exercises to strengthen the muscles
Nutritional recommendations

Fasciculation

References

Bergeron, Michael F.. Muscle Cramps during Exercise-Is It Fatigue or Electrolyte Deficit?. Current Sports Medicine Reports July 2008 – Volume 7 – Issue 4 – p S50-S55 doi: 10.1249/JSR.0b013e31817f476a

Gragossian A, Bashir K, Friede R. Hypomagnesemia. [Updated 2022 May 15]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK500003/

Küçükali, Cem Ismail, et al. “Peripheral nerve hyperexcitability syndromes.” Reviews in the neurosciences vol. 26,2 (2015): 239-51. doi:10.1515/revneuro-2014-0066

Maughan, Ronald J, and Susan M Shirreffs. “Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining.” Sports medicine (Auckland, N.Z.) vol. 49, Suppl 2 (2019): 115-124. doi:10.1007/s40279-019-01162-1

Miller, Kevin C et al. “Exercise-associated muscle cramps: causes, treatment, and prevention.” Sports health vol. 2,4 (2010): 279-83. doi:10.1177/1941738109357299

Riebl, Shaun K, and Brenda M Davy. “The Hydration Equation: Update on Water Balance and Cognitive Performance.” ACSM’s health & fitness journal vol. 17,6 (2013): 21-28. doi:10.1249/FIT.0b013e3182a9570f

Myofascial Trigger Pain Affecting The Thumb Muscles

Dr. Alex Jimenez

Table of Contents

Introduction

Many people use their hands when going to work or doing normal things in their daily lives. The hands correlate with the five finger digits that provide grip strength when holding onto items in various sizes and weights that the hand muscles can handle. The hands have multiple muscles, tendons, and ligaments that travel past the wrist and forearms. These three components in the upper body have a casual relationship with the shoulders to provide stability and mobilization to the upper extremities. When the various muscles, tendons, and ligaments succumb to traumatic forces or injuries that cause pain to the forearms, wrists, and hands, it can develop myofascial pain syndrome or trigger points to generate overlapping risk profiles that mask other symptoms. Today’s article looks at the thumb muscles, how myofascial trigger pain affects the thumb, and how to prevent and manage the trigger thumb from occurring further in the hands. We refer patients to certified providers specializing in hand and wrist pain therapies to aid many people suffering from trigger thumb and fingers affecting their hands. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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A Look At The Thumb Muscles

Have you been experiencing a strong decrease in your grip when holding something? What about hearing popping or snapping sounds when moving your fingers or thumb? Or have you experienced pain near your wrist or at the palm of your hands? When people are experiencing pain along their fingers, especially thumbs, it can develop into myofascial trigger pain along the thumb. As part of the hand, the thumb has muscles that provide movement and motor skills to make the thumb mobile. The two muscles: the adductor pollicis and the opponens pollicis, allow the thumb to move and touch each of the other finger digits. The adductor pollicis in the hand has deep, intricate, superimposed layers of muscles, tendons, and fascial compartments that work together to be versatile to the thumb. This muscle is triangular-shaped with a two-headed structure, and its main function is to adduct the thumb. This means that the adductor pollicis allows the thumb to move, touch the palm, and be close to the index finger. To that point, this muscle provides the thumb pinching and gripping movements.

The other muscle is known as the opponens pollicis, and this muscle helps provides small hand movements for the thumb by allowing it to touch the tips of each of the digits. The opponens pollicis muscle works together with the adductor pollicis muscle as it allows the hand to cup objects while also making the pinching grip possible for the hand. The oppponens pollicis muscle also works with the various muscles, nerves, and bones to be in sync in providing movement to the hands and provide mobility strength.

How Myofascial Trigger Pain Affects The Thumb

The adductor and oppenens pollicis muscles can provide gripping and pinching motions to the hands without causing pain; however, when the thumb muscle ligaments have been overused or been through trauma, they can develop into myofascial trigger pain along the thumb muscles, causing trigger thumb. Studies reveal that causes for the trigger thumb to form are repetitive gripping motions and overusing of the thumb muscle. This causes the flexor tendon sheath to narrow along the thumb joint and causes clicking or popping sensations when the thumb is trying to extend, thus leading to the development of myofascial trigger pain. According to the book, “Myofascial Pain and Dysfunction: The Trigger Point Manual,” written by Dr. Janet G. Travell, M.D., when myofascial trigger pain begins to affect the hand’s functionality, it can make many individuals lose the pinching motion in their hands as they aren’t able to hold the object they are using. Even simple actions like pulling weeds in the garden can cause stress on the thumb and cause tenderness to the affected muscle.

An Overview Of Trigger Finger & Trigger Thumb-Video

Trigger Finger & Trigger Thumb - Everything You Need To Know - Dr. Nabil Ebraheim

Are you having difficulty holding items in your hands? Do you feel like your fingers are locking up constantly? Or does it hurt when you extend your thumb or fingers? If you have been experiencing these pain symptoms in your hands and fingers, it could be due to myofascial trigger pain associated with the thumb and fingers along the hands. Trigger fingers or trigger thumbs is a common ailment that affects the mobility function of the hands and can invoke pain in the affected joints causing them to lock up. The video above explains what trigger fingers and trigger thumbs, the symptoms and causes, and how to treat and manage the pain. When pain is associated with the hands and fingers, causing trigger points to form along the affected muscle, many individuals begin to feel hopeless when they aren’t able to hold items. Thankfully, there are various ways to manage trigger thumb and prevent pain from causing further damage.

How To Manage & Prevent Trigger Thumb

When trigger thumb begins to affect a person’s ability to grasp objects, it can cause them to feel miserable and can greatly affect their quality of life. All is not lost, as there are various ways to manage trigger thumbs and prevent future pain symptoms from continuously affecting a person’s mobility in their hands. Studies show that multiple treatments like splinting can help gain mobility back to the thumb and prevent the joint from locking up, causing pain. Other therapies like hand and wrist stretches can help loosen up the stiff tendons and muscles and even bring back mobility strength to the hands. Many doctors advise their patients to start using different hand and wrist exercises to relax the aching muscles and get circulation back to the hands. Another way to prevent the trigger thumb from affecting the hands is to do stretch exercises for the adductor and opponens pollicis muscles with heat to relax and loosen the stiff muscles while also restoring flexion and extension to the thumb.

Conclusion

The thumbs provide the functionality to the hands by allowing gripping and pinching motions when people pick up objects. The two muscles that provide this motion are the adductor and oppnens pollicis muscles. When traumatic forces begin to affect these two muscles in the thumb, it can develop a trigger thumb associated with pain. This causes the thumb to lock up and invoke pain when someone tries to extend their thumbs. Trigger thumbs occur when individuals overuse the thumb muscles and causes the grip strength to weaken. Luckily, available treatments can help restore mobility to the thumb and prevent it from locking up.

Reference

Acosta, Jonathan R, et al. “Anatomy, Shoulder and Upper Limb, Hand Adductor Pollicis.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK526059/.

Akhtar, Sohail, et al. “Management and Referral for Trigger Finger/Thumb.” BMJ (Clinical Research Ed.), BMJ Publishing Group Ltd., 2 July 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC558536/.

Nguyen, John D, and Hieu Duong. “Anatomy, Shoulder and Upper Limb, Hand Opponens Pollicis Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK546603/.

Pencle, Fabio J, et al. “Trigger Thumb.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 20 July 2022, www.ncbi.nlm.nih.gov/books/NBK441854/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Williams & Wilkins, 1999.

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Scoliosis Diagnosis: The Adams Forward Bend Test Sciatica Clinic

Dr. Alex Jimenez

Doctor looking at posture of boy in private clinic. — Happy boy on consultation in private hospital. Old therapist wearing in white medical uniform diagnosing patient. Physician looking at posture of kid. Mother waiting at son.

The Adams forward bend test is a simple screening method that can help with scoliosis diagnosis and help in developing a treatment plan. The exam is named after the English physician William Adams. As part of an examination, a doctor or chiropractor will look for an abnormal side-to-side bend in the spine.

Table of Contents

Scoliosis Diagnosis

The Adams forward-bend test can help determine if there are indicators for scoliosis.
It is not an official diagnosis, but the results can be used as a starting point.
The test is done with school-age children between 10 and 18 to detect adolescent idiopathic scoliosis or AIS.
A positive test is a noticeable asymmetry in the ribs with a forward bend.
It can detect scoliosis in any part of the spine, especially in the thoracic middle and upper back.
The test is not only for kids; scoliosis can develop at any age, so it is also effective for adults.

Adams Forward Bend Test

The test is quick, easy, and painless.

The examiner will check to see if anything is uneven when standing straight.
Then the patient will be asked to bend forward.
The patient is asked to stand with their legs together, facing away from the examiner.
Then patients bend forward from the waist, with arms hanging vertically downward.
The examiner uses a scoliometer-like level to detect asymmetries within the spine.
Deviations are called the Cobb angle.

The Adams test will reveal signs of scoliosis and/or other potential deformities like:

Uneven shoulders
Uneven hips
Lack of symmetry between the vertebrae or the shoulder blades.
The head does not line up with a rib hump or the pelvis.

Detection of Other Spinal Issues

The test can also be used to find spinal curvature issues and conditions like:

Kyphosis or hunchback, where the upper back is bent forward.
Scheuermann’s disease is a form of kyphosis where the thoracic vertebrae can grow unevenly during a growth spurt and cause the vertebrae to develop into a wedge-like shape.
Congenital spine conditions that cause an abnormal curve of the spine.

Confirmation

The Adams test by itself is not enough to confirm scoliosis.

A standing X-ray with Cobb angle measurements above 10 degrees is required for diagnosing scoliosis.
The Cobb angle determines which vertebrae are tilted the most.
The higher the angle, the more severe the condition and the more probable it will produce symptoms.
Computed tomography or CT and magnetic resonance imaging or MRI scans can also be used.

Forward Bend Test

References

Glavaš, Josipa et al. “The role of school medicine in the early detection and management of adolescent idiopathic scoliosis.” Wiener klinische Wochenschrift, 1–9. 4 Oct. 2022, doi:10.1007/s00508-022-02092-1

Grossman, T W et al. “An evaluation of the Adams forward bend test and the scoliometer in a scoliosis school screening setting.” Journal of pediatric orthopedics vol. 15,4 (1995): 535-8. doi:10.1097/01241398-199507000-00025

Letts, M et al. “Computerized ultrasonic digitization in the measurement of spinal curvature.” Spine vol. 13,10 (1988): 1106-10. doi:10.1097/00007632-198810000-00009

Senkoylu, Alpaslan, et al. “A simple method for assessing rotational flexibility in adolescent idiopathic scoliosis: modified Adam’s forward bending test.” Spine deformity vol. 9,2 (2021): 333-339. doi:10.1007/s43390-020-00221-2

Trigger Fingers & Lightning Pain On Hand

Dr. Alex Jimenez

Table of Contents

Introduction

When it comes to the body, the hands and fingers correlate with each other by giving the host the grip strength to carry and hold items. The items can range from the smallest to the largest, depending on the item’s weight that a person can physically hold. When the weight becomes overbearingly heavy that a person can not lift or hold, it can lead to unwanted symptoms that overlap with other chronic conditions. To that point, when the hand muscles begin to lose their grip strength, it can lead to the development of trigger points in the affected muscles connected to the hand muscles and tendons. Today’s article looks at a chronic condition associated with trigger points known as trigger fingers, what the symptoms are, and how to treat trigger fingers in the hands. We refer patients to certified providers specializing in hand and wrist pain therapies to aid many people suffering from trigger fingers affecting their hands. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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What Is Trigger Fingers?

Have you encountered stiffness in your fingers? Do you feel pain radiating from your forearms to the palm of your hands? Does it seem difficult to carry or hold items for an extended period? Many people who have dealt with these symptoms believe it is something arthritic or just normal signs of age; however, it could correlate with triggering fingers affecting the hands. Trigger fingers or stenosing tenosynovitis happens when the flexor sheaths in the wrist become overused due to repetitive motions that cause the flexor tendon muscles in the forearm to be inflamed and development issues in the finger joints. This can be very problematic for many individuals who work with their hands as it can cause significant functional impairment to the hands and the fingers. Trigger fingers also commonly affect the individual’s dominant hand and involve the most common digit, the thumb.

The Symptoms

When many individuals are dealing with trigger fingers in their hands, they often complain about their fingers locking up in flexion or extension. When this happens, it can become problematic, as trigger fingers can affect the mobility of the fingers. Some of the symptoms that trigger fingers cause in the digits include:

Stiffness in the fingers
Popping or clicking sensations
Bumps at the base of the finger joint
Finger catching in a bent position and pops straight
Finger locking

What is the correlation between diabetes and trigger fingers? Studies reveal that trigger fingers are a multifactorial chronic condition that can occur in anyone, especially those with diabetes. Trigger fingers are diagnosed by palpating a thickened tendon. Other issues cause trigger fingers to form due to active trigger points affecting the flexor muscles in the forearms. According to Dr. Travell, M.D.’s book, “Myofascial Pain and Dysfunction: The Trigger Point Manual,” individuals with active trigger points along their forearm muscles tend to experience difficulty in utilizing mobility strength with their hands. To that point, many individuals may not be able to cup and supinate their hands, extend or flex their fingers, or be able to grip items they are reaching.

An Overview Of Trigger Fingers- Video

Are you dealing with joint stiffness along your fingers? What about feeling pain from flexing or extending their fingers? Or do you feel pain and tenderness in your forearm muscles? Many individuals with these symptoms could be dealing with the pain associated with trigger fingers. Trigger fingers occur when the finger digits suffer from microtrauma by repetitive use or compression forces that invokes pain and inflammation along the tendons of the fingers. The video above overviews trigger fingers, their symptoms, and how to diagnose and treat trigger fingers in the hands. Many associated factors can lead to the development of trigger fingers, and one related factor is diabetes overlapping trigger points along the forearms. Studies reveal that trigger fingers are a complication affecting the upper extremities in diabetic individuals. Individuals with trigger fingers associated with diabetes can also cause overlapping risk profiles for cardiovascular diseases. This relationship is known as somato-visceral pain, where the damaged muscle affects the corresponding organ. In this case, the tendons for the fingers cause referred pain to the heart, thus potentially involving the cardiovascular system. Luckily there are various ways to treat trigger fingers and prevent pain from occurring in the hands in the future.

How To Treat Trigger Fingers

Since trigger fingers are a common source of pain and disability in the hands, many individuals seek pain specialists to manage and relieve pain associated with trigger fingers. Studies reveal that various methods are used to reduce the pain along the affected finger digits and bring back mobility to the finger joints. Doing gentle finger stretches, not gripping items so tightly, or applying heat to loosen up the locked joints, can help manage trigger fingers while preventing the pain-like symptoms from coming back. Incorporating these treatments can help bring mobility strength back to the hands and prevent the fingers from locking up. However, treatment alone can not be the only solution; after the individuals get treatment for trigger fingers, they have to do their part to prevent future issues from reoccurring again in their fingers.

Conclusion

The hands and fingers have a casual relationship, providing mobility and grip strength for the host to hold and carry items. However, when traumatic factors or normal activities begin to overuse the joints and muscles in their hands, it can lead to trigger fingers. Trigger fingers can cause the finger joints to lock up and invoke pain-like symptoms in the hands. This can make many individuals lose their mobility function in their hands and can make them miserable. Luckily, various treatments can help manage trigger fingers and help bring mobility back to the individual’s hands.

References

Akhtar, Sohail, et al. “Management and Referral for Trigger Finger/Thumb.” BMJ (Clinical Research Ed.), BMJ Publishing Group Ltd., 2 July 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC558536/.

Jeanmonod, Rebecca, et al. “Trigger Finger – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 20 July 2022, www.ncbi.nlm.nih.gov/books/NBK459310/.

Makkouk, Al Hasan, et al. “Trigger Finger: Etiology, Evaluation, and Treatment.” Current Reviews in Musculoskeletal Medicine, Humana Press Inc, June 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2684207/.

Mineoka, Yusuke, et al. “Trigger Finger Is Associated with Risk of Incident Cardiovascular Disease in Individuals with Type 2 Diabetes: A Retrospective Cohort Study.” BMJ Open Diabetes Research & Care, BMJ Publishing Group, Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8039242/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Williams & Wilkins, 1999.

Disclaimer

Long Distance Running: Sciatica Clinic

Dr. Alex Jimenez

Female ultramarathon runner running on mountains next to modern city

Long-distance running, also known as endurance running, is a great way to improve fitness and relieve stress. Health experts say long-distance runners’ benefits include strong cardiovascular health, low cholesterol, healthy blood pressure levels, and improved metabolism. However, it is not easy and requires specific training, but it is not impossible even for beginners. Here is a beginner long-distance running training guide that goes over the fundamental areas needed to develop.

Table of Contents

Long Distance Running Training

Running is a great form of cardio that offers several health benefits that, includes:

Weight loss
Stronger muscles
Stronger bones
Improved cardiovascular functionality

One of the main prerequisites is building up the body’s ability to handle the exercise. To reach the full potential as a distance runner, key areas that need developing include:

Using proper footwear
Endurance
Lactate threshold
Aerobic capacity
Basic speed
Running technique

Running Shoes

It’s essential to wear comfortable running shoes that can handle the terrain and the distance.
Improper support can lead to injury and long-term damage.
Wearing good athletic socks is also recommended.
Stopping a run halfway because blisters form stops the flow of the workout and impacts stamina and momentum.
It is important to find the correct size, weight, and comfort.
Ask the experts for help from local sports or running shoe stores who will look at how you move and recommend a running shoe.

Endurance Base

Endurance base refers to how long an individual can run at a comfortable pace before having to stop.
Once an individual finds their endurance base, which for beginners could be around five minutes at a time, this can be a starting point to build off.
On light days, a run could last for 10 minutes before walking.
On harder days, a run could go for 20 minutes before walking.
Incremental increases build up an individual’s endurance base.

Lactate Threshold

The lactate threshold is similar to the endurance base in that it refers to how long an individual can run before feeling a buildup in lactate.
Lactate is what makes the muscles cramp and become sore the following days.
Understanding how much the individual’s body can take before this buildup becomes too much is their lactate threshold.
The threshold will gradually increase with training.

Aerobic Capacity

Maximum aerobic capacity measures the heart and lungs’ ability to send oxygen to the muscles.
Understanding individual maximum cardio capacity will help identify the starting point to slowly and steadily increase running distances.

Basic Speed

Basic speed is how fast individuals can run while holding a conversation.
Knowing the basic running speed can help determine the starting point.
As stamina increases, basic speed increases.

Running Technique

Running technique is essential for gaining the most speed and endurance. Using the correct form, the body is not expending unnecessary energy. The proper running form includes:

Maintaining an upright spine with the head, shoulders, and hips aligned.
Focus on maintaining a steady breathing rhythm.
Follow through on strides.
Do not cut the movements short.
Find your natural stride, which could be leading with the heel or running toe to heel.
Consult an experienced running coach or exercise physiologist for assistance in finding your running form.

Long-Term Goal

The body adapts to the stress of training slowly and over time.
Physiological adaptations cannot be rushed; however, the training program can be optimized to individual needs.
The minimum time before seeing an improvement from training is around six weeks.

Gradual Increase

Training load is a combination of distance, intensity, and the number of runs each week.
The body can only develop with moderate increases over a short time.
Increasing the load too much and too fast leads to injury, illness, and exhaustion.
Limiting distance, intensity, or frequency changes is recommended no more than once a week.

Recovery

Training provides the stimulus to improved fitness, but the body needs recovery time to grow and adapt.
Often beginners want to train hard every day, trying to cover all the elements at once.
This common mistake slows progress and can cause various injuries, fatigue, and loss of motivation.
Rest days are essential to allow the body to recover, develop, adapt, and continue to progress healthily.
The classic training program alternates a hard training day with an easy day or a rest day.
Two consecutive hard training days can be done as long as they are followed by two full recovery days.

Beginner Tips

References

Berryman, Nicolas, et al. “Strength Training for Middle- and Long-Distance Performance: A Meta-Analysis.” International journal of sports physiology and performance vol. 13,1 (2018): 57-63. doi:10.1123/ijspp.2017-0032

Blagrove, Richard C et al. “Effects of Strength Training on the Physiological Determinants of Middle- and Long-Distance Running Performance: A Systematic Review.” Sports medicine (Auckland, N.Z.) vol. 48,5 (2018): 1117-1149. doi:10.1007/s40279-017-0835-7

Kenneally, Mark, et al. “The Effect of Periodization and Training Intensity Distribution on Middle- and Long-Distance Running Performance: A Systematic Review.” International journal of sports physiology and performance vol. 13,9 (2018): 1114-1121. doi:10.1123/ijspp.2017-0327

Tschopp, M, and F Brunner. “Erkrankungen und Überlastungsschäden an der unteren Extremität bei Langstreckenläufern” [Diseases and overuse injuries of the lower extremities in long distance runners]. Zeitschrift fur Rheumatologie vol. 76,5 (2017): 443-450. doi:10.1007/s00393-017-0276-6

van Poppel, Dennis, et al. “Risk factors for overuse injuries in short- and long-distance running: A systematic review.” Journal of sport and health science vol. 10,1 (2021): 14-28. doi:10.1016/j.jshs.2020.06.006

Numbness In The Hands? It Might Be Due To Trigger Points

Dr. Alex Jimenez

Table of Contents

Introduction

The hands are the main show when it comes to the body. They can be expressive when a person is talking, they can carry items from place to place, and when it comes to sports, they have excellent grip strength. The various muscles, tendons, nerve roots, and ligaments surround the joints to provide functionality and mobility to each finger digit. The hands also have a great relationship with the wrist and forearms because the muscles in the forearms travel down to the hands to provide mobility, flexion, and extension to the fingers. However, when the muscles become overused from repetitive motions, it can lead to the development of pain overlapping other conditions that can affect the wrist and hands. To that point, trigger points can develop over time to invoke pain in the affected muscles and cause referred pain to affect the hands. Today’s article looks at one of the muscles known as the palmaris longus, how trigger points affect the hand muscles, and various techniques to manage trigger points along the palmaris longus muscle. We refer patients to certified providers specializing in hand and wrist pain therapies to provide aid to individuals suffering from trigger point pain associated with the palmaris longus muscles located on the hand. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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What Is The Palmaris Longus Muscle?

Have you been dealing with numbness in the palm of your hands? Have you been experiencing issues holding items for an extended period? Or do your wrist and forearm ache constantly? If you have been experiencing these overlapping issues, it could be the development of trigger points along the palmaris longus muscle. The palmaris longus is a small muscle located on the front of the forearms and extends down from the wrist to meet with the rest of the muscles and tendons of the hands. The palmaris longus also connects to the roof of the carpal tunnel bones, where the median nerves and digital flexors tendons reside and provide movement. According to Dr. Janet G. Travell, M.D.’s book, “Myofascial Pain and Dysfunction: The Trigger Point Manual,” the palmaris longus muscle function is to flex the hands at the wrist while being able to tense the palmar fascia. Studies reveal that the palmaris longus muscle flexes the wrist weakly as an accessory muscle and abducts the thumb for mobility. This muscle is also prone to injuries as it can develop pain-like symptoms along the wrist and the palm of the hands.

How Trigger Points Affect The Hand Muscles?

When the palmaris longus muscle succumbs to injuries, it can develop chronic issues that can cause pain in the wrist and hands. One of the chronic issues that can affect the hand muscles and the rest of the forearms is trigger points. Trigger points can lead to the development of referred pain along the forearms, wrists, and hands. To that point, trigger points can mimic overlapping chronic conditions along the affected muscle area. So when trigger points begin to affect the palmaris longus muscle, the pain-like symptoms can mimic carpal tunnel syndrome. Now studies reveal that the palmaris longus muscle is connected to the median nerve and the pathophysiology of carpal tunnel syndrome is more likely to interplay between anatomic and systemic factors. This causes the median nerve root to become compressed, thus causing pressure and pain to the hands. To that point, trigger points in the palmaris longus muscle may be activated by direct trauma. Some examples that can cause the development of trigger points are:

Gripping tools too tightly
Leaning on a cane
Holding a tennis racket at the end of the handle
Falling and landing on the hands

Many of these actions can result from overusing and causing issues in the palmaris longus muscle, leading to unwanted pain and muscle injury symptoms.

Trigger Points On The Palmaris Longus-Video

Palmaris Longus - Trigger Point of the Week

Are you experiencing any numbing sensations in the palm of your hands? What about feeling the symptoms of carpal tunnel syndrome along your wrist? Or have you experienced aches and pain along your forearms? Some of these symptoms correlate with the development of trigger points along the palmaris longus muscle. The palmaris is a small muscle in front of the forearms and travels down to the wrist to connect with the rest of the muscle tendons of the hands. When traumatic events begin to affect and injure the palmaris longus, it can develop trigger points and cause pain to radiate down to the wrists and hands. The video above explains where the palmaris longus muscle is located and how trigger points activate pain-like symptoms that mimic chronic conditions like carpal tunnel syndrome. Studies reveal that when the median nerve (which is connected with the palmaris longus muscle) is being entrapped, causing trigger points to mimic carpal tunnel syndrome symptoms. Alas, all is not lost, as there are various techniques that many people can utilize to relieve pain from the palmaris longus muscle and manage trigger points from developing further.

Various Techniques For Managing Trigger Points On The Hand Muscles

When it comes to managing trigger points on the hand muscles and palmaris longus muscle, many people will incorporate various remedies to reduce the pain-induced inflammation on the affected muscle and manage trigger points from causing more issues in the affected muscles. Treatments like massaging the forearm to the hands can help release trigger points from the palmaris longus muscle. Granted, there will be involuntary twitching, but the results prevent future trigger points from forming the muscle. Another technique is placing a heating pad on the forearm to relax the tense muscles and reduce pain. And finally, gentle stretches and reducing a tight grip can prevent hyperirritability on the palmaris longus muscle and strengthen the muscles that are connected with the palmaris longus muscle.

Conclusion

Regarding the body, the hands have a very important function as they provide grip strength and have a great relationship to the wrist and forearms. The palmaris longus muscle is a small band in front of the forearms and connects to the various muscles and tendons of the wrists and hands. When traumatic injuries affect the palmaris longus muscle, it can develop trigger points correlating with carpal tunnel symptoms. When trigger points affect the palmaris longus muscle, it can cause symptoms of pain and numbness in the wrist and hands, causing a person to lose their grip strength. Thankfully, various techniques to manage and treat trigger points can reduce the pain quality on the forearms and wrist while bringing the grip strength back to the hands.

References

Boltuch, Andrew D, et al. “The Palmaris Longus and Its Association with Carpal Tunnel Syndrome.” Journal of Wrist Surgery, Thieme Medical Publishers, Inc., Dec. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7708024/.

Cooper, David W, and Bracken Burns. “Anatomy, Shoulder and Upper Limb, Hand Palmaris Tendon.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 3 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK519516/.

Ioannis, Dimitriou, et al. “Palmaris Longus Muscle’s Prevalence in Different Nations and Interesting Anatomical Variations: Review of the Literature.” Journal of Clinical Medicine Research, Elmer Press, Nov. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4596262/.

Meder, Marek A, et al. “Reliability of the Infraspinatus Test in Carpal Tunnel Syndrome: A Clinical Study.” Journal of Clinical and Diagnostic Research : JCDR, JCDR Research and Publications (P) Limited, May 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5483796/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Williams & Wilkins, 1999.

Disclaimer

Ways To Phase Out Sugar: Functional Sciatica Clinic

Dr. Alex Jimenez

Male hand holding wooden spoon with sugar over cup of coffee or — Stop sugar. Campaign against diabetes, obesity, dental caries. Reduce sugar consumption. Healthy lifestyle concept.

Sugar is a highly addictive carbohydrate linked to obesity, diabetes, metabolic disorders, and mood disorders. Individuals ready to phase out sugar will improve overall health, regardless of age and health status, but the transition can be challenging. A sugar-free or low-sugar diet can help individuals with blood sugar or systemic inflammation, including pre-diabetes, diabetes, heart disease, PCOS, hormonal imbalances, and autoimmune diseases.

Table of Contents

Phase Out Sugar

Low-Sugar Diet

A low-sugar nutrition plan focuses on maintaining a low overall sugar intake that limits sugar to avoid blood sugar instability and general inflammation.

This means choosing food with natural sugars like fruit, certain dairy products, vegetables, and natural sugars.
Reducing and replacing packaged or prepared foods with added sugars, like store-bought tomato sauce, cured meats, or frozen meals.
Reducing and replacing processed foods like snack items and fast food.
Reducing restaurant food that can add sugar for flavor and appetite stimulation.

Recommended Ways

Consult a healthcare provider, dietician, or nutritionist before altering diet, physical activity, or supplement routine.

Eat More Healthy Fat

Healthy fat is more satisfying, making the body feel fuller for longer.
Eating more healthy fat decreases sugar cravings and reduces sugar withdrawal symptoms.

Healthy fats include:

Avocados
Nuts
Seeds
Coconut oil
Extra virgin olive oil
Salmon, mackerel, and sardines

More Sleep to Balance Hunger Hormones

Studies have shown that shorter sleep periods are associated with an elevated body mass index.
Not getting enough sleep negatively impacts the appetite-regulating hormones leptin and ghrelin, causing cravings for instant energy that typically comes from sugar snack products.
Individuals are recommended to get at least 7-9 hours per night. Enough sleep will balance the appetite hormones and decrease sugar cravings.

Manage Stress to Control Emotional Eating

Emotional eating is common when stressed out. Finding something to take the mind off sugar cravings is necessary when having a stressful day. This includes:

Talk with a friend
Learning meditation skills
Using breathing techniques
Take a walk, jog, bicycle ride, skate, etc.
Drink stress relief tea

If sugar cravings are more serious, then professional help is recommended.

Drink More Water

When school, work, and life is happening, individuals can think they’re hungry; however, it is not hunger but the body needing hydration.

Drink one to two glasses of water when cravings kick in to satisfy the craving.
Drinking water throughout the day helps keep cravings down and helps with sugar withdrawal symptoms.
Individuals who have difficulty drinking water should add slices of fruit, cucumber, or mint to make it more pleasing.
Try sparkling mineral water or naturally flavored carbonated waters.
Try healthy juices, like celery, beet, or carrot juice, instead of water.

Sugar-Free Substitutes

Sugar substitutes are available, but not all are considered healthy.

Individuals should be cautious about using sugar-free alternatives to phase out sugar.
A study found that zero-calorie sweeteners such as aspartame and sucralose were actually found to increase, not decrease, weight.
Stevia and monk fruit extract has been shown to be safe and has no negative side effects.
Consult a dietician or nutritionist to determine the healthiest for you.

What Happens To The Body

References

Azad, Meghan B et al. “Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies.” CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne vol. 189,28 (2017): E929-E939. doi:10.1503/cmaj.161390

Bayon, Virginie et al. “Sleep debt and obesity.” Annals of medicine vol. 46,5 (2014): 264-72. doi:10.3109/07853890.2014.931103

DiNicolantonio, James J et al. “Sugar addiction: is it real? A narrative review.” British journal of sports medicine vol. 52,14 (2018): 910-913. doi:10.1136/bjsports-2017-097971

Franklin, Jane L et al. “Extended exposure to sugar and/or caffeine produces distinct behavioral and neurochemical profiles in the orbitofrontal cortex of rats: Implications for neural function.” Proteomics vol. 16,22 (2016): 2894-2910. doi:10.1002/pmic.201600032

Freeman, Clara R et al. “Impact of sugar on the body, brain, and behavior.” Frontiers in bioscience (Landmark edition) vol. 23,12 2255-2266. 1 Jun. 2018, doi:10.2741/4704

www.health.harvard.edu/heart-health/the-sweet-danger-of-sugar

Myofascial Pain Syndrome Affecting The Supinator Muscles

Dr. Alex Jimenez

Table of Contents

Introduction

The elbows and the forearms have a casual relationship with each other as they provide flexion and retraction of the arms in the body. Each different muscle group in the body has the job of making the body functional. The arms help the body to carry items while the shoulders provide stability to the head and neck. The head and neck work together to allow rotation and movement. Finally, the legs and hips stabilize the body’s upper half and move from place to place. Traumatic events or injuries that affect the arms can lead to pain along the muscles in the forearms. This can lead to the muscles becoming inflamed and developing myofascial pain syndrome or trigger points along the affected muscles. One of the muscles in the forearms that can be affected by myofascial pain syndrome is the supinator muscles. Today’s article looks at the supinator muscles, how myofascial pain affects the supinator muscles, and how to manage myofascial pain syndrome along the supinator muscles. We refer patients to certified providers who specialize in elbow pain treatments to aid individuals suffering from myofascial pain syndrome associated with the supinator muscles near the elbow and forearm. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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What Is The Supinator Muscle?

Are you experiencing any pain along your forearm or elbow? What about feeling stiffness along your thumb? Do you feel any tenderness or soreness in your forearm muscle? People who have been experiencing these symptoms might be dealing with myofascial pain syndrome that is affecting their supinator muscles. According to Dr. Travell, M.D.’s book, “Myofascial Pain and Dysfunction: The Trigger Point Manual,” the supinator muscle is a flat spiral muscle under the elbow joint and is located in the posterior compartment of the forearm. The supinator muscle function is to supinate or turn the forearm when the elbow is in a position of flexion or extension. The supinator muscle also works together with the bicep brachii muscles. Studies reveal that the biceps function provides stability and assists with internal rotation with the elbow joint by interacting with the supinator muscle. Both of these muscles provide supination and flexion strength to the elbow. However, the supinator muscle can also be affected by injuries in the elbows and forearms, causing referred pain along the forearms and parts of the hand, primarily the thumb.

Myofascial Pain Affecting The Supinator Muscle

When the supinator muscle is suffering from pain, various issues can cause the pain to occur near the elbow and forearm. Multiple factors can include:

Carrying a large, heavy bag.
Playing tennis.
Extreme movements cause the elbow to be hyperextended and lead to myofascial pain syndrome or trigger points along the supinator muscles.

Now tennis elbow is often associated with trigger points as it affects the lateral head of the triceps and the extensor muscles next to the supinator muscles. Studies reveal that tennis elbow usually occurs on the dominant arm and is regarded as an overuse injury that involves repetitive extension against resistance. To that point, the repetitive motions can lead to the development of trigger points along the supinator muscles.

Many people with active trigger points in the supinator muscles often complain about twinges of pain located in the front or back of the elbow, along with muscle tenderness in the supinator muscle. Myofascial pain syndrome can also mimic other chronic pain conditions in the arm that causes referred pain symptoms associated with the muscle. Myofascial pain syndrome causes the affected muscle to be hyperirritable and causes the surrounding nerves that are intertwined with the muscles to be compressed. This causes various symptoms in the forearms, like tingling sensations, numbness, and a decrease in grip strength. All is not lost as multiple ways to manage myofascial pain syndrome along the supinator muscles.

How To Release Supinator Trigger Points- Video

Trigger Point Class - How to Release Supinator

Are you experiencing twinges of pain near your elbow? What about radiating pain along your thumb? Do you feel tenderness or muscle weakness on your forearms or your elbow? Many of these symptoms are due to the development of myofascial pain syndrome or trigger points that are affecting the supinator muscles. Trigger points can mimic other chronic pain conditions that can cause referred pain to the rest of the body. The video above explains where trigger points are located in the supinator muscle and how to release the trigger points from that muscle. Various techniques can help manage myofascial pain syndrome that is affecting the supinator muscles and can help alleviate the pain-like symptoms that are along the muscle fibers.

Managing Myofascial Pain Syndrome Along The Supinator Muscles

When managing myofascial pain syndrome along the supinator muscles, many individuals can incorporate these techniques as part of their daily activities. Many individuals can go to a pain specialist that targets myofascial pain syndrome through palpations and massages. Studies reveal that incorporating a diagnosis of where the palpations have occurred and massaging the affected muscle can release the trigger points from the muscle and reduce pain. Another technique many people can utilize to manage myofascial pain syndrome is not overextending the elbow to cause trigger points to form. This is extremely important for tennis players to prevent tennis elbows from forming and reduce the chances of trigger points forming along the supinator muscles. And lastly, doing isotonic exercises can help strengthen and condition the supinator muscles to prevent injuries. These techniques allow the individual to be pain-free and continue with their daily lives.

Conclusion

The supinator muscles are located underneath the elbow, allowing forearm rotation when the elbow is flexed or extended. When the supinator muscle is affected by injuries or repetitive motions, it can develop trigger points or myofascial pain syndrome. This causes referred pain along the elbow to parts of the hand, primarily the thumb. Trigger points can even overlap and cause symptoms of “tennis elbow” to cause pain along the muscle and joints. Luckily, various techniques can prevent trigger points from developing further and reduce the pain in the elbows and forearms. To that point, the individual can continue doing their daily activities.

References

Bron, Carel, et al. “Interrater Reliability of Palpation of Myofascial Trigger Points in Three Shoulder Muscles.” The Journal of Manual & Manipulative Therapy, Journal of Manual & Manipulative Therapy, Inc., 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2565638/.

Cutts, S, et al. “Tennis Elbow: A Clinical Review Article.” Journal of Orthopaedics, Elsevier, 10 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6926298/.

Güleçyüz, Mehmet F, et al. “Reference Values of Flexion and Supination in the Elbow Joint of a Cohort without Shoulder Pathologies.” BioMed Research International, Hindawi, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5674724/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Vol. 1, Williams & Wilkins, 1999.

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Thoracic Herniated Disc Chiropractic Sciatica Clinic

Dr. Alex Jimenez

Man having myostimulation physiotherapy procedure in clinic — Female doctor placing myostimulation physical therapy equipment on male patient back

Middle back pain is usually caused by unhealthy posture, improper lifting or twisting, and minor injuries like muscle strains, sprains, and herniated discs. Thoracic herniated discs are less common than neck or low back herniations because of the thoracic vertebrae’s size and rigidity, but they do happen. Chiropractic care can treat thoracic herniated discs and prevent future episodes.

Table of Contents

Thoracic Herniated Disc

The 12 thoracic vertebrae between the neck and the lumbar spine make up the largest and least flexible area. The rib cage adds:

Protection
Support
Stabilization of the spine

Symptoms

Herniated discs happen when the soft, gel-like layer of the shock-absorbing intervertebral disc bulges into or leaks through the disc’s tough outer layer. Due to the location, a herniated disc can cause various issues to the middle back, chest wall, and/or abdominal areas around the injured vertebrae. This displacement can cause:

Inflammation
Compression to the spinal nerves or spinal cord
Tingling
Numbness
Pain
Weakness
If the lower thoracic region is herniated, symptoms can radiate to one or both lower extremities.

Radiculopathy

If the herniation compresses a thoracic spinal nerve, it can cause radiculopathy or pain that radiates down the nerve and out from the spine into the surrounding muscles. The symptoms can present around the rib cage or upper abdominal area. A large disc herniation can compress the spinal cord inside the spinal canal. This is a condition called myelopathy which can cause:

Numbness
Tingling
Weakness in one or both lower extremities
Sometimes bowel and bladder dysfunction
In severe cases, paralysis

Causes

Degenerative disc disease and trauma like vehicle collisions or falls are the most common causes of thoracic herniation.

Individuals between 30 and 50 are more likely to be affected.
As the body ages, the disc’s soft inner layer loses hydration, making it less effective as a shock absorber.
The tough outer layer loses elasticity, increasing the risk of disc tears.

Chiropractic Care

A chiropractor or neurologic physical therapist can personalize a herniated disc exercise treatment plan to reduce pain, improve strength and posture, and increase mobility.
Therapeutic massage can be useful in managing pain and decreasing inflammation.
Traction therapy
Spinal epidural injections can be used with physical therapy to help manage pain and allow the body to heal independently.

Recommendations

Avoid bending, lifting, reaching, and twisting.
Apply an ice pack or cold compress for 15- to 20-minute intervals every two hours.
Sit in chairs with a firm back to support the spine.
When sleeping, place a small pillow under the head and knees to keep the spine in a neutral position to prevent pressure on the herniated region.
Avoid too much rest, which can worsen the injury.
Gentle physical activity will maintain circulation and keep the muscles strong.

Surgery

Most cases of thoracic herniation do not require surgery. Surgery could be recommended if there is intolerable pain, neurological issues, and conservative treatments are not working. A spine specialist can determine if surgery is necessary based on the injury’s size, type, and location. Spinal surgery will remove all or part of the herniated disc compressing a nerve root. Common surgical procedures include:

Herniated Disc Rehabilitation

References

Barrow Neurological Institute. “Herniated Thoracic Disc.” Barrow Neurological Institute, August 3, 2022. www.barrowneuro.org/condition/thoracic-disc-herniation/.

Court, C., E. Mansour, and C. Bouthors. “Thoracic Disc Herniation: Surgical Treatment.” Orthopaedics & Traumatology: Surgery & Research 104, no. 1 (2018). doi.org/10.1016/j.otsr.2017.04.022.

Dydyk, Alexander M, Ruben Ngnitewe Massa, and Fassil B Mesfin. “Disc Herniation – Statpearls – NCBI Bookshelf.” National Library of Medicine, January 18, 2022. www.ncbi.nlm.nih.gov/books/NBK441822/.

Yoon, Wai Weng, and Jonathan Koch. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6, no. 6 (2021): 526–30. doi.org/10.1302/2058-5241.6.210020.

Trigger Points Affecting The Fingers

Dr. Alex Jimenez

Table of Contents

Introduction

The fingers are in a close relationship with the hands and the body. Each finger digit is controlled by various muscles encompassing the wrist and forearms. The fingers allow the host to be expressive and point and manipulate objects while protecting the joints in each digit. When chronic conditions or injuries begin to affect each finger digit, it can lead to referred pain along the hand muscles, the wrists, and the forearms, causing the development of trigger points to overlap the affected muscles in the fingers. Today’s article looks at how the finger extensor muscles work, how trigger points affect the finger extensor muscles, and how to manage pain associated with trigger points along the fingers. We refer patients to certified providers who specialize in hand pain treatments to aid individuals suffering from trigger points related to pain affecting the finger extensor muscles along the hands. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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How Do The Finger Extensor Muscles Work?

Are you experiencing pain in your fingers? Does it seem difficult to hold onto items even for a short period? Or are you experiencing muscle pain from your thumb to your wrist? Numerous individuals experiencing pain in their fingers and hands risk developing trigger points or myofascial pain syndrome in their fingers and hands. The hand muscles have many intricated muscles and insert themselves as the origin points for the bones, ligaments, and fascia of the hands. The finger extensor muscles begin at the forearms as the point of origin and stretch past the wrist to each finger digit which includes:

Thumb
Index finger
Middle finger
Ring finger
Pinky finger

The three main fingers that provide motion for the hands are the index, ring, and middle finger, which allow the muscles to be held in flexion and extension while giving extra support for hand actions for gripping items. Studies reveal that even though the structural and functional complexities of the human fingers have been recognized, each finger recognized an effective function of precise coordination of multiple muscles. To that point, this results in constrained finger motion by exerted forces from the joint capsules, ligaments, and joint articular surfaces. However, the tendons and the extensor muscles of the fingers suffer from injuries and conditions that can affect the functionality of each finger’s grip strength.

How Trigger Points Affect The Finger Extensor Muscles?

When the hands, wrists, and forearms are injured from traumatic forces or through ordinary factors like pulling a muscle or feeling unexplainable pain in the forearms, it can lead to referred pain along the affected muscles. This then leads to the development of trigger points along the affected muscles affecting mobility function with the fingers. According to Dr. Travell, M.D., when patients complain about pain in their hands, they often identify it with arthritis on the fingers when it is caused by trigger points affecting the extensor muscles in the fingers. Studies reveal that trigger points along the finger extensor muscles could refer to mechanical impingement of the tendon being narrowed through repetitive movements. When this happens, it can lead to inflammation and resistance of the tendon, causing the finger digit to lock up in a flex pose. Sometimes trigger points can even inhibit muscular contraction without pain, causing symptoms of grip weakness on the fingers. When trigger points affect the extensor muscles of the fingers and hands, it can make many individuals feel frustrated that they cannot hold onto items while doing their daily activities.

Trigger Points On The Extensor Digitorum-Video

Are you noticing that your grip strength has weakened? Do you feel pain starting from your forearm and ending at your fingertips? Or do your fingers lock up from time to time? Many of these symptoms affecting the fingers could develop signs of trigger points affecting the finger extensor muscles, causing hand pain. Trigger points usually form when the muscle from each section of the body has been through trauma, injuries, or overuse. To that point, the affected muscle has small knots along the muscle fibers, thus causing referred pain in the affected area. The video above explains where the extensor muscles are located in the forearm and how they branch out to each finger digit. When trigger points affect the muscle fibers of the extensor muscles, it can lead to hyperirritability of the muscle fibers and invoke referred pain in the surrounding tendons. Studies reveal that factors that pertain to overusing the fingers may be due to work-related musculoskeletal disorders, which lead to the association with intracellular compartmentation during non-invasive activities. This shows that latent trigger points may potentially occur on the affected muscle with or without pain.

Managing Pain Associated With Trigger Points On The Fingers

When it comes to managing trigger points along the extensor fingers, there are various techniques that many people can use to relieve pain in their hands, strengthen their grip strength, and prevent future trigger points from forming along the forearms. When many people go to their primary physicians and complain about losing their grip strength or feeling symptoms of inflammation associated with arthritis, their doctors begin to do a full examination. They communicate with them about what they have been doing with their hands. Once the doctors have a full diagnosis, they will begin to advise their patients on various techniques to relieve pain in their hands and strengthen their fingers. Some of the ways to manage trigger points along the fingers include:

Hand stretches to relieve stress on the finger joints
Finger extension extends with a rubber band
Avoid gripping items tightly
Sleep with fingers in a flex position
Use an ice pack to reduce inflammation in the forearm muscles

Incorporating these various techniques can reduce pain-like symptoms along the forearms, wrists, and hands and help manage trigger points from causing more issues on the hands. These techniques allow the finger extensor muscles to regain their strength and enable the individual to restore grip strength.

Conclusion

The fingers provide a close working relationship with the hands and body. The fingers allow motions expressively with the host and provide flexion and extension to each digit through extensor muscles that are located in the forearms. When injuries or hyperextension issues affect the extensor muscle, it can develop trigger points that can affect grip strength on the hands and cause pain along the finger digits and wrist. This can cause misery to the individual. Fortunately, various techniques reduce the pain in the hands and increase grip strength on the fingers while managing trigger points associated with the extensor muscles. When individuals begin to utilize stretches for their hands and wrists, it allows them to have finger mobility back to their hands and reduces the effects of pain along their forearms.

References

Ali, Stephen R, and Hussein Mohamedbahi. “Acute Trigger Finger Presenting as an Extensor Lag.” Eplasty, Open Science Company, LLC, 5 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5765627/.

Hu, Dan, et al. “Biomechanical Analysis of the Human Finger Extensor Mechanism during Isometric Pressing.” PloS One, Public Library of Science, 14 Apr. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3986208/.

Moreno-Torres, Angel, et al. “Work-Related Pain in Extrinsic Finger Extensor Musculature of Instrumentalists Is Associated with Intracellular Ph Compartmentation during Exercise.” PloS One, Public Library of Science, 9 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2817730/.

Okwumabua, Ebubechi, et al. “Anatomy, Shoulder and Upper Limb, Hand Muscles.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK537229/.

Disclaimer

Staying Active With Sciatica: Chiropractic Recommendations

Dr. Alex Jimenez

Female is having rehabilitation in the gym — Lady lying on brown couch and raises her leg and looking up, doctor standing near and helping her

Sciatica is one of the most common injuries, with as many as 40% of individuals experiencing the condition, and it becomes more frequent as the body ages. The pain originates with the sciatic nerves and can go on for several weeks, months, or years. Staying active is a major recommendation to relieve the pain and prevent future flare-ups. Injury Medical Chiropractic and Functional Medicine Clinic can decompress and release the nerve and educate individuals on an anti-inflammatory diet and staying active to expedite healing.

Table of Contents

Staying Active

Sciatica is most commonly caused by a slipped disc, which puts pressure or irritates the sciatic nerve, and causes discomfort and painful sensations. The most common factors for developing sciatica include the following:

As the body ages, the spinal discs wear out and break down, leading to the spine shifting out of alignment.
Job occupations that place added strain on the back, like sitting or standing for extended periods, repetitive heavy lifting, or bending, reaching, and twisting movements.
Practicing unhealthy postures.

Doctors and chiropractors have found that only resting with sciatica can worsen the injury.

This is because if it is a slipped/bulging/herniated disc, the disc remains in this state, the nerve stays compressed or irritated, and the muscles that control the low back become weak and unable to provide support.

Recommendations

Don’t Sit For Too Long

Prolonged periods of sitting place added pressure on the discs and ligaments in the low back.
Even when sitting doesn’t make it worse, the muscles can develop unhealthy muscle memory that causes partial contracting when there shouldn’t be any that tightens the gluteal muscles causing added strain.
Individuals with a job requiring a lot of sitting or standing are recommended to take frequent breaks to stretch out their muscles or use a standing desk to change positions.

Posture Adjustments

Slouching, hunching, and continuing to practice unhealthy postures will exacerbate sciatica.

Pay attention to the body’s position when standing or sitting.
To prevent slouching, pull the shoulders down and back.
Imagine the shoulder blades touching.
Individuals working at a desk or workstation should take frequent breaks.
Position the screen to see it without tilting the head down.

Increase Physical Activity and Exercise

Exercise is highly recommended to keep the muscles and nerves moving and circulation flowing.

Aerobics

Walking, light jogging, swimming, cycling, and dancing, increase heart rate without causing added strain or pain.

Strength Training

Exercises using free weights, weight machines, or isometric exercises strengthen the muscles and can help restore their position.

Stretching and Flexibility Training

Yoga, tai chi, and Pilates increase flexibility and strength.
The stretching will keep the nerves and muscles from spasms that can worsen the injury.

Strengthen The Core

A stronger core will improve spinal health. Actively engaging the abdominal muscles protects sciatic nerve roots by minimizing spinal pressure.

The back muscles can become increasingly stressed and tired when they have to do all the work without core muscle support.
A weak core can cause additional back pain and worsen sciatica symptoms.

Stand Up Straight

Keep the head and shoulders straight.

Focus On Breathing

Rhythmic breathing helps keep the mind focused and alert while engaged in an activity.

Core Muscles

The back, side, pelvis, and buttock muscles are also part of the core.
Strengthening all of these muscles helps to support the spine.
Exercises for core strengthening include yoga and Pilates, planks, and bridges.

Nerve Recovery

As the nerve recovers, the area the nerve supplies could experience tingling discomfort.

This could be accompanied by an electric sensation at the level of the healing nerve fibers.
The location of this sensation should move as the nerve heals.
With time the sensations should subside, and the area should begin to feel more normal.

Spinal Decompression Demonstration

References

Jensen, Rikke K et al. “Diagnosis and treatment of sciatica.” BMJ (Clinical research ed.) vol. 367 l6273. 19 Nov. 2019, doi:10.1136/bmj.l6273

Kuai, Shengzheng, et al. “Influences of lumbar disc herniation on the kinematics in multi-segmental spine, pelvis, and lower extremities during five activities of daily living.” BMC musculoskeletal disorders vol. 18,1 216. 25 May. 2017, doi:10.1186/s12891-017-1572-7

Ma, Xiao, et al. “The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults.” Frontiers in psychology vol. 8 874. 6 Jun. 2017, doi:10.3389/fps.2017.00874

Ramaswami, Ramya, et al. “Management of Sciatica.” The New England journal of medicine vol. 376,12 (2017): 1175-1177. doi:10.1056/NEJMclde1701008

Manage Trigger Points in the Hands and Wrist

Dr. Alex Jimenez

Table of Contents

Introduction

The forearms have a casual relationship with the hands and the wrist as they are below the elbow and have very important motor functions. The hands and wrists help many individuals hold onto items, while the forearms provide support by carrying items without pain. The various muscles surrounding the forearms, hands, and wrist joints help provide mobility and flexibility to the arms. Injuries like muscle sprain, strains, or stiffness in the forearms, hands, or wrist can be due to trigger points along the brachioradialis muscles affecting the hands and wrist. Today’s article looks at the brachioradialis muscle functions on the hands and wrist, how trigger points affect the hands and wrist, and how to manage trigger points associated with the hands and wrist. We refer patients to certified providers who specialize in arm pain treatments to aid individuals suffering from trigger points associated with the brachioradialis muscles along the wrist and hands of the body. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

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The Brachioradialis Function On The Hands & Wrist

Have you been experiencing stiffness in your wrist or forearms? Do you have trouble gripping items in your hands? Or do you experience radiating pain from your forearms to your wrist? Many people experiencing these pain-like symptoms are associated with trigger points along the brachioradialis muscle that affect the forearms, hands, and wrist. The brachioradialis is a superficial muscle that is located in the lateral forearm. The brachioradialis muscle works with different muscles attached to the upper arms to provide flexion to the elbow joints while working with various muscle tendons along the wrist and hands. Research studies reveal that the brachioradialis muscle works with the central nervous system by sending signals to the forearm and provides reflexes to the wrist and fingers by lightly tapping the muscle tendon of the brachioradialis. This light tapping motion sends the signal back to the brain and shows which muscle is activated. However, injuries along the brachioradialis muscle can invoke referred pain to the wrist and hands.

Trigger Points Affecting The Hands & Wrist

As stated in many research studies, trigger points or myofascial pain syndrome is a chronic musculoskeletal disorder that causes hard, discrete, tiny nodules along the taut muscle fiber bands of the affected muscle, causing pain. When the brachioradialis muscle has succumbed to pain-like symptoms from common factors or injuries, it can lead to the development of referred pain associated with trigger points affecting the hands and wrist of the body. So how would trigger points affect the hands and wrist? Well, trigger points can mimic other chronic conditions and cause pain to the affected muscles. So when trigger points affect the brachioradialis muscle, it also affects the hands and wrists.

Studies reveal that when trigger points affect the hands and the wrist, it can lead to symptoms of pain, stiffness, burning, or tingling sensations in the hands and wrist. To that point, a person can experience these pain symptoms even if they are not injured. Trigger points can form when the individual has made repetitive motions to the muscle that causes it to be overused and cause strain on the muscle, thus leading to trigger points associated with joint and muscle pain. Other studies reveal that non-specific shoulder pain associated with trigger points can increase pain intensity to the brachioradialis and affect hand grip strength. This can make many individuals unable to hold onto the items they carry.

Wrist & Hand Trigger Points- Video

Trigger Point Tutorial | Wrist Extensor Muscles

Are you having trouble making a fist in your hands? Do you experience a burning sensation on your forearm down to your wrist? What about feeling pain radiating down from your elbows to your hands? Many people experiencing these pain symptoms might risk developing trigger points along the brachioradialis muscle affecting the hands and wrist. The video above explains what happens when trigger points affect the wrist and hand extensors muscles that work together with the brachioradialis muscles. Trigger points along the brachioradialis can cause referred pain to the forearms and lead to chronic symptoms that affect the functionality of the wrist and hands. This can lead to a decrease in grip strength and cause hand mobility issues for many people. At last, all is not lost, as various treatments are available to manage trigger points associated with the hands and wrist.

Managing Trigger Points Associated With The Hands and Wrist

Various treatments can help many individuals dealing with trigger points associated with the hands and wrist. Many people would go to pain specialists like chiropractors, massage therapists, or physiotherapists to manage trigger points affecting the brachioradialis muscles along the hands and wrist. These pain specialists will incorporate various techniques to reduce the pain and address the trigger points along the affected muscle. Studies reveal that acupuncture on the hands and wrist can reduce pain intensity caused by trigger points and bring back mobility function to the hands and wrist. This can regain the grip strength of the individual and improve hand and wrist functionality without pain. Other studies also reveal that trigger point therapy can also be utilized to reduce pain-like symptoms affecting the hands and wrist. Combined with gentle massages can prevent trigger points from forming in the future and reduce pain symptoms affecting grip mobility on the hands.

Conclusion

The forearms have a casual relationship with the hands and wrist as the brachioradialis muscles help provide mobility functions. The hands and wrist help grip items a person carries, while the forearms offer support. When injuries or ordinary factors are causing pain-like symptoms on the forearm, it can lead to the development of trigger points affecting the mobility function of the hands and wrist. To that point, it can lead to a burning sensation or decreased grip strength on the hands. This can affect a person as they won’t be able to hold onto items and are dealing with a numbing sensation along the wrist and hands. Luckily there are pain specialists available that can utilize various techniques to help manage trigger points along the affected muscle and help bring back grip function and mobility to the hands and wrist. People who incorporate these treatments as part of their daily life schedule can begin to get their sense of belonging back without pain in their wrists and hands.

References

Calvo Lobo, Cesar, et al. “Comparison of Hand Grip Strength and Upper Limb Pressure Pain Threshold between Older Adults with or without Non-Specific Shoulder Pain.” PeerJ, PeerJ Inc., 9 Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5345821/.

Cao, Talia, and Prasanna Tadi. “Brachioradialis Reflex.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 Mar. 2022, www.ncbi.nlm.nih.gov/books/NBK554537/.

Hong, C Z. “Specific Sequential Myofascial Trigger Point Therapy in the Treatment of a Patient with Myofascial Pain Syndrome Associated with Reflex Sympathetic Dystrophy.” Australasian Chiropractic & Osteopathy : Journal of the Chiropractic & Osteopathic College of Australasia, BioMed Central, Mar. 2000, www.ncbi.nlm.nih.gov/pmc/articles/PMC2050812/.

Lung, Brandon E, et al. “Anatomy, Shoulder and Upper Limb, Forearm Brachioradialis Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK526110/.

Oh, Sein, et al. “Causes of Hand Tingling in Visual Display Terminal Workers.” Annals of Rehabilitation Medicine, Korean Academy of Rehabilitation Medicine, Apr. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3660483/.

Trinh, Kien, et al. “The Effect of Acupuncture on Hand and Wrist Pain Intensity, Functional Status, and Quality of Life in Adults: A Systematic Review.” Medical Acupuncture, U.S. National Library of Medicine, 1 Feb. 2022, pubmed.ncbi.nlm.nih.gov/35251436/.

Disclaimer

Headache Chiropractor: Sciatica Clinic

Dr. Alex Jimenez

Female orthopedist examining senior patient's neck in clinic

Headaches are a common condition that most experience and can differ greatly regarding type, severity, location, and frequency. Headaches range from mild discomfort to constant dull or sharp pressure and severe throbbing pain. A headache chiropractor, through therapeutic massage, decompression, and adjustments, alleviates the headaches, whether tension, migraine, or cluster, releasing the tension and restoring normal function.

Table of Contents

Headache Chiropractor

Ninety-five percent of headaches are primary headaches caused by overactivity, muscle tension, or problems with pain-sensitive structures in the head. These are not a symptom of an underlying disease and include tension, migraine, or cluster headaches. The other 5 percent of headaches are secondary and are caused by an underlying condition, infection, or physical issue. Headaches have various causes or triggers. These include:

Long hours driving
Stress
Insomnia
Blood sugar changes
Foods
Smells
Noises
Lights
Excessive exercise or physical activity

Individuals spend more hours in one fixed position or posture, like sitting in front of a computer or standing at a workstation. This can increase joint irritation and muscle tension in the upper back, neck, and scalp, causing achiness and discomfort that builds up to throbbing soreness. The headache’s location and the discomfort experienced can indicate the type of headache.

Chiropractic Care

Chiropractors are experts in the neuromusculoskeletal system. Research shows that a headache chiropractor can adjust the spine’s alignment to improve spinal function, release and relax the tense muscles, and alleviate nervous system stress helping decrease the intensity and frequency. Treatment includes:

Therapeutic massage
Chiropractic adjustments
Spinal decompression
Postural training
Electrical stimulation
Ultrasound
Physical rehabilitation
Body analysis
Professional nutritionist recommendations

The Injury Medical Chiropractic and Functional Medicine Team will develop a personalized treatment plan for the individual’s specific condition and needs.

Migraine Treatment

References

Biondi, David M. “Physical treatments for headache: a structured review.” Headache vol. 45,6 (2005): 738-46. doi:10.1111/j.1526-4610.2005.05141.x

Bronfort, G et al. “Efficacy of spinal manipulation for chronic headache: a systematic review.” Journal of manipulative and physiological therapeutics vol. 24,7 (2001): 457-66.

Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Côté, Pierre, et al. “Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario Protocol for traffic injury management (OPTIMa) collaboration.” European journal of pain (London, England) vol. 23,6 (2019): 1051-1070. doi:10.1002/ejp.1374