TYPES OF EXTREMITY PAIN
The Shoulder is a very complex joint. Most chiropractic patients wait too long to seek treatment when they are having shoulder pains, and end up making their shoulder problems worse with an extensive recovery. Dr. Derrick must also determine if it’s a true shoulder condition, acromioclavicular separation, arthritis or referral from the cervical spine.
Types of Shoulder Pain
Rotator Cuff Injuries are one of the most common causes of shoulder pain. Dr. Derrick will work with you to determine which four parts of the rotator cuff are involved, and which muscle groups are contributing to the pain. Sprains, strains, or tendinitis in other muscle groups, such as biceps, triceps, deltoids, and trapezius, may cause shoulder pain.
Dr. Derrick will also pinpoint the type of injury, such as sprain, strain, tendinitis, partial tear, or complete tear. We manage these chiropractic patients with help from our medical side and develop a rehabilitation plan that consists of both passive and active care.
Bursitis is not the most common form of shoulder pain, but may be seen in chiropractic patients who have recently taken a fall. The pain can come on gradually or be sudden onset, but it’s important to have bursitis treated before the condition leads to a ‘frozen shoulder’. The condition can escalate into ‘frozen shoulder’ when the chiropractic patient stops using his shoulder due to the initial pain of bursitis, and treatment is not sought. Dr. Derrick also co-manages bursitis patients with our medical side and develops a rehabilitation plan that consists of custom passive and active care.
Types of Elbow Pain
Tennis Elbow, or lateral epicondylitis, is tenderness or pain in the outer elbow generally caused by repetitive movement. Common in tennis players, hence the name.
Golfers Elbow, or medial epicondylitis, is tenderness or pain in the inner elbow. Common in golfers, but also common in sports with throwing.
Wrist and Hand Pains occur for many different causes, such as carpal tunnel syndrome, fracture of carpals due to fall, sprains or strains, or tendonitis. Depending on the type and cause of the pain, we use a combination of both active and passive rehabilitation care and medical massage.
Types of Hip Pain
Bursitis tends to be very persistent when not treated, and is typically seen more in women. Chiropractic patients with bursitis have very tight IT Bands (illiotibial bands), and the most common complaint is not being able to sleep on the side of the pain’s location. Dr. Derrick will help determine if the pain is bursitis pain, or referred pain like sciatica.
Joint pain requires Dr. Derrick to source the origin of the hip pain, and determine if it’s related to bursitis, or a possible sprain or strain. Digital X-Rays may need to be taken to rule out degenerative changes, such as arthritis. Once the source of pain is found, Dr. Derrick will develop an appropriate treatment plan or refer the patient to an appropriate specialist.
The Knee pain is generally caused by sprains and strains. In knee injuries, it’s important to determine the extent of the injury- is it only a sprain or strain, and if so, what soft tissue is involved? Is there possible ligament damage? Is the ACL, PCL, or meniscus involved? Is the knee stable? Should an X Ray or MRI be ordered?
Based on thorough examination, a treatment plan can be coordinated or specialist referrals can be made.
The Ankle and Foot
Types of Ankle and Foot Pain
Plantar Fasciitis is the most common type of foot pain, and is generally located on the bottom of the foot and around the arch. Plantar fasciitis can be very painful, especially when getting out of bed in the morning, and is sometimes described as feeling like bubble wrap on the bottom of the foot. Dr. Derrick will craft a custom treatment plan that may include active and passive therapy, medical massage, orthotics, or medical co-management in severe cases.
Sprains and Strains can be very painful and the extent of the injury needs to be determined. In severe cases, sprains and strains may cause ligament ruptures or fractures. These injuries can take 6-8 weeks to heal.
Heel Pain may be caused by several factors including a heel spur or plantar fasciitis.