TMJ and Chiropractic

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Temperomandibular JointYou may have heard or experienced a condition called TMJ which is a condition of clicking or pain in the Temperomandibular Joint (TMJ) or jaw. It is more correctly termed TMD which stands for Temperomandibualr Disorder (TMD). These occur as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw.

Causes include:

  • Injury to the jaw, Temperomandibular joint, or muscles of the head and neck (such as from a heavy blow or whiplash)
  • Grinding or clenching the teeth, putting great pressure through the TMJ
  • Stress, which can lead to clenching teeth, and/or tight facial and jaw muscles
  • Arthritis in the TMJ
  • Disrelationship of the complex jaw joint

Common symptoms of TMD include:

  • Decreased ability to open the mouth wide
  • A locked or stuck jaw either in an opened or closed position
  • Clicking, popping or grating sounds in the jaw joint on jaw movement
  • Pain or tenderness in the face, jaw joint, neck, shoulders and/or ear, including headaches and earaches
  • A tired feeling in the face
  • A change in the bite, as the teeth are not aligned

Intra-oral Cranials is a technique that your Chiropractor may use that is extremely effective in improving the movement of the jaw joint and hence reducing the symptoms relating to TMD. This Cranial technique addresses the bones of the skull and jaw to normalise the relationship of the skull with the jaw and the neck, and allow the jaw to move smoothly and freely and with its normal range.

Chiropractic and Bursitis

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Chiro shoulder-bursitisBursitis is the inflammation of a bursa. A bursa is a fluid filled sac that is located in certain areas of the body that experiences rubbing or friction between two structures, usually between a tendon and bone, or muscle and bone. The bursa sits between these two structures and acts as a cushion to reduce any rubbing, friction or irritation.

Bursitis is commonly caused by injury or repetitive movement, with the most common areas affected being the shoulder, elbow, ankle, knee and hips. Common advice given by Doctors and Physios is rest and ice together with painkillers and anti-inflammatories.

Some people don’t realise that Chiropractic can also be a very effective treatment option. A bursa becomes inflamed because there is excessive rubbing of the tendon over the bursa. It is considered excessive because either it is happening more frequently (such as increasing the amount or intensity of running you do) or because there is more friction because the muscle and tendon is tighter or less elastic and therefore rubs harder over the bursa. So certainly it may be necessary to reduce the amount of training, but if it is due to a tightness of the tendon, then by improving biomechanics and the balance of the muscles and tendons across the joint will help reduce the bursitis. This is exactly what Chiropractic does. By balancing the body it improves and normalises biomechanics which results in releasing the muscle. When the muscle is released it reduces the tension on the tendon and so reduces the friction on the bursa. This will improve the bursitis, and also the chance of it returning when you return to training.

Chiropractic and Medicare

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MCAs you are most likely aware, Chiropractic can be calmed under Private health insurance, but you may not be aware of a Medicare service that has been available since 2004. The Medicare Allied health initiative provides for Medicare benefits to be paid for allied health and dental care services provided to people with chronic conditions and complex care needs. They will allow for up to five visits under this initiative.

Under the initiative, people with chronic conditions and complex care needs firstly need to be managed by their GP who would set up a Enhanced Primary Care (EPC) plan. This care plan can include 1 or more allied health professionals to assist in the treatment plan. These can include Chiropractic, Physiotherapy, Exercise Physiology, Occupational Therapy, Mental health services, Psychology, Speech Pathology and Dental. Medicare will pay a large percentage

If you would like Chiropractic care and this is something that you may be eligible for, all you need to do is speak to your GP, who will set up an EPC, which includes myself as your Chiropractor. Your GP will give you a copy of this EPC with a referral to me, which you need to bring to your next Chiropractic consultation. I will sign it to agree to the care plan and send it back to your GP. For the next 6 visits, you pay your invoice as per usual, then take your receipt to Medicare to claim. Medicare will cover the majority of the bill.

Fractures, Sprains and Chiropractic

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chiropractic sprains fracturesCan Chiropractic help with a fracture (the medical term for any broken bone)? No, of course not! But Chiropractic can help if you’ve had a fracture, it has healed, but it still just doesn’t feel right.

Obviously the first thing you need to do if you suspect a fracture is go to the hospital and have it treated. Once it has healed and you are able to use it again, you may notice that it is can be painful or uncomfortable at times, or it just doesn’t feel right. If it doesn’t improve then thats when seeing a Chiropractor can be helpful.

When you have a fractured bone it is usually due to a fall. So when you fall and land with enough force to break your bone, it is obviously quite a large force. It is not only the bone that will be injured by this degree of force, there would be a number of surrounding joints and ligaments, tendons and muscles affected by the impact.

These muscles and tendons will very likely be strained, while the joints can be jarred, inflamed and possibly in slight misalignment. This will result in the joints in the area not moving freely, so when moving that part of your body, it will feel tight and restricted, and even painful. The muscles would also feel sore and possibly spasmed.

Similarly, spraining a joint can impact on surrounding joints, muscles and ligaments. Seeing a Chiropractor soon after having such an injury is important as it can improve the rate of healing, as well as reduce the level of pain. A sprain is essentially due to overstretching of a joint and hence the ligament crossing that joint will be strained, sprained or in extreme cases, torn. This overstretching of the joint will impact the alignment of that joint, and then this misalignment will continue to put some strain on the ligament. This ongoing strain can reduce the ability of the ligament to heal.

The misalignment of the joint can also produce pain, so treating the misalignment will reduce the pain, and improve the overall function. This is particularly the case when its an ankle that has been sprained (which is very common) as there are so many bones around the ankle there is potential for many joints to become affected. Then as a secondary problem, if there is some changes in the alignment of the foot joints, then the body will be compensating because of pain and also poor biomechanics, which can result in pain and inflammation in the knees or back.

Chiropractic care can be very effective in correcting these joint misalignments and so it makes sense to have some Chiropractic care at some stage after an injury such as a fracture or sprain to improve healing, decrease pain and improve overall function.

Chiropractic and Pregnancy

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Pregnancy-chiropracticYour body goes through many changes during pregnancy, and it is amazing at how well it adapts and accommodates for the increasing size of the baby, and then in preparation for the birthing process. Chiropractic can be helpful in several ways as your body goes through these changes.

As the baby grows your body is having to carry more weight which will put some strain on your body especially the lower back. With the increased size of the baby naturally your stomach enlarges which causes your centre of gravity to a more forward position. Then as the baby gets even larger it will often push on different structures of your body, this will commonly affect your ribs, particularly at the front, as they try to accommodate the baby. Then, close to the end of the pregnancy ligaments begin to loosen in preparation for the birth, and this can make the pelvis feel loose and unstable.

All these factors can and often do create some aches and pains, particularly if you have a history of back pain, but they are all things that can be gently treated with Chiropractic. Chiropractic helps by allowing the pelvis, back and ribs to remain mobile, which assists it in smoothly adapting through the process of those changes. as stable as possible. This helps to minimise any aches and pains that occur in this time, and keeps the muscles relaxed and loose. By keeping these joints moving well during pregnancy will make it easier for you to keep active and exercising which can help lead to having an easier labor.

Chiropractic can also help post pregnancy. After giving birth some women can feel very unstable in the pelvis, or they may have a separation and inflammation of the pubic bones. Then breastfeeding and even carrying a baby can often result in upper back and shoulder pain and stiffness. Chiropractic care is very effective in helping your body cope with these new postures and tasks, and generally getting your body back to its healthy and balanced state.

 

Chiropractics role in fertility.

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Pregnancy-chiropracticMost people think of seeing a Chiropractor for body pains and headaches, but Chiropractic care does have an impact on the whole body, including organ systems. In that way it does have a small role in helping with infertility, but is best used as an adjunct to other treatments such as Acupuncture or Naturopathy.

The principle of Chiropractic is to balance the physical body and allow it to function as it is designed to. This will in turn reduce any tension in the muscles, and pressure on the joints and spinal discs, and hence reduce pain. It also has the effect of reducing any pressure on the nerves. If the nervous system is free of pressure it is also able to function as normally as possible, hence the body’s organ systems will receive the optimal nerve supply and hence function optimally also. In this way Chiropractic can have an impact on systems including digestion, circulation and fertility.

The nerves that originate from the lumbar and sacral spine, ie the lower back and pelvis, supply the reproductive system, so if there is some imbalance to these structures there may be interference to how well the reproductive system works and hence possibly affect fertility.

Another way a Chiropractor may help when it comes to fertility, is with the Neuro Emotional Technique (NET), described in our June newsletter. Sometimes we can have fears that hold us back in life, and these fears and emotions can be strong enough to affect our body and how well it functions. When it comes to fertility, pregnancy and parenthood, there are many emotions that can come up, and potentially impact on our fertility (either by increasing stress levels or by affecting hormone levels). These can include fear of being pregnant or the birth, or self esteem issues around being a good parent. Commonly it can also bring up concerns of how a baby will impact your career, social life, relationship with your partner to name just a few. NET can be a great tool to allow you to be free those emotional blocks and hence function more optimally.

Once you fall pregnant, then Chiropractic can be of a great benefit in reducing any discomfort that can come about due to all the changes your body will be going through. See next month newsletter article, Chiropractic and Pregnancy.

 

Obstacle Racing

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ben clarkeObstacle racing is taking off in Australia not only becoming a popular challenge for people at all levels of fitness but also being a fun and interesting way of raising money for worthy charities such as Legacy, Canteen, Cancer Council, Red Cross, McGrath Foundation, and Soldier On, just to name a few.

Depending on your level of fitness you have many races to choose from. Shorter distance races such as the Warrior Dash, Mud Run, Tough Bloke Challenge and The Stampede are great entry level obstacle races with distances ranging between 5-10km. If you’re up for a bit more of a test you can take part in the Tough Mudder which is a 20km race with a total of 21 obstacles including electric shocks and ice water submersion, don’t let this intimidate you as the ethos behind this obstacle race is camaraderie and teamwork so there is always someone there to lend a hand.

Read more

Stress and your body, part 3.

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stress ballAfter having read Parts 1 and 2, you will now have a much better understanding of how your body can change when it is dealing with stress, and how these changes present themselves as symptoms. Having just gotten through the end of a year, christmas, and possibly sending your children back at school, you may very well have experienced first hand some of these manifestations of stress.

In this article I will explain how treatment can help. It is helpful to address the symptoms to make you feel better and more comfortable, but it is also very important to address the the cause ie the stress itself, and hence reduce your body’s’ reaction to it. Symptomatically we can change the pain and muscle tightness that occurs in the neck and shoulders by correcting any misalignment and jamming up in the vertebrae of the neck and upper back. By treating the spine at these areas we are improving movement of the spine and stimulating the nerves to flow freely and thereby stimulate the muscles to relax and work more freely.

The diaphragm can also be treated by a very gentle release that helps it relax, which then allow the ribs to release. Sometimes the spine at the level of the diaphragm may need an adjustment to help it release, and possibly some work needs to be done on the muscles between the ribs. This results in reduction in tightness and restrictions in movement, and allows improved breathing.

The jaw is another issue. When it tightens it can potentially tighten many areas of the skull, which can become very uncomfortable. The jaw can be released directly by working on the muscles and with gentle pressure to the jaw joints. Often it is necessary to look at the whole skull. With that we test for any jamming of the areas of the skull where the many bones that make up the skull join each other. This treatment is gentle and even relaxing , and has great results in reducing tightness and any headaches associated with it.

These are all ways to reduce any symptoms, but it is also important to address the degree to which your body reacts to stress. As seen in previous articles your body will react to stress, there is no changing that. But you may notice that your body will react in differing degrees with different stresses. Sometimes even to the point where you think it is excessive, or an over-reaction. The degree to which your body reacts is different for every person and is influenced by your past experiences and emotions. If we have had a bad experience in the past we will often be more sensitive to something similar happening, this is due to a learned response, or what can be called body memory.

There are two ways that we can look at these reactions. One is using the technique of Neurolink, the other is a techniques called Neuro Emotional Technique (NET). If you have been coping with stress for a while, it may be difficult for your body to come out of that response once the stress has stopped. Neurolink is a technique that resets your body and Nervous System. Just like a computer that has crashed when it has been overloaded with tasks and needs to be rebooted, our Nervous System is similar and Neurolink can ‘reboot’ your system.

NET is a technique that works on a deeper level to find out why we are reacting strongly to something, and what experiences in your past have led to this strong reaction. It also resolves and releases the memory of these past experiences that is being held in your body. This helps reduce any reaction of fear or anger or sadness, for example, that your body may currently be exhibiting.

 

Stress and your body, part 2.

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stress ballNow, after reading Part 1 in last months newsletter, you may have a better understanding of how readily our body reacts and changes in response to stress. These changes will often occur without us having any awareness of them, but there are many other changes that occur that that we can feel. Many patients present to me with various aches and pains, that very often have an underlying cause of stress. When we are dealing with stress our body reacts in certain predictable ways. There are 3 muscles that will always tighten in response to stress. They are your diaphragm, your upper Trapezius and your Suboccipital muscles.

Your diaphragm is a sheet of muscle that sits like a dome and divides your internal body in half. It sits below your lungs and heart and above the rest of your organs, and is important in breathing as it moves down to help your lungs draw breath in and up to help push air out of your lungs. When it is tight it is not able to move down and this results in feeling short of breath. As it is attached to structures on the inside around the level of the lower ribs, any tightening of the diaphragm can pull on these structures and often create a twist in that area. This can result in pain in the back, along the spine, around the ribs, and sometimes even pain on breathing.

The upper Trapezius muscle sits across the top of your shoulders and up into the lower neck, as it tightens it will pull the shoulders up and pulls the neck down into the shoulders. This affects your posture and will create discomfort in your shoulders, between your shoulder blades and also your neck. It can also cause a pinching of the nerves in your neck resulting in numbness or a tingling or pins and needles sensation in your hands or fingers.

The Suboccipital muscles are short muscles that join the back of your skull to the upper neck. Any tightness in these muscles will cause your head to tilt back. They can give you pain in the upper neck and in the back of the skull. Tightness in these muscles together with the Trapezius muscles creates poor posture and stiffness running from the skull to your shoulder blades, resulting in neck and shoulder pain as well as headaches. Sustained tightness and resulting poor posture in this area can often result in achiness in your upper arm.

Another common reaction to stress is clenching or grinding your teeth. Apart from this being damaging to your teeth, it causes very tight jaw muscles. This in itself can give you pain around the jaw which can feel like a headache. These tight muscles will also affect the upper neck and temples due to where they attach, and cause neck pain and stiffness and headaches.

Stress is a part of every persons life, and it can be positive, such as it being a motivator, but it can also cause problems. Just like everything in life there needs to be balance for there to be health and wellness. Stress can be balanced by exercise and relaxation, so it is important to find forms of exercise and relaxation that work for you, and incorporate that into your daily life.

 

Stress and your body, part 1.

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stress ballStress is a term commonly used everyday, it is usually considered a negative concept that has some impact on one’s mental or physical wellbeing, but it can be either the cause or the effect.

In nature most processes strive to maintain equilibrium, a steady state of balance, this includes our body on a physical level (our bones and muscles) as well as a physiological level (our organ systems). Environmental factors, internal or external stimuli, continually disrupt this balance, and these factors can be interpreted as stress.

As a chiropractor I am constantly dealing with and correcting the effects of physical stress. These physical stresses include falls and bumps, lifting or carrying heavy loads, prolonged periods of time in poor chairs, unsupportive mattresses or bad shoes, sustained posture, repetitive work or changes in our body for which it must compensate such as pregnancy or a broken bone in the foot, or knee surgery. On a physical level it is often clear to see how these stresses impact us and our wellbeing.

What is not always easy to see is how Emotional stresses impact our body and our wellbeing. I estimate that close to 75% of problems I see in clinic are due either directly or indirectly to emotional stress, but when I say that, people often can’t understand how emotional stress can affect us physically. It can be easier to understand when you consider situations of extreme stress, such as if your life were in danger.

In such a situation you would be feeling alot of emotions such as fear and panic, but your body would also be reacting, in a way that is known as a fight or flight reaction. This means that your body is getting prepared to fight or to flee. There are several things that happen but probably the most obvious sign would be that your heart would begin racing, this would result in you sweating, your body will produce adrenaline,which would make you feel buzzy or nervy. Your pupils will dilate, your blood will be directed to areas of your body that are important for fighting or fleeing (such as your muscles, your lungs and your brain) and away from areas that are not needed for the moment (such as your digestive organs). So you can see that emotions go hand in hand with physical changes.

Thankfully, it is not that common for us to be in a situation that is life threatening, but our modern lifestyles do entail alot of stress, and our bodies are constantly reacting to this stress in many ways, at a low level. These reactions will impact on our bodies in a physical way. Stress and your Body Part 2 will detail signs and symptoms your body may show in response to common low level daily stresses.