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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.

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.