spine, shoulder and knee pain? wayne gard chiropractor acupuncturist naturopath 1 secant st...

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Spine, Shoulder and Knee Pain? WAYNE GARD CHIROPRACTOR ACUPUNCTURIST NATUROPATH 1 Secant St Liverpool (Near Westfields) 96009593 www.gardchiropracticclinic.com.au gardchiropractic@people.net.au Slide 2 Wayne Gard is a qualified Chiropractor, Naturopath, and Acupuncturist He has been serving Liverpool residents for 23 years. Served as a Sports Chiropractor at the 2009 World Masters Games. Examiner and Tutor at Macquarie University He is a keen amateur athlete, enjoys swimming, running and bike riding. Who Am I and Why Should You Listen To Me? Slide 3 This seminar is a brief look at Natural Treatments for Pain Relief. For those who want more detail a full copy of this presentation is available on my website. This website also contains an offer to a great book called The 7 Things Your Doctor Forgot To Tell You www.gardchiropracticclinic.com.au Slide 4 Spine,Knee,Shoulder Pain The Real Causes? Slide 5 What is Pain? Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage Pain motivates us to withdraw from potentially damaging situations, protect a damaged body part while it heals, and avoid those situations in the future.It is initiated by stimulation of nociceptors in the peripheral nervous system, or by damage to or malfunction of the peripheral or central nervous systems. Most pain resolves promptly once the painful stimulus is removed and the body has healed, but sometimes pain persists despite removal of the stimulus and apparent healing of the body; and sometimes pain arises in the absence of any detectable stimulus, damage or pathology. Pain is the most common reason for medical consultation in Australia Slide 6 The Pain Game Chiropractors Naturopaths Acupuncturists General Practitioners Orthopaedic Surgeons Neurosurgeons Neurologists Rheumatologists Pain Physicians Physiotherapists Massage Therapists Psychologists Psychiatrists Rehabilitation Physicians Dentists Etc etc Who do you see??? It can be VERY DIFFICULT to find someone to help you. Most people go to their GP however many GPs have a poor knowledge of anything except drugs and surgery! Slide 7 Two Types of Tissues In Your Body 1.The Neuromusculoskeletal System NMS = Nerves, Muscles, and Bones = The largest part of your body = 80% of your body 2.Organ Systems circulation, digestive, hormonal etc = 20% of your body Two Types of Pain 1. Nerve Pain This is where the nerves of your body are pinched, pressured, or irritated Two Types of Nerves - Motor and Sensory Motor nerves control muscle movement when irritated we get muscle imbalances too tight = spasm, too loose = weakness Sensory controls sensation tingling, numbness, burning 2. Tissue Pain this is where these tissues become injured or wear out. Two types of tissues - Soft and Hard Tissues Soft tissues muscles, ligaments, tendons, discs Hard tissues bones, joints, cartilages Slide 8 Descriptions of Pain Slide 9 Making a Diagnosis Source and Cause? Source of pain = what tissue is the pain located in? Cause of pain = why is that tissue in pain? No matter which health care practitioner you consult, and accurate Diagnosis of the Source and Cause of your pain is required. Problem Is you cant measure pain remember it is an unpleasant sensory and emotional experience There is No Blood Test or X-ray that measures pain! SO the fundamentals of a Diagnosis are: - 1. Patient History listening to when, where, why the pain began - 2. Examination physically examining the patient in order to locate the source of the pain - 3. Imaging and Blood tests these are most valuable only to VERIFY the Examination. ALL 3 steps need to be used to arrive at a diagnosis. It is a very common mistake to assume that a positive test is the source of the pain? And of course it doesnt explain the cause of the pain! PROBLEM Most GPs are not well trained in Diagnosing Pain in the NMS system - they are much better at Organ Pain - -Most Specialists are only useful when there is major Tissue Breakdown = less than 5% of patients!!! - SO most of the time you need to look outside of the normal medical advise - This can be very challenging to some people who rely heavily on their GP for ALL their health care needs! Slide 10 Back and Neck Pain Slide 11 There are only 2 types of people those who have back pain and those who are going to get back pain The spine is the most complex structure in your body! Many brilliant people are researching the spine but it still remains a mystery! Over 90% of people will get spinal pain in their lives Why??? There are many thoughts on this: - Genetics about 60 to 80 % or spinal problems are passed down thru your genes - Posture we live a very sedentary (non-moving) lifestyle. This places great strain on our body alignment. Your body likes to move!!! - We use our spine in EVERY activity that we do it never rests even when you are sleeping your Spine is active! It needs to monitor the ONLY constant FORCE in our bodies = GRAVITY!!! - The spine is connected to your organs and brain SO any organ or brain problem causes spinal problems! - Evolution many people believe that as we evolved from caveman into a more upright posture, that our spines have not yet evolved to cope with the physical demands? - Not getting your alignment checked throughout your life imagine never brushing your teeth or going to the dentist what shape would your teeth be in? - Stress is a pro-inflammatory. - Poor diet is pro-inflammatory Slide 12 Types of Spinal Pain Facet Joints Discs Nerves Muscles Ligaments and tendons Arthritis Slide 13 Prevention of Spinal Pain The best Treatment of ALL Neuromusculoskeletal problems is Prevention waiting for pain is waiting too long! When should you start? First Injury for most of us = Birth However for most of us this doesnt happen. Largely because we havent been educated to have spinal checkups from birth, for example like dental checkups Slide 14 Slide 15 What else can you do? Proper Posture especially when sitting for long periods at a desk, driving Good workplace ergonomics Good back support when driving rolled towel lumbar support, head rest at correct height and lean very important in case of whiplash! Take regular breaks from poor posture 5 minutes every hour Dont smoke increase disc degeneration 40% Reduce stomach obesity places strain on spine If you have a car accident even at low speeds get a chiropractic checkup Do some regular spinal exercises Check for stress posture at set of lights when driving deliberately lower shoulders, unclench jaw, slide butt back in seat, move spine a little, stretch neck muscles Stop if it hurts! Slide 16 Slide 17 Slide 18 Knee Pain Slide 19 Knee Pain is the most common source of pain outside of the spine. Affects 5% or people children and adults, rising to 25% in people over 50yoa Knee surgery arthroscopy and replacement - is the most common joint procedure performed. However 40% of people still have pain AFTER their knee surgery! The knee is very easily injured due to: - the long levers of the legs transfer greater strain to the knees - The knees are commonly misaligned via their connection to the pelvis - Sedentary lifestyle too much sitting! - Lack of exercise runners knee is a fallacy! - Two types of knee injury Trauma and Overuse - Trauma from sport, slips and falls - Note trauma also causes misalignment which often remains after the painful tissue heals! Therefore creating future problems eg OA - Overuse from poor alignment = Genetic Cause! - The most Common Overuse Injury = Unbalanced Weight Bearing = different weight carried on each leg! - Unfortunately most people dont even know they have Unbalanced Weight Bearing until they get pain! Need to get checked earlier ideally from First Steps 2 yoa, but definitely by 20yoa! Slide 20 Types of Knee Pain Cartilage Ligament ACL and MCL 80% Muscles Tendons Arthritis Slide 21 Preventing Knee Pain Exercise regularly especially bike riding Posture - Dont sit cross legged! Stretch your hips and knees daily Take 1500mg Glucosamine and 1200mg Chondroitin Daily Get into Fish Oil Supplements They have an anti inflammatory effect on joints, not to mention all the other wonderful benefits. Maintain a healthy weight for every 1kg of weight it places extra 4kg of strain on knees Stop if it hurts! Slide 22 Slide 23 Shoulder Pain Slide 24 Shoulder pain is the next most common painful joint after the spine and knee The shoulder is different to the knee in that it is a highly flexible joint. In fact is is only held together by the Soft Tissues therefore it is very vulnerable to being injured. It is also an area where surgery is best avoided, as the results are often poor! A common current treatment is cortisone injection however recent research has suggested that this may lead to weakening of the shoulder long term and therefore more problems. What is the most common cause of shoulder pain? Poor Shoulder Rhythm is a sticking of the shoulder blade to the rib cage beneath. This can be caused by many everyday activities. These activities include traumatic events (e.g. fall on an outstretched arm, yanking of the arm), repetitive motions (e.g. throwing a ball, weightlifting, swimming) and chronic, improper postures (e.g. operating a computer, driving). When the shoulder blade is no longer participating in the team effort to move the arm, increased strain is placed on the other joints and muscles forcing them to become overworked, inflamed and painful Restoring the shoulder rhythm requires a combined approach that addresses both the joint mechanics AND the muscles that support joint function. This includes the spine especially the neck. Slide 25 Preventing Shoulder Pain Strengthen your shoulders pushups, pressups, pressdowns Maintain muscle bulk in upper body especially women due to weight of breasts, and reluctance to do shoulder exe