Learn how to prevent ankle sprains

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Learn how to prevent ankle sprains!

An athlete is at a much greater risk of another ankle sprain for 2 years after an initial ankle sprain.  Rehabilitation exercises focusing on balance and proprioception results in a 2-3 fold decrease in risk after 8 weeks of exercises; also, ankle braces can decrease your risk by 3-4 fold.  Check out Dave, from Valley Active demonstrating some rehab exercises that can help!

 

To learn more, check out our Facebook page at Valley Sports & Spine Clinic, or at Valley Active.  Come visit us at our Blacksburg office, right next to Christiansburg, in front of Lewis-Gale Montgomery Hospital.

 

Good Luck!

 

What Your Hip Pain is Trying to Tell You

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Pain in your hip can be a symptom of an injury in another location of the body. The kinetic chain links the joints of the body together to keep the body moving.  

 

 

Are you suffering with hip pain? Does your hip ache day and night for no apparent reason? Do you remember a specific activity that initially brought on the pain, or did it seem to come out of nowhere? The truth is that the pain you are feeling in your hip may not signify that anything is actually wrong with your hip. What you may be experiencing is something called referred pain, and you can blame the kinetic chain. Referred pain is pain felt in one area of the body that has actually originated in a completely different area of the body. You may not feel pain, or any symptoms at all, in the point of origin, but your hip sure feels something!

What is the kinetic chain?

The simplest way to describe the kinetic chain is to think about the division of responsibility. If you have a job to do and four workers to do it, the job will get done efficiently as everyone knows their role and works together. If you take away one of these people and now only have three people to complete the task, the job will still get done but not as quickly and with a greater burden placed on each worker. Now let’s put that in terms of the body. The joints are an interconnected system that all work together to allow the body to move. If one joint suffers a set-back such as stiffness or injury, the other joints will absorb the extra stress in order to keep the body moving.

How does pain relate to the kinetic chain?

When speaking in terms of the kinetic chain and your pain, try imagining a pebble dropped into a pool of water. Think of how the ripples in the water are larger where the pebble hit the water and smaller the further away they get until they disappear. This is what many physiatrists, or function specialists, call the kinetic chain ripple effect. The body spreads out the stress that it endures as it compensates for the area actually experiencing complications.

What this means for you?

The next time that you go to see your physiatrist do not expect the examination to be focused solely on your hip. You can expect your provider to ask you several questions about your daily activities and what aggravates the pain or makes it better. You can also expect radiological imaging of your hip as well as your entire back and possibly a knee.  Through the use of x-ray, your doctor can identify any underlying stressors or injuries along the kinetic chain.

It’s hip to be informed.

For more information about the kinetic chain and how it relates to your pain, please see our webpage at www.valleysportsandspine.com.  Asking questions and getting involved in your care are great ways to get your pain under control because knowing what causes your pain can also help you prevent it.

Good Luck!

Dr Ethan Colliver

 

What is Really Causing Your Back Pain?

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 Back pain can be a result of height, weight, or posture. Treatments are available for symptoms, but core exercise is the proven method to relieve pain for good.

 

Most people will experience back pain at some point in their lives. Back pain can be caused by an acute injury or from long-term wear and tear on the spine and joints of the back. During evaluation by a physiatrist a holistic approach frequently uncovers the root cause of the pain, and the answer is much simpler than many would suspect.

Frequent Causes of Back Pain

  • Height – While it may seem surprising, your height has a lot to do with your lower back pain. The spine is stabilized by your core muscles which sit in your abdomen. For a tall person, or anyone with an especially long torso, these muscles have to work harder to hold up the spine than the core muscles of a shorter person.
  • Weight – People gain weight differently, and much of this is attributed to genetics. While many women gain weight in the lower half of their bodies, creating what is known as the pear shape, more frequently men gain weight in their trunk or abdomen. Protruding abdominal weight can throw off the body’s natural center of gravity and cause it to be more forward and further away from the spinal column. As a result, the back has to work harder to stop from pitching forward. This is also a common source of lower back pain in pregnant women as their muscles work to hold up the spine and support the weight of the growing womb.
  • Posture – Your mother was not kidding when she would tell you to stand up straight. Posture affects the entire body, whether it is good or bad. Good posture helps to reinforce spinal alignment and connective tissue. This is especially important when exercising, as poor posture can cause over- or under- development of a muscle group and uneven muscle tone which can make posture worse and add more stress to the back.

Correcting the Problem

  • Medications – While many people would like to use a medication to fix their pain, the recommendation for medication is minimal. Non-Steroidal Analgesics (NSaids), such as ibuprofen or naproxen, are effective at relieving pain associated with inflammation, but that is the extent of their usefulness. The pain can only be temporarily relieved with medication therapy.
  • Helpful Therapies – Spinal Manipulation Therapy (SMT) has proven to be an effective method of pain relief for many patients suffering from low back pain. SMT is the practice of applying controlled pressure to a joint in the spine and is commonly performed by a Doctor of Osteopathic Medicine (DO), physical therapist, or chiropractor.
  • Massage can be very effective at relieving back pain associated with stress.  Massage helps to normalize muscle tone and joint alignment, can normalize blood and lymphatic flow to an injured area, and can help release built-up toxins in tense muscles. An added bonus of massage is the overall mental stress relief it can provide which can directly correlate to feeling pain in the body.
  • Acupuncture is the application of pressure to specific points in the body that may relieve pain associated with the nerves. People who use acupuncture regularly find that their pain is greatly reduced over time.

The Cure   

The only proven method of preventing future back pain is with regular exercise and strengthening. It is important to consult your physiatrist before attempting any exercises as certain exercises may be better for you than others.

For more information about back pain, please visit our website at http://valleysportsandspine.com and learn how Valley Sports & Spine Clinic can relieve your pain for good.   

Linking Together the Kinetic Chain

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The kinetic chain refers to the system of major joints in the body that connect one section of the body to another and allows the body to create motion.  tennis

 

Did you know that your knee pain can be the result of a weak ankle? Did anyone ever tell you that your neck pain may be a result of weak core muscles? The body is built like a machine with interconnecting systems that rely on one another to work together and do their individual jobs to keep things running smoothly.

What is the kinetic chain?

The kinetic chain refers to the system of joints in the body that connect one section of the body to another. In general, the major joints help to divide the body into functional sections: ankles, knees, hips, lumbar spine (lower back), thoracic spine (mid and upper back), and cervical spine (neck). All of these sections work together to help the body maintain balance. An example of this natural balancing act is when a person swings their arms as they run.

What is kinetic energy, and how does it relate to the kinetic chain?

The kinetic chain is what allows the body to move. When discussing movement, one can point to kinetic energy which is the amount of force created when an object is in motion. Every time you move your body, you create kinetic energy. An example of this is when you are sprinting or running fast. When you attempt to stop quickly, it is difficult because your body is still moving forward. The force propelling your body forward as you attempt to stop is kinetic energy. With this in mind you can say that if your body were a bicycle your kinetic chain would be made of the pedals, wheels, and chain. The kinetic energy produced from pedaling would be the force that keeps the bike rolling down the street even after you have applied the brake.

The Kinetic Chain and Your Pain

As stated above, the kinetic chain refers to the series of joints that make the body move. These joints work together with a check and balance system to ensure that the body continues to have unhindered motion as much as possible. An example of how the kinetic chain can cause you pain is when looking at the knees. Among other functions of the knee, it stabilizes the body to allow a person to stand up and walk. In the kinetic chain the knees are directly connected to the ankles. If an ankle has suffered an injury or is weak the kinetic chain places extra stress on the knee to compensate for the ankle. While the individual may feel pain in their knee and think the problem is related to the location of the pain, the real problem is in their weak ankle which has no pain. Upon assessment from a physiatrist the patient will learn that their ankle has reduced range of motion and needs to be strengthened through exercise in order to relieve the stress on the knee.

Ask your provider for more information on the kinetic chain and how it can play a role in your pain. Also visit us at www.valleysportsandspine.com for tips on preventing injuries and recognizing pain related to your own body’s kinetic chain.  

 

Why Finding an Osteopathic “Function Expert” Might Be the Best Way To Treat Your Pain

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150px-Muybridge_human_male_walking_animatedThe physicians at Valley Sports and Spine specialize in Physical Medicine & Rehabilitation. Their proven methods identify the root of your pain and prevent further injury.  

 

Are you struggling with pain in your neck, back, or knees? Have you been back and forth to your regular practitioner but still have no idea what is causing the discomfort? Have you considered being evaluated by a function expert? You may be surprised to find that osteopathic medicine can offer you the relief you have been looking for and so much more.

What is a Function Expert?

Physiatrists, also called function experts, specialize in the nerve, muscle, and bone functions of the body. Another way of stating this is to say that they are experts in how the body moves. While a general practitioner may be looking specifically at your aching knee, a function expert will be looking at your back, hips, and ankles simultaneously and watching how they are all working together in support of your knee.

Why Movement Matters

The body is a machine with many working parts that all have a job to do. Like a machine, if one part starts to get worn out and stiff, it can cause a chain reaction of stress throughout the system. The bones, muscles, nerves, joints, and connective tissue are all an interconnected system that work together to produce movement. If a specific area begins to have trouble the body will naturally compensate and attempt to shift the stress to another area. An example of this is a runner with knee pain. Once evaluated by a function expert it is identified that the runner is actually suffering from a stiff ankle. The ankle’s limited motion when running is putting extra stress on the knee. Once identified, specific exercises can be very effective at restoring the ankle’s mobility and eliminating the knee pain.olderStretchers

Why Choose Rehabilitative Medicine?

Rehabilitative medicine is about more than just your specific injury. Physiatrists evaluate each patient as an individual. Diagnosis and treatment of an ailment involve learning about the patient’s lifestyle and hobbies and understanding how their life is being affected by their current limitations. Understanding a patient’s daily activities can help the practitioner find clues to the greater cause of the ailment. Additionally, this type of consideration helps to create a treatment plan that can accommodate the patient’s lifestyle and hopefully allow them to continue conducting their favorite activities. Patients get the satisfaction of knowing that not only is their chief complaint being addressed but that they also are reducing their risk for further injuries.

For more information about function experts, please visit our website at http://valleysportsandspine.com and find out what Valley Sports & Spine Clinic can do for you!