Anterior Pelvic Tilt
Diagnosis: Anterior pelvic tilt is the change of position in the pelvis where the front of the pelvis is rotated forward the back of the pelvis is raised. Symptoms of this pelvic condition include tight hamstrings and hip flexors, weak gluteus and core muscles, and poor posture. The stomach may also protrude. Anterior pelvic tilt is commonly caused by a muscular imbalance known as lower cross syndrome, which is developed by sitting for long periods of time and living a sedentary lifestyle.
Care Through Pregnancy
Diagnosis: The patient is pregnant! As the patient’s baby develops in the womb, it can apply pressure onto the mother’s body in various ways. Common issues that we see pelvic and rib issues. The growing baby can increase pressure on the pelvic areas which contribute to a lot of lower back pain, as well as pain and numbness down the legs. Additionally, pregnant women can suffer with rib pain as your baby can kick you in the ribs or stretch out under your ribs (especially in the third trimester). Rib pain earlier on can be caused due to your ribs expanding which cause inflammation, as well breasts growing larger which can put a lot of pressure on the thoracic spine and ribs.
Diagnosis: A disc injury in the cervical spine can present as upper neck and upper back pain. This can result from motor vehicle accidents (MVAs), head collisions, or abnormal posture. Common symptoms resulting from these injuries would be sharp neck pain with movement, achy or sore upper neck musculature (i.e. upper traps and scalene’s), and burning/numbness with radiation down right or left arm.
Diagnosis: A disc injury in the lumbar spine can present as low back pain with flexion or extension. This injury can be caused by abnormal body mechanics with movements such as squatting or lifting heavy boxes. Patients with this type of injury will most likely have increased pain with bending and lifting and may have numbness/tingling radiate down right or left leg after injury. Acute patients (1-7 days post injury) require icing and rest of low back before any regular low back movement to prevent further injury. Chronic low back pain patients (3 weeks-1 month post injury) can require joint manipulations, stretching and exercise.
Diagnosis: Headaches and migraines are usually diagnosed through self-reporting as patients are able to establish themselves that they are experiencing pain or pressure in their heads. Headaches may be incited by any factor that stimulates the pain receptors in a patient’s head or neck. The headaches that we can treat via chiropractic means are cervicogenic and tension headaches. Tension and cervicogenic headaches occur when there is muscle tension in the neck, which is characterized by a dull pain and can be experienced on one side of the neck, head/face.
IT Band and Knee Pain
Diagnosis: Issues with the iliotibial (IT) band and knee can present themselves as lateral knee pain with movement or point tenderness with palpation. This injury can result from tightness in tensor fasciae latae (TFL) muscle or consistent endurance training like running and jumping. Symptoms will include sharp lateral knee pain and dull/achy pain along lateral thigh.
Lower Cross Syndrome
Diagnosis: Lower cross syndrome is classified by the muscular imbalance in which the hip flexors and lower back muscles are tight and the gluteus muscles and abdominal muscles are weak. Other muscles that can be impacted are the hamstrings and quads, which can present as tight as well. This muscular imbalance can contribute to an anterior pelvic tilt and may also increase risk of injury as the joint and muscular range of motion is decreased. Lower cross syndrome is caused by sitting for long periods of time and living a sedentary lifestyle— where the hip flexors are constantly engaged and thus by reciprocal inhibition disengaging the gluteus muscles. Injury that occurs due to lower cross syndrome can cause pain in the lower back, hips, and depending on the injury pain or numbness down the legs.
Diagnosis: Pelvic dysfunction can be defined by tightness in the hip flexors muscles, which can cause tension in the pelvis and lower back, as well as impact the position of the hip socket. This in turn can lead to knee pain, foot pain, along with bladder leakage and prolapse. This muscular issue can also contribute to pain in the abdomen, the sacroiliac (SI) joint, and gluteus muscles. This is caused by sitting for long periods of time where the hip flexors are in a constant state of contraction which can alter movement of the lower body and create imbalances in muscle groups.
Diagnosis: Scoliosis is defined by an abnormal curvature of thoracic or lumbar spine. Symptoms of scoliosis include an unevenness in the shoulders and hips, trouble walking, and numbness or weakness in the legs. As the curvature in the spine can cause arthritis and joint/disc degeneration, bone spurs (osteophytes) may develop (mainly in adults) which are described as bony growths that occur due to the joint/disk damage. It is not necessarily known what causes scoliosis in children, which are the most common of cases. However, there is evidence to suggest hereditary factors are involved. Less common types of scoliosis are caused by birth defects that impact the development of the spine, spinal cord abnormalities, and conditions like muscular dystrophy.
SI Joint Dysfunction
Sacroiliac (SI) joint dysfunction is classified by the limited or excessive movement of the SI joint. Limited mobility in the SI joint can cause the misuse of muscle groups as the SI joint is not working properly, which could lead to muscular imbalances and injury. Hypermobility or too much movement can compromise the position of the pelvis due to weakened supporting muscles. Both limited and excessive movement that comprise SI joint dysfunction can contribute to lower back, buttock, and hip pain. Dysfunction is usually caused by injury where forceful impact was made, activities that put a lot of pressure on the SI area like pregnancy, or training to maintain hypermobility like dance or gymnastics.
Diagnosis: “Tech neck” is injury or strain to the neck muscles and structures of the cervical spine. Given that our heads are an average 10-12 pounds, even a 15 degree tilt forward can increase the pressure placed on the cervical spine to 27 pounds. That said, the constant forward head posture and increase in pressure can cause strain and injury. This usually presents itself as pain or tightness in the general upper back, neck, and shoulders. Other symptoms include decrease in range of motion, head aches, and numbness/tingling in the arms and hands. Tech neck occurs from the strain that is put on the cervical spine from a constant forward head posture utilized when texting, looking at cellular devices, or looking down at a computer screen.
Diagnosis: Clicking and/or pain with opening and closing mouth. TMJ issues can be caused by a variety of factors like head trauma, grinding of teeth, and tightness of jaw muscles. A patient with TMJ pain can experience dull/achy pain with mouth movements as well as hearing a clicking sound with jaw opening and closing. This sound s created by the TMJ joint sublimating with opening of jaw and reducing when the mouth closes.
Upper Cross Syndrome
Diagnosis: Upper cross syndrome presents as neck and mid-back pain due to forward head posture. Upper cross syndrome consists of having tight upper neck cervical musculature, tight pectorals, and weak neck flexors and weak scapular muscles. This can be caused by abnormal posture or being seated at desk for prolonged periods of time. Treatment consists of stretching the muscles that are tight and strengthening the muscles that are weak.