common conditions
Common conditions treated by chiropractic care
Low Back Pain
Low back pain: causes, symptoms and effective chiropractic treatments
One of the most common reasons people seek chiropractic treatment – low back pain affects approximately 80% of individuals at some point in their lives. It can disrupt your daily activities, work performance, and overall quality of life. Fortunately, chiropractic treatment offers effective solutions to alleviate and manage this condition.
What causes low back pain?
Most cases of low back pain are categorized as non-specific low back pain, meaning they result from postural stresses or mechanical dysfunction rather than a single identifiable cause. Common contributors include:
- sprains and strains: overstretching or overloading muscles and ligaments
- prolonged sitting: poor posture during long hours at a desk or while driving
- improper sleeping positions: awkward positions that strain the lower back
- bending or lifting incorrectly: improper mechanics that overexert the spine
In some cases, low back pain may stem from more serious conditions, such as:
- herniated or bulging discs
- abdominal or pelvic organ issues
- fractures or injuries
- tumors or systemic illnesses
Your in balance chiropractors perform a thorough health assessment to pinpoint the root cause of your pain. If needed, they will recommend advanced imaging or refer you to a specialist to ensure the most appropriate care.
How can chiropractic treatment help with low back pain?
Chiropractic treatment is the most effective and extensively researched therapies for low back pain. It focuses on restoring function, alleviating pain, and preventing future occurrences.
Key Chiropractic Treatments
- chiropractic adjustments
- help restore proper joint mobility
- reduce nerve irritation and alleviate discomfort
- soft tissue therapies
- techniques like myofascial release or active release therapy (ART) effectively target tight muscles and fascia.
- The fascial abrasion technique (FAT) helps release restrictions and improve flexibility
- exercise rehabilitation programs
- tailored exercises to strengthen and stabilize the lower back – key exercises include: bird-dog, planks, side bridge, hip bridge
- focus on core engagement, posture correction, and functional movement patterns
- additional therapies for enhanced recovery
- acupuncture: reduces inflammation, improves circulation, and alleviates pain
- kinesiology taping: provides support and promotes healing while maintaining mobility
Why choose chiropractic treatment?
Research consistently shows that spinal manipulation and chiropractic care provide better pain relief and functional improvement compared to medications or surgery—without the risks of invasive procedures or side effects.
Benefits of chiropractic treatment for low back pain:
- faster recovery times
- improved range of motion and flexibility
- long-term prevention of recurrent back pain episodes
Get back to living without back pain
If you’re experiencing low back pain, don’t let it hold you back. Contact in balance chiropractic + acupuncture clinic today to schedule an assessment and learn how we can help you find relief, improve function, and regain control over your daily activities!
Neck Pain
Neck pain: causes, symptoms and effective chiropractic treatments
Another of the most common conditions treated by chiropractors – neck pain affects up to 70% of individuals at some point in their lives. While neck pain can sometimes stem from a simple cause, it often disrupts daily activities, affecting work, sleep and overall well-being.
What causes neck pain?
Neck pain is typically caused by structural or functional issues within the muscles, joints, or nerves. Common contributors include:
- muscle strain: often from poor posture or prolonged screen time
- ligament sprain: caused by sudden movements such as car accidents or injuries or overexertion
- arthritis: degeneration in the joints leading to stiffness and discomfort
- facet joint irritation: dysfunction in the small joints at the back of the neck
In some cases, more complex issues such as disc injuries or joint hypermobility may be responsible for neck pain.
Your in balance chiropractors will perform a thorough evaluation, assessing the muscles, joints, and nerves involved, to accurately identify the root cause of your pain and develop a tailored treatment plan.
How can chiropractic treatment help neck pain?
Chiropractic care is proven to be more effective than medication or exercise alone for treating neck pain. It focuses on addressing the underlying causes, restoring function, and alleviating discomfort.
Key chiropractic treatments for neck pain
- soft tissue therapies – myofascial release or active release techniques (ART) target areas of muscle tension to improve mobility and relieve pain
- chiropractic adjustments – gentle adjustments to the neck and upper back improve joint alignment and reduce nerve irritation
- acupuncture – acupuncture helps alleviate pain, reduce inflammation and muscle tension
- laser therapy – laser therapy accelerates tissue repair and promotes healing
- exercise recommendations – personalized stretching and strengthening exercises focus on stabilizing the neck and upper back, improving posture and preventing recurring neck pain, key exercises include: chin tuck hold, chin retraction, scapular protraction and retraction
Common signs you may need chiropractic treatment for neck pain
Consider visiting a chiropractor if you experience:
- persistent or recurring neck pain
- pain radiating to the shoulders, chest or arms
- reduced neck mobility or stiffness
- headaches that seem to originate from neck tension
Why choose chiropractic treatment for neck pain?
Chiropractic treatment offers a non-invasive and drug-free approach to managing neck pain. Research shows that chiropractic care can:
- relieve pain faster than traditional treatments
- restore mobility and improve function
- help prevent future episodes of neck pain through proactive care
Get relief from neck pain today
Don’t let neck pain interfere with your life. Contact in balance chiropractic + acupuncture clinic to schedule a comprehensive assessment and take the first step toward living without neck pain!
Upper/Mid Back Pain
Causes, symptoms and treatment options for upper/mid-back pain
Upper and mid-back pain commonly results from poor posture, repetitive strain, or lifestyle factors. Activities such as prolonged sitting, carrying heavy bags, or breastfeeding can place undue stress on the muscles and joints in the upper back, leading to discomfort and stiffness.
Common causes of upper back pain
This type of pain often arises from:
- muscular irritation: overuse, tension or minor injuries to the muscles supporting the spine can lead to soreness and inflammation
- joint dysfunction: misalignment or restricted movement in the spinal joints can contribute to discomfort
Your chiropractor will also assess for potential underlying conditions, such as issues related to heart or lung health, to ensure an accurate diagnosis and appropriate treatment plan.
Symptoms of upper and mid-back pain
- persistent aching or stiffness in the upper back
- sharp or burning sensations when moving or lifting
- difficulty sitting or standing for extended periods
- limited range of motion in the shoulders or spine
Effective treatments for upper and mid-back pain
A comprehensive treatment plan may include a combination of the following:
- soft tissue therapies such as:
- active release techniques (ART): breaks down scar tissue and adhesions thereby, restoring muscle mobility and enhancing movement patterns to relieve pain
- fascial abrasion technique (FAT): targets tight fascia to reduce tension and improve flexibility
- cupping therapy: promotes blood flow and alleviates muscle tightness
- chiropractic adjustments
- spinal adjustments restore joint mobility and alignment, alleviating pressure on nerves and reducing discomfort
- acupuncture
- this traditional technique stimulates specific points to relieve muscle tension, reduce inflammation, and promote relaxation
- kinesiology taping
- this method supports the muscles and joints, reinforcing the positive effects of your treatment and improving posture
- posture correction and ergonomic advice
- incorporating regular breaks during prolonged sitting or standing
- adjusting your workstation to ensure proper alignment
- practicing exercises to strengthen postural muscles for long-term relief; key exercises include: planks, scapular protraction and retraction, thoracic extension
Preventing upper and mid-back pain
- stay active: regular physical activity helps strengthen the back and improves overall mobility
- practice good posture: keep your shoulders relaxed and your spine aligned while sitting or standing
- ergonomic adjustments: ensure your workspace supports proper posture and reduces strain
- stretch regularly: incorporate stretches targeting the upper back and neck to maintain flexibility
When to see a chiropractor
If you experience persistent or worsening back pain that interferes with daily activities, consult one of our in balance chiropractors for a comprehensive assessment. Early intervention can prevent the progression of symptoms and help restore your quality of life.
By addressing the root causes and adopting a tailored treatment approach, upper and mid-back pain can be effectively managed, allowing you to return to your daily activities with ease.
Sciatica
Sciatica: understanding the symptoms and solutions
Pain that travels down the back of the leg is commonly called sciatica. However, it is important to note that sciatica refers to the symptoms rather than the actual cause of the problem.
What causes sciatica?
Sciatica can stem from a variety of underlying issues involving the joints, muscles, or nerves. These might include:
- joint dysfunctions: misaligned or restricted joints in the spine or pelvis
- muscle tension: tight or overactive muscles in the low back, buttocks, thighs or legs compressing the sciatic nerve
- nerve irritation: pressure or inflammation of the sciatic nerve due to herniated discs, spinal stenosis, or other conditions
At in balance, our chiropractors are trained to conduct a comprehensive assessment of your lower back, buttocks, thighs, calves, and feet. This ensures that we identify the specific structures or tissues responsible for your symptoms.
How is sciatica treated?
Effective treatment often involves addressing the root cause of the pain. At our clinic, we use a combination of evidence-based therapies tailored to your needs, including:
- myofascial or Active Release Techniques (ART): these therapies target tight or overactive muscles that may be compressing the sciatic nerve, improving flexibility and reducing tension
- chiropractic adjustments: restoring proper movement to restricted joints in the spine and pelvis can alleviate nerve irritation and improve overall biomechanics
- acupuncture: this modality is highly effective in reducing inflammation, enhancing circulation, and promoting nerve healing
- nerve release techniques: specific methods to decompress the sciatic nerve and alleviate symptoms
Why choose chiropractic treatment for sciatica?
Chiropractic care offers a non-invasive, drug-free solution to sciatica. Our customized approach not only provides pain relief but also aims to prevent recurrence by addressing underlying causes and improving overall function.
Don’t let sciatica keep you from enjoying your daily activities. Contact in balance chiropractic + acupuncture clinic today to start your journey toward pain-free living!
Headaches and Migraines
Causes, types and effective chiropractic solutions for headaches
Headaches can be a debilitating condition that interferes with your ability to work, enjoy leisure activities, and manage daily family tasks. Whether mild or severe, frequent headaches can significantly impact your quality of life.
Types of headaches
Headaches vary widely in their causes and symptoms. The most common types include:
- migraines: intense, often throbbing pain that can be accompanied by nausea and/or vomiting, light and noise sensitivity, and visual disturbances.
- tension-type headaches: characterized by a dull, achy pain or pressure around the head, often triggered by stress or poor posture.
- cervicogenic headaches: these originate from issues in the neck and often radiate pain to the back of the head, temples or behind the eyes.
Your in balance chiropractors will conduct a thorough assessment to determine the type of headache you are experiencing. This involves asking questions about the pain’s location, nature, triggers, and patterns, as well as examining the joints and muscles in your head, neck, jaw, and upper back.
Ruling out serious conditions
Head pain can occasionally be a symptom of more serious conditions, such as vascular injuries or tumors. Chiropractors are trained to recognize signs of these issues and will refer you to the appropriate healthcare provider if necessary, ensuring you receive the care you need.
Chiropractic treatment for headaches
Chiropractic treatment is a proven, drug-free solution for reducing headache frequency, intensity, and duration. Our tailored approach focuses on addressing the root causes of your headaches, providing both relief and long-term prevention.
Treatment options include:
- chiropractic adjustments: restoring alignment and mobility to the neck and upper back can relieve tension and improve nerve function
- cranial adjustments: may also be utilized for targeted relief
- myofascial or active release techniques (ART): these therapies address muscle tightness and fascial restrictions contributing to headache pain
- acupuncture: effective for reducing stress, enhancing blood flow, and alleviating muscle tension associated with headaches
- exercise rehabilitation: strengthening and stretching the muscles in your neck, shoulders, and upper back can improve posture and reduce strain on the cervical spine.
- lifestyle education: learn how to identify and manage headache triggers, such as stress, poor ergonomics, or dietary factors, for long-term relief.
Why choose chiropractic treatment?
Chiropractic care is a safe and holistic alternative to medication, focusing on treating the underlying causes of headaches rather than masking the symptoms. By restoring spinal motion, reducing muscle tension, and addressing stressors, you can regain control of your daily life free from the burden of frequent headaches.
Take the first step toward headache relief today. Contact in balance chiropractic + acupuncture clinic to book your assessment!
Rotator Cuff Impingement and Tears
Rotator cuff impingement and tears: understanding the conditions and effective treatments
The shoulder is a highly versatile joint, allowing a wide range of movements—reaching overhead, bending to the floor, or stretching behind your back. To perform these actions pain-free, the muscles surrounding the shoulder must work in harmony, contracting with the correct force and sequence.
However, due to factors such as poor posture, some muscles can become tight while others weaken, disrupting the shoulder’s mechanics. This imbalance can overstress the muscles, leading to:
- rotator cuff tears: partial or complete tears in the shoulder muscles, often resulting in pain and limited movement
- rotator cuff impingement: occurs when the shoulder muscles are pinched during overhead movements, causing inflammation and discomfort.
Causes of rotator cuff injuries
- poor posture: rounded shoulders or slouched posture puts undue stress on the shoulder joint.
- repetitive strain: activities involving repeated overhead movements, such as sports or certain jobs, can strain the rotator cuff.
- age-related wear and tear: over time, the tendons and muscles in the shoulder may degenerate, increasing the risk of injury.
Symptoms to watch for
- pain when lifting or lowering the arm
- weakness in the shoulder, particularly during overhead activities
- a clicking or popping sensation when moving the shoulder
- difficulty performing everyday tasks like dressing or reaching for objects
Treatment for rotator cuff impingement and tears
Chiropractic care offers a non-invasive, effective solution for restoring shoulder function and alleviating pain.
Key components of treatment include:
- posture correction
- poor posture is a significant contributing factor to rotator cuff injuries. Your in balance chiropractors will teach you exercises and techniques to improve your posture, reducing strain on the shoulder muscles and joints
- strengthening and stretching
- customized exercises are designed to strengthen weak muscles and stretch tight ones in the chest, neck, and shoulders, restoring proper mechanics to the joint.
- manual therapies
- myofascial or active release techniques (ART): target tight muscles and adhesions to improve mobility and reduce pain
- chiropractic adjustments: adjustments to the upper back and neck can relieve tension and improve alignment, supporting the shoulder’s function
- acupuncture and laser therapy
- these modalities help reduce inflammation, promote tissue healing, and alleviate pain, speeding up recovery
- kinesiology taping
- taping techniques support the shoulder, reducing strain and enhancing mobility during the healing process
Why address rotator cuff issues early?
Ignoring rotator cuff pain can lead to chronic discomfort, reduced mobility, and further complications, such as frozen shoulder. Early treatment helps restore function, prevents worsening of the condition, and allows you to return to your daily activities pain-free.
Take proactive steps to address your shoulder pain today. Contact in balance chiropractic + acupuncture clinic to book an assessment and begin your journey to recovery!
Temporomandibular Joint Disorder (TMJ disorder)
Temporomandibular joint dysfunction (TMJD): causes, symptoms and effective chiropractic treatments
Experiencing pain in your jaw while chewing, speaking, or opening and closing your mouth may be a sign of temporomandibular joint dysfunction (TMJD). This condition not only affects the jaw but can also lead to a range of associated symptoms that impact your overall quality of life.
Common symptoms of TMJD
- jaw pain: discomfort while eating, talking, or moving your jaw
- clicking or popping sounds: audible noises near the ear during jaw movements
- headaches: often originating from tension in the jaw or surrounding muscles
- ringing in the ears (tinnitus): a less commonly known symptom linked to TMJD
- facial and neck pain: discomfort radiating to nearby areas due to muscle tension
Causes of temporomandibular joint dysfunction
- trauma to the jaw: direct injuries can disrupt the joint’s alignment and function
- body trauma: falls or impacts affecting the upper body can contribute to TMJD
- teeth grinding (bruxism): chronic grinding puts excessive strain on the jaw joint
- stress and tension: emotional stress often leads to clenching of the jaw, exacerbating symptoms; mechanical stress from orthodontic braces can affect the mechanics of the jaw
How can chiropractic treatment help TMJD?
The temporomandibular joint is intricately connected to the neck, head, and upper back, meaning dysfunction in one area often impacts the others. Chiropractic treatment provides a holistic approach to treating TMJD, focusing on restoring proper function to the affected areas.
Key chiropractic treatments for temporomandibular joint dysfunction
- manual therapy for the jaw muscles – myofascial or active release techniques (ART) target tight, overworked muscles both inside and outside the mouth, reducing tension and improving mobility
- neck and upper back muscle release – addressing tight muscles in these areas helps alleviate the stress that contributes to TMJD
- acupuncture – effective in reducing pain, inflammation, and muscle tightness associated with TMJD
- chiropractic adjustments – gentle adjustments to the neck and cranium can improve alignment, relieve tension, and enhance the overall function of the temporomandibular joint
- stretching and strengthening exercises – exercise rehabilitation for the tight jaw muscles can help provide long term relief
- collaboration with your dentist – if your TMJD is related to teeth grinding or requires the use of a mouth brace, your in balance chiropractors will coordinate with your dentist to provide comprehensive care
Why seek treatment for TMJD early?
Untreated temporomandibular joint dysfunction can lead to worsening pain, chronic headaches, and difficulty performing everyday tasks like eating or speaking. Chiropractic treatment not only addresses the symptoms but also corrects the underlying causes to provide long-term relief.
Take the first step toward a pain-free jaw
Contact in balance chiropractic + acupuncture clinic today to schedule an assessment and experience relief from TMJD pain and its associated symptoms!
Tennis Elbow / Lateral Epicondylitis; Golfer's Elbow / Medial Epicondylitis
Understanding tennis elbow and golfer’s elbow: causes, symptoms and treatment
What are tennis elbow and golfer’s elbow?
Tennis elbow (lateral epicondylitis/osus) and golfer’s elbow (medial epicondylitis/osus) are common conditions caused by overuse of the muscles and tissues surrounding the elbow. Tennis elbow affects the outer part of the elbow, while golfer’s elbow involves the inner part.
Causes of tennis and golfer’s elbow
These conditions arise from repetitive strain on the muscles and tendons of the forearm, leading to tightness and irritation. Pain stems from tiny tears in the affected muscles and tendons. As the body attempts to heal these microtears, scar tissue forms, causing:
- increased tightness
- weakness in the affected area
- heightened sensitivity to pain
Your in balance chiropractors will ensure an accurate diagnosis by ruling out other potential conditions, such as:
- bursitis
- radial or ulnar nerve entrapment
- other underlying issues
Symptoms of tennis and golfer’s elbow
- pain and tenderness around the elbow joint
- difficulty gripping objects or performing repetitive tasks
- weakness in the forearm
- stiffness or reduced range of motion in the wrist or elbow
Effective treatments for tennis and golfer’s elbow
A personalized treatment plan can help alleviate symptoms and promote recovery. Common treatment options include:
1. soft tissue therapies
- active release techniques (ART): breaks down scar tissue and adhesions, restoring muscle flexibility
- fascial abrasion techniques (FAT): relieves tension and improves mobility in the fascia and muscles
- cupping therapy: promotes blood flow and relieves muscle tension
2. rest and activity modification
Your chiropractor will provide guidance on:
- resting the wrist and elbow to reduce strain
- avoiding repetitive movements that aggravate the condition
- incorporating ergonomic adjustments to daily activities
3. ice and heat – applying ice to reduce inflammation and pain or heat to promote blood flow
4. stretching and strengthening exercises – to improve flexibility and strengthen the forearm muscles
5. supportive devices – recommending a brace or kinesiology tape to provide support and promote healing
6. acupuncture – targets specific points to alleviate pain, reduce inflammation and muscle tension
7. laser therapy – stimulates tissue repair and accelerates the healing process
Preventing tennis and golfer’s elbow
- strengthen forearm muscles: regular exercises to build strength and flexibility
- practice proper technique: whether playing sports or performing repetitive tasks, use the correct technique to minimize strain
- take breaks: avoid prolonged repetitive activities without breaks to rest your muscles and tendons
When to seek chiropractic care
If you experience persistent elbow pain that interferes with daily activities, consult your in balance chiropractor for a comprehensive assessment and tailored treatment plan. Early intervention can help prevent chronic issues and restore full function to your elbow and forearm.
Carpal Tunnel Syndrome (CTS)
Understanding carpal tunnel syndrome: causes, symptoms and treatment
What is carpal tunnel syndrome?
Carpal tunnel syndrome (CTS) is a condition caused by the entrapment of the median nerve as it passes through the carpal tunnel in the wrist. This nerve compression leads to symptoms such as:
- tingling and numbness
- pain in the hand and wrist
- muscle weakness in the thumb and fingers
Symptoms and triggers of carpal tunnel syndrome
Symptoms typically affect the thumb, index, and middle fingers and part of the ring finger.
Common triggers include repetitive activities that strain the wrist, such as typing, writing, or using tools. However, symptoms similar to carpal tunnel syndrome can also arise from median nerve entrapment in the forearm, arm, or neck.
Accurate diagnosis
Your in balance chiropractors will conduct a thorough examination of the median nerve’s path from the neck into the arm and then to the wrist to rule out irritation or entrapment in other regions. True carpal tunnel syndrome specifically involves compression of the median nerve at the wrist.
Treatment for carpal tunnel syndrome
Effective treatment for CTS often involves a combination of therapies aimed at relieving nerve compression, reducing inflammation, and improving mobility. These include:
- soft tissue therapies
- fascial abrasion technique (FAT): targets tight fascia and muscles to reduce tension and improve flexibility
- active release techniques (ART): breaks down scar tissue and adhesions to restore mobility and reduce pain
- acupuncture – this traditional therapy helps alleviate pain, reduce inflammation and muscle tension by stimulating specific points along the body.
- laser therapy – low-level laser therapy accelerates tissue repair and reduces inflammation, providing relief from symptoms.
- kinesiology taping– supports the wrist and surrounding structures, improving circulation and reducing strain during daily activities
- stretching and strengthening exercises – stretching the wrist and surrounding musculature enhances flexibility, while strengthening exercises improve the stability of the affected area
Preventing carpal tunnel syndrome
- ergonomic adjustments: ensure your workstation supports proper wrist alignment
- take regular breaks: avoid prolonged repetitive activities by incorporating rest periods
- stretch and strengthen: regularly perform exercises to maintain wrist and forearm strength and flexibility
When to Seek Chiropractic Care
If you experience persistent symptoms such as tingling, pain, or weakness in your hand, consult your in balance chiropractor for a comprehensive assessment. Early diagnosis and tailored treatment can prevent worsening of the condition and help you regain function in your hand and wrist.
Ankle Sprains
Causes, treatment and prevention of ankle sprains
Ankle sprains are one of the most common injuries in the body, occurring during activities such as running, jumping, playing sports, tripping, or walking on uneven surfaces. These injuries can cause significant discomfort and limit mobility, making prompt and effective treatment essential for recovery.
Understanding ankle sprains
Most ankle sprains affect the outer region of the ankle, often resulting from an inward twisting motion. This type of injury, known as an inversion ankle sprain, can lead to partial tears in the ligaments that support and stabilize the ankle joint. Some ankle sprains affect the inner region of the ankle, resulting from an outward twisting motion. These types of injuries are known as eversion ankle sprains. For both types of ankles sprains, without proper treatment, the risk of re-injury increases dramatically.
Treatment options for ankle sprains
At in balance chiropractic + acupuncture clinic, we offer a comprehensive approach to treating ankle sprains. Our treatment protocol includes:
- education on recovery practices
- guidance on effective icing protocols to reduce swelling and pain
- activity restrictions to prevent further injury during the healing process
Advanced therapies
- laser therapy: speeds up tissue repair and reduces inflammation
- acupuncture: enhances circulation and promotes natural healing
- soft tissue therapies such as active release techniques (ART): alleviate tension, remodels scar tissue and promotes healing in affected muscles and ligaments
- chiropractic adjustments: address joint restrictions to restore optimal mobility
- kinesiology taping: to support the injured area, reduce swelling, and improve proprioception
- exercise rehabilitation: a key component of recovery involves strengthening exercises designed to improve stability, proprioception and protect the ankle from future injuries.
Our tailored rehabilitation programs focus on:
- enhancing muscle strength around the ankle
- improving balance and coordination
- preventing re-injury by addressing underlying biomechanical issues
The importance of timely and proper treatment
Neglecting to treat an ankle sprain properly can significantly increase the likelihood of recurring injuries—up to 90%. Seeking professional care ensures a faster recovery, reduces the risk of chronic instability, and helps you return to your daily activities and sports with confidence.
Preventing future injuries
In addition to treatment, prevention strategies play a crucial role in maintaining ankle health. Regular strength and balance exercises, wearing appropriate footwear, and being cautious on uneven surfaces can help minimize the risk of future sprains.
Contact our in balance chiropractic + acupuncture team today to learn more about our personalized treatment plans for ankle sprains. Let us help you heal faster and stay injury-free!
Patellofemoral Pain Syndrome and Iliotibial Band Syndrome
Patellofemoral pain syndrome and iliotibial band syndrome: causes, treatment and prevention
Two common conditions frequently treated by chiropractors are patellofemoral pain syndrome (PFPS) and iliotibial band syndrome (ITBS). Both syndromes involve knee pain, often experienced by athletes, runners and individuals engaged in repetitive leg movements. Understanding these conditions is key to effective treatment and long-term recovery.
Understanding and treating patellofemoral pain syndrome and iliotibial band syndrome
Knee pain is a prevalent issue that affects individuals involved in sports or running. Many experience discomfort around the kneecap (patellofemoral region), especially during activities such as walking upstairs, squatting, or crossing their legs. Similarly, iliotibial band syndrome typically presents as pain on the outside of the knee, often worsening during or after activities like running, cycling, or hiking. Some individuals may also notice a catching or snapping sensation around the knee.
What causes knee pain?
Patellofemoral pain syndrome (PFPS): this condition is primarily caused by imbalances in the quadriceps, hamstrings, and gluteal muscles, leading to improper tracking of the kneecap (patella) within the femoral groove. Overuse, poor biomechanics, and inadequate footwear can exacerbate the issue.
Iliotibial band syndrome (ITBS): this arises when excessive tension in the iliotibial band (a thick band of connective tissue running along the outer thigh) leads to friction against the lateral femoral epicondyle (the bony structure on the outer knee). This repetitive friction causes irritation and inflammation, resulting in pain and dysfunction. Common contributing factors include:
- weak or tight gluteal and hip muscles
- overtraining or sudden increases in physical activity
- poor running form or biomechanics
- lack of flexibility in the ITB and surrounding muscles
Effective treatments for knee pain
Treatment for PFPS and ITBS involves addressing the root causes of pain and dysfunction. A combination of therapies aims to reduce inflammation, improve flexibility, strengthen supporting muscles, and restore proper biomechanics.
Key Treatment Modalities:
stretching: focused on the quadriceps, hamstrings, gluteals, and iliotibial band to improve flexibility, relieve tension and prevent friction at the knee
soft tissue therapies: techniques such as Active Release Techniques (ART), fascial abrasion technique (FAT), and cupping therapy effectively target adhesions and muscle tension
foam rolling: self-myofascial release using foam rollers can help loosen tightness in the iliotibial band and surrounding muscles
acupuncture: stimulates blood flow, releases muscle tension, and promotes healing in tissues surrounding the knee
kinesiology taping: provides support, reduces strain on the ITB, and encourages optimal muscle function during activity
exercise prescriptions: tailored exercises strengthen weak areas (e.g., gluteus medius/hip abductors or the VMO/medial quadriceps) and correct muscle imbalances – key exercises include:
- side-lying leg lifts
- clamshells
- hip bridges
- terminal knee extensions
chiropractic adjustments: restore joint alignment, particularly in the pelvis, hips, and knees, to ensure proper biomechanics
custom orthotics: support proper foot mechanics, reducing excessive stress on the knee and ITB
Why early intervention matters
Ignoring knee pain can lead to worsening symptoms, chronic conditions and longer recovery times. Early intervention not only alleviates pain but also addresses the underlying biomechanical imbalances that contribute to these conditions. A proactive approach combining manual therapies, corrective exercises, and chiropractic treatment can expedite recovery and help prevent future injuries.
If you’re struggling with knee pain due to PFPS or ITBS, consult our in balance chiropractors to develop a personalized treatment plan tailored to your needs.
Our comprehensive care focuses on restoring pain-free movement, enhancing performance, and reducing the likelihood of recurrence.
Plantar Fasciitis / Fasciosis
Understanding and treating plantar fasciitis/fasciosis
Plantar fasciitis, also known as plantar fasciosis, is a common condition characterized by pain under the heel. This discomfort is typically the result of overuse of the plantar fascia, a thick band of tissue that supports the arch of the foot.
Symptoms of plantar fasciitis
heel pain: the hallmark symptom is pain under the heel, which is often worse first thing in the morning – this is because the plantar fascia tightens during sleep
pain during activity: stretching the plantar fascia can be uncomfortable, and standing or walking for extended periods often exacerbates the pain
heel spurs: over time, tension at the fascia’s attachment point on the bone can lead to the development of heel spurs
If you experience shooting pain, tingling, or numbness, it might indicate a different condition, such as tarsal tunnel syndrome, which involves the entrapment of the tibial nerve. Whereas a deep, bruise like pain on the heel could be heel fat pad syndrome. A thorough assessment by a chiropractor, can differentiate between these conditions.
Causes of plantar fasciitis
Plantar fasciitis can result from a variety of factors, including:
tight calf muscles: limited flexibility in the calves increases strain on the plantar fascia
repetitive activities: sports like dancing or jumping can contribute to overuse
foot mechanics: overpronation (excessive inward rolling of the foot) or flattened arches add stress to the fascia
inappropriate footwear: shoes without adequate arch support or cushioning can worsen symptoms
Treatment options for plantar fasciitis
Effective management of plantar fasciitis typically involves a combination of treatments aimed at reducing pain, improving flexibility, and supporting foot mechanics:
stretching exercises: stretching the plantar fascia and calf muscles can alleviate tension and improve flexibility
ice therapy: applying ice packs to the affected area or rolling your foot on a cold water bottle helps reduce inflammation and relieve pain
manual therapy: techniques such as Active Release Techniques (ART) or fascial abrasion technique (FAT) helps reduce adhesions or scar tissue in the fascia
acupuncture: stimulating specific points can provide pain relief and support healing
custom orthotics: wearing custom-made orthotics provides additional arch support and reduces strain on the fascia
kinesiology taping: taping the foot supports the plantar fascia and can decrease pain during activities
modalities: such as laser therapy promotes tissue healing and reduces inflammation, while shockwave therapy stimulates blood flow and accelerates recovery in chronic cases
chiropractic adjustments: help restore proper joint motion to the foot and ankle to reduce stress on the plantar fascia
Seeking professional treatment
Your in balance chiropractors are equipped to assess and treat conditions involving the foot, including plantar fasciitis. By addressing the root causes—such as tight calf muscles, poor foot and joint mechanics, or unsupportive footwear—they can help you return to pain-free movement.
Preventing plantar fasciitis
Preventative measures include:
- wearing supportive footwear
- incorporating stretching exercises into your daily routine
- avoiding excessive standing or walking on hard surfaces without proper support and cushioning
- maintaining a healthy weight to reduce strain on the feet
If you’re experiencing heel pain or suspect plantar fasciitis, consult in balance chiropractic + acupuncture clinic for your personalized treatment plan!