Archive for August, 2011

Cincinnati Cycling Injuries & Prevention

Published
by
Dr. Edward Gould
on August 25, 2011
in Cincinnati Chiropractors, Cycling Injuries and Wellness 101
. 0 Comments

LAThe beauty of cycling, is that it is a very low impact form of exercise that results in fewer injuries than higher impact activities such as running. However, the number of repetitions that cyclists perform (roughly 6000 revolutions per hour) is much greater than any other sport. Chronic injuries can occur from riding too long, too fast or too often. I always advise my patients to have a professional evaluate how their bike fits their body. An improper fit of the handlebars, saddle, frame or pedals can cause a predisposition to musculoskeletal problems aka pain and injuries.

Common Injuries Encountered By Cyclists

Neck & Mid Back Injuries

  • Causes – This problem is typically due to over exertion of the muscles that extend the neck and raise the shoulders. The cause of this is usually the rams-horn style of handlebars that cause the rider to hold the head and neck in a hyperextended position for prolonged periods of time. Some individuals have problems with this due to the loss of the normal forward curve (lordosis) in their neck.  This type of structural problem is best addressed with chiropractic care.
  • Symptoms – Spasm, tenderness and soreness of the muscles of the neck and upper back. Pain is usually felt with extension and rotation of the neck.
  • Treatment – Initially stretching and strengthening the muscles of the neck and upper back is advisable. If the problem persists, it maybe due to structural problems in your neck.  If the neck and upper back pain persists for more than a week you need to be evaluated.

Lower Back  & Injuries

  • Causes – Lower back strain and pain can occur when an unconditioned rider rides too long with the back flexed forward.  Other causes are obesity, weak trunk muscles or biomechanical dysfunction in the form of lumbar and sacroiliac subluxations .
  • Symptoms – Decreased mobility of the trunk and spasms of the lower back. Pain is usually felt with flexion and rotation of the trunk muscles.  In many instances, lower back pain will be felt more on one side due to asymmetrical loading of the sacroiliac joints. If not corrected the individual may begin experiencing Sciatica.
  • Treatment – Strengthening and stretching of the torso, lower back and hip musculature will help remedy many of the lower back symptoms many riders experience due to muscular weakness. If the injury has caused pain due to misalignments in the lower back or sacroiliac area strength training will only irritate the condition. If this is the case, chiropractic evaluation is indicated.

Trochanteric Bursitis

  • Causes – Trochanteric bursitis is an inflammation of the bursa on the side of the hip, typically caused by the gluteus medius or iliotibial band rubbing over the bursa and causing irritation.  The injury is most common in cyclists with a saddle adjusted too high, unequal leg lengths (possible sacroiliac subluxation) or weak hip muscles.
  • Symtoms – There is a gradual onset of pain. Typically, the pain is on the side of the hip and will gradually migrate down the side of the leg.  If not properly treated, sleeping on the affected side and climbing stairs will begin to cause pain.
  • Treatment – Resting and icing the area is always beneficial.  Trochanteric busitis is usuallly a symptom of riding with a saddle that is too high.  Consider lowering the saddle to limit hip extension with each stroke.  Once the pain begins to subside begin stretching the gluteus medius and the IT band.

As I mentioned in the beginning of this post it is very important to have a professional help you to set up your bike.  Ergonomics are not just for the office.  A properly set up bike will not only increase your bike riding enjoyment but it will also minimize your chances of overuse injuries. Below is a video of a professional setting up a riders bicycle.

I hope this post has been helpful.  If you live in the Cincinnati area and are still experiencing pain while riding, even though your bike has been professionally fitted to your body give me a call and schedule an exam.

Happy Riding,

Dr. Gould

Cincinnati Chiropractor Choices

Published
by
Dr. Edward Gould
on August 19, 2011
in Cincinnati Chiropractors, Low Back Pain and Wellness 101
. 0 Comments

Making a Better Choice

If you live in the Cincinnati area, you have likely heard,  seen or received advertising from various Chiropractors.   The question is, if you need one, how do you choose one that is right for you? In this article, I’d like to share with you answers to some of the most common questions about Chiropractic Care, which will allow you to make a better choice.

I would like to begin by saying there is absolutely nothing mystical about chiropractic care, once you have a basic understanding of it.  In reality, Chiropractic makes more sense than many other forms of health care.

Chiropractic’s Philosophy is one that works “with” the body, not “against” it. Within you, there is a Life-Force, an intelligent energy, that runs and monitors “all” the processes of your body. Chiropractors have a name for this force, we call it the body’s “Innate-Intelligence.” This inborn intelligence has the ability to heal you and keep you healthy all the years of your life.

Like the front end of your car, the spine is also susceptible to misalignment problems.  When spinal misalignments occur, there is a disruption in the flow of this energy, allowing you to become susceptible to illness, injury and disease. Correcting spinal misalignments restores this intelligent flow of energy in your body, allowing you to regain your health.

A Chiropractor’s “primary function” is to correct  spinal misalingments.

People are always amazed how simple Chiropractic is once they understand it.  Yes, Chiropractic is simple, however, it is also extremely effective for a wide variety of health problems.

Ask Around!

Selecting a chiropractor should be no different than selecting a dentist, surgeon or accountant.  Do you have a friend that is currently going to a Chiropractor?  That is the best way to find a good one.  I never recommend yellow pages or other forms of advertising.  Remember, advertising (television, radio, printed ads or the “latest-marketing-gimmick” offering you a free dinner) is used to “entice” you to become a client. If you are looking to find the best deal on groceries or garden supplies, by all means check out local advertisers.  However, choosing a doctor should be a bit more contemplative.  Ask around, eventually you will hear one doctor’s name stand out above “all” the others.  Let that be your choice.

If your search for a chiropractor has brought you to my website, I would like to briefly tell you about my philosophy as a physician. First and foremost, my commitment has always been focused on one thing, Quality Patient Care. It is my belief, that the doctor patient relationship is critical when it comes to dealing with health problems. I’m dedicated to building a relationship with each of my patients, so that I can fine-tune my treatment to their individual needs.

Today’s health care arena offers many choices, if you choose my office; you will be educated, informed and respected.

Yours in Health, Naturally!

Dr. Gould

Postpartum Headaches

Published
by
Dr. Edward Gould
on August 8, 2011
in Conditions & Treatments and Headaches
. 0 Comments

migraine0.bmpOn a daily basis, I see and treat a variety of health problems. One of my more interesting cases began with a phone call from an Internist, located in the Kenwood area of Cincinnati.

The conversation went something like this, Doc, I have a 43 year old female that just gave birth several days ago. She was in labor for almost 3 days. While in labor, she developed a severe migraine headache, which she has had ever since. Here is my dilemma, she is determined to breast feed and because of that fact, I cannot give her any narcotics for her pain.

An MRI study of her head was completed, a vasculature study of her head was completed and x-rays of her neck. It’s a mystery, we cannot figure out what is causing the headaches. Would you take a look at her for me? I agreed and told him to send her immediately to my office.

When she arrived at my office, she was crying due to the unrelenting pain. She looked absolutely exhausted. I had her sit down on my examination table, then I asked her several questions. She described her headache and said that it was so painful she could hardly sleep, think or function.

I examined her paying particular attention to her upper neck area. I had suspected that her top vertebrae in her neck (C1 or Atlas) had gotten displaced while she was in labor. I was correct it had. After explaining what I had found and pointing it out to her, she was eager for me to try to help her.

After carefully positioning her on my adjusting table, I adjusted her atlas or the top vertebra in her neck. I then told her to go home and try to sleep and to return to my office the next morning.

I was working on another patient the next morning when she walked in. She walked past the room I was in and smiled at me. No tears just a smile. I knew she was better! I finished up with the patient that I was with and then went in the other room to see how she was doing. She was amazed that she was 95% better. I rechecked her Atlas it was barely out, I re-adjusted it and told her to call me in two days to let me know how she was doing. She did, her headache was completely gone.

Do you suffer with headaches?

If you do and you have never had your spine, specifically your upper spine, chiropractically evaluated you should. You may find that it’s the solution. Strong medications and narcotics never get at the true cause. They only treat the symptom and leave you dealing with side-effects. If you live in the Greater Cincinnati area and you are suffering with headaches call me.

Yours in Health,

Dr. Gould

What is Torticollis?

Published
by
Dr. Edward Gould
on August 6, 2011
in Baby Boomer Issues, Cervical Brachial Syndrome, Cincinnati Chiropractors and torticollis
. 0 Comments

Torticolles

Torticollis (Wry Neck)

A person with torticolles typically enters my office with his head tilted to one side and is able to turn his head in one direction but not the other. The pain initially is mild but becomes intense as time passes. This can actually happen at any age. Some people are born with it. Torticollis usually has an insidious onset. Sleeping funny or having your head turned to one side for a prolonged period of time. In fact, initially most people think they just have a crick in their neck.

The problem in the majority of cases begins at the spinal joints or facets. When the spine is put into rotation for a prolonged period of time, this causes the affected spinal joints to separate. This separation causes the capsule to stretch. As the spinal joint surfaces get pulled apart, the surrounding capsule can be pulled into the joint due to a negative pressure. Once this occurs, the joints are now able to “pinch” the capsule. This pinching in turn causes the muscled that cross that joint to go into spasm which causes more pinching. This in turn causes more spasm. This is why the pain tends to spread over time and is always on one side. Warning: Get this treated ASAP.

I hope this post has been helpful.

Yours in Health, Naturally!

Dr. Gould