Archive for the 'Conditions & Treatments' Category

Frozen Shoulder

Frozen shoulder - (Adhesive Capsulitis) This is “extremely”painful. The onset is usually gradual. Like all other joints in the body, the shoulder joint is surrounded by a capsule. The capsule wraps completely around the joint, encapsulating it. When the capsule develops adhesions, the motion in the joint will become reduced due to discomfort. In the acute phase, the discomfort ranges from a constant dull ache to pain only with movement. As more adhesions form, the pain becomes more intense, waking them at night if they roll over on that shoulder. Combing or brushing their hair becomes impossible due to the pain. These people automatically start reducing the amount of movement on their own which leads to disuse atrophy. This type of problem needs to be evaluated and treated immediately. If the above symptoms sound like you, give me a call.

Yours in Health!

Dr. Gould

Temporo-Mandibular Joint Pain

This joint is formed where your lower jaw bone is connected to the temporal bone of your skull. It is covered with a thin layer of cartilage and separated by a small disc. This joint is almost constantly in use as you eat, speak, yawn and swallow. Typically, pain is experienced in this joint due to wear and tear; stress that expresses itself in grinding or clenching the teeth; misalignment of the upper and lower jaws; and, sometimes, arthritis.

What Are the Symptoms?

• Ear pain
• Pain in front of the ear
• Tenderness or pain in the jaw muscles
• Temple & cheek pain
• Jaw popping or clicking
• Lock-jaw
• Frequent headaches

What causes of TMJ problems?

jaw-hit.bmpTMJ pain is often caused by wear and tear, or the overuse, of the joint due to stress, anxiety and tension. These stressful feelings cause many people to clench their jaws or grind their teeth, putting extra strain on the joint and muscles surrounding the joint. Another cause of pain is misalignment of the upper and lower jaws that can occur naturally or as the result of an injury. Improperly aligned jaws cause an uneven bite, producing additional wear and tear on one joint or the other. Many people that had braces as a child now have TMJ problems due to and uneven bite. In addition, since the TMJ is a joint like all other joints in our bodies, it can also suffer the effects of osteoarthritis, rheumatoid arthritis, and other forms of joint inflammation.

Treatment Options?

The first, and most obvious, I will ask you to do is to reduce the amount of stress on the joints, either by finding ways to relax (and stop grinding or clenching your teeth) or to stop chewing gum and other tough foods. In many cases, some additional measures may be taken. TMJ problems have become more prevalent in the last decade due to higher levels of stress. If you have been struggling with this type of pain and have been looking for someone to help you eliminate it, give me a call. I have treated many people that live in the Cincinnati area that have suffered with TMJ pain.

Scoliosis

Scoliosis, a lateral or sideward curvature of the spine, plagues an estimated 4 to 5 million Americans. This spinal disorder usually appears during early teens. Approximately 10% of the adolescent population has some form of scoliosis. It is more prominent in girls, as apposed to boys by an average of 7 to 1. This disorder is not limited to adolescents but can also affect younger children and adults.

One of the most common signs of scoliosis is a prominent shoulder blade, frequently the right one. One shoulder may also appear to be higher and the child may tend to “list” to one side. The hips may be uneven, causing one hip to be higher than the other. Frequently, the first sign of scoliosis is that clothes will not fit properly. The hems of skirts or pants will appear to be uneven.

Scoliosis is often confused with poor posture but it does not disappear as the child gets older. It has been known to strike in otherwise healthy children and often runs in the same family.

Delaying the treatment of scoliosis can lead to a variety of problems for the child the rest of his or her life. After the condition has progressed substantially, the correction becomes more difficult and may necessitate more complex treatments, including surgery.

When the curvature is discovered in time, there are chiropractic methods that usually correct the curvature or prevent its increase. Even as adults, chiropractic care can provide relief to scoliosis victims. If you think you or your child may have scoliosis and you live in the Cincinnati area give me a call to set up an examination.

Sacroiliac Pain

The two main causes of Sacroiliac Pain:

1. Trauma – Due to lifting, slipping, or sudden unexpected movements.
2. Poor Posture – Due to occupation (improper workstation fit) or bad habits. It can take years in some cases for pain to manifest from postural problems.

How do I know that the pain is coming from my Sacroiliac Joint?

This question can only be answered after a thorough history has been taken, followed by an examination and the appropriate diagnostics. In many instances, an individual suffering from a sacroiliac problem will have trouble turning over in bed or getting out of a chair.

My treatment goals for patients with sacroiliac problems:

1. Pain reduction.
2. Stabilizing the patient’s posture.
3. Restoring normal function to the patient’s sacroiliac joints.
4. Creating an exercise regiment to help prevent future problems.

Sacroiliac problems are very common. I tend to see more of this type of problem in the spring and the fall, usually from sports in the springtime and yard work in the fall. So if you live in the greater Cincinnati area and feel like you may have a sacroiliac problem, give me a call.

Plantar Fasciitis (Heel Pain)

heel xrayWhen the arches of the feet flatten out (you have three arches in each foot), this will cause excess stress in the ligamentous structures, specifically the plantar aponeurosis in the bottom of the foot, leading to plantar fasciitis.

If you have heel pain when you get out of bed in the morning, it is likely that you have mechanical problems in your foot. If left unchecked, this can lead to heel spurs. If this problem is caught in its early stages, custom weight bearing orthotics can be cast and fitted to support the arches. By supporting the arches the stress is removed from the irritated ligamentous structures allowing the foot to heal.

Many people in the greater Cincinnati area are trying to live with this type of foot pain. Unfortunately, plantar fasciitis typically gets worse if left untreated. The pain eventually becomes disabling.