Medial epicondylopathy is the most frequent cause of medial elbow pain, but is 3-10 times less common than lateral epicondylopathy. (2,12-15) It is most prevalent in the fourth and fifth decade and affects men and women fairly equally.
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Biceps tendinopathy describes a painful inflammation or degeneration of the tendon of the long head of the biceps. (1,2) The term “tendinopathy” may suggest either an inflammatory or degenerative origin. (3) In the case of a recent acute insult, inflammation (tendinitis) may be a valid explanation. However, current evidence suggests that many cases of tendinopathy occur without inflammation and are the result of chronic overload, which leads to microscopic tearing, failed healing and subsequent degenerative changes within the tendon. (3) Injuries that have been present over three months consistently demonstrate fibrosis and degeneration with very little inflammation. (3)
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Current literature suggests that up to 83% of individuals involved in a motor vehicle accident (MVA) suffer a whiplash injury (1). Greater than 50% of those injured report ongoing neck pain one year after the accident (2). Of those experiencing neurologic signs post-MVA, up to 90% may be symptomatic after one year (2).
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Posterior tibial tendon dysfunction (PTTD) is the most common cause of adult-acquired flat foot. 1 Symptoms begin with pain and may progress to degeneration and deformity if left untreated. 1,3 Early recognition and management can lead to significantly improved outcomes. 1
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Autumn means that youth overuse injuries increase as school sports resume, and lower extremity stress is particularly amplified when athletes move indoors onto hard floors. Medial tibial stress syndrome (MTSS), aka Medial Tibial Traction Periostitis, is a common result of this increased load. The diagnosis of MTSS describes exercise-induced pain along the posteromedial border of the tibia. The condition is commonly referred to as “shin splints” and is a familiar malady in athletes and soldiers where it affects up to 1/3 of those populations. (1-4) MTSS is responsible for approximately 15% of all running injuries. (1)
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Most chiropractors enjoy treating torticollis patients. We know that in a matter of hours to days that contorted patient, who is writhing painfully in your waiting room, will be telling everyone about the dramatic relief they experienced in your office. Unfortunately, unlike your excited patient, chiropractors have apparently told no one in the scientific community about these outcomes. A literature search for “acute torticollis” produces…well…almost nothing! Let’s change that- but first, some background information may be relevant.
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Have you ever thought about or developed discharge criteria for your practice? You may think to yourself at this point, that this could be a waste of time or an exercise in futility. You may think, “Why would I need discharge criteria? I will just release the patient when the pain is gone.”
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The radial tunnel is defined as the space surrounding the radial nerve as it traverses the posterior forearm from the radiocapitellar joint thru the supinator muscle. (1) “Radial tunnel syndrome” describes symptoms generated from irritation or compression of the radial nerve within this 2” tunnel.
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