Leg Pain

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23 03, 2012

Sports Injuries

Sports injuries are injuries that occur in athletic activities. Some sports injuries result from accidents; others are due to poor training practices, improper equipment, lack of conditioning, or insufficient warm up and stretching. Many sports injuries can be due to overuse of a part of the body when participating in an activity. Other types of injuries can be caused by hard contact with something. Sports injuries typically involve the musculoskeletal system, which includes the muscles, bones, and associated tissues like cartilage.

Common sports injuries include:

  • Sprains are a stretch or tear of a ligament, causing tenderness, pain, bruising, swelling and inflammation.
  • Strains are a twist, pull, or tear of a muscle or tendon, causing pain, muscle spasms, and weakness. 
  • Knee injuries are very common and can range from mild to severe, from pain or tenderness at the front or side of the knee close to the knee cap, tendinitis, and pain in the iliotibial band (the outer side of the knee), to bone bruises or damage to the knee cartilage or ligaments. 
  • Shin splints are another common sports injury involving pain along the tibia or shin bone, typically seen in runners. 
  • Achilles tendon injuries can occur when there is tendinitis already present in the tendon or when a stretch, tear or irritation happens to the tendon. 
  • More severe can be stress fractures, which occur from repeated stress to a bone over time, most often occurring in the legs or feet, and acute fractures, that can occur from a quick, one-time injury to the bone. 
  • Dislocations occur when the two bones that come together to form a joint become separated. Dislocations a usually caused by contact sports or high-impact sports.

The great news is that acupuncture can be of benefit to all types of sports injuries. It is of course always best to treat an injury in the acute stage or as soon after an injury occurs as possible, in order to assist the body in healing quickly and fully. Early treatment also helps to prevent the possibility of long-term or chronic problems with the injury down the road due to improper healing. However, acupuncture is also very beneficial in any stage of healing and can also be of great help to old, lingering injuries or injuries that did not properly heal. Acupuncture taps into the body’s own resources to encourage the healing process and the body’s optimal functioning. With sports injuries this can mean reduced inflammation, increased circulation, reduced muscle tension, and of course, pain relief. Treating sports injuries, whether old or new, can help the body to regain former functioning and health levels and prevent more long-term consequences such as reduced mobility, stiffness, weakness, or arthritis.

Our bodies have amazing abilities to self-regulate and repair themselves. In any injury the body attempts to minimize, repair and overcome the damage to its normal functions and in many cases, given adequate rest and support, our bodies are able to recover successfully. However, in cases where the body isn’t able to correct a problem on its own, or in cases where long-term damage can occur if left untreated, acupuncture is a promising treatment that helps bolster the body’s healing abilities so that we can return to our normal, healthy selves.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, downtown Kelowna. He can be reached at www.okanaganacupuncture.com. 

 

3 03, 2012

Soleus and Achilles Tendon

I would like to thank you for the relief you have given me. I suffered a calf, Soleus and Achilles tendon injury as a result of my training for the Half Iron. One of my training partners said that he had experienced the same injury and it took him a year to recover.

When I came to see you I expected that I would have a long and arduous road back to training. Truthfully, I thought that I could scrap my aspirations of a June Half Iron.

Well, with two treatments and a few for good measure I can tell you I am back in the race and feeling confident that I will compete (might be participate). It is a tremendous relief from a pain and emotional point of view.

I can’t thank you enough for your support.

-Desmond Regier

Trade Exchange Canada

Kelowna, BC

www.tectrade.ca

24 01, 2012

Post Operative Recovery

Surgery is a powerful tool in the modern medical tool kit and is used today in a wide range of applications. Surgery for musculoskeletal conditions is called orthopedic surgery, and is used to treat musculoskeletal trauma, degenerative diseases, sports injuries, infections, tumours, and congenital disorders (disorders we are born with). This includes surgeries such as hip or knee replacement, spinal surgery or fusion, carpal tunnel release, or repair of tendons, ligaments, or cartilage. However, there are many, many other surgeries that are performed for a variety of reasons, such as to help relieve or prevent pain, to reduce a symptom, to improve some body function, or to diagnose conditions.

With surgery comes certain post-operative side effects and risks. Some of the major concerns with surgery is dealing with post-surgery pain and the side effects of pain medications, as well as making a complete recovery from surgery and regaining our former mobility and functions.

Doctors rely on powerful medications to relieve pain during and immediately after surgery, including opioids and anesthesia. Opioid pain medications are known to cause side effects such as nausea, vomiting, dizziness, pruritis (itch or a sensation that makes a person want to scratch), constipation, and sleepiness, symptoms which can cause difficulty in the recovery and interfere with our day-to-day life. Use of opioids and their side effects may also delay post-operative recovery.

Acupuncture is an excellent option for post-operative recovery and has been shown to be very effective in the treatment of both post-operative pain and the side effects of opioid medications. Acupuncture is probably best known for the treatment of pain and it is indeed very effective for relieving pain and reducing the need for pain medications. Pain limits your ability to breathe deeply, cough, walk and perform the activities necessary for a speedy recovery, and acupuncture can help to manage the pain so that recovery can happen more quickly.

Acupuncture can also treat the side effects of pain medications including dizziness, upset stomach or nausea, loss of appetite, pruritis (itching sensation), urinary incontinence, and digestive problems, making it an effective option for post-operative recovery.

Acupuncture can also help with the body’s recovery following surgery. While surgical techniques have come a long way, surgery still remains a type of trauma that the body must recover and heal from afterwards. Acupuncture helps to boost the immune system and to restore proper functioning to the body, and in post-operative care can help the body to recover and regain health more quickly.  Acupuncture can also help with inflammation, decrease swelling and improve mobility and range of motion after surgery. This is important to recovery in order for a person to regain their full abilities and have full use of the body in the months down the road from surgery. Acupuncture may also help reduce adhesion formation and reduce scarring and scar tissue as the body heals from surgery.

Research shows that acupuncture can indeed be very effective for post-operative recovery when surgery is followed by a series of acupuncture treatments, and it can also be beneficial to perform acupuncture a day or two before surgery. This ensures that the body is in a healthy state going into surgery in order to ensure a complete and healthy recovery!

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, downtown Kelowna, BC. He can be reached at www.okanaganacupuncture.com.

6 08, 2011

Muscle Cramps

A muscle cramp is a sudden and involuntary spasm or contraction of one or more of the muscles in the body, causing a sudden, sharp muscle pain. You may be able to feel or see a hard lump of muscle tissue beneath the skin. Muscle cramps often occur in the legs. Nocturnal cramps that occur in the calf muscles or toes during sleep are also common. Though generally harmless, muscle cramps can make it temporarily impossible to use the affected muscle.

Muscle cramps can be caused by overuse of a muscle, such as long periods of exercise or physical labor, particularly in hot weather. They may also be caused by dehydration, muscle strain, or holding a position for a prolonged period of time. In many cases the cause of a muscle cramp isn’t known. In other cases, they may be caused by certain medications or related to an underlying medical condition such as arteriosclerosis (narrowing of the arteries) in the arteries that deliver blood to the legs, causing leg or foot cramps while exercising; compression of the nerves in the spine (lumbar stenosis); or mineral depletion such as a shortage of potassium, calcium, or magnesium due to diet or medications. Muscle cramps can also be due to certain conditions such as kidney, thyroid, nerve, or hormone disorders, diabetes, hypoglycemia, and anemia.

Muscle cramps usually disappear on their own and can be treated with self-care measures such as stretching and massaging the muscle and applying warmth to it. However, for some people, muscle cramps can be an ongoing problem, and can be very difficult to live with, interfering with sleep or daily routines.

Acupuncture is an effective option for relieving and resolving muscle cramps. Muscle cramps are typically a sign that there is a blockage of blood and energy flowing to an area of the body. When this happens, it causes that area to become weak and less able to perform properly, making the area more vulnerable to injury, over-fatigue, and pain. In addition, in Chinese medicine (TCM), the liver and gallbladder meridians are responsible for nourishing the tendons and ligaments of the body. If there is an imbalance in these organs or if they are not functioning properly, muscle cramps can be one of the resulting symptoms. Acupuncture treatment for muscle cramps will typically involve restoring the liver energy flow and treating any problems with the way that it is functioning. By addressing the underlying health conditions or imbalances that may be contributing to the occurrence of muscle cramps, we can help to restore health with the goal of preventing muscle cramps from occurring again in the future.

Acupuncture can help to increase blood circulation, relieve muscle spasms, and relax the body, and the results are usually quite immediate. This makes it a very effective option for treating muscle cramps. With continued treatments, acupuncture can help to improve the body’s health and functioning, so that it is better able to perform and less prone to muscle cramps. In this way it offers not only relief but also resolution of the problem. Whether you are an athlete looking to achieve top performance, or whether you are dealing with a chronic condition and living with muscle cramps as a result, acupuncture can offer relief and help you get back to your daily routine.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, downtown Kelowna. He can be reached at www.okanaganacupuncture.com.

3 01, 2011

Tendinitis

Tendinitis is the inflammation or irritation of a tendon- the thick, fibrous cords that attach muscles to bones. Tendinitis causes pain and tenderness just outside a joint. While tendinitis can occur in any of the body's tendons, it's most common in the shoulders, elbows, wrists and heels.  Tendinitis symptoms typically include pain (usually a dull ache), tenderness, and mild swelling at the point where the tendon attaches to the bone.

Common names for tendinitis are tennis elbow, golfer's elbow, pitcher's shoulder, swimmer's shoulder, and jumper's knee. From this list it’s easy to see that tendinitis typically develops from the stress of a repetitive movement over time. Most people develop tendinitis because of jobs, sports or hobbies that involve repetitive motions, which aggravate the tendons needed to perform the tasks, although tendinitis can also be caused by a sudden injury. Age can also play a factor in tendinitis because as we get older, our tendons become less flexible, making them more prone to injury.

Most cases of tendinitis can be successfully treated with rest and self-care. If symptoms persist for more than a few days and interfere with day-to-day activities, your doctor may recommend medications to reduce the pain and inflammation. Injections of cortisone medication around a tendon may also be recommended to reduce inflammation and help ease pain but repeated injections may weaken a tendon, increasing the risk of tendon rupture. Tendon rupture is a much more serious problem that may require surgical repair. Without proper treatment, tendinitis can develop into a chronic problem and increase the risk of developing into tendon rupture.

Acupuncture can be a great option for resolving tendinitis problems and promoting proper healing. In Chinese medicine, most musculo-skeletal disorders have some relevant underlying imbalance or contributing lifestyle factor. Understanding a person’s general health gives an acupuncturist insight into the internal imbalances that can contribute to injury. Lifestyle can play a role, whether it be our occupation, the exercise or sports we choose, or our nutrition and diet. Chinese medicine also considers the role of emotion and thought in health, as they can be either the cause or the symptom of an internal balance.

With tendinitis, and all types of musculo-skeletal injuries, pain is caused by stagnation of qi-energy and blood. Acupuncture treatment focuses on removing the blockage and helping the energy and blood to flow again in order to remove pain and resolve the symptoms of the injury. This also helps to promote proper and complete healing.

In addition, we look at what underlying factors have influenced health and weakened the joint or made it vulnerable to injury. These causes can be external (such as exposure to the elements or an external trauma or blow to the area) or internal (caused by an imbalance in the body’s normal functioning due to our genetics or our lifestyle). By also treating these underlying factors, we are can strengthen the injured area and improve health, with the goal of preventing future reoccurrence.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, Kelowna, BC.

3 01, 2011

Osteoarthritis

Osteoarthritis, sometimes called degenerative joint disease, is the most common form of arthritis. Osteoarthritis occurs when cartilage in the joints wears down over time. The smooth surface of the cartilage becomes rough, causing irritation. Eventually, if the cartilage wears down completely, there may be no cushion left between the bones and the joint may be left with bone rubbing on bone, causing damage to the ends of the bones and the joints to become painful. The disorder can affect any joint in your body, but most commonly affects joints in your hands, hips, knees, neck, and lower back.

Osteoarthritis symptoms often develop slowly and worsen over time. Symptoms of osteoarthritis include joint pain (during or after movement), joint tenderness when palpated, joint stiffness (especially upon awakening or after a period of inactivity), loss of flexibility in the joint, a grating sensation in the joint, and bone spurs (extra bone that may form around the affected joint and feel like hard lumps).

It isn't clear what causes osteoarthritis in most cases. Researchers suspect that a combination of factors may play a role in the condition, including the aging process, joint injury or stress, heredity, muscle weakness, and obesity.

There is no known cure for osteoarthritis, and those suffering from osteoarthritis must look for treatments to relieve pain and manage symptoms. Western medical treatment for osteoarthritis includes pain relievers, non-steroidal anti-inflammatories (NSAIDs), cortisone shots, and in more severe cases surgery to replace the joint, to fuse the bones in the affected joint, or to realign the affected bones. Physiotherapy, occupational therapists, and braces or shoe inserts may also be recommended, to reduce stress on the joint.

Acupuncture is a useful option to help manage osteoarthritis and help prevent further progression of this condition. Acupuncture sees osteoarthritis as a “bi syndrome”, meaning that it is caused by a blockage that prevents circulation of blood and qi-energy to the joint, leading to pain and stiffness. Over time, the syndrome progresses and the joint deteriorates because of the lack of proper nourishment. Acupuncture focuses on removing the obstruction to the joint and increasing circulation so that the can joint receive proper nourishment. In this way, the symptoms of pain, inflammation, and stiffness can be relieved, and the joint can become stronger and healthier.

This is one of the strengths of acupuncture, especially in the treatment of chronic conditions such as osteoarthritis- acupuncture focuses not only on relieving the symptoms but also on strengthening the body and supporting healing, to address the cause of the problem. In this way, acupuncture can help a person with osteoarthritis not only live symptom-free, but also help them to manage the condition in a healthy way and prevent or slow the progression of the condition.

With osteoarthritis, we should remember that this is a problem that will not go away and a proactive approach is necessary. Having osteoarthritis does not necessarily mean that a person must be resigned to pain and suffering- steps can be taken to minimize or prevent symptoms. The key to living with a condition such as this is to take steps towards healthy management through exercise, lifestyle changes, and therapies which relieve symptoms and help manage the condition. Acupuncture is certainly worth considering as part of this routine.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, Kelowna, BC.

3 01, 2011

Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that affects the lining of the joints, causing a painful swelling that can eventually lead to bone erosion and joint deformity. This condition is an autoimmune disorder where the immune system mistakenly attacks the body's own tissues.

Rheumatoid arthritis can cause symptoms of joint pain, swelling and tenderness, as well as red and puffy hands, firm bumps of tissue under the skin on the arms (rheumatoid nodules), and morning stiffness that may last throughout the day. It can also affect the whole body with fevers, fatigue, and weight loss.

Rheumatoid arthritis tends to affect the smaller joints first, such as the wrists, hands, ankles and feet, but as the disease progresses, the shoulders, elbows, knees, hips, jaw and neck can also become involved. Symptoms may vary in severity and may come and go. Flare-ups of disease activity alternate with periods of relative remission, during which the swelling, pain, difficulty sleeping and weakness lessen or disappear.

Doctors don’t know what causes rheumatoid arthritis, though it may have a genetic factor that is triggered by environmental factors such as a bacterial or viral infection. There is no cure for rheumatoid arthritis, and treatment involves managing symptoms to prevent flare-ups and further progression of the disease. Western medical treatment may involve medications to reduce joint inflammation, relieve pain and prevent or slow joint damage; physiotherapy to teach better movements to protect the joints; and in severe cases, surgery.

In Chinese medicine, rheumatoid arthritis is considered a “bi syndrome”. “Bi” means obstruction or blockage, and bi syndromes are characterized by an obstruction of qi-energy and blood by wind, cold, dampness, or heat. This causes symptoms of aching, pain, heaviness, numbness, stiffness, redness, and swelling. Bi syndromes usually arise because of an underlying weakness or imbalance in the body that makes us vulnerable to injury or disease.

Bi syndromes that lead to rheumatoid arthritis typically arises from an imbalance of the kidneys, because of their role in the functioning of the bones and marrow, and the spleen, because problems with the spleen can lead to internal dampness in the body, as with joint swelling during a flare-up. The liver is also often involved with rheumatoid arthritis, because liver dysfunction can lead to blockages of qi-energy and shortage of blood, and the liver is also closely tied into the health of the tendons and ligaments.

However, rheumatic arthritis may have different causes depending on the person, and determining the organs involved is done by looking at the specific symptoms for each person. In this way, treatment is tailored to the individual’s symptoms and constitution, to better target the causes and relieve the symptoms.

Acupuncture has a lot to offer those suffering from rheumatoid arthritis. It offers a healthy way to manage the symptoms of the condition, helping to reduce pain and inflammation and prevent flare-ups from occurring. Acupuncture improves the body’s healthy functioning, including the immune system. It is also very effective for the relief of pain and inflammation- in the case of rheumatoid arthritis, relieving joint pain and stiffness and helping the joints to function more healthily.

For those who suffer from rheumatoid arthritis, acupuncture offers a safe and healthy option to help manage the condition, prevent further progression, and enjoy life symptom-free.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, Kelowna, BC.

18 11, 2010

Fibromyalgia

Fibromyalgia is a chronic condition characterized by a constant dull pain throughout the body accompanied by fatigue and sleep disturbances. Symptoms can vary depending on the weather, stress, physical activity, and even time of day. Generally the pain is widespread and occurs in the muscles, tendons, and ligaments, along with especially sore spots called “tender points” on various areas of the body.

Fibromyalgia can be accompanied by many other conditions including chronic fatigue syndrome, depression, headaches, IBS, arthritis, and restless legs syndrome, among others. There is still no clear cause for this condition, though it is believed to be a combination of genetics, stressful events such as car accidents, emotional stress or trauma, repetitive strain on the body, infections and other illnesses- basically everything that drains our immune system.

Fibromyalgia is a complicated condition and Western medicine often finds it difficult to treat. Fortunately, acupuncture has a lot to offer for sufferers of fibromyalgia. Acupuncture is widely known as being very effective for the treatment of pain, a big topic of research studies for years. In addition, sleeping disorders, anxiety, depression, and energy levels all respond well to the influence of acupuncture. Acupuncture acts on the body by normalizing our internal processes, so when a system is not functioning properly- such as our digestion, our sleep, our emotions, our stress, our immunity, our nervous system, etc- acupuncture is able to influence and correct that system to help it to resume it’s normal functioning.

With fibromyalgia, there are a number of patterns in Chinese medicine (TCM) that can contribute. The first is spleen deficiency, which can be responsible for many of the symptoms of fibromyalgia, including fatigue, digestive problems, muscle weakness, and poor thinking. Liver qi/energy stagnation or blockage can also be a factor, causing emotional symptoms and muscle-joint stiffness. Blood deficiency prevents the body from being properly nourished, causing the constant pain typical of fibromyalgia. Kidney deficiency also plays a role, as all chronic muscle-joint pain tends to include the kidneys, and the kidneys are at the foundation of good health.

Acupuncture can help to reduce tender points, relieve body aching and pain, and improve mood, sleep and digestion, as well as many of the other symptoms associated with fibromyalgia. The key to remember with acupuncture is that it is a healing process, rather than an instant fix, so recovery takes time and each treatment builds on the progress of the last, producing a steady and gradual improvement. We must also factor in the complexity of the condition and consider that conditions that are more complex or that have been developing over a longer period of time take more time to reverse and undo.

That being said, fibromyalgia sufferers can typically see pain relief quite early on in treatments, and with continued treatments, notice gradual improvement of the other symptoms as well. For this, acupuncture makes an excellent treatment option for fibromyalgia, one that does not produce negative side effects and in fact improves the body’s overall health while targeting the symptoms.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, downtown Kelowna, BC.

19 05, 2010

Pulled Hamstring

I have had a light hamstring pull and a sore leg for 20 years or more, after 8 treatments the leg is feeling better than I can remember.  -Richard, Kelowna, BC

16 03, 2009

Knee Pain

The knee is a complex joint that works much like the hinge of a door, allowing the joint to move backward and forward, but also has the ability to twist and rotate. This makes the knee joints especially vulnerable to damage, which is why they typically sustain more injuries than do other joints.

The knee joint is made up of the thighbone (femur), the two lower leg bones (the tibia and the fibula), and the patella, a bone that slides in a groove on the end of the femur. These bones are held together by four main ligaments, large bands of tissue that connect the bones together and help stabilize the knee joint during motion. Other structures in the knee include tendons (fibrous bands of tissue that connect muscles to bones and allow you to straighten or extend your leg), the meniscus (a C-shaped cartilage that cushions the knee joint), and bursae, (fluid-filled sacs that cushion the knee joint, allowing the ligaments and tendons to slide across it smoothly).

Normally, all of these structures work together smoothly. But injury and disease can disrupt this interplay, resulting in pain, muscle weakness and decreased function. A knee injury can affect any of the bones, cartilage and ligaments that make up the knee joint, as well as the ligaments, tendons, or fluid-filled sacs (bursae) that surround your knee joint.

The symptoms of knee problems can vary widely because of the number of structures involved and the range of injuries and diseases that can cause knee pain. Knee pain can be caused by an injury due to sports or a car accident, an awkward landing from a jump or fall, repetitive stress or overuse of the knee joint, sudden stopping or turning (such as in sports), hyperextension of the knee joint, degeneration of the knee joint from aging, and diseases like rheumatoid arthritis, osteoarthritis, and gout.

Acupuncture can be an effective way to treat knee pain. First we must find out the quality of the pain we are dealing with in order to understand the cause. For example, if we have a feeling of heavy pain we will know that a damp pattern is involved. A damp pattern occurs when the body’s internal functions are disrupted, causing the body to retain excess moisture, kind of like a basement. People with this pattern will notice more predominant pain in damp weather. If the pain is heavy and burning then we have damp-heat, or if it is heavy and cold, we have damp-cold. Sharp pain would mean blood stasis. A common pain for older people is weak, achy knees, which would mean a kidney deficiency.

It is also very important to understand where the pain is located around the knee. There are 6 energetic meridians that travel through the knee. When we understand which meridian is being affected, it can help us to understand which organs are being affected to determine the most important and effective acupuncture points to use.

By understanding what lies behind the pain, we are able to go deeper into the problem to resolve the contributing causes. Acupuncture can be very effective to give the body the stimulation that it needs to resolve these internal imbalances so that healing can occur. It can help to relieve pain, as well as to promote healing and strengthen internal weakness that makes the knee joint vulnerable, making acupuncture a treatment option that is safe, effective, and free from negative side-effects.

James Kaufman is a Registered Acupuncturist at Okanagan Acupuncture Centre, 1625 Ellis St, Kelowna, BC.