Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Ankle Syndesmosis Sprain.Ankle sprains. Anterior ankle impingement. Plantar fasciitis. Stress Fracture. Foot Stress Fracture.Navicular stress fracture.Fifth metatarsal stress fracture.Achilles tendon rupture.Cold Laser Therapy accelerates the healing process and recovery.

Plantar fasciitis

Plantar fasciitis causes pain on the inner and underside of the heel. It is worse first thing in the morning. It can affect every one old or young. Athlete’s, particularly suffer if it results from a partial tear of the plantar fascia, this the term used for plantar fasciitis which is a ’heel spur. 

Treatment with Cold Laser Therapy 

 Ankle Syndesmosis Sprain.

Syndesmosis sprains, are ’high ankle sprains they affect the ligament between the two shin bones, which are called the Tibia and Fibula. There is very little swelling on tenderness and for this reason they are difficult to diagnose. ( Treatment  Cold laser therapy listed under treatments)) 

Grade 1-2. Syndesmosis Sprains can last 5-10 weeks. 

Grade 3. Syndesmosis Sprains may require surgery. The recovery period for these injuries is 4-6 months.  Cold laser therapy reduces the recovery time in half. 

Ankle sprains

The ankle sprains are the most common ankle injury. Treatment with cold laser therapy helps in the recovery. 

Foot stress fractures

Foot stress fractures are debilitating, the injuries can be severe, and require lengthy recover periods.   The severest stress fractures in the foot are to the navicular and 5th metatarsal. They may require plaster or surgery; they have a very high rate of recurrence, treatment with cold laser therapy for quick recover excellent.

Navicular stress fracture

Navicular stress fractures are a running athlete’s nightmare. The navicular is a small bone at the top of the arch of the foot. It does not heal well. This is due in part to poor blood supply and mechanical load.

Treatment.  Cold laser therapy

Fifth metatarsal stress fracture.

This stress fractures is to the 5th metatarsal bone, on the outside of the foot. The bone develops the stress fracture at its base which is halfway down the outer side of the foot. Treatment with cold laser therapy combined with rest will speed up the recovery.

The Achilles tendon.

The Achilles tendon is the longest and thickest tendon in the body connecting the calf muscle group to the heel bone which is called calcaneus which can be found behind the ankle joint.  These Injuries can be subdivided into partial tendon injuries, Tendonitis or partial tears and complete ruptures. Achilles tendon ruptures will require surgery. Achilles tendinopathy   which means without rupture, can be subdivided into mid-substance or tendon injuries and insertional or tendon-bone junction injuries. Insertional injuries more than not involved calcification of the tendon

Treatment.  Cold laser therapy.

Achilles tendon rupture

Achilles tendon ruptures are renowned in sporting activity, with rapid acceleration movements can cause   this injury.

Ankle posterior impingement

Ankle posterior impingement is common injury where the ankle is placed in full plantar (downwards) flexion. The impingement is caused by an extra bone called an os trigonum.

Treatment.  Cold laser therapy or surgery. 

Ankle cartilage injuries

An ankle sprain can lead to an injury to the ankle cartilage lining and may cause prolonged disability. 

Anterior ankle impingement

Anterior ankle impingement this condition is very common in football players. The condition consists of bone spurs forming at the front of the ankle after repetitive sprains or contact injuries. Symptoms are pain at the front of the ankle and a limited range of forward movement which is called the dorsi-flexion of the ankle. Treatment with Cold laser therapy to aid in recovery.

Tog GaitScan Orthotics complements our health-care professional’s treatment for our patients. This becomes apparent when our patients are standing, walking, and living normal active life pain free. 
Suffering from back pain, hip, knee, leg pain, leg fatigue, bunions,  heel pain, arch pain,  plantar fasciitis, or Achilles tendonitis, Our custom-made, Tog GaitScan Orthotics might be right for you.

Tog GaitScan™

 Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Heel and foot pain Conditions and injuries, plantar fasciitis, Tendonitis, Ligaments and Tendons. 

Athletic / sports Injuries

Soft Tissue Injuries including Sprains and Strains, Tendonitis 

Foot Pain please go to top left corner under “Pain” or “Conditions”. See also Cold Laser Therapy under “Treatments” for effective pain Relief and healing.

Call 024 7622 2002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Running injuries; Runners Knee – Iliotibial Band Friction Syndrome. Achilles Tendonitis. PlantaFasciitis ,Cold/LowLevel Laser Therapy

Runner’s Knee Explained

Runner’s Knee is the common term for Iliotibial Band Friction Syndrome. Runner’s Knee is a painful overuse knee injury that affects the outer part of the knee. It is common in runners and cyclists. It affects around 5% of all runners, while knee injuries in cyclists 20% are diagnosed as Runner’s Knee.

Runner’s Knee to understand this condition its necessary to be familiar with the anatomy of the outer side of the thigh and knee. The Ilio Tibial Band is a tough length of fascia that attaches to the outer side of the pelvis (The Ilium), goes down the outer side of the thigh and inserts into the outer side of the shin bone (Tibia). The Ilio Tibial Band forms a length of taught fibrous tissue that connects the hip and knee.

The Lateral Epicondyle is a bony prominence that is the widest point of the thigh bone. When the knee is straight the Ilio Tibial Band is in front of the Lateral Epicondyle of the thigh bone and when the knee is fully bent the ITB is behind the Lateral Epicondyle of the thigh bone. During movements of the knee, the Ilio Tibial Band moves over the Lateral Epicondyle of the thigh, with maximum friction at 30 degrees of knee bend.

During activities such as running and cycling, where there is repeated bending and straightening of the knee joint, the Ilio Tibial Band can ‘impinge’ upon the Lateral Epicondyle and the resultant friction can lead to inflammation of the tissues. If the Ilio Tibial Band is tight then the degree of friction is increased and a tight Ilio Tibial Band can predispose people to Runner’s Knee.

Between the Ilio Tibial Band and the thigh there is a sac of fluid, called a bursa, which is meant to prevent friction. However, where there are repeated knee bending movements with a tight Ilio Tibial Band, the bursa can become impinged between the Ilio Tibial Band and the Lateral Epicondyle of the thigh. The bursa itself, as well as the Ilio Tibial Band, can become inflamed and painful.

Runner’s Knee Symptoms

Typically there is pain located on the outer side of the knee joint. This pain may radiate up the thigh or down the outer side of the shin and is exacerbated by running or cycling activities. Usually, the pain from Runner’s Knee is only present during activity and settles when the person rests. However, in some cases it can also be extremely uncomfortable going up or down stairs.

There is often severe tenderness when the Lateral Epicondyle of the thigh bone is palpated. There is usually maximum friction at the area of the Lateral Epicondyle when the knee is bent to around 30 degrees.

Achilles Tendonitis

Achilles tendonitis accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus) and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles tendonitis may be acute or chronic. Acute Achilles tendonitis is a result of overuse.

Achilles Tendonitis the Symptoms

Achilles tendonitis symptoms include:

• Acute inflammation
• Achilles Tendonitis pain may increase gradually during exercise. l Swelling may appear over the Achilles tendon.
• Redness may appear over the skin in the area of the tendonitis.
• You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.
• Chronic Achilles tendonitis will often follow on from acute Achilles tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendonitis are similar to those of acute tendonitis as well as:

• Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area.
• Nodules or lumps may appear in the Achilles tendon, 2cm above the heel.
• Tendon pain may appear when walking up a hill or incline.
• Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinitis

An Overuse are the main factor and the basic cause of this injury, however other factors can make an overuse injury more likely.

Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition.

Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendonitis

Rest and apply cold therapy or ice (not directly onto the skin).

Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

Listed in our Cold Laser Section under conditions treated.

Plantar Fasciitis. Heel Pain, spurs and Injury, Foot Pain and injury, causes, symptoms and treatment with Tog GaitScan and/or Cold Laser Therapy.

Plantar Fasciitis . A common cause of heel pain in adults. A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy rest stretching, strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to repair itself quicker.

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis. 

What Causes Plantar Fasciitis 

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more biomechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation.

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 15 to 25 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them. 

In general, Plantar Fasciitis is a self-limiting condition meaning it would resolve by itself usually within 6 to 18 months. Suffering for such a long time can lead to

Frustration for patients and Doctors.

Stretching and Strengthening

Stretching and strengthening programs address risk factors such as tightness of the gastrosoleus complex and weakness of the intrinsic foot muscles. Increasing flexibility of the calf muscles is particularly important. Frequently used stretching techniques include wall stretches and curb or stair stretches.

Other effective techniques include placing a two-inch 3 four-inch piece of wood in the areas where the patient stands for a prolonged time (workplaces, kitchen or stoves) to use in stretching the calf. Dynamic stretches such as rolling the foot arch over a can or a tennis ball are also useful. Cross-friction massage above the plantar fascia and towel stretching may be done before getting out of bed. 

Exercises such as picking up marbles and coins with the toes are also useful. Towel curl involves pulling the towel toward the body by curling the towel with the toes while sitting with the foot flat on the end of a towel placed on a smooth surface. Toe taps involve lifting all toes off the floor and, keeping the heel on the floor and the outside four toes in the air, the big toe is tapped to the floor repetitively. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air.

Shoes.

Wearing shoes with thicker, well-cushioned arch supports decreases the pain associated with long periods of walking or standing. Thus, simply getting a new pair of shoes may be helpful in decreasing pain as studies have shown that with age, running shoes lose a significant portion of their shock absorption.

Some 14 percent of patients with Plantar Fasciitis stated that change of shoes was the treatment that worked best for them.

Orthotics and Arch Supports

The three most commonly used mechanical corrections are arch taping, over-the-counter arch supports and custom made orthotics.

Arch taping can be used as definitive treatment or as a trial to determine if the expense of arch supports or orthotics is worth per suing. Taping may be more cost effective in cases of acute plantar fasciitis while over-the-counter arch supports and orthotics may be more cost-effective for chronic or recurrent cases of plantar fasciitis and for prevention of injuries.

Over-the-counter arch supports are highly variable and depend on the material used to make them. In general, patients should try to find the densest material that is soft enough to be comfortable to walk on. Over-the-counter arch supports are especially useful in the treatment of adolescents where rapid foot growth may require a new pair of arch supports once or more per season.

Custom made orthotics are usually made by taking a plaster cast or an impression of the individuals foot and then constructing an insert specifically designed to control biomechanical risk factors such as pes planus, valgus heel alignment and discrepancies in leg length. The main disadvantage of orthotics is the cost, which may range from £50 to £200 or more. However, the strong advantages of orthotics are that they are made specifically to match your individual foot. Similar to having a prescription for glasses. You wouldn’t want to wear someone else’s glasses! Although the initial cost is more than an over the counter pair, they are more cost-effective as they will last longer. Orthotics are also an excellent corrective treatment.

(   TOG Gait Scan and Cold Laser Therapy are below.)

Tog GaitScan™ 

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions. 

Corticosteroid Injections

Corticosteroid injections have the greatest benefit if administered early in the course of treatment but, because of the associated risks, they are usually reserved for treatment resistant cases.

Potential risks include rupture of the plantar fascia and fat pad atrophy. Rupture of the plantar fascia was present in almost 10 percent of patients after plantar fascia injection. Long-term consequences of plantar fascia rupture were found in approximately one half of the patients with plantar fascia rupture. On the other hand, another study found that most individuals with rupture of the plantar fascia had resolution of symptoms with rest and rehabilitation.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic, Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Athletic and Sports Injuries.

Shoulder conditions and injuries.  Ruptures. Tears. Ligaments. Tendons.

Knee Ankle and foot Pain Conditions and injuries. Hip, Knee Bursitis.

Achilles Tendonitis. Bursitis.  Plantar Fasciitis. Stress Fractures. Shin Splints.

Meniscus tears. Runners Knee Iliotibial Band Friction Syndrome

Chronic Neck and Back pain.

“Whiplash” (WAD) injury/ Neck Pain. Cervical Disc injury.

Upper and Lower Back Pain

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  nerves.

Hip Pain Sacroiliac joint inflammation

Shoulder Injuries and conditions.
Carpal Tunnel Syndrome.
Arthritic Pain Relief.

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management including Skin Ulcers, Pressure Sores and Burn.

Soft Tissue Injuries.

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck Back Pain.

“Whiplash” (WAD) injury.  Neck injury and pain.

For further in depth information on Hip knee or Ankle pain including Back and Lower Back Pain, Sciatica. Please go to top left corner listed under “Pain” or “Conditions”. 

Call 024 7622 2002. Reg’d with BUPA. AXA  PPP. HSA.  AVIVA. Simplyhealth. Standard  Life. Pru health.Cigna. Mercia  health. Medisure.  Medicash.  All health insurance accepted.

Back Neck Pain,

Neck Pain “Whiplash” (WAD) Shoulder Pain and Upper and Lower Back Pain. Cold Laser Therapy for Pain Relief and Recovery.

Neck Shoulder and Upper Back Pain.

People do not realize how much they move their neck, until they are unable to do so. The neck has the least amount of muscular stabilization to support and move your head, which makes it very susceptible to injury. It doesn’t take much force to disrupt that fine balance.

The spinal cord passes through a space in the vertebrae sending nerve impulses to every part of the body. Between each pair of cervical vertebrae, the spinal cord sends bundles of nerves that pass down the arms and to the upper back, and if your arm is hurting, it may be a problem in the neck! Symptoms in the arms can include numbness, tingling, cold, aching, and “pins and needles”.

The neck can also contribute to headaches, muscle spasms in the shoulders and upper back, ringing ears, otitis media (inflammation in the middle ear, temporomandibular joint dysfunction (TMJ or jaw joint). Dysfunction of the neck also causes restricted range of motion and chronic tightness in the upper back.

Causes of Neck and Upper Back Pain. 

Neck and upper back pain is caused by a combination of factors, including injury, poor posture, stress, and disc problems.

Injuries

The most common injury to the neck is a “whiplash”(WAD) injury. “Whiplash”(WAD) is caused by a sudden movement of the head.

(Listed in our “Whiplash” (WAD) neck pain section top left corner under “Pain” or “Conditions”) 

Much more common causes of neck pain and headaches are poor posture. It’s easy to get into bad posture habits, can eventually lead to pain and headaches. The rule is simple: keep your neck in a “neutral” position whenever possible. Don’t bend or hunch your neck forward for extended periods. Also, do not to sit in one position for extended period of time. If you must sit for an extended period, make sure your posture is good: Keep your head in a neutral position, make sure your back is always supported, and keep your knees slightly lower than your hips.

Stress

When people become stressed, they unconsciously contract their muscles, Particular the muscles in their back. This ‘Muscle guarding’ or Defence posture is a response designed to guard against injury. Muscle guarding occurs whenever we become emotionally stressed. The area’s most affected are the muscles of the neck, upper back and low back.

Disc Herniations 

Discs in your neck may herniated or bulge and put pressure on the nerves that lead from the spine into your shoulders, arms and hands. Although cervical discs do not bulge nearly as often as lumbar discs do, they occasionally can still get damaged especially when damage sustained from a “whiplash” (WAD) injury

(Listed in our Cold Laser Therapy Section under Inflammatory conditions.) 

Lower Back Pain. Including Cold Laser Therapy for Pain Relief and Recovery.

Sprained ligaments, strained muscles, ruptured discs, trigger points and inflamed joints are the many of different conditions that can result in low back pain. While sports injuries or accidents can lead to an injury and pain, sometimes even the simplest movements, like picking up a pencil from the floor, can have painful results. In addition, conditions such as poor posture, stress, arthritis, kidney stones and kidney infections, can be the cause of low back pain.

There may be many other things that can cause low back pain, and some of those things can be serious if left untreated. Physiotherapists are able in diagnosing the cause and determining a proper course of treatment for low back pain. Following are some of the most common causes.

Subluxations

When a disruption in the normal movement or position of the vertebrae occurs it results in pain and inflammation. In the lumbar spine these occur at the transition between the lower spine and the sacrum. Subluxations can lead to debilitating low back pain, however, subluxations are easily treatable and there is often a significant reduction in pain experienced almost immediately after treatment.

Disc Herniations

A herniated disc does not automatically mean that you may suffer from low back pain. In one study almost 60% of all adults had at least one bulging or herniated disc, even though they did not experienced any back pain. However, herniated discs can be a source of severe and debilitating pain, which may radiate to other areas of the body. Unfortunately, when a disc herniates, they rarely, completely heal. Further deterioration can be avoided through Physiotherapy, but a complete recovery is less common.

Sprains, Strains and Spasms

Sprains strains and spasms, are the most common source of low back pain. Overworking the muscles or ligaments of the low back may lead to tears in the tissues, which become painful, swollen and may even ache, with a tightening to the area affected.

Stress

When you become stressed your body responds by increasing the levels of stress hormones leading to the rise of blood pressure and heart rate and tightening up of your muscles. By becoming stressed all the time your muscles will become weak and painful loaded with trigger points.

Cold laser Therapy/Treatment

Low Level Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as Athletic and sports injuries;

Upper and Lower Back Pain and injuries.

Slipped disc.

Prolapsed disc.

Herniated disc.

Bulging disc.

Sciatica. 

Trapped Nerves.

Stiff Back.

Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain Relief,

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections including cold sores
Relief of Stiffness, the Promotion of Muscle Relaxation, and Cell Restoration

Wound Management  including Skin Ulcers, Pressure Sores and Burns. 

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders and Conditions including Arthritic Pain Relief and Tenosynovitis.

Chronic pain including Trigeminal Neuralgia and Chronic Neck and Back pain.

Cold Laser Therapy is used at our clinic for pain relief and treatment of ligament and tendon injuries, muscle sprains by reducing pain and accelerating the healing process.

For further in depth information on “Pain” or “Conditions” and “Treatments” for cold Laser Therapy. Please go to top left corner. 

Call 024 7622 2002.Reg’d with BUPA. AXA  PPP. HSA.  AVIVA. Simplyhealth. Standard  Life. Pru health.Cigna. Mercia  health. Medisure.  Medicash.  All health insurance accepted. Cold/Low Level  Laser Therapy for Pain Relief and Recovery

Soft Tissue Injuries.

Ligaments.  Muscle tears and Sprains.  Nerves, Tendonitis, Neck Back, Shoulders, Biceps, Triceps, and Knee, Hip, Foot. 

The Cold Lasers (LLLT) used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, including Russia and Japan.  In all this time there have been no recorded long-term adverse effects from its use.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  Cold Laser Therapy is similar to photosynthesis in plants; sunlight is absorbed by the plant and converted into energy the plant can utilize for growth.  In the body light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of nitric oxide, singlet oxygen and ATP, as well as, an increase in the cell membrane’s permeability.  The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  The additional energy and effects result in normalization of the cell function when cell function is impaired.  These activities can occur in all types of cells and includes ligament, nerves, cartilage, and muscle.

Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendonitis, conditions and disorder

Shoulders, Biceps, Triceps, Muscle Tears, Rotator Cuff injuries.

Knee, ligaments, Runners Knee, Bursitis, conditions and disorders

Hip Pain, Sacroiliac Joint inflammation

Foot, Heel Ankle Pain and injuries

Achilles tendonitis,

Plantar Fasciitis

Back pain, Lower back pain

Slipped disc, Prolapsed disc, Herniated disc, 

Trapped nerve.

Sacroiliac Joint inflammation 

“Whiplash” (WAD), Neck Pain and injury

Athletic Injuries

Lower Back Pain
Knee, Heel and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief

Muscle Spasm and Relief of Muscle and Joint Pain

Skin infections including cold sores,

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Soft tissue injuries for further in depth information on all above conditions please go to top left corner under “Pain” or “Conditions” and “Treatments” for Cold Laser Therapy.

.

Call 02476 222002.Reg’d with BUPA. AXA  PPP. HSA.  AVIVA. Simplyhealth. Standard  Life. Pru health.Cigna. Mercia  health. Medisure.  Medicash.  All health insurance accepted.

Soft Tissue Injuries. Cold laser therapy for pain relief and recovery

Ligaments.  Muscle tears and Sprains.  Nerves, Tendonitis, Neck Back, Shoulders, Biceps, Triceps, and Knee, Hip, Foot. 

The Cold Lasers (LLLT) used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, including Russia and Japan.  In all this time there have been no recorded long-term adverse effects from its use.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  Cold Laser Therapy is similar to photosynthesis in plants; sunlight is absorbed by the plant and converted into energy the plant can utilize for growth.  In the body light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of nitric oxide, singlet oxygen and ATP, as well as, an increase in the cell membrane’s permeability.  The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  The additional energy and effects result in normalization of the cell function when cell function is impaired.  These activities can occur in all types of cells and includes ligament, nerves, cartilage, and muscle.

Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendonitis, conditions and disorder

Shoulders, Biceps, Triceps, Muscle Tears, Rotator Cuff injuries.

Knee, ligaments, Runners Knee, Bursitis, conditions and disorders

Hip Pain, Sacroiliac Joint inflammation

Foot, Heel Ankle Pain and injuries

Achilles tendonitis,

Plantar Fasciitis

Back pain, Lower back pain

Slipped disc, Prolapsed disc, Herniated disc, 

Trapped nerve.

Sacroiliac Joint inflammation 

“Whiplash” (WAD), Neck Pain and injury

Athletic Injuries

Lower Back Pain
Knee, Heel and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief

Muscle Spasm and Relief of Muscle and Joint Pain

Skin infections including cold sores,

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Soft tissue injuries for further in depth information on all above conditions please go to top left corner under “Pain” or “Conditions” and “Treatments” for Cold Laser Therapy.

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Soft Tissue Injuries  Call 024 7622 2002. Reg’d with BUPA. AXA  PPP. HSA.  AVIVA. Simplyhealth. Standard  Life. Pru health.Cigna. Mercia  health. Medisure Medicash.  All health insurance accepted.

Soft Tissue Injuries. Cold laser therapy for pain relief and recovery

Ligaments.  Muscle tears and Sprains.  Nerves, Tendonitis, Neck Back, Shoulders, Biceps, Triceps, and Knee, Hip, Foot. 

The Cold Lasers (LLLT) used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, including Russia and Japan.  In all this time there have been no recorded long-term adverse effects from its use.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  Cold Laser Therapy is similar to photosynthesis in plants; sunlight is absorbed by the plant and converted into energy the plant can utilize for growth.  In the body light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of nitric oxide, singlet oxygen and ATP, as well as, an increase in the cell membrane’s permeability.  The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  The additional energy and effects result in normalization of the cell function when cell function is impaired.  These activities can occur in all types of cells and includes ligament, nerves, cartilage, and muscle.

Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendonitis, conditions and disorder

Shoulders, Biceps, Triceps, Muscle Tears, Rotator Cuff injuries.

Knee, ligaments, Runners Knee, Bursitis, conditions and disorders

Hip Pain, Sacroiliac Joint inflammation

Foot, Heel Ankle Pain and injuries

Achilles tendonitis,

Plantar Fasciitis

Back pain, Lower back pain

Slipped disc, Prolapsed disc, Herniated disc, 

Trapped nerve.

Sacroiliac Joint inflammation 

“Whiplash” (WAD), Neck Pain and injury

Athletic Injuries

Lower Back Pain
Knee, Heel and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief

Muscle Spasm and Relief of Muscle and Joint Pain

Skin infections including cold sores,

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Soft tissue injuries for further in depth information on all above conditions please go to top left corner under “Pain” or “Conditions” and “Treatments” for Cold Laser Therapy.

.

Call 024 7622 2002.Running injuries; Runners Knee – Iliotibial Band Friction Syndrome. Achilles Tendonitis. Plantar Fasciitis Cold/Low Level Laser Therapy. Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simplyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Runner’s Knee Explained

Runner’s Knee is the common term for Iliotibial Band Friction Syndrome. Runner’s Knee is a painful overuse knee injury that affects the outer part of the knee. It is common in runners and cyclists. It affects around 5% of all runners, while knee injuries in cyclists 20% are diagnosed as Runner’s Knee.

Runner’s Knee to understand this condition its necessary to be familiar with the anatomy of the outer side of the thigh and knee. The Ilio Tibial Band is a tough length of fascia that attaches to the outer side of the pelvis (The Ilium), goes down the outer side of the thigh and inserts into the outer side of the shin bone (Tibia). The Ilio Tibial Band forms a length of taught fibrous tissue that connects the hip and knee.

The Lateral Epicondyle is a bony prominence that is the widest point of the thigh bone. When the knee is straight the Ilio Tibial Band is in front of the Lateral Epicondyle of the thigh bone and when the knee is fully bent the ITB is behind the Lateral Epicondyle of the thigh bone. During movements of the knee, the Ilio Tibial Band moves over the Lateral Epicondyle of the thigh, with maximum friction at 30 degrees of knee bend.

During activities such as running and cycling, where there is repeated bending and straightening of the knee joint, the Ilio Tibial Band can ‘impinge’ upon the Lateral Epicondyle and the resultant friction can lead to inflammation of the tissues. If the Ilio Tibial Band is tight then the degree of friction is increased and a tight Ilio Tibial Band can predispose people to Runner’s Knee.

Between the Ilio Tibial Band and the thigh there is a sac of fluid, called a bursa, which is meant to prevent friction. However, where there are repeated knee bending movements with a tight Ilio Tibial Band, the bursa can become impinged between the Ilio Tibial Band and the Lateral Epicondyle of the thigh. The bursa itself, as well as the Ilio Tibial Band, can become inflamed and painful.

Runner’s Knee Symptoms

Typically there is pain located on the outer side of the knee joint. This pain may radiate up the thigh or down the outer side of the shin and is exacerbated by running or cycling activities. Usually, the pain from Runner’s Knee is only present during activity and settles when the person rests. However, in some cases it can also be extremely uncomfortable going up or down stairs.

There is often severe tenderness when the Lateral Epicondyle of the thigh bone is palpated. There is usually maximum friction at the area of the Lateral Epicondyle when the knee is bent to around 30 degrees.

Achilles Tendonitis

Achilles tendonitis accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus) and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles tendonitis may be acute or chronic. Acute Achilles tendonitis is a result of overuse.

Achilles Tendonitis the Symptoms

Achilles tendonitis symptoms include:

• Acute inflammation
• Achilles Tendonitis pain may increase gradually during exercise. l Swelling may appear over the Achilles tendon.
• Redness may appear over the skin in the area of the tendonitis.
• You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.
• Chronic Achilles tendonitis will often follow on from acute Achilles tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendonitis are similar to those of acute tendonitis as well as:

• Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area.
• Nodules or lumps may appear in the Achilles tendon, 2cm above the heel.
• Tendon pain may appear when walking up a hill or incline.
• Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinitis

An Overuse are the main factor and the basic cause of this injury, however other factors can make an overuse injury more likely.

Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition.

Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendonitis

Rest and apply cold therapy or ice (not directly onto the skin).

Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

Listed in our cold laser section under conditions treated.

Plantar Fasciitis. Heel Pain, spurs and Injury, Foot Pain and injury, causes, symptoms and treatment with Tog GaitScan and/or Cold Laser Therapy.

Plantar Fasciitis . A common cause of heel pain in adults. A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy rest stretching, strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to repair itself quicker.

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis. 

What Causes Plantar Fasciitis 

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more biomechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation.

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 15 to 25 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them. 

In general, Plantar Fasciitis is a self-limiting condition meaning it would resolve by itself usually within 6 to 18 months. Suffering for such a long time can lead to

Frustration for patients and Doctors.

Stretching and Strengthening

Stretching and strengthening programs address risk factors such as tightness of the gastrosoleus complex and weakness of the intrinsic foot muscles. Increasing flexibility of the calf muscles is particularly important. Frequently used stretching techniques include wall stretches and curb or stair stretches.

Other effective techniques include placing a two-inch 3 four-inch piece of wood in the areas where the patient stands for a prolonged time (workplaces, kitchen or stoves) to use in stretching the calf. Dynamic stretches such as rolling the foot arch over a can or a tennis ball are also useful. Cross-friction massage above the plantar fascia and towel stretching may be done before getting out of bed. 

Exercises such as picking up marbles and coins with the toes are also useful. Towel curl involves pulling the towel toward the body by curling the towel with the toes while sitting with the foot flat on the end of a towel placed on a smooth surface. Toe taps involve lifting all toes off the floor and, keeping the heel on the floor and the outside four toes in the air, the big toe is tapped to the floor repetitively. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air.

Shoes.

Wearing shoes with thicker, well-cushioned arch supports decreases the pain associated with long periods of walking or standing. Thus, simply getting a new pair of shoes may be helpful in decreasing pain as studies have shown that with age, running shoes lose a significant portion of their shock absorption.

Some 14 percent of patients with Plantar Fasciitis stated that change of shoes was the treatment that worked best for them.

Orthotics and Arch Supports

The three most commonly used mechanical corrections are arch taping, over-the-counter arch supports and custom made orthotics.

Arch taping can be used as definitive treatment or as a trial to determine if the expense of arch supports or orthotics is worth per suing. Taping may be more cost effective in cases of acute plantar fasciitis while over-the-counter arch supports and orthotics may be more cost-effective for chronic or recurrent cases of plantar fasciitis and for prevention of injuries.

Over-the-counter arch supports are highly variable and depend on the material used to make them. In general, patients should try to find the densest material that is soft enough to be comfortable to walk on. Over-the-counter arch supports are especially useful in the treatment of adolescents where rapid foot growth may require a new pair of arch supports once or more per season.

Custom made orthotics are usually made by taking a plaster cast or an impression of the individuals foot and then constructing an insert specifically designed to control biomechanical risk factors such as pes planus, valgus heel alignment and discrepancies in leg length. The main disadvantage of orthotics is the cost, which may range from £50 to £200 or more. However, the strong advantages of orthotics are that they are made specifically to match your individual foot. Similar to having a prescription for glasses. You wouldn’t want to wear someone else’s glasses! Although the initial cost is more than an over the counter pair, they are more cost-effective as they will last longer. Orthotics are also an excellent corrective treatment.

(   TOG Gait Scan and Cold Laser Therapy are below.)

Tog GaitScan™ 

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions. 

Corticosteroid Injections

Corticosteroid injections have the greatest benefit if administered early in the course of treatment but, because of the associated risks, they are usually reserved for treatment resistant cases.

Potential risks include rupture of the plantar fascia and fat pad atrophy. Rupture of the plantar fascia was present in almost 10 percent of patients after plantar fascia injection. Long-term consequences of plantar fascia rupture were found in approximately one half of the patients with plantar fascia rupture. On the other hand, another study found that most individuals with rupture of the plantar fascia had resolution of symptoms with rest and rehabilitation.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic, Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Athletic and Sports Injuries.

Shoulder conditions and injuries.  Ruptures. Tears. Ligaments. Tendons.

Knee Ankle and foot Pain Conditions and injuries. Hip, Knee Bursitis.

Achilles Tendonitis. Bursitis.  Plantar Fasciitis. Stress Fractures. Shin Splints.

Meniscus tears. Runners Knee Iliotibial Band Friction Syndrome

Chronic Neck and Back pain.

“Whiplash” (WAD) injury/ Neck Pain. Cervical Disc injury.

Upper and Lower Back Pain

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  nerves.

Hip Pain Sacroiliac joint inflammation

Shoulder Injuries and conditions.
Carpal Tunnel Syndrome.
Arthritic Pain Relief.

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

 Wound Management including Skin Ulcers, Pressure Sores and Burn.

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back

Pain. “Whiplash” (WAD) injury. Neck Pain and injuries.

For further in depth information on Hip knee or Ankle pain including Back and Lower Back Pain, Sciatica. Please go to top left corner under “Pain” or “Conditions”. 

Call 024 7622 2002. Ankle Syndesmosis Sprain Anterior ankle impingement. Plantar fasciitis. Stress Fracture. Foot Stress Fracture.Navicular stress fracture.Fifth metatarsal stress fracture.Achilles tendon rupture. Ankle sprain, Cold/Low Level Laser Therapy accelerates the healing process and recovery.

Plantar fasciitis

Plantar fasciitis causes pain on the inner and underside of the heel. It is  worse first thing in the morning. It can affect every one old or young. Athlete’s, particularly suffer if it results from a partial tear of the plantar fascia, this the term used for plantar fasciitis which is a ’heel spur.

Treatment with Cold Laser Therapy 

Ankle Syndesmosis Sprain.

Syndesmosis sprains, are ’high ankle sprains they affect the ligament between the two shin bones, which are called the Tibia and Fibula. There is very little swelling on tenderness and for this reason they are difficult to diagnose. (see cold laser therapy  for treatment))

Grade 1-2. Syndesmosis Sprains can last 5-10 weeks.

Grade 3. Syndesmosis Sprains may require surgery. The recovery period for these injuries is 4-6 months. Much less with Cold Laser Therapy.

Ankle sprains

The ankle sprains are the most common ankle injury. Treatment with cold laser therapy fast recover

Foot stress fractures

Foot stress fractures are debilitating, the injuries can be severe, and require lengthy recover periods.   The severest stress fractures in the foot are to the navicular and 5th metatarsal. They may require plaster or surgery; they have a very high rate of recurrence, treatment with cold laser therapy for quick recover excellent.

Navicular stress fracture

Navicular stress fractures are a running athlete’s nightmare. The navicular is a small bone at the top of the arch of the foot. It does not heal well. This is due in part to poor blood supply and mechanical load.

Treatment.  Cold laser therapy

Fifth metatarsal stress fracture.

This stress fractures is to the 5th metatarsal bone, on the outside of the foot. The bone develops the stress fracture at its base which is halfway down the outer side of the foot. Treatment with cold laser therapy combined with rest will speed up the recovery.

The Achilles tendon.

The Achilles tendon is the longest and thickest tendon in the body connecting the calf muscle group to the heel bone which is called calcaneus which can be found behind the ankle joint.  These Injuries can be subdivided into partial tendon injuries, Tendonitis or partial tears and complete ruptures. Achilles tendon ruptures will require surgery. Achilles tendinopathy   which means without rupture, can be subdivided into mid-substance or tendon injuries and insertional or tendon-bone junction injuries. Insertional injuries more than not involved calcification of the tendon

Treatment.  Cold laser therapy.

Achilles tendon rupture

Achilles tendon ruptures are renowned in sporting activity, with rapid acceleration movements can cause   this injury.

Ankle posterior impingement

Ankle posterior impingement is common injury where the ankle is placed in full plantar (downwards) flexion. The impingement is caused by an extra bone called an os trigonum.

Treatment.  Cold laser therapy or surgery. 

Ankle cartilage injuries

An ankle sprain can lead to an injury to the ankle cartilage lining and may cause prolonged disability

. 

Anterior ankle impingement

Anterior ankle impingement this condition is very common in football players. The condition consists of bone spurs forming at the front of the ankle after repetitive sprains or contact injuries. Symptoms are pain at the front of the ankle and a limited range of forward movement which is called the dorsi-flexion of the ankle. Treatment with Cold laser therapy to add recovery.

Tog GaitScan Orthotics complements our health-care professional’s treatment for our patients. This becomes apparent when our patients are standing, walking, and living normal active life pain free. 
Suffering from back pain, hip, knee, leg pain, leg fatigue, bunions,  heel pain, arch pain,  plantar fasciitis, or Achilles tendonitis, Our custom-made, Tog GaitScan Orthotics might be right for you.

Tog GaitScan™

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Heel and foot pain Conditions and injuries, plantar fasciitis, Tendonitis, Ligaments and Tendons. 

Athletic / sports Injuries.

Soft Tissue Injuries including Sprains and Strains, Tendonitis.

Soft Tissue Injuries. Cold laser therapy for pain relief and recovery

Ligaments.  muscle tears and  Sprains.  Nerves, Tendonitis, Neck Back, Shoulders, Biceps, Triceps, and Knee, Hip, Foot. 

The Cold Lasers (LLLT) used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, including Russia and Japan.  In all this time there have been no recorded long-term adverse effects from its use.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  Cold Laser Therapy is similar to photosynthesis in plants; sunlight is absorbed by the plant and converted into energy the plant can utilize for growth.  In the body light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of nitric oxide, singlet oxygen and ATP, as well as, an increase in the cell membrane’s permeability.  The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  The additional energy and effects result in normalization of the cell function when cell function is impaired.  These activities can occur in all types of cells and includes ligament, nerves, cartilage, and muscle.

Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as:

Athletic and sports injuries

Soft Tissue Injuries including Fractures, Sprains and Strains, Tendonitis, conditions and disorder

Shoulders, Biceps, Triceps, Muscle Tears, Rotator Cuff injuries.

Knee, ligaments, Runners Knee, Bursitis, conditions and disorders

Hip Pain, Sacroiliac Joint inflammation

Foot, Heel Ankle Pain and injuries

Achilles tendonitis,

Plantar Fasciitis

Back pain, Lower back pain

Slipped disc, Prolapsed disc, Herniated disc, 

Trapped nerve.

Sacroiliac Joint inflammation 

“Whiplash” (WAD), Neck Pain and injury

Athletic Injuries

Lower Back Pain
Knee, Heel and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief

Muscle Spasm and Relief of Muscle and Joint Pain

Skin infections including cold sores,

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back pain.

Soft tissue injuries for further in depth information on all above conditions please go to top left corner under ”Pain” or “Conditions” and “Treatments” for Cold Laser Therapy.

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simpleyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome affects the wrists, an injury that can prevent people from working, and making the wrists and hands very painful. This is a wrist condition that can result in chronic wrist and hand pain.

Carpal: Across the back of the wrist, eight small irregular bones (called carpals) are aligned in 2 rows forming a letter “C.” There is a tough ligament attaching across the inner side of the wrist. Thus forming the Carpal Tunnel.

Tunnel: An opening through which something passes through. Nine tendons of the muscles of the forearm that move the fingers along with the soft median nerve pass through this narrow tunnel. This tunnel is about the size of your little finger.

In carpal tunnel syndrome the median nerve becomes either compressed, irritated or swollen resulting in pain.

Carpal Tunnel Syndrome is a condition in which the median nerve becomes irritated and swells. During the swelling the pressure in the canal increases leading to further irritation and compression of the nerve. This leads to more swelling and nerve irritation.

What are Carpal Tunnel Syndrome symptoms?

Typical symptoms of Carpal Tunnel Syndrome include parenthesis (abnormal sensations) such as tingling and numbness in the thumb and index and middle fingers on the palm side, night pain, weakness in grasping, thumb and index finger pinching, and other thumb movements’ clumsiness, such as awkward hand movements and dropping things with increased weakness.

What treatment is available for Carpal Tunnel Syndrome?

Before commencing the treatment patient should be evaluated for the cause of the nerve swelling. Some systemic conditions such as under active thyroid can lead to the swelling of the tendons, thus putting pressure onto the median nerve.

Patients should also be evaluated for possible compression of the nerves at the neck, shoulder and elbow levels that can also present itself as a pain and weakness in the wrist. In majority of cases of wrist and hand pain and weakness the primarily cause is compression of the nerve root at the neck level that forms nerves of the arm and hand. That’s why some patients still experience symptoms of carpal tunnel even after the surgery or cortisone injections were performed.

Cold laser therapy applied over the carpal tunnel has proven to be very effective in reduction of swelling and pain management. Please contact us if you require further information.

 (See our Cold Laser Therapy Section under Inflammatory conditions.)

Cold Laser Therapy for Carpal Tunnel Syndrome including;

Soft tissue injuries. Ligaments. Tendons and muscles. Tendonitis Bursitis. Plantar fasciitis. Back and Lower back pain. Neck Shoulder Arm and Wrist pain. Hip knee ankle pain injuries.

The lasers used at Central Chiropractic Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Carpal Tunnel Syndrome

Chronic Neck and Back Pain. “Whiplash (WAD) injuries” Neck Pain. Cervical Disc injury.

Upper and Lower Back Pain, Sciatica.

Disc injuries, Slipped disc, Prolapsed disc, Herniated disc, Bulging disc.

Trapped  Nerves.

Hip Pain Sacroiliac joint inflammation

Athletic and Sports Injuries. Ligaments. Tendons. and Tendonitis.

Lower Back Pain
Knee and Foot Pain and injury
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic Pain Relief and Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections,

Wound Management; including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including; Sprains and Strains, Tendonitis and Haematomas

Joint Disorders; including Arthritic pain relief and Tenosynovitis

Chronic Pain such as Trigeminal Neuralgia and Chronic Neck and Back

 Pain. “Whiplash (WAD) injuries”, Neck Pain and injuries.

For further in depth information on Back, Neck or Shoulder Pain, Sciatica, Lower Back Pain, please go to top left corner under “Pain” or “Conditions”. 

Call 02476 222002.Registered with BUPA. AXA PPP. HSA. AVIVA. CIGNA. Simpleyhealth. Standard life. Pru health. Mercia health.Medicash Medisure. All health insurance accepted.

Running injuries; Runners Knee – Iliotibial Band Friction Syndrome. Achillies Tendonitis. Plantar Fasciitis Cold Laser Therapy. 

Runner’s Knee Explained

Runner’s Knee is the common term for Iliotibial Band Friction Syndrome. Runner’s Knee is a painful overuse knee injury that affects the outer part of the knee. It is common in runners and cyclists. It affects around 5% of all runners, while knee injuries in cyclists 20% are diagnosed as Runner’s Knee.

Runner’s Knee to understand this condition its necessary to be familiar with the anatomy of the outer side of the thigh and knee. The Ilio Tibial Band is a tough length of fascia that attaches to the outer side of the pelvis (The Ilium), goes down the outer side of the thigh and inserts into the outer side of the shin bone (Tibia). The Ilio Tibial Band forms a length of taught fibrous tissue that connects the hip and knee.

The Lateral Epicondyle is a bony prominence that is the widest point of the thigh bone. When the knee is straight the Ilio Tibial Band is in front of the Lateral Epicondyle of the thigh bone and when the knee is fully bent the ITB is behind the Lateral Epicondyle of the thigh bone. During movements of the knee, the Ilio Tibial Band moves over the Lateral Epicondyle of the thigh, with maximum friction at 30 degrees of knee bend.

During activities such as running and cycling, where there is repeated bending and straightening of the knee joint, the Ilio Tibial Band can ‘impinge’ upon the Lateral Epicondyle and the resultant friction can lead to inflammation of the tissues. If the Ilio Tibial Band is tight then the degree of friction is increased and a tight Ilio Tibial Band can predispose people to Runner’s Knee.

Between the Ilio Tibial Band and the thigh there is a sac of fluid, called a bursa, which is meant to prevent friction. However, where there are repeated knee bending movements with a tight Ilio Tibial Band, the bursa can become impinged between the Ilio Tibial Band and the Lateral Epicondyle of the thigh. The bursa itself, as well as the Ilio Tibial Band, can become inflamed and painful.

Runner’s Knee Symptoms

Typically there is pain located on the outer side of the knee joint. This pain may radiate up the thigh or down the outer side of the shin and is exacerbated by running or cycling activities. Usually, the pain from Runner’s Knee is only present during activity and settles when the person rests. However, in some cases it can also be extremely uncomfortable going up or down stairs.

There is often severe tenderness when the Lateral Epicondyle of the thigh bone is palpated. There is usually maximum friction at the area of the Lateral Epicondyle when the knee is bent to around 30 degrees.

Achilles Tendonitis

Achilles tendonitis accounts for around 13% of running injuries. The Achilles tendon is the large tendon at the back of the ankle. This Tendon connects the calf muscles (Gastrocnemius and Soleus) to the heal bone (calcaneus) and provides the power and drive in the push off phase of the gait cycle. The Achilles tendon can become inflamed through overuse as well as a number of other factors. Achilles tendonitis may be acute or chronic. Acute Achilles tendonitis is a result of overuse.

Achilles Tendonitis the Symptoms

Achilles tendonitis symptoms include:

• Acute inflammation
• Achilles Tendonitis pain may increase gradually during exercise. l Swelling may appear over the Achilles tendon.
• Redness may appear over the skin in the area of the tendonitis.
• You may feel a cracking or creaking sensation when you press your fingers into the tendon while moving the foot.
• Chronic Achilles tendonitis will often follow on from acute Achilles tendonitis if the acute tendon injury is not treated properly and given time to heal. Chronic Achilles tendonitis is a difficult condition to treat. The pain experienced during the acute phase of the injury may well disappear after a warm session, and may return when training has stopped.

Symptoms for chronic Achilles Tendonitis are similar to those of acute tendonitis as well as:

• Stiffness and pain in the Achilles tendon are especially noticeable in the morning. This pain may be described has none specific or generalized pain of the area.
• Nodules or lumps may appear in the Achilles tendon, 2cm above the heel.
• Tendon pain may appear when walking up a hill or incline.
• Chronic tendonitis differs from acute tendonitis in that it is a much more of a long term problem.

Causes of Achilles Tendinitis

An Overuse are the main factor and the basic cause of this injury, however other factors can make an overuse injury more likely.

Running up inclines and hills will mean the Achilles tendon has to stretch more than normal. This exasperates and worsens this condition.

Overpronation, meaning feet which roll in, will place an increased strain on the Achilles tendon. As the foot rolls in and (flattens) the lower leg rotates inwards which then twists the Achilles tendon placing torsion stress along the length of the Achilles tendon.

Treatment of Achilles Tendonitis

Rest and apply cold therapy or ice (not directly onto the skin).

Wearing a heel pad, as a temporary measure, to raise the heel and take the strain off the Achilles tendon. Rest while the Achilles tendon is healing.

Listed in our cold laser section under conditions treated.

Plantar Fasciitis. Heel Pain, spurs and Injury, Foot Pain and injury, causes, symptoms and treatment with Tog GaitScan and/or Cold Laser Therapy.

Plantar Fasciitis . A common cause of heel pain in adults. A classic sign is pain that is particularly severe when the first steps are taken in the morning. Plantar Fasciitis is a self-limited condition, however many people can suffer with this problem for years. The symptoms usually resolve more quickly when the time between the onset of symptoms and the start of treatment is short. There are many treatment options including Cold laser therapy rest stretching, strengthening, orthotics and anti-inflammatory drugs.

Pain is usually caused by collagen degeneration at the origin of the plantar fascia at the medial tubercle of the calcaneus. The cause of the degeneration is repetitive micro tears of the plantar fascia that overbears the body’s ability to repair itself. Cold laser therapy has become a major player in helping the body’s ability to repair itself quicker.

Although the classic sign of Plantar Fasciitis is early morning pain, not every patient will have these symptoms.  Symptoms vary from person to person, however the majority will notice pain at the beginning of activity which lessens as they warm up. Plantar Fasciitis pain may also occur with prolonged standing. In severe cases, the pain will increase towards the end of the day.

The Plantar Fascia is a thickened fibrous aponeurosis that originates from the medial tubercle of the calcaneus and runs forward to form the longitudinal foot arch. The function of the Plantar Fascia is to provide static support of the longitudinal arch and shock absorption. Individuals with pes planus (flat feet) or pes cavus (high arches) are at increased risk of suffering Plantar Fasciitis. 

What Causes Plantar Fasciitis 

A history of an increase in weight-bearing activities is common, especially those involving running, which causes micro trauma to the plantar fascia that exceeds the body’s capacity to recover. Plantar Fasciitis also occurs in elderly. In these patients, the problem is usually more biomechanical, often related to decrease in strength of intrinsic muscle.

As mentioned above, people with faulty foot biomechanics are also at risk of developing Plantar Fasciitis. A large percentage of the population will over-pronate (i.e. the foot rolls inward when they walk) which overstretches the plantar fascia and causes irritation.

On examination, the patient usually has a point of maximal tenderness just under the front aspect of heel bone and on the sole of the foot. The pain may be worsened by having the patient stand on the tips of the toes.

Plantar Fasciitis is often called “heel spurs,” although this terminology is somewhat misleading because 15 to 25 percent of the general population has heel spurs, without any symptoms and many symptomatic individuals do not have them. 

In general, Plantar Fasciitis is a self-limiting condition meaning it would resolve by itself usually within 6 to 18 months. Suffering for such a long time can lead to

Frustration for patients and Doctors.

Stretching and Strengthening

Stretching and strengthening programs address risk factors such as tightness of the gastrosoleus complex and weakness of the intrinsic foot muscles. Increasing flexibility of the calf muscles is particularly important. Frequently used stretching techniques include wall stretches and curb or stair stretches.

Other effective techniques include placing a two-inch 3 four-inch piece of wood in the areas where the patient stands for a prolonged time (workplaces, kitchen or stoves) to use in stretching the calf. Dynamic stretches such as rolling the foot arch over a can or a tennis ball are also useful. Cross-friction massage above the plantar fascia and towel stretching may be done before getting out of bed. 

Exercises such as picking up marbles and coins with the toes are also useful. Towel curl involves pulling the towel toward the body by curling the towel with the toes while sitting with the foot flat on the end of a towel placed on a smooth surface. Toe taps involve lifting all toes off the floor and, keeping the heel on the floor and the outside four toes in the air, the big toe is tapped to the floor repetitively. Next, the process is reversed, and the outside four toes are repetitively tapped to the floor while keeping the big toe in the air.

Shoes.

Wearing shoes with thicker, well-cushioned arch supports decreases the pain associated with long periods of walking or standing. Thus, simply getting a new pair of shoes may be helpful in decreasing pain as studies have shown that with age, running shoes lose a significant portion of their shock absorption.

Some 14 percent of patients with Plantar Fasciitis stated that change of shoes was the treatment that worked best for them.

Orthotics and Arch Supports

The three most commonly used mechanical corrections are arch taping, over-the-counter arch supports and custom made orthotics.

Arch taping can be used as definitive treatment or as a trial to determine if the expense of arch supports or orthotics is worth per suing. Taping may be more cost effective in cases of acute plantar fasciitis while over-the-counter arch supports and orthotics may be more cost-effective for chronic or recurrent cases of plantar fasciitis and for prevention of injuries.

Over-the-counter arch supports are highly variable and depend on the material used to make them. In general, patients should try to find the densest material that is soft enough to be comfortable to walk on. Over-the-counter arch supports are especially useful in the treatment of adolescents where rapid foot growth may require a new pair of arch supports once or more per season.

Custom made orthotics are usually made by taking a plaster cast or an impression of the individuals foot and then constructing an insert specifically designed to control biomechanical risk factors such as pes planus, valgus heel alignment and discrepancies in leg length. The main disadvantage of orthotics is the cost, which may range from £50 to £200 or more. However, the strong advantages of orthotics are that they are made specifically to match your individual foot. Similar to having a prescription for glasses. You wouldn’t want to wear someone else’s glasses! Although the initial cost is more than an over the counter pair, they are more cost-effective as they will last longer. Orthotics are also an excellent corrective treatment.

(   TOG Gait Scan and Cold Laser Therapy are below.)

Tog GaitScan™ 

Our GaitScan™ System is a revolutionary diagnostic tool for assessing patient’s foot biomechanics. GaitScan™ has an industry high 4096 sensors and scans at an industry high 300Hz (scans per second).  These measurements provide today’s Healthcare Professionals with a sophisticated explanation of foot mechanics and assists them with orthotic and/or shoe solutions. 

Corticosteroid Injections

Corticosteroid injections have the greatest benefit if administered early in the course of treatment but, because of the associated risks, they are usually reserved for treatment resistant cases.

Potential risks include rupture of the plantar fascia and fat pad atrophy. Rupture of the plantar fascia was present in almost 10 percent of patients after plantar fascia injection. Long-term consequences of plantar fascia rupture were found in approximately one half of the patients with plantar fascia rupture. On the other hand, another study found that most individuals with rupture of the plantar fascia had resolution of symptoms with rest and rehabilitation.

Cold laser Therapy/Treatment

The lasers used at Central Chiropractic, Physiotherapy Clinic are certified as Cold Laser.  For the past 30 years the technology of Cold Laser Therapy (also known as Low Level Laser Therapy) has been formally accepted in North America and in many other parts of the world such as Europe, Russia and Japan.  In all this time there have been no recorded long-term adverse effects from low level laser therapy.  It is considered to be non-invasive, painless and safe.

Cold Laser Therapy uses laser light energy to stimulate cells to function optimally.  In the body, light sensitive chromophores and other elements within the cell absorb energy initiating a series of important photochemical changes such as increased production of ATP. The mitochondria and Kreb’s Cycle stimulation initiates the production of ATP, providing the cell with the extra energy needed to accelerate the healing process and positively influence pain.  These activities can occur in all types of cells and includes ligament, nerves, cartilage and muscle.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non-invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as;

Athletic and Sports Injuries.

Shoulder conditions and injuries.  Ruptures. Tears. Ligaments. Tendons.

Knee Ankle and foot Pain Conditions and injuries. Hip, Knee Bursitis.

Achilles Tendonitis. Bursitis.  Plantar Fasciitis. Stress Fractures. Shin Splints.

Meniscus tears. Runners Knee Iliotibial Band Friction Syndrome

Chronic Neck and Back pain.

“Whiplash” (WAD) injury/ Neck Pain. Cervical Disc injury.

Upper and Lower Back Pain

Slipped disc. Prolapsed disc. Herniated disc. Bulging disc.

Trapped  nerves.

Hip Pain Sacroiliac joint inflammation

Shoulder Injuries and conditions.
Carpal Tunnel Syndrome.
Arthritic Pain Relief.

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections.

Wound Management including Skin Ulcers, Pressure Sores and Burn.

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas.

Joint Disorders including Arthritic pain relief and Tenosynovitis

Chronic pain such as Trigeminal Neuralgia and Chronic Neck and Back

Pain. “Whiplash” (WAD) injury. Neck Pain and injuries.

For further in depth information on Hip knee or Ankle pain including Back and Lower Back Pain, Sciatica. Please go to top left corner under “Pain” or “Conditions”.