Archive for January, 2010

What Is Tendinitis (Tendonitis)?

Tendinitis, also known as tendonitis, is the inflammation of a tendon. Tendinitis is a type of tendinopathy – a disease of the tendon. Tendinosis is similar to tendinitis, but requires different treatment. Tendinitis refers to larger-scale acute (sudden, short-term) injuries with inflammation.

Usually tendinitis is referred to by the body part involved, for example, Achilles tendinitis which affects the Achilles tendon, or patellar tendinitis which affects the patellar tendon (jumper's knee). Tendinitis can occur in various other parts of the body, including the elbow, wrist, finger, or thigh. It is caused by overusing a tendon or injuring it, as may happen during sport.

Tendinitis can affect people of any age, but is more common among adults who do a lot of sports. Elderly individuals are also susceptible to tendinitis because our tendons tend to lose their elasticity and become weaker as we get older.

According to Medilexicon's medical dictionary:

    Tendonitis is "Inflammation of a tendon."

Some common lay terms for tendinitis include:

  • Golfer's elbow
  • Jumper's knee
  • Pitcher's shoulder
  • Swimmer's shoulder
  • Tennis elbow

What are tendons?

A tendon is tissue which attaches muscle to bone. It is flexible, tough and fibrous and is capable of withstanding tension. A ligament extends from bone to bone at a joint, while a tendon extends from muscle to bone. Tendons and muscles work together and can only exert a pulling force. Although tendons and ligaments are tough and fibrous, they are referred to as soft tissue, because of their common comparison to bone or cartilage.

The Latin word tendere and the Greek word teinein mean "to stretch".

Inflamed tendons (tendinitis) are more likely to get ruptured. If the sheath around the tendon becomes inflamed, rather than the tendon itself, the condition is called tenosynovitis. People can have tendinitis and tenosynovitis simultaneously.

What are the signs and symptoms of tendinitis?

A symptom is something the patient feels and reports, while a sign is something other people, such as the doctor detect. For example, pain may be a symptom while a rash may be a sign.

Tendinitis signs and symptoms occur where the tendon attaches to a bone; and usually include:

  • Pain – if the affected area is moved the pain worsens
  • A feeling that the tendon is crackling or grating as it moves. This sensation is more common on examination.
  • Swelling in the affected area
  • The affected area may be hot and red
  • A lump that develops along the tendon

If there is a rupture a gap may be felt in the line of the tendon and movement will be very difficult. Read more…

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No Evidence that Chiropractic Causes Stroke According to Foundation for Vertebral Subluxation

Amidst a great deal of emotion and rhetoric coming out of Connecticut this week regarding the stroke issue The Foundation for Vertebral Subluxation has just released a very clear position statement on the issue of chiropractic and strokes.

Atlanta, GA, January 07, 2010 –(PR.com)– According to the Foundation for Vertebral Subluxation there is no human experimental evidence that chiropractic adjustments or neck manipulations are causally related to strokes.

“While plaintiff’s attorneys and expert witness make claims and statements contending that such a causative link exists, the fact remains that these are based largely on anecdotes, case reports, and case controlled studies and cannot be used to prove causation” stated Foundation President Christopher Kent DC, JD a chiropractic researcher and attorney.

According to researchers and the scientific method itself there are all sorts of biases and distortions that effect conclusions drawn from such studies and other criteria must be used to determine whether such a link exists.

“What this boils down to is a simple lack of understanding of biostatistics and epidemiology” stated Foundation Vice President Matthew McCoy DC, MPH, a chiropractic researcher and public health expert. “Words like ‘association’ and ‘causation’ and ‘risk’ have very specific meanings when it comes to their use in epidemiology and it’s clear that laypersons involved in this debate are using these terms inappropriately.”

While the experience of a stroke can be devastating and no one would suggest ignoring the concerns of those who have suffered one, the reality is that when it comes to the contention that chiropractic causes strokes – the evidence just isn’t there. And while the strokes these people have experienced are indeed real, McCoy suggests there are often other issues involved and offered an example. “Millions of people visit a dentist every year and a certain number of those same people get into car accidents on their way home. If we were to run the stats on it we might find that there is a statistical association between visiting a dentist and getting into a car accident on the way home. But no one would even consider suggesting that the dentists are causing the car accidents.”

Self described chiropractic stroke victims say there is a risk and that people should be advised about it prior to undergoing chiropractic care. The majority of chiropractors would agree that patients should be informed of the risks, benefits and alternatives of any health care intervention, but according to Dr. Kent “Such informed consent must be based on appropriate information and since there is no scientific evidence that chiropractic adjustments or neck manipulations actually cause strokes, it is inappropriate to require a doctor to suggest that such a risk exists.”

Dr. McCoy added another often overlooked issue “Chiropractors utilize a number of techniques to address joint dysfunction and vertebral subluxation and in fact there are over 300 named chiropractic techniques and many do not employ the type of manipulation that has been alleged to be a factor in vertebrobasilar accidents. This adds to the inappropriate nature of such a disclosure.”

In the end, chiropractic has an impressive safety record compared to traditional medical care with estimates are that anywhere from 100,000 (Institute of medicine) to 750,000 (Null et al) people die every year from medical care. In comparison, other than some minor soreness following chiropractic treatment, research has shown chiropractic to be very safe.

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Even with Fewer Risk Factors, Heavy Men Die Earlier

A man walks past the New York Stock Exchange after trading hours in New York August 17, 2009. REUTERS/Lucas Jackson

NEW YORK (Reuters Health) – Overweight middle-aged men may have a higher risk of heart problems and strokes and die earlier than their thinner peers — even in the absence of some traditional risk factors, a new study suggests.

Some past research has suggested that when obese and overweight adults do not have the so-called metabolic syndrome, their risks of diabetes, heart disease and stroke are no higher than those of normal-weight people.

Metabolic syndrome refers to a collection of risk factors for diabetes and heart problems — including abdominal obesity, high blood pressure, elevated blood sugar, low levels of “good” HDL cholesterol and high triglycerides (another type of blood fat). It is typically diagnosed when a person has three or more of those conditions.

In the current study, which followed more than 1,700 Swedish men for 30 years, overweight and obese men had increased risks of conditions including heart attack and stroke, even when in the absence of metabolic syndrome.

Among all men without metabolic syndrome, those who were overweight were 52 percent more likely to have heart attacks, strokes, and other complications than normal-weight men were, while obese men had nearly double the risk.

The findings are published in the American Heart Association journal Circulation. Read more…

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Costa Mesa Chiropractic Answers the Question: What is Benign Paroxysmal Positional Vertigo and How Can Chiropractic Treatment Help?

What does the term, “vertigo, ” mean? Vertigo is the name for the dizzy disturbance a person suffers within a fixed setting. The perception is that the outer world is tilting or perhaps spinning. Vertigo can be abrupt and short- lived or unceasing. Nevertheless, in either case, the exact reason for vertigo should be identified and the correct professional treatment plan carried out.

There are many causative factors for the symptoms of Vertigo. An inner ear affliction, known as Benign Paroxysmal Positional Vertigo, may sometimes take place as the outcome of a sustained head injury or very bad cold. Often this particular vertigo may be the result of the aging process. The origin, though, oftentimes is not known. Benign Paroxysmal Positional Vertigo is a wordy diagnosis, but it characterizes completely this non- progressive affliction that is the result of, as its name indicates, a sudden change in head posture. The difficulties are most often unpredicted and varied.

It will be helpful to look at the function of the inner ear in an endeavor comprehend what induces the ofttimes disabling complaints of this sort of vertigo. The brain senses changes in position and keeps balance employing the fluid found in the inner ear. Also in the inner ear are miniature calcium carbonate crystals, known as otoconia. These crystals are inclined float in the inner ear fluid if dislodged. As the crystals strike against the delicate nerve endings in the inner ear, they trigger the disorder of Benign Paroxysmal Positional Vertigo or BPPV.

The good news is that chiropractic therapy can eliminate the problems of BPPV very quickly and effectively employing a technique that is called the Epley maneuver. By means of the use of this approach, a chiropractor rotates the head of a BPPV sufferer into several different positions, letting gravity carry the calcium carbonate crystals into a local of the inner ear that is away from the nerve endings where they will stimulate no further wooziness.

Your chiropractor has helped numerous people for Benign Paroxysmal Positional Vertigo applying the Epley Maneuver technique. Quite often, with just one treatment most patients no longer suffer from wooziness. Costa Mesa chiropractic can help. Call today!

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