Wednesday, March 30, 2016

Delayed Onset Muscle Soreness and Athletic Performance

muscle pain and cramps

How Delayed Onset Muscle Soreness Impacts Muscle Strength?

Delayed onset muscle soreness (DOMS) is commonly seen in athletes after unaccustomed physical activities or when first return to activity after a period of reduced activity. The symptoms of DOMS can range from mild muscle soreness to severe pain. If the athlete decided to continue the activity without proper treatment to alleviate the discomfort or pain, DOMS might have significant effects on the performance. In some serious cases, DOMS may cause secondary injuries in athletes.

Eccentric activity which involves the elongation of the muscles during the performance is more likely to cause DOMS. Eccentric activity may change the muscle function and joint mechanics due to muscle and connective tissue damages during the activity. As a result of the muscle soreness, the compensatory mechanism for muscle soreness and muscular and connective tissue damages, a less than optimal training performance may be noted.

DOMS may lead to anatomical, physiological, or psychological impairment in athletes. A decreased range of joint motion decreased strength or muscle power, and abnormal muscle recruitment patterns are the possible adverse outcome of DOMS. Research showed that muscle soreness from DOMS may impair the neuromuscular function. A reduction in joint proprioception and decreased precision of force production is observed in athletes after eccentric activity. This may pose the athlete at a higher risk of secondary injury.

Chiropractic SPeicalty Center® has the best chiropractors and physiotherapists in MalaysiaFor more information or inquiries on spine and joint injuries, please contact us at 03-2093 1000.

Thursday, March 24, 2016

Should you use heat on muscle and joint injuries in Malaysia

What is the Heat Therapy on the Musculoskeletal System after an Injury?

Heat therapy should be avoided for an acute muscle, ligament, or joint injury. An injured area recovers faster with ice therapy.

Application of heat in any form that leads to an increase in tissue temperature is known as thermotherapy. Superficial or deep heat therapy can relax muscle spasm and reduce pain. Heat application is commonly used in musculoskeletal condition if you want to increase tissue temperature, blood flow, metabolic rate, and connective tissue extensibility. Heat is generally used in subacute and chronic conditions. Caution must be exercised when applying thermotherapy as an acute exacerbation of a chronic health issue is frequently seen. Application of heat in such a situation may not be suitable and may cause more pain.

Tissue healing can be enhanced as topical heat therapy increases blood flow. This increases the supply of protein, nutrients, and oxygen to the site of injury. An increase in tissue temperature also increases the metabolism of the local tissues. Higher metabolic rate increases the rate of metabolic by-product removal and facilitate tissue repair. Research showed that low-level heat therapy can slow down and block the painful nerve signal in the brain, which will provide temporary pain relief.

Continuous low-level heat therapy is effective in treating musculoskeletal conditions such as delayed onset muscle soreness, joint contracture, muscle spasm, and osteoarthritis. Topical heat application showed a significant effect on pain relief, muscle stiffness and muscle and connective tissue flexibility. Prolonged thermotherapy of high-level thermotherapy may cause burns or may increase pain due to increased inflammation.

Chiropractic Specialty Cetner® is the premiere Spine and Joint treatment center in Malaysia. Our sports injury treatment for acute and chronic conditions is unsurpassed by competing centers. For more information or inquiries, please contact us at 03-2093 1000.

Saturday, March 19, 2016

Heel Pain: Causes and Best Treatment Options In Malaysia

What caused your Heel Pain and How to recover Without Injection or Surgery?

The painful heel is a common pain syndrome which can cause severe pain and can be incapacitating in most people. Severe pain in the inferior or posterior aspect of the heel is aggravated by weight-bearing, and the first step in the morning will be worse. Detailed examination of the foot is required to distinguish the differential diagnoses for heel pain. Achilles’ tendinopathy and plantar fasciitis are the two more common diagnoses for heel pain. Get the best heel and foot pain treatment in Malaysia without surgery or injections today. 

Plantar fasciitis is a chronic inflammation of the plantar fascia in the foot. The leading cause of this non-inflammatory tendinopathy is a mechanically induced irritation of the plantar fascia at the calcaneal insertion. The most commonly reported symptoms to include pain at the first step in the morning and pain in the heel after or during exercise. Medial tubercle of the calcaneus on the inner side of the heel can be painful when firm pressure is applied.

Diagnostic imaging methods such as X-rays, magnetic resonance imaging (MRI), and ultrasonography for the ankle and foot may help to rule out specific soft tissue and bone pathologies. Stress fractures, tumors, and calcium deposits need to be ruled out with imaging studies to determine the leading cause of heel pain. However, heel spurs may also present in asymptomatic patients.

Patients who are obese, over the age of 30, and stand for long hours are at higher risk for plantar fasciitis. Structural and biomechanical factors such as pes cavus, flat foot, and limited plantar flexion of the foot may also cause heel pain and foot pain.

Where can you get the best Heel Pain treatment in Malaysia?

Chiropractic Specialty Center® provides holistic heel and foot pain treatments through advanced methodologies of chiropractic combined with physiotherapy. If you suffer from plantar fasciitis, heel pain or foot pain, call our center at 03 2093 1000. The care you get from us will get you better faster without injections or surgery.

For more information about our foot pain or heel pain treatment in Malaysia, please contact us at 03-2093 1000.

Monday, March 14, 2016

Cryotherapy: Ice therapy to recover from Injuries Faster

What Makes Ice Therapy or Cryotherapy Better and How to use it effectively?

Ice therapy or cryotherapy helps decrease inflammatory processes after an injury. Therapeutic application of substances that removes heat from the body and leads to a reduction in tissue temperature is termed as cryotherapy. Cryotherapy causes constriction of the small blood vessels, decreases tissue blood flow, reduces metabolic tissue rate, oxygen consumption, and inflammation and muscle spasm. Conventional methods of cold application include an ice pack, vapor-coolant spray, ice massage, and cold whirlpool. Use of an ice pack or cool pack is best in acute injury, chronic pain, muscle spasm, delayed onset muscle soreness, and inflammation.

The cold-induced local anesthetic effects are obtained via neurologic and vascular mechanisms at the spinal cord level. The temperature of the skin and underlying soft tissues decreases with topical cold application. This temperature reduction leads to a decrease in the nociceptor activation threshold and the nerve conduction velocity of the pain signals. The tissue blood flow and cell metabolic rate can be slow down with continuous cryotherapy. Reduced cell metabolism, in turn, prevents secondary hypoxic injury to the surrounding tissues by restricting the rate of oxygen utilization.

Take extra care when applying cryotherapy to patients with advanced diabetes as diabetic neuropathy may result in serious complications. Peroneal, ulnar, axillary, and lateral femoral cutaneous nerve injury after cryotherapy with compression is well documented. These superficial nerves are more likely to be damaged with prolonged cold compression. Other adverse treatment effects include frostbite, Raynaud’s phenomenon, cardiovascular effects, and slowed wound healing.

Contact Chiropractic Specialty Center® for all your spine and joint conditions or injuries. We have Malaysia's top chiropractors and physiotherapists to get you feeling better fast. Call us today at 03-2093 1000 to schedule your appoint.

Wednesday, March 9, 2016

What are the Mechanisms are involved in sensation of Pain?

ice therapy and cycle of pain

The Basic Pathophysiology of Pain and how Ice therapy or Heat Helps

Pain in joints, muscles, ligaments, and spine have specific patterns or cycle. This article familiarizes you with the petrophysical response of pain. It will inform you why you feel pain and how to get rid of it fast. 

What is the Basic Pathophysiology of Pain?

Musculoskeletal injuries are one of the main reasons for children and adults to lose their days of school and work. Topical heat and cold application are used to treat musculoskeletal injuries such as bony, ligamentous, muscular, and tendinous injuries. Topical heat and cold modalities are used along with physical therapy, chiropractic treatment, exercise, and patient education for the multimodal treatment of musculoskeletal conditions.

Learn how swelling or inflammation of tissue is the leading cause of pain?

The inflammation that occurs around the tissue injury site stimulates specialized nerve endings called nociceptors. Nociceptors transmit painful nervous stimuli through the spinal cord to the brain. The sensation of pain is perceived. At the same time, neurotransmitters, chemicals produced by our body to signal transmission, initiate a reflexive muscle contraction at the site of injury due to increased muscle activity and tonicity. This will lead to painful muscle spasm if muscle contraction persists. Persistent muscle spasm causes secondary hypoxic tissue damage due to decreased blood flow and oxygen to the surrounding tissues. This pain-spasm-pain cycle must be interrupted as early as possible to prevent secondary damage and to manage the pain.

Specialized temperature-sensitive nerve endings called thermoreceptors can detect changes in the skin temperature. The nerve signals initiated by these thermoreceptors can block painful nociceptive information within the spinal cord. Proprioceptors that detect joint position sense through tissue pressure changes and movement also reduce the transmission of pain signals to the brain. Activation of thermoreceptors and proprioceptors through physical therapy and chiropractic treatment can decrease muscle tone and relax painful muscle spasm. 

If you are injured or in pain visit one of Malaysia's best chiropractors for thorough assessment and treatment today, the clinical teams of Chiropractic Specialty Center® have the expertise, advanced technology, and experience to fix and repairs spine and joint conditions without surgery or injections. 

Contact Chiropractic Specialty Center® for more information on spine and joint injuries and pain at 03-2093 1000.

Friday, March 4, 2016

Treatment for Foot Pain and Chronic ankle instability

ankle instability shown

What caused your Foot and Ankle Pain and How to get rid of them?

Foot and ankle pain or injures is one of the more common injuries seen in athletes as well as non-athletes. To recover, you need an accurate diagnosis, focused therapy, and customized rehabilitative programs that address and repair the damage without injections or surgery. Ankle surgery or sue of steroids (injectable steroids) isn't as good as you may have heard.  Surgery for the foot or ankle should is for compound fractures, and fractures that are too complicated to heal naturally. However, steroidal injections of the ankles and feet are more harmful. Steroids will cause your joint cartilage and soft tissues to degenerate at an exceedingly fast pace.

Injuries of the Ankle and Feet are the result of ankle instabilities

Ankle ligament injury is prevalent in sports activities such as basketball, football, ballet, and dancing. The majority of ankle ligament injuries are due to sudden flexion and an inward rolling of the foot. This mechanism of injury usually causes damages to the lateral ligamentous and muscular structures. Inversion injury of the ankle tends to recur due to weakened ligaments, and this can cause chronic ankle instability.

What causes Ankle Instabilities and how to treat them without injections or surgery in Malaysia?

The two leading causes of ankle instability:
  • Mechanical instability: Repeated injury to the ankle can cause structural loss of the supporting ankle ligaments
  • Functional weakness or instability: Loss of neuromuscular control, such as impaired balancing ability and decreased proprioception (joint position sense). The athlete may have difficulty balancing on the injured foot.
Treatments for chronic ankle instability

1. Functional rehabilitation exercises:
  • Muscle strengthening and neuromuscular control enhancement
  • Improvement of joint position sense (proprioception training that uses uneven surfaces such as wobble board or rocker board)
  • Improvement of balancing ability (athletes should be able to perform heel-to-toe walk or one-leg stance with eyes opened or closed)
  • Improvement of posture control ability (strengthening of the peroneal muscle is important as the muscle acts as a lateral dynamic stabilization structure of the ankle)
  • Get combined care from a corrective chiropractor and clinical physiotherapists. 
2. Taping or bracing application for dynamic stabilizer facilitation, proprioception improvement, or joint support.

3. Ankle-foot orthotics to improve static balance ability (standing and simple linear walking) and posture control ability.

Where can you get targeted treatment for a chronic ankle instability or pain in Malasia?

Chiropractic Specialty Center® in Malaysia is the best non-surgical center for ankle and feet injuries. Our advanced methodologies and breakthrough therapy technology can repair your ankle injury without surgery or injections. Get ankle and feet treatment form a superior corrective chiropractor and physiotherapist today. Our center is the leading advocate of excellence in chiropractic and physiotherapy treatment os the spine and joints.

Learn more about our spine and joint treatment center in Malaysia by contacting us at 03-2093 1000. We are the best center for ankle and feet pain or injuries in Malaysia.