Spoon, Fork, or Knife – What Treatment Is Better For Low Back Pain?

While treatment options are many, solutions are but few!

31 million Americans experience low back pain at any given time!  Read that again.  10 percent of the population in the United States experiences low back pain every day!  Unfortunately, that number is also on the rise!

Low back pain is already the single leading cause of disability worldwide, and also one of the most common causes of missed work!  Shockingly, low back pain is the second most common reason for a visit to the doctor, just behind upper respiratory infection.

In the past few decades there have been significant improvements in technology and treatments aimed at eliminating low back pain.  So why does the low back pain epidemic continue to rise?  What is the solution moving forward?

A few years back, the New England Journal of Medicine posted an article on a comparison of physical therapy, chiropractic manipulation, and an educational booklet for the treatment of low back pain.  The results fueled a lively debate among providers in regards to effective treatment for low back pain.  Their conclusion found no difference in outcomes between low back pain patients being treated with chiropractic manipulation, physical therapy with McKenzie exercise, or the educational booklet!  Future studies have also found similar conclusions!

These results can be demoralizing to those seeking help from low back pain!

So what are we doing wrong?  It is highly likely we are not being specific enough with our diagnoses and treatment options!  In all these studies, low back pain was being treated as a single entity with only one cause.  In the aforementioned study, chiropractors diagnosed sprain or strain in half of the patients and facet syndrome in another 30 percent.  Physical therapists diagnosed a disc derangement 92 percent of the time.  Furthermore, these diagnoses are inconsistent with the expected percentages of each pathology.

What an incredible error!  While this seems simple, a treatment applied must match the accurate diagnosis for the patient!

Adhesion, disc injuries, stenosis, nerve entrapment, strains/sprains, tears – all of these things cause pain.  All of these items can be found in the low back.  However, each of these items require different treatment options.   All of these problems can be found at a chiropractic, physical therapy, or medical office.

While all of these problems can be found in the any of these clinics, most treatment is predetermined.  Chiropractors are going to adjust, PT’s are going to stretch and strengthen, and MD’s are going to prescribe pills or provide cortisone.  Treatment is applied, in most cases, without regard for the diagnosis.

If I were to ask you which is better – a knife, fork, or spoon – you may want to know what food you are eating.  By analogy, if I were to ask you which treatment is better for low back pain -chiropractic, physical therapy, or an educational booklet – would you answer the question before knowing what is actually wrong with the patient?

In order for the low back pain epidemic to go away, we have to have providers be more specific with their care!

 

At Thrive Spine and Sport, we pride ourselves on finding the right solution for you!  As the most advanced Integrative Diagnosis providers in the state of Iowa, we offer advanced diagnosis and treatment solutions.  Most patients have seen multiple providers before finding their real cause and solution for their pain.  Not everyone is right for our care, but patients leave our office knowing what is wrong and what needs to be done moving forward!

If you have been struggling with low back pain, we invite you to schedule a consult to meet with one of our highly trained doctors over your condition.  Call 319-423-0925 or click below!

New Effective Sciatica Treatment in Cedar Rapids!

Sciatica is often used as a catch-all term by patients to refer to any pain they feel in their legs.  Millions of dollars are spent each year, with limited effectiveness.  This is understandable when we begin to take into consideration all the possible causes of symptoms and break down the traditional methods of diagnosis and treatment of this condition.

 

Radiating leg pain accounts for around 5-10% of all low back pain cases.  Disc related sciatica symptoms account for only 2.2% of cases.  Tight or overactive muscles are usually to blame in cases diagnosed with piriformis syndrome, and THIS is where the lack of effectiveness in the treatment of radiating leg pain essentially begins!  Whether conservative, or surgical, there is a LACK of diagnosing underlying conditions creating “tight” or overactive muscles!

 

Fortunately, new research being brought to light by researchers and doctors are shining a light on a new paradigm shift in the diagnosis and treatment of radiating pain down the leg.  Deep Gluteal Syndrome, or DGS, has the same pain characteristics as sciatica and piriformis syndrome, but the true cause of the problem has finally been found!  

 

For years, surgeons have noted and treated “fibrous scar bands” during procedures.  Sciatic nerve decompression is a surgery where fibrous scar bands, also known as adhesion, are removed around the sciatic nerve to alleviate pain.  

 

The problem is that surgery is no more beneficial than quality conservative care after 1 year!  Even with surgery, a small but significant group of patients fail to improve all together!  Collagen, the material that makes up adhesion, breaks down with as little as 6 pounds of tension.  The keyword is tension, and its specific application.  Compressive forces take much more pressure.  The good news is that Integrative Diagnosis providers have been effectively treating this problem, without surgery, for over a decade!

 

Adhesion, as it is frequently referred as, is a build up of collagen or fibrotic tissue that acts like glue on muscles and around nerves.  As adhesion builds, it limits flexibility of joints causing weakness and pain.  If adhesion builds up around nerves, like the sciatic nerve, it can create symptoms of tingling, burning, or numbness.  Sound familiar?

 

The good news is this problem is extremely common, one of the most common problems in the body, that also happens to be one of the most reversible conditions in the human body as well!  Adhesion develops most commonly through overuse, think repetitive motions like running, or prolonged positions like sitting on your butt all day.

 

Adhesion builds up most commonly around the sciatic nerve in the buttock. Limited movement accompanies this development often with increasing symptoms.  Normally, with hip flexion the sciatic nerve can stretch over 1 inch in the hip!  As adhesion develops, hip flexion becomes more limited, and more stress is placed not only in the hip, but the low back and knees as well!  This is a big deal for your overall health!

 

The concept of adhesion, or fibrous scar bands, playing a role in symptoms related to sciatic nerve mobility and entrapment represents a radical change and paradigm shift in the current diagnosis of and therapeutic approach to DGS.  Effective treatment aims to break down adhesion using tension.  No other method of treatment is as effective in treating this condition!  In fact, other methods of treatment, like stretching or exercise, could make the condition worse!

 

Manual Adhesion Release, MAR, is a technique used by certified Integrative Diagnosis providers.  This treatment creates enough tension on adhesion to effectively break it down over a series of visits. It is currently the only treatment that focuses on the diagnosis and breakdown of adhesion.  ID providers use specific tests to establish the diagnosis and measure progress from visit to visit.  

 

Previously, Deep Gluteal Syndrome was a complex issue difficult to overcome with traditional therapies and surgery.  With this new research, paradigm shift, and advances in effective treatment coming to fruition, finally patients can get the treatment needed for their desired outcome.

If you, or someone you know has been struggling to find relief from radiating pain going down the leg, the experts at Thrive Spine and Sport can help!  Currently, they are the 2 most experienced Integrative Diagnosis providers in the state of Iowa.  Call us today at 319-423-0925, or click here to schedule an appointment!

The Hip Lift: The Most Underutilized Exercise To Prevent Low Back Pain

The hip lift may be the most underutilized exercise that could effectively prevent your low back back pain from ever coming back!

While the exercise only aims to isolate and strengthen the hamstrings, strong and healthy hamstrings are vital to a healthy low back. How do stronger hamstrings help with low back pain?

The hamstrings are a group of muscles made up of three distinctly different muscles that have the same attachment to the pelvis.  By strengthening this group of muscles, the hamstrings add needed support to the pelvis when standing, walking, and moving.  This in return, reduces the daily strain in the low back and can prevent your low back pain from returning!

While the hip lift may seem easy, do not let it fool you!  When performed properly it is very difficult for even the strongest person!

To perform the movement, you will need a support bench or chair.  Start by laying near the bench, placing your heels just on the support.  Proper bench or chair height will put your shins roughly parallel to the floor.  Next make sure your feet and knees are hip width apart, and your knees are directly over your hips.

The movement will take 5 seconds to perform.  Start the movement by driving the heels through the bench to engage the hamstrings.  Keep your core relaxed through the movement to make sure the work is done completely by the hamstrings.  Slowly raise the hips up for 2 seconds until your back is just over fist high off the ground.

Hold for a second at the top of the movement and slowly return to the floor for another count of 2.  Briefly pause for a second on the ground while maintaining the tension in your hamstrings, before starting another rep.

The hip lift is performed everyday for 2 sets and 15 reps per set.  When starting, most cannot perform that many reps and fall in the 6 to 10 rep category if they are performing the movement correctly.  For a demonstration on the movement please watch the video below.

As mentioned in the video, the hip lift is designed to prevent low back pain, not fix low back!  If you currently suffer from low back pain, it is advised to find the root of the problem before beginning this exercise.  Implementing any exercise without proper instruction, and specific purpose can be dangerous!

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If you, or someone you know is currently suffering with low back pain, let the experts at Thrive Spine and Sport help!  We invite you to call our office today at 319-423-0925 or request an appointment on our website by clicking here! If you have any questions over this exercise, or your low back pain please email us at info@thrivespineandsport.com.

At Thrive Spine and Sport, our goal is to educate and help as many people inthe community as possible!  We do hope that you found this article beneficial, please share this with friends or family in need!  

Thanks for reading!

Low Back Health Exam

Over 80% of the population will be affected by low back pain at some point in their life.  25% have suffered low back pain in the last 3 months alone!  Low back pain is one of the leading causes of disability and lost production in this country.  Solutions to the problem aren’t often easy and far too many people are left looking for answers for why their back always hurts.  Low back pain is a REALLY BIG DEAL!  Keeping your low back HEALTHY should be a PRIORITY!

If you struggle with low back pain, wouldn’t it be nice to know WHY your back always hurts?  Or maybe, if you’re one of the lucky ones not currently in pain, wouldn’t it be nice to know your low back pain risk and what you need to do to prevent it?

Now you can by taking the test and trying these 5 tests at home!  Why these 5 tests?  These 5 tests are the most basic, functional movements of the low back.  Every healthy person should be able to perform these tests!

So here’s how it goes.  Perform each test below – some may need the help of a partner.  Rate yourself by the grading chart for each test.  Add the scores together at the end to get your score.  Follow the directions to fix your low back!

Let’s get started!

TEST #1:  Straight Leg Raiser

You will need a partner for this.  Download a “bubble level” app on your phone.  Make sure the app measures angle as well.  There are a ton of free ones out there that work well for this.  I recommend “Clinometer” for Android and “iHandy Level Free” for iPhones.

Lie on your back with feet extended out in front.  Place the phone with the bubble app open in the middle of the shin.  One leg at a time, have your partner lift the leg with the knee straight.  Move the leg until it can no longer stretch or the hip or opposing leg starts to lift off the ground.  Record the degree.

20160706_182837

85-90 Degrees = 2 Points          75-84 Degrees = 1 Point          Less Than 74 degrees = 0 Points

 

TEST #2:  Knee-To-Chest

While still laying on your back, one leg at a time, pull your knee to your chest.  The front of the leg should touch the bottom of your rib cage without any pinch in the anterior hip.  If you cannot get the front of your leg to touch your chest, measure how far away by placing fingers between your chest and leg.  Record the distance.

20160706_183142_001

3 Finger Restricted Knee-To-Chest
3 Finger Restricted Knee-To-Chest

Leg Flat On Chest W/ No Anterior Hip Pinch = 0 Points        Leg 1-3 Fingers From Chest = 1 Point          Leg  More Than 4 Fingers From Chest = 0 Points

TEST #3: “Cat Stretch”

You will need a partner and a pencil.

With hands and knees on the floor arch your low back as much as possible by trying to bring your hips to your chest.  Have your partner place a pencil on your lower back.  What does it look like?

Healthy "Cat Stretch" Test
Healthy “Cat Stretch” Test

                                            Pencil Ends Off Back = 2 Points                                              

Flat Pencil Test
Flat Pencil Test

Pencil Flat = 1 Point

Severely Restricted "Cat Stretch" Test
Severely Restricted “Cat Stretch” Test

Pencil Ends Touching, Middle Not = 0 Points

 

TEST #4: Lunge

Standing up, take a large step forward and drop the back knee to the ground.  Keep your body upright.  Place a ruler under your back leg.  Measure how far the front of the hip extends out from the ruler.

Lunge Test
Lunge Test
Overhead View of Healthy Lunge Test Of The Ruler
Overhead View of Healthy Lunge Test Of The Ruler

More Than 12” = 2 Points          9-11.5” = 1 Point          Less Than 9” = 0 Points   

 

TEST #5: Toe Touch

Standing upright bend forward and try to touch the floor in front of your toes.  Use a ruler to measure how far away the tip of your finger is away from the floor.

Healthy Toe Touch Test
Healthy Toe Touch Test

Finger Touching Floor or Palming Floor = 2 Points

Fingers Less Than 2” From Floor = 1 Point

Limited Toe Touch Test
Limited Toe Touch Test

Fingers More Than 2” From The Floor = 0 Points

 

Now that you have gone through all of the tests, add the score of each test together.  What did you get?

9-10 Points = 90-100% Low Back Function = Congratulations!  You have a VERY healthy back!

7-8 Points = 70-80% Low Back Function = Chances are you may not have low back pain now, but you should try to improve the tests that are lagging with some simple daily mobility, stretching, and exercise.  In pain currently?  See below.

Less Than 6 Points = Less Than 60% Low Back Function = Your back is in trouble!  Most of these tests are limited or restricted.  You have less than 60% function of your low back!  That’s a failing grade in school!  Just like in school when you failed a test and you looked for some help to get better grades, you should seek the help of a local musculoskeletal expert for solutions to fix these movements and solve your low back pain!

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It is important to note these 5 tests above are assessments used in the Integrative Diagnosis system.  The most common cause of limited range of motion and pain for these tests are due to muscle adhesion.  Integrative Diagnosis is the most advanced diagnosis and treatment system for solving musculoskeletal problems.

At Thrive Spine and Sport, we are currently the only full body Integrative Diagnosis providers in the State of Iowa. Our treatment fixes adhesion!  If you have been looking for answers to your low back pain, click the appointment request here, or call us at 319-423-0925.

6 Questions To Solve Your Neck or Back Pain

If you’re reading this, you most likely suffer from some sort of chronic low back or neck pain.  Ask yourself these following questions:

  1. Is your pain worse in the morning?
  2. Does the pain get better after waking up and moving around?
  3. Have you had multiple or previous episodes of moderate to severe pain?
  4. Does the pain usually last 2-10 days before going away?
  5. Trouble sitting or standing prolonged periods of time?
  6. Are movements “guarded/protected” or noticing decreased range of motion?

 

If you answered “yes” to a majority or all of these questions, you most likely are suffering from a disc injury whether you have been diagnosed with it or not.  Internal Disc Derangement (IDD) accounts for upwards of 40% of all low back pain and a majority of neck pain!

Disc injuries are often made worse by the presence of adhesion.  Adhesion is the most common cause of pain and decreased range of motion in the body.  Adhesion acts like glue on muscles to restrict movement.  Restricted motion causes more load on injured discs, leading to more pain and long term problems.

The good news is that a large majority of disc injuries do not require surgery!  Disc injuries respond well to conservative management and treatment.  By fixing and removing adhesion, discs are essentially “decompressed” and unloaded.  You are left in little to no pain and able to return to regular, daily activity.

At Thrive Spine and Sport, we are certified through Integrative Diagnosis for the diagnosis and treatment adhesion.  Our treatment has helped many people looking for answers to their pain.  We have helped patients prevent surgery and those still suffering with pain after surgery.  If you answered “yes” to most or all of the questions above, chances are we can help!  Call our office today at 319-423-0925.

Affected By Low Back Pain?

Staring at your computer screen, you realize you need to take a break.

Deciding to get a drink of water, you stand up from your desk and head to the water cooler. While getting up from your desk, the phone that previously sat on your lap drops to the floor.

You bend down to pick it up, when … bang!

Pain in your low back has frozen you in position and you fight to stand back up. You find yourself hunched forward and to the side. Your low back is in spasm and barely lets you do even the tiniest of movements.

After work, you go home, take a shower, and try to relax and get ready for bed. You can’t get comfortable and you sleep terrible. The next morning is even worse. Pain killers and muscle relaxers aren’t touching it. You go to work and move around a little more and things begin to finally loosen up. A week later you are almost back to normal with only a little bit of pain in the mornings that gets better with a little movement.

You dodged a bullet. Phew.

A couple months go by and things are going great. You go to hunch over a fellow co-workers computer screen and all of a sudden, low back pain strikes again. Same pain — maybe worse this time. You go through the same process and just over a week later things are almost back to normal. But now you’re worried. What is going on? Is it a sprain or is it a disc herniation?

While many people are familiar with low back pain and disc herniation, disc herniation or disc bulges account for only one to three percent of all low back pain cases. According to research, half of the patients similar to the one above will be diagnosed as having a sprain/strain – this is wrong!

Internal Disc Derangement, or IDD, is probably something you have never heard from your doctor. Shockingly, this accounts for almost 40 percent of all low back pain sufferers.  Far too many times this is misdiagnosed, and mistreated!

Symptoms of IDD include:

  • antalgia (forward, hunched posture) with severe pain
  • guarded movement with muscle spasm
  • worse pain in the morning or with rest
  • worsening, multiple previous episodes and relief from symptoms within one to two weeks.

Odds are if you have ever hurt your low back and continue to struggle with pain, even on the rare occasion, this is you.  It is important to note that the muscle spasm and guarding is a protective mechanism of the disc to try to prevent further damage to the disc.

If left untreated the right way, IDD can develop into bigger problems, like disc herniation.  The muscle spasm and pain is NOT a sprain, and your hips are NOT out of alignment!  These are two of the biggest misconceptions with this problem that I see.

So what can you do?  With any pain and injury like this, it is best to get evaluated by a doctor that specializes in treating musculoskeletal conditions sooner rather than later.  With Internal Disc Derangement, the disc is injured – nothing can reverse time and fix that.  Usually, with each incident of pain, symptoms will get worse!

Whether you have been suffering from this condition weeks or months, you will have soft tissue dysfunction, like adhesion, in structures that alter joint mechanics and ncreases stress on the disc. If you are unfamiliar with adhesion, click here for our most recent article discussing it.  Adhesion is one of the most common and misdiagnosed conditions in the body that restricts motion and causes pain.

Overuse Cycle

 

If you have IDD, you must get the surrounding soft tissues fixed to unload the disc to hopefully prevent and reduce future incidences of pain and progressing disc injury! In other words, adhesion must be corrected in order to reduce the likelihood of this problem from returning.

Not fixing this issue will only lead to more problems down the road.  As always when symptoms are present, you have two options — ignore it or fix it.

At Thrive Spine and Sport, we are the only full body certified Integrative Diagnosis clinic in the state of Iowa.  The Integrative Diagnosis system is a diagnosis and treatment system to gain a clear picture and full diagnosis of what is causing your low back pain.  By obtaining a full diagnosis, then applying the correct treatment, resolution for your pain is possible!

Simply fill out the appointment request on this page or call our office at 319-423-0925 to get to the bottom of your pain today!  Any questions can be sent to Dr. Cody at dr.cody@thrivespineandsport.com.

 Thanks for reading!

Fixing Adhesion

Let’s be honest, your problem isn’t going anywhere!  In fact it’s getting worse.

You’ve tried rest, ice, stretching, pain pills, adjustments, cortisone, braces, exercise, and the list goes on.  Still your problem persists.  What is going on?

Adhesion is a term you probably haven’t heard about.  Adhesion, or scar tissue, is one of the most common conditions in the human body, but also, BY  FAR, the most misdiagnosed.  Adhesion, when present, limits flexibility and decreases strength.  The good news is that adhesion is completely reversible if treated correctly!

Adhesion

Adhesion develops primarily in two different ways – overuse, from either repetitive movements or prolonged positions (think working out, running, or sitting at a desk all day), and from trauma (think sports injury or car accident).  Adhesion acts like glue on a muscle by sticking muscles and surrounding soft tissues together.  When this happens your body has to work harder than normal to move or function normally.  You may feel “tight” or weak at first, but eventually develop inflammation and pain.

Overuse Cycle

When adhesion is present, it has to be physically broken down by a provider certified to find and fix adhesion in order for it to go away.  Stretching and exercise wont help!  Neither will a foam roller or a lacrosse ball.  These may make you feel good for a few hours or even a few days, but they are not long term solutions!

Adhesion is at the root of many common problems like low back or neck pain, sciatica, most tendinitis cases, carpal tunnel syndrome, and even headaches!

Unfortunately, if left untreated long enough, adhesion can lead to other problems like disc herniation, stress fractures, labrum tears, muscle tears/sprains/strains, and early arthritic changes.  How can that be?

Adhesion makes muscles work harder.  When muscles work harder they become overworked sooner.  Instead of the muscles absorbing most of your day to day activities, the body transfers the load into the cartilage, bones, and joints instead.  This begins a very bad cycle of chronic pain.  The sooner you fix adhesion the better!

At Thrive Spine and Sport, we are certified through the Integrative Diagnosis system for the diagnosis and treatment of adhesion.  Currently, Thrive Spine and Sport is the only full body certified Integrative Diagnosis office in the state of Iowa!  Integrative Diagnosis is the premiere system for diagnosing and treating musculoskeletal problems.

If you, or someone you know is continuing to struggle with pain, we invite you to call our office today at 319-423-0925!  Most patients have tried numerous providers before finding relief in our office.  If you have any questions, or not sure if we can help you or not, feel free to send an email to Dr. Cody at dr.cody@thrivespineandsport.com.

Thanks for reading!

Why Weak and Tight Doesn’t Mean Strengthen and Stretch

One of the most common misconceptions in health care is this principle – “weak and tight” means “strengthen and stretch.”  If there is one problem or complaint I hear the most it’s, “I’m always tight.”  Usually, in the same breath, the same person will report that they just need to stretch, or they don’t stretch as often as they should.  It usually comes as a surprise when I then tell this person that stretching won’t help them, and if you’re reading this and you always feel “stiff” it probably won’t help you either.

Stretching is the most overprescribed treatment in healthcare, and also the least beneficial.  Now, don’t get me wrong there is a time and a place for stretching – yoga is fantastic – but fixing your stiffness and pain, it’s not going to happen!

Allow me to explain.

Our bodies were not programmed to handle the modern day lifestyle. Whether you work in a 9-5 desk position or work in a factory doing manual labor 40+ hours a week, both will have the same thing in common.  Overuse.  Overuse happens when we sit in prolonged positions or do repetitive activities, if we are not taking care of ourselves.

When we overuse our bodies, and fail to take care of it with proper rest, recovery, nutrients, this will often create a phenomenon called protective tension.  Protective tension is created to help the body adapt to overuse.  The body will make muscles spasm and contract to help protect any overloaded structure from further injury.  Over a period of time, this gradually leads to adhesion formation.

Overuse Cycle

 

If you are unfamiliar with adhesion, adhesion is the most common problem in the human body, but also the most misdiagnosed.  Fortunately, it can be fixed easily with the right diagnosis and treatment.  When present, it acts like glue on soft tissue structures like muscles, ligaments, and nerves.  This glue then binds muscles and nerves together and decreases your flexibility and strength.  Overtime, adhesion leads to altered joint mechanics and pain.  Without the proper treatment, adhesion will eventually lead to chronic pain, chronic muscle sprain/strains, arthritis, and or spinal disc injuries (think herniation).

 

Adhesion

Check out this video below for a better demonstration and explanation.

We have been conditioned since elementary school days to think weak and tight means to strengthen and stretch.  In reality, weak and tight is often a result of a problem!  All of the stretches and strength exercises in the world will not help adhesion, in fact, it may make things worse.  The most important thing that you can do is figure out why a muscle is weak and tight!

If this sounds familiar, it’s time to get some answers!  At Thrive Spine and Sport, we are trained through the Integrative Diagnosis system to provide the most accurate and advanced diagnosis and treatment to chronic pain and overuse injuries.  Many patients of our office have tried numerous providers before finding relief in our office. 

Simply fill out the appointment request on this page, or call our office at 319-423-0925 to start feeling better today! 

Thanks for reading!

Tingling, Burning, Numbness? Here’s What You Need To Know!

If you are currently suffering from symptoms of tingling, burning, or numbness, there are some things you need to know.  “Pinched nerve” is a term thrown out all too often and over diagnosed.  Nerve entrapment is a term that is used far less, but much, MUCH more common.

A true “pinched nerve,” is when a nerve is compressed between 2 structures.  Most often, this happens in cases of disc derangement where the disc protrudes into the spinal cord compressing the nerve roots.

An example of a protruding disc creating a “true” pinched nerve.

This happens in less than 3% of patients.  When the nerve is compressed by a protruding disc, the pain is usually constant and severe – think pain levels above 8 out of 10. This problem persists for weeks without relief.

Nerve entrapment, as previously mentioned, is a less popular diagnosis but far more common. Nerve entrapment is a condition in which nerves get stuck to surrounding structures.  As nerves pass through our body, they floss and move between muscles, tendons, and other soft tissue.  Healthy nerves slide and glide between these structures without issue.

Through “wear and tear” and “use and abuse,” nerves can become entrapped and glued to the structures it moves along.  When this happens, this can lead to symptoms of tingling, burning, and numbness many people struggle with.  In cases of nerve entrapment, most people will note also feeling “tight” or the feeling of dull, achy pain.  Pain is often not constant.  Sometimes the dull, achy pain can be in other areas of the body as well.  In these cases, adhesion is most frequently the “glue” that binds the nerve to the surrounding soft tissue.

While you may not have heard of nerve entrapment, you are probably familiar with carpal tunnel syndrome, sciatica, piriformis syndrome, tarsal tunnel syndrome, or thoracic outlet syndrome.  These are examples of nerve entrapment conditions.

These conditions are unfortunately labeled as such, without a complete diagnosis of what is causing the symptoms in the first place. Rest, ice, ultrasound, stim, kinisiotape, bracing among other treatments are often prescribed and used without finding much long term relief.  Far too often these conditions will lead to cortisone injections and surgery.

Adhesion, which is the most common cause of nerve entrapment and is also the most frequently missed when dealing with these conditions.  Adhesion can be fixed with specific manual therapy at the site of the entrapment.

At Thrive Spine and Sport, we are certified in the diagnosis and treatment of adhesion which can cause nerve entrapment in 156 different areas of the body!  If you are starting to experience, or have been struggling with the above listed syndromes without relief, it’s time to get to the bottom of your pain. You deserve real solutions to your problem.  Fill out the appointment request on this page or call our office at 319-423-0925 today!

Thanks for reading!