As the largest joint in the human body, the hip withstands tremendous forces every day. It is also responsible for altering its position with compensations throughout life. Changes in hip mechanics contribute or often cause low back, knee and even foot pain yet often are overlooked.  Take a brief look at one of the most common changes in hip mechanics and how important this huge joint really is!


The hip joint is a "ball and socket" joint; the head of the femur (long thigh bone) sits inside the acetabulum (a socket on the pelvis). Unlike the shoulder, the socket is deep with very strong ligaments surrounding the joint on all sides. The hips support the entire weight of the body throughout movement, so the strong structure is important to withstand these forces. Unfortunately, it also predisposes the hip to excessive tightness and lack of mobility. 

One of the most common problems with the hip joint is "joint centration." For proper hip mechanics, the ball must sit in the center of the socket. Common muscle imbalances (see Lower Cross Syndrome article this month) typically cause the femur (ball) to be pulled forward and up (anterior and superior) inside the socket. 

In addition to limited hip motion, the altered position causes pinching or grinding of the structures in the front of the hip and overwork/overstretch to the muscles and tissues in the back of the hip.
COMMON CONDITIONS related to these altered mechanics:

*Labral (cartilage) wearing or tears 
*Psoas tendonosis
*Piriformis syndrome
*Groin strains
*Knee tracking disorders or IT Band syndrome
*Knee osteoarthritis
*Low back pain (everything from muscle strains to disc degeneration)


Based on your individual compensations, muscle imbalances and past history, treatment plans and techniques will vary. As a general rule:

*Stretch/mobilize front of the hip (Iliopsoas, Quadricep, short adductors)
*Stretch/mobilize deep gluteal rotators (Piriformis and the remaining "fan muscles")
*Chiropractic adjusting for hip mobility
*Mobilize hip rotation
*Activate larger gluteal groups (Gluteus Maximus, Gluteus Medius, Gluteus Minimus)
*Activate long adductors (Adductor Magnus, Adductor Longus)
*Improve core stability (lower abdominal muscles, pelvic floor and diaphragm breathing)
*Learn a proper hip hinge

As always, this is an example of a common altered hip pattern, but is far from all-inclusive. Really understanding your past history and injuries, current concerns and bio-mechanics are the first steps to any treatment plan.  

Want to know more about hip mechanics? Just ask Ryan or Dr. Miller!!
Just like upper cross syndrome, lower cross syndrome is a muscular imbalance affecting the hip and low back. Sitting at the desk, in the car or at home all day long can be nice. But sitting for too long can cause problems.  One of them is lower cross syndrome. Lower cross syndrome is a combination of weak gluteus muscles and weak abdominals, crossed with tight hip flexors and tight lower back extenders. This imbalance can cause pain and dysfunction, along with an overarching of the lower back. Because of this imbalance, the pelvis is pulled into an anterior tilt which puts excessive stress on the low back. 

The pain is in my hips, why are you focusing on my back?

It is not uncommon for patients to question why their provider is working on their back when the pain is in the patient’s hips or thighs. Other common symptoms may include knee pain, piriformis syndrome (common buttock pain) and hamstring pain given the compromised posture which results in added stresses to the various surrounding structures & tissues.

The hip flexors consist of the psoas and rectus femoris. The psoas connects the low back to the front of the hip. Tightness of the psoas can cause pain on the front of the hip or on the low back since those are the attachment points. The rectus femoris assists the psoas with hip flexion. Weakness in the gluteus muscle group can be very common. Since a seated position does not use the gluteus muscle group or the abdominals, these muscle groups become weak and lazy.

How do I fix it?

Lower cross syndrome can be avoided and fixed by two simple things: loosen what is tight and strengthen what is weak. Seams easy right? Well how do we accomplish those two things? The solution for these common patterns is to set about normalizing the muscles dysfunctional status. This might involve:

· Soft tissue techniques to deactivating trigger points and removing muscular adhesions to the tight musculature.

· Range of motion exercises

· Functional stretches

· Strengthening and stabilization exercises

· Core stabilization exercises to strengthen the abdominal muscles.

· Reeducation of posture and body usage. It is necessary to relearn the specific activation for the muscles involved in Lower Cross Syndrome.

Remember low back and hip pain from lower cross syndrome can be prevented and treated, so do not go another day without doing something positive about your pain. Call MSWC or go to Schedulicity to set up an appointment today!

Just like many Americans who spend their day sitting at a desk and staring at a computer or working on something in front of us, we tend to start slouching and our head falls closer and closer to where we are looking. Then we notice that we begin to have neck and upper back pain, and headaches. What can we do to prevent this from happening?

This common problem is referred to as upper cross syndrome. Upper cross syndrome is a muscle imbalance pattern located at the head and shoulder regions. This syndrome is caused by tight upper trapezius and levator scapula and tight pectoralis major and minor crossed with weak deep cervical flexors and weak middle and lower trapezius and the rhomboids. Because of the dysfunction of these muscles, our bodies create a hunched back/forward neck position. But there is good news: Not only can it be prevented but it can be reversed!

Preventative Measures:

1. Adjust chair so work can be performed with good postural alignment.

2. Work tool should be positioned within easy reach so elbows rest comfortably at one's side when using the keyboard and mouse.

3. Do not "cradle the phone between ear and shoulder. Consider using a headset or speaker if needed.

4. Monitors and document holders should be located to allow neutral posture of the neck and head.

5. Frequent changes in position, movement and stretching are the best way to maintain energy, form and productivity.

6. Alternate between a seated desk and a stand up desk.

7. Avoid head drifting toward the screen or workspace.

Treatment Plan

1. Chiropractic Care

2. Soft tissue techniques

3. Corrective exercises

4. Functional stretches

Please see our “Techniques” page for more information about each of these treatment methods. 

When considering treatment options, one powerful tool to consider is the Chiropractic Adjustment. This will help you understand what a great technique this can be and when it is a useful option.

What is a Chiropractic Adjustment?

The main purpose of an adjustment is to induce motion where movement in lacking. We call the area to be adjusted a “fixation” or “subluxation.”

Think of the body like a series of circuit breakers. If all the circuits are open, information and forces are transferred easily from one area to another. If an area becomes restricted, or one circuit is closed, the entire system is disrupted.

Although many people only think of adjusting in the spine, adjustments can be used in any joint in the body.
Why might I need an adjustment?

Adjustments are very powerful tools. For our purposes at MSWC, they are most commonly used to:

*control pain

*break muscle spasm

*improve joint mobility

*increase range of motion

*stimulate neurological input

Adjustments are a hands on way to correct and re-set improper movement patterns developed over time. Adjusting is used to help correct body mechanics, including “upper and lower cross syndrome.” See this months post about the common patterns in “upper cross syndrome.”

Additional benefits include:

*boosted immune system

*reduction in blood pressure

*improved sinus/ear drainage

*reduced symptoms from acid reflux and gastric ulcers

*reduction/control of menstrual cramps

*reduction in dizziness/ringing in the ears

*improvement in ADHD/mental focus

*control of ear infections in children

*many more

Adjusting Techniques/Types of Adjusting

There are over 200 “techniques” for adjusting. Some techniques have been more heavily researched than other. Research has shown to be very safe and effective for treating a number of conditions. We use 5-6 of the most researched and supported techniques: Diversified, Flexion-Distraction, Drop Technique, Activator, Extremity/Toggle Board.

Some techniques may create popping/cracking, others do not. Some require movement of the spine or body part, others do not. Some are higher force than others. Your case, your concerns, and the purpose of using the adjustment will change which techniques are used.

Why might I NOT need an adjustment?


Pain may be caused by restriction, but even more frequently, pain is present in an area of instability. Think of mobility and stability as opposite sides of  teeter-totter. The two must be in balance for proper function!!



Instability is not equal to “loose;” it is defined by how well surrounding muscles and tissues reinforce the area. Although individual joint fixations may be present in these areas, adjusting in chronically unstable regions perpetuates the problem. In these cases, the goal is to teach the intrinsic muscles how to properly support the area. In some situations, adjusting may be used in adjacent regions which have become chronically restricted to help balance overall movement patterns.

Many patients have experienced relief from past adjustments and are confused when adjusting is not part of their treatment plan. It is important to recognize you will typically feel short-term relief by using adjustments in an area of instability. The powerful benefits for which we otherwise use adjusting still apply! However, without re-stabilizing, long-term benefits are not likely to follow.

Although this topic is controversial, I do believe there is such a thing as over-adjusting. By repetitively adjusting an area (inducing motion where it is lacking), an area of extreme mobility is created. Many times, these adjustments are not coupled with stabilizing exercises or activities and therefore the teeter totter is thrown off balance.

-Dr. Therese Miller, DC

What is it?

Rotator cuff injuries are some of the most common shoulder injury. The rotator cuff is comprised of four muscles: subscapularis, suprasinatus, infraspinatus, and teres minor. These four muscles are responsible for stabilizing the shoulder girdle throughout the shoulders range of motion. Pain or weakness in curtain range of motion can determine which muscles are hurt. Subscapularis creates internal rotation. Supraspinatus creates abduction. External rotation is created by both infraspinatus and teres minor. Common injuries are rotator cuff tendonitis, rotator cuff impingement syndrome and a rotator cuff tear. This blog will focus on rotator cuff tendonitis.

What causes it?

Rotator cuff tendonitis is an overuse injury due to poor shoulder mechanics. To learn more about shoulder mechanic, please read through our blog "Shoulder Mechanics". Rotator cuff tendinitis affects the tendons of the 4 muscles stabilizing muscles. Tendinitis means that these tendons are inflamed or irritated. Tendinitis of the rotator cuff can be caused from keeping the shoulder in one position over a period of time, sleeping on the shoulder every night, or participating in activities that require extending the arm over the head. Sometimes rotator cuff tendinitis can occur without any known cause. Most individuals with rotator cuff tendinitis are able to regain full function of the shoulder without any pain.

What are symptoms and how do you diagnosis it?

Symptoms of rotator cuff tendinitis tend to worsen over time. Initial symptoms may be relieved with rest, but eventually the symptoms can become constant. Symptoms of rotator cuff tendinitis include:

·         pain and swelling in the front of the shoulder and side of the arm

·         pain triggered by raising or lowering the arm

·         clicking sound when raising the arm

·         stiffness

·         pain that causes you to wake from sleep

·         pain when reaching behind the back

·         loss of mobility and strength in the affected arm

Through the physical examination, including history and special tests, the treating provider can determine if the patient is suffering from rotator cuff tendonitis. The exam may include movement of the arm, shoulder and neck to test mobility and strength.

Your provider may order imaging tests to confirm the diagnosis of rotator cuff tendinitis and rule out any other causes of your symptoms. An X-ray may be ordered to see if you have a bone spur. Your provider may order an ultrasound or magnetic resonance imaging (MRI) to check for inflammation in the rotator cuff and to check for any tearing.

How do we treat it?

Conservative treatment

Conservative treatment is always the first line of defense. Shoulder strengthening, corrective exercises, postural changes, proper stretching and soft tissue work can be used in conservative treatment. Severe cases way require the use of a sling to prevent excessive use of the shoulder during the healing process.


If the rotator cuff tendinitis is not responding to conservative treatment, your provider may recommend a steroid injection. This is injected into the tendon to reduce inflammation, which reduces pain. This approach is used as a band-aid to the problem not a long term fix.


If nonsurgical treatment is not successful, your provider may recommend surgery. The most non-invasive form of shoulder surgery is accomplished by arthroscopy. This involves two or three small cuts around the shoulder, through which your doctor will insert various instruments. One of these instruments will have a camera, so your surgeon can view the damaged tissue through the small incisions.

Open shoulder surgery is usually not required for rotator cuff tendinitis. However, this method may be used if there are other problems in the shoulder, such as a large tendon tear. Any type of surgery involves recovery that consists of rest and physical therapy to restore strength and range of motion.
1.       Drink at least half of your body weight of water in ounces a day. As your activity level increases so should you water intake. 
Your body need water to function properly. If your muscle do not have enough water, they become less pliable., similarly to a dried up rubber band.  If the rubber band is hydrated, you can stretch the rubber band with out it breaking. If you pick up a dried up rubber band and try to stretch it, the rubber band will pop in your hand. Your nervous system and brain also need water to function properly. Dehydration and alcohol consumption have similar effects to the brain. 

2.       Get in at least 30 minutes of physical activity 4-5 days a week. 
This can include walking your dog, jogging around the block, playing with your children outside. Anything activity to get you breathing harder and your heart pumping. For a long healthy life, your heart has to be healthy. When the hearl is surrounded by fat, the heart get suffocated. It has to work so hard every day to pump blood throughout your body. Decrease the fat around your heart and you can increase the years on your life. 

3.       Eat a healthy, well rounded diet. 
There is no such thing as a “quick fix” to weight loss. Stay away from pills and supplements that guarantee more than outrageous amount of weight loss in a small about of time. A healthy weight loss should consist of no more than 2 pounds per week. And always remember that muscle weighs more than fat. Do not get discouraged if you are working out and eating a well balanced diet but you don't see the pounds going down. Be comfortable with who you are and what you see in the mirror. 

4.       Stretch at least one time a day. Don’t neglect any body parts. 
A stretching routine should take about 10 minutes. Everyone can spare 10 minutes in their morning routine to make there life healthier and pain free. Some people might use a 10 minute yoga video or find some stretches on YouTube. Something is better than nothing. Check out our blog "dynamic stretches vs. static stretches" for more information on which stretches to use. 

5.        Don’t forget to RELAX. 
Sit in a comfortable position in a quiet room for 10-15 minutes to relieve stress by using one of many relaxation techniques. Find a relaxation technique that works best for you. Think about what your needs are while evaluating the techniques. i.e. mediation, deep breathing, progressive muscle relaxation technique. Taking time out of the day for yourself is important for you mental health and spiritual health. These along with physical health allow you to become a healthier person over all. 

Did you know a thorough clinical exam has been shown to be more accurate than MRI for properly diagnosing meniscus (Cartilage) injuries in the knee? Furthermore MRI shows meniscus (cartilage) changes in 24% of patients that are asymptomatic? Does this make you question what really is causing your knee pain? It should.

Although we've said it before, I'll say it again. Understanding the underlying cause of your injury and taking a look at your whole health and injury history are very important factors to ensuring you have adequate and high quality treatment.  Be sure your provider has given a thorough exam, is not only relying on MRI or other imaging, and that your treatment addresses the underlying problem not just the pain itself.

Here is a starter guide to knee pain, most likely causes and what to watch for.  Treatments vary by condition, but as a general guide: 
    • Active Release Technique, Graston and Guasha are 3 of the best techniques for many of these injuries. 
    • Rest, Ice Massage and anti-inflammatory cream at home will help control symptoms.
    • Proper rehab is a key to preventing reoccurence.
    • Additional, specific treatment options for some conditions are listed below.



  • Most Common condition categories:  

    • Patellar Tracking Disorders/Cartilage irritation aka "The knee cap doesn't glide where it should" causing irritation of any number of tissues/structures around the knee.
    • Degenerative Changes- breakdown and irritation of cartilage, bone, and/or ligaments. May be the result of previous injury, or most commonly due to improper mechanics. 
    • Tendinosis- inflammation or tissue thickening of tendons (attaching muscles to bone)

  • Who: Most Commonly related to overuse. Runners, jumpers, activities require excessive starting/stopping, stair climbing, jumping or impact. 

  • What to look for:

      • Swelling- may indicate irritation/inflammation of a bursa (fluid-filled sac)
      • Popping/Clicking- may indicate damage/degeneration of the meniscus (Knee cartilage) or the presence of a plica, a band of tissue under the knee cap which can friction causing noise and sometime pain

  • Underlying Causes: Improper Mechanics. See knee mechanics article here. Overuse. Improper training regimen/progressions.

  • Diagnosis: Clinical Exam

  • Treatment Options: usually responds to properly prescribed homecare, rehab and conservative methods (ART, Guasha/Graston, etc)


INSIDE (Medial)

  • Most Common condition categories:  

    • Medial Meniscus- cartilage within the knee may be degenerating, irritated, frayed or torn
    • Ligament Damage- Specifically MCL or the Medial Longitudinal Ligament. 
    • Tendinosis- Sartorius, Gracilis, Semitendinosus most commonly
    • Bursitis- Pes Anserine Bursa protects the three tendons listed above from rubbing on the underlying bone

  • Who: Soccer, Football, Basketball, Tennis and Racquetball players. People suffering from weak hips and/or feet causing the knee to "fall" inward during walking, running, stair climbing, etc. 

  • What to look for:

    • Swelling- may indicate irritation/inflammation of a bursa (fluid-filled sac) or the MCL
    • Popping/Clicking- may indicate damage/degeneration of the meniscus (Knee cartilage)
    • Feeling unstable/giving away: may indicate ligament damage, loose bodies, muscle weakness or meniscus injury
    • Pain unchanged by knee movement or that cannot be reproduced. Rarely, a problem in the lower abdomen can refer pain here. 

  • Underlying Causes: Trauma/Injury where the knee is forced inward (sometimes with rotation) Improper Mechanics. See knee mechanics article here. Overuse- most notably with weak hips, weak feet, and poor mechanics.

  • Diagnosis: Clinical Exam, possible MRI

  • Treatment Options: Possible surgical intervention for Meniscus or MCL damage. Meniscus tears are categorized by a number of factors. Surgical intervention is required for some types of tears, however many tears respond best to conservative care, rest and rehab. Proper diagnosis is very important in determining the best treatment methods.  


OUTSIDE (Lateral)

  • Most Common condition categories:  

    • Lateral Meniscus- cartilage within the knee may be degenerating, irritated, frayed or torn
    • Ligament Damage- Specifically LCL or the Lateral Longitudinal Ligament. 
    • Tendinosis- Iliotibial Band (ITB), Biceps Femoris (one of the hamstring muscles), Popliteus (small muscle behind the knee)
    • Bursitis- protecting the ITB from the underlying bone

  • Who: Runners, Contact sport athletes

  • What to look for:

    • Swelling- may indicate irritation/inflammation of the bursa or the LCL
    • Popping/Clicking- may indicate damage/degeneration of the meniscus
    • Feeling unstable/giving away: may indicate ligament damage, loose bodies, muscle weakness or meniscus injury

  • Underlying CausesTrauma/Injury where the knee is forced outward (sometimes with rotation) Improper Mechanics. See knee mechanics article here. Overuse- most notably with weak hips, weak feet, and poor mechanics.

  • Diagnosis: Clinical Exam, possible MRI

  • Treatment Options: Possible surgical intervention for Meniscus or LCL injuries. Meniscus tears are again categorized by a number of factors. Surgical intervention is required for some types of tears, however many tears respond best to conservative care, rest and rehab. Proper diagnosis is very important in determining the best treatment methods.  



  • Most Common condition categories: 

    • Medial or Lateral Meniscus- degeneration, irritation, fraying or tearing usually in the back aspect of the cartilage.
    • Tendonopathy- Hamstring, Gastrocnemius (Calf muscle). May indicate irritation, inflammation, thickening or tearing in one of the these primary muscles.
    • Capsule involvement- irritation or contraction of the capsule surrounding the knee joint
    • Radiculopathy or referred  pain from the low back, a pinched nerve or disc related injury

  • Who: Runners, Contact sport athletes

  • What to look for:

    • Swelling- may indicate a cyst which can be related to meniscus tears or damage to the Anterior Cructiate Ligament  (ACL) or Posterior Cruciate Ligaments (PCL)
    • Popping/Clicking or Locking- may indicate damage/degeneration of the meniscus or may indicate a "loose body" in the joint; these range from calcium deposits to chunks of bone which have broken away due to injury.
    • Feeling unstable/giving away: may indicate ligament damage, loose bodies, muscle weakness or meniscus injury
    • Pain unchanged by knee movement or that cannot be reproduced. Pain may be coming from the low back, hip or another area.

  • Underlying CausesTrauma/Injury where the knee is forced backward (sometimes with rotation), improper warm up prior to activity. Overuse and occasionally poor mechanics.

  • Diagnosis: Clinical Exam, possible MRI

  • Treatment Options: Possible surgical intervention for meniscus, depending on classification or location of injury. Chiropractic manipulation, McKenzie technique, rehab or additional techniques may be needed if the cause is related to low back concerns.


Hopefully this has helped you understand the basics of knee pain and concerns. As always, be sure to understand the underlying causes of your injury, proper diagnosis, and appropriate treatment options. 

Meet Ben and Shelby Offrink, alongside their daughters, Maeve (3) and Hazel (1).
This young couple is fighting for their lives, and for time with their little girls.

Shelby was diagnosed with a rare form of cancer, when doctors found a tumor on her spine.  This January, despite months of chemotherapy and radiation treatments, doctors found three more tumors - the cancer has spread to her brain.  

Meanwhile, Ben learned that his cancer, Hodgkin's Lymphoma, has returned for a third time. The first round of chemotherapy showed no change, so he will continue treatment until he can receive a bone marrow transplant. 

Join us, in their fight. For the month of February, every NEW PATIENT that is referred to us [by a current patient], Miller Sports and Wellness will donate $25 dollars to the Offrink family's YouCaring Fundraiser.  Donations will also be accepted, in office.
Read more about this brave young couple. 

Ben and Shelby: Your family is in our hearts. 

The knee is one of the most unstable joints in the body. The stability comes from the ligaments and muscles that cross the joint, opposed to the hip which is largely stabilized by the body structures. The knee is comprised of two joints, the tibiofemoral joint and the patellofemoral joint. The tibiofemoral joint composed of the femur sitting on top of the tibia to create the hinge joint that moves the knee. The patella (knee cap) sits in a groove of the femur to create the patellofemoral joint. 

The tibiofemoral joint’s job is to transmit body weight and forces from the femur through to the tibia allowing constant energy movement. Because the tibiofermoral joint is a hinge joint it can only move in the sagittal plane. This plane allows flexion movement (bending the knee) and extension (straightening the knee).  The tibiofemoral joint has a small amount of rotational movement due to the shapes of the contacting surfaces and a few of the soft tissues that connect the two bones. One of those soft tissue factors is the ACL (anterior cruciate ligament). This rotational movement is called the “screw home” mechanism. The tibia externally rotates 5 degrees in the last 15 degrees of extension.  So what that means is when the knee locks out into extension the foot points out away from the body. This mechanism happens to take load off the quadriceps (thigh) while standing.

The patellofemoral function is to transmits tensile forces generated by the quadriceps to the patellar tendon. The patella glides in a groove of the femur as the knee bends and straightens. Common injuries include patella tendonitis, patellofemoral tracking issues, and bursitis. Injuries to the patellofemoral joint occur when too much load is being transmitted through it or the patella is not tracking properly because of muscular imbalance.

Some common knee injuries include either a sprain or tear to the ACL (anterior cruciate ligament), MCL (medial collateral ligament), or LCL (lateral collateral ligament). The ACL is the most well known sports injury. The ACL's job is to prevent anterior translation of the tibia from the femur. So the ACL stops the bottom half of the leg from moving too far forward. The MCL is commonly hurt by a valgus force to the knee. An example of a valgus force to the knee is when a lineman in football gets hit on the outside of his knee causing his knee to fall inward towards his opposite knee. A varus force causes injury to the LC, which is just the reverse valgus force. The blow is to the inside of the knee pushing the knee out. 

Proper knee mechanics is important to living life with ehalthy knees. Using correct form while performing everyday life activities, especially weight lifting, can decrease knee pain throughout your lifetime.

Recap from Part I.... You experienced horrific pain from doing none other than scooping a sock up from your floor. You cursed and crawled to the couch to lay in agony. Unfortunately this hits you yearly and you are sick of dealing with ongoing low back problems. Here are some treatment options to explore.

Part II: Treatment Options

There are 2 goals to treatment (as always at MSWC): get rid of the pain then FIX the underlying problem.

Stage I: Pain Relief

  • SI Belt. Unlike a back brace, this supports the ligaments to allow healing without turning off or weakening your core muscles. Worn 24/7 (to help with that pain rolling over in bed) for several weeks, then gradually reduced. Think of this as the "cast" to help the ligaments and joint heal.
  • Stability, stability, stability. Unlike an ankle injury where a cast or crutches allow healing, SI joints don't have that luxury- they still have to work! SI Belts help, but improving stability from the muscles in the area reduces force in these joints truly allows healing to occur. Depending on your case, we prescribe any assortment of "spinal -sparing" core exercises to strengthen and activate core muscles.  This may be as "simple" (but HUGELY important) as breathing properly, activating your pelvic floor muscles or tensing your abdomen. As you progress it may include planks or more physically taxing exercises.
  • Don't forget the classics: Rest, Ice, Compress, Epsom salt bath, anti-inflammatory cream/oral supplementation.
  • Kinesiotape- Used to reduce inflammation.
  • ART, Graston and soft-tissue techniques. These become most beneficial in Stage 2. We can use these minimally to reduce pain and improve circulation to the injured area. These are great for reducing muscle spasms trying to protect the injured joint. We do want to be cautious here; too much tissue work may destabilize the area too far and take away the hard earned support your stability exercises are giving us. It's all about balance!!!
  • Adjustments- For the same reason as ART, Graston and soft-tissue treatments, adjustments have their place. Adjustments are great for stimulating the nervous system to reduce spasm, opening up these joints to allow better circulation and improved healing. They also create movement in an area being "casted" by muscles and the belt to allow healing. Some cases adjusting is a needed tool, some cases it is a better tool in Stage II.
  • Muscle Relaxants. Pros and Cons. Pros- provide very effective, fast relief. Cons- they destabilize  the area and effectively slow the healing process, they also may interact with other meds and carrying some side effects like drowsiness, dizziness and mental fogginess. In severe cases, these may be needed and thank heavens for modern medicine! In most cases, other techniques should be used first.
  • Cortizone Injections or Radiofrequency Ablation These more aggressive techniques have their place, especially in chronic cases or cases which aren't responding to conservative care. As always, start with the least invasive and least risky then progress as needed.
Stage 2: Fixing the "Why"

If you slipped on ice- don't do it again.....doctors orders. If you "didn't do anything-" keep reading.  

  • FOCUS: Movement Repatterning: Retraining how you put groceries in the car, climb stairs, unload the dishwasher or get up and down from your desk are integral parts of your treatment. Although you are feeling better, remember that years of bad habits have culminated in this horrible experience. An ounce of prevention is worth a pound of cure!
  • Kinesiotape- Used to activate muscles that aren't working hard enough or deactivate the overactive ones.
  • ART, Graston and soft-tissue techniques. After an injury, scar tissue is produced. Scar tissue is only detrimental when an excess is developed. These techniques promote healthy tissue (collagen) formation and encourage the new tissue to have improved strength and resilience to reduce risk of reinjury.
  • Adjustments- Adjustments are great in this stage. Encouraging the nervous system to function properly and ensuring that each SI joint and the surrounding joints are moving properly to reduce compensations.
The next time you hear this story from a friend, neighbor or loved one (it should no longer be you), help give them hope. Please share this article with anyone who can relate and encourage them to seek the prevention or treatment that will break the cycle!