When dealing with a sports injury or similar type of injury, many people are familiar with the R.I.C.E. protocol for injury care. R.I.C.E. stands for Rest, Ice, Compression, and Elevation and has long been used when treating everything from sprained ankles to banged up knees. With acute injury patients, experts recommend adding “P” for protection because protection of the area… Read More
Meniscal Tears Acute or chronic. Imaged with MRI (95% sensitivity & 81% specificity)Menisci are formed by a composition of radial and circumferential collagen fibers (97% type 1) mixed with cartilage, proteoglycans etc. 65-75% H2OAging can lead to meniscal attritionAcute tears are d/t rotational and compressive forces, ACL deficient knees show greater chances of meniscal tearsPosterior horn of medial meniscus is… Read More
The knee is a made up of a variety of complex soft tissues. Enclosing the knee joint is a fold at its membrane known as the plica. The knee is encapsulated by a fluid-filled structure called the synovial membrane. Three of these capsules, known as the synovial plicae, develop around the knee joint throughout the fetal stage and are absorbed before… Read More
Many people think of joints, bones, and the skeletal system when they think of chiropractic, but in fact, the muscles also play an integral part in supporting the body. The muscles are layers and interwoven work to move and stabilize the spine, facilitate the movement of the body’s joints, and aid in respiration. When there is pain within this system,… Read More
Chondromalacia patellae, also referred to as runner's knee, is a health issue in which the cartilage beneath the patella, or kneecap, becomes soft and ultimately degenerates. This problem is prevalent among young athletes, however, it may also develop in older adults who suffer from arthritis of the knee. Sports injuries like chondromalacia patellae are frequently regarded as an overuse injury. Taking some time… Read More
Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is characterized by the inflammation of the site below the knee where the tendon from the kneecap, or the patellar tendon, attaches to the shinbone, or tibia. Osgood-Schlatter disease occurs during growth spurts when muscles, bones, tendons, and other tissues shift rapidly. Physical activities can place additional stress… Read More
You may have seen professional athletes, dancers, gymnasts, and others who engage in extremely physical activities using a type of tape on various points of their bodies. It is sometimes colored and does not seem to inhibit range of motion. While it looks like tape, or maybe a very fancy bandage, it is actually a highly technical, specialized tape that… Read More
Robert "Bobby" Gomez first visited Dr. Alex Jimenez, doctor of chiropractic, after experiencing back pain due to a pelvic tilt on his hips. Born with cerebral palsy, Bobby always felt underestimated by his peers due to his condition. Thanks to chiropractic care, Robert Gomez received the support he needed to strengthen his body as well as to improve his flexibility… Read More
Sinding-Larsen-Johansson, or SLJ, syndrome is a debilitating knee condition that most commonly affects teens during periods of rapid growth. The kneecap, or patella, is attached to the shinbone, or tibia, from the patellar tendon. The tendon connects to an expansion plate at the bottom of the kneecap throughout growth. Repetitive stress on the patellar tendon can make the growth plate… Read More
Pyogenic Spinal Infection aka Spondylodiscitis and vertebral osteomyelitis overall are relatively infrequent and may present with bimodal distribution: children and adults >50'sOccasionally considered as two separate entities due to variations in blood supply of pediatric vs. adult spinesRisk factors/causes: distant site of infection in the body (25-35%) e.g. oropharynx, urogenital infections, bacterial endocarditis, indwelling catheters, florid skin infections furunculosis/abscess etc.Iatrogenic: operative… Read More
Patellar tendinitis is a common health issue characterized by the inflammation of the tendon which joins the kneecap, or patella, to the shinbone, or tibia. The knee pain associated with this problem may range from mild to severe depending on the circumstances of the knee injury. Patellar tendinitis, or jumper's knee, is a well-known sports injury among athletes who play… Read More
Headaches are a real pain (insert eye-roll here). Many individuals suffer from them, and there are a variety of causes, symptoms, and treatment options. For some, they are a rare occurrence, while others deal with them on a weekly, or even daily, basis. They can range from minor inconveniences to full-fledged life changing afflictions. The first step in treating headaches is… Read More
Ischemic Osteonecrosis Ischemic Osteonecrosis (More accurate term) aka avascular necrosis AVN: this term describes subarticular (subchondral) bone deathIntramedullary bone infarct: describes osteonecrosis within the medullary cavity of the bone (above x-ray image)Causes: m/c: trauma, systemic corticosteroids, diabetes, vasculitis in SLE. The list is long. Other important causes: Sickle cell disease, Gaucher disease, alcohol, caisson disease, SCFE, LCP, etc.Pathology: ischemia and… Read More
Bisphosphonates are a type of drug/medication which blocks the loss of bone density to treat osteoporosis-related ailments. They are most frequently prescribed for the treatment of osteoporosis. Bisphosphonates have two phosphonate groups. Evidence demonstrates that they reduce the probability of fractures in post-menopausal women with osteoporosis. Bone tissue undergoes continuous remodeling that is stored to provide equilibrium, or homeostasis, through… Read More
Cancer which develops in specific organs of the human body, including the lungs, breast, or prostate, among others, can sometimes spread into the bone, causing what is known as metastatic bone disease, or MBD. Approximately more than 1.2 million new cancer cases are diagnosed every year, where about 50 percent can spread, or metastasize, to the bones. Through medical advancements, patients diagnosed… Read More