Evidence-Based Treatment for Persistent Tendon, Muscle and Joint Pain

Ever had a stubborn, tight muscle or sore back that just doesn’t seem to be getting any better? Maybe your injury is just not making any headway after loads of therapy sessions. 

You’ve tried it all- physio, chiro, Thai massage, medication, steroid injections, but it just doesn’t seem to improve?

At our practice, we are proud to offer advanced extracorporeal shockwave therapy (ESWT) using the EMS Swiss DolorClast® Smart 20 system (FDA-approved) — one of the most recognised shockwavetherapy technologies used internationally in sports medicine, orthopaedics and rehabilitation. It has been around for 20 odd years in the orthopaedic world,  however,  it also is used in surgical applications as well. Shockwave therapy facilitates the body’s natural healing process by breaking down scar tissue, increasing blood flow and initiating tissue repair more effectively and quicker than massage, dry needling and other modalities.

Shockwave therapy is a non-invasive treatment that uses high-energy acoustic (sound) waves to stimulate healing in chronically injured or painful tissues. It is commonly used for tendon injuries, muscular dysfunction, calcific conditions and persistent pain that has not responded fully to rest,

medication or conventional therapy.

Our goal is simple: help patients recover faster, improve function, reduce pain and return to normal activity safely and efficiently.

What Conditions Can Shockwave Therapy Help?

Shockwave therapy may be beneficial for a wide range of musculoskeletal conditions, including:

• Plantar fasciitis and heel pain
• Achilles tendinopathy
• Tennis elbow (lateral epicondylitis)
• Golfer’s elbow
• Patellar tendinopathy (jumper’s knee)
• Rotator cuff tendinopathy
• Calcific shoulder tendinopathy
• Hamstring tendinopathy
• Gluteal tendinopathy
• Shin splints
• Chronic muscular trigger points
• Myofascial pain syndromes
• Certain chronic soft tissue injuries

Shockwave therapy is particularly valuable in persistent or chronic conditions where tissue healing has stalled.

How Does Shockwave Therapy Work?

Shockwave therapy delivers acoustic waves into injured tissue to stimulate a biological healing response. Research suggests that shockwave therapy may help:

• Improve local blood flow
• Stimulate tissue regeneration
• Reduce pain sensitivity
• Promote tendon healing and remodelling
• Improve mobility and function

Treatment is non-surgical, drug-free and typically requires minimal downtime.

Most sessions take approximately 10–20 minutes, and many patients are able to continue with normal daily activities shortly afterwards.

What Does the Research Say?

Extracorporeal shockwave therapy has been extensively studied in sports medicine and rehabilitation research.

Systematic reviews and meta-analyses have demonstrated positive outcomes for several chronic tendinopathies, particularly regarding pain reduction and functional improvement. Evidence is strongest for conditions such as plantar fasciitis, calcific shoulder tendinopathy and certain lower-limb tendinopathies. (PubMed)

Clinical guidance from organisations such as NICE (National Institute for Health and Care Excellence, UK) has also evaluated the use of shockwave therapy for conditions including Achilles tendinopathy and calcific shoulder tendinopathy. (nice.org.uk)

As with all evidence-based treatments, outcomes depend on the condition being treated, the chronicity of the injury and the overall rehabilitation plan. Shockwave therapy is often most effective when integrated with appropriate exercise rehabilitation and load management strategies. (Reddit)

Why We Use the EMS Swiss DolorClast® Smart 20

The EMS Swiss DolorClast® system is widely recognised internationally in sports medicine and rehabilitation settings for delivering radial shockwave therapy with precision and consistency.

By combining advanced technology with detailed clinical assessment and rehabilitation principles, we aim to provide treatment that is:

• Evidence-informed
• Patient-centred
• Function-focused
• Integrated with broader rehabilitation goals

Every treatment plan is individualised based on the patient’s diagnosis, functional goals and response to care.

A Collaborative, Interprofessional Approach

We strongly believe that the best patient outcomes occur when healthcare professionals work together.

Our practice welcomes referrals from:

• General practitioners
• Physiotherapists
• Biokineticists
• Sports physicians
• Orthopaedic surgeons
• Podiatrists
• Personal trainers and strength coaches

We aim to complement — not replace — the management strategies already in place for your patients.

Where appropriate, we provide:

• Detailed feedback and progress updates
• Shared management strategies
• Co-management with rehabilitation providers
• Clear communication regarding treatment response and outcomes

Our philosophy is built around ethical, collaborative and patient-first care. We value long-term professional relationships and believe strongly in maintaining trust between healthcare providers.

What to Expect During Treatment

A typical consultation includes:

1. A thorough assessment and diagnosis
2. Determination of suitability for shockwave therapy
3. Explanation of expected outcomes and treatment plan
4. Shockwave treatment application
5. Advice regarding exercise, loading and recovery

Most conditions require a series of treatments, commonly between 3–6 sessions depending on the condition and severity.

Is Shockwave Therapy Right for You?

Shockwave therapy may be an excellent option if:

• You have persistent tendon or soft tissue pain
• Traditional treatment has not fully resolved the issue
• You want a non-invasive treatment approach
• You are trying to avoid injections or surgery
• You want to improve recovery and function

If you are unsure whether shockwave therapy is appropriate for your condition, we would be happy to assess your case and discuss your options.

Conditions Commonly Treated With ShockwaveTherapy

Extracorporeal Shockwave Therapy (ESWT) is commonly used in the management of chronic tendon injuries, muscular dysfunction, myofascial pain syndromes and certain overuse injuries.

At our Johannesburg practice, we utilise the EMS Swiss DolorClast® Smart 20 system as part of a comprehensive and evidence-informed treatment approach.

Foot & Ankle Conditions

Plantar Fasciitis / Plantar Fasciopathy

One of the most researched applications of shockwave therapy.

Common symptoms include:

• Heel pain, especially with the first steps in the morning
• Pain after prolonged standing
• Pain during running or walking

Shockwave therapy may help stimulate tissue healing, reduce chronic irritation and improve function in persistent plantar fascia pain. Evidence supports its use particularly in chronic or treatment-resistant cases. (pubmed.ncbi.nlm.nih.gov)

Achilles Tendinopathy

Includes:

• Mid-portion Achilles tendinopathy
• Insertional Achilles tendinopathy

Common in:

• Runners
• Field sport athletes
• Active individuals
• Patients with long-standing calf tightness or overload patterns

Shockwave therapy is often combined with progressive loading and rehabilitation exercises.

Heel Spur Syndrome

Chronic traction and overload at the plantar fascia insertion may contribute to painful heel spur presentations.

Shockwave therapy may help reduce pain and improve tolerance to weight-bearing activity.

Tibialis Posterior Tendinopathy

May present with:

• Medial ankle pain
• Foot fatigue
• Arch collapse symptoms

Often seen in runners and individuals with altered foot mechanics.

Peroneal Tendinopathy

Lateral ankle and foot pain associated with overload, instability or repetitive sporting activity.

Chronic Ankle Stiffness & Scar Tissue Dysfunction

Shockwave therapy may be used alongside rehabilitation to improve tissue mobility and pain modulation in chronic post-injury cases.

Knee Conditions

Patellar Tendinopathy (“Jumper’s Knee”)

Common in:

• Running athletes
• CrossFit athletes
• Volleyball and basketball players
• Gym-based athletes

Symptoms include:

• Pain below the kneecap
• Pain during jumping, squatting or stair climbing
• Reduced power and athletic performance

Research supports the use of shockwave therapy in chronic patellar tendinopathy management. (pubmed.ncbi.nlm.nih.gov)

Quadriceps Tendinopathy

Pain above the kneecap typically associated with explosive sport, gym training or repetitive loading.

Pes Anserine Tendinopathy / Bursitis

Pain on the inner side of the knee commonly aggravated by running, stair climbing and repetitive activity.

Iliotibial Band Syndrome (ITB Syndrome)

Lateral knee pain often associated with running, cycling and load-management issues.

Patellofemoral Pain Syndrome

Shockwave therapy may be used adjunctively alongside rehabilitation and movement correction strategies in selected chronic presentations.

Hip & Pelvic Conditions

Gluteal Tendinopathy

A common cause of:

• Lateral hip pain
• Pain lying on the side
• Pain during walking or stair climbing

Frequently seen in:

• Runners
• Middle-aged active adults
• Patients with persistent greater trochanteric pain syndrome

Greater Trochanteric Pain Syndrome

Includes irritation of:

• Gluteal tendons
• Trochanteric bursa
• Associated lateral hip soft tissues

Proximal Hamstring Tendinopathy

Common in:

• Runners
• Sprinters
• Cyclists
• Field sport athletes

Symptoms may include:

• Deep buttock pain
• Pain during acceleration
• Pain while sitting

Hip Flexor Tendinopathy

Includes overload-related dysfunction involving the iliopsoas or rectus femoris tendons.

Adductor Tendinopathy / Groin Pain

Frequently seen in:

• Football players
• Hockey players
• Runners
• Rotational athletes

Shoulder Conditions

Calcific Rotator Cuff Tendinopathy

One of the strongest evidence-based indications for shockwave therapy.

Shockwave therapy may assist with:

• Pain reduction
• Improved shoulder mobility
• Reduction of calcific deposits

NICE guidance supports the use of extracorporeal shockwave therapy in calcific shoulder tendinopathy. (nice.org.uk)

Rotator Cuff Tendinopathy

Includes:

• Supraspinatus tendinopathy
• Infraspinatus tendinopathy
• Chronic overload-related shoulder pain

Subacromial Pain Syndrome

Pain associated with overhead activity, gym training or repetitive shoulder loading.

Frozen Shoulder (Adhesive Capsulitis)

Shockwave therapy may help reduce muscular guarding and pain in selected cases as part of a broader rehabilitation programme.

Biceps Tendinopathy

Anterior shoulder pain often aggravated by lifting, pulling and gym activity.

Elbow & Forearm Conditions

Tennis Elbow (Lateral Epicondylitis)

A highly common condition treated with shockwave therapy.

Symptoms include:

• Pain gripping objects
• Pain during lifting
• Reduced grip strength
• Forearm tension

Often associated with:

• Racquet sports
• Gym training
• Manual labour
• Repetitive computer use

Golfer’s Elbow (Medial Epicondylitis)

Pain on the inner side of the elbow associated with gripping and wrist flexion activities.

Forearm Muscle Overload Syndromes

Chronic muscular tightness and overload patterns involving repetitive strain.

Neck, Upper Back & Spine-Related Muscle Conditions

Myofascial Trigger Points

Shockwave therapy may be used to address:

• Chronic muscular tightness
• Trigger points
• Pain referral patterns
• Reduced mobility

Commonly treated areas include:

• Upper trapezius
• Levator scapulae
• Thoracic paraspinals
• Gluteal musculature
• Calf muscles

Chronic Muscular Tension Syndromes

May benefit individuals with:

• Postural overload
• Desk-related tension
• Recurrent muscular tightness
• Sports-related overload

Cervicogenic & Thoracic Myofascial Pain

Shockwave therapy may be integrated with chiropractic care, rehabilitation and movement-based treatment approaches.

Sports Injuries & Athletic Recovery

Shockwave therapy is commonly used in sports medicine settings for:

• Chronic overload injuries
• Tendon rehabilitation
• Muscle tightness and trigger points
• Return-to-sport programmes
• Running injuries
• Persistent training-related pain

It is frequently incorporated alongside:

• Rehabilitation exercise
• Strength and conditioning
• Biokinetic rehabilitation
• Physiotherapy management
• Chiropractic care

Chronic Pain & Persistent Dysfunction

Shockwave therapy may be considered in selected chronic pain presentations where tissue healing and rehabilitation progression have plateaued.

This may include:

• Chronic tendinopathies
• Long-standing soft tissue pain
• Recurrent overload injuries
• Persistent myofascial dysfunction

Collaborative Care & Referrals

We welcome referrals from:

• General practitioners
• Physiotherapists
• Biokineticists
• Orthopaedic surgeons
• Sports physicians
• Podiatrists
• Personal trainers and coaches

Our goal is to complement existing management plans through collaborative, ethical and patient-centred care.

We believe strongly in:

• Interprofessional communication
• Shared rehabilitation strategies
• Clear clinical feedback
• Evidence-informed practice
• Patient-first decision making

We do not aim to replace the primary treating practitioner, but rather to contribute positively to the overall management and recovery process.

References

• Mani-Babu S, et al. “A systematic review of shockwave therapies in soft tissue conditions.” British Journal of Sports Medicine. (pubmed.ncbi.nlm.nih.gov)
• Stania M, et al. “The effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy and plantar fasciitis.” (pubmed.ncbi.nlm.nih.gov)
• NICE Guidance: Extracorporeal shockwave therapy for calcific tendinopathy in the shoulder. (nice.org.uk)
• NICE Evidence Review on Shockwave Therapy for Calcific Shoulder Tendinopathy. (nice.org.uk)
• Liao CD, et al. “Efficacy of Extracorporeal Shock Wave Therapy for Lower-Limb Tendinopathy: A Meta-analysis of Randomized Controlled Trials.” American Journal of Physical Medicine & Rehabilitation, 2018. (PubMed)
• Majidi L, et al. “The effect of extracorporeal shock-wave therapy on pain in patients with various tendinopathies: a systematic review and meta-analysis.” BMC Sports Science, Medicine and Rehabilitation, 2024. (Springer)
• Korakakis V, et al. “The effectiveness of extracorporeal shockwave therapy in common lower limb conditions.” British Journal of Sports Medicine. (bjsm.bmj.com)
• NICE Guidance: Extracorporeal shockwave therapy for calcific tendinopathy in the shoulder. (nice.org.uk)
• NICE Guidance: Extracorporeal shockwave therapy for Achilles tendinopathy. (nice.org.uk)
• Mayo Clinic Orthopedics & Sports Medicine: “A shocking treatment for tendinopathy provides unique therapy.” (sportsmedicine.mayoclinic.org)

Disclaimer: This article is intended for educational purposes only and should not be considered medical advice or a replacement for assessment by a qualified healthcare professional.

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As chiropractors, we frequently see patients who have spent years trying to manage recurring headaches and migraines without fully understanding what may be contributing to them. While migraines can have many different triggers and underlying factors, addressing musculoskeletal dysfunction, stress, posture, and nervous system tension can play an important role in reducing the frequency and severity of symptoms.

What Exactly Is a Migraine?

A migraine is a neurological condition characterised by episodes of moderate to severe head pain, often accompanied by other symptoms such as nausea, light sensitivity, sound sensitivity, dizziness, and visual disturbances.

Migraines commonly present as:

• Throbbing or pulsating pain
• Pain on one side of the head (although it can occur on both sides)
• Sensitivity to light, sound, or smells
• Nausea or vomiting
• Difficulty concentrating
• Fatigue or brain fog
• Neck tension or stiffness

Migraine attacks can last anywhere from a few hours to several days, and many sufferers report feeling “hungover” or exhausted afterwards.

The Different Stages of a Migraine

Migraines often occur in phases, although not every person experiences every stage.

1. Prodrome Phase

This phase can begin hours or even days before the migraine itself. Many people notice subtle warning signs that something is “off.”

Common prodrome symptoms include:

• Fatigue
• Mood changes or irritability
• Food cravings
• Increased thirst
• Neck stiffness
• Difficulty concentrating
• Frequent yawning

This stage is the body’s early warning system and is often overlooked.

2. Aura Phase

Approximately one-third of migraine sufferers experience an aura before the headache begins.

An aura is a temporary neurological disturbance that can affect vision, sensation, speech, or movement.

Common migraine aura symptoms include:

• Flashing lights or zigzag lines
• Blurred vision or blind spots
• Tingling or numbness
• Dizziness
• Difficulty speaking
• Feeling disconnected or mentally foggy

Aura symptoms typically develop gradually and last between 5 and 60 minutes.

3. Headache Phase

This is the phase most people associate with migraines. The pain can range from moderate to severe and is often worsened by movement, bright lights, loud noises, or physical activity.

Some individuals also experience:

• Nausea
• Vomiting
• Dizziness
• Increased sensitivity to touch
• Tightness in the neck and shoulders

4. Postdrome Phase

After the migraine subsides, many people feel drained, mentally foggy, or unusually fatigued for up to 24 hours. This phase is often described as a “migraine hangover.”

Common Migraine Triggers

Migraines are highly individual, and triggers can vary significantly from person to person.

Some of the most common triggers include:

• Stress and emotional tension
• Poor sleep or disrupted sleep patterns
• Hormonal fluctuations
• Dehydration
• Skipping meals
• Excessive screen time
• Bright lights
• Strong smells
• Certain foods or alcohol
• Poor posture and muscle tension
• Neck dysfunction or stiffness

One of the biggest challenges with migraines is that triggers can accumulate. A person may tolerate one stressor well, but multiple triggers occurring together can push the nervous system beyond its threshold.

The Connection Between the Neck and Migraines

Many migraine sufferers also experience neck pain, stiffness, or tension before or during an attack.

Research suggests that the upper cervical spine (the upper neck) and the trigeminal nerve system are closely connected. Dysfunction, restricted movement, muscle tightness, or irritation in the neck may contribute to headache symptoms in some individuals.

Modern lifestyles also place significant strain on the neck and upper back. Long hours spent at desks, on phones, or working on computers can lead to:

• Forward head posture
• Increased muscle tension
• Joint restriction
• Reduced mobility
• Increased stress on the nervous system

Over time, this tension may contribute to headache patterns in susceptible individuals.

How Chiropractic Care May Help Migraine Sufferers

Chiropractic care does not “cure” migraines, and migraines are often multifactorial. However, chiropractic treatment may help reduce contributing musculoskeletal stressors and improve overall function.

For patients whose migraines are associated with neck tension, poor posture, joint restriction, or muscular dysfunction, chiropractic care may help by:

• Improving spinal and joint mobility
• Reducing muscle tension and tightness
• Addressing postural imbalances
• Improving neck function
• Reducing mechanical stress on the nervous system
• Helping patients identify physical triggers

Treatment may include:

• Chiropractic adjustments
• Soft tissue therapy
• Myofascial release
• Dry needling
• Rehabilitation exercises
• Postural advice
• Ergonomic recommendations
• Lifestyle and stress-management strategies

Many patients also report that improving sleep quality, hydration, stress levels, and movement habits significantly impacts the frequency of their headaches.

When Should You Seek Further Medical Attention?

While migraines are common, certain symptoms should never be ignored.

Seek immediate medical attention if you experience:

• A sudden, severe headache unlike anything you have experienced before
• Weakness or paralysis
• Loss of consciousness
• Persistent confusion
• Difficulty speaking
• Vision loss
• Fever associated with a headache
• Headaches following trauma

It is always important to rule out more serious underlying causes.

Final Thoughts

Migraines can have a major impact on quality of life, work, sleep, exercise, and mental wellbeing. Because migraines are complex, effective management often requires a multidisciplinary approach that addresses both neurological and musculoskeletal factors.

For many individuals, understanding their triggers, improving lifestyle habits, and addressing neck tension and postural dysfunction can make a meaningful difference.

As chiropractors, our role is not simply to treat pain, but to assess the body as a whole, identify contributing factors, and help patients move and function better.

If you regularly experience headaches or migraines, it may be worth exploring whether musculoskeletal tension, posture, stress, or neck dysfunction could be playing a role in your symptoms.

References

1. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (ICHD-3). Cephalalgia. 2018;38(1):1-211.
2. World Health Organization. Headache disorders. Available from: https://www.who.int/news-room/fact-sheets/detail/headache-disorders
3. American Migraine Foundation. Migraine Symptoms and Aura. Available from: https://americanmigrainefoundation.org
4. Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States. Headache. 2018;58(4):496-505.
5. Charles A. The pathophysiology of migraine: implications for clinical management. Lancet Neurology. 2018;17(2):174-182.
6. Ashina M. Migraine. New England Journal of Medicine. 2020;383:1866-1876.
7. Fernández-de-Las-Peñas C, Cuadrado ML, Arendt-Nielsen L, Pareja JA. Myofascial trigger points and sensitization: an updated pain model for tension-type headache. Cephalalgia. 2007;27(5):383-393.
8. Chaibi A, Tuchin PJ, Russell MB. Manual therapies for migraine: a systematic review. Journal of Headache and Pain. 2011;12(2):127-133.
9. Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of Manipulative and Physiological Therapeutics. 2011;34(5):274-289.
10. Mayo Clinic. Migraine. Available from: https://www.mayoclinic.org/diseases-conditions/migraine-headache/symptoms-causes/syc-20360201

Disclaimer: This article is intended for educational purposes only and should not be considered medical advice or a replacement for assessment by a qualified healthcare professional.

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The application of dry needling involves the insertion of a sterile, stainless steel, small-gauged needle into the muscle/ tendon. Most often, you’ll hear your chiropractor refer to  trigger points during the procedure. We aim to insert needles into trigger points which are found within your muscle belly. Trigger points are tight bands within a muscle which are suspended in a non resting state, known most commonly as a muscle spasm or “knot. “

The goal of dry needling is to decrease pain and increase joint and muscular range of motion. Dry needling is very specific as it increases blood flow locally which contributes to healing.

How does dry needling work?

When a muscle is overused/overworked, an energy crises occurs. When this happens, your muscle fibres don’t receive enough blood supply and hence, are starved of oxygen and nutrients. Without adequate oxygen and nutrients, your muscle struggles to return to its resting state. The tissue near the trigger point becomes acidic, stimulating nerve sensitivity, and thus more pain and decreased range of motion is experienced. (We often hear patients using terms such as feeling “locked up” or “stuck” which refers to a muscle a spasm.)

When we insert the needle, we temporarily create a trauma response, which stimulates an influx of blood flow back into that muscle. In order to get blood back into the affected muscle, a small prick and injury channel needs to be created.  Thus, this trauma response is necessary for healing. This needle “prick” also stimulates your brain to release endorphins (which naturally decrease pain.) During the dry needling procedure you may feel a muscular contraction which is known as a local twitch response. This is a good sign as it indicates that the muscle is being stimulated. 

Once normal blood supply returns, oxygen and nutrient concentration increases and thus, the resting state of the muscle can then be achieved. Once this happens, there is a restoration of range of motion, decreased pain and improved joint function.

When is dry needling used as treatment?:

• Cervical , thoracic or lumbar facet syndromes
• TMJ syndrome (jaw)
• “Pulled muscle”
• Migraine and tension headaches
• Whiplash
• Spinal disc herniations as a supportive treatment
• Pelvic pain
• Carpal tunnel syndrome 
• Achilles tendinitis 

Please contact us should you be suffering from pain in the spine and /or extremities. Dry needling can be an effective treatment choice for your condition. Coupled with chiropractic joint manipulative therapy, pain and dysfunction may be greatly improved. Chiropractors treat all joints in the body, not only spinal issues.

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The primary applications of therapeutic ultrasound include:

How does the body respond to mechanical vibrations during ultrasound therapy?

The body responds to mechanical vibrations during ultrasound therapy through several physiological mechanisms, which can lead to beneficial effects. Here are some key responses:

1. Thermal Effects: When ultrasound waves penetrate tissues, they generate heat due to the absorption of sound energy. This increase in temperature can enhance blood flow, relax muscles, and promote tissue healing by accelerating metabolic processes.
2. Non-Thermal Effects: The mechanical vibrations also cause microscopic changes in the tissues. These include:
   • Cell Membrane Permeability: Ultrasound may temporarily increase the permeability of cell membranes, facilitating the exchange of ions and nutrients, which can enhance cellular metabolism and repair.
   • Cavitation: This involves the formation and collapse of tiny gas bubbles in the tissues, which can create micro-massage effects that stimulate cellular activity and improve circulation.
3. Increased Blood Flow: The thermal and mechanical effects can lead to vasodilation (widening of blood vessels), increasing local blood flow. This enhanced circulation helps deliver oxygen and nutrients to the tissues while removing waste products.
4. Pain Modulation: The vibrations can stimulate sensory nerves, which may interfere with pain transmission pathways, leading to a reduction in the perception of pain.
5. Tissue Repair and Regeneration: By stimulating cellular processes, ultrasound therapy can promote the healing of tissues, helping with the repair of injuries and reducing scar tissue formation.

What conditions are treated with ultrasound therapy?

Ultrasound therapy is commonly used to treat a variety of conditions, particularly those related to musculoskeletal injuries and disorders. Some of the typical conditions include:

1. Muscle Strains and Sprains: Helps in the healing process and reduces pain and inflammation.
2. Tendon Injuries: Effective for conditions like tendonitis, tendinopathy, and rotator cuff injuries.
3. Joint Pain: Beneficial for arthritis and other inflammatory joint conditions by reducing pain and swelling.
4. Bursitis: Reduces inflammation and pain in the bursae that cushion bones and muscles.
5. Carpal Tunnel Syndrome: Can alleviate symptoms by reducing swelling and promoting healing in the wrist.
6. Post-Surgical Recovery: Aids in healing after orthopedic surgeries, such as joint replacements or repairs.
7. Scar Tissue Management: Assists in softening and breaking down scar tissue after injuries or surgeries.
8. Plantar Fasciitis: Provides pain relief and promotes healing in the connective tissue of the foot.
9. Chronic Pain Conditions: Used as part of a pain management plan for chronic pain syndromes.
10. Soft Tissue Injuries: Effective for various soft tissue injuries, including ligaments and fascia.

While ultrasound therapy is widely used, its effectiveness can vary depending on the specific condition and individual patient factors. It’s often part of a comprehensive treatment plan that may include physical therapy, exercise, and other modalities.

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Chiropractic care can potentially improve your running performance in a variety of ways.

1. Vertebral alignment: Chiropractors focus on spinal alignment and posture, which can enhance your running form and reduce the risk of injuries. 
2. Injury Prevention: Regular chiropractic adjustments and soft tissue therapies can help identify and address musculoskeletal issues before they develop into more serious injuries.
3. Enhanced Mobility: Chiropractic care can improve joint mobility and flexibility, allowing for a better range of motion during your runs, thus preventing chronic overuse conditions like runners knee or ITB syndrome. 
4. Pain Relief: If you experience pain from previous injuries or overuse in sport, chiropractic treatments can help alleviate discomfort, enabling you to train more effectively.
5. Overall Performance: By optimizing your body’s function, chiropractic care may contribute to improved endurance and efficiency while running by improving leg length discrepancies and asymmetry between the right and left hand side of one’s body. 
6. An improvement in leg length discrepancy: a leg length discrepancy (LLD) is when one leg is longer than the other. This can be caused by terrain discrepancies, driving, habits, structural. Having this issue whilst running can cause injuries on one side of your body, injuries to key areas like your lower spine and may affect the structural integrity of the knee and  hips. 

Due to the repetitive nature of running, there is a heightened risk of developing injuries in multiple areas such as the knee, lower back, foot and shin area. Running for long periods and distances requires runners to get checked for any form of imbalance which naturally will occur with the training demands, terrain and sheer volume of the sport. This requirement may improve injuries which can get a runner out of the game for months. 

It’s a good idea to consult with a chiropractor who has experience working with athletes to determine the best approach for your specific needs.

Here at Spina Vita, we pride ourselves in managing many runners and athletes through their sporting journeys. 

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Yes, we can help you! 

It’s time to bring that spring feeling into your spine! 

Chiropractors focus on spinal alignment and overall musculoskeletal health, which can significantly influence posture. Here are some ways chiropractic care can help:

How does chiropractic care improve posture? 

1. Spinal adjustments: Chiropractors perform adjustments to correct misalignments in the spine with regards to imbalances in range of motion (vertebral joints are aligned.) Furthermore, spinal joints that lack range of motion on one side can affect the opposite side which leads to an imbalance on both sides of the body (right versus left hand side of the body.)
2. Muscle Relaxation: Chiropractic care can help relieve muscle tension and tightness, which often contributes to poor posture. This can be further exacerbated by facet joints (joints found at every spinal level on the right and left hand side) which are not moving at their optional range.  By relaxing these muscles, it can be easier to maintain good posture.
3. Postural Education: Chiropractors often provide guidance, education and modifications on correct body mechanics and posture during daily activities, helping patients understand how to sit, stand, and move in ways that support spinal health. This is individualised. 
4. Customised Exercise Programs: Chiropractors may recommend specific exercises and stretches to strengthen postural muscles and improve flexibility, further supporting good posture. 
5. Holistic Approach: Chiropractic care considers the entire body, addressing factors such as ergonomics, lifestyle, and physical activity that can impact posture. Every patient will have a unique approach when it comes to improving posture. This is because we all differ with regards to our posture, spinal health and some patients may suffer from congenital/ pathological and chronic conditions in their spine.

Overall, while chiropractic treatment can be an effective tool for improving posture, it is often most effective when combined with lifestyle changes, exercise, and ergonomic adjustments. 

What are some common exercises to improve posture?

Improving posture can often be achieved through a combination of stretching and strengthening exercises. Here are some common exercises that can help:

1. **Shoulder Blade Squeeze**: Sit or stand up straight, and squeeze your shoulder blades together. Hold for a few seconds and release. Repeat several times.
2. **Chest Stretch**: Stand in a doorway with your arms at a 90-degree angle against the frame. Lean forward gently to stretch your chest muscles. Hold for 15-30 seconds.
3. **Cat-Cow Stretch**: Start on all fours. Inhale as you arch your back (cow), and exhale as you round your spine (cat). This helps improve flexibility and spinal alignment.
4. **Wall Angels**: Stand with your back against a wall, feet a few inches away. Raise your arms to form a “W” shape against the wall, then slide them up into a “Y” shape while keeping your back and arms in contact with the wall.
5. **Plank**: Lie face down, then lift your body off the ground with your forearms and toes, keeping a straight line from head to heels. This strengthens the core, which supports good posture.
6. **Bridges**: Lie on your back with knees bent. Lift your hips off the ground, squeezing your glutes at the top. This exercise strengthens the lower back and glutes.
7. **Hip Flexor Stretch**: Kneel on one knee with the other foot in front. Push your hips forward gently to stretch the hip flexors, which can become tight from prolonged sitting.
8. **Neck Stretches**: Gently tilt your head to one side, bringing your ear toward your shoulder, and hold. Repeat on the other side to relieve tension in the neck.

Conclusion:

Incorporating these exercises into your routine can help improve your posture over time. It’s important to perform them correctly to avoid injury, so consider consulting a fitness professional if you’re unsure.

Please note this is a guideline and it is incredibly important to consult with your healthcare provider before attempting any exercise/stretching regimen. 

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Sciatica is a common condition that causes pain, numbness, and tingling sensations along the path of the sciatic nerve. This nerve is the longest and thickest nerve in the human body, originating from the lower back and extending down the back of each leg. In this blog, we will explore the causes of sciatica, including piriformis syndrome and nerve entrapment, and how chiropractic care, including traction and lumbar flexion distraction, can provide effective relief.

What is Sciatica?

Sciatica refers to the symptoms that occur when the sciatic nerve is irritated or compressed. This can be caused by various factors, such as a herniated disc, spinal stenosis, or muscle tightness. The sciatic nerve begins in the lower back, branches out through the buttocks, and travels down the back of the legs, reaching all the way to the feet.

Understanding Piriformis Syndrome:

Piriformis syndrome is a condition that can mimic the symptoms of sciatica. The piriformis muscle, located in the buttock region, can sometimes become tight or develop spasms. When this happens, the muscle can press against or irritate the sciatic nerve, leading to pain, tingling, and numbness in the buttocks and down the leg. Chiropractic care focuses on identifying and addressing the underlying causes of piriformis syndrome to provide relief.

Nerve Entrapment and Similar Symptoms:

Apart from piriformis syndrome, sciatica-like symptoms can also be caused by nerve entrapment. Nerve entrapment occurs when the sciatic nerve gets compressed or pinched as it passes through the small openings between the vertebrae in the spine. This can happen due to spinal misalignments, disc herniation, or degenerative changes in the spine. Chiropractors are trained to identify and correct these spinal abnormalities, reducing the pressure on the sciatic nerve and alleviating the associated symptoms.

How Chiropractic Care Helps with Sciatica:

Chiropractic care offers a non-invasive and drug-free approach to treating sciatica. Chiropractors use various techniques to address the underlying causes of sciatic nerve irritation, providing relief and promoting natural healing. Here are some ways chiropractic care can help:

1. Spinal Adjustments: Chiropractors perform precise spinal adjustments to realign the vertebrae and reduce pressure on the sciatic nerve. By restoring proper spinal alignment, nerve irritation is minimized, and pain relief is achieved.
2. Traction: Traction is a technique used by chiropractors to decompress the spine and relieve pressure on the sciatic nerve. It involves gentle stretching of the spine using a traction table or specialized equipment. Traction helps to create space between the vertebrae, allowing the herniated disc to retract and reducing nerve compression.
3. Lumbar Flexion Distraction: Lumbar flexion distraction is another technique used by chiropractors to alleviate sciatica symptoms. It involves a gentle pumping motion applied to the lower back while the patient lies face down on a specialized table. This technique helps to increase the space between the vertebrae, reduce disc bulging, and relieve pressure on the sciatic nerve.
4. Soft Tissue Therapy: Chiropractors may also use soft tissue therapies, such as massage or trigger point therapy, to release tension in the muscles surrounding the sciatic nerve. This helps to reduce inflammation and enhance the healing process.
5. Exercise and Rehabilitation: Chiropractors often prescribe specific exercises and stretches to strengthen the supporting muscles and improve flexibility. These exercises can help prevent future sciatic episodes and promote long-term relief.
6. Lifestyle Modifications: Chiropractors provide guidance on ergonomic changes, posture correction, and lifestyle modifications to alleviate sciatic nerve irritation. These recommendations aim to reduce stress on the spine and promote overall spinal health.

Conclusion:

Chiropractic care offers a holistic and patient-centered approach to managing sciatica. By addressing the underlying causes of sciatic nerve irritation, such as piriformis syndrome and nerve entrapment, chiropractors can provide effective relief and improve the quality of life for patients. Techniques like traction and lumbar flexion distraction are additional tools in the chiropractic toolbox to alleviate sciatica symptoms. If you are experiencing sciatica symptoms, consulting with a chiropractor can be a valuable step towards finding long-term relief and restoring your well-being.

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Is it safe for me to see a chiropractor while I am pregnant?

It is safe for pregnant women to see a chiropractor, in conjunction with your healthcare provider. Chiropractors provide personalised advice based on your specific health condition and pregnancy. Additionally, it is recommended to choose a chiropractor who has experience working with pregnant women, as they will be familiar with the specific adjustments and techniques that are safe during pregnancy. Chiropractors in South Africa are trained to treat pregnant women. 

How can chiropractic benefit me as a pregnant mom?

While chiropractic care primarily focuses on the health and well-being of the pregnant mother, there can be potential benefits for the baby in utero as well. Here are a few ways chiropractic care may benefit the baby during pregnancy:

• Optimal fetal positioning: Chiropractic adjustments can help align the mother’s pelvis, creating a more balanced and spacious environment for the baby. This can potentially improve the baby’s positioning in the womb, reducing the likelihood of breech or posterior presentations. Proper positioning may also facilitate an easier and smoother delivery.
• Reduced intrauterine constraint: Misalignments or imbalances in the mother’s pelvis or spine can create tension or restriction within the uterus. Chiropractic adjustments can help alleviate these constraints, providing the baby with more freedom to move and develop properly.
• Improved nervous system function: The nervous system plays a crucial role in the development of the baby’s organs, muscles, and overall growth. Chiropractic care aims to optimize nervous system function by ensuring proper spinal alignment in the mother. This can potentially promote healthy development and growth for the baby.
• Decreased stress on the baby: Chiropractic adjustments can help reduce tension and stress on the mother’s body. When the mother’s body is in balance, it can have a positive impact on the baby’s well-being. A relaxed and balanced mother may contribute to a healthier and less stressed baby.

It’s important to note that the research on specific benefits for the baby during pregnancy is still limited. However, many pregnant women have reported positive experiences with chiropractic care for themselves and their babies. As always, it’s advisable to consult with your healthcare provider before starting any new treatments or therapies during pregnancy.

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What is Neuropathy?

Nerve damage, known as neuropathy, refers to any injury or dysfunction of the nerves. Neuropathy may occur within the central nervous system (brain and spinal cord) or the peripheral nervous system (nerves external to the brain and spinal cord). Chiropractors assist patients with peripheral nerve issues most of the time. Nerve damage may result from trauma, compression, infection, inflammation, autoimmune disorders, diabetes or toxins. 

The symptoms of nerve damage can vary depending on the location and severity of the injury. Common symptoms may include pain, numbness, tingling, weakness, muscle atrophy (loss), loss of proprioception, loss of coordination, and impaired sensation of the skin. Nerve damage can significantly impact a person’s quality of life and may require medical intervention to manage symptoms and promote nerve healing. In some cases if nerve damage is left untreated, people may suffer from permanent neural disabilities. 

Can chiropractic help? 

Chiropractors can potentially help with certain types of nerve damage:

Specifically within the peripheral nervous system. Chiropractic care focuses on the alignment and function of the spine, which can directly affect the nerves. By using manipulative techniques on the joints of the spine , chiropractors aim to reduce nerve pressure and improve nerve function. However, the effectiveness of chiropractic care for nerve damage may vary depending on the specific condition and individual circumstances. It is always advisable to consult with a healthcare professional to determine the most appropriate course of treatment for nerve damage.

How do we like to help patients with nerve damage at Spina Vita? 

At Spina Vita we like to use lumbar and cervical traction on patients. Traction is a therapeutic technique that can be used to assist patients with compressed nerves. It involves the application of a pulling force to the affected area, which helps to decompress the nerves and relieve pressure. The type of traction we use in the lower back is known as lumbar flexion distraction. 

When a nerve is compressed, traction maybe help by creating space between the vertebrae or joints, reducing the pressure on the nerves. This can help to alleviate pain and improve nerve function.

There are different types of traction that can be used, depending on the specific condition and location of the compressed nerve. For example, cervical traction is used for neck-related nerve compression, while lumbar traction is used for lower back-related nerve compression. Traction can be applied manually by a healthcare professional or through the use of mechanical devices.

Traction can be beneficial in various conditions that cause nerve compression, such as herniated discs, spinal stenosis, degenerative disc disease, and sciatica. However, it is important to note that traction may not be suitable for everyone and should be used under the supervision of a healthcare professional and thus we discourage patients from trying to use self traction if they have not consulted a medical professional.  Traction can be beneficial when used in conjunction with other interventions or treatment modalities. 

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Arthritis is a condition that means inflammation of joints (“itis” in Latin means inflammation.) Arthritis can affect various joints in the body, including the spine. In the case of arthritis in the spine, it can lead to degeneration of the joints, causing stiffness, pain, and limited range of motion.

Chiropractors can play a role in helping patients with arthritis by providing non-invasive treatments that aim to reduce pain and improve joint function. Here are a few ways chiropractors may help:

1. Spinal Manipulation : Chiropractors use manual techniques to improve range of motion to the joints of the spine and thus, improve joint mobility. By adjusting the spine, they aim to reduce pain and restore proper function to the affected joints.
2. Exercise and stretching: Chiropractors may recommend specific exercises and stretches to help strengthen the muscles around the affected joints. This can help improve joint stability, reduce compensation in other joints and muscles and reduce pain.
3. Lifestyle modifications: Chiropractors may provide guidance on lifestyle changes that can support joint health, such as maintaining a healthy weight, improving posture and avoiding activities that may exacerbate joint pain.
4. Supplemental advice: Chiropractors may offer supplemental recommendations to support joint health such as chondroitin sulphate and glucosamine.
5. Modalities: Chiropractors may use additional treatment modalities such as heat therapy, dry needling, cold therapy, or electrical stimulation to help reduce pain and inflammation in the affected joints.

It’s important to note that while chiropractic care can provide relief for arthritis symptoms and help improve joint function, it may not be able to reverse the degenerative changes associated with arthritis. However chiropractor may be able to slow down the rate at which arthritic change occurs through the above mentioned points. Chiropractors often work in conjunction with other healthcare professionals to provide comprehensive care for arthritic patients.

If you have specific concerns about your condition, it’s best to consult with a chiropractor or a healthcare professional who can provide personalised advice based on your individual needs.

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