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Children

Sever’s Disease in Children

What is Sever’s Disease?

Sever’s disease (also known as calcaneal apophysitis) is a common cause of heel pain in children that are growing, especially those who are physically active. Sever’s disease occurs when the growth plate (the growing part of the heel) is affected by inflammation (swelling). This results in pain and discomfort sensed in the lower parts of the body.

The growth plate has a region of developing cartilage cells which over time transform into bone cells.  As this occurs the existing growth plate expands and unite to form mature bone. This type of growth plate injury usually occurs in children who are physically active and during their growth spurt into adolescence that can be approximately a 2-year time period.  For females this could be from 8-13 years of age and for males 10-15 years of age. Sever’s disease rarely occurs in older teens because the back of the heel usually finishes growing by the age of 15, when the growth plate hardens and the growing bones fuse together into mature bone.

Sever’s Causes

Why Children encounter Sever’s disease is because the heel bone’s rate of growth is faster during early puberty in comparison with the rate in which the leg muscles and tendons are developed.  As a result, the muscles and tendons in the area end up being tight. Therefore reducing flexibility to the heels and ultimately putting pressure on the growth plate causing pain.

Other causes that can contribute to the appearance of Sever’s disease are:

  • Increased running or jumping activity
  • Tightened hamstrings
  • Stiff calf muscles
  • Prolonged standing, which keeps the heel under continuous pressure
  • A flat or high arch of the foot, that can later also result in Achilles tendon pain
  • Excess body weight
  • Improper footwear

 

Sever’s Symptoms

The most common signs and Symptoms of Sever’s disease are:

  • Pain in the heel
  • Limping
  • Tight calf muscles
  • Heel swelling and redness
  • Decreased ankle range of motion
  • Heel pain that is worse during or after activity
  • Heel pain in the morning,
  • Pain in the heel when squeezed.

 

Sever’s Treatment

Have your child sit down or stop any activity that causes heel pain. Apply ice to the injured heel for 20 minutes 3 times a day. If your child has a high arch, flat feet or bowed legs, things like arch supports, orthotics, heel cups maybe recommended as it can assist with treating Severs.

Stretching exercises for the hamstring and calf muscles will also be helpful.  Perform each stretch  2 or 3 times a day and hold for about 30 seconds. It is also important to stretch both legs even if the pain is only in one heel. Strengthening exercises to the muscles on the front of the shin and lower leg helps to promote healing and recurrence of this injury. Your child should not walk barefoot with active Sever’s disease as this can increase the pain and inflammation.

With rest and after heel bone growth is complete, the pain and discomfort can disappear. Therefore most children will return to their activities without any recurrence once the symptoms have subsided. However, if not treated and addressed properly Sever’s can reoccur. Tight calf muscles and foot issues might be an issue in the future.

Remember that everyone from all age groups can benefit from chiropractic care. Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident or suffering from chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury. To improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.

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Chiropractic Care for all age groups

People from all age groups can benefit from Chiropractic care. From Small children, the elderly, pregnant woman to amateur or Olympic athletes.   It is safe for the whole family. Anyone who suffers from specific musculoskeletal problems can benefit from Chiropractic care.  A chiropractor’s goal is to focus on the health of the spine.  They perform adjustments (hands on spinal manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function and mobility, increasing vitality and supporting the body’s natural ability to heal itself without surgery or medication.

Normally, we tend to think of adults only with bad backs or those who have been injured on the job that need to seek chiropractic care. This is not the case,  all age groups stands to benefit from chiropractic treatment. Chiropractic care is suited to each individual’s age, condition and spinal problem. Generally children have more mobile joints than adults so they require less force in order to attain the desired effect of the adjustment. Where as Senior citizens receive gentle chiropractic adjustments to accommodate their sensitive bones.

There are many reasons why we should seek chiropractic care for all age groups. They are:

Strong Immune System

A healthy central nervous system and a strong immune system go hand in hand. Our nervous system runs through the spine and it works with the immune system in order for the body to adapt to various conditions and heal appropriately when required. Spinal misalignments can cause neural dysfunctions and these are stressful to the body which lead to a weak immune response.

So when the CNS sends and receives messages efficiently, other systems and functions in the body are able to work properly and competently. Chiropractic adjustments have shown to boost the immune system. Therefore by allowing a chiropractor to adjust your spine, especially on a continual basis,  your body systems (nervous, endocrine and immune) naturally get a boost. The immune system is responsible for fighting off illness,  so you’ll be feeling healthier overall.

An Increase in Energy

Many people do not realise how much and how often tension can build up in the body. Simple spinal adjustments can help your body release tension in your muscles and alleviate any pain you may have. As the tension is released, the body is able to relax thus allowing you to sleep better.  Less pain and more sleep allows your energy levels to rise naturally.

Energy flows through your nerves and your nerves distribute the energy throughout your body. When your spine is aligned properly, your nervous system keeps the flow of energy balanced. But when your spine is misaligned, it causes kinks in your nerves interfering with energy flow. The result is that persistent feeling of fatigue that makes it difficult to get through the day. You can sleep all day and all night, but until your spine is returned to proper alignment, that feeling of fatigue will continue to drain you.

Improved Digestion

The digestive system links to the nervous system. The nervous system controls various aspects of your digestive function. For example, the nerves in the thoracic and lumbar regions of your spine control the pace at which your body digests food. If any of the numerous nerves in your spine are not functioning properly, problems with digestion can easily arise.

When the spine is not aligned, stress and strain is placed on the nerves. Thus leaving the nerves incapable of sending out the necessary signals to your digestive system to trigger them to work properly. A chiropractor can safely and gently correct your spine through spinal manipulation. For this reason your body starts to become healthier, especially along the spine and the central nervous system. Digestion is now able to move more freely. The body is then able to process foods and eliminate toxins faster, leaving you feeling better than ever.

Care Plan

Chiropractors will tailor a specific care plan for you that takes into account a number of factors. These can include: results of nerve function scans or x-rays, and any physical examination findings. The type of tissue involved? (eg. ligament, tendon, muscle, disc, organ). How long you have had the condition? The intensity of the pain and the amount of inflammation you are experiencing. The presence of any unavoidable aggravating factors to your condition (eg. your occupation or degeneration). The chiropractor evaluates a patient’s particular spinal problem and develops an individual course of care. Therefore each patient’s care is uniquely different from every other patients with each visit building on the one before.

Remember that everyone from all age groups can benefit from chiropractic care. Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident or suffering from chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury. To improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.

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Sports Injuries and Chiropractic Care

Whether you play sports at an amateur or professional level. As an athlete the demands of running, jumping, throwing or tackling can result in painful tears, sprains, and strains. People of all ages suffer from some form of sports injury in their lives and getting back to playing again is the most important thing. Chiropractors are trained to deal with a wide range of sports injuries from Achilleshamstring, calf, groin, thigh strains to tennis elbowneck back or a shoulder sprain. By getting your injury assessed and treated this will not only get you back on your feet faster, but also screen out any bad habits that can lead to further injury.

Sports Injuries

“Sports injuries” are injuries that happen when playing sports, exercising or involved in any active play. During many sports, body contact, fast stops and starts, and positioning place an unusual amount of strain on the spine and structural system.  The Muscles, Joints and ligaments can be affected from overuse, trauma or repetitive motions. Some are from accidents. Others can result from poor training practices or improper gear. Not warming up or stretching enough before you play or exercise can also lead to injuries. The most common sports injuries are:

  • Sprains and strains
  • Knee injuries
  • Swollen muscles
  • Achilles tendon injuries
  • Pain along the shin bone
  • Fractures
  • Dislocations

Types of Sports Injuries

There are two kinds of sports injuries: acute and chronic. Acute injuries occur suddenly when playing or exercising. Sprained ankles, strained backs, and fractured hands are acute injuries. Signs of an acute injury include:

  • Sudden, severe pain
  • Swelling
  • Not being able to place weight on a leg, knee, ankle, or foot
  • An arm, elbow, wrist, hand, or finger that is very tender
  • Not being able to move a joint as normal
  • Extreme leg or arm weakness
  • A bone or joint that is visibly out of place.

Chronic injuries happen after you play a sport or exercise for a long time. Signs of a chronic injury include:

  • Pain when you play
  • Pain when you exercise
  • A dull ache when you rest
  • Swelling

Importance of Chiropractic Care

Chiropractors can help athletes with sports injuries by relieving their pain and helping them heal faster after an injury. Regular visits will promote quicker recovery after games and training as well as better balance and overall performance. Chiropractors are skilled in the manual adjustment of the spine. They ensure that bones are lined up and balanced, which helps relieve tension in the body. This allows the body to function better and become less susceptible to injury.

The goal of most chiropractic techniques is to restore or enhance joint function while resolving joint inflammation and reducing pain. This hands-on therapy is often used to treat neck or back injuries but also relieves pain throughout the joints and muscles in the body. In addition to treating injuries, chiropractors can also help you prevent injuries from occurring.  It is recommended that you get evaluated by a chiropractor before you start your sport or exercise regimen. They can check your muscles and spine to detect imbalance and alleviate tension so that the body can work naturally rather than be prone to injury.

Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident, experiencing injury or if you suffer from a specific condition like chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury and to improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.

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Why is exercise so important?

Ten to twenty years ago a person experiencing back pain would most commonly be advised bed rest and immobilisation of the back. Research within the past 10 years has shown that inactivity weakens the muscles that support the spine and, if continued too long, can prolong recovery or even make certain conditions worse. Exercise, on the other hand, increases muscle flexibility and strength and promotes healing by increasing blood flow to the injured site. Healthy muscles provide protection to bones and joints.

Individualised exercise program

Physical therapy involves evaluation of an individual’s movement, physical capabilities, body type, and activity level in order to prescribe exercise and other physical means to help improve function. For certain conditions and diagnoses, your chiropractor at Chiro & Sports Med will develop a customised rehabilitation program based on research of the most effective spine exercises. The exercise program’s pacing, specific exercises, and amount of practice with the chiropractor will vary depending on the condition and the individual’s needs.

Different forms of exercise

A comprehensive rehabilitation program should consist of stretching, strengthening, and aerobic conditioning of the back and body. All three of these activities are important in your recovery.

  • Stretching – Stretching exercises are important because any form of inactivity, especially where an injured back is involved, is usually associated with some progressive stiffness. Patients with chronic pain may find it takes weeks or months of stretching to mobilise the spine and soft tissues but will find that the increase in motion provides meaningful and sustained relief of their back pain.
  • Strengthening – Strengthening exercises are important in order to help prevent future recurrences of back pain. Especially if an episode of low back pain has lasted two weeks or more, a strengthening program such as McKenzie exercises, lumbar stabilisation training, and/or facilitation exercises is critical to long-term recovery.
  • Aerobic Conditioning – Aerobic conditioning exercises are important as aerobically fit patients have fewer episodes of low back pain, and experience less pain when an episode does occur. Well-conditioned patients are also more likely to maintain their regular routine, whereas patients with chronic low back pain who do not work on aerobic conditioning are likely to lose their ability to perform daily activities over time. Exercise is especially helpful for patients suffering from Sciatica.

Exercise Anxiety

While it is natural to feel anxious about exercising, it’s important to manage your exercise anxiety and fear of re-injury in order to regain normal muscle function. The basis for feeling anxiety about lower back pain lies in the central nervous system, which responds to pain by instructing the muscles near the affected part to protect against further injury. Only appropriate physical training that specifically compels the muscles to improve their function can overcome this neurological barrier to normal muscle function.

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KISS Syndrome

KISS syndrome is not a disease but a malfunction and blockage in the upper cervical in children. KISS means in English ‘Kinematic Imbalances due two Suboccipital Stress’. This means imbalance in motion due to stresses in the upper neck region. This can result in an asymmetric development in children that involves a disruption in the normal movement development or disturbances in the control as the child’s ability thrives.

A chiropractor looks for symptoms, for example by muscular torticollis, scoliosis infants and atlas blockage. The syndrome affects twice as many boys as girls. Many still choose not to use the KISS concept because it is not documented and recognised in medical environments. This means that there is too little research that supports the diagnosis. The doctor and manual coroner, Heiner Biedermann began using the term KISS syndrome in the early 90th century. He has over the years treated thousands of children with KISS issues.

KISS I and KISS II syndrome

KISS I is a bias in the neck that child can not get out of yourself. They often have a favourite side. They keep their head turned to one side, and would prefer just one way. The child sees such right and tilts his head to the left. When the head is mostly turned to one side, the skull alters to this position. Beyond this, one can also see the asymmetry of the face where one face piece may seem less than the other. Another characteristic of this type is that the child is like a C. This can happen in your bed, on your lap or in the car seat. The arm and leg on the ‘inside’ of the ‘C’ is less used and it can lead to a delayed motor development.

KISS II children are often hypermobile regardless of position (dorsal, lateral or upper arm). These children can usually rotate the head freely to both sides. However in this occasion with the extreme overstretch of the neck, the child may have difficulty bending the head forward and laying down on their head.  They also have a pronounced intolerance to lying on their stomach. The skull can be flat behind and the child may lose hair. There is also an increased tendency for a so-called 3-month child with infantile colic, increased gulping and drooling, and delays in language development.

By getting tested and treated your child early, dysfunctions and pain in the neck will rapidly improve and your child will often resume normal movement. Our chiropractors have extensive experience treating children with these conditions.

Common symptoms in a child with KISS syndrome

  • Misalignment of the head (favourite side)
  • Difficulty keeping their head in the middle (after 3 months)
  • Lying with their head in an extreme flexed position
  • Unilateral sleeping position
  • Moving arm and leg less on a page
  • Unilateral facial features is like a C banana’
  • Unilateral underdeveloped hip
  • Faulty position in foot
  • Sleep disorders, child screams in their sleep
  • The child has a tenderness in the neck to react negatively when one contacts the neck
  • Asymmetrical head shape, facial

Who is at risk of getting KISS syndrome?

There are many known factors associated with KISS syndrome, which we chiropractors often denotes neck dysfunction. Parents should be aware of these factors and the fastest possible contact chiropractor for a thorough assessment and examination of the child. Below are the most common contributing factors.

  • Redeemed with suction cups
  • Delivered by forceps
  • Head ‘squeezed out’ by external pressure on the stomach
  • Deferred for manual drag (shoulder dystocia)
  • Delivered by cesarean
  • Born with face first
  • More than 4,000 grams at birth
  • Has been in a transverse lie, breech during pregnancy
  • Twin, triplet
  • Born prematurely
  • Unusually long birth

KIDD syndrome

If a dysfunction in the upper cervical joints (KISS) is not treated and it consequently leads to disrupted or delayed psychomotor development, the phenomena is described as KIDD syndrome. Below there are the most common signs of possible KIDD syndrome.

  • Concentration and learning difficulties
  • Writing / reading difficulties
  • Diffuse headache, heavy head
  • Delayed motor development
  • Difficult to ride and / or balance
  • Phobia of heights
  • Poor balance, coordination
  • Unstable mood (frustration, anger, impatience or aggressiveness)
  • ADHD like problems
  • Maverick / intestinal disorders (constipation)

Chiropractic treatment for children with KISS and KIDD syndrome

Chiropractors at Chiro & Sports Med will conduct a thorough examination of the child’s musculoskeletal system and initiate any treatment early. Children who have a developmental disorder should be examined in relation to the function of the vertebral column to rule that there is a dysfunction in the neck in relation to possible KISS or KIDD syndrome. If you find a dysfunction, treatment should be performed by an experienced chiropractor. The treatment of neck dysfunctions are painless and have a fairly high success rate.

Even with asymmetrical head shape, head shape improves way up until the child is 5 years. If one of our chiropractors find no reason to treat, he will refer the child for further follow-up to children physiotherapists or other therapies if needed. And remember that children respond much faster in most treatments than adults. Early initiation will result in quick results.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.

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