Currently viewing the tag: "rehabilitation"


Shoulder pain can have many causes and presentations. Although a painful shoulder might seem like a standard situation, it’s important to distinguish what type of problem you might be dealing with. You can therefore do a self-assessment to determine if your shoulder injury is something you can treat yourself at home, or whether you’ll need to visit a sports chiropractor.

Watch the video below to learn how to self-assess your shoulder pain and what steps you can take if you need shoulder treatment to avoid surgery. Although shoulder surgery is sometimes needed, many forms of rehabilitation can prevent shoulder, arm and back pain from leading to the knife. But you’ve got to know how to approach things first. Watch the video below.

If you need a sports chiropractor, come visit my Los Angeles, West Hollywood or Beverly Hills sports chiropractic office.


Knee pain happens. Athletes and weekend warriors might find themselves with swollen, painful knees due to sports injury or simple overuse. Knee pain and swelling often needs to be checked by a sports chiropractor, but you can do some things at home that can help the healing process and prevent the painful knee from becoming a chronic injury.

Icing the knee at the painful injury site (see video) for 15 minutes at a time is crucial. Ice will decrease knee swelling and prevent the rapid formation of scar tissue. Ice saves–don’t forget this principle. Wrapping the pained knee in an ACE bandage will provide stability and prevent further knee injury. Then staying off the knee–NO SPORTS!–is essential.

Swelling can signify a torn knee ligament–like the ACL (anteriorcruciate ligament), PCL (posteriorcruciate ligament), MCL (medial cruciate ligament) or LCL (lateral cruciate ligament). Ligament tears can be rehabilitated conservatively, thereby avoiding knee surgery. A torn meniscus can also be conservatively treated. Meniscal tears can go through knee therapy and rehab successfully, but what is necessary is a proper knee diagnosis. If what you have is a simple knee sprain, then ice, therapy and rehab will get you back into your sport quickly.

If you have a painful knee injury get in to see a sports chiropractor right away. If you live or work in my neighborhood, come visit my Los Angeles, West Hollywood or Beverly Hills sports chiropractic office for knee pain relief today.

Good news for weekend warriors: Rehab is shown to prevent knee surgery.*  This may seem like a no brainer to some, but common orthopedic wisdom is that ACL tears–a common type of knee injury in athletes–almost always require surgery. New research shows, however, that rehab-first may be a better option.

A study of Swedish amateur athletes–mostly soccer players–found that those who got anterior cruciate ligament (ACL) surgery right away plus physical therapy fared no better than those that got the knee rehab first; and although 50% of the rehab-first subjects eventually required surgery, they were not any worse off than had they gotten the surgery early on.

The implications of this study are that people suffering from ACL tears can and should try rehab before going under the knife.  If it isn’t obvious, all surgery has inherent risk due to the invasive nature of the procedure.  Also, at $10K+ per pop (no pun intended), these results are economically encouraging.  If you end up needing surgery later, you can still get it with little fear of turning out worse for waiting.

The anterior cruciate ligament (ACL) is one of four major ligament of the knee.  Its function is to prevent forward, or anterior, movement of the tibia (shin bone) on the femur (thigh bone).  It is the most commonly injured ligament in the knee.  Football, soccer and basketball players are particularly prone to ACL tears, as are skiers, as a result of the pivot and twist motions required in these sports.

Approximately 200,000 Americans go through ACL reconstruction each year, although many people can get by with a knee brace and rehab.  But, of course, getting the surgery depends on how the injury affects one’s lifestyle.

The study’s results showed that both the surgery-first and rehab-first groups fared about the same when it came to things like pain, performance in sports and how much their knee interfered with their lives.  Of those that received rehab first, about 40% needed to get the surgery later, and this group fared no better or worse than those that didn’t get the surgery at all.

One problem with the study is that the results were only measured after two years, so there could be some changes later.  The researchers will be doing a follow up at five years to study outcomes at that time.  Also, it appears that the rehabilitation group showed some signs of trouble with the meniscus, a cushioning disk in the knee joint, which some doctors think could increase the risks of degenerative arthritis in the future.

I find this study interesting and the results encouraging, because I was also under the impression that ACL tears pretty much required surgery.  Being a Los Angeles sports chiropractor, I see my fair share of knee injuries, and torn ACLs definitely limp into my office from time to time.  But now I’ll be a little less quick to refer the client out to an orthopedist.  Six months of rehab might be just fine in some of those cases.  Thank you, Swedes, for the great work!

*A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears

Richard B. Frobell, Ph.D., Ewa M. Roos, P.T., Ph.D., Harald P. Roos, M.D., Ph.D., Jonas Ranstam, Ph.D., and L. Stefan Lohmander, M.D., Ph.D.
N Engl J Med 2010; 363:331-342July 22, 2010

Upper back pain is one of the most common maladies entering chiropractic offices today. From sitting hours in front of a computer to your favorite reading book, many of our daily postures cause sore, aching upper backs. There is a quick and long-lasting solution: Chiropractic.

Through chiropractic adjustments, muscle stimulation and release, as well as rehabilitation stretches and exercises, a sports chiropractor can help you relieve acute or chronic upper back pain effectively. In my Beverly Hills, Los Angles and West Hollywood chiropractic office, we provide safe, and comfortable chiropractic adjustments to the spine, while treating the muscles to remove pain. A little heat or ice to relax the muscles and break inflammation and your upper back pain will be a thing of the past.

Don’t suffer with that nagging upper or mid-back ache any longer. Visit a sports chiropractor for a long-term solution.

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