Osteoarthritis is the form of joint disease that’s often called “wear-and-tear” or “age-related,” although it’s more complicated than that.
While it tends to affect older adults, it is not a matter of “wearing out” your joints the way tires on your car wear out over time. Your genes, your weight, and other factors contribute to the development of osteoarthritis.
Since genes don’t change quickly across populations, the rise in prevalence of osteoarthritis in recent generations suggests an environmental factor, such as activity, diet, or weight. Continue reading
The thoracolumbar fascia: anatomy, function and clinical considerations – free full-text /PMC3512278/ – J Anat. – 2012 May 27.
In this overview, new and existent material on the organization and composition of the thoracolumbar fascia (TLF) will be evaluated in respect to its anatomy, innervation biomechanics and clinical relevance.
The integration of the passive connective tissues of the TLF and active muscular structures surrounding this structure are discussed, and the relevance of their mutual interactions in relation to low back and pelvic pain reviewed.
The TLF is a girdling structure consisting of several aponeurotic and fascial layers that separates the paraspinal muscles from the muscles of the posterior abdominal wall. Continue reading
Due to our overly-stretchable tendons and ligaments, we with EDS often get these headaches that arise from misalignments of our upper cervical spine.
Cervicogenic headache is a chronic headache that arises from the atlanto-occipital and upper cervical joints and perceived in one or more regions of the head and/or face
Dr. Rothbart has an intriguing approach to foot pain, using insoles to shift the positioning of the foot to alter the signals it sends to the brain.
A healthy foot sends signals to the brain, which is used to regulate posture, says Brian A. Rothbart, DPM, PhD.
When the foot is structurally unstable, as in these two foot structures, the signals are distorted and bad posture results.
When the body is not properly aligned, it can cause related muscle and joint pain. Continue reading
Editor’s Memo: Spinal Fluid Flow and Pain Management – practicalpainmanagement.com – Editor’s Memo June 2017 By Forest Tennant, MD, DrPH
Spinal fluid flow (SFF) [also called cerebrospinal fluid, CSF] has been a silent subject in pain management.
This has to change.
For a while, pain practitioners have unknowingly been utilizing a variety of measures that likely enhance SFF.
Progressive research that involves SFF has shown how it occurs, how it may promote pain, and how it may impede treatment efforts. Continue reading
What is Piriformis Syndrome? spine-health.com – By John P. Revord, MD – Sept 2012
Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain.
The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).
The Piriformis Muscle
The piriformis muscle is a small muscle located deep in the buttock (behind the gluteus maximus). Continue reading
Bone pain mechanism in osteoporosis: a narrative review free full-text PMC5119722 – Clin Cases Miner Bone Metab. 2016 May-Aug
Bone pain in elderly people dramatically affects their quality of life, with osteoporosis being the leading cause of skeletal related events.
Peripheral and central mechanisms are involved in the pathogenesis of the nervous system sensitization.
Osteoporosis in the elderly has been associated with increased density of bone sensory nerve fibers and their pathological modifications, together with an over-expression of nociceptors sensitized by the lowering pH due to the osteoclastic activity. Continue reading
Restricted Hip Mobility: Clinical Suggestions for self-mobilization and muscle re-ediucation – free full-text PMC3811738 – 2013 Oct;
Restricted hip mobility has shown strong correlation with various pathologies of the hip, lumbar spine and lower extremity.
Restricted mobility can consequently have deleterious effects not only at the involved joint but throughout the entire kinetic chain.
Promising findings are suggesting benefit with skilled joint mobilization intervention for clients with various hip pathologies.
Supervised home program intervention, while lacking specifically for the hip joint, are demonstrating promising results in other regions of the body. Continue reading
Fascia: A Hidden Piece of the Puzzle of Fibromyalgia Pain – Fibro News Daily | April 25, 2017 | By Ginevra Liptan, MD
Many studies have shown that the fibromyalgia nervous system has become sensitized and therefore has overactive responses resulting in pain.
This is the target of the three FDA approved medications for this illness, and these medications can indeed be helpful—usually resulting in about 30 percent reduction of pain.
In my experience, both as someone with the illness personally and as a physician treating fibromyalgia, utilizing these medications alone is inadequate. Continue reading
Lab-grown cartilage as strong as natural | Science Codex | June 17, 2017
This could finally be a solution to replace defective deteriorating cartilage in joints of patients with connective tissue disorders. Perhaps the same methods could eventually be used to grow sturdy tendons and ligaments for us too.
Lab-grown cartilage grown shows similar mechanical and chemical properties to natural cartilage, which allows our joints to move smoothly, according to a new study.
The biomedical engineers from University of California, Davis, created a lab-grown tissue similar to natural cartilage by giving it a bit of a stretch, they wrote in their Nature Materials study. Continue reading