Sport Related Injuries and Rehabilitation
We specialize in the diagnosis and treatment of muscle and joint pain syndromes and sports related injuries using evidence based treatment procedures and protocols. Our patient population spans from the recreational athlete to the professional and Olympic level, from the young to the maturing individual.
Armitage & Associates treatment philosophy is catered to the individual and maximizing his/her physical potential by relieving the body of pain and teaching proper movement patterns. Most persistent pain problems people experience are due to how they use their bodies on a daily basis at work and at play. Common muscle imbalances and joint dysfunction/misalignments develop over time and need to be corrected by a combination of manual therapy and relearning how to use the regional muscle systems properly for posture, core strength and balance.
We will work with you to problem solve the root cause of your pain and then use the most appropriate combination of manual therapy, education and exercise to help you achieve optimal results. Manual therapy may consist of boney adjustments/manipulation, and/or muscle/nerve release techniques. You will be properly educated about the anatomy of your injury so you understand what is happening in your body. You will also learn specific exercises to control your body properly and help prevent future problems. We treat patients with common conditions such as whiplash, headaches, disc problems, upper and lower limb injuries and neck/lower back pain, as well as sports related injuries.
We do have X-ray facilities on site. Not all cases need to have X-Rays and it is decided on a case by case basis by you and your chiropractor after having discussed the clinical reasoning with you. As health care professionals that focus on the structural and functional integrity of your body, X-rays (or other available imaging like CT or MRI scans) enables your chiropractor to assess potential key points of structural stress that help to identify areas of joint dysfunction in your spine and joints. X-rays or other types of imaging for the spine and joints may also help to identify and manage any potential problematic areas of your skeleton, joints and soft tissue that may otherwise go unnoticed until they become more severe and difficult to deal with (e.g.: early stage disc degeneration and arthritis). With a more precise and thorough diagnosis of your condition, positive treatment outcomes are better achieved.
It is also important to be able to identify any congenital (born with) anomalies in the vertebrae or spine (e.g.: scoliosis) and joints (abnormal bone growth), as well as any serious pathology such as cancer, tumors, infections, fractures, & bone diseases that would require the modification of, or could be a contraindication to chiropractic treatment. Moreover, conditions such as the ones just mentioned are not always apparent or obvious with just a consultation and physical examination. If your X-rays show any signs of disease or pathology that is not a chiropractic problem, you will be referred to the appropriate health care professional.
Surface Electromyography (sEMG) Scanning
sEMG is a diagnostic procedure that involves the placement of surface electrodes on the skin to collect and record the electrical activity of muscles surrounding the spine, the paraspinal muscles. There is a change in the electrical activity (via nerve signals) when a muscle activates or is being used. Abnormality in spinal muscle activity is identified as asymmetrical changes in muscle tone (tension) on either side of the spine and/or increased/decreased overall spinal muscle tension compared to the normal values (See: Crossed Postural/Office Worker’s Syndrome). This is of particular interest to chiropractic since unbalanced paraspinal muscle activity is generally accepted as one manifestation of spinal joint dysfunction. In order to maintain a straight and erect posture, paraspinal muscles on either side of the spine must act and respond to changes in the spine in a coordinated manner. Irritation to the motor nervous system as a result of spinal problems and pain alters the control and balance of paraspinal muscle activity.
The motor nervous system essentially learns “bad habits of movement” due to repetitive poor posture and negative physical stress such as poor lifting technique. Unbalanced paraspinal muscle tension also alters the ability of your spine to move normally. Surface EMG scanning is therefore used by your chiropractor to assess the motor nervous system’s functional integrity with regards to your spine’s performance.
Spinal and Joint Adjustment / Mobilization
Manual movement as a treatment of the joints of the human body is practiced by several medical professional groups such as chiropractors, family physicians, osteopaths, osteopathic physicians, physical therapists, orthopaedic specialists, and sports therapists. We call this, manual therapy.
Manual therapy involves restoring mobility and normal end feel to stiff joints. Mobilization is the gentle, rhythmic, repetitive passive movement of graded amplitude aimed at restoring mobility and function and reducing pain in a joint and surrounding tissue. Manipulation or an adjustment is a skilled, passive, quick movement (High Speed-Low Amplitude, HSLA) aimed at restoring mobility and function and reducing pain in a stiff joint and associated tissue.
Manual therapy is valuable for the treatment of joints that lack adequate mobility and range/direction of motion in certain musculo-skeletal or bio-mechanical conditions and over-use syndromes. This limitation can cause discomfort, pain, and an alteration in function, posture, and locomotion.
Massage Therapy and Soft Tissue Manipulation
Soft tissue therapy (STT/Massage) is the assessment, treatment and management of soft tissue injury, pain and dysfunction primarily of the neuromusculoskeletal system. Licensed health care professionals who typically provide soft tissue manual therapy include chiropractors, massage therapists, physical therapists and some osteopathic and naturopathic doctors and other providers of manual therapy. Repetitive strain injuries (RSIs) also known as cumulative trauma disorders (CTDs) of the soft tissues are becoming increasingly prevalent in sports and every day life and account for an increasingly majority of pain disability and impairment.
Myofascial Release Therapy
Myofascial Release is an active soft-tissue, movement based treatment system designed to remove small areas of scar tissue or “adhesions” that develop in muscles, tendons, ligament or fascia as a result of injury and/or overuse. Over-used muscles (and other soft tissues) change in three important ways:
Acute conditions (pulls, tears, collisions, etc) Accumulation of small tears (micro-trauma)Not getting enough oxygen.
Myofascial Release Therapy is a soft tissue treatment that targets the muscle and fascial systems, promotes flexibility and mobility of the body’s connective tissues. Likewise, it mobilizes fibrous adhesions and reduces the severity and sensitivity of scarring caused by injury or surgery.
For cases that may extend outside of the scope of chiropractic care, co-management with a physician or medical specialist is very important. Often, a certain conditions treatment will respond well while under the care of a physician and a chiropractor. We have been working with our community physicians for many years, and will not hesitate to refer you to one of our network physicians when it is in the best interest of your case management and health status.
Allied Health Care Provider Referrals
Through the years of multidisciplinary practice we have accumulated a referral base of allied health care practitioners and providers for our patient’s benefit.
These include physiotherapists, acupuncturists, athletic coaches/therapists, stretch coaches and personnel trainers to name a few. Our goal is to provide care AND put you in contact with the best health care team. If you are presently working with a provider, we are happy to share our findings in your case with them and work in conjunction to reach your athletic goals and health optimization.