Tag Archives: mechanicsburg pa chiropractor

Midlife Carpal Tunnel Syndrome

11 Dec

Carpal tunnel syndrome (CTS) occurs when the median nerve becomes compressed or restricted
as it passes through the wrist. Early on, this may cause mild, intermittent tingling, numbness, or pain in
parts of the hand, but over time, symptoms can become more frequent and activity-limiting. While CTS
can develop at any age, it’s most common during midlife due to the convergence of three key factors:
occupational stress, hormonal and metabolic changes, and age-related anatomy.
When we perform frequent, repetitive hand movements, the tendons that run through the carpal
tunnel glide back and forth against one another. Over time, the lubricating sheaths surrounding these
tendons can become inflamed and sustain micro-injuries that need time to recover. However, occupations
or hobbies that involve non-neutral wrist positions, high gripping forces, or vibration exposure often
provide little opportunity for rest. After years—or decades—of repetitive stress, minor irritation can
progress into chronic inflammation that’s difficult to ignore or manage with over-the-counter remedies.
In addition to repetitive movement, hormonal changes and worsening metabolic health during
midlife increase CTS risk. Chronically elevated blood sugar can thicken connective tissue (including the
transverse carpal ligament) and increase fluid retention, both of which reduce space inside the carpal
tunnel and place pressure on the median nerve. Poor metabolic health also damages the microvessels that
supply the nerve and fuel systemic inflammation that can narrow the tunnel even further. Women face an
added risk during this stage of life, as changes in estrogen and thyroid hormones can make tissues less
elastic and more vulnerable to shear forces.
Age-related changes compound the problem. As we grow older, damaged tissues heal and
regenerate more slowly. Tendons thicken, ligaments stiffen, and the myelin sheath that insulates nerves
can begin to thin, leaving the median nerve more susceptible to compression at the carpal tunnel. Muscle
mass naturally declines as well, reducing the stabilizing forces around the wrist. These changes affect not
only the carpal tunnel itself but the entire course of the median nerve—from the neck and shoulder down
through the elbow and forearm—meaning that restriction anywhere along its path can heighten sensitivity
to compression at the wrist.
Fortunately, all is not lost. Although we can’t stop the aging process, we can control occupational
and metabolic risk factors. Adjusting tools to maintain a neutral wrist position, scheduling regular microbreaks, and performing nerve-gliding or wrist-mobility exercises can help reduce pressure in the tunnel.
Supporting overall metabolic health is equally important: limit sugary drinks and ultra-processed foods,
increase fruit and vegetable intake, take daily walks, and aim for 150 minutes of moderate activity plus
two resistance-training sessions per week.
Finally, chiropractic care can help restore normal motion to the wrist and surrounding joints,
reducing strain on the median nerve along its entire pathway. Your chiropractor can also teach you the
most effective exercises for symptom management and guide you on ergonomic adjustments to keep your
wrists healthy long-term.
Brent Binder, D.C.

4909 Louise Dr. Suite 102 Mechanicsburg, PA 17055 (717) 697-1888

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Internal vs. External Shoulder Impingement Syndrome

8 Dec

Most adults will experience shoulder pain at some point during their lifetime, and it’s estimated
that nearly one-third of adults are affected each year. Among the many possible diagnoses, shoulder
impingement syndrome accounts for roughly half of all shoulder pain cases. However, current
understanding indicates that shoulder impingement syndrome is not a single diagnosis, but rather a cluster
of symptoms that can arise from multiple anatomical and biomechanical factors. The condition is
typically classified as either internal or external, depending on where and how the impingement occurs.
The shoulder complex functions as an integrated system of four joints that together allow for an
exceptional range of motion. The glenohumeral joint that joins the humerus (upper arm bone) with the
glenoid fossa of the scapula is the primary joint responsible for most shoulder movement. It is stabilized
by the rotator cuff muscles, labrum, and surrounding ligaments. Under ideal conditions, this joint moves
freely to perform tasks like lifting, throwing, or reaching overhead. But when mechanical forces, either
within the joint itself or external to it, disrupt that motion, the result may be pain, inflammation, and
limited movement. Over time, chronic irritation may lead to scar tissue formation and even degenerative
changes.
External impingement occurs when the acromion or coracoacromial ligament compress the
rotator cuff during arm elevation. While anatomical variations such as a hooked acromion can predispose
some individuals to impingement, the most common contributors are poor scapular control, forward
shoulder posture, rotator cuff weakness, or degenerative changes from repetitive overhead activity or
aging.
Internal impingement, on the other hand, occurs when the humeral head pinches the rear portion
of the rotator cuff between the greater tuberosity and the posterior glenoid rim during high-velocity
overhead movements such as throwing or serving. Contributing factors often include posterior capsule
tightness, shoulder instability, scapular dyskinesis, excessive external rotation, and repetitive overuse.
Internal impingement is more common among younger, athletic, or physically active individuals.
While surgery is occasionally indicated as a first-line intervention in specific cases (such as
significant structural damage or full-thickness rotator cuff tears), clinical guidelines overwhelmingly
recommend conservative management as the initial approach, with chiropractic care serving an excellent
choice! Treatment typically aims to restore normal movement patterns within the shoulder complex
through a multimodal approach that may include manual therapies, joint mobilization, specific exercises,
physiotherapy modalities, traction, and postural retraining. The goal is to reduce inflammation, restore
joint motion, release adhesions, address trigger points, and strengthen weakened muscles.
The good news is that conservative care has a high success rate for both internal and external
impingement—especially when treatment begins early—helping most patients recover without the need
for surgery.
Brent Binder, D.C.

4909 Louise Dr. Suite 102 Mechanicsburg, PA 17055 (717) 697-1888

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Chiropractic Treatment for Chronic Rhinosinusitis?

4 Dec

Chronic rhinosinusitis is a long-term inflammation of the nasal and paranasal sinus mucosa
lasting twelve weeks or more, characterized by at least two of the following symptoms: nasal
congestion, facial pressure or pain, reduced sense of smell, and/or nasal discharge. It’s estimated that
about 1 in 10 adults worldwide are affected, though prevalence may be higher in some regions due to
genetic, cultural, and environmental factors that contribute to persistent inflammation of the nasal
and sinus lining.
Contributing factors can include allergic or environmental irritants—from household
allergens to air pollution—structural issues such as a deviated nasal septum, enlarged turbinates, or
nasal polyps that obstruct sinus drainage, recurrent infections, immune dysfunction, asthma, and even
gastroesophageal reflux. It’s highly likely that two or more of these are present in a patient, making
each case somewhat unique and often requiring a tailored, multidisciplinary approach to resolve
symptoms.
Standard treatment usually starts with intranasal corticosteroids and nasal saline irrigation,
with the option of adding antibiotics, systemic steroids, antihistamines, decongestants, or leukotriene
modifiers. The data show that up to 90% of chronic rhinosinusitis patients without nasal polyps
respond to this approach, though the success rate falls to 50–70% in the presence of nasal polyps. For
the 10–20% who don’t respond to conventional treatment, the patient may receive referral to see if
they are a candidate for functional endoscopic sinus surgery aimed at enlarging the sinuses to restore
proper drainage and ventilation.
For patients who don’t tolerate certain medications, wish to avoid surgery, or continue to
experience symptoms even after undergoing functional endoscopic sinus surgery, there is limited
evidence that some hands-on therapies provided by chiropractors may be of benefit. A 2024
systematic review reported that manual therapies—including cervical soft tissue manipulation,
cervical myofascial release, cervical high-velocity/low-amplitude thrust manipulation (HVLA-TM),
thoracic muscle energy, scapular release, thoracic HVLA-TM, cranial techniques, and lymphatic
drainage—may help reduce head and neck congestion, improve lymphatic and venous outflow,
normalize autonomic tone, enhance respiratory mechanics and immune function, and decrease
perceived facial pressure and headache.
While chiropractors in most jurisdictions are recognized as portal-of-entry healthcare
providers—meaning patients can see them directly without referral—chronic rhinosinusitis may, in
some regions, fall outside the direct chiropractic scope of practice. In such cases, co-management
with the patient’s physician is advised, and chiropractic care should be provided on an adjunctive
basis consistent with local regulations.
Brent Binder, D.C.

4909 Louise Dr. Suite 102 Mechanicsburg, PA 17055 (717) 697-1888

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Risk Factors for Postpartum Low Back Pain

1 Dec

It’s estimated that as many as 50–70% of new mothers experience low back pain and
related disability, which can hinder their ability to carry out daily activities such as household
chores, self-care, and meeting the physical demands of infant care—including feeding, lifting,
and carrying. When severe enough, these physical limitations can contribute to stress, anxiety,
and postpartum depression, further interfering with the mother’s ability to bond with her
newborn and diminishing her overall quality of life. What are the underlying causes of
postpartum low back pain?
Interestingly, some risk factors may be present even before conception. Research
suggests that being overweight or obese, physically inactive, or exposed to occupational risk
factors such as whole-body vibration, poor ergonomics, and frequent lifting can set the stage for
low back pain both during pregnancy and after delivery. Women with a prior history of low back
pain are also at elevated risk for symptoms during and following pregnancy.
As the baby grows, the center of mass shifts forward in the body. To compensate, the
pelvis tilts anteriorly and the lumbar spine increases in lordosis, placing added stress on the
lumbar intervertebral disks and facet joints. The stretching of the abdominal muscles can reduce
spinal stability, while hormonal changes that prepare the pelvis for childbirth can increase joint
laxity, further affecting stability in the lower spine and pelvic region. To compound these effects,
expectant mothers may experience fluid retention, deconditioning from reduced activity, sleep
positions that strain the lower back, and psychosocial factors such as stress and anxiety that
heighten pain perception.
Childbirth itself can also contribute to postpartum low back pain. The physical effort of
pushing during delivery can strain the lower back, and the hormonal changes that allow for
ligamentous laxity during pregnancy may persist afterward, leaving the spine more susceptible to
mechanical stress. In cases of cesarean delivery, factors such as spinal anesthesia, post-surgical
immobilization, and prolonged bedrest can further delay recovery and exacerbate pain.
Unfortunately, it’s a common misconception that postpartum low back pain will simply
resolve on its own. In reality, studies suggest that up to 1 in 5 new mothers with low back pain
will develop chronic symptoms lasting a year or longer. While some risk factors for postpartum
low back pain are beyond a woman’s control, others—such as maintaining an active lifestyle,
avoiding prolonged inactivity, and seeking chiropractic care to help restore proper joint motion
and function in the lumbar spine during and after pregnancy—can play a key role in prevention
and recovery.
Brent Binder, D.C.

4909 Louise Dr. Suite 102 Mechanicsburg, PA 17055 (717) 697-1888

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Move More for a Longer, Healthier Life

20 Nov

As we age, we often shift our focus toward healthy lifestyle habits not just to extend life, but to preserve independence and remain free of chronic disease and disability well into later years. While maintaining a healthy weight, eating a nutritious diet, and tracking lab values are all important, a study published in October 2024 suggests that physical activity—specifically how much we move throughout the day—may be the single best predictor of longevity.

One practical way to stay active is by using an activity tracker, whether it’s a traditional pedometer or one of the newer smart watches and rings that have become popular. There is an old business adage that what gets measured gets improved, and recent studies suggest that this applies to physical activity as well. In March 2023, researchers reported that sedentary adults who wore activity trackers and received reminders about their daily steps increased their step count by an average of 5,000 per day within three months. A similar effect has been seen in children, who boosted their activity by roughly 1,500 steps a day when given a tracker of their own.

The widely quoted goal of 10,000 steps a day may have started in the 1960s as a marketing slogan for a Japanese pedometer, yet modern research suggests it is not far off as a benchmark for health. A large analysis of 57 studies led by researchers at the University of Sydney found that averaging about 7,000 steps a day was associated with a 47% reduction in the risk of premature death, along with lower risks of dementia, depression, and cardiovascular disease. Other work suggests that the longevity benefits of walking may level off at around 16,000 steps a day. For those who are sedentary, goals like 5,000, 8,000, or 10,000 daily steps may seem daunting at first, but the most important point to remember is that some movement is always better than none, and with time and consistency, more is always possible.

Daily step counts capture overall movement, but higher-intensity activity remains essential for building stronger muscles and bones, improving balance, and unlocking health benefits that everyday walking alone cannot provide. Current guidelines recommend at least 150 minutes of moderate-to-vigorous exercise each week, along with resistance training twice a week. Participating in sports or recreational activities is a particularly effective way to meet these goals, as they not only challenge the heart, lungs, and muscles, but also engage the mind and senses and provide valuable opportunities for social connection.

Before beginning any new fitness routine, it is important to check with your healthcare provider to ensure the activities are safe for your individual health profile. And if pain or stiffness begins to interfere with your ability to move more, a doctor of chiropractic may be able to help restore comfortable movement and reduce limitations, allowing you to progress to an active lifestyle that supports long-term health and independence.

Pain Relief Chiropractic

4909 Louise Drive Suite 102

Mechanicsburg, PA 17055

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Recovering from Whiplash

17 Nov

A whiplash neck injury occurs when the head is abruptly thrown backward and then forward. This violent motion, which happens faster than the body can brace against, can damage soft tissues—including ligaments, muscles, nerves, and disks—as well as cause bone injury or fracture with or without dislocation. Symptoms typically develop within days and may include neck pain and stiffness, reduced motion, headaches (often starting at the base of the skull), shoulder or upper back tenderness, dizziness, fatigue, tingling or numbness in the arms, and pain that worsens with movement. Each case is unique, making recovery time highly variable and difficult to predict.

By following clinical guidelines, healthcare providers can give patients the best chance for recovery. In the absence of red flags (such as fracture, dislocation, neurological compromise, or vascular injury), chiropractic care often focuses on reducing muscle spasm, pain, and inflammation; restoring mobility; encouraging activity within tolerance; and reassuring patients about recovery.

While specifics can vary depending on exam findings, patient preferences, and clinical training and experience, a multimodal treatment approach may include manual therapies including spinal manipulation, mobilization, and soft tissue therapies; manual and/or mechanical cervical traction; pain reducing modalities such as electrical stim, laser therapy, pulsed electrical magnetic field, pulsed ultrasound; dry needling or acupuncture; home exercises to increase muscle strength and improve range of motion; patient education; and diet modifications or supplement recommendations.

Although most injured patients improve within several weeks, up to 50% may continue to experience pain and/or other related whiplash associated signs and symptoms at one year post injury. Investigators have initiated a number of studies to identify which patients may be at greatest risk for prolonged recovery, and though no clear rubric has been established, research suggests the following may be risk factors for chronic whiplash symptoms: older age; a history of back or neck problems (including previous whiplash); pre-existing psychological distress; higher initial pain intensity; pre-existing cervical spine osteoarthritis; and current smoking.

If progress is limited or risk factors for chronic recovery are present, a doctor of chiropractic may coordinate with the patient’s medical physician or a specialist to provide additional treatment beyond the chiropractor’s scope of care.

Pain Relief Chiropractic

4909 Louise Drive Suite 102

Mechanicsburg, PA 17055

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