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Bursitis, Tendinitis and sports injuries

 We consider these together as they often co-exist in a joint area and the treatments are the same or similar for both.
Bursitis is an inflammation of the bursa a fatty pad containing fluid that lubricates the joints. It becomes inflamed through arthritis, trauma, repeated strains from sport or work action, infection and sports strains. There is always one or more weak or fatigued muscles associated.
Tendonitis is an inflammatory condition of the tendon. Tendons attach a muscle to a bone so they can be injured through repetitive strain, sports injuries, arthritis and infection. Acute tendinitis may heal in a few weeks but if it lasts longer calcium tends to deposit along the tendon. There is always one or more weak or fatigued muscles associated around the painful area.
Physical therapy Manipulation to surrounding joints and or massage, facial release plus the use of specific reflex treatment areas are used to improve muscle strength and function and if needed to correct any nerve supply irritation at the exits from the spine, cranium or pelvis. Instruction on how to exercise safely including a proper warm up are critical to long term cure. One or more sessions with our in house personal trainer are useful to design a personal program for you.

RICE approach for an acute injury especially in the first 48 hours.

R: With an initial injury REST is important to avoid further injury, non painful exercise that does not strain the injured area is usually beneficial. So you can exercise your legs if you hurt your arm for instance. Or maybe swim or do a different type of exercise to usual which can then keep you fit without straining the injury.

I: ICE should be applied for 5-30 minutes depending on the size of the area and the depth need to penetrate, and your comfort. To ice an area firstly cover it with a thin towel then place an ice pack (from reception or a pharmacy) over the area. Re-apply hourly. Take care not to freeze the area.
C: COMPRESSION with an elastic bandage in some areas is helpful especially knees, ankles, wrists and elbows.

E: ELEVATION may be appropriate to encourage drainage of a swollen area – put your feet up! E: exercise (gentle) can begin after a couple of days avoiding the injured area other than to carefully stretch it. Avoid weight lifting or resistance exercise to the area which is inflamed for a month or more usually. Stretching may help by preventing adhesions forming and improving mobility. Alternating hot and cold can be useful once the evident inflammation has reduced; this improves circulation.

Nutritional Naturopathic Treatment

A comparison of just physical therapy versus Naturopathic treatment to arthritic shoulder problems gave success rates of 18% and 54% respectively over a course of treatment. The difference is the nutritional input. With an acute injury we attempt to reduce inflammation and pain while protecting injured tissues, after that stage passes it is about promoting repair. Certain nutrients will facilitate tissue healing beyond what physical approaches alone may achieve especially where a condition has existed for more than a month.