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Jointcrackers :: View topic - Strengthening joint liagments
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Jointcrackers Forum Index » Treatment » Strengthening joint liagments

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JointCracker
PostPosted: Wed Apr 26, 2006 8:40 am    Post subject: Strengthening joint liagments Reply with quote

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Posts: 196

The cause of Jointcracktitis labeled Hypermobile Joints / Lax liagments suggests strengthening your joint liagments as treatment.

This info was dissected from the article from The SpineCare Chiropractic group titled Don't Crack Your Neck!.
Quote:
Chiropractors treat hypermobility with strengthening exercises. If the ligaments are weak and the muscles have to work harder, they will be less tense if they are stronger. Strong muscles don’t have to work as hard as weak muscles, so there is less tension. Hypermobility is also treated with spinal adjustments, a form of manipulation. Although this would seem to be contradictory, sometimes hypermobility can be a compensation for restricted or fixated joints elsewhere in the spine. The adjustments are given only to these joints, not the hypermobile ones.

Of course, the best thing to do is to STOP POPPING YOUR NECK (edit: JOINT). That’s it. Just don’t do it. Most people who “go cold turkey” will feel worse for a time. But even if no other treatment is given, you will probably feel much better after two or three weeks.

This claims just stopping to crack the joints will help strengthening the associated muscles.
To investigate this further we need more info on further strengthening exercises for all crackable joints. Please post here when you find anything!


Last edited by JointCracker on Sun Apr 30, 2006 12:31 am; edited 1 time in total
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JointCracker
PostPosted: Sun Apr 30, 2006 12:17 am    Post subject: Reply with quote

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spineinjuryfoundation.org suggests the following treatment options:
Quote:

* Mobilize any stiff segments that may be overloading the unstable segment

* Correct postural problems that may be making the intability worse

* Strengthen any weak, deep supporting muscles (like multifidus) that may be allowing too much movement.

* Don't mobilize or manipulate the unstable segment (it will worsen)

* If all else fails, prolotherapy or surgical stabilization are last ditch options

Here the associated article on Treating Low Back Pain the Proper Way:
Quote:
Based on the research of the past few years, almost all physical therapy clinics in the US have been retraining the low back the wrong way. Why? In order to stabilize the spine, you must recondition the small muscles close to the spine called the multifidus and the deepest stomach muscle called the tranversus abdominus. However, almost all rehab programs for the back have focused on the large muscles on the outside that help extend and bend the back, not the muscles responsible for stability. In addition, these same programs have focused on the large stomach muscles while neglecting the muscle responsible for stabilizing the spine.
As a result of this incorrect focus, many people have gotten worse with exercise for low back pain. It's become so common, that new medical and psychological terms and diagnoses have been dreamed up to try to explain why so many people do so poorly. However, the segmental approach to low back rehabilitation is based on dozens of medical research studies showing that focusing on the right muscles works!

To demonstrate the problem and the solution, lets say you stacked a bunch of kids blocks one on top of the other. As you might imagine, they wouldn't be that stable. Any small amount of force would easily knock them over. Put your mouse over the blocks now. As you can see, even the slightest pressure from your pointer topples the blocks. This is like a low back with weak muscles.

Now lets say you shore up the blocks with wires. Since the wires don't connect each block to the other, the blocks still aren't stable. Go ahead, knock them over with your mouse again! The wires are like the big muscles in the back, they aren't good at stabilizing the spine. Since this is what is strengthened in rehab programs, the low back never becomes stable and stays painful.

Finally, you learn from your mistakes and tape the blocks together. Now they're stable as they have a connection that goes from block to block. This is exactly what the segmental muscles such as multifidus do in your back, they hold the bones together by going from bone to bone. Now try to knock them over!
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JointCracker
PostPosted: Sun Apr 30, 2006 12:30 am    Post subject: Reply with quote

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You ask what the last ditched effort of Prolotherapy is all about? Let's dissect the services provided by Dr. John E. Panet:

What is it?
Quote:
Prolotherapy is a well established medical technique that treats chronic pain from lax ligaments or injured tendons around the joints or areas of muscular attachments. This procedure stabilizes, strengthens, and supports these injured areas restoring proper function by proliferating new ligamentous tissue.

What is is supposed to help with?
Quote:
This modality of treatment is used mainly in chronic or recurring pain in the head, neck, back or any joint of the body. Weakened ligaments and tendons are frequently the underlying problem of these pain syndromes. A weak ligament and tendon at its point of attachment to the bone will yield on tension and permit excess pull on the non-stretchable sensory nerve fibers, causing not only local pain but also radiating pain to distant areas with specific and predictable pain patterns.

Movement may aggravate the damaged nerve in the ligament and produce a pain that feel like a shock giving the impression that a nerve is being pinched. It is a nerve type pain due to a stretched ligament, not a pinched nerve.

Weak ligaments can also be the cause of dysfunction at a joint and/or of a displacement that occurs within a joint, both of these conditions being a cause of chronic and/or recurring pain syndromes.

(If the ligament is strengthened with prolotherapy, the nerves in the ligaments do not fire off, thereby relieving the pain.)

What is really done here?
Quote:
Prolotherapy involves injection of a mixture of the following medications – dextrose (sugar water) Xylocaine (numbing medicine), sodium morrhuate, glycerine or phenol. Often only dextrose and xylocaine are used first and additional medications are added if needed. The prolotherapy solution is injected into the ligament or tendon where it attaches to the bone. This causes a localized inflammation in these weak areas, which then increases the blood supply and flow of nutrients and stimulates the tissue to repair itself, strengthening and tightening and thereby stabilizing the area. But most of all helping the person to become a fully functioning individual. This procedure does not involve the injection of corticosteroids, such as cortisone. Cortisone is known to decrease inflammation, but will also slow or stop the healing process. Acute pain may be relieved with cortisone, but repeated use causes a weakening of the tissues and chronic pain develops.

They also mention Nutrition to be important:
Quote:
It is also important to remember the diet and lifestyle choices on overall recovery process. Nutrition deficiencies are epidemic in our modern society and this affects overall health and healing of ligaments and tendons. Ligaments require proper vitamins,minerals, amino acids, and collagen formation for repair, and proper diet and nutrition is thus imperative for healing to occur.Similarly, lack of proper hydration will hinder healing and causedligaments to shrink. It is recommended that you drink at least 6-8 glasses of water per day.

It is interesting that they note that usual scans are not helpful in diagnosis:
Quote:
* Ligaments and tendons are poorly imaged and visualized on the studies.

* Correlation with clinical finding and exam help with diagnosis

* Many times there is no correlation of pain with imaging studies

* If relying soley on imaging studies many erroneous surgeries and treatments may be initiated.

This article links good liagment charts.
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bod8
PostPosted: Thu Apr 17, 2008 10:29 pm    Post subject: Reply with quote

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yeah i've heard that x-rays etc haven't helped many people in this respect
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Blaze
PostPosted: Thu May 08, 2008 8:40 am    Post subject: Reply with quote

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Yes and i don't think they can.
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bod8
PostPosted: Thu May 08, 2008 6:30 pm    Post subject: Reply with quote

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what about an MRI scan?
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Blaze
PostPosted: Fri May 09, 2008 5:24 am    Post subject: Reply with quote

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This is in a different thread.
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bod8
PostPosted: Fri May 09, 2008 5:43 pm    Post subject: Reply with quote

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ah yeah, found it now thanks
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Blaze
PostPosted: Sat May 10, 2008 6:16 am    Post subject: Reply with quote

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No worries
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