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Bosscher Chiropractic, PLLC

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Bosscher Chiropractic, PLLC

Doctor of Chiropractic serving the Holland and Zeeland area

11/03/2025

The tibialis anterior is a muscle on the front side of the shin that functions to lift your ankle upward (dorsiflexion).

Weakness here is very COMMON, and unfortunately can put increased load and stress through the knee over time.

Since this muscle brings the ankle upward, you can expect to see a “slapping” of the foot on the ground if this muscle is fatigued or WEAK. 👎

It helps to “decelerate” and bring the foot in contact with the ground in a smooth fashion. Remember our normal gait pattern of walking should be heel to toe.

Two common compensations for weakness here, or lack of ankle dorsiflexion are:

•swinging the leg in a circular motion to clear the ground (circumduction)
•bringing foot out (external rotation), which won’t require as much ankle mobility (kind of a cheat…)

Especially important in RUNNERS, or athletes ☝️☝️ do not WAIT until you get shin splints or knee pain. Test the strength and endurance of this muscle and motion 🤝

10/30/2025

Bechterews test is one I do with all my new patients coming in with low back pain ✅

Quick and easy way to determine if the sciatic nerve is truly involved (compressed, irritated…). If so we can call that sciatica 🤝😉

A reminder that muscles, joints, and discs can refer pain down into the hip/thigh. These are the things most often causing someone’s low back pain.

Good thing is what I do manually with my hands and what I show you 🫵 to do at home are pretty straight forward in treating these issues!

Also a reminder, true sciatica will likely present with significant PAIN, perhaps numbing/tingling, and possible loss of muscle function 😳

Still treatable, but pretty significant discomfort with sciatica.

10/29/2025

I walked into a treatment room last week with this written from a patient. Good question, seems pretty straight forward, but I can potentially make an argument on either side 🤷‍♂️

For one, I am often dealing with people in PAIN or getting out of pain. They may require more gentle isometric holds for example compared to multiple reps or increased load.

For the woman who asked this question ☝️it was pretty easy as I would prefer her to increase weight with less reps.

I find most of my patients (over 50) tend to gravitate toward gentle/easy exercise. “I walk,” is probably the most common form of exercise I hear from most.

Not to downplay the importance of walking, but if you want to function somewhat like you did when you were younger, it will require you to do things more than just a brisk walk 🤷‍♂️ and with making things harder.

My point being, we need to maintain our muscle mass as we age if not gain more! It gets more difficult as we age, but that doesn’t mean it’s not possible.

So as a generalization, I’d prefer increasing the weight or load with less reps for the idea of maintaining or putting on muscle mass/strength.

For muscular endurance or stability-type of exercises I’d actually prefer more holds than high rep exercises 🤝

10/27/2025

This is for the people who can’t help but have to SIT for extended periods of time.

Whether a student, a driver, or the typical desk worker…

Tricky thing with me bringing this topic up is that you can sit in an “improper” position for a really long time with zero symptoms. That doesn’t mean this position is good for you. Let me elaborate 👇

When sitting in that “bad” rounded position, it puts increased load through the lumbar spine. Increased and sustained muscle tone, greater load through the anterior (front) of the disc while “stretching” its posterior components and facet joints.

Prolonged ligamentous lengthening (anyone remember stretch, histeresis, creep? 😉)

Again, what people will argue is that there’s studies that show people with poor posture have NO pain, so why preach this topic 🤷‍♂️

Sorry, but I’m not just focused on pain. This position changes structure in the long term (which very likely can contribute to symptoms). So I see it as a preventative measure 🤝

There’s also always multiple things to take into consideration when looking at someone’s symptoms.

Not harping only on posture. Usually what I’m truly preaching is movement WHEN SEATED. Movement can help offset the negative from the slouched position.

Change positions regularly, or do minor movements when seated. It helps improve localized blood flow (lack of blood flow can cause symptoms), helps mobilize joints (“stiff” joints can be a source of pain), and can help hydrate the discs 🤝

10/23/2025

Who doesn’t have a bit of a forward head position nowadays 🤷‍♂️😅

Tricky thing here is a forward posture won’t necessarily create symptoms immediately. This is why you may see professionals somewhat arguing posture doesn’t matter.

I’m certainly not one of those people because I think posture matters IN THE LONG TERM. Sustained positions can alter muscle tone, joints, discs, and bone for that matter.. (also a reason why I preach consistent movement)

I palpate muscles and bones multiple times a day and can literally feel differences in muscle tone with various positions of the head and shoulders.

With a forward head posture you’ll likely see increase muscle tone to the upper traps/levator scapula and shortening to the suboccipitals (underneath base of skull).

When the head goes forward you’ll likely see extension occurring as well. Think of sitting at a desk and looking at a computer. You’re eyes still need to look somewhat forward and to do this, the neck has to go into extension.

Upper neck going into extension will create lengthening of the neck FLEXORS in the front of the neck.

This exercise ☝️is working to strengthen the deep neck flexors in effort to prevent excessive extension to the upper neck with a forward head posture.

So really, for patients with chronic headaches (suboccipital + upper neck tension), this is ONE of the exercises I may recommend.

I do bring up posture for those desk workers or students. Cues like sit tall, use a back support if you have one, get closer to the desk. I don’t ever want anyone “forcing” a better posture like pulling their chin and shoulders back. I’d rather someone just change positions a bit more regularly if anything 🤝

10/15/2025

You know I’m usually preaching MOVEMENT, but that doesn’t mean I don’t believe in rest…

What I’m NOT a fan of is when other docs say “just go home and rest it.” That to me is basically is saying, I don’t know how to treat you. It’s a bland and easy suggestion. If you don’t do anything it won’t hurt, right?!

What I am a fan of is more of an “active recovery.”

Let’s take an example of a rolled ankle (grade I)…

Rest or a break from certain activity is certainly appropriate in this case. However, minor movement to the ankle has actually been shown to have better and FASTER outcomes!

I can also give the example of yard work causing low back pain, because this was me yesterday! 😅

Repetitive bending and squatting was starting to create some discomfort in my back. I needed to rest and take a break from that activity. Later last night and today I was doing various stretches to help improve how I was feeling. 👍 kind of no duh right?! 🙄

See how resting an injury is appropriate most of the time, however, taking an active approach in “rehabbing” that injury will provide a much better outcome.

So I’m sorry, to the whoever you’ve seen that said just to rest it and wait for pain to go away… that’s an easy suggestion, but very vague and not in someone’s best interest.

Be mindful of what triggers the pain. Would be smart to avoid those things, at least in the acute setting and do more of what makes it feel better 🤝

Bottom line, rest to what’s appropriate for you but just know there’s much more that you can be doing to help heal or make you feel better. 👍

10/09/2025

I FIRST need to rule out the soft tissues around the knee that actually function to bend/extend the leg.🦵

Upon palpating around the knee, it’s common to feel quads excessively TIGHT in patients complaining of pain around the kneecap region.

Did you know the patella (kneecap) is a floating bone WITHIN the quad tendon?! These muscles are pretty important in stabilizing and proper function of the knee mechanics.

The IT band also attaches on the outside part of the knee and can be the culprit of lateral knee pain.

The popliteus, upper calves, or hamstrings can be the reason for symptoms in the knee crease or back of the leg.

See what I mean?! All these muscles have their proper function.

Well what about arthritis? Yes, very common among an aging or elderly population and I would treat this much differently than strictly soft tissue therapy.

So if you’re dealing with knee pain, I first need to rule out the soft tissue first as that would be best case 😉 and easy to work with.

I see this everyday! I’m not only a “spine doctor.” A lot of my postgraduate training is in full body biomechanics and soft tissue treatments. Happy to help where I can! 🤝

10/08/2025

Was working on this one the other day so I figured I’d give a visual on it 🤝

Coracobrachialis : Attaches to the CORACOID process on the scapula

Near the biceps brachii (biceps muscle).

If injured, you may have PAIN on the front part of the shoulder at rest, and especially when raising the arm in flexion or adduction (across the body).

We don’t want to re-injury the muscle, so rehab should be easy to start. Other than manual techniques, I’d suggest isometrics (contracting the muscle withOUT movement).

I’m usually a fan of using heat with soft tissue issues as lack of blood flow and oxygen is usually part of the reason for pain or lack of progression of healing.

Just a quick video on this muscle, but this is somewhat my approach for soft tissue issues. Active release technique to help initially and progress to loading the tissue 👍

10/01/2025

The TFL is often part of the reason for runners knee (IT BAND SYNDROME).

I give a visual ☝️showing INTERNAL rotation of the leg tends to increase the load to this small muscle.

Why would leg internally rotate? Well, a lot to unpack there but is there foot overpronation, lack of glute activation (weakness to hip external rotators), or an anteriorly tilted pelvis? All of which can contribute…

So really the big picture with treating TFL or IT Band issues is addressing hip stability so the leg is NOT going into excessive internal rotation 👍

You dealing with runners knee, IT band issues, or hip issues? I treat this stuff every day. Not saying it’s always easy, but it should be straight forward as far as plan on correcting it 🤝

Happy to help where I can, and at minimum, give you suggestions on how to fix yourself. Call in or DM to get on the books!

09/29/2025

Everyone wants to be out of pain in the snap of your fingers, but we have to be realistic with some things…

Few things to point out:

• Some things take time to heal
• I’ll do whatever I can to help, but I’m not a magician
• focus on what WORKS!
• if something works, do more of it, duh.. 🙄 😅

It’s common to have patients focus on all the NEGATIVE. “Nothing works, I’m still in pain.”

After asking the right questions I often find that there’s plenty of things that actually work, but maybe it doesn’t take their pain COMPLETELY away.

That’s not an L, that’s a win.. 🤷‍♂️ there’s plenty of people who truly have nothing that helps, so if something can actually lower your symptoms, that’s important to take note of 👍

Pretty straight forward, but if something does give you relief, even if minor, you likely need to continue what is providing relief. Increase the frequency of it.

Maybe spend LESS time doing whatever it is, but increase how OFTEN you’re doing it 👍

My patients can probably attest that I often ask a lot of questions. It’s so I know what to recommend for you at home 👊 focus on what is helping 🤝

08/20/2025

I’m honored to have recently had the opportunity to contribute to an article featured in Golf Digest!

About a year ago I took a fitness certification course through Golf Digest to go along with my TPI (Titleist Performance Institute) Medical II certification.

Basically these allow me to better assess and serve golfers through guidance on improving mobility, stability, or more power.

I am NOT a golf instructor. I won’t change your swing or give tips on your swing, that’s what golf professionals or instructors are for.

However, if your body + swing is limited in range of motion, I can help! Tight muscles + joints can be the culprit, but so can limited stability (strength).

As a chiropractor, you can imagine I’m also dealing with golfers in PAIN. So there are various tests to allow me to help better diagnose, treat, and prevent 🤝

Limited range of motion or pain certainly can affect your swing, and there’s where I come in.

The Golf Digest certification was geared more toward training golfers in their FITNESS 💪 so while I have a background in treating athletes for their pain and symptoms, you don’t need to be in pain to TRAIN!

Look at any other sport and the athlete trains their body not only for performance, but for preventative measures as well. So SHOULD golfers!

This particular article 👆 focused on the need for a “whole body” approach in preventing knee injuries. Big picture here is stability of the feet/ground and hips will help “protect” the knee from excessive and unwanted stress on the knees.

So a lot of “knee exercises” really should be geared toward stability of the feet + hips ✅

If you’re struggling with YOUR BODY through the golf swing, I know I can help! Muscles + joints + the brain/body connection and biomechanics 👍 that’s my world. 🏌️‍♂️

Link to article:
https://www.golfdigest.com/story/if-you-want-to-keep-your-knees-healthy-forget-about-your-knees

Address

400 S State St #250
Zeeland, MI
49464

Opening Hours

Monday	11am - 7pm
Tuesday	8am - 4pm
Wednesday	11am - 7pm
Thursday	8am - 4pm
Friday	9am - 1pm

Telephone

+16167412364

Website

http://www.visitwellness.co/

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Chiropractor serving Holland, MI

I am happy to be transitioning to Holland, MI (from Grand Rapids) and offer my services to this community. My effort is get patients out of pain as soon as possible, but truly go after their root cause of discomfort. Many, if not most of the time, symptoms arise due to muscular imbalances through the body. My job is to find these imbalances, treat the dysfunction, and strengthen muscles where necessary. I do not only treat athletes or sports injuries, but I believe in restoring movement and mobility through the body in order to function properly.