Complementary & Alternative Health

Complementary & Alternative Health Interventional Therapies for all types of chronic and acute pain conditions Alternative Medical Treatments for Pain Conditions eg injuries, diseases ect

Median Nerve Neuropathy. Let's explain πŸ€”Distal median nerve dysfunction is a form of peripheral neuropathy that affects ...
19/02/2026

Median Nerve Neuropathy. Let's explain πŸ€”

Distal median nerve dysfunction is a form of peripheral neuropathy that affects the movement of or sensation in the hands. A common type of distal median nerve dysfunction is carpal tunnel syndrome, which is a compression of the median nerve in the wrist which can cause pain and numbness in the hand.

CAUSES:
Dysfunction of one nerve group, such as the distal median nerve, is called a mononeuropathy. Which means there is a local cause of the nerve damage. Diseases affecting the entire body (sistemic disorders) can also cause isolated nerve damage.

This condition occurs when the nerve is inflamed, trapped or injured by trauma.The most common reason is trapping (entrapment). Trapping puts pressure on the nerve where it passes through a narrow area. Wrist fractures may injure the median nerve directly, or it may increase the risk for trapping the nerve later on.

Inflammation of the tendons (tendonitis) or joints (arthritis) can also put pressure on the nerves. Some repetitive movements increase the chance of developing carpal tunnel entrapment.

SYMPTOMS:
Carpal tunnel entrapment symptoms can include numbness or tingling sensation in the fingers, particularly the index, middle and ring fingers and the thumb. Symptoms occurring or worsening at night.

Weakness in the hand leading to the loss of grip strength, making holding objects or carrying out everyday tasks more difficult. In severe cases, inability to feel hot or cold temperatures with the hand.

TREATMENT:
Treatment focuses on reducing median nerve compression, easing pain and restoring function through nerve gliding excercises. Manual therapy, ergonomic adjustments, tendon glide and nerve flossing.

Treatment available, contact me for more info πŸ‘πŸ˜‰

Wrist Pain. Let's explain all the reasons πŸ€”Wrist Pain is a frequent complaint and there are many potential causes, with ...
18/02/2026

Wrist Pain. Let's explain all the reasons πŸ€”

Wrist Pain is a frequent complaint and there are many potential causes, with a wrist sprain and tendonitis being the most common ones.

When a wrist sprain injury occurs, the ligaments of the wrist are stretched beyond their normal limits. This often occurs after an injury, such as a fall onto the hand.

CAUSES EXPLAINED:
WRIST SPRAIN - a ligament is tough, fibrous tissue that controls the motion around the joint. The ligaments around the wrist joint helps to stabilize the position of the hand and allow controlled motions. When a wrist pain injury occurs, the ligaments of the wrist are stretched beyond their normal limits, result in pain.

WRIST TENDONITIS - there are multiple strong bands of tissue, called tendons that cross over the wrist, connecting the muscles in the forearm to the hand and finger bones. Flexor tendons are located on the palm side of the hand and allow the fingers to flex. Extensor tendons are on the top side of the hand and help the fingers straighten. When one or more tendons become inflamed, wrist tendonitis develops.

WRIST TENOSYNOVITIS - with tenosynovitis, the tendon sheath (a fluid-filled covering that the wrist tendons glide through) becomes inflamed. One type of tenosynovitis is called De Quervain's tenosynovitis, which causes wrist pain on the thumb side that may move into the arm.

WRIST FRACTURE - a wrist fracture is a common orthopedic injury. This occurs due to an injury and/or bone weakness, such as with osteoporosis.

ARTHRITIS - there are a few different types of arthritis that may affect the wrist. Rheumatoid arthritis commonly affects the wrist joint and gout (another type of imflamentory arthritis). Osteoarthritis of the wrist is less common and is likely to occur as a result of a prior wrist injury.

GANGLION CYST - are benign, fluid-filled capsules that cause swelling and/or wrist pain. Usually occurs over the back of the hand or wrist.

CUBITAL TUNNEL SYNDROME - also known as ulnar nerve called the ulnar nerve is compressed. It may cause wrist pain along with numbness and tingling in the 4th and 5th fingers.

CARPAL BOS - a firm, immovable bump on the back of the hand/wrist. A carpal boss is created by a small area of osteoarthritis occurring at the junction of the hand bones.

TREATMENT:
Treatment depends on the different causes as explained above. Treatment available, contact me for more info πŸ‘πŸ˜‰

Thoracic Outlet Syndrome and Dizziness. Let's explain the connection πŸ€”The thoracic outlet syndrome (TOS) and dizziness i...
16/02/2026

Thoracic Outlet Syndrome and Dizziness. Let's explain the connection πŸ€”

The thoracic outlet syndrome (TOS) and dizziness is a neurological connection most people miss. Dizziness isn't always an inner ear problem. And it's not always "just the neck". New research and case studies highlights that thoracic outlet syndrome can drive vestibular-like symptoms.

WHAT IS THIRACIC OUTLET SYNDROME?
It occurs when nerves, veins or arteries are compressed as they pass from the neck into the arm, typically between the clavicle, first rib, scalene muscles and pectoralis minor. Most people think of arm pain, numbness or tingling, weakness and swelling or color changes, but neurological symptoms are often overlooked.

HOW THORACIC OULET SYNDROME CREATES DIZZINESS:
Venous or neurogenic compression in thoracic outlet syndrome can disrupt the cervical proprioceptive input, autonomic regulation (blood flow heart rate and pressure), brainstem sensory integration and head/neck positional awareness.

The result is dizziness or light headedness, motion sensitivity, visual instability, brain fog, postural intolerance and vestibular symptoms with normal inner-ear testing.

THE NECK/VESTIBULAR-AUTONOMIC LOOP:
The brain relies on three systems to know where you are in space. Vestibular system, vision and cervical and upper-thoracic proprioception. When thoracic outlet compression alters cervical signaling or venous outflow, the brain receives conflicting data and dizziness emerges.

KEY TAKEAWAY:
If you have dizziness, neck and shoulder tightness, arm symptoms, postural intolerance and vestibular tests are "normal", thoracic outlet syndrome may be part of the puzzle.

Treatment available, contact me for more info πŸ‘πŸ˜‰

Wrong Lifting Mechanics: High risk for lower back ligament injury πŸ€”The image clearly demonstrates what happens when a lo...
12/02/2026

Wrong Lifting Mechanics: High risk for lower back ligament injury πŸ€”

The image clearly demonstrates what happens when a load is lifted with poor body mechanics. Bending forward from the waist with straight knees shifts excessive stress onto the lumbar spine and it's supporting ligaments.

Instead of the powerful hip and leg muscles doing the work, the passive spinal structures are forced to absorb the load.

When you flex your spine and reach down like this, the posterior spinal ligaments and intervertebral structures are stretched under tension. Repeated loads or heavy loading, in this position, can lead to ligament strain, micro-tears, disc stress and long-term low back pain. The glowing highlight in the image represents the high-stress zone commonly seen in improper lifting.

Your spine is designed for stability first, mobility second. Ligaments are not built to handle sudden or repeated heavy loads without muscular support. That's why relying only on your back instead of your hips and knees is a major injury risk factor, both in gym settings and daily activities.

CORRECT LIFTING STRATEGY:

Keep the load closer to your body. Bend at the hips and knees. Maintain a neutral spine. Engage your core and drive upward through your legs.

This distributes force through large muscle groups instead of fragile passive tissues.

Small technique changes today can prevent major back problems tomorrow πŸ‘πŸ˜‰

What is Ankylosing Spondylitis? πŸ€”Ankylosis spondylitis is a chronic inflammatory disease that primarily affects the spin...
11/02/2026

What is Ankylosing Spondylitis? πŸ€”

Ankylosis spondylitis is a chronic inflammatory disease that primarily affects the spine, but can also affect other joints and organs in the body.

In ankylosing spondylitis, the immune system attacks the joints in the spine and pelvis, causing inflammation and pain. The exact cause is not known, but it is believed to be a combination of generic and environmental factors.
Ankylosing spondylitis is a type of inflammatory disease that mainly affects the spine.

Over time, the inflammation can cause some of the bones in the spine, called vertebrae, to fuse together. This fusing makes the spine less flexible and can lead to a hunched posture. If the joints in the chest are affected, it may become harder to rake deep breaths.

Axial spondylo-arthritis has 2 types. When the condition is found on an x-ray, it is called ankylosing spondylitis, also known as axial spondylo-arthritis.

When the condition cannot be seen on a x-ray but is found based on symptoms, blood tests and other imaging test such as an MRI, it is called non-radiographic axial spondylo-arthritis.

SYMPTOMS:
Symptoms often begin in early adulthood. The condition also can cause inflammation in other parts of the body. This happens most often in the eyes, called uveitis. Most common symptoms of ankylosing spondylitis are lower back pain and stiffness that are worse in the morning or after periods of inactivity.

Other symptoms may include pain and stiffness in the joints, fatique, eye inflammation and difficulty taking deep breaths. Neck pain, vision changes or eye pain, skin rashes and stomach pain.

TREATMENT:
There is no cure for ankylosing spondylitis but treatment can help manage symptoms and prevent complications by lessen symptoms, slow down the progression of the disease.

Treatment available, contact me for more info πŸ‘πŸ˜‰

Let's explain Hip Osteoarthritis πŸ€”Hip osteoarthritis is a degenerative joint disease that affects the hip joint. It is t...
10/02/2026

Let's explain Hip Osteoarthritis πŸ€”

Hip osteoarthritis is a degenerative joint disease that affects the hip joint. It is the most common form of arthritis in the hip and develops gradually over time.

The condition occurs when the protective cartilage in the hip joint breaks down, leading to symptoms such as pain, stiffness and reduced mobility.As people age, the risk of developing osteoarthritis increases.

TYPES OF HIP ARTHRITIS:
Most of the time, arthritis of the hip is osteoarthritis, which is simple wear and tear on the joint. Less commonly, inflammatory types of arthritis may affect the hips, like rheumoid arthritis.

This is a different type of disease. Typically, inflammatory arthritis will affect many parts of the body at once, not just large joints like the hips. Inflammatory types of arthritis are more likely to appear earlier.

CAUSES:
Osteoarthritis of the hip is mostly the result of normal wear and tear on the hip joint. Our hips bear a lot of weight and stress throughout our lives from normal activities like walking, sitting down and standing up.

Lifestyle factors, generic factors, injuries and diseases may contribute to wearing down the cartilage in the joint sooner. These factors can increase the risk of developing hip arthritis over time.

Risk factors include increased age, occupations or sports that put repetitive stress on the hip joint. Carrying extra weight on your body as well as previous injury or surgery in the hip joint.

WILL I GET HIP ARTHRITIS IN BOTH HIPS?
Osteoarthritis often affects just one hip at a time. Inflammatory arthritis often affects both hips and other joints. If you have osteoarthritis in one hip, you won't necessarily get it in the other hip.

SYMPTOMS:
Arthritis in the hip can cause pain and stiffness when the hip joint moves. Limited range of motion of the hip. Difficulty bending at the waist or walking with a limb.

A grinding or clicking sensation when you move your hip. A crackling or clicking sound when it moves, called
crepitus. You might feel hip arthritis pain in areas surrounding the hip joint.

This is called referred pain, sometimes it seems to move from one area to another. You may feel pain in the groin, thigh, buttocks and knee.

TREATMENT:
Treatment for hip osteoarthritis focuses on reducing pain, improving joint mobility and enhancing strength through tailored excercises and manual therapy.

Key treatments include customized strength training, flexibility excercises, gait re-education and activity modification to unload the joint.

Treatment available, contact me for more info πŸ‘πŸ˜‰

Let's explain Biceps Tendinopathy πŸ€”Biceps tendinopathy is a condition that affects the tendons of the biceps muscle, whi...
09/02/2026

Let's explain Biceps Tendinopathy πŸ€”

Biceps tendinopathy is a condition that affects the tendons of the biceps muscle, which is located in the upper arm. It is the inflammation of the tendon around the long head of the biceps muscle.

Biceps tendinitis can impair patient's ability to perform many routine activities. Main function of the biceps muscle is forearm supination and elbow flexion. It also contribute 10% of the total power in shoulder abduction, when the arm is in external rotating.

THE PATHOPHYSIOLOGY OF BT:
The early stages of tenosynovitis and inflammation secondary to repetitive traction, friction and shoulder rotation. Inflammation develops early on in the tendinous portion in the bicipital groove.

The tendon increases in diameter secondary to swelling and/or associated hemorrhage, further compromising the tendon as it becomes mechanically irritated in its confined space.

The resultant increased pressure and specific sites of traction, predispose the tendon to pathological shear forces. In advanced stage conditions the tendon can eventually rupture at the origin near the superior glenoid tubercle.

CLINICAL CHARACTERISTICS: Characteristics of proximal biceps tendinitis include the following. Atroumatic, insidious onset of anterior shoulder pain. Symptoms exacerbating with overhead activities, pain radiating down the anterior arm from the shoulder.

Clicking or audible popping. Pain experienced at night as well as pain during rest. Weakness that affects mobility.

TREATMENT:
Physical therapy initially focussing on unloading followed by reloading the effected tendon. Isometric training if pain is the primary issue. Strengthening and stretching excercises. Ultrasonic and low laser therapy. Mobilization and manipulation.

Treatment available, contact me for more info πŸ‘πŸ˜‰

Spine Biomechanics. Why alignment matters πŸ€”The human spine is a dynamic load-bearing structure designed to protect the s...
05/02/2026

Spine Biomechanics. Why alignment matters πŸ€”

The human spine is a dynamic load-bearing structure designed to protect the spinal cord, while allowing movement and shock absorption. Each vertebrae stacks to form a column that distributes body weight from the head and trunk down to the pelvis and lower limbs.

When this alignment is optimal, forces pass smoothly through the vertebrae and discs with minimal stress.
Intervertebral discs act as hydraulic shock absorbers. Under compression, they deform slightly and redistribute pressure evenly across the vertebral endplates.

During bending, rotation or lifting, discs manage shear and torsional forces. Poor posture or repetitive overload increases disc pressure asymmetrically, leading to bulging, degeneration or rupture over time.
Ligaments and muscles provide both passive and active stability. Ligaments limit excessive motion and guide vertebral movement, while muscles dynamically control posture and motion.

When muscles fatique or ligaments are overstretched, spinal segments become unstable. This instability alters joint mechanics and increases micro-movement at individual vertebral levels.

Nerve roots exit between vertebrae through the intervertebral foramina. Biomechanical ly, any reduction in disc height, vertebral misalignment or inflammation narrows this space. The result is nerve stretching, compression or irritation, which may present as radiating pain, numbness or weakness along the nerve pathway.

Restoring healthy spinal biomechanics focuses on alignment, mobility and stability, improving postural control, enhancing deep core muscle activation and reducing unnecessary spinal stress, normalize force transmission.

When the spine moves and loads as designed, pain decreases and functional efficiency improves πŸ‘πŸ˜‰

What is Tendinitis? Let's explain πŸ€”Tendinitis is a condition where the connective tissues between the muscles and bones ...
04/02/2026

What is Tendinitis? Let's explain πŸ€”

Tendinitis is a condition where the connective tissues between the muscles and bones (tendons) are inflamed. Often caused by repetitive activities, tendinitis can be painful. It can occur in any part of the body, elbow, knee, shoulder, hip, achillis tendon and base of the thumb.

Types of tendinitis are tennis elbow, golfers elbow, pitcher's shoulder, swimmer's shoulder and runner's knee (Jumper's Knee). Tendinitis is a relatively common condition.

CAUSES:
Causes of tendinitis include the following. Overuse or repetitive movements over time (like running or throwing). Strain from sudden movements. An injury. In addition, tendinitis could be a side effect of medication including stations or drugs that lower cholesterol or fluoroquinolone antibiotics.

Certain underlying medical conditions such as diabetes, rheumatoid arthritis, gout and osteoarthritis.

SYMPTOMS:
The most common symptoms include pain at the site of the tendon and the surrounding area. The pain can worsen with movement. Stiff joints or difficulty moving the joints. Hearing or feeling a cracking or popping sensation when moving.

Swelling, often with skindiscoloration. The pain may be gradual or sudden and severe, especially when you have calcium deposits present.

TREATMENT:
Treatment includes range of motion excercises, reducing inflammation, improving soft tissue mobility to the muscle, restoring mobility, function and strength.

Treatment available, contact me for more info πŸ˜‰πŸ‘

Let's explain Tailbone Pain (coccydynia) πŸ€”Tailbone pain, also called coccydynia, is pain in and around the small triangu...
03/02/2026

Let's explain Tailbone Pain (coccydynia) πŸ€”

Tailbone pain, also called coccydynia, is pain in and around the small triangular bone at the very bottom of your spinal column, above the cleft of your buttocks known as the coccyx.

The term coccyx comes from the greek word "cuckoo" as it resembles a bird's beak with the tip pointed down. "Dynia" means "pain", and so "coccydynia" literally means pain of the coccyx.

And because the bone corresponds to the location of or animal's tail, it's called the tailbone in commen terms.

ANATOMY OF THE COCCYX:
Your coccyx is made up of 3 to 5 fused vertebrae (bones). It lies beneath the sacrum, a bone structure at the base of your spine. Several tendons, muscles and ligaments connect to it.

Both the coccyx and the ischial tuberosities (2 bones that make up the bottom of your pelvis), bear your weight when you sit down. Two-thirds of adults have a coccyx that curves a bit instead of pointing straight down, but one that is curved too far is abnormal and therefore painful.

CAUSES:
Tailbone pain ranges from a dull ache to a fierce stab. There are 3 types of events that cause tailbone pain. External Trauma - a bruised, broken or dislocated coccyx caused by a fall.

Internal Trauma - trauma caused by a difficult childbirth or from sitting on a narrow or hard surface for too long. Other factors include infection, abscess and tumors. Women are five times more likely than men to develop coccydynia.

SYMTOMS:
The symptoms of coccydynia include the following. Acky or piercing pain in the tailbone. Severe pain when changing from sitting to standing up. More severe pain when sitting for long periods of time.

Pain during bowel movements or intimacy. Other related symptoms include depression, anxiety, poor sleep, painful buttocks and back pain.

TREATMENT:
Treatment is essential in the managing of this painful condition. Treatment include internal techniques, like treatment of the elevator, joint mobilization, while the coccyx is hyper-extended to stretch the elevator while the coccyx is rotated.

External techniques include manipulation of the sacrococcygeal/intercoccygeal joints.

Treatment available, contact me for more info πŸ˜‰πŸ‘

Let's explain Iliotibial Band Syndrome πŸ€”Iliotibial band syndrome (ITBS) is a common knee injury that usually presents wi...
02/02/2026

Let's explain Iliotibial Band Syndrome πŸ€”

Iliotibial band syndrome (ITBS) is a common knee injury that usually presents with pain and/or tenderness on palpation of the lateral aspect of the knee, superior to the joint line and inferior to the lateral femoral epicondyle.

ITBS is where a tendon called the iliotibial band, gets irritated or swollen from rubbing against the hip or knee bones. The tendon is on the outside of the leg and travels from the top of the pelvis bone down to the knee.

CAUSES:
The iliotibial band gets irritated and swollen when it's stretched too tight and rubs against bone. Possible causes include excessive foot pronation. Where the foot naturally rotates outwards.

That stretches the IT band and brings it closer to the bones. Hip abductor weakness. Abduction of the hip is when the hip turns away from the body. A weakened ability to rotate the hip, might cause the IT band to tense.
Internal tibial torsion. The tibia is also called the shin bone. Internal tibial torsion is when the tibia is twisted inwards towards the body. This pulls the IT band closer to the bones.

Medial compartment arthritis leading to genu varum. This happens in the knee joint. Genu varum causes the knees to spread when the feet touch the ankles. This pulls on the IT band and tightens it.

SYMPTOMS:
A tense IT band can cause several symptoms. Hip pain, the IT band repeatedly rubs against the greater trochanteric in the hip. Clicking sensation, you might feel a snap, pop or click on the outside of the knee.

Knee pain near the bottom where the tense iliotibial band repeatedly rubs against the lateral epicondyle, when you flex and extend the knee. Warm and redness, the outside of the knee might look discolored and feel warm to the touch.

TREATMENT:
Treatment include evaluation by performing provocative tests, rennie test, noble's test and ober's test. Ultrasound therapy providing thermal or non-thermal treatment of the injured tissue.

Muscle and nerve stimulation. Shockwave therapy to stimulate neo-vascularisation in the tendon-bone and bone junction, thus promoting healing. Myofascial treatment together with strengthening excercises.

Treatment available, contact me for more info πŸ˜‰πŸ‘

That "Random" neck tightness isn't random. Let's explain why πŸ€”If your neck ever feels tight for no reason, it might be t...
29/01/2026

That "Random" neck tightness isn't random. Let's explain why πŸ€”

If your neck ever feels tight for no reason, it might be the tiniest muscles in your body sending your entire nervous system into alert mode. Most people blame stress, bad posture or too much screen time, but the real trouble often sits in a place almost nobody pays attention to, the sub-occipital muscles, four tiny muscles right under the skull. They are small, but they control some of the biggest signals in your body.

Here is why they matter more than you think. They sit exactly where you're brain and spine connects. This area is packed with nerves that influence vision, balance, breathing rhythm, head and neck posture and you're fight and flight response. When the sub-occipitals get tight, your nervous system interprets it as a threat. Your eyes work harder when this area is tense.

These muscles connect directly to the tissues around the eyes.
So, tension here can cause blurry vision, eye strain, trouble focussing and headaches behind the eyes. You're not "imagining it". The connection is real. Balance issues often start here. These muscles tell your brain where your head is in space. When they tighten, the brain gets confused and you may feel dissiness, unsteady walking, pressure at the base of the skull and constant bracing without knowing why.

The body stays stuck in survival mode. A tense sub-occipital region means, shallow breathing, anxious chest tightness, racing thoughts and difficulty relaxing even when you're tired. Your system is trying to stay "alert" all the time. When this area finally releases, everything changes.

People often notice eyes feel calmer, head feels lighter, breathing deepens normally, neck moves freely and nervous system drops out of flight or fight system.

TAKEAWAY:
This take place not because of magic, but because the brain finally gets a signal of safety. If small muscles can create big problems, they can also create big relief.

Treat your neck gently, stretch consistently and give this area the attention it deserves. Sometimes, relaxing your nervous system starts with a place no bigger than a thumb print behind your skull.

Treatment available, contact me for more info πŸ‘πŸ˜‰

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