At Buhler Athletic and Human Performance Clinic we offer generalized explanations and AMIT explanations for common musculoskeletal conditions treated.
Are you striving to improve your health, alleviate common aches and pains, discover performance, or enjoy an active healthy lifestyle?
Acute Vs Chronic Conditions
Acute injuries are injuries or symptoms occurring under six weeks in duration.
Chronic conditions are any injuries or symptoms present for six weeks or longer.
If an acute injury is not corrected within six weeks of occurrence, the central nervous system if forced to adapt other tissues to protect the injured or symptomatic tissue. Eventually, the adapted tissues can become the next site for injury or symptom. A question that must be asked with any symptom; is the problem at the symptom site or is the symptom presenting the site of adaptation?
Acute injury treatment is directed at the site of injury. Chronic conditions often require treatment somewhere else in the body, which is always the area of an old injury. Unless old injuries are treated, the symptomatic area will never heal.
Sprains and Strains Conditions
Type One Sprain/Strain
Minimal disruption tissues (1-10%), minimal pain, minimal swelling. Treatable.
Type Two Sprain/Strain
Partial tearing of tissues (11-50%), some hemorrhaging, marked pain and swelling. Treatable.
Type Three Sprain/Strain
Severe tearing and possible rupture (51-100%), marked dysfunction, visible deformities, surgical case.
A concussion is a traumatic brain injury that alters the way your brain is able to function. Brain injuries occur when an external mechanical force causes brain dysfunction.
Causes of brain injuries may include: falls, vehicle-related collisions, violence, sports injuries, explosive blasts, or other combat injuries. More common causes are mini-traumas in sports, like football or soccer.
Symptoms of concussions may include: headache or feeling pressure in the head, temporary loss of consciousness, difficulty with balance, confusion, slurred speech, nausea, or fatigue.
Symptoms of brain injuries may include: sensitivity to light or sound, mood changes, dizziness, difficulty sleeping, loss of coordination, seizures, dilation of one or both pupils, weakness, or numbness in fingers and toes.
AMIT Explanation: There are two primary parts to the human skull: the facial made up of 15 bones, and the cranial vault, which consists of 8 bones. They are separated by small cracks called sutures. Historically, it has been felt these sutures fuse at a very young age; however, these sutures are still visible on a dry bone skull specimen in older people, indicating the sutures are not fused. There is a large body of evidence in the field of osteopathy focusing on correcting restrictions in the motion within the cranial sutures. The sutures allow the cranial bones to move each time we breath. This is the foundation of “Cranial Sacral Therapy” used by Osteopaths. When these sutures are jammed due to trauma, the brain and cerebral fluid flow are adversely affected and are the cause of many symptoms associated with concussions. In this situation, cranial release “Nasal Specific” therapy is the most effective corrective treatment, leading to rapid recovery.
Neck pain is an irritation or damage causing neck, head, and upper shoulder pain. Usually feels dull, achy, and occasionally sharp with a possibility of radiating pain throughout the entire neck, into the upper shoulders and back.
Causes may include: trauma (whiplash), poor sleeping positions, and diseases like osteoarthritis or Rheumatic Fever.
The rotator cuff is a group of muscles and tendons that surround the shoulder joint, stabilizing the head of the upper arm bone in the socket of the shoulder. Severe injuries may require surgical repair.
Causes of rotator cuff injuries include: sports injuries, lifting or pulling, repetitive stress, or bone spurs.
Pain associated with a rotator cuff injury can present as a dull or deep ache in the shoulder, disturbed sleep, difficulty reaching behind the back, or arm weakness.
AMIT Explanation: Rotator cuff syndrome is caused by an injury to one or more of the four shoulder muscles: Supraspinatus, Infraspinatus, Teres Minor, or Subscapularis (SITS) muscles. When these muscles are injured, their attachments, or entheses, become inflamed and cause pain any time the muscle is stressed. The AMIT method is the most efficient way to correct this condition. If a patient does not respond to therapy within two to three visits, the rotator cuff is torn requiring surgical repair.
Tennis elbow is a painful condition occurring when repetitive motions of the wrist and arm overwork tendons in the elbow.
Causes are due to overuse and muscle strain. Repeated motions and stress to the tissues may result in a series of tiny tears in the tendons attaching the forearm muscles to the outside of the elbow. Activities leading to causes may include golf, racket sports, throwing sports, weight lifting, or other wrist bearing activities.
Pain associated may radiate from the outside of the elbow into the forearm and wrist. It may be difficult to shake hands, turn a doorknob, or hold a cup.
AMIT Explanation: Pain that occurs on the outside of the elbow is caused by inhibition of the wrist extensor muscles, inflammation of the periosteal tendon inseretions (enthesis) of the extensor muscles (extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris, and extensor digitorum) or over development of the anterior shoulder muscles. Correction of this condition is accomplished by reactivating the extensor muscles and exercising the posterior shoulder muscles.
Carpal Tunnel Syndrome is a progressively painful hand and arm condition caused by a nerve pinched in the wrist.
Carpal tunnel syndrome is caused by compression of the median nerve. The median nerve runs from the forearm, through a passageway in the wrist (carpal tunnel) to the hand. Anything that crowds, irritates, or compresses the median nerve can lead to pain.
Pain may include: tingling or numbness in fingers and hand, pain radiating or extending from the wrist to the arm and shoulder, or down into palm and fingers, or a sense of weakness in hands.
AMIT Explanation: This condition is caused by falling on the hands, jamming the bones in the wrist, repetitive stress, or trauma to the wrist. This leads to compression of the median nerve by the retinculum supporting the wrist or the inhibition of the pronator quadrates muscle. The symptom may also be due to irritation of nerve roots in the cervical spine. Manipulating the cervical spine or carpal bones can cause dramatic change in symptoms without surgery. Correction is achieved by manipulating the bones back into alignment or reactivating the pronator quadrates muscle taking the pressure off the nerve.
Thoracic outlet syndrome occurs when the blood vessels or nerves in the space between the collarbone and first rib become compressed. This can cause pain in the shoulders and neck, and numbness in the fingers.
Causes may include: physical trauma from a car accident, repetitive injuries from job-related activities, sports injuries, certain anatomical defects, or pregnancy.
Pain may include: pain or aches in the neck, shoulder or hand, weakening grip, numbness or tingling in arms or fingers, wasting in the fleshy base of thumb, neurogenic thoracic outlet syndrome, vascular thoracic outlet syndrome, or nonspecific-type thoracic outlet syndrome.
AMIT Explanation: This condition is caused by trauma to the upper rib cage, clavicle and lower cervical spine. This leads to a restriction in the motion of the 1st and 2nd ribs, causing the muscles to tighten and compress vascular elements and nerves. Correction is accomplished by manipulating the ribs, upper dorsal and cervical spine, and reactivating the inhibited muscles.
Hip dislocation or dysplasia is term for a hip socket that doesn’t fully cover the ball portion of the upper thighbone.
Most people are born with hip dysplasia, although some won’t develop symptoms until later in life.
Pain may include: deep pain in the front of the groin, pain in the side or back of the hip, or mild limping.
AMIT Explanation: Dislocations can be corrected using manipulation of the hip to re-establish the joint function. Dysplasia can be managed through muscle reactivation and exercising to maintain the integrity of the muscle system to compensate for the hip condition. Surgery may eventually be needed as a person ages. The earlier the AMIT method treatment is initiated the longer it will take before surgery is necessary.
The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) bridge the inside of the knee joint, forming an “X” pattern that stabilizes the knee front-to-back and back-to-front.
The posterior cruciate ligament (PCL) and the anterior cruciate ligament (ACL) bridge the inside of the knee joint, forming an “X” pattern that stabilizes the knee front-to-back and back-to-front.
Causes of ACL sprains may include: a sudden stop, twist, pivot or change in direction at the joint, hyperextension, or a direct impact. The most common cause of an ACL rupture is traumatic force being applied during twisting motion and side stepping of landing from a jump.
Causes of PCL sprains may include: direct impact on front of the knee, such as landing hard on a bent knee during sports.
AMIT Explanation: During an ACL or PCL sprain, the quadricep muscles are overloaded and inhibited. Often times the gastrocnemius and popletius muscles are also inhibited. This is why so many patients have difficulty during rehabilitation engaging their quadriceps. If these muscles are inhibited due to multiple knee traumas, the patient will be more susceptible to cruciate ligament injuries.
An ankle sprain occurs when one rolls, twists, or turns the ankle in an awkward way. This can stretch or tear the tough bands of tissue (ligaments) that help hold the anklebones together. Ligaments help stabilize joints, preventing excessive movement.
Causes may include: when the ankle is forced to move out of its normal position, landing awkwardly on the foot after jumping or pivoting, walking or exercising on uneven surfaces, or a fall that causing the ankle to twist.
Pain may include: swelling and bruising, restricted range of motion, or pain when bearing weight on the affected ankle.
AMIT Explanation: During an inversion sprain, the lateral stabilizing ligaments are stretched and sustain a certain degree of tearing. Additionally, the peroneus longus, metatarsal, and cuneiform divisions, peroneus brevis, septal and fibular divisions, and the peroneus tertius muscles are injured and inhibited. Once these muscles are inhibited, the ankle loses its neurological control, causing instability and future ankle sprains.
Plantar Fasciitis is inflammation of a thick band of tissue, called the Plantar Fascia, which runs across the bottom of the foot and connects the heel bone to the toes. Plantar Fasciitis is one of the most common causes of heel pain.
Causes of Plantar Fasciitis are due to small tears in the fascia. Under normal circumstances, the Plantar Fascia acts like a shock-absorbing bowstring that supports the arch in the foot. If tension on the bowstring becomes too great, it begins to tear.
Pain may include: pain triggered or worsened within first few steps after awakening, pain after long periods of standing or sitting, pain in the heel of the foot, or foot pain developing gradually throughout the day.
Causes of PCL sprains may include: direct impact on front of the knee, such as landing hard on a bent knee during sports.
AMIT Explanation: The cause of this condition is inhibition of the primary arch support muscles (tibialis anterior, supinator and dorsiflexor divisions, tibialis posterior, tibial and fibular divisions) of the foot. This leads to over stressing of the small flexor muscles of the toes and the plantar aponeurosis. Failure of the supporting muscles allows the foot to over-pronate, adding to the problem. This places all the stress of supporting the arch on the plantar aponeurosis and causes inflammation and break down.