Thumb or Wrist pain can be a real pain!

De Quervain’s tenosynovitis is inflammation of the tendons near your thumb. This can be quite painful and you’re likely to feel pulling and pain every time you move your wrist or try to grip or make a fist.  Inflammation can occur around the thumb and make if uncomfortable to move.  If so, ice can be used to take the inflammation down.

This injury can happen because of repetitive work movements, sports, cooking.  Even musicians can start getting pain because of the repetitive movements while playing an instrument.

Treatment normally can take four to six weeks, but can sometimes be longer if your job requires you to continue to do repetitive movements of the wrist and hand.

If you have tried drugs, wrist braces and ice and it still hurts, you may want to call us for an appointment.  We can help.

Tips for preventing bicycling injuries

Sometimes people who come into my office complaining of neck, low back, knee pain or hand/foot numbness don’t take notice that their posture at work, home or school may be having negative effects on their nerves. Often times they are oblivious to the fact that the sport they do to stay in shape may have bad effects too.

Neck, low back, knee or hand/foot pain during or after biking may mean you don’t have proper bike ergonomics. Buying the right bike for you is imperative. Here are some tips to avoid injuries and keep riding.

The proper saddle:

Your seat should be at a level that supports the full weight of your body while allowing you to re-adjust your position. If the front of your seat is tilted up, you will slide backward and it will be hard to reach the peddles and force you to push your back forward adding stress to the low back. If the seat is tilted downward, you slide forward putting more pressure on your arms, wrists, hands and knees.

To make sure your seat is the right height. Wear the appropriate biking shoes and put your heels on the pedals. Start to pedal backwards and make sure your knees fully extend without reaching. If you notice that you have to move your hips from side to side to pedal, then your seat is too high. Now when it is time to start pedaling forward you will notice that the balls of your feet are over the pedal and a slight bend in the knees occur with each push.

Proper handlebar height:

Miscalculation of handle bar height can lead to neck, shoulder back, hand/wrist pain.
Proper ergonomics of the handlebars will allow you to bend your elbows while using all of the positions of the handlebars and gears.

Knee pain occurs when the seat is too high or low or tilted improperly. Also, the improper bike shoe position can cause knee problems: Here are some cause and effects of improper seat or pedal ergonomics.

  1. Seat too high will result in pain in the back of the knee or hip pain.
  2. A low seat or forward seat will cause pain in the front of the knee.
  3. Improper foot position will cause pain on the outside of your knee.

Differences in leg length may lead to twisting on the bike, stretching of one leg which pulls on the hips. Shoe orthotics and hip adjustments to keep the hips even can alleviate this problem.

Neck Pain:

Neck pain happens commonly with cycling. Usually this is a problem of having the handlebars too low or having a bike that is too long for the cyclist. Not stretching the hamstrings or muscles in the front of the thigh can cause neck problems because it will force the spine to arch which will force your head to extend backward while riding.

Foot numbness or pain:

Wearing the proper shoe is necessary with someone who bikes regularly. Bike shoes are made to evenly distribute the pressure on each pedal. Also, if you are riding in a gear that is too high for you, it will put more pressure on the feet causing a disruption of the nerves and tissues of the feet.

Hand Pain or Numbness:

Wear padded gloves while riding to provide a cushion and not push on the median nerve. Allow the shock of the ground to be put on the elbows which can bounce and absorb the pressure from the bumps during the ride.

Remember to always stretch and relax before and after riding. This will prevent tightness and reduce the chance of pulling a muscle.

iPhone and iPod ergonomics!

Everyone has an iPhone, ipod, Blackberry or high tech phone these days.  Texting, internet searches and long periods of time are spent on these tiny gadgets.  Technology is great, but problems with fingers, wrists, forearms,  neck and back are becoming common place because of bad ergonomics and posture when using our new technology.

Go to any cafe or restaurant at lunchtime and you will see people on their cell phones or reading,  looking down for long periods of time and texting without taking a break. This can lead to neck, shoulder, arm and wrist pain.

Having your head down for long periods of time starts to put an added burden to your neck muscles, ligaments and bones! It is a good idea to place your phone at a level where your eyes are even with the screen and you are not looking down.

When tweeting, SMSing or emailing, take a break once in a while and stretch your forearms, fingers and neck.  Every 20 minutes is recommended.  This is going to help you prevent long term stress leading to problems later on.  While taking this break practice looking far and near to exercise your eyes and keep your lenses in shape.

At Precise Moves Chiropractic, we can help you with any problems you may have with your neck, back, hands, forearms and any joint in your body!  We will provide proper exercises and ergonomic advice to keep your body healthy and functioning properly.  Don’t hesitate to call and make an appointment today. 650.353.1133. We’ll help show you how to make the most out of new technology while remaining pain free.