resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
June, 2005, Vol. 05, Issue 06
Cubital Tunnel Syndrome
By Whitney Lowe, LMT
Nerve compression problems are a frequent cause for pain and dysfunction in the upper extremity, particularly in the occupational environment. Although not as present in the popular literature as carpal tunnel syndrome, cubital tunnel syndrome is a common nerve compression pathology.In fact, it is the second most common peripheral compression neuropathy.1 It occurs when the ulnar nerve is compressed between the two heads of the flexor carpi ulnaris on the posterior elbow within a region called the cubital tunnel.
The cubital tunnel is located on the posterior elbow and is bordered by the two heads of the flexor carpi ulnaris (FCU) muscle. One head of the FCU muscle comes from the common flexor tendon attachments at the medial epicondyle of the humerus. The other comes off the medial aspect of the olecranon process. The two heads eventually join to form the belly of the FCU.
The nerve eventually passes between these two heads (Figure 1). Space within the cubital tunnel may decrease as much as 55 percent during elbow flexion, making nerve compression more likely.1 In addition, during flexion the ulnar nerve is increasingly pulled taut which may also aggravate symptoms. Subluxation (shifting position) of the ulnar nerve as the elbow moves into flexion could produce symptoms in this region as well.2
Cubital tunnel syndrome may occur as a result of direct compression of the elbow (either acute or chronic), excessive cubital valgus, bone spurs, synovial ganglions, fibrous bands within the muscle, or mechanical compression of the nerve during elbow flexion. The most frequent cause of cubital tunnel syndrome is hypertonicity of the FCU. The ulnar nerve may also be sensitive to compression if there are more proximal ulnar nerve compression pathologies such as thoracic outlet syndrome.3
Cubital tunnel syndrome usually produces a variety of sensory symptoms, including pain, burning, tingling or paresthesia. Motor symptoms such as weakness or atrophy may be seen as well. Weakness usually affects the intrinsic muscles of the hand more than other muscles in the forearm innervated by the ulnar nerve.
The client may report an acute compression injury to the posterior elbow that started the symptoms, such as striking the elbow on a hard object. This condition should not be confused with hitting one's funny bone. In this instance, the blow causes nerve compression between the medial epicondyle of the humerus and the olecranon process of the ulna just before it enters the cubital tunnel.
Cubital tunnel syndrome is more likely to occur as a chronic condition and is seen more often in men than women. The practitioner should identify actions that involved repetitive or static flexion of the elbow prior to the onset of symptoms. Prolonged compression of the elbow region, such as leaning on the elbows for long periods, should be identified. Symptoms are often aggravated at night if the client spends long periods with the elbow in a flexed position.
The client usually reports pain, aching, burning sensations or paresthesia in the ulnar nerve distribution of the hand (Figure 2). Weakness or atrophy are likely to affect the adductor pollicis muscle, which is an important muscle in grasping objects. Consequently, the client may report difficulty holding objects or having a degree of clumsiness when attempting to perform precise tasks. Atrophy of this muscle may be apparent with a decrease in the size of the muscle mass between the thumb and fingers compared to the unaffected side. Other instrinsic hand muscles innervated by the ulnar nerve are those of the hypothenar eminence (the fleshy bundle of muscles near the base of the hand on the ulnar side). Atrophy in these muscles may be evident with a decrease in size compared to the unaffected side.
Pressing directly over the cubital tunnel is likely to elicit the client's symptoms. Palpate the region when the elbow is in neutral, as well as full flexion. If the symptoms are exaggerated during flexion, this may be an indicator of cubital tunnel compression. There may also be anatomic obstructions in the cubital tunnel, such as bone spurs or synovial masses that are palpable. Tenderness or hypertonicity may be evident in the FCU muscle throughout the forearm.
Massage is helpful for cubital tunnel syndrome because a primary cause is muscular hypertonicity in the wrist flexor muscles. Techniques such as deep stripping to the flexor carpi ulnaris may help decrease compression on the ulnar nerve. Particular caution should be observed in applying pressure to the flexor carpi ulnaris near the region of ulnar nerve entrapment so as not to aggravate the pathology.
Click here for more information about Whitney Lowe, LMT.
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