Sports Medicine

Erik Isaacman L.Ac. is SMAC's Sports Medicine Practitioner of the Month

Erik Isaacman L.Ac.

Erik Isaacman L.Ac.

Inner Gate Acupuncture is excited to announce that Erik Isaacman was honored this June as the Sports Medicine practitioner of the month through the Sports Medicine Acupuncture group.

Having completed the Sports Medicine training in 2015 Erik continues to utilize and deepen his skills. He works as a teachers assistant for the foundational sports medicine courses and recently attended a 5 day cadaver lab to deepen his anatomy knowledge.

The Sports medicine training is the highest level sports medicine training designed specifically for acupuncturists. The course is a year long doctorate level training for established acupuncturist to deepen their skills.

Click here to read more about Erik Isaacman L.Ac.

How Chiropractic Benefits Athletes

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Active athletes put extra strain and pressure on their bodies. Whether they compete professionally, play with friends or run long miles by themselves all athlete’s bodies need extra support.  Depending on which sport they do, how hard they train, and their age each will require different types of support to keep performing optimally. Many athletes look to nutrition, improved training techniques, and better equipment as ways to improve and stay healthy.  Many athletes employ natural medicine techniques like chiropractic, massage and acupuncture to stay healthy and optimize their performance

Enhanced Performance

Regular care from our sports medicine clinicians can improve overall performance.  By balancing muscles, leveling pelvises, reducing inflammation and keeping the spine properly aligned our team helps athletes minimize their risk of injury and less injury time means more playing time. 

With improved muscle balance, stability, flexibility and range of motion athletes will experience improved performance. For athletes that play through longer seasons or play year-round, the improvement will be noticed as other competitors show signs of fatigue or become prone to injuries. Staying strong throughout the season provides a great advantage.

Improved Injury Recovery

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Unfortunately, injuries are part of the game, and recovering from injuries quickly and completely is important. Here in Portland our team of acupuncturists and our chiropractor have all done advanced training in sports injuries. Chiropractic care helps athletes recover from injuries the same way it helps auto accident victims recover from injuries. Spinal adjustments align your vertebrae so that your tendons and muscles heal correctly. Acupuncture helps reduce pain, improve blood circulation and promotes tissue healing.  

How Chiropractic Helps

Dr. Jerrod Puckett’s treatments are designed to relieve pressure on nerves in the spinal column. He has a Masters of Science in Sports Medicine, which gives him the knowledge and tools to improve healing and athletic performance. When the spinal vertebrae are out of proper alignment the nerve impulses sent from the brain to the muscles will be impaired. This leads directly to impaired performance and possibly injury. The same is true from sensory impulses traveling from the body back to the brain. Proper body mechanics leads directly to improved performance and reduced risk of injury. 

Call today to make an appointment with Jerrod Puckett DC to take your game to the next level!

Massage Therapy at Inner Gate Acupuncture

Massage Therapy at Inner Gate Acupuncture

FEEL BETTER TODAY!

Doctor pressing the shoulder of his patient in a room

All massages at Inner Gate Acupuncture are given in a warm and private treatment room. Your therapist will discuss your health concerns and goals with you before your session. They will leave you to privately dress down to your comfort level. When you are ready, lie down on the massage table and cover yourself with the sheet. Your therapist will knock before re-entering.

Make sure to communicate with your therapist throughout the massage.   If you are cold, want deeper or lighter pressure or don’t want a certain area of your body touched let the therapist know. You can ask for changes or stop the session at any time.

Drink plenty of water on the day of your massage. This will reduce soreness and lightheadedness that can happen after a massage. Try to give yourself plenty of time for your treatment, so you can relax more deeply.  

At the end of the massage, the therapist will leave the room so you can dress in private. Take your time getting off the table and getting dressed. It’s a good idea to have a glass of water in the waiting room before you head off.  



What is Shoulder Impingement?

What is Shoulder Impingement?

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This common injury occurs when the tendons of the rotator cuff become overused and injured.  The subsequent pain and swelling reduces the shoulder mobility leading to impingement. The tendons of the rotator cuff slide between the clavicle and the humerous in the shoulder joint. When the tendons are inflamed or damaged this slide is no longer smooth and the friction causes pain and compression of the tendon leading to pain.  

HOW DOES SHOULDER IMPINGEMENT OCCUR? 

While the rotator cuff muscles are involved in moving the arm, they are also essential to stabilizing the top of the humerous in the joint socket during activity. If these muscles become weak the humerous can drift out and put the tendons in a compromised position. Imbalance between the strength of the chest and the strength of the upper back can also lead to the shoulder being poorly aligned in the joint socket. This again leads to extra wear and tear on the tendon.  

HOW CAN ACUPUNCTURE HELP SHOULDER IMPINGEMENT? 

At Inner Gate Acupuncture your acupuncturist will perform a full evaluation of your body and of the shoulder joint.  Properly identifying the main causes of the shoulder impingement, we determine the best course of treatment. Treatment focuses on calming the inflamed tissue, creating space for proper tendon glide and rebalancing the shoulder, back and chest muscles.  Acupuncture can relieve shortened muscle, active weak muscles and relieve inflammation locally. Manual therapy, cupping and tuina massage are often also used to deepen and improved the treatment.  

ACUPUNCTURE AND SHOULDER PAIN

Shoulder Pain

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The shoulder is one of the most mobile joints of the human body.  It’s superior range of motion makes it one of the most complex joints in the body. Unfortunately, it is also one of the most commonly injured joints in the body.  Symptoms of shoulder pain include achiness, dullness of heaviness in the shoulder, weakness of the arm and hand and limited range of motion.  


WHERE DOES MY SHOULDER PAIN COME FROM?

 

Shoulder pain can be caused by direct injury, or gradual irritation. Direct injury occurs often during falls when you try to break you fall with your arm, or falling from a bike onto the shoulder. Gradual irritation and repetitive strain are more common causes of shoulder pain. These occur often in athletes especially those who perform overhead sports like swimming and tennis.  But irritation and pain can occur simply from poor posture, and bad work stations. 

 

WHY IS PROMPT TREATMENT IMPORTANT?

 

Being proactive and getting treatment soon after shoulder pain begins can speed recovery and lessen the likelihood of the condition worsening.  Our staff can rule out major issue and best guide you in how to care for your shoulder at home.  By preventing long term compensation patterns early treatment will keep the problem from affecting other connecting body parts like the neck and low back.  

 

HOW CAN ACUPUNCTURE HELP?

 

Acupuncture can reach into the deep muscles of the rotator cuff opening up space for the free movement of tendons and muscles.  In fact, 66% of shoulder problem are estimated to be due to rotator cuff issues.  Using both acupuncture and dry needling techniques your acupuncturists her at Inner Gate Acupuncture can treat the muscles and fascia of the rotator cuff and the shoulder to effectively bring relief to damaged shoulders.  

Jumper's Knee

What is Jumper’s Knee

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Jumper's knee is a condition medically know as patellar tendonitis.  It is an overuse injury that results in pain at the front of the knee just below the knee cap.  Repetitive strain from either running or jumping causes inflammation of the patella tendon. The patella tendon can also be damaged by heavy strain such as hiking in mountains or too many deep squats.  Jumper's knee if left untreated can become a persistent problem leading to degeneration of the tissue around the knee.  

What Causes Jumper's Knee or Patellar Tendinitis?

Patellar tendinopathy or tendonitis is typically caused by over use and strain.  This is a common injury for athletes while training for big runs.  It can often occur after strenuous hikes without proper stretching and conditioning.  Having overly tight quads also contributes to this condition.
 

How Can Acupuncture Help With Jumper's Knee? 

The most important first step is accurate diagnosis. Your acupuncturist will first assess the kneecap and muscles of the leg.  Proper orthopedic testing can rule out other possible causes of knee pain including; meniscus tear, ACL or MCL injury, patellar femoral syndrome, or IT band syndrome.  
 

Once the cause of the pain is isolated a treatment plan will be constructed to directly and uniquely address your knee pain.  The treatment's primary focus involves relaxation of the quadriceps muscles.  These muscles form from the bulk of the patellar tendon as it crosses over the knee cap.  Tension and shortness in this tissue will directly affect the tendon. 

Acupuncture and manual therapy techniques can also be applied directly to the tendon itself.  Increasing blood flow to the patellar tendon will result in quick and complete healing.  We also teach proper stretching of the quadriceps tendon and home strengthening exercises to address the imbalance in the leg and the hip.  

Make an Appointment Now!

If pain in the front of the knee is keeping you from the activities you love give us a call we can get you quickly on the road to recovery and back to the sports and activities you're missing! Appointments available in both NE and SE Portland

 

What Is The Carpal Tunnel?

What is Carpal Tunnel

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Carpal Tunnel syndrome is one of the most common wrist issues treated in our clinic. It is estimated that 1 in 40 people have this condition, with over 8 million people diagnosed with carpal tunnel every year.  Women are twice as likely to be diagnosed with carpal tunnel as men. The carpal tunnel is the region of the wrist where the median nerve and the tendons of the finger flexors enter the hand.  The tunnel is formed by dense connective tissue and the carpal bones.  

What Causes Carpal Tunnel Syndrome?
 

Carpal tunnel occurs when the tissues of the carpal tunnel become compressed and put pressure on the nerves and blood vessels passing through the tunnel.  Pain is typically experienced as nerve pain in the the hand, fingers and in the wrist.  Carpal tunnel is often associated with overuse of computer mouses and keyboards.  In fact, any repetitive and sustained activity that causes compression of the wrist can cause carpal tunnel syndrome.  
 

What Are Carpal Tunnel Symptoms?
 

The symptoms of carpal tunnel syndrome typically affect the wrist and the hand.  Nerve pain, numbness, aching or sharp pain are all common symptoms.  Due to the nerve compression there may be burning sensations and muscle weakness.  Accurate diagnosis will determine if your symptoms are due to carpal tunnel syndrome or something else such as wrist tendonitis.  
 

How Does Acupuncture Help Carpal Tunnel Pain?


Your acupuncturist will conduct a complete assessment of your arm, wrist, hand, shoulder and neck. After assessing your range of motion and strength they will perform hands-on orthopedic tests and palpation to differentiate carpal tunnel syndrome from wrist tendonitis or radicular pain coming from the neck.
 

After accurately determining what is causing your pain your acupuncturist will construct a treatment plan designed specifically for your condition.  
 

Treatment will generally include:

  • Hands-on techniques to mobilize the bones of the carpal tunnel and free space for the nerve.

  • Acupuncture through the carpal tunnel to release tight tissue, reduce pain locally and activate weakened and inactive muscles.

  • Advice and help with correct posture and work ergonomics that reduce the recurrence of pain.

  • Strengthening and stretching exercises for home care.

 Visit us at either our NE or SE Portland Location

The Benefits of Eccentric Exercise

What is Eccentric vs. Concentric Muscle Contraction?

Eccentric vs. Concentric Muscle Contraction

Concentric Contraction: Concentric contraction occurs when a muscle is activated and begins to shorten against a load.  The raising of a weight during a biceps curl is a concentric contraction.

Eccentric Contraction: Eccentric contractions occur when the muscle is lengthening during contraction.  The lowering of the weight slowly during a biceps curl is an eccentric contraction.  Eccentric contractions occur constantly throughout the activities of daily living.  During movements such as walking the quad muscles stabilize and control the frame of the body while they are actively contracting and lengthening.

The Importance of Eccentric Contraction:
Sports Medicine research has shown that eccentric contracts are better at building muscle mass, strengthening and repairing connective tissue including tendons and ligaments.   There is evidence that eccentric contractions even help increase flexibility.  

For minor injuries and tendonitis conditions your practitioner may prescribe eccentric exercises as a home care therapy.  The practitioner will explain the exercise carefully in order to fully take advantage of the eccentric phase of contraction.  Moving very slowly and controlled during the contraction is essential to maximizing the benefit of the exercise.  Moving too quickly or using too heavy a weight can actually damage the tissue.  

 

Pain

Acupuncture is an effective modality for the treatment of pain and painful conditions. Here at Inner Gate Acupuncture in Portland, Oregon, we have seen acupuncture effectively treat a great many chronic and acute pain conditions.

Five ways that acupuncture treats pain:

      • Breaks up scar tissue
      • Promotes blood circulation
      • Stimulates the immune system
      • Relaxes muscles and tendons
      • Produces endorphins, natural pain killers

Acupuncture for pain management has been used for centuries. Acupuncture treats the whole body, relieving pain and helping tissue recover so that pain doesn’t return. This results in a stronger body more resistant to future injuries. The relaxing effects of acupuncture also stimulate the immune system, further speeding recovery.

Acupuncture helps relieve pain through several different mechanisms. Acupuncture needles promote blood circulation, which stimulates tissue regeneration. This results in an expedited recovery. Acupuncture also triggers the nervous system, interrupting the pain pathways and stopping the inflammation cascade that sends out pain signals.   

Pain syndromes acupuncture treats:

      • Sciatica, back pain, knee pain, hip pain, sprains, strains
      • Tennis elbow, golfer’s elbow, carpel tunnel syndrome
      • Neck pain, whiplash, headaches and migraine headaches
      • Arthritis, fibromyalgia, PMS pain, post surgical pain

Acupuncture is a very effective modality for chronic pain. It helps break up scar tissue and adhesions, reduces pain and restores normal functionality and range of motion to joints and muscles. By increasing blood circulation and relaxing muscles and tendons, acupuncture can resolve long-standing chronic pain conditions.

Acupuncture is also a great option for acute pain and recent injuries. By decreasing local swelling and promoting circulation, immune cells vital for cleaning up damage and repairing tissue can quickly infiltrate the injured area and stimulate healing.

Back pain and neck pain are common complaints that we see here at Inner Gate Acupuncture. Back and neck pain can be either chronic or acute. They can be the result of sprains, hernias, degeneration and/or muscle spasms. Your acupuncturist has many options for these types of pain. They may combine cupping, moxa or tuina massage with the acupuncture treatment. Often corrective exercises are also given to strengthen the body and promote healthy muscle memory. 

Helpful links:

Sports Injuries

After an injury is sustained a number of physiological changes occur. There is localized swelling and tissue damage. The body begins the healing process by infiltrating the injured tissue with cells that specialize in preventing infections and clearing away the damaged tissue. Then the body begins to bring in cells, which rebuild the damaged tissues.

Five things Inner Gate Acupuncture can do for you:

     • Accurately diagnose
     • Use manual muscle testing
     • Use muscle balancing techniques
     • Teach you proper stretching and strengthening techniques
     • Get you back in your game

During the initial phase of injury acupuncture treatments can help manage the inflammation, reduce the local pain and promote circulation. This type of early treatment reduces the time required for full recovery. It also helps control the pain. When athletes are required to perform soon after an injury, although we don't generally encourage this, there are several techniques we use to quickly reduce swelling and return athletes to their sports. 

Re-injury is a major complication of sports injuries. Acupuncture directly addresses all of the involved muscle groups and also the antagonist muscle groups to aid in complete recovery. Acupuncture is also used to address the dorsal nerve roots, which innervate the affected tissue. These techniques when used correctly restore normal proprioception and muscle spindle fiber function.