Sports Medicine

Massage Therapy at Inner Gate Acupuncture

Massage Therapy at Inner Gate Acupuncture

FEEL BETTER TODAY!

Foot Massage

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.  

 

Healing a Rotator Cuff Injury

Four muscles form the rotator cuff, the Subscapularis, Infraspinatus, Teres minor, and Supraspinatus. These muscles all protect the shoulder and provide it with great range of motion.

A rotator cuff injury can happen to any one of these muscles' tendons.  Pain from a tear leads to restricted shoulder movement.  Tears can occur from injuries or can be caused by "wear and tear" from regular use of the shoulder.  The most common tear is to the Supraspinatus tendon at the top of the shoulder.

At Inner Gate Acupuncture we use orthopedic testing to determine exactly which muscles and tendons are affected and prescribe a treatment plan to help you get full use of your shoulder as quickly and non-invasively as possible.  If we determine that you're tear is too substantial for acupuncture treatment to be effective we will refer you to trusted clinicians for imaging and other options.

Rotator Cuff Injury

If you had a rotator cuff injury and your shoulder has been surgically repaired, acupuncture can help advance the recovery by increasing blood flow, reducing scar formation, and encouraging the full recovery of normal range of motion.