Author Archives: Madeira Chiropractic & Rehabilitation

Can Carpal Tunnel be Treated Without Surgery?

pain in wrist

Dealing with the pain

Carpal Tunnel treatment” are three words that we have heard more about in the past 20 years, and you may wonder what is that where is that, and why all the attention to it now? Well, the carpal tunnel is in the wrist. We all have one; it is part of our anatomy. There is a median nerve running through our arm and forearm. It goes through the carpal tunnel to the wrist and on to our hands. The median nerve is what gives our index, middle, ring, and thumb feeling and controls the muscles at the base of our thumb. 

Most of us have heard the term “carpal tunnel syndrome,” and many of us either know somebody that has had Carpal tunnel treatment to fix it, or we have it ourselves. Still, there are a lot of us that may ask “What is carpal tunnel syndrome?”, and we offer the following description: 

When the median nerve that runs through our arms and to the wrist becomes compressed, it creates a traffic jam of sorts in that Carpal Tunnel. Thus, “carpal tunnel syndrome” is formed.  That tunnel becomes narrow as the bones and ligaments pinch the nerve on the palm. Numbness with tingling in the hand and arm, making them weak results.

So, what causes carpal tunnel, and does Carpal tunnel treatment truly fix this condition? For some of us, it is the anatomy of the wrist. For others, it is other health problems we have, for instance: 

  • Diabetes
  • Kidney Failure
  • Lymphedema
  • Menopause
  • Obesity
  • Pregnancy
  • Rheumatoid Arthritis
  • Thyroid Disorders

To determine What triggers carpal tunnel?, let’s look at the most common activity among those who seek and receive Carpal tunnel treatment is repetitive hand motions, such as typing. Note the word “typing” and think about the past 20 years where computers have become not only the “norm” but a standard way of living now. The human body wasn’t designed to sit at a desk on a computer. 

How do you know if your carpal tunnel is severe?

When you have developed carpal tunnel syndrome, you’ll have some discomfort from time to time that you learn to live with but can go on about your day. Some days, your hands are weaker than others. You may drop things more frequently.  As it becomes more severe, though, you may need to have a doctor examine you and see if any damage has happened, that may indicate you need Carpal tunnel treatment. 

Over time, the muscles could shrink in your hand(s), they’ll begin cramping more, and the pain will become worse. The function of the median nerve starts to slow down from the irritation and pressure around it. Carpal tunnel syndrome gets to a point for some people, they lose function of their hand, the nerve impulses slow down, they lose coordination, feeling, and strength in their fingers, hand, and especially the thumb. At this point, Carpal tunnel treatment may not be an option anymore if you want to be able to dress, feed, and do other bodily functions yourself. 

How do you fix carpal tunnel syndrome without surgery? 

Do medical experts know how to fix carpal tunnel syndrome? Yes, there have been advances and discoveries in Carpal tunnel treatment with and without surgery. Like many other health issues in our lives today, carpal tunnel syndrome can be corrected with lifestyle changes, if diagnosed early, meaning the symptoms have not become severe.  

Some non-surgical options and Carpal tunnel treatments vs surgery may include:

  • Improve and avoid positions that overextend your wrist.
  • Wear a wrist splint at night that holds your hand in a neutral position as you sleep.
  • Take OTC or prescribed medication that reduces inflammation. Sometimes, doctors may prescribe steroid injections.
  • Treat other health conditions that contribute to carpal tunnel swelling like gout, kidney disease, rheumatoid arthritis, or thyroid disease.

Other Carpal tunnel treatment includes alternative therapies that have helped others are hand therapy and yoga. The hand and wrist muscles are weak and will get smaller because the median nerve is pinched. You can change habits that have caused the syndrome, and it can take six months or longer for the symptoms to subside. If they are persistent, surgery may be the only option to get total relief. 

How long does it take for carpal tunnel to heal?

As we mentioned above, sometimes, surgery is needed for a Carpal tunnel treatment to get complete relief. If surgery is recommended, it will involve cutting the ligament that is pressing on the median nerve in your carpal tunnel (remember, we all have one in both arms. Normal use of the wrist returns within a few weeks, some people it may take a few months.

Successful Carpal tunnel treatment and surgery will include the being regimented doing the exercises for fingers, hand, and wrist as instructed by the doctor. Otherwise, the wrist will stiffen, and you could lose the use of that hand. 

chiropractor assessing wrist for treatment

Getting A Grip On Carpal Tunnel Syndrome

Can carpal tunnel be cured naturally? There are home remedies that can relieve the pain of Carpal Tunnel Syndrome:

  • Rest the affected hand and wrist for two weeks
  • Use anti-vibration products with vibrating tools
  • Wear a wrist brace or splint that allows the median nerve to rest
  • Gentle exercise of the fingers, hand, and wrist
  • Massage back of the hand, the wrists, and palms
  • Wear work gloves for hand and wrist protection
  • Apply heat to the wrist to ease pain
  • Wear an ice pack on hands and wrist to lessen swelling

Relieving pain can be easy with a custom treatment plan set up for you. Call __PHONE__ today!

What is the Purpose of Electrical Stimulation?

chiropractic electrical stimulation

Is Electrical Muscle Stimulation Dangerous?

For those that have had injuries, were born with a certain condition, or are recovering from an accident then there has likely been some talk of electrical stimulation. Electrical stimulation, or E-stim, may seem like something out of fiction but is actually a form of physical therapy. The method uses electrical pulses admitted through the skin to assist in the healing of muscles and nerves. E-stim can help in the process of making the body more fit, being advertised to benefit those working on physical fitness and personal appearance. 

Upon knowing this, those unfamiliar may be hesitant to consider it as an option. Whether for physical therapy or for assistance in fitness and appearance, you should reference your doctor before making a choice for electric stimulation. When done correctly, most of the time being under the supervision of a medical professional, individuals will see amazing results. At the same time, when a person knows nothing about the machine and opts to do it themselves, it can have risky results. While most products that provide electrical stimulation have safety measures, it should be stressed that one should be diligent in researching the product and have a conversation about it with their doctor. Madeira Chiropractic & Rehabilitation houses a team of certified professionals that understand how to electrical stimulation as a therapy. In Chambersburg, PA you should call us at __PHONE__ to schedule a consultation about electrical stimulation and what good it could do for you.

What are the Benefits of Electrical Muscle Stimulation?

Those that have experienced electrical stimulation tend to see an improved restoration to their muscles that are either having trouble contracting or have been torn to some degree. Upon undergoing the form of therapy, recipients tend to receive an advanced form of recovery with benefits including:

  • Muscular blood flow stimulation 
  • Lesser if not neutralized muscle pain
  • Improved strength and muscle use
  • Range of motion increases over time
  • Counteract atrophy 
  • Tendons and muscle structure healed if not improved

Whether it’s through physical therapy appointments or personal use, electrical stimulation when used 20 to 60 minutes at every session will deliver grand results. It should be noted at this point however that one should seek out strict instructions from their doctor or physical therapist before undergoing such a treatment. A person can personally use the therapy one to three times per day. Doctors also agree that a person should not do more than 60 minutes on a given area or muscle so to expressly avoid muscle fatigue. Muscle fatigue is also possible in electrical stimulation when either turning up the electrical current too high. This can also occur when turning up the frequency or pulse duration to an extent that muscles are not inclined to deal with.

What are the Side Effects of Electrical Stimulation?

Electrical therapy can be highly beneficial to the human body, but at the same time when done improperly or without proper oversight, it can lead to unfortunate results. As previously mentioned, muscle fatigue can be a side effect whether it’s done correctly or incorrectly depending on the issue. This is because electric therapy is used for both injuries and muscle development, for the former you may feel discomfort on the road to recovery while results on muscle development differ depending on the person. During treatments, some patients do detail feeling: 

  • Pain
  • Muscle spasms
  • dizziness
  • Headaches 
  • Discomfort

Again, these side effects can occur when an injured person undergoes the treatment. On occasion, electrical stimulation will initially cause these side effects because it is the first time a person is moving their muscle since before an accident of some kind. An interesting side effect of E-stim is that a person will burn calories during the treatment. That is not to say that there will be any difference if only the therapy is considered, but combined with regular exercise and healthy dieting, a person can appear and feel much healthier.

electrical stimulatoin

Do Electronic Muscle Stimulators Really Work?

Depending on what you use electrical stimulation for, it can be highly effective for you or only result in a minor discomfort with little effect. It should be absolutely mentioned that while there is massive popularity about the use of electrical stimulation in exercise, the FDA has not confirmed any such product or method that will benefit a person when they use it for personal health purposes. This means that when using it to look or feel better and not for an injury, there is not a current government ruling on whether it will even be effective. With that said, however, there is countless examples of the therapy being effective when it comes to those that are healing from injuries. Whether someone had broken a bone, torn a muscle, went through surgery, or otherwise, then they tend to lean on electrical stimulation to assist in the healing process. Madeira Chiropractic & Rehabilitation in Chambersburg, PA can guarantee that when you come to us for such a therapy that you will understand entirely what’s going on when it is applied. Call __PHONE__ today to schedule your appointment.

What can I do to relieve knee pain?

knee pain relief

Quality Help for All Your Needs

When you’re a child, you hop, jump, run, and skip without thinking. Then, you injure your knee on the football field or at cheer camp, or many other ways. As you get older, even though that knee injury healed, you experience knee pain, and man can that be debilitating! 

Ask almost any adult, and you’ll find that most have experienced such horrible knee pain, to touch it just sent them into a painful frenzy. There is a difference between knee pain or muscle pain too. With knee pain, you may walk, or maybe you can’t. Walking up even just a few stairs can challenge you and forget about hopping or jumping! Not all knee pain is associated with knee injury though. 

What can cause knee pain without injury?

Sometimes you can suffer knee pain without cause, or a realization of a cause, from any of these common causes: 

Bursitis: Caused by the tiny sacs of fluid that normally cushion the bones become infected or irritated, then inflamed. You may notice redness around the knee joint with tenderness, giving you the obvious knee pain, and sometimes a fever. 

Tendinitis: This is caused by the tendons in your knees that binds the bones and muscle to bones becomes irritated, stretched, or torn. You may feel a dull ache that increases the more you use the knee. Some people will have painful swelling. Usually resting the knee will take care of it, letting it heal itself. Sometimes, a severe case requires medical attention to ease the knee pain.

Baker’s cyst or Popliteal cyst: This is indicated by swelling from fluid filling the backside of the knee and will restrict movement, often this results from a knee injury that hasn’t been diagnosed. Most of the time, it will heal itself, but for some, will need to have the cyst drain is the only cure before they are free of knee pain. 

Osteoarthritis: This condition causes inflammation and swelling of the knee and is caused the knee deteriorating, giving the patient that continuous knee pain, usually because of an old injury, poor posture, or overweight. 

Rheumatoid arthritis: This is an autoimmune disease that is often compared to osteoarthritis. It affects more than one joint like the knee, and patients with this disease suffer with pain, stiffness, and swelling. 

What does arthritis in knee feel like?

There are hundreds of arthritis types that can cause knee pain, but the more common are osteoarthritis and Rheumatoid arthritis, with osteoarthritis being the more common of the two. Osteoarthritis is a progressive condition in which the cartilage gradually disappears from the knee joint and typically becomes more apparent in midlife years. 

Rheumatoid arthritis is an inflammatory condition that can affect people of all ages and affects the entire body. This is an autoimmune disease that can involve all the joints, not just knee pain, and it is common for the patient to have additional symptoms. 

It is common for anyone that suffers a knee injury to develop arthritis. It can be a post-traumatic arthritis that happens from knee fracture, ligament injury, or torn meniscus. The symptoms may not appear until later in life when they have constant knee pain. While osteoarthritis and Rheumatoid arthritis have similar symptoms, they also have symptoms key to them specifically. 

  • 1. Gradual pain increase: Arthritis pain is usually slow to appear, like first thing in the morning or after sitting for a long period. As you become more active, you may notice the pain is getting worse, like climbing stairs, kneeling down, or doing from sitting to standing. Walking can be painful. 
    • Rheumatoid arthritis affects the small joints and is symmetrical with both sides of the body affected, including a redness and warmth to the joint (s).  Osteoarthritis can progress rapidly or slowly, affect each person differently. The knee pain and other joint pains will get worse, then improve and can change day-to-day. 
  • 2. Swelling and/or tenderness: With osteoarthritis, the patient may experience hard swelling from bone spurs forming or they may experience soft swell form extra fluid causing swelling around the joints. 
    • The more active the patient is, the more noticeable the swelling will occur and become noticeable. Rheumatoid arthritis is an inflammatory disease that causes joint swelling. Other symptoms experienced by patients with rheumatoid arthritis is fever, general tiredness, and not feeling well. 
    • People with RA may also have other symptoms other than knee pain, such as a fever, tiredness, and a general feeling of being unwell. 
  • 3. Buckling and locking up: Damaged knee joints will become unstable overtime, causing them to buckle up or lock up, creating knee pain. The tendons that bind the bones and muscles together are affected by rheumatoid arthritis and the patient will lose the stability in the knees. Where the cartilage erodes, allowing the bones to rub, bone spurs can develop and a bumpy surface will cause the joint to lock up, making bending or straightening the joint difficult.
  • 4. Cracking or popping: If you hear a cracking or popping sound as you straighten your knees, or feel a grinding, this is called crepitus. This occurs when the cartilage has worn down or off. Both osteoarthritis and rheumatoid arthritis can suffer from cartilage damage. Damaged cartilage can cause bone spurs to develop, thus creating knee pain. 

Other symptoms that can be signs of osteoarthritis or rheumatoid arthritis are a loss of motion range, loss of joint space, and knee deformity. Each of these can disable the person suffering with either of these arthritis types.

What are the symptoms of cartilage damage in the knee?

Cartilage is a flexible but tough tissue throughout the body that covers joint surfaces and provides shock absorption so that the bones can slide over each other easily, which is frequently why knee pain exists. There is no cartilage. Cartilage damage is a fairly common injury that usually involves the knees. Other joints can be affected by cartilage damage like the ankles, elbows, and hips. The symptoms of damaged cartilage are: 

  • Joint pain when weight is put on a joint but can continue when resting too. 
  •  Swelling that usually developed over a two to three hours, maybe days. 
  • Stiffness.
  • Clicking and/or grinding feeling and sound. 
  • Buckling, giving way, or locking up joints. 
knee pain

How do I know if my knee pain is serious?

Taking into consideration that everyone has a different level of pain tolerance, but if putting any weight on your knee causes an immense knee pain, or pain anywhere in the body, it could indicate a knee injury. That injury can be anything from a sprain or twist, to a bone contusion, cartilage injury, fracture, or ligament tear, any of which should be seen by a doctor immediately.  

Walk It Off! A Few Closing Words

If you’ve ever played sports, you’ve heard the coach tell an injured player “WALK IT OFF!), but is walking good for knee pain? It seems like a catch-22 when you’re experiencing knee pain.  Moving hurts, but then movement will help it past that sore stage. 

So, yeah, when you first move your knee or put any weight on it, it will be achy, even downright painful. Experts say that it is best to keep doing what you do, even with osteoarthritis. Exercise and walking will mobilize the joint fluid, lubricating them and overtime, they will improve. 

What is Tendonitis Treatment?

Achilles Tendinitis with red spot, black and white tone, Injury after exercising and running. Need to see doctor for treatment

Learn More About Tendonitis Treatment

There are many times where your body can be put into stress from injuries or overuse. In order to effectively recover from injuries, treatment will be necessary. With the case of tendonitis, various kinds of tendonitis treatment, dependent on the severity of the case, are shown to assist in recovery while easing pain. It’s important to get in touch with your healthcare physician to first get tested to see if you have tendonitis and then discuss what options of tendonitis treatment will best work for you. If you’d like to learn more general information about tendonitis and tendonitis treatment please refer to this article.

How can you tell the difference between tendonitis and arthritis?

Arthritis involves pain and inflammation in the joints or more specifically the cartilage that connects the bones in a joint. Tendonitis, also known as overuse tendinopathy, instead affects the tendons which are bands of fibrous tissue that connect muscles to bone. Tendonitis tends to heal faster yet there are chronic cases as well while arthritis is typically a long term condition that will increase as you get older. 

How do doctors test for tendonitis?

Tendonitis is diagnosed by a physical examination done by your doctor. If you have symptoms of overuse tendinopathy a doctor may order an ultrasound or MRI scans to help see the thickening, tears, and dislocations of tendons. These processes are typically done with more advanced cases and unnecessary for a newly diagnosed case. 

Is massage good for tendonitis?

A form of tendonitis treatment or therapy can be seen with some forms of massage therapy. For this particular type of condition a deep transverse friction massage, active release, deep tissue, and pin and stretch techniques can be used. These types of massage techniques will be able to relieve pain and help restore mobility by being able to assist with ligament mobilization.

Can stretching make tendonitis worse?

Although stretching can provide short term relief for overuse tendinopathy it may have negative effects on the tendon structure so it’s not really a recommended tendonitis treatment solution. Research has shown that stretching, which is basically compression of the tendon against a bone, will cause the collagen structure in the tendon to alter.

Is heat or cold better for tendonitis?

For chronic tendonitis pain, you may use heat as a form of tendonitis treatment in an effort to ease the pain. Heat can also increase the flow of blood to injuries which can help promote healing. Pain relief can also be promoted with heat’s effect on relaxing muscles too. For general cases, RICE is often recommended.

What is the best therapy for tendonitis?

A proven form of tendonitis treatment that’s often recommended by physical therapists and doctors is the RICE program of rest, ice, compression, and elevation. In order to help with the inflammation that may come with tendonitis anti-inflammatory drugs can be given which can also help ease the pain. It’s asserted with some sources that tendonitis doesn’t actually involve inflammation as is often associated with it. Instead, there is tissue degradation after micro-tears in the tendon are overloaded with sudden or heavy force. With chronic or more severe cases of tendonitis more advanced recommendations may be provided by your health care physician.

Close-up Of A Person Applying Ice Gel Pack On An Injured Elbow At Home

Tendonitis Treatment Options

  • Physical Therapy
  • RICE
  • Pain Relievers
  • Corticosteroids
  • Platelet-rich Plasma (PRP)
  • Dry Needling
  • Ultrasonic 
  • Whirlpool
  • Surgery
  • FAST (focused aspiration of scar tissue)

What happens if tendonitis goes untreated?

Not incorporating a form of tendonitis treatment can in time lead to tendinosis which is a chronic condition that involves collagen (a structural protein) deterioration in the tendons. Tendonosis can occur in any tendon and is caused by the chronic overuse of a tendon. Most often tendinosis occurs in the heel also famously known as the Achilles tendon.

Will tendonitis heal on its own?

Depending on the severity of tendonitis it can usually heal on its own without medical intervention. Make sure to rest the area and to not work through the pain as this will only delay healing and make symptoms worse.

How long does tendonitis take to heal?

With continuous use of the joint, you can expect a longer healing process yet most damages heal in around 2-4 weeks. With chronic cases, it can extend further than 6 weeks typically because the individual affected won’t give time for the tendon to heal.

Contact Your Local Healthcare Physician

If you believe you have tendonitis first go get tested by a healthcare professional. There you will be able to get the recommended tendonitis treatment options that will best work for your particular case. Remember to seek the advice of your physician before undergoing any changes with tendonitis treatment. As with any injury or illness, remember that rest should be incorporated in the healing process. Incorporating tendonitis treatment to your lifestyle will allow for a smoother healing process and continued treatment as recommended by your doctor can help curtail the risk of developing tendinosis or chronic tendonitis. Start the healing process and talk to your doctor today.

If you’d like assistance with effective tendonitis treatment in Chambersburg, PA call (717) 263-8919 with Madeira Chiropractic & Rehabilitation!

Can You Fix Scoliosis?

man with scoliosis

Can You Fix Scoliosis?

Chiropractic scoliosis care is an exceptional form of treatment for scoliosis. Generally speaking, scoliosis treatment ranges based on the severity of the curve and whether there is a chance of the curve in the spine getting worse. It is true that certain types of scoliosis have a significant chance of getting worse. Traditionally, there are three straightforward categories of treatment. These forms of treatment are observation, bracing, and surgery. It is important to consider that for some cases, surgery is truly the best option.

What Are the Early Signs of Scoliosis?

As young people grow, it is important to consider how strong and aligned their back is. This is because a healthy spine will ensure a lifetime of good posture. Please review the following common symptoms to build awareness for scoliosis.

  • Are the shoulders even? If one shoulder blade is higher than the other, it’s time to take a closer look.
  • One shoulder blade is more prominent or sticks out more than the other. 
  • The hips are uneven.
  • The spin rotates.
  • There is less area in the chest for the lungs to expand.
  • The individual experiences back pain.

Can Scoliosis Get Worse As You Age?

For most adults who have been diagnosed with scoliosis, it’s important to be realistic. Experts state that there is no cure for scoliosis. Unless the individual undertakes surgery with the recommendation and direction of a doctor, the curve will not radically change in any way. However, it is important to consider that there are ways for individuals to mediate the damage. Exercising your core muscles and your back can help keep the curve in the spine from deepening. Healthy amounts of exercise and a consultation with your doctor or chiropractor will help patients determine their feasible range of options.

What Are the 3 Types of Scoliosis?

According to experts, there are three types of scoliosis. Please review the following bullet points to learn more.

  1. Idiopathic. When patients are diagnosed with idiopathic scoliosis, it means that the cause is unknown and there is no single factor that adds to the development of the disease.
  2. Congenital. This form of scoliosis results from a spinal defect that is present at birth.
  3. Neuromuscular. This spinal curvature develops as a secondary result of some kind of neurological or muscular disease. If an individual has muscular dystrophy or cerebral palsy, for example, neuromuscular scoliosis may develop. 

What Should You Not Do If You Have Scoliosis?

If you have scoliosis, you should refrain from lifting heavy objects. This is because lifting large amounts of weight puts pressure on your spine. As a result, that extra pressure can make the curvature even more prominent. Individuals with scoliosis should also avoid staring down or curving their neck while using their smartphone. This is because this also puts pressure on the spine. Impact sports can also be traumatic for individuals with scoliosis. Essentially exercises that will put undue pressure on the spine can exacerbate the condition.

How Scoliosis Progresses

Generally speaking, scoliosis is defined as having curves in the spine that are greater than ten degrees. Once a curve has developed to 45-50 degrees, surgery may be recommended by a distinguished and certified surgeon. In adolescence, curves typically progress at a rate of one degree per month during the growth spurt. The fastest rate of progression occurs just before the start of puberty.

What Scoliosis Looks Like

In order to understand more about scoliosis, it’s important to consider what it looks like. A scoliosis curve looks a little bit like a C shape nested into the spine. When the spine curves sideways to the right, it’s called dextroscoliosis. If the spine is curved on the left side, it’s called levoscoliosis. In order to be certain a spine is curved, it’s important to reference what a regular spine looks like when compared to a spine with scoliosis. When delineating it down to such a comparison, individuals can detect the difference between a spine that goes straight up and down, when compared to a spine that has a curve.

Scoliosis When Pregnant

If a woman is pregnant and also has scoliosis, she may wonder whether or not scoliosis causes any complications for the pregnancy. To this end, scientists have determined that scoliosis doesn’t cause any special complications. Whether to do with pregnancy, labor, or delivery, no substantive complications were determined when compared to women without scoliosis.

scoliosis xray

Will Scoliosis Correct Itself

It is important for individuals to understand that a slight curve of the spine is a very common condition. For about ninety percent of children, a slight curve will be corrected in time. In contrast, scoliosis is a one-sided curve that occurs in any part of the spine that is not correctible. In order to determine the difference, please see a reputable doctor in your area who specializes in scoliosis.

If you think you need chiropractic scoliosis care in Chambersburg, PA, call Madeira Chiropractic & Rehabilitation at __PHONE__ to speak with our staff about making an appointment today!

What is the most common cause of back pain?

woman in pain centered in her back sitting at her desk

Suffering from back pain

Migraine pain, toothache pain, and back pain. They can all make your life miserable, but perhaps the back pain could be the absolute worst? Or at least while you’re suffering with it, it is. Is there back pain treatment that really helps though, medically, mentally, or physically?

If you’ve ever had back pain, you know how back pain affects daily life, and you’re almost willing to try anything to help. Most of us will use creams and ointments, Ibuprofen or muscle relaxers, heating pads, you name it. If it is presented to us, and our back pain is bad enough, we’ll try it. Even having somebody stand on your back while you lay face down on the floor.

What is back pain a sign of?

Lower back pain affects as many as 80% of us in this country at one time or another in our lives, with many of us experiencing more than once, and most of us, almost daily. As bad as it hurts and can even be debilitating, back pain is not a disease, nor is it, the pain itself, deadly. As many as 85% of us have searched for medical care for our back pain, there was nothing that identified the specific cause.  

What can be the cause of back pain?

There can be several underlying reasons a person has back pain, and there isn’t necessarily any specific cause for that pain, but in most cases, the pain will disappear. When back pain is more serious than the usual over-the-counter treatments do not help, it is recommended to seek advice and help from a trained health care professional that specializes in the back. 

For a full and proper diagnosis, evaluation, and possible treatment plan, it is always best to tall over your individual symptoms, describing the location and frequency of your back pain. Your medical professional will be better informed to suggest treatment for you.

What can I do to relieve my lower back pain?

There are two things that typically cause pain in the lower back:

  • An injury from physical activity
  • Wear and tear of the body aka arthritis

 The following 8 recommendations have been known to help back pain and even eliminate it for some:

Correct Posture While Active

Maintaining correct posture always and especially during physical activities is the best protection again back pain. Avoid slouching and aspire to keep the spine erect. When lifting, the rule is “lift with your knees” which means to bend with your knees, pick up the object, then straighten your knees. When moving side to side, move the hips as you twist.

Heat and Ice

When you have injured your lower back, apply ice the first 24 to 72 hours to ease the back pain and reduce the swelling. Then switch to heat to relax the tightened muscles. For chronic back pain in the lower area, heat is useful if it isn’t from an acute injury. Use the heat or ice treatment in 20 minutes increments. On 20 off 20. Any longer and you may risk skin damage. 

Muscle Stretch 

Stretching your back is a great help to acute or chronic back pain and can also help minimize future back problems. Our muscles are extended in directions every day and stretching exercises keep them limber. Suggested exercises for back pain relief and elimination: 

  • Pull knees up to the chest while flat on the back
  • Lay on back and outstretch arms so that you’re in a “T” position. Bend one knee and twist toward the straight leg, then reverse legs. Try to touch the floor with the bent knee as you twist
  • Stretch arms up overhead while laying on the stomach and lift your chest and legs up from the floor. Lay down flat again and repeat.  

Healthy Weight  

When we’re overweight, it puts pressure on the lower back because we’re carrying that extra weight on our spine.

Correct Posture While Sitting

Proper posture while sitting will help avoid back pain in the lower area. While sitting at your desk, keep your feet on the floor and choose a chair that back supports. Avoid the computer hunch that we’ve all become accustomed to the past 20 years or so and keep your screen and mouse in close reach to avoid stretching too far the wrong way.

Proper Footwear 

Our overall posture can be improved with proper and supportive footwear. It increases our stability while minimizing the risk of back pain. Mis sized and unsupportive shoes are worn frequently or for long periods puts pressure on the lower spine and makes it subjective to back pain.

Be Active

When you have back pain, it is tempting to lay in bed, and that is the worst thing you can do. The more you move around and do stretching exercises described earlier, the quicker your back will heal. You want to move within a comfort zone and avoid anything too strenuous.

OTC Pain Medication

There are many different anti-inflammatories (OTC) over-the-counter pain medications to choose from today. From basic aspirin to ibuprofen and naproxen. These are all great for back pain and will reduce swelling. Maintain a routine pattern of taking them to get the most benefit for several days.  If after four to six weeks, if the back pain has not improved or has gotten worse, you should make an appointment with your personal medical professional.

Other options when back pain is more serious than these 8 suggestions can help, your doctor may set you up with a physical therapy program or a pain management program. Another option for some is cortisone injections and in severe back pain matters, surgery may be required.

Does stretching help back pain?

Yes! A regular routine of stretching will help loosen your back muscles, get rid of any existing back pain, and strengthen your back. This will minimize the chances of future back pain!

What helps back pain naturally?

These six remedies are often overlooked when it comes to relieving back pain:

  1. Release your body’s inner endorphins, the natural hormones we all have that can help block signals of pain from the brain.  
  2. Get enough sleep so that your body can restore its healing powers.
  3. Exercise your body’s core, the abs, and back, so they can do their job supporting the lower spine.
  4. Engage your brain by developing brain skills that teach it to ignore some pains.
  5. Do activities that make you happy at least 3 times a day.
  6. Stretch your hamstrings two times a day.
seeking chiropractic help to resolve back pain

 What exercises help back pain?

  • Create a bridge by laying on your back, knees bent, feet hip-distance wide and flat on the floor.  Breath in deep and as you exhale, lift your hips up there is a straight angle between your knees and shoulders hips. Hold 5 seconds then lower slowly and repeat. 
  • Pelvic tilt exercise by starting with a small cushion/pillow under your head. With knees bent and feet hip-wide, flat to the floor. Relax the upper body and tuck chin in. Flatten your back gently to the floor and contract your tummy muscles. Gently arch your back by tilting your pelvis toward your heels then return to the original position.
  • Stretch the lower back by getting on your hands & knees, with your knees right under your hips, placing your hands under your shoulders. Keep your spine in a neutral position and your head lined up with your spine, Keep shoulders back and elbows lose. Take a deep breath and you let the breath out, push your bottom to our heels slowly. Hold that position 20 seconds then return slowly to the original position.

You can look at relieving your back pain yoga poses too, which you can find a class to attend so you have one-on-one help and others around you or find them on the internet. You can find more back exercises, too! The number one thing to avoid back pain is to always exercise, stretching especially. Keeping your muscles loose and mobile will always help. Once you have back pain, keep moving and keep exercising to keep it from getting worse or returning. Dial (717) 263-8919 today to schedule your chiropractic appointment to reduce back pain in Chambersburg, PA.

What Is Physical Therapy?

physical therapy for the knee

What is physical therapy?

Once you have been in an accident, injured, or a stroke, your doctor may assign you to physical therapy. Newborn infants born with a birth defect, like musculoskeletal, will typically go through Physical Therapy. 

Physical Therapy is rehabilitative health using exercises specially designed to help a patient regain, relearn, or improve certain physical abilities. Physical Therapy is prescribed to many with chronic conditions and illnesses to help them manage their pain. Physical Therapy is used by many kinds of patients, from a newborn with birth defects to adults with sciatica. In most cases, they use special equipment or instruments during a physical therapy session. 

What does a physical therapist do?

Physical therapists work with other medical professionals to help a patient regain, relearn, or improve certain physical abilities lost, or never had by using knowledge and skills learned through physical therapy school. They will record and test the progress made, sharing this with their doctors as appropriate. 

Their duties may include the following and more, dependent upon their choice of employment:

  • Review medical history, notes, and referrals for a patient from a referring healthcare specialist
  • Diagnose the function and movement of a patient by observing them
  • Develop plans that are individualized for a patient’s specific goals
  • Teach a patient exercise, stretching maneuvers, therapy, and equipment to ease pain and increase
  • Educate patients and their families about what to expect from the recovery process and how best to cope with challenges throughout the process

Physical therapists take a certain type of education where they learn different techniques of exercises, functional movement, which can include using equipment like canes, crutches, walkers, wheelchairs. They learn special movements for a patient’s joints and muscles to gain or improve movement or minimize their pain.

How many years does it take to become a physical therapist? 

Physical Therapist is a license position that requires a level of education that typically takes three years to complete. There are specific prerequisites required for some programs that earns a bachelor’s degree. There are some physical therapists’ programs that admit college freshmen into six- or seven-year programs. Those that finish this program will have a double degree of bachelor’s degree and a DPT.

This will provide them education and training in the different types of physical therapy. 

What are the 3 types of therapy?

The field of physical therapy has sub-specialties:

  • Orthopedic Physical Therapy – this is the most commonly known physical therapy. The focus of this specialty is to restore function to a patient’s musculoskeletal system. This includes their bones, ligaments, joints, and tendons. Sports injuries often fall into the orthopedic physical therapy category and include endurance exercises, stretching, strength training, using electrical stimulation, joint mobilization, hot and cold packs, and ultrasound.
  • Geriatric Physical Therapy – this physical therapy has a focus on the movement of older adults’ unique abilities and needs. Older patients with arthritis, balance disorder, cancer, joint replacement, osteoporosis, as well as Alzheimer’s disease. Geriatric Physical Therapy goal is to reduce pain, restore mobility, and accommodate the patient’s physical limitations and increase their physical fitness.
  • Neurological Physical Therapy – A patient with Alzheimer’s disease, brain injury, cerebral palsy, multiple sclerosis, Parkinson’s disease, or have suffered a spinal cord injury and stroke, this type of therapy focuses on the impairments and neurological conditions with specially designed treatment plans.

There are other types of physical therapy such as Cardiovascular, Pulmonary, and Pediatric, each having specific types of treatment based around the patient’s needs and the intended goals.

 What are the four benefits of physical therapy?

A physical therapist treats patients in many phases of healing. From their initial diagnosis by another medical professional, or by the physical therapist, through restorative and into preventive stages and recovery. Patients may use physical therapy alone or with a combination of other treatments. Among the benefits the patients will receive are:

  • Pain management
  • Preventing surgery
  • Improvement of mobility and movement
  • Recovery, injury, paralysis, stroke, or trauma
  • Improve balance and fall prevention
  • Manage age-related health problems

The steps to reach these goals, a patient can expect to do one or a combination of the following:

  • Physical exam, evaluation, certain tests,
  • Evaluation of their posture, flexibility, movement, joint and muscle motion, and performance
  • A clinical diagnosis to reach a prognosis
  • A care plan specific to them with intended
  • Physical therapy treatment based on the evaluation and diagnosis
  • Receive recommendations for self-management
Therapist helping patient

Additional Questions About Physical Therapy

There are many other ailments, diseases, illness, and other health issues that physical therapy can help, which many people inquire about such as: 

Can physical therapy help osteoporosis? 

Physical therapy can treat osteoporosis without surgery. It can restore bone strength, function, and movement. A patient will learn exercises to continue making improvements and eliminate the possibility of fracture from an osteoporosis-related accident. 

Can physical therapy help nerve pain? 

Never pain is chronic for many, and physical therapy is effective in easing that pain and help a patient learn how to get through the pain without opioids. Patients that can benefit from physical therapy to help their nerve pain would be:

  • Chronic Headaches
  • Fibromyalgia
  • Osteoarthritis
  • Neuropathic pain (pain caused by injury to tissues or nerves)
  • Rheumatoid arthritis

These patients that suffer from chronic pain will find that physical therapy will teach them how to function and move safely. 

Will physical therapy help a bulging disc? 

Herniated discs can benefit greatly from physical therapy because it relieves the pain and minimizes the chances of future disc-related injuries. Physical therapy improves poor posture and weak muscles that are the results of the disc herniating. 

Will physical therapy help knee pain? 

After knee surgery, it is typical for the surgeon to prescribe a certain amount of physical therapy. This will ease the pain, reduce inflammation, and swelling. After the physical therapy sessions, the patient will have better motion range, better balance, and be stronger.

Many ask why not search for videos on the internet to do the exercises taught in physical therapy.  The answer is simple. When it comes to the soundness of your home’s roof, would you trust watching videos to learn how to do the job? Most likely not – you’d call a professional roofing contractor. The same should be thought when it comes to physical therapy. For your custom physical therapy treatment, call Madeira Chiropractic & Rehabilitation today at (717) 263-8919.

What Will Happen If Carpal Tunnel Syndrome Is Not Treated?

Man Typing Needing Carpal Tunnel Treatment

Dealing With and Addressing Your Carpal Tunnel

Anyone that works at a computer all day knows the strain that occupation can have on your body. Your posture can be affected, your eyesight can be affected, and even your wrists can be affected. Doing anything that puts significant strain on your hands, wrists, and arms can lead to a whole host of problems for you, namely carpal tunnel. Many people, young and old, suffer from this. While there are a number of invasive surgery options for correction, there are also a number of non-invasive options as well. If you are interested in chiropractic carpal tunnel treatment in Chambersburg, PA, look no further than Madeira Chiropractic & Rehabilitation. We can start helping you today. Dial __PHONE__ to schedule a consultation.

Testing for Carpal Tunnel Treatment

What Is It and What is Carpal Tunnel Treatment?

What actually is carpal tunnel syndrome? CTS occurs when inflammation forces pressure on the tissue and nerve that runs from the forearm to the fingers. The name comes from the fact that this nerve actually runs through a tunnel-like formation of bones in the wrist. CTS can often be an incredibly painful and frightening experience. It can present itself in a variety of different ways. From significant pain to numbness to no feeling at all, CTS can be an overwhelming experience. 

You don’t have to suffer in silence if you are concerned you have carpal tunnel syndrome. A great source for relief and information is a chiropractor. They can provide you more information about what is causing the symptoms, how to deal with them, and what your options are for relief. You can receive incredible carpal tunnel treatment for pain and even physical therapy from a chiropractor. They can help you with gentle wrist movements, stretches, and manipulations of the problematic area.

What you will receive from a chiropractor is non-invasive, but extremely helpful. Many can experience immediate and long-term relief for carpal tunnel symptoms without needing surgery. If you are interested in more treatment options, contact Madeira Chiropractic & Rehabilitation.

Warning Signs of Carpal Tunnel

There are several warning signs that you may be suffering from carpal tunnel syndrome. You can meet with a chiropractor for an assessment if you are unsure.

  • Hand Clumsiness: A sign of carpal tunnel could be in the way you are holding things, or rather, the way you are not holding things. If you find it harder to grasp things, you might want to take a look into treatment options. 
  • Pins and Needles: Many others say they experience a sensation of pins and needles in their fingers and hand. This happens because inflammation irritates the nerves, causing these sensations. 
  • No Feeling at All: Whereas others experience a complete lack of feeling or sensation in their hands. It is one of the most frightening symptoms that someone can experience. The lack of feeling can extend from the palm all the way through to the fingers. 
  • Pain: And of course on the flip side, others can experience significant amounts of pain. It can start in the palm shooting all the way up to the shoulder. It’s another very frightening experience that people can have. 

It can feel like carpal tunnel affects every aspect of your life. Those with severe carpal tunnel and arthritis often have features like motorized blinds installed in their homes to make life just a little bit easier. Even if you are able to alleviate most of the symptoms, taking steps for carpal tunnel treatment and prevention measures for the future is never a bad idea. Can carpal tunnel be treated? It absolutely can, but you do need to speak with a chiropractor or physician to determine the severity of the problem.

Frequently Asked Questions

  • Will carpal tunnel go away on its own? 
    • When treated correctly, carpal tunnel symptoms will usually diminish on their own. There are at home and chiropractic treatment options that are effective and non-invasive, however, if the carpal tunnel is severe enough, then you may need surgery. Even then, the symptoms might not go away entirely. 
  • How long does it take to heal carpal tunnel syndrome?
    • That is dependant on how long the nerve has been compressed for. If the problem is found early on, healing and recovery may take a few days or weeks. If the problem is found much later, then your recovery time could be months out. 
  • What triggers carpal tunnel? 
    • The most common trigger for carpal tunnel is inflammation. In most of us, the inflammation is the result of an underlying medical condition, but for others, the inflammation could be due to overuse of the wrist. 
  • Can a chiropractor help with carpal tunnel? 
    • Yes, a chiropractor can help with carpal tunnel. Treatment can include gentle manipulation of the wrist, elbow, and/or cervical spine. If you are concerned about carpal tunnel syndrome, talking with a chiropractor can help kick-start the healing process and avoid unnecessary surgery. 
  • What are the warning signs of carpal tunnel syndrome? 
    • You’ll experience signs of numbness in your hand and fingers, pain that radiates up the arm to the shoulder at times, sharp pains in the thumb or fingers, and in severe cases, distortion of the muscle at the base of the thumb.
Carpal Tunnel Treatment

Connect With Our Team Today for More

Experiencing carpal tunnel pains? Interested in learning more about treatment options that don’t involve surgery? For more information, dial __PHONE__ to be connected with Madeira Chiropractic & Rehabilitation. We can help you with a variety of options for carpal tunnel treatment in Chambersburg, PA. Give us a call to schedule your appointment today.

Can Kids Get Chiropractic?

A Little Girl Receive the Attention of a Chiropractor for Kids

What Age Should a Child See a Chiropractor?

To begin with, a chiropractor for kids bases their treatment on adjustments and assistance for both infants and children under the age of 18. Depending on the need, a pediatric chiropractor is available to assist. It is important to note that the specific nature of a pediatric chiropractor is fairly new. While there is no viable evidence to support the claim that chiropractic treatments do harm to children, it is important to do research upon the kind of chiropractic treatment that is being sought on behalf of the child. Parents must responsibly weigh the benefits and risks when seeking treatment. A good pediatric chiropractor will be able to consult with a parent about proper treatment and methodology in an objective manner.

Is Chiropractic Care Good for Kids?

Since pediatric chiropractic care was first introduced, children of all ages have been brought forth for treatment. Chiropractic adjustments are beneficial for various reasons and can result in major benefits for the physical well-being of children. Each appointment should be monitored for results. Proven results will conclude with increased positive benefits and a treatment plan in place. 

Why Should Children Have Chiropractic Care?

Chiropractic care can play an essential role in a child’s overall wellness. An appropriate and logical consultation with a pediatric chiropractor could result in some real benefits. In America, more than seventeen percent of all chiropractic patients are under the age of 18, according to the National Board of Chiropractic Examiners. To this end, it is important to note that the central nervous system runs through the spine, which controls everything in the body, including growth and development. A respectable pediatric chiropractor can facilitate wellness and growth through the utilization of their studies.

Are Chiropractors Safe?

An overview of a chiropractic adjustment is necessary in order to establish whether or not chiropractors are safe. A chiropractic adjustment consists of a process wherein a trained specialist utilizes their hands or a small tool to apply a controlled, sudden force to a spinal joint. The goal of the procedure, when properly executed, is to improve spinal motion and improve the body’s overall physical function. The depth of skill of the practitioner is central to this process. The more proven results the practitioner has a better likelihood of success. As with any form of physical therapy, there are associated risks, which must be evaluated on a case by case basis.

What is a Pediatric Chiropractor?

Chiropractic care for kids is an important and necessary service when the time comes. In cases where a pediatric chiropractor needs to be consulted, there may be an injury or an ongoing physical symptom. Children have the same joints that adults do, however they are not fully formed yet. That is why it takes a specially trained and focused hand to assist with children’s spinal issues. 

Children’s Chiropractic Care

As time passes, the inquiry into developing new and innovative technologies that serve children is increasing. These trends, led by caring mothers and fathers, have created new pathways in the medical field. Although manipulation of the spine has been a medical treatment available since ancient Greece, as a medical field, chiropractics is a fairly new discipline, established in 1895. When the field was introduced, it was formulated as part of an ‘energetic’ healing tradition in what was a very unregulated and dangerous American medical practice. Like all medicinal methodology, chiropractics evolved, this time with the help of patients seeking an alternative to drugs. For both children and adults today, chiropractic processes are concerned with the preservation and restoration of health, focusing on subluxation.

Benefits of Children’s Chiropractic Care

If one of your children has suffered an athletic injury, it will be important to assess the damage and procure appropriate treatment. There are many benefits to children’s chiropractic care. Please review the following bulleted points. 

  • A full night’s sleep. One of the complaints that many children and adults have is being unable to attain proper sleep quality. A gentle massage and spinal adjustments can help. 
  • Colic resolution. An infant of who cries of colic may be able to have their symptoms managed by a pediatric chiropractor.
  • Sports injuries. Many children who suffer from sports injuries could benefit from chiropractic help. Rather than turning to drugs, many parents prefer muscle manipulation by a pediatric chiropractor an alternative.
  • Autism. Many autistic children suffer from stomach problems, anxiety, and phobias. Gentle manipulation of the spinal cord can provide relief due to the fact that the spinal cord is the conduit of the central nervous system. 

Chiropractor for Children’s Ear Infections

Ear infections are not to be taken lightly and should be appropriately and accurately diagnosed by the child’s pediatrician. If the pediatrician refers the patient to a reliable pediatric chiropractor, ear infection symptoms may be alleviated. 

Securing a Chiropractor for Kids Can Help Them Solve Back Problems

Chiropractor Infant Digestion

The main focus of chiropractic care is to return an individual to normal bodily function. The resolution of infant digestion may be found through a variety of sources, including proper nutrition. If an infant is colicky, the digestion may be to blame. Proven results may be found for such infant symptoms with the help of a pediatric chiropractor.

In order to secure a chiropractor for kids in Chambersburg, PA, please give us a call at __PHONE__. Discover more about how Madeira Chiropractic & Rehabilitation can solve your chiropractic problems!

How Do You Treat Sciatica at Home?

Man's Hand On Lower Back With Medical Picture of Spine on Side

Learn More About Sciatica

Sciatica is a type of pain in the body that affects the back, hip and outer side of the leg which is caused by a compression of the spinal nerve on the lower back. This can be caused by a degeneration of the intervertebral disk, herniated disk or bone spur in the spine that presses on the nerve. The pain will start in the spine and then radiate down to the back of the leg and usually only affects one side of the body. Sciatica pain best treatment can differ depending on the type of sciatica condition you have. While some remedies can be limited to physical therapy some may require more in-depth remedies. As with blind repair seek the help of a professional for more information about what would be most relevant sciatica pain relief for your condition.

What triggers sciatica?

Sciatica is caused by irritation in the roots of the lower lumbosacral spine and lumbar.  It’s usually triggered when there is something that puts pressure of the sciatic nerve which runs from the lower back down to the legs and feet. The trigger can be a bone spur or herniated disk which can happen with an injury or naturally through aging. Bone spurs are also known as osteophytes which are smooth and hard bumps that form on the ends of bones often in joints. As far as a herniated disk, the spine is made of 33 vertebrae bones that are cushioned together with soft jelly-like disks. This separation and cushion allow for various movements with the spine which allows us to bend over and turn. However, when a disk between two vertebrae starts slipping it can irritate surrounding nerves which can cause a range of pain. When this happens a disk can alternatively be determined as herniated, ruptured or slipped. With lumbar spinal stenosis, there is a narrowing of the spinal canal on the lower back while with degenerative disc disease there is a breakdown of the discs over time.

What is sciatica pain treatment?

Sciatica pain relief or treatment can range from medication, muscle relaxants, anti-inflammatories (NSAIDs,) physical therapy, self-care and in rare cases surgery.

What happens if sciatica is left untreated?

Most people can fully recover from sciatica with proper measures, yet if left untreated you can cause permanent nerve damage as well as weakness in the affected leg. If you are losing feeling in the affected leg it’s important to seek immediate medical attention. With nerve damage, medical treatment is essential as the pain on the back and legs would only get worse through time with pain medication no longer being effective in some cases. In extreme cases losing the feeling in the affected leg can affect mobility. In rare cases, there can also be a loss of bladder control since the part of the spinal cord that controls the bladder could be impacted.

What can make sciatica worse?

Certain positions and posturing of the body can worsen the pain. With a herniated disc you can generally feel more of the pain when sitting. Heavy lifting can make the pain worse as well as it strains muscles. Coughing, in turn, can cause some of this jelly to leak out which lessons the cushion and therefore worsens the pain.

What helps sciatica pain relief?

What may help with temporary sciatica pain relief can be hot or cold packs on the lower back.  In the sciatica pain relief, rest or exercise debate a combination of both is healthy. When a flare-up occurs its’s recommended to rest for a couple of days but too much inactivity can be detrimental. Exercising regularly can maintain strength in the back, it’s important not to bend over to lift heavy objects, however. Another thing that helps is maintaining a healthy diet and lifestyle. Good posture is essential both when sitting and standing, just be sure to not stand for long periods of time and wear cushioned or supportive shoes.

Yoga Class of Multi-Ethnic Girls Doing Half-Pigeon Pose With Instructor Indoors

Types of Sciatica Exercises

  • Aerobic Exercises
  • Emphasis on Building Core Muscle Strength
  • Standing Hamstring Stretch
  • Knee to Opposite Shoulder
  • Forward Pigeon Pose
  • Sitting Pigeon Pose
  • Sitting Spinal Stretch
  • Streclining Pigeon Pose

What triggers sciatic nerve pain?

Sciatic nerve pain can be triggered by many things as your spine is what centers you and holds you up. For ladies or gents any high heels or shoes that aren’t cushioned can trigger your sciatic nerve. With heels, it pitches your body forward and forces you to flex forward at your hips in order to stay balanced. This, in turn, moves the pelvis and stretches the hamstring muscles along the sciatic nerve which can cause irritation. Without cushioned insoles, the impact of your steps can impact your legs, hips, and back. Other stressors can be having things in your back pocket that can aggravate the piriformis muscle. Stress itself lowers oxygen to the nerves in the lower back which can cause muscle tension. As far as clothes, tight-fitting ones or those with tight elastic bands can place pressure of the sciatic nerve which can trigger a flare-up. Finally, excessive weight can add pressure to your sciatic nerve so it’s best to keep weight in control to avoid nerve damage.

What causes sciatica to flare up?

Sciatica can be either acute or chronic with differing periods of flare-up times. With acute sciatica, you may have a flare-up last for one to two weeks which could, in turn, lead to more severe pain or even chronic conditions. It’s important when a flareup occurs to rest for a couple of days. However, too long of rest can make symptoms worse as long periods of inactivity can be detrimental. 

When you need help with sciatica pain relief in Chambersburg, PA call __PHONE__ with Madeira Chiropractic & Rehabilitation!