Laser therapy is a medical treatment that uses focused light to trigger a series of events in the body that leads to an increase in cellular metabolism. This can decrease pain and inflammation so the healing process can take place faster.
Laser therapy is used to treat short and long term conditions as well as post-activity recovery.
Acute Injuries
For injuries that have just occurred it is particularly effective if it is administered as quickly as possible.
Chronic Conditions
With long term conditions, laser therapy is most commonly used to help persistent pain and inflammation.
After Activity
To aid in post-activity recovery the laser is used by 250 pro, college, and Olympic sports teams across the United States and many parts of Europe.
What Does It Feel Like?
Laser therapy treatments is administered directly to skin, as clothing or topical dressings interfere with delivering light to tissues beneath the skin.
Patients will feel a soothing warmth feeling as the therapy is administered.
Patients receiving treatments with higher-power lasers also frequently report a rapid decrease in pain. For someone suffering from chronic pain, this effect can be particularly pronounced.How long do treatments last?
With LightForce lasers, treatments usually 4-7 minutes long, depending on the size of the area being treated.
How Many Treatments Will I Need?
Patients generally see results after 3 to 5 treatments.
If you need help with your tightness, pains or just want some advice feel free to contact the clinic today on 0578678904 or book now.
Triathlon’s shoulder (also known as swimmer’s shoulder) is a term that is used a lot, and not only in the world of athletes. But what does it really mean? What is involved in creating the pain and what can be done to help alleviate it?
What is triathlon’s shoulder?
The medical terminology for triathlon’s shoulder is “impingement syndrome” which is a fancy term to say that there is a narrowing in the space between the acromion (the most top bony part of the shoulder) and the humeral head (connecting the arm to the shoulder). This narrowing causes a “pinch” in the tendons going through that space: usually the rotator cuff (supraspinatus and subscapularis in the picture below) and/ or the biceps.
What causes it?
It occurs more often in athletes and labourers that perform repetitive motions which can in the long term cause this sort of overuse injury. The typical sports include but are not limited to triathlon, swimming, baseball, volleyball, and racket sports. Jobs involving repeated overhead activities such as painters, carpenters, and electricians are also more at risk.
The recommended hand on approach involves the patient, the chiropractor and the coach (if sport-related injury) to combine their efforts together using:
Manual chiropractic adjustments
ART: Active Release Techniques muscle work
Dry needling
Laser IV therapy
Technique evaluation and correction
Proper rehabilitation exercises
Finding the cause of what initiated the pain is very important in order to avoid reproducing the same injury in the future. This does not mean stopping the activity involved with that movement but rather finding a new pattern that will allow to achieve the same goal without putting yourself at risk for injuries. This process works best with everyone working together as a team to get you out of pain and back into doing whatever activity or work you want or need to do.
The following video shows what a normal shoulder full range of motion should look like. Please only perform this exercise to your own tolerance. This is not a treatment.
If you have been experiencing shoulder pain and would like a consultation, contact the clinic on 057 8678904.
Our feet play an essential role in how we transfer our body weight when we move, provide vital information to our brains for position awareness and sometimes are even called upon to help out our weak cores. We need to look after them and have them strong enough to meet these many demands. Modern foot wear, orthotics and lack of time walking around bare foot all contribute to weak intrinsic foot muscles and it is these which we need to strengthen.
Try the following movements shown in the video below to see how strong your feet are
1. Foot Crawl
2. Big Toe Up while keeping other 4 down
3. 4 Toes Up keeping big toe down
4. Toe Pianos
5. Toe Spreads
“In order to master it you need to practice it”
Start with doing any weak or difficult movements everyday for 1 minute
If you would like to book an appointment please contact us today for a quick chat to see how we can help!
Yours in Health
The Lawlor Clinic, Portlaoise
Chiropractic, Golf & Sports Injuries | Active Release Techniques (ART®)
As many of you will have read over the past couple of days Rory Mcilroy had to withdraw from this week’s Abu Dhabi Golf Championship in the middle east after it was confirmed by MRI that he suffered a stress fracture of one of his ribs.
What is Stress Fracture?
A stress fracture is a small crack in the bone usually caused by overloading and by an increase in activity. They are normally seen in the weight bearing joints of the body including the foot, shin, thigh and hip.
Rory had been doing increased testing with his golf equipment in the off season due to Nike taking themselves out of the golf equipment market. This meant that Rory Mcilroy hit a lot more balls than his standard practice and this is the likely cause of the rib stress fracture as he didn’t have a fall or trauma.
What is the recovery time?
The most likely recovery time for a stress fracture is about 6 weeks which allows the bone to heal. The patient or athlete is usually prescribed full rest to allow the bone to heal. It will be very difficult to hit any balls during the 6 weeks as all golf shots will put load through the rib cage except putting.
Reducing the Pain?
Laser Therapy, Active Release Techniques (ART®) and Kinesiotaping can all help to reduce the pain levels during the recovery process. Load management is key to preventing a reoccurrence of a rib stress fracture.
Your GP will also be able to prescribe painkillers and anti-inflammatories, these will also help with pain reduction.
More about Golf Chiro
Shane is one of Europe’s leading Golf Performance Therapists having worked with over 40 different professional golfers on both the European & PGA Tours over the past 8 years. If your golf club is interested in having Shane do a presentation or talk on Golf Injuries & Injury Prevention or Performance & Fitness. Contact the clinic on 0578678904 or email info@lawlorclinic.ie
If you are suffering from any golf related injuries and would like to book an appointment please contact us today
Yours in Health
The Lawlor Clinic: Portlaoise
Experts in the Assessment, Treatment & Rehab of Golf Injuries
It’s safe to say that the majority of us have a scar of some sort,for example surgical related, c-section scars, appendectomy scars or scars from cuts or broken bones.
What is scar tissue?
Scar tissue forms after injury to the normal cells of the body and it is the body’s natural response to repair any tissue damage. Scars can however generate its own issues once it has laid down, the effects of which is something we come across daily in the clinic.
The effect of scars on the body?
Excessive scarring will create tissue tension throughout the fascial system and limit the mobility within the muscles, tendons, ligaments and ultimately the joints. This results in altered postures and movement patterns. When this happens a cascade of compensatory movement starts elsewhere, creating pain and stiffness, such as neck, shoulder and low back pain.
The assessment and treatment of scars is often a neglected area in the management of musculoskeletal pain and is of upmost importance, particularly in the case of an unproblematic longstanding scar which may be preventing the patient from returning to full non painful movement.
Our Approach?
At the clinic we examine and address scars old and new to improve soft tissue function and movement. All with the intention of improving joint mobility and giving the best foundations for developing core stability in our patients. This is especially important for ladies who have had c-section procedures and want to get fit again after childbirth and reduce low back pain.
If you would like to book an appointment please contact us today for a quick chat to see how we can help!
Yours in Health
The Lawlor Clinic: Portlaoise
Chiropractic | Active Release Techniques (ART®) | Functional Range Conditioning (FRC®)
Fibromyalgia is a chronic syndrome marked by widespread muscular tenderness and pain. Those with FM commonly experience disturbances in sleep, mood, and cognition, as well as having neural symptoms also.
Fibromyalgia is characterized by 18 tender points (9 pairs) throughout the body. These tender points are located in the hips, neck, chest, elbow and knee.Fibromyalgia sufferers will have at least 11 tender points and will have had symptoms for >3 months.
It is accepted that the treatment of Fibromyalgia is multimodal. Generally, this encompasses relaxation, meditation, exercise, physiotherapy, acupuncture, nutrition, medication and laser therapy.
Exercise:
Resistance training is a great way to build up muscle strength, power, and endurance. Studies have shown that after 16-21 weeks of beginning a resistance training programme, the tenderness and pain levels in female Fibromyalgia sufferers reduced. The training helped to improve overall well-being, physical function, and muscle strength.
After 12 weeks of beginning a flexibility programme, overall muscle and joint pliability and flexibility improved. And, doing 20-30min walks @ approx. 60-70% max heart rate has been shown to improve mood and sleep patterns.
Acupuncture:
Evidence suggests that acupuncture can provide short term benefits to Fibromyalgia patients, generally up to one month within treatment. The acupuncture needles are placed on the 9 pairs of Fibromyalgia tender points. Its effects have been further enhanced when combined with other modalities, like exercise or laser therapy.
Laser:
Laser has many benefits for those with Fibromyalgia. It is a painless intervention for those with Fibromyalgia. Laser stimulates cell growth, increases cell metabolism, invokes an anti-inflammatory response, promotes oedema reduction, stimulates nerve function, reduces the production of substance P, and stimulates the production of endorphins. Laser is applied to the area of pain and/or the 9 pairs of tender points for 20-30seconds per point.
Laser helps to improve sleep, improve physical function, increase mobility, reduce pain, muscle spasm and fatigue.
Diet:
Nutrition is vital in managing Fibromyalgia. Various studies have connected Fibromyalgia to bacterial overgrowth in the small intestine and a compromised gut function as a result. There are a variety of ways to help cleanse your gut and improve your digestive function. For example: ultrainflamx, omega 3 fish oils, probiotics, turmeric, and vitamin D3 are all very effective in creating a healthy gut. It is also beneficial to either cut out dairy or wheat, depending on which is more sensitive to your gut.
Meditation/Relaxation:
Meditation has been shown to improve mood and sleep patterns in individuals with altered sleep and mood swings. Try to find a quiet room, darkly lit, for 10-15mins twice daily to listen to some relaxing music. Focus on taking deep, slow breaths and try focussing on something that makes you happy. The HeadSpace App is very effective in instructing meditation too.
As you can see, Fibromyalgia must be approached using a variety of different interventions. In our clinic, we have expert medical professionals who have experience in dealing with Fibromyalgia. If you think you suffer with this condition, or know of anyone that does, book an appointment today and let us help you get on the road to managing this condition and getting back to your life!
Many of you who already attend the clinic may have had one of us use our LiteCure Laser on you. And as you sat there, feeling the warmth coming from that little machine, you were probably wondering, what’s this laser treatment all about?!
What is a Laser?
Firstly we have to start with the basics- what is a laser? According to google, a laser is “a device that generates an intense beam of coherent monochromatic light (or other electromagnetic radiation) by stimulated emission of photons from excited atoms or molecules.”
Lets try to simplify that. LASER is actually and acronym for Light Amplification by Stimulated Emission of Radiation. So in other words, through some amazing process of science and physics this light coming out of the machine is a very intense, amplified beam of light.
How can the laser help me feel better?
So we now know that the little machine is sending out a high powered very intense beam of light. That’s great and all, but how does this light actually help decrease pain and help to stimulate healing of the area?
To put it simply, the light from the laser gives energy to the underlying tissues, helping the tissues to increase blood flow to the area and accelerate healing process!
What’s the catch?
A treatment that is painless for the patient, easy for the practitioner, and gets good results; there must be a downside right? Well, no. It is FDA approved, and with thousands of studies performed, there have been no reported side effects of treatment with the laser! It is as good as it sounds!
From acute to chronic conditions, muscle, tendon, ligament, bone, or disc injuries, laser therapy is a quick and easy way to help reduce pain and speed the healing. Treatments with just the laser last from 15-30 minutes and results are typically seen in 4-6 treatments. Contact us today to see if laser treatment is right for you!
The most common type of headaches are tension headaches. Most of us have likely experienced one at some point in our lives. Headaches can usually be tolerated by most of us if they happen only on rare occasion, or at least infrequent enough to bother us. But what about when you start getting headaches more than once a month? What about every week? And at the extreme, multiple times a week? These symptoms are your body trying to tell you that something is not right! So what’s the cause of these headaches? And what can we do to help?
Causes of Tension Headaches:
Do you get headaches that start at the back of your neck or shoulders? Do you feel pressure around your head? These are some of the symptoms of tension headaches. Unlike some of the other types of headaches, tension headaches usually have a mechanical cause. Mechanical meaning a more physical cause. For example, dysfunction in the muscles of the neck, head, shoulders, and in the joints of the neck. Specifically the muscles at the base of the skull, the suboccipital muscles, are some of the most commonly implicated muscles with these headaches.
What Triggers these Muscles to Tense Up?
Forward head posture: working with head in a prolonged flexed position for too long
Stress: many people “hold” their stress at the top of the shoulders and with these muscles connecting up into the neck and head, too much tightness here can lead to headaches.
Accidents/injuries
Grinding teeth/ Jaw problems
Eye strain
How we treat Tension Headache?
The good news for those who suffer from these type of headaches, is that they respond very well to conservative care, which is what the Lawlor Clinic specialises in! We use Active Release Techniques ®, to provide a targeted release to the problem muscles and tissues, and manipulation or mobilisation to the joints in the spine, and other therapies including Dry Needling and Dynamic Neuromuscular Stabilisation (DNS) to help you get back to focusing on life instead of focusing on a headache.
If you are still unsure, contact us today for a quick chat to see how we can help!
Yours in Health
The Lawlor Clinic: Portlaoise
Chiropractic | Physiotherapy | Active Release Techniques (ART®)
Good luck to everyone running the grueling Dublin Marathon in a couple of weeks time, including our very own Karen, running her second marathon! The weeks leading up to the marathon will be tough, and not only the actual running of the race, but the recovery can be just as painful! So with that being said, here are our top tips for a fast recovery.
Recovery After the Race:
How fast you recover after a tough race depends on a number of different factors including:
Actual time spent in running preparation
How much rest you got pre-race
How good your nutrition was pre-race to fuel your body
Our top tips to aid recovery:
Rest: In the next 7-10 days try to get as much rest as possible, aiming for 8 hours sleep per night. This will help speed up the recovery process after the marathon.
Ice Baths: If you can withstand the cold, ice baths are a great way to help fight delayed onset muscle soreness (DOMS)
Nutrition: For electrolyte recovery try Nuun or BioSteel performance and recovery drinks. With each meal consume some protein (15-30g), take omega 3 supplements, plenty fruit & vegetables especially pineapple which is high in an anti inflammatory called Bromelain. It is advisable to take in essential mineral salts that will have been lost through sweat during the marathon. We recommend Himalayan Salts to help replenish these salts.
Keep moving: Avoid running for the first days after the marathon, but do take short walks and move as much as possible
Laser: Laser therapy is a great post-race tool to help aid recovery. It helps speed the healing process in the tissues
Kinesiotape: Lymphatic Applications and Cut Outs will help the drainage of the legs and to help reduce DOMS.
Sports Massage/foam rolling: Both are good ways to help your body to recover after the race.
Running Injuries
For some of you, you may have picked up an injury or two during the race. It is important to have these injuries assessed and treated appropriately. Don’t just let it go! Call us today to see if we can help with your marathon recovery!
Yours in Health,
The Lawlor Clinic Portlaoise
Chiropractic | Dynamic Neuromuscular Stabilization | Active Release Techniques (ART®)
Plantar Fasciitis (PF) can be quite a debilitating disorder. It is commonly described as having pain under the heel of the foot or along the arch of the foot. It is a progressive disorder, where the first few steps in the morning are painful, along with barefoot walking, or pain wearing flat shoes. Prolonged standing, walking or running can aggravated the pain. Many different treatment options have been proven to be effective in treating PF, such as deep tissue work, stretching and manual therapy. But, are there any additional therapies that are effective at treating PF, for example, if the hands-on approach is not yielding results to your liking?
At the Lawlor Clinic, we utilise Class 4 Laser Therapy for a variety of conditions, including PF. But, is it any good? Are there positive results with this approach? Or is it all a load of nonsense? Let’s see what the evidence says.
Class 4 Laser Therapy
With laser therapy, a light beam is placed on the injured area in an effort to affect cellular metabolism, protein synthesis, wound healing and immune response. The idea is that this will fight the inflammation in the fascia, reduce heel pain, and increase recovery time. 2 papers have evaluated the effectiveness of Class 4 Laser Therapy on chronic PF, and have a strong quality of evidence as they appear on the Cochrane Database of Research.
Macias, 2015
Kiritisi, 2010
Participants
69
25
Laser Treatment
X2/week for 3 weeks
X1/week for 6 weeks
Follow Ups
Before, 1week, 2weeks, 3weeks, 6weeks, 8weeks
Before and at 6weeks
Results – Plantar thickness
DNA
A difference in plantar thickness, but not statistically significant (not meaningful)
Results – Pain
Statistically significant improvement (p<0.001)
Statistically significant improvement (p=0.001)
These two studies demonstrate that after 6 sessions of Laser Therapy, the PF pain had significantly reduced when compared to placebos. This shows that laser is effective in treating PF, but it is important to explain to patients that research suggest that the most effective treatment approach is 6 treatments either x2/week for 3weeks or x1/week for 6weeks and then the patient can make up their mind which they would rather.
Comparing Laser to Extracorporal Shock Wave Therapy (ESWT)
The idea behind ESWT is similar to LLLT. In ESWT, a probe is placed on injured area and shockwaves are pulsed in through the skin to stimulate angiogenesis (new blood vessels) and neurogenesis (new nerve cells). In theory, these aspects stimulate wound healing mechanisms. Again, 2 high quality papers compared the use of LLLT vs ESWT:
Cinar, 2013
Suleymanoglu, 2014
Participants
55
81
Treatment
X3/week for 3weeks of either ESWT / Laser
X3/week for 3weeks (ESWT)
X3/week for 4weeks (Laser)
Both given stretches for 3 months
Follow Up
Before and at 3 weeks
Before, after 1st session, after 3 months
Results – Plantar Thickness
DNA
Reduction in plantar thickness, more significant reduction in ESWT
Results – Pain
Statistically significant reduction in pain with Laser, not in ESWT
Statistically significant reduction in pain with ESWT, not in Laser
The data above suggests there is no difference between using Laser or ESWT for treating PF. This is because of the conflicting evidence above.
In summary, the evidence demonstrates that Laser (once completed for 6 sessions between 3-6weeks) is very effective in reducing pain levels in those with chronic PF. If you are suffering with PF, or any foot pain, please do not hesitate to contact us today
