couple of good friends who have been through DO school, which is where my information comes from.) The opposite is true in chiropractic. The adjustment is still the mainstay of chiropractic treatment today. Some DCs (Doctor of Chiropractic) use physiotherapy modalities (like electrical muscle stimulation, utlrasound therapy, etc.) and soft tissue modalities (such as massage or IASTM - Instrument Assisted Soft Tissue Mobilization) alongside CMT, but almost all DCs use adjustments with all (or nearly all) of their patients. There are some DCs who don't do adjusting, but they are the exception. (I am a chiropractor who adjusts basically every patient, which is why I know about this.) So, unless you are able to find a DO who uses OMT as an integral part of their practice, they are probably not going to be very good at it, if they do it at all. Which ever you choose, I recommend that you go to a
practitioner who does their particular manipulative treatment with almost all of their patients day in and day out. That way you receive the benefit of all that experience.
exercising, it would be beneficial to visit a chiropractor for an assessment. Chiropractors are well trained in musculoskeletal conditions and can determine where your pain is likely coming from, as well as provide treatments and therapies that can correct the problem and/or improve the symptoms. Chiropractors use physical treatments and therapies rather than
drugs or surgery. Treatments are not painful and usually take 30 mins or less. You can even continue to do a lighter version of your exercise routine while receiving care (in most cases).
Chiropractors can help to not only speed the healing process, but also improve the function of the muscles after the healing occures. Keep in mind that some Chiropractors don't treat soft tissue injuries and only perform chiropractic adjustments to joints, so you will want to ask if they treat soft tissue injuries before you make your appointment. In my practice, I treat muscle strains in 3 ways: First, I use either Therapeutic Ultrasound or Electrical Muscle Stimulation, with moist heat (or ice if the injury is very acute- 1 week or less). This helps to both relax the muscles, which are often in spasm, as well as reduce the inflammation that builds up in the area. Second, I use a soft tissue technique, such as massage or Instrument Assisted Soft Tissue Mobilization (IASTM). This helps to release tension in the muscles, as well as brake up fibrous adhesions (where the body builds up fibrous tissue, similar to scar tissue, in the muscles to help prevent further injury) that develop due to the injury and impede the function of the muscle long-term. Finally, I use chiropractic adjustments of the spinal and/ or extremity joints. This improves the structure of the framework which the muscles are
attached to and enables them to perform better, with less tension, and without having to compensate for joint restrictions.
Most often, these treatments improve the level of pain as well, but if not, there are topical ointments that have an analgesic (pain reducing) effect, which can be applied in the beginning. My patients usually feel 70-80% better in 2-4 treatments and have little to no pain after 6-8 treatments. We have the best results from doing several treatments close together (2-3 times per weeks) in the beginning. Fewer visits can work, too, but it does take longer to improve.
The lipoma should feel doughy and is usually not tender. When you push on it, it moves readily with light pressure. If you have a bump that is hard, not easily moved, or painful when touched, you should have it examined right away by a competent doctor, as you may have something other than a lipoma. Unlike a cancerous growth, a lipoma isn't normally harmful. They don't usually require treatment, but if the lipoma bothers you, is painful or is growing quickly, you may want to have it removed.
One way in which a chiropractor might be able to help with a lipoma is with a technique some chiropractors use called IASTM (Instrument Assisted Soft Tissue Mobilization). This is a process that uses metal tools to rub over the skin and the underlying fascia to brake up adhesions which form in the fascia. According to Lindsay Kellner, Senior Wellness Editor for www.mindbodygreen.com:
"Because it's subdermal, changing the fascia over time through foam rolling, Rolfing, massage, or movement can actually change the way fat distributes under your skin, which is what creates the appearance of cellulite."
And Natalie Martos, of www.kinesisphoenix.com says:
"Recent studies have shown that the cause of cellulite may be due to tension of retinacula cutis fibers. These fibers allow for the sliding of superficial and deep fascial layers. If this gets inflamed the fibers can become thickened and restrict motion causing adhesions within fibers. So what does all this mean to you, if the fascia becomes restricted in any way, whether it is from dehydration, adhesions, or inflammation, then ripples in the skin can occur and fat deposits will get stuck in the web fibers of the fascial lining."
So, if fascia holds the fat cells under the skin and disruption in the fascia (adhesions) changes the way that fat cells collect under the skin, leading the the appearance of cellulite, then it is possible that a major disruption in the fascia could be responsible for a lipoma forming. If this is true, it should be possible to diminish or dissolve a lipoma by removing the adhesions in the fascia with IASTM or a similar method. I have not tested this in practice as yet, but I believe it would be worth attempting to see if results were obtainable.
the surgery), or even neuropathy (damage to the nerve itself). Most likely, the pain and numbness will subside in a few weeks or even months. Depending on the cause of the neuralgia (nerve pain), joint mobilization or soft tissue treatments could help to speed the processes along. If inflammation is the (or one of the) cause(s) of the symptoms, anti-inflammatory medication or treatments (including electronic muscle stimulation and therapeutic ultrasound) could also be useful. Doctors of chiropractic, like myself, treat these type of symptoms frequently. You should consult with the surgeon and your primary care doctor for suggestions and your fracture must have completely healed before attempting any other treatments or procedures.