Archive for the ‘Dr. Samuel Saukkonen’ category

Why Did I Not Come Earlier? – Migraine Headache

August 21, 2011

I have just had a patient who came in with a complaint of +10 years of “diagnosed migraines” that affect him 10 to 15 times per month. A lawyer with an intense work schedule travelling around world. You can imagine the strain that these symptoms were putting on his work and private life. He had been treated with strong anti migraine medications and even with Beta-blockers, so you can see that he had a serious problem in his hands he was unable to solve.
During our first visit it became apparent that his symptoms did not however look like classic Migraine, with visual aura, and nausea or vomiting, however symptoms often were so severe that he was unable to work. His symptoms were intensely associated with neck and shoulder stiffness and discomfort that built up into pain behind the head and ears, radiating around the eyes, very much the same area as classic Migraine.

At the time of his first visit the pain was 10/10 as intensity and he could not open his eyes properly in the rather dark room that we were in.
To make a long story short, after history taking, i started him with our standard treatment for neck, shoulder and headache symptoms, which he tolerated well. After the first treatment saw a vast improvement with his migraine symptoms, and could hold good conversation with eyes well open, with a genuine smile on his face. He has now been back for 3 times and his migraine symptoms, that i would rather call tension, or cervicogenic headaches, have almost disappeared completely. You can imagine the difference that it makes in his life!
What I’m saying here is not that we can treat successfully all the patients with these or similar symptoms, but that if you have these kind of pains or aches, and even if you have been diagnosed with Classic Migraine and think there is no cure, you should try the manual therapy. Obviously with the above patient the diagnosis may not have been correct and he could have got rid of the problem far earlier if all the theatment choices were laid clearly in front of him in the first place by the Doctors he had seen.

The diagnosis, or differentiation of Migraine from classic tension headache is very difficult at best of times, and even Doctors are sometimes confused.
If you see yourself suffering same or similar symptoms, and have had difficulty getting help, come and visit me and i will certainly do my utmost to find out if you could get better with treatment protocols we offer here.

Today the patient came in with smile on his face and said he had slept all night and woken up without pain. He said the only thing he was annoyed is that he did not come earlier!

Dr. Samuel Saukkonen

My Best Run Ever!

August 16, 2011

By no means am i a natural born runner, but for the last few months i have started to do some weekly runs inside, maybe 3 times a week. I have found that as my stamina has risen, i have consequently started to enjoy the experience more and more, to the extent that I’m waiting to do the next run earlier and fit in at least 4 runs a week.
However, just like my patients, i have found that my running program is filled with little problems such as achilles tendon, knee and ankle pains. I have had to limit my runs due to these problems considerably. It’s so irritating when you just get into the rhythm and then you have to cut the exercise short or stop it altogether due to pain.

We have been providing state of the art foot supports to our patients in our clinic now for a year or so, but i have always given this for patients with rather flat or weak feet, or athletes with recurrent important trauma. It has always worked well for them and the patient has been able to continue his/hers activity without trauma and pain.

I myself have a very high arches in my feet, and maybe that is why i have not thought to have my feet scanned and had the orthotic supports fitted in my running shoes. Finally last week i thought i will try it anyway, so i had my feet electronically scanned in our clinic for any possible weakness that may affect my ankles, knees and back. Most of us think we have only one arch under our feet that give us the elasticity and stability at the same time, and help the forces to be distributed correctly when walking or running. however we have 3 different arches in each foot, the obvious one at the middle that most doctors and foot supports cater for, but also 2 other transverse arches running across your foot.

Most people, Doctors and majority of the foot supports do not consider these cross arches in their treatment plan. So i had my results from the scan, and to my surprise i had some weakness both at the medial arch and the transverse arches, even though the arch appears visually high. I decided to order the foot supports for my running shoes.
I went running yesterday for the first time with the new Foot Levelers, and i tell you, the experience was mind blowing! I felt immediately that my feet the had the correct stability, having right amount of support at the right places. at the same time i felt that the foot still had enough elasticity or springiness to avoid the strain and overload of my ankles and ultimately knees. Usually within first 20 minutes of running i have had to slow down and even sometimes shift to cycling due to shin and knee tenderness, but this time the sensation was different!
I tell you, it was like running in the air or floating on top of the cotton wool pads. I felt none of the strain i usually do in the first minutes of the run in my shins, and the run was so pleasant. I went about 25% faster than normally for a whole hour, and i could have done more. After running i felt none of the normal pains or aches associated with my run.
I would definitely advise any of you who spend lots of time on their feet, or any of you who do recreational or competitive running or jogging to try these new Foot Levelers pelvic stabilizers. You can even fit them on your normal working shoes or football shoes and other sport shoes. It will transform your activity, whatever it may be.

Call us on 04-3481166 to book an appointment or visit to book online and view more information to get your foot scanned too!

Dr. Samuel Saukkonen

Why visit a Chiropractor when recovering from a sports injury

March 22, 2010

If you find yourself battling with an ongoing sport’s injury such as repeated shoulder injury, continuously sore back, or re occurring hamstring trauma, and want to get better once and for all, you must have a basic understanding of soft-tissue injuries. This understanding will help in all aspects of rehabilitation including stretching, aerobic exercise and strength training.

To heal properly you must realize what you are up against. Understanding the different  types of sprains and strains and the phases of soft-tissue healing that you cannot avoid, is essential in successful recovery. You may have been diagnosed with a Sprain, which is a tear of ligaments. Strains instead are tears in the muscles and/or their tendons. Both develop trauma to the tissues. A sudden and violent type of injury may result in significant tearing of tissues. A significant trauma and dysfunction may also arise from repeated small tears over a period of time. Either way, the healing process for the tissues is the same.

Chiropractors deal primarily with type I and type II sprains and strains. Grade I tear is diagnosed when tearing of less than 50 percent of the tissue fibers is present. This is the same for ligaments and/or tendons/muscles. Grade II  tear means that  more than 50 percent of the of the ligament, tendon and muscle tissue fibers is interrupted, but the tissue is not completely broken. A grade I strain is much easier to treat and resolve than a grade II strain.

Chiropractors do not treat grade III and IV tears as they present instability to the area affected, however a chiropractor is able to help you with diagnosis of these more serious traumas and direct you to appropriate surgical specialist.

A Chiropractor can help you with all 3 Phases of soft tissue healing:

Phase One: The Inflammatory Phase, which lasts 48-72 hours. Swelling begins as the blood and toxins from the trauma  irritate surrounding tissues. This is the period which is causing most of the pain. The key to controlling this phase is controlling the inflammation. Rest, Ice, Compression and Elevation (RICE) is a must, and by doing this you will also reduce swelling and pain. Early movement with minimal weight-bearing and stress are recommended. You can confirm with your chiropractic doctor the right steps as early as during this stage.A Chiropractor may also help you by treating the associated joints around the trauma area, to regain mobility and relax the muscles.

Phase Two: The Repair Phase, commences after 48-72 hours, and may last for 2 to 3 months. During this period of time, the tissues begin to repair and regain strength. Increases in mild exercise, stretching, strengthening are advised during this phase. Once the tissues have achieved the strength needed to stabilize the area and resist further tearing, you may gradually increase the amount of activity.

Phase Three: The Remodeling Phase starts, when the body redirects the healing towards increasing the strength and orientation of the tissue fibers towards and along the areas of greatest stress. This process can continue for up to two years. This may seem like a long time, but it is a necessary process. During this period however, with proper guidance, you will most likely return to you’re sport as if nothing happened.

The great value in a chiropractor’s guidance and help, in optimizing this stage and making it as speedy as possible, is easy to understand. If you think about a surgical scar you may have had previously as an example. The scar remains red for a long period of time after surgery. It eventually goes from red to skin color. The red color seen after surgery is the result of capillary vessels in the scar that are supplying the nutrients for healing and remodeling the scar. Once remodeling is complete, the capillaries are absorbed and the red color (blood) will disappear.

Chiropractic care is especially valuable during the remodeling phase. Soft-tissue healing is not a quick process and nor is it perfect. The scars formed during healing are not as functional as the normal tissues. Scars are inflexible and weaker than the original tissue, leaving the area vulnerable to future injury. Chiropractic rehabilitation helps reduce many of these factors, reducing the time of the initial inflammatory process, optimizing the amount of repair during the second phase and minimizing the amount of residual scarring left to the muscle, tendon or ligaments. But even chiropractic alone it is not a complete or perfect cure, which is why we at the Chiropractic Dubai always combine chiropractic with a physiotherapy regime. The key is to start treatment early and provide proper care during each phase in order to achieve the best results.

Dr. Samuel Saukkonen

Chiropractic Dubai