With stenosis of the spine, your pain is caused by the reduction of the space available for your spinal column and nerves.  As with many conditions that lead to back pain, spinal stenosis has a variety of causes. It most commonly occurs in the neck and lower back. Some common causes of decreased spinal canal space are, normal wear and tear changes to the aging body, arthritis, herniated discs, congenital spinal defects, compression trauma or other spinal cord injury and tumors.  Typically the space within the spine will gradually reduce, and as more pressure is put on the spinal column and nerves, symptoms will increase in frequency and severity. It is normal for people to not realize they have a condition like stenosis because symptoms are infrequent and seem unrelated. Because stenosis can occur in any part of the spine, there are a number of common symptoms – but people will have different experiences depending on where their spinal canal has narrowed and which nerves are affected by the compression. Typical symptoms of stenosis will worsen when you are standing, walking or running, and can include, numbness in the legs, neck, shoulders, buttocks or back, cramping in part of an arm or leg, weakness in part of a limb, poor coordination or balance and problems with bowel and/or bladder control.  The good news is that as serious as those symptoms seem, stenosis of the spine is often managed without invasive procedures.

Since people depend on their mobility to complete their daily routine, suffering from hip, knee and ankle pain is something people are likely to take seriously. The causes of pain in the foot or leg are as variable as the people who suffer with them – however, the majority of these aches can be sorted into just a few categories:


Common injuries such as a meniscus tear, ankle sprain or hip fracture are obvious causes of pain in the knee, ankle or hip respectively. While in many cases, surgery and other medical interventions are necessary, it is also quite common for alternative therapies to be used in conjunction to these procedures and as part of the rehabilitation process.


Though there are over 100 kinds of arthritis, it is generally considered one of the most common causes of joint pain. If arthritis is the root cause of your pain, there are a number of non-invasive treatment options, including Chiropractic and Physical Therapy.


Another very common condition causing pain in the joints is bursitis, caused by inflammation in the fluid-filled sacs adjacent to joints and their connective tissues. Those with bursitis can also benefit from a therapeutic program of exercises and specific stretches designed to improve both the strength and mobility of the affected area.

Joint disorders

Many people live a long, active life without realizing they actually have a joint disorder. For some, the disorder will cause occasional pain in no particular pattern for years before a healthcare professional can determine the real cause. Osteoarthritis, dislocating knee caps, hyper-mobility, gout and osteonecrosis are just a few common disorders that can cause hip, knee and ankle pain. Some disorders, like hyper-mobility, change over time and are easily managed with the help of Chiropractic and Physical Therapy.

Shoulder, elbow, wrist, and hand pain are some of the most commonly occurring and treated health concerns. Pain symptoms can come from a variety of recreational, professional, traumatic, and pathological causes, but luckily they are usually easy to treat.  Our shoulders have a greater range of mobility than any of our other joints, and because they are used so frequently, they are also more susceptible to injury than other joints. Trauma from injuries and overuse, as well as the simple wearing down of our muscles and cartilage over time, can cause pain, swelling, weakness, and other symptoms. “Tennis Elbow,” as it is usually called, occurs when tendons in the elbow get torn due to overuse of the surrounding muscles. This is a “repetitive strain injury” that can come from any sport that focuses on the biceps and forearms, as well as jobs that require a lot of lifting or repeated arm movements. In addition to pain, the elbow may become inflamed and swell up, and either symptom can cause a decreased ability to move the joint. Treatment typically begins with elevated rest and cold compress on the joint. For more chronic cases, we may prescribe an elbow brace to limit movement and prevent further injury, as well as anti-inflammatory medicine. Surgery is only necessary in the most extreme cases, after other treatments have failed.  Shooting and “pins and needles” pain in the wrist and hands is usually caused by irritation or pressure on the median and ulnar nerves in the forearm and wrist. This irritation is brought on by repetitive motion or compression, such as typing, cycling, or constantly resting on your elbows. This pain can also be caused by breaks and fractures of the bones in the hand. Most wrist and hand pain can be remedied through rest and physical therapy, although severe cases may require osteopathic treatment or surgical decompression.