What are the common symptoms of elbow bone spurs. How are elbow bone spurs diagnosed and treated. What is the recovery process like after elbow bone spur surgery. How can physical therapy help with elbow bone spur management.

Understanding Elbow Bone Spurs: Causes and Formation

Elbow bone spurs, also known as osteophytes, are bony projections that develop along joint margins. They often form as the body’s response to injury or degenerative conditions affecting the elbow joint. But what exactly causes these bony outgrowths to develop?

• Traumatic injuries (e.g., elbow fractures)
• Repetitive stress from activities like throwing
• Osteoarthritis of the elbow joint
• Age-related wear and tear

When the body detects damage to the elbow joint, it initiates a healing response. This process can sometimes lead to excessive bone formation, resulting in spurs. While bone spurs are the body’s attempt to stabilize and protect the joint, they can ironically cause pain and limit mobility in some cases.

Recognizing the Symptoms: When Elbow Bone Spurs Become Problematic

Not all elbow bone spurs cause symptoms, but when they do, the effects can range from mildly irritating to significantly debilitating. What are the telltale signs that an elbow bone spur might be causing issues?

Common Symptoms of Elbow Bone Spurs

• Pain, especially during movement or when pressure is applied
• Reduced range of motion in the elbow joint
• Stiffness or a feeling of “locking” in the elbow

Less Common but Noteworthy Symptoms

• Tingling or numbness in the arm or hand (if the bone spur compresses nearby nerves)
• Visible lumps or bumps around the elbow
• Weakness in the affected arm

Are you experiencing persistent elbow pain or limited mobility? These symptoms could indicate the presence of bone spurs, especially if you have a history of elbow injuries or engage in repetitive arm motions.

Diagnosing Elbow Bone Spurs: From Clinical Examination to Imaging Studies

Accurate diagnosis is crucial for effective treatment of elbow bone spurs. How do medical professionals identify and confirm the presence of these bony growths?

1. Physical examination: The doctor assesses elbow range of motion and areas of tenderness.
2. Medical history review: Information about past injuries, activities, and symptom progression is gathered.
3. Imaging studies: X-rays, CT scans, or MRI may be used to visualize bone spurs and assess joint damage.

In some cases, additional tests like nerve conduction studies might be performed if nerve compression is suspected. Early diagnosis can help prevent further joint damage and guide appropriate treatment strategies.

Conservative Treatment Approaches for Elbow Bone Spurs

When elbow bone spurs are first diagnosed or causing mild symptoms, conservative treatments are typically the first line of defense. What non-surgical options are available for managing elbow bone spur symptoms?

• Rest and activity modification
• Ice or heat therapy
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Physical therapy exercises
• Corticosteroid injections

These conservative measures aim to reduce pain, improve joint function, and prevent further irritation of the affected area. Many patients find significant relief through a combination of these approaches, potentially avoiding the need for surgical intervention.

Surgical Interventions: When Conservative Treatments Fall Short

In cases where conservative treatments do not provide adequate relief or when bone spurs significantly impair elbow function, surgical intervention may be necessary. What surgical options are available for treating elbow bone spurs?

Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive procedure that allows surgeons to remove bone spurs and address other joint issues through small incisions. This technique offers several advantages:

• Smaller incisions and less tissue damage
• Faster recovery times compared to open surgery
• Ability to address multiple issues in one procedure

During arthroscopic elbow surgery, the surgeon can remove loose bodies, shave down bone spurs, and even perform procedures like microfracture to address cartilage damage.

Open Surgery

In some cases, open surgery may be necessary, particularly for larger bone spurs or when extensive joint reconstruction is required. While this approach involves a larger incision and longer recovery time, it allows for more direct access to the affected areas.

Recovery and Rehabilitation After Elbow Bone Spur Surgery

The recovery process following elbow bone spur surgery is critical for regaining function and preventing future issues. What does the typical recovery timeline look like?

1. Immediate post-operative period (1-2 weeks): Focus on pain management and protecting the surgical site.
2. Early rehabilitation (2-6 weeks): Gentle range of motion exercises and gradual return to light activities.
3. Progressive strengthening (6-12 weeks): Increased focus on rebuilding strength and improving flexibility.
4. Return to activities (3-6 months): Gradual return to sports or demanding activities, with continued focus on proper form and technique.

Physical therapy plays a crucial role throughout the recovery process, helping patients regain strength, flexibility, and proper joint mechanics. The specific timeline can vary depending on the extent of surgery and individual healing rates.

The Role of Physical Therapy in Elbow Bone Spur Management

Whether as part of conservative treatment or post-surgical rehabilitation, physical therapy is integral to managing elbow bone spurs. How does physical therapy contribute to recovery and long-term joint health?

• Improve joint range of motion through targeted stretching exercises
• Strengthen supporting muscles to enhance joint stability
• Teach proper body mechanics to reduce stress on the elbow
• Implement manual therapy techniques to address soft tissue restrictions
• Provide education on activity modification and ergonomics

A tailored physical therapy program can help patients achieve optimal outcomes, whether they’re managing symptoms conservatively or recovering from surgery. Regular sessions and adherence to home exercise programs are key to success.

Preventing Elbow Bone Spurs: Strategies for Long-Term Joint Health

While not all elbow bone spurs can be prevented, there are steps individuals can take to reduce their risk and maintain optimal joint health. What preventive measures can help protect your elbows?

• Proper warm-up and cool-down routines before and after physical activities
• Using correct form and technique during sports and repetitive tasks
• Maintaining a healthy weight to reduce stress on joints
• Incorporating joint-friendly exercises into your fitness routine
• Taking regular breaks and practicing ergonomic principles during work or hobbies

By implementing these strategies, individuals can help minimize the risk of developing elbow bone spurs and maintain better overall joint function. Remember, early intervention and proper care are essential for managing elbow health in the long term.

Elbow bone spurs, while potentially troublesome, can be effectively managed with the right approach. From conservative treatments to surgical interventions and comprehensive rehabilitation, there are numerous options available to help individuals regain elbow function and reduce pain. By working closely with healthcare professionals and committing to proper joint care, patients can overcome the challenges posed by elbow bone spurs and return to their desired activities.

Elbow Pain & Osteochondritis Dissecans | Elbow Arthroscopy

Arthroscopic surgery of the elbow is similar to arthroscopy of other joints.  It allows the use of small incisions and small instruments to perform the surgery.  The most common indications for elbow arthroscopy in sports medicine are to remove loose bodies and bone spurs.  Other procedures such as microfracture or tennis elbow surgery can be done arthroscopically.

Elbow Arthroscopy

Loose Bodies

Loose bodies are fragments of bone and/or cartilage that become free floating.  They may cause catching or locking of the elbow.  They should be removed if they cause the elbow to catch or lock as this can result in further damage to the joint surface or articular cartilage and lead to arthritis.  Arthritis results from the degeneration of articular cartilage.  Articular cartilage is the cartilage that covers bone and provides the smooth surface of joints.  Arthritis leads to the development of bone spurs that result in a loss of range of motion.

Elbow arthritis and loose bodies often occur together.

Arthritis/Bone Spurs

The bone spurs due to arthritis can cause elbow pain and nonoperative treatment like rest, ice, anti-inflammatory medicine, and occasional cortisone injections are usually the initial treatment.  If nonoperative treatment is not successful, arthroscopic surgery can be done to remove the bone spurs, shave rough areas of articular cartilage damage, and sometimes improve range of motion by cutting the joint capsule.

X-Ray of Elbow with Loose Body and Arthritis

Loose Body Being Removed from the Back of the Elbow

Bone Spur in Back of the Elbow at the Olecranon

Bone Spur Removed

In adult pitchers, bone spurs are very common.  They don’t always cause elbow pain.  When they do cause problems, the pain is usually in the back of the elbow and occurs at ball release.  The bone spurs can fragment and become loosely attached or may break off completely and become loose bodies.   Arthroscopic surgery is done to remove the loose bodies or spurs when they cause pain with pitching.

The surgery is an outpatient procedure with patients going home the same day.  A sling is used for a short period of time, usually a few days.  Elbow physical therapy is started immediately to work on range of motion and to decrease swelling.  Sometimes a CPM (Continuous Passive Motion) machine is used to help with range of motion.

Rehabilitation for removal of a loose body or bone spur usually takes several weeks to return to most activities.  It can take 2-3 months to return to pitching.

Osteochondritis Dissecans

Arthroscopy for microfracture of the Capitellum is sometimes done for Osteochondritis Dissecans lesions (see section on Elbow Throwing Injuries).  These lesions sometimes leave a crater in the joint surface cartilage and bone directly underneath it.  Microfracture involves using a small pick to puncture holes in the bone to create bleeding from it.   This also allows the release of mesenchymal stem cells (MSCs) that can create scar cartilage (fibrocartilage) to cover the crater.

Arthroscopic View of Loose Body in Elbow and Osteochondritis Dissecans of Capitellum

Loose Body Being Removed

Loose Body Removed – a Fragment of Cartilage and Bone from Osteochondritis Dissecans lesion of the Capitellum

Osteochondritis Dissecans Lesion of Capitellum

Osteochondritis Dissecans lesion Prepared for Microfracture

Microfracture of Capitellum Osteochondritis Dissecans Lesion

Bleeding from Microfracture Site of Capitellum

Rehabilitation for a microfracture of the Capitellum takes months and depends on the size of the lesion.  A sling is usually used for 3-6 weeks and physical therapy is started shortly after the surgery.  A throwing program may be started 4 months after surgery.  It may take 6 months to 1 year to recover enough to return to sports and as long as 12 to 18 months to return to pitching following microfracture surgery.

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3 common symptoms of a bone spur in the elbow (and 3 uncommon symptoms)

• What are the most common symptoms of bone spurs?
• Rarer bone spur symptoms
• Alliance PTP is ready to help you find top-notch PT for bone spurs of the elbow

2 minutes, 30 seconds

When you become injured, your body immediately springs into action. While this is normally beneficial, there are some cases in which the body overcorrects in its attempts to heal itself after an injury. Bone spurs are one such example of this. After an injury to your bones or joints, the body will attempt to grow more bone to fix the injured area. This can cause small bony growths known as bone spurs to form around the joints.  Bones spurs often form in the elbow after a traumatic injury such as a fracture. They can also be caused by degenerative conditions such as osteoarthritis, as well as autoimmune diseases such as rheumatoid arthritis and lupus. While bone spurs are normally harmless, there are times when bone spurs in the elbow can lead to unpleasant symptoms.

What are the most common symptoms of bone spurs?

The symptoms of bone spurs can often be similar to those of other joint-related conditions. Your physical therapist can diagnose the cause of your discomfort and develop a treatment plan that is suitable for your needs. Some of the most common symptoms of bone spurs are:

1. Loss of mobility — The presence of bone spurs can prevent you from using your elbow’s full range of motion. You may not be able to fully extend your arm, or you may lose the ability to bend it as far as you normally would.

2. Pain in the elbow — Bone spurs can often become painful, especially when they obstruct your elbow’s range of motion. Attempting to forcefully move your affected elbow can result in pain.

3. Swelling — Bone spurs are often accompanied by swelling. Swelling is the result of inflammation, which is the body’s natural response to an irritant.

Rarer bone spur symptoms

Bone spurs can also result in some symptoms that are more uncommon, but just as troublesome. Some of the rarer symptoms of bone spurs in the elbow include:

1. Loose bodies — Sometimes, a bone spur can break from the bone and become a loose body in the elbow. This can result in increased irritation, swelling and pain in the elbow.

2. Bumps under the skin — If your bone spurs are large or located on the outside of your elbow joint, they can sometimes be seen or felt underneath the skin. This can cause pain if the bumps are impacted.

3. Locked joint — If a bone spur breaks from the bone, there is a chance it can become caught between the joints of the elbow. This can cause the elbow joint to lock, making you unable to move or bend your elbow.

Alliance PTP is ready to help you find top-notch PT for bone spurs of the elbow

At Alliance Physical Therapy Partners, we’re proudly bringing together physical therapy practices across the country to help people get the high-quality PT they need. Want to see a physical therapist in person? We can put you in touch with an Alliance PTP partner that’s close to you and who can help you address the symptoms of elbow bone spurs.  Not keen on in-person PT sessions or not close to an Alliance PTP partner? No worries. We also offer effective and affordable virtual physical therapy through our Agile Virtual Physical Therapy platform.  Contact our team today so we can help you find the most effective physical therapy services for your injury or condition.

Elbow spur – causes, characteristic clinic, principles of treatment

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The elbow joint consists of three bones: the humerus, ulna and radius. It is in the articular bag. It contains a small amount of synovial fluid. A healthy joint has plenty of room for movement. The lubricant protects the cartilage that forms the joint.

Under the influence of certain factors, the functioning of the joint can be disturbed. Pathological changes appear: arthritis, arthrosis, epicondylitis. One such condition is the formation of an elbow spur. The disease occurs in the region of the epicondylus. This is a special bony protrusion that limits the hyperextension of the joint, like a patella in the knee. This disease disrupts the usual mode of life, complicates professional activities and household self-service.

Elbow spur x-ray

Why spurs appear on the elbow

Contents

• 1 Why elbow spurs appear
• 2 Symptoms
• 3 Treatment methods
  • 3.1 General recommendations
  • 3.2 Conservative methods

  90 013 3.3 Traditional medicine

  • 3.4 Surgical treatment of spurs
• 4 Small conclusion

A painful growth associated with abnormal bone growth is called an elbow spur. It is associated with the appearance of a tumor-like swelling. Its occurrence is due to reactive inflammation followed by hyperplasia of the articular tissues. There is such a formation as an osteophyte. In this case, there is a violation of the fastenings of the tendons and infringement of the nerves. All this affects the function of the joint.

Symptoms

The spur of the elbow joint has a characteristic clinic. It is recognizable, therefore it does not present difficulties in diagnosis, it has its own ICD code. Signs of elbow spurs are the following symptoms:

1. Tumor-like formation in the area of ​​the elbow joint;
2. Pain in the elbow of a localized nature;
3. Movement restriction.

Bursitis

Swelling at first of soft consistency. Then it becomes bone density due to osteophytes. Pain occurs during movement, at rest. The joint has limitations for full extension. On palpation, tender points are detected, bone growths are felt

Methods of treatment

The principles of therapy for any inflammatory disease are the same. They are based on the impact on the links of pathogenesis. An elbow spur can be treated in the following ways:

• Anti-inflammatory;
• Chondroprotectors;
• Physiotherapy;
• Vitamins;
• Massage;
• Folk remedies.

Each of the methods affects its own component of the formation of the disease. The most effective is complex treatment. Each of the methods complements each other.

General advice

A spur should be treated as soon as it is detected. Preferably at the initial stage, until osteophytes have formed. At the time of treatment, you should exclude the load on the arm, cancel training. Methods of treatment:

1. Medication;
2. Operational;
3. Physiotherapy, exercise, massage.

Attention! With a strong pain syndrome or the absence of the effect of therapy, it is possible that the diagnosis was made incorrectly.

The best effect is given by complex treatment started in the early stages. Surgery carries certain risks, therefore it is used strictly according to indications. Not only an orthopedist can prescribe medications, but also a neuropathologist, a therapist.

Conservative methods

Drug therapy involves the treatment of spurs with agents that promote its lysis and self-destruction. It is also important to relieve pain, infringement of soft tissues and nerves. Anti-inflammatory and chondroprotective therapy not only alleviate the condition, relieve inflammation, but also have a regenerating effect. Drugs are prescribed by the course, according to the scheme.

Treatment with shock wave physiotherapy is indicated at any stage of the disease, with varying degrees. The method is painless and effective. Helps improve blood circulation. The pain syndrome goes away first, then the function of the joint improves.

Physiotherapy

Therapeutic massage has a therapeutic effect in the acute period, after surgery, as well as for rehabilitation. With this method, you can enter external drugs. Massage movements increase blood flow, relieve pain. The procedure has no contraindications.

Traditional medicine

Folk remedies help in the initial stages. These include various wraps, applying infusions of anti-inflammatory herbs. You can also soar the elbow in strong decoctions. It is useful to warm the spur with warm salt or sand. You can prepare an ointment based on a mixture of propolis and sunflower oil in equal amounts. A compress of white cosmetic clay helps.

Surgical treatment of spurs

The reason for the failure of conservative treatment may be an incorrect diagnosis. It should be treated immediately after diagnosis, as the disease has a slowly progressive course. Soft formation ossifies over time.

Information on the topic is in the link:

The operation is indicated in the absence of a result from non-invasive treatment or in case of treatment in the late stages. Excision of osteophytes and tendon plasty is performed. In the postoperative period, an important point is the continuation of local exposure for successful recovery. It is useful to continue courses of physiotherapy, darsonval, amplipulse. It is important to conduct classes with a specialist in physical therapy.

Small conclusion

Spur occurs infrequently. The disease has a favorable prognosis, mild course. It rarely leads to disability. But severe pain can lead to neurosis, depression. Violation of the functions of the hand – complicate household self-service. Since the disease is progressive, easily treatable, timely consultation, treatment, and rehabilitation should be obtained.

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Cubital tunnel syndrome: symptoms, diagnosis, treatment

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Ulnar Canal Tunnel Syndrome – a condition in which compression of the same-named nerve trunk occurs with the development of characteristic symptoms. Signs of pathology include sensory disturbances, decreased hand muscle strength, discomfort and discomfort. With the development of the disease, it is recommended to immediately seek medical help. Timely treatment in our clinic will allow you to achieve a full recovery, avoid complications of the disease.

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Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

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The methods used in our clinic are safe and have no side effects.

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Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

Development of the syndrome: where it all begins

Cubital tunnel syndrome is accompanied by neuropathy and muscle disorders. This causes movement disorders of the hand. At the same time, the compression of nerve fibers itself is often associated with various factors:

• Post-traumatic changes in soft tissues and bone structures. Injuries can cause damage to them, a stimulus for the development of edema.
• Inflammatory processes in the region of the nerve, characterized by swelling and compression.
• Ischemic damage to nerve fibers, leading to their degeneration, necrosis, inflammation.

Tunnel syndrome is often detected in people whose activities are associated with increased pressure on the area of ​​the cubital canal. This condition develops when a person spends a lot of time at the table, leaning on its surface with his hand in the elbow joint. In this case, all the pressure falls on the passage of the ulnar nerve, which provokes the development of pathology.

The risk group includes people who are involved in active and team sports. Blows to the elbow area lead to damage to the nerve structures, can cause an inflammatory reaction.

How does the disease manifest itself?

Ulnar tunnel syndrome is characterized by an acute onset. A person after an injury or other injury has the following symptoms within a few hours:

• Pain that occurs simultaneously with numbness. Initially, the pain is localized in the area of ​​the elbow joint, but can radiate along the forearm, go to the shoulder. Because of this, it is not always possible to immediately differentiate the diagnosis.
• A slight tingling that extends from the elbow to the tips of the ring and little fingers.
• Weakness in the muscles of the hand. The patient cannot fully compress it.

Without adequate treatment and prolonged ischemia of the ulnar nerve, the symptoms progress. Muscle strength in the muscles of the forearm and hand completely disappears, the person becomes unable to serve himself. Subsequently, atrophy of the muscles of the upper limb may develop.

Due to the fact that the pathology can progress rapidly, experts recommend not to self-medicate, but to immediately seek qualified medical help. The doctor will conduct the necessary examination, establish the cause of the disease, select an individual therapy.

Diagnosis of carpal tunnel syndrome

Comprehensive examination is required before the appointment of treatment. It is necessary to determine the causes of the development of the syndrome, the choice of the best tactics of therapy. Diagnosis includes the following activities:

• Collection of existing complaints. The doctor learns from the patient what he was doing before the onset of pain, identifies risk factors for the development of pathology. He asks the patient about the nature of pain, time and features of their manifestation.
• External examination of the upper limb, primarily the area of ​​the elbow joint. If the disease is associated with trauma, the doctor tries to find hematomas at the site of a blow or abrasion on the skin.
• Ultrasound examination of the elbow joint. Ultrasound can detect swelling of soft tissues, assess the state of the anatomical canal through which the ulnar nerve passes.
• Electroneuromyography is performed to assess the state of nerve conduction and muscles.
• X-ray or computed tomography is performed if fractures of the ulna are suspected.

In severe diagnostic cases, magnetic resonance imaging is prescribed. This is a highly accurate method that allows you to detect even minimal changes in the tissues of the elbow joint.

Treatment success is 90% dependent on experience
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At the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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Possible complications

Without timely treatment, ulnar tunnel syndrome gradually progresses. The disease can be manifested for a long time by mild pain, which is easily eliminated with the help of medicines. However, at this point, pathological changes occur in the ulnar nerve, which may become irreversible.

The main complication is muscle paresis, a decrease in the force of contraction of the muscles of the hand. This condition can persist for up to several months, therefore, it requires comprehensive rehabilitation throughout this period. If the patient continues to ignore dangerous symptoms, does not receive appropriate therapy, then paresis turns into paralysis. At the same time, the patient’s ring finger and little finger stop moving. As a result, the patient loses the ability to complete fine motor skills and self-service.

The final degree of pathology is characterized by partial or complete atrophy of muscle groups on the forearm and hand. This condition leads to disability, reduced professional and social adaptation. Subsequently, hand deformity associated with contractures and ankylosis of the joints may develop.

Approaches to therapy

The main goal of treatment is to eliminate compression of the ulnar nerve and ensure the restoration of its functions. In our clinic, therapy always uses an integrated approach, selecting treatment procedures individually for each patient. Thanks to this, we have a great positive experience in eliminating ulnar tunnel syndrome.

Osteopathy and manual therapy

Our doctors treat carpal tunnel syndrome using osteopathic or manual techniques. Both procedures involve the impact on the human body only with the help of the hands of a specialist. Treatment takes place in two stages. At the first stage, the doctor determines the areas in the musculoskeletal system that have an abnormal tone.

These areas of the body can cause all the negative symptoms in the patient. The second stage is associated with direct treatment. An osteopath or a chiropractor, using special techniques, eliminates pathological foci. Due to this, the degree of compression of the ulnar nerve decreases, the severity of symptoms decreases. The treatment course, consisting of 4-8 sessions, allows you to achieve a complete recovery without any side effects.

Additional methods

Di-Tazin therapy is highly effective in case of tunnel syndromes. This is a unique procedure, which in Russia is used only by doctors of Dr. Length’s clinic. It combines three types of exposure: manual, photodynamic and drug electrophoresis. Already after 2-3 procedures, patients notice a significant improvement in well-being.

After elimination of acute inflammation, patients are shown early rehabilitation, which includes physiotherapy, therapeutic massage, and gymnastics. Of the physiotherapeutic methods used: laser and magnetotherapy, UHF exposure, as well as electrophoresis. All procedures accelerate the restoration of damaged tissues, improve blood circulation, and stimulate the activity of nerve fibers.

Exercise therapy and therapeutic massage are used to normalize muscle tone and strengthen muscle fibers. Motor rehabilitation for a patient with carpal tunnel syndrome takes 2 to 6 weeks, depending on the severity of the injury. These procedures are always performed under the guidance of the attending physician.

Our advantages

Dr. Length’s clinic has many years of experience in the treatment of ulnar tunnel syndrome in patients of various ages. The guarantee of a positive result is explained by the following factors:

• Practical experience of our doctors is not less than 10 years. At the same time, they regularly undergo training in leading Russian and foreign clinics.
• The medical center uses modern methods of treatment, which have been confirmed by their effectiveness in clinical practice and scientific research.
• The approach to each patient is built on an individual basis after a thorough diagnosis. The examination in our clinic is free of charge.

To make an appointment with our specialists, leave a request on the website or call.

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Work experience – 25 years

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Pain in the back

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Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“From a young age, I was troubled by back pain. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

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