Joel L. Buckner, D.C., C.C.I.C., C.C.E.P.
387 Haywood Lane
Nashville, TN 37211

Extremity Pain

Joints, muscles, and nerve symptoms can occur in the arms, legs, hands, feet, and the jaw due to injury or cumulative effects. Joints can be stiff or unstable, muscles may be restricted or weak, and nerves often have many places in which they can become irritated or entrapped along their path.

These problems can also cause other joints and muscles to develop problems by adversely affecting the kinetic chain. The kinetic chain is like the song "Dem Bones" that is, the thigh bone connected to the hip bones, hip bone connected to the knee bones, etc. The connections are the muscles and joints and those are controlled by the nerves.

If pain, stiffness, or weakness (collectively called dysfunction) occurs in these connections, our body may try to compensate by overusing or shifting weight bearing to other connections. This can cause them to break down in turn, cause more symptoms and further dysfunction elsewhere.

Sometimes, the most painful area is a result of a problem somewhere else and that must be addressed as well as the painful area. For example, a foot injury may affect the back and opposite leg if weight is shifted off the injured foot for too long. Fallen arches can lead to a twisting of the knee and hip inside causing increased wear and tear and eventually pain.

In chiropractic, we not only look at where your pain is, we also look at how it and how your body as a whole functions. This can be done with simple tests such as range of motion, joint and muscle palpation, balance, strength, endurance, and posture. Treatment is geared towards relieving pain and restoring good function. 

Hands-on manual mobilization/manipulation care and therapeutic exercise along with instruction in reducing strains in daily activities are the primary treatments. Physical therapies and nutritional recommendations may also be used.

Referrals are made to orthopedic surgeons as needed but most problems do not require surgery.