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Ah, Buffalo winters. If the biting cold doesn’t freeze your toes, it might just freeze your shoulder! But before you start thinking that a "frozen shoulder" is a condition exclusive to our frosty region, let’s break it down, talking about what this condition is, how it happens, how to treat it, and how to prevent it—evidence-based, of course! What is Frozen Shoulder? Frozen shoulder, medically known as adhesive capsulitis, is exactly what it sounds like—a shoulder that becomes stiff, painful, and hard to move. It occurs when the capsule of connective tissue surrounding the shoulder joint thickens and tightens, making it difficult for the shoulder to move freely. This “frozen” state can last anywhere from a few months to a few years, and trust us, it can leave you feeling stiff and limited in movement. I magine trying to lift your arm like you’re reaching for the top shelf of your kitchen cupboard, but your shoulder refuses to cooperate. That’s frozen shoulder in action—painful, frustrating, and a little embarrassing when you need to ask someone else to help you grab the cereal. How Does Frozen Shoulder Occur? While anyone can develop a frozen shoulder, certain factors increase the likelihood of it happening. Here are the main culprits: Injury or Surgery : If you’ve had a shoulder injury (think rotator cuff tear or dislocation), or if you’ve undergone surgery and haven’t moved your shoulder much afterward, the shoulder joint might become stiff, leading to frozen shoulder. It's like the joint has been hibernating for too long and doesn't want to come out of its shell. Age and Gender : Frozen shoulder is more common in people between the ages of 40 and 60, and it’s more common in women. As if being a woman in your 40s isn’t challenging enough (we see you, ladies), this is just another reminder that our bodies love to throw curveballs. Health Conditions : Conditions such as diabetes, heart disease, or thyroid problems can increase the risk of developing frozen shoulder. It’s one of those frustrating conditions that can be tied to other health issues, like the weather here in Buffalo—never quite predictable and always ready to surprise you. Lack of Movement : If you have a lack of shoulder movement for any reason—such as prolonged immobility due to illness or injury—your shoulder capsule might stiffen. Think of it as your shoulder’s way of saying, “Oh, we’re not doing anything? Okay, I’ll just take a nap.” But when it wakes up, it’s much harder to move! The Stages of Frozen Shoulder Frozen shoulder doesn’t happen overnight, but rather in stages, much like the slow descent into winter in Buffalo. The stages are:  Freezing Stage : This is where you start noticing pain in your shoulder, especially when moving it. You might also feel like the pain is increasing over time and limiting your range of motion. Think of it as the moment winter arrives, and you realize you might need more than just a jacket to get through the cold. Frozen Stage : The pain might decrease a bit, but now your shoulder becomes very stiff. You struggle to move your arm, and everyday tasks—like reaching for your coat—become incredibly challenging. This is when your shoulder feels like it’s encased in ice. Thawing Stage : Here’s the good news! The frozen shoulder starts to improve. Your range of motion begins to return, and while you’re not yet completely back to normal, you can move around a little easier. It’s like when you get that first taste of warmth after a brutal Buffalo winter—finally, a bit of relief! How to Treat Frozen Shoulder Treatment for frozen shoulder can be a bit like trying to get through a Buffalo snowstorm—slow and steady wins the race. But don’t worry, we’ve got some options to help thaw that frozen shoulder out: Physical Therapy : Physical therapy is often the go-to treatment for frozen shoulder. A trained physical therapist will guide you through gentle stretches and strengthening exercises designed to gradually improve your range of motion. It’s like getting your shoulder back into “running” shape after a long break. Chiropractic Care : Chiropractic adjustments can help with frozen shoulder by improving joint mobility and addressing any musculoskeletal imbalances in the shoulder and surrounding areas. Just like a chiropractor can help realign your spine after a long day of sitting in the cold, they can also work on your shoulder to increase range of motion and reduce discomfort. Massage Therapy : Deep tissue and therapeutic massage can help loosen up tight muscles around the shoulder joint. Massage increases blood flow and relaxes the soft tissues, which can help with the stiffness and pain caused by frozen shoulder. It’s like melting the ice on your shoulder—literally! Medications : Over-the-counter pain relievers like ibuprofen or acetaminophen can help ease the pain associated with frozen shoulder. If the pain is more severe, your doctor might recommend prescription medications or even corticosteroid injections to reduce inflammation. Think of this as your shoulder’s winter coat—providing some extra protection against the elements. Heat and Ice : Applying heat to your shoulder can help relax the muscles and improve flexibility, while ice can help reduce inflammation and numb the pain. A balance of both might be just what you need to feel like you’ve survived a Buffalo winter, only to emerge with a thawed-out shoulder! Surgical Options : In rare cases, if conservative treatments don’t help, surgery may be necessary to remove scar tissue or release the tight capsule around the shoulder. However, this is typically a last resort after all other options have been explored. How to Prevent Frozen Shoulder While we can’t predict the next snowstorm in Buffalo, there are a few things you can do to prevent frozen shoulder from taking hold: Stay Active : Keeping your shoulder moving and flexible is key to preventing frozen shoulder. Regular stretching and strengthening exercises can help keep your shoulder joint healthy and mobile. It’s like giving your shoulder a winter coat, ensuring it stays warm and well-protected all year long. Don’t Ignore Injuries : If you injure your shoulder or have surgery, make sure to follow your doctor’s advice for rehabilitation. Staying on top of recovery can prevent the shoulder from stiffening up in the first place. Manage Health Conditions : If you have diabetes, heart disease, or thyroid issues, work with your healthcare provider to manage those conditions effectively. Taking care of your overall health can help prevent frozen shoulder from making an unexpected appearance. Posture Awareness : Good posture helps reduce the strain on your shoulder joints. Make sure you’re not hunching over or putting undue stress on your shoulders, especially when sitting at a desk or during physical activity. Final Thoughts Frozen shoulder can certainly put a chill in your day, but with the right treatment, you don’t have to suffer through it. Whether it’s chiropractic care, physical therapy, or even a little massage to get things moving, there are plenty of ways to thaw out and get your shoulder back to normal. So, next time the Buffalo winter hits and your shoulder starts to feel a little too stiff, don’t let it freeze you out—come see us at Peak Performance for the care and relief you need. Stay warm, stay active, and don’t let your shoulder go cold on you! Bethany Wolcott D’Youville Chiropractic ‘26

Do you experience persistent neck and shoulder pain, tingling in your fingers, or weakness in your arms? These symptoms might not just be the result of a tough workout or a long day at work. They could point to a condition called Thoracic Outlet Syndrome (TOS) . At Peak Performance in Buffalo, NY, we specialize in addressing musculoskeletal issues like TOS with evidence-informed chiropractic and massage care. Let’s explore what TOS is, what causes it, how it’s treated, and how you can prevent it. What is Thoracic Outlet Syndrome? Thoracic Outlet Syndrome is a group of disorders that occur when the nerves or blood vessels in the thoracic outlet—the space between your collarbone and first rib—become compressed. This compression can cause a variety of symptoms depending on which structures are affected. Types of TOS: Neurogenic TOS : The most common type, involving compression of the brachial plexus (a network of nerves that controls muscle movements and sensations in your shoulder, arm, and hand). Venous TOS : Involves compression of the veins, potentially leading to swelling, discoloration, or blood clots in the arms. Arterial TOS : The least common type, caused by compression of the arteries, often leading to cold or pale fingers and weakened pulse in the arm. Common Symptoms: Pain or numbness in the neck, shoulder, or arm Tingling or weakness in the hands Swelling or discoloration of the arm Fatigue or heaviness in the arm after activity How Does Thoracic Outlet Syndrome Occur? TOS develops when the thoracic outlet space becomes narrowed or constricted, leading to compression of nerves, veins, or arteries. Several factors can contribute to this, including: Poor Posture : Slouching or forward-head posture can reduce the space in the thoracic outlet, increasing pressure on the structures within. Repetitive Motion : Overhead activities or repetitive arm movements, such as typing or lifting, can strain the muscles and tissues around the thoracic outlet. Trauma : Injuries such as whiplash or clavicle fractures can lead to TOS by altering the anatomy of the thoracic outlet. Congenital Anomalies : Some individuals are born with extra ribs (cervical ribs) or other anatomical variations that predispose them to TOS. Athletic Activities : Sports that involve repetitive arm movements, such as swimming, baseball, or weightlifting, can increase the risk of developing TOS. Treating Thoracic Outlet Syndrome If you’re experiencing symptoms of TOS, it’s essential to seek professional evaluation. At Peak Performance in Buffalo, NY, we offer a range of treatment options tailored to your needs. Here’s how TOS is typically managed: 1. Chiropractic Care Chiropractors can help by addressing postural imbalances and improving joint mobility in the neck, shoulders, and upper back. Treatments may include: Spinal Adjustments : To improve alignment and reduce pressure on the thoracic outlet. Soft Tissue Therapy : To release tight muscles and improve blood flow to the affected area. Postural Correction : Education and exercises to restore proper posture and reduce strain on the thoracic outlet. 2. Massage Therapy Massage therapy complements chiropractic care by targeting tight muscles and fascia around the thoracic outlet. Techniques such as trigger point therapy, myofascial release, and deep tissue massage can alleviate muscle tension and improve circulation. 3. Physical Therapy and Exercise Strengthening and stretching exercises are vital for improving the function of the muscles that support the thoracic outlet. Common exercises include: Scapular Stabilization : Strengthening the muscles around your shoulder blades to support proper alignment. Neck Stretches : Reducing tension in the neck and upper trapezius muscles. Pectoral Stretches : Opening up the chest to relieve compression in the thoracic outlet. 4. Lifestyle Modifications Adjustments to your daily activities can help reduce symptoms. For example: Avoid carrying heavy bags on one shoulder. Take breaks from repetitive activities like typing or driving. Maintain proper posture during work or physical activities. 5. In Severe Cases If conservative care doesn’t provide relief, more invasive interventions like corticosteroid injections or surgery may be necessary. Surgical options aim to remove the source of compression, such as a cervical rib or fibrous band. Preventing Thoracic Outlet Syndrome Preventing TOS is all about minimizing the risk factors that lead to compression of the thoracic outlet. Here are some practical tips to keep your thoracic outlet in top shape: 1. Prioritize Posture Good posture is the foundation of a healthy musculoskeletal system. Focus on: Keeping your shoulders relaxed and down. Avoiding forward-head posture. Sitting with your back supported and feet flat on the ground. 2. Ergonomic Adjustments Ensure your workspace is set up to reduce strain: Use an ergonomic chair and desk setup. Position your computer screen at eye level. Use a supportive keyboard and mouse. 3. Stay Active Regular exercise helps maintain the strength and flexibility of the muscles supporting your thoracic outlet. Incorporate activities like yoga, Pilates, or swimming to promote mobility and stability. 4. Take Breaks If your job involves repetitive arm or hand movements, take regular breaks to stretch and change positions. This helps prevent overuse injuries and muscle tension. 5. Listen to Your Body Pay attention to any signs of discomfort or fatigue in your neck, shoulders, or arms. Addressing symptoms early can prevent them from worsening into a chronic condition. Why Choose Peak Performance in Buffalo, NY? At Peak Performance, we’re committed to providing evidence-informed care for conditions like Thoracic Outlet Syndrome. Our team of experienced chiropractors and massage therapists work together to develop personalized treatment plans that address the root cause of your symptoms. Whether you’re dealing with TOS caused by poor posture, a sports injury, or repetitive strain, we’re here to help. Peak Performance offers a welcoming environment and a patient-focused approach. We believe in empowering our patients with the knowledge and tools they need to achieve long-term relief and optimal health. Bethany Wolcott D’Youville Chiropractic ‘26

If you’ve ever felt a nagging pain deep in your buttock that just won’t quit—especially if it radiates down your leg—you might be dealing with piriformis syndrome. It’s not the kind of thing that dominates the headlines, but for anyone who’s been sidelined by it, piriformis syndrome is no joke. At Peak Performance in Buffalo, NY, we see patients grappling with this condition all the time, and we’re here to help you understand, treat, and prevent it. What Is Piriformis Syndrome? Piriformis syndrome occurs when the piriformis muscle—a small but mighty muscle located deep in your glutes—compresses or irritates the sciatic nerve. This can lead to buttock pain, tingling, or even numbness that travels down the back of the leg. Some people mistake it for sciatica, and while the symptoms overlap, the root cause is different. Your piriformis muscle plays a key role in stabilizing your pelvis and helping you rotate your hip. When it’s unhappy, it lets you know loud and clear. Whether you’re an athlete, a desk jockey, or somewhere in between, no one is immune to the woes of piriformis syndrome. How Does Piriformis Syndrome Happen? Piriformis syndrome has a variety of causes, and it doesn’t discriminate: Overuse or repetitive motions: Activities like running, cycling, or even long walks can overwork the piriformis muscle. Prolonged sitting: Desk jobs and long commutes can lead to tightness in the glutes and hips. Trauma: A fall or a direct blow to the area can irritate the muscle and nerve. Biomechanical issues: Things like poor posture, leg-length discrepancies, or weak supporting muscles can contribute to dysfunction. In short, anything that irritates or inflames the piriformis muscle or the nearby sciatic nerve can set the stage for piriformis syndrome.tment as enjoyable as possible. How to Treat Piriformis Syndrome Thankfully, piriformis syndrome is treatable, and there are a variety of approaches to get you back on your feet—or butt—comfortably. Here are the most effective treatments: 1. Chiropractic Care At Peak Performance, our chiropractors specialize in addressing the root causes of pain. For piriformis syndrome, this might include adjustments to the pelvis or lower back to improve alignment and reduce nerve irritation. Chiropractic care can also help identify and address biomechanical imbalances that might be contributing to your discomfort. 2. Massage Therapy Deep tissue massage, trigger point therapy, or even stretching techniques can work wonders for releasing tightness in the piriformis muscle. Our licensed massage therapists are skilled at targeting the specific areas causing pain and improving blood flow to promote healing. 3. Physical Therapy and Stretching Stretching and strengthening exercises are crucial for recovery. Focus on stretches that target the piriformis muscle, like the figure-four stretch, and strengthen surrounding muscles to provide better support for your hips and pelvis. 4. Heat and Ice Therapy Alternating between heat and ice can help reduce inflammation and relax the muscle. Apply ice for 15-20 minutes to ease acute pain and heat to soothe tightness. 5. Lifestyle Modifications Making adjustments like improving your posture, taking regular breaks from sitting, and incorporating dynamic movements into your daily routine can prevent future flare-ups. How to Prevent Piriformis Syndrome The best offense is a good defense, and preventing piriformis syndrome is all about maintaining a healthy, balanced lifestyle. Here are some tips to keep your piriformis muscle happy: Stretch Regularly: Incorporate hip and glute stretches into your daily routine. Strengthen Your Core and Hips: Exercises like bridges, clamshells, and planks can help stabilize your pelvis and reduce strain on the piriformis muscle. Improve Your Posture: Whether you’re working at a desk or binge-watching your favorite show, sit with your back straight and feet flat on the floor. Use Proper Form During Exercise: Pay attention to your mechanics during physical activity to avoid overloading the piriformis muscle. Stay Active: Movement is medicine! Even a short walk can help prevent stiffness and keep your muscles flexible. Why Choose Peak Performance in Buffalo, NY? If you’re dealing with piriformis syndrome or want to take steps to prevent it, Peak Performance is here to help. Our evidence-based chiropractic and massage care services are tailored to meet your unique needs. We take the time to understand your lifestyle, identify the root cause of your pain, and create a personalized plan to get you back to feeling your best. As Buffalo locals, we know the challenges that come with staying active during those long winters or recovering from a summer packed with outdoor activities. Let us help you keep moving and grooving all year round. Don’t Let Piriformis Syndrome Slow You Down Piriformis syndrome might be a pain in the butt—literally—but it doesn’t have to keep you sidelined. Whether you’re an avid runner, a busy parent, or someone who just wants to sit without wincing, there are plenty of treatment options to get you back to living your life pain-free. If you’re in Buffalo, NY, and looking for expert care, contact Peak Performance today. Our team of chiropractors and massage therapists is ready to help you tackle piriformis syndrome head-on. Let’s get you back to doing what you love—without the pain. Bethany Wolcott D’Youville Chiropractic ‘26

Several times a day, I answer the phone to people asking to book appointments for ‘the chair.’ Teetering on sounding like a medieval torture device, the nickname refers to our Back-on-Trac Decompression Chair, and trust us, it’s anything but that! Our beloved Back-on-Trac has earned its popularity thanks to the incredible benefits of decompression therapy, and once you try it, you’ll see why it’s become such a game-changer for so many.

That Annoying Pinch Between Your Toes

You either love it or hate it—the Graston Technique provides incredible relief if you’re willing to sit through a minute of mild discomfort. Graston is also known as IASTM, which stands for Instrument Assisted Soft Tissue Mobilization. This is a very fancy way to say that your chiropractor uses a metal tool and a cream or gel to break up scar tissue and myofascial adhesions. Whatever name you know it by, the technique remains the same. Graston is a brand name, while IASTM refers to the broader practice. So, what exactly is happening when your chiropractor pulls out one of those stainless-steel tools? What is IASTM, and How Does It Work? IASTM involves the use of specialized tools to target areas of muscle tightness, inflammation, or injury. These tools allow chiropractors to apply more focused pressure than they could with their hands alone, helping to detect and treat soft tissue issues like scar tissue, adhesions, and even chronic muscle tightness. By gliding these instruments over the skin, the technique stimulates blood flow and breaks down restrictive scar tissue in the underlying muscles and fascia. The process isn’t just about feeling better right after the treatment. It promotes long-term healing by triggering the body’s natural inflammatory response, which may sound counterintuitive but is actually key to recovery. When you see those little red dots, called petechiae, appear after a session, don’t worry! That’s a normal part of the process. Petechiae are small bursts of capillaries that occur when blood flow increases to the treated area, signaling the body to repair and rebuild tissue. Who Can Benefit from IASTM? IASTM is used to treat a variety of conditions, ranging from chronic injuries to everyday muscle stiffness. It’s particularly effective for breaking up scar tissue that can limit movement and cause discomfort. If you’ve had surgery or a serious injury, this technique might help release the tightness that lingers even after the initial recovery. Common conditions that respond well to IASTM include: Plantar fasciitis Tennis elbow Achilles tendinitis Carpal tunnel syndrome Rotator cuff injuries Muscle strains and sprains While it’s great for athletes, you don’t have to be a runner or weightlifter to benefit from the treatment. Even desk workers or weekend warriors can experience relief from tight, overworked muscles that cause pain and limit mobility. What to Expect During an IASTM session, your chiropractor will apply a gel or cream to your skin and use one of the metal tools to glide across the targeted area. Some patients feel immediate relief, while others may notice improvements after a few treatments. It’s not unusual to experience some discomfort during the process as the tool works through tight or knotted muscles, but the results are worth it. All of our chiropractors are trained in IASTM and use it as part of a comprehensive approach to care. Whether you’re recovering from an injury, trying to increase your mobility, or just looking for relief from chronic pain, this technique could be the answer. Ready to experience the benefits of IASTM for yourself? Book your appointment today and see what a little "scraping" can do for you! Bethany Wolcott D’Youville Chiropractic ‘26

What is Carpal Tunnel Syndrome and What Causes It?

At Peak Performance, we’re proud to have a talented and diverse group of chiropractors who bring a unique approach to patient care. Whether you’re new to chiropractic or a long-time patient, choosing the right chiropractor can make all the difference. We want you to feel confident in finding the perfect fit, whether you prefer a more athletic approach, a gentler touch, or somewhere in between. Here’s a quick guide to help you get to know each of our doctors and find out who might be the best match for your needs.

Thai massage is an ancient practice that has grown in popularity in recent years for its unique approach to healing and well-being. While it might look quite different from the typical massages you’ve had, it offers profound benefits rooted in centuries of tradition. Here’s what makes Thai massage stand out, and why it might be the perfect fit for you. The Origins of Thai Massage Thai massage, also known as "Nuad Thai," originated over 2,500 years ago in Thailand. It is influenced by a blend of Indian Ayurvedic traditions, Chinese medicine, and indigenous Thai practices. The founder is often believed to be Shivago Komarpaj, a legendary figure and physician to Buddha. Though its methods have evolved, the core philosophy remains—using physical manipulation to balance the body’s energy systems, promote health, and reduce discomfort. What Happens During a Thai Massage? Unlike most massages where you lay on a table, Thai massage often takes place on a padded mat, and you remain fully clothed. The practitioner uses a combination of stretching, rhythmic pressing, and rocking movements to work through your muscles, joints, and pressure points. The technique might feel like a blend of deep-tissue massage and assisted yoga. Using hands, knees, elbows, and feet, the therapist guides you through a series of stretches designed to increase flexibility and release tension. Some practitioners may also target specific energy lines in the body known as "Sen" to improve circulation and relieve pain. The Benefits of Thai Massage Thai massage offers numerous physical and mental health benefits: Improved Flexibility: The passive stretching helps loosen tight muscles and increase your range of motion, which can be particularly helpful for athletes or anyone dealing with muscle stiffness. Relief from Muscle Tension and Pain : The deep pressure applied during a session can relieve tension in problem areas, helping to reduce pain in the back, shoulders, and neck. Enhanced Circulation : The rhythmic movements and stretching stimulate blood flow, which can aid in the body's healing processes. Stress Reduction: The meditative aspect of Thai massage promotes a sense of relaxation and mental clarity, making it effective for reducing stress and anxiety. Boosted Energy Levels: Many people report feeling revitalized after a session due to the stimulation of energy flow throughout the body. Who Should Try Thai Massage? Thai massage is suitable for many people, but it's especially beneficial for those looking to improve flexibility and muscle function. Athletes, individuals with sedentary jobs, and people recovering from minor injuries may find relief and enhanced performance through this therapy. It’s also a great option for anyone experiencing muscle tightness or chronic pain, as it provides deep tissue work with the added benefit of guided stretching. However, if you have any severe medical conditions such as heart problems, herniated discs, or recent surgery, it's essential to consult with your healthcare provider before trying Thai massage. Ready to Try Thai Massage? If you're curious about how Thai massage can benefit your body, talk to your provider at Peak Performance in Buffalo, NY. Christina, one of our licensed massage therapists, is specially trained in Thai massage and is here to guide you through the experience and ensure you’re getting the most out of your treatment. Whether you’re looking to relieve pain, reduce stress, or simply try something new, Thai massage offers a refreshing and therapeutic option. Bethany Wolcott D’Youville Chiropractic ‘26