OMS is a condition caused by over manipulation of the joints by oneself or a practitioner, resulting in instability, hypermobility and pain.
A high velocity manipulation can be defined as a violent thrust of a joint to the end of its range, causing a “cracking” sound. This is usually done in order to achieve realignment or adjustment of the joint. A manipulation can be achieved at any joint. Manipulation by a qualified health professional can be a useful and valuable treatment modality, however self-manipulation can often become habitual and excessive, and may lead to the development of OMS. OMS commonly affects the neck and lower back vertebrae.
Symptoms of OMS
Laxity of the joint ligaments is one of the most important characteristics of OMS, because as they are continually exposed to stress, they slowly start to stretch. Repeated stretching of the supportive spinal ligaments causes them to elongate and deform. Eventually the ligaments reach a point where they are no longer able to provide stability of the spinal vertebrae. As the vertebrae shift, they start to cause pain. When the neck is affected, symptoms such as ringing in the ears, anxiety, blurred vision, dizziness and headaches may be experienced. Muscle spasm may also be associated with OMS as the surrounding muscles start to tighten up in order to support the unstable joints, this may lead to trigger points of the muscle which radiate pain to elsewhere in the body.
All forms of manipulation should be stopped immediately and Prolotherapy started on the affected areas. Prolotherapy involves a series of regenerative injections which initiate a local inflammatory response, leading to increased blood flow, increased collagen deposits and healing. This means that the stretched out and injured ligaments may be repaired and regain their ability to stabilise the joints, thereby reducing pain and dysfunction.