Frozen Shoulder: 1. Anatomy

Dr. Michael Buna, an educator and chiropractor, identifies specific parts of the shoulder joint anatomy, in preparation for the next two videos that detail how frozen shoulder (adhesive capsulitis) develops, and treatment options for dealing with frozen shoulder.


Video Transcript: Frozen Shoulder: Anatomy

Good afternoon. Today we're going to talk about frozen shoulder. And the first part we're going to do is we're going to talk about anatomy, so you understand the names of the things I need to label for you guys.

So in the shoulder and frozen shoulder, you always hear about the rotator cuff. “They’ve got a rotator cuff injury.” What is a rotator cuff? Well it doesn't really describe much, it only describes four muscles. So we’ve written them up over here. We use the acronym SITS. It stands for Subscapularis, Supraspinatus, Infraspinatus and Teres minor.

Here's a picture of your back, where your shoulder blade is, the hard bone. And on this bone is a thing we call the spine of the scapula. So the supraspinatus lives up here. The infraspinatus lives below the spine. The subscapularis lives on the other side of the shoulder blade or on the front of the shoulder blade between the bone and the chest.

And the last one that Teres minor. It hooks on here and hooks on to the bone here which is the humerus – the arm bone.

But I also want to talk about a couple of other things. This is your arm, these are your fingers. There's your bicep. There's your triceps. There's the tendons for each of them and that's going to be important in a few minutes. All right.

And the other structure we want to talk about, is a structure called the capsule. And the capsule is a bag of fluid that holds fluid in all the joints in our body. So we have finger joints that have capsules on them, toe joints, knee joints. All the joints have capsules and it holds the synovial fluid in them. The synovial fluid is there to lubricate the joint.

Now in the shoulder, the capsule is a little bit different than anywhere else in your body. In the shoulder the capsule is hooked on like this, and it is hooked on here but it sags down like this. OK. So it's sagging all the time to allow us to do this action. Which is abduction - so you steal from the middle, that's what abduction is.

Now. There's another structure we have to talk about. And he lives right here and he’s called the subacromial bursa. And then, on the other side on the front of the shoulder is the subcoracoid bursa. And those are the structures in the shoulder we're going to need to learn about today.



5 Hazards that Come with Autumn

Gorgeous autumn colours, keeping warm with a cozy sweater, drinking cups of tea while curled up with a book. Thanksgiving has come and gone, as has the pumpkin pie! This past weekend we have truly moved into autumn, here in Victoria. Temperatures are down around the 10's, warmer coats are coming out of closets, shorts are swapped for pants, and umbrellas are becoming de rigour. The slower pace of autumn can be welcome change from the busy-ness of summer. Even with the slower pace, there are a few hazards to consider in autumn.leaves on road

1. Slippery leaves

When it rains here, and despite what many believe, it does rain in Victoria, the multitudes of leaves and the rain combine to make an extraordinarily slippery walking and driving surface. People and cars can end up in accidents. Preventing falls or car accidents can be as easy as clearing walkways of leaves, and driving slower when you are driving on roads covered in leaves. TIP: Moving leaves before it rains is much easier than once they are wet!

2. Brilliant sunsets

Oh, those gorgeous colours. How can they be hazardous? When the sunset is a blinding light that hits your eyes, just below the level of the visor in your car! When this happens, drive slower than the speed limit so that everyone gets home in one piece. TIP: While summer may be over, remember to keep your sunglasses with you to help you see in the drive home from work, or late afternoon trips.

3. Losing motivation

Wetter weather makes all of us less likely to head outside to walk, run, hike, bike and pursue our fitness activities. Many of us lose that “moving feeling!” Losing motivation means you risk losing your fitness, and may experience greater joint and muscle pain through lack of movement. Think of your body like a car. It wouldn’t be good to park a car for 6 months until the weather gets better, would it? It’s not good to park your body until the weather gets warm again either.

TIP: Take advantage of any bright daylight hours whenever you can. If it is sunny, consider taking your worktime lunch break outside. Ten minutes of sunshine each day can dramatically help your mental health! Try to remember how good your body feels when you move it and exercise it consistently.

If you are looking for an indoor activity, consider joining one of Joan’s Pilates classes. There’s also a class open for drop-ins on Saturdays, if you want to test out Pilates and see if it is going to work for you!

If your joints start becoming uncomfortable, that’s a clear sign that you need to get moving again. Schedule a visit with Dr. Buna if you are experiencing pain, and he will help you to get back into your moving groove again.

4. Foggy roads

As temperatures cool, the fog in the morning and evenings can make for limited visibility. In my area, we have university students and staff, and school aged youth walking and riding their bikes along the streets to school. When it gets foggy, remember that these people are still out there on their way to school or to the university. Some will have lights and reflective gear and some will not. Driving slower in fog is always a good idea. Be extra cautious and look for people making their way on bicycle or foot to their destination. TIP: Use your low beam headlights as the light will point down towards the roadway, and will make it easier to see.

5. Deer, deer and more deer.

Could there be more deer in any other city in Canada? Possibly, but hard to believe right now. Did you know that the fall months are the most active time for deer? Drivers will need to be watchful for these animals crossing the roads at dawn and dusk. For tips on avoiding deer, click here.


Working with Joan Buna, Pilates personal trainerClient Feedback

I started to go to Joan Buna, at Health 4 Life Pilates and Chiropractic, June 2013 after having abdominal surgery for colon cancer in June 2012.  I had been swimming and doing aerobics for exercise but wanted something more controlled to strengthen my core.

Joan has been extremely professional and is very knowledgeable.  Joan continues to go to workshops to increase her vast knowledge about Pilates and how the human body works.  In four years she has not repeated the same exercise and always comes up with a new way to get the correct muscle doing its job.  I did yoga somewhere else for a year and a half and it was the same class every time.  Joan has corrected  my posture as well as helping with pain in my shoulders.  I do a lot of walking and we are working on improving my foot placement.  Joan has helped me find muscles that I didn't even know I have!

My massage therapist has certainly noticed how different my legs and arms are since doing Pilates twice a week and seeing Joan for a private session once a week.

I also see Joan's husband, Michael Buna, as he is the chiropractor in the same location. They make a perfect combination for an optimum improvement, enabling me to have as much of a pain free body as possible.



IMG 5208

 Energy Balls - the Healthy Energy Snack for Exercise

I want to share this recipe for Energy Balls. This is a great, healthy and yummy exercise snack for adults and kids who are on -the - go.

Perfect for taking with you on a day of golf, hiking, skiing or at the beach. Filled with protein, fats and good carbs, Energy Balls are a great exercise snack that helps nourish your body before and after activities, keeping you moving through all your ranges of motion.

chiropractor Dr Micheal BunaFrom Dr. Michael Buna

Why NOT to Panic About Back Pain

Sometimes I get my inspiration by reading the work of other practitioners. This 15 point list helps you to know what is normal for your back, and why not to panic when you have back pain. If you have questions, want to talk about any of these points, or your concerns about your back, I would be happy to meet with you. Call the office at 250 384 2412

Kind regards

Dr. Michael Buna

Fifteen facts about back pain

  1. Back pain is common and normal.

  2. Scans are rarely needed.

  3. Interpreting scans should come with a health warning.

  4. Back pain is not caused by something being out of place.

  5. Bed rest is not helpful.

  6. More back pain does not mean more back damage.

Fall Pilates Classes at Health4Life

Our new fall lineup of classes is now available for registration.

Call Kaitlin at 250 384 2412 to reserve your space.

Click here to download the Health4Life Pilates Class schedule.

Pilates at Saanich Commonwealth Place

Registration available after August 7th, 2017

Register by calling Saanich Commonwealth Place (250) 475-7600





Chiropractic Treatment Hours

09:00 - 17:30
08:00 - 17:30
08:00 - 17:30
08:00 - 18:00
08:00 - 17:30
10:00 - 01:00