Bosscher Chiropractic, PLLC

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Bosscher Chiropractic, PLLC Doctor of Chiropractic serving the Holland and Zeeland area

10/05/2026

Biceps: bi = two, two heads of the biceps muscle

Distal attachment is down PAST the elbow on the radius. Proximal attachment has two anchors and is actually on the SCAPULA.

This is part of the reason why scapular mechanics and position matters so much. Many muscles/tendons attaching to it.

I’d say more commonly I’ll see issues of the proximal biceps over the distal attachment, so shoulder over elbow…

I demonstrate just a few tests I do 👆but these don’t 💯 confirm a concrete diagnosis. They just help point me in the right direction. Palpation + history add a lot to a working diagnosis.

On top of manual treatment I would likely do, early rehab for biceps issues usually will include ISOMETRIC HOLDS, and progress to eccentric lengthening of the muscle under load.

As always, I’d suggest starting very easy and progress up in weight or resistance.

Mild strains can be up to a month to heal while more chronic issues can be months 🤷‍♂️

A proper distal biceps tear will likely require a surgical fix. Proximal tears may or may not require surgery as there’s multiple muscles that assist in movement up at the shoulder.

I’ve also seen proximal biceps tendon DISLOCATIONS. These tendons should slide within the bicipital groove. Dislocation = tendon outside its normal groove. Can be very painful and limited range of motion.

Issues of the shoulder? I’m happy to help. I have a DC behind my name but I understand the importance of incorporating rehab for the best results 😉

09/30/2026

Knee pain can obviously be caused by a handful of things, but as far as treatment goes, I often go after the muscles surrounding the knee.

I’m thinking of athletes or gym-goers with this in particular..

Repetitive motion, using these muscles…

I’m always shocked to hear when athletes don’t take any preventative or proactive measures to soft tissue of the legs.

Much less likely to have joint issues if the soft tissue isn’t hypertonic/tight 🤷‍♂️

So while the meniscus and arthritis are pretty common dx for the knee, I’m usually addressing biomechanics and the surrounding soft tissue 👍

How do I do it? I’m certified in ART, Active Release Technique, but for you, stick to the good old foam roller or rolling stick to the potentially tight/tender muscles surrounding the knee.

Knee pain? Which side? Follow the soft tissue either up/down and work it out 🤝

*this is only addressing tight muscles through muscle releasing. Strengthening or loading the tissue/joints is usually a big part of the solution as well 👍

I feel like I’ve seen A LOT of disc injuries lately, so here’s your reminder that I can help treat this 🤝MOST disc injur...
09/28/2026

I feel like I’ve seen A LOT of disc injuries lately, so here’s your reminder that I can help treat this 🤝

MOST disc injuries can spontaneously reabsorb, and only a small percentage require surgical or medical intervention.

However, that doesn’t mean there aren’t proactive and preventative measures you can take for both 1. PAIN and 2. The position of the disc.

Acute disc injuries can be very painful! It’s important in those early weeks to know what to do! Most importantly, positions of RELIEF as well as positions that potentially make symptoms worse.

As mentioned 👆the disc bulge/herniation is very positional. You need to know what positions to avoid.

Most disc injuries follow *the McKenzie protocol.*

These USUALLY consist of repetitive extension-based exercises in effort to move the protruded disc material centrally back within the vertebral column.

There’s also a handful of things I could recommend in the acute stage to help lower pain and inflammation. Some supplements that can help in the short term with pain modulation and lowering inflammatory mediators.

As always, movement is medicine. I’d still be preaching movement to tolerance based on your presentation. Even if just minimal non-weight bearing movement 🤝

Call in or DM to schedule. I’m seeing both acute and chronic conditions regularly.

09/23/2026

A hyperFLEXION injury commonly causes injury to the surrounding soft tissue.

Whether it’s muscles/tendons, ligaments, or even the intervertebral disc.

I just like this side view 👆to get a good look at the ligaments that attach to the spinous process.

The spinous process is part of the vertebra we can FEEL ourselves as you run up/down the spine.

So whether it was an injury into excessive flexion, or perhaps a repetitive flexion-type of motion that caused your symptoms, I’d likely first assess the soft tissue.

FYI, if it were the opposite with excessive extension to the back, I’d likely first look at the joints of the back. Overextension tends to jam up these facet joints.

This are generalizations to flexion-type of injuries. Everyone has a unique presentation, hence needing an *individual* approach 🤝

Hurt your back? I’m happy to help assess and keep you off the meds!

09/14/2026

Stiff joints are often the regions we treat, but not necessarily always the region of someone’s symptoms…

There’s often a compensatory INCREASE in joint movement either above or below an area of stiffness.

You’d think improved motion would be good, yes, but if it’s creating excessive movement or a hinge, then it may contribute to joint instability.

Our brain responds to instability with increasing muscle tension. Think of muscular guarding…

So really both stiff joints or unstable joints CAN be symptomatic. However, I’m usually treating the stiff joints and releasing the tension around areas of hypermobility.

So far this all PASSIVE treatment I’m talking about. AKA, what I’m doing to you. As you know, I’m usually preaching various exercises you can do to ultimately “fix” a lot of what I treat.

So to recap, we want appropriate joint movement with appropriate muscle activity and tension surrounding the spine. It’s very common to assess these areas of stiffness + compensating areas of joint instability and muscular tension.

You don’t need to be in pain to have this assessed or corrected. As always, keep moving 👍

Back pain is multifactorial and not solely based on mechanics. Even though biomechanics a big part of what I assess and ...
09/11/2026

Back pain is multifactorial and not solely based on mechanics. Even though biomechanics a big part of what I assess and preach…

Check out this new article. Even though quality of study in general is a bit poor, I can get on board with the findings.

In a 15-study systematic review, depression, distress, and fear of movement had small links with back pain that lasted.

My takeaway: pay attention to the whole person, not just one “bad” movement pattern. Mood, distress, and fear may matter and may be changeable.

It’s easy to focus on PAIN and the DIAGNOSIS, which often times sounds scary. And if someone is in pain, I get that their first thought is TO NOT MOVE. However, that’s likely part of the reason symptoms are longer lasting 👆

Even with chronic issues, MOST of the time we can find “little wins” that help symptoms, even if temporary.

I preach movement everyday. That shouldn’t be a shock for anyone who follows me. Fear of movement is real if someone is dealing with pain.

But again, I’d suggest focusing on what the person can do. Find the little things that help and build on that.

You need to focus on the positive ✅

I’ll keep following research as it comes out and sharing with you all 🤝

Wongwitwichote et al., European Journal of Pain. PMID 42695120.

Dealing with back pain that keeps coming back? DM me.

09/10/2026

The boring stuff still works a lot of the time 🤷‍♂️

Generalized hip pain… there can be MANY reasons, but I find at least some of these things mentioned should be appropriate if tolerated.

Most people with any hip issue will present with limited range of motion and tightness around the hip, and that’s what these things go after.

Improving range of motion and lessen tissue tension ✅

I know you can find articles that don’t support foam rolling. I know you can find articles saying stretching won’t help.. however, my argument would be the day-to-day observations of what actually helps my patients.

As mentioned, strengthening is usually the #1 big picture “correction.” But to help lower some symptoms, it’s often the easy movements, stretches, or muscle releasing that can give significant relief.

*this obviously doesn’t cover every hip issue. Some symptoms actually stem from the low back, for example.

Point being, social media is full of “the worse exercises for… or the BEST exercises for…”, I’d say do what works for you but I find it’s often the boring and easy stuff that gets people consistent relief. Then target more specific exercises catered to their issue 🤝

09/02/2026

With any elbow, wrist, or forearm complaint, I will certainly assess further up into the shoulder region 👍

As shown 👆there have been EMG studies that show improper shoulder mechanics or positioning can affect the muscles down the arm.

AKA, there’s GREATER activation of these forearm muscles…

Big deal? Maybe not, but imagine this over years…

Symptoms are the LAST thing to show up, so the minute a muscle is overly tight or getting overloaded it may not show up as being symptomatic.

So scapular mechanics (how it moves) as well as its position is important when dealing with things down the arm.

What I expect to see… overly tight pecs, and generalized weakness to shoulder external rotators and scapular depressors.

Can’t ignore bigger picture postural contributors as well like pelvic positioning, breathing mechanics if we go deep..

So while I would treat the issue LOCALLY (where symptoms are), you can’t ignore positioning of the shoulder complex as a likely contributor.

Dealing with something like this? I’m happy to help! I like seeing the big picture on things and how we should ideally move 🤝 call in or DM to schedule and we can chat to see if you’d be a good fit.

08/10/2026

Want to nail that first pull up?! Or you want to increase reps, check these tips out 👆

The MAIN thing I’d assess first is the scapular position (shoulder blade).

If I try doing a pull up with significant forward shoulders, it doesn’t allow me to use LATS well. Latissimus dorsi (lats) are very LARGE and powerful muscles.

You NEED to be able to use your lats and core well if you want to nail those pull ups ✅

I demonstrate a high-to-low pull using a band, similar to a lat pull down. The difference is my arms stay locked out. This helps enhance core activation.

If my elbows bent with this high-to-low “pull,” it would just turn into a tricep extension 🤷‍♂️

Last example is for those who have a hard time activating lats because elevated scapular position.

You need to activate a muscle called the serratus anterior to assist in a downward “scoop” of the scapula.

It’s somewhat hard to explain and easier to feel… hope you all get what I’m saying 🤝

*use big muscles (core + lats) through this movement otherwise you’ll be much weaker relying solely on the arms 🥵

*pull up bands can also assist. Wrapped around bar and feet or knees as you pull yourself up into a pull up…

You have any physical goals? Exercises or certain movements? I love when my patients come to me with these. It’s fun to break down movements to become more achievable and get you closer to your goals! 🫵👏

-up

08/03/2026

Leg length difference, does it matter 🤷‍♂️

Well this seems to be a hot topic for some reason, but I think the argument comes from, does it contribute to someone’s PAIN 🤔

Because when I assess someone’s pelvic position/leg length I am basically expecting to find a difference left to right. Very common.

Just my general OBSERVATIONS:
I find most people present with a longer LEFT 🦵. This is usually caused by a pelvic rotation rather than a true structural leg length discrepancy. I also find that the longer side tends to have hypertonicity (muscle tightness) to the lateral glutes/TFL.

I don’t want to ignore muscular imbalances, so a leg length difference IS something that I will usually address whether they are symptomatic or not.

If we look long term, that pelvic rotation may be creating femoral/tibial rotation and overpronation and the issue in your feet 🤷‍♂️, for example.

So no, I don’t harp on every symptom stemming from a rotated pelvis and leg length difference. However, I do address it most of the time and do my best to show you 🫵 what you can do the better any imbalances.

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Zeeland, MI
49464

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