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Bosscher Chiropractic, PLLC

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Zeeland, MI
Bosscher Chiropractic, PLLC

Doctor of Chiropractic serving the Holland and Zeeland area

06/10/2026

While there can be multiple reasons for limited shoulder mobility, I often start at observing the scapular position/posture.

An elevated + protracted scapula will NOT allow appropriate movement of the humoral head within the glenoid fossa (ball and socket).

Try it for yourself. 🤷‍♂️

Purposefully roll shoulders forward and try moving your shoulders around. Feels awkward and extremely limiting.

I know that’s an extreme example, but it’s often what I’m assessing and working on with patients. Trying to improve scapular kinematics (the way the scapula sits and moves). ✅

So if you have limited shoulder range of motion, I’d at least start with a static observation of where the scapula is sitting.

To “fix” this would likely require manual muscle releasing, various strengthening, and neuromuscular reeducation, AKA muscle memory..

06/01/2026

Caption from a textbook back from grad school. Here’s my opinion…

Discs DO lose their hydration as we age. Their height decreases, and they tend to become more rigid. (Many things one can do to slow this process by the way. Part of reason I preach daily movement 😉)

I’m not quick to saying anyone over 40 CANNOT have a disc herniation, but I would say that the older someone gets, the less likely it is to happen.

To elaborate, I think someone’s pain COULD be due to the disc over the age of 40, but that’s not saying it’s a herniation.

Discitis, annular tears, endplate derangement or fracture, inflammation… you can have other issues with the disc that can be painful that aren’t due to a protrusion or a herniation.

So absolutely someone over the age of 40 could have disc-related pain. However, a true herniation would tend to occur LESS as someone ages 🤝

05/07/2026

For most elbow pain, I would tend to FIRST look at the forearm muscles.

However, the tricep is also a culprit of elbow issues. In my case, chronic tendinopathy… 🥴

*in my case, I perform flexion distraction on just about every patient, multiple times a day.. if you watched how I have to perform this, you’d see my left arm is fully extended and isometrically loaded as my hand supports a patients low back through the movement.

So in my case, I can’t help but I overwork my left tricep literally multiple times a day.

How do I treat this? Well I’ll start with working out the tight tissue. Various manual techniques or tools to assist in this. Heat to help improve local blood flow, as well as light isometrics.

Tendinopathy = chronically deranged tendon that has not had proper time of healing. Isometrics helps heal the tendon, with progression to eccentric (lengthening) of the tissue.

A bit tricky as this one is not likely gone in a week 🤷‍♂️ and I know a lot of what I do everyday contributes to symptoms.

A little bit at a time ✅

Main point is that sometimes elbow pain is not ONLY due to tendinitis of the forearm muscles. Need to properly assess the area.

05/06/2026

Dealing with chronic shoulder issues? Limited range of motion or pain??

You may need to address the thoracic spine (mid to upper back).

Limited motion to this part of the spine will put added stress through the shoulder over time..

*Limited thoracic mobility can also contribute to neck or low back problems.

Test out performing THREAD THE NEEDLE.

Hands and knees, add rotation. How well can you rotate or move through the thoracic spine?

Is one side harder than the other? Or less mobility on one side? Ideally you want this to be fairy easy and symmetrical bilaterally.

There are more specific ways to improve this if it is hard or unbalanced from left to right, I just mention a few things to try 👆

I’m happy to assess this if you’re struggling with chronic shoulder issues. Just throwing this out there, but the aging golfer sticks out in my mind here. Very common to lose spinal movement as one ages, and the golf swing really requires good hip and thoracic movement 👍

04/23/2026

Pain in the FRONT of the shoulder? Or how about the “armpit” of the elbow? 🤔

Well it could be the biceps muscle/tendon.

Bi = two. Biceps has two heads and two attachments up at the shoulder.

One of the attachments is at the labrum of the shoulder.

The labrum is a ring of cartilage lining the shoulder joint.

Labrum tears can be quite common, so the tone of the biceps and overall posture/biomechanics should be observed.

Distal biceps attach down past the elbow. I see this on occasion but not as common as issues associated with the shoulder.

The second attachment site into the shoulder region is actually to part of the shoulder blade (coracoid process on the scapula).

So again, “fixing” or preventing this, one needs to observe posture and mechanics of movement and go from there. (Strengthening + releasing muscles, neuromuscular reeducation)

Hypertonicity of the biceps will likely create an upward and forward tilt to the scapula. This alone can create some issues in the long term..

04/13/2026

Part 2 of “lift with the legs.”🦵

Big picture here is that we want to *primarily* use large leg + hip muscles to assist in moving or lifting whatever we are doing.

We still need and want to use the smaller stabilizing muscles, but I find through different movement biomechanics that we often rely heavily on the smaller stabilizing muscles to become our primary “movers.”

Smaller muscles = more easily fatigued = more often strained = can produce symptoms..

No matter what, with bending and lifting we are using back muscles. However, if I only rely on bending through the spine, I will use just that… the muscles of the back.

Not as strong and may become strained (over time).

Not meant to be a scare tactic, just biomechanics of how we move. Use larger muscles to assist in movement and lifting.

Ideally we all train these deeper smaller muscles as well! Like I had said, these are often the ones that actually produce the symptoms I see everyday.

Side note. I’ve treated a handful of powerlifters over the years. Not everyone, but I’d often see these huge strong guys would have a hard time performing “easy” exercises that challenge their stabilizing muscles.

So while heavy lifts may bulk someone up and improve strength, don’t forget about challenging your stability.

*also not saying you can’t ever bend in the spine. It’s just ideal to utilize leg musculature to offload the back 🤝👌

04/09/2026

Dealing with back pain? Well let’s start by assessing movement mechanics of bending + lifting.

*this isn’t a post saying lumbar flexion is the sole reason for back pain… 👍 👇

However, if you observe and feel what muscles are engaged between these three movements, you’ll understand where I’m coming from.

If I ONLY bend through the spine, you will feel all the muscles engaged are the ones along the spine. I am able to do this WITHOUT feeling really any glute/hamstring involvement.

Compare this to the hinging or squat motion which REQUIRES these larger hip and leg muscles to work 💪

I’ll do another post going through the muscles, but to me it makes sense to utilize larger and stronger muscles to offload the smaller back muscles which are more easily fatigued or strained under load (over time).

So the old saying, “lift with your legs,” is pretty straight forward and true in my opinion.

Again, not saying you or I can’t ever bend through the spine. We were made to be able to do flexion and multiple motions of the spine. It becomes problematic when you solely rely on these relatively (smaller) muscles to “carry” the load under bending/twisting.

03/30/2026

Pain is usually the LAST thing to present and often the FIRST to go away… but look at the things “under the surface” that may contribute!

As a provider it’s my job to get people out of pain as effectively and as fast as possible. So my focus is often strictly PAIN-RELIEF.

Now some people just want to be out of pain. No offense, but they’re not interested in active lifestyle changes, or it’s too hard. They would rather someone else do it for them… 🤷‍♂️

I’ll always do what I can and give suggestions, but as I mention in part 2 👆is the TIME I spend with someone during the week, which is next to nothing.

Realistically 0.15-0.60% of the WEEK. I’m not even spending close to one percent of someone’s time during the week to help them.

Hope that puts it into perspective for some.

So what about the other 99% time during the week? Are there things YOU can focus on that may help improve symptoms for the LONG TERM!

For me, I prioritize exercise, diet, and sleep 👌 I need to do a better job with stress management, but who’s not stressed nowadays 🤦‍♂️😅

So if you don’t want to chase pain forever, take a look under the surface on some things you can improve. Take TIME for yourself and work on it. Don’t you want to take control for yourself so you’re not reliant on medication, for example.. you got this 🤝🤙

03/23/2026

Pain on the TOP of your foot? I’d first look into this tissues involved as well as history (repetitive use or an injury?)

One of the main muscles that lays on top of the foots bones is the extensor digitorum longus.

This muscle runs along the front/side part of the shin and travels down the top of the foot into the toes 2-5.

It functions to raise ankle and toes UPWARD.

So you can imagine, if there was a sprain with the ankle buckling under (inversion sprain) then this tissue would likely be involved.

Or repetitive use like running. This requires good toes and ankle range of motion.

*there’s certainly nothing wrong with running or sports. However, if these muscles are constantly straining due to LIMITED ankle or toe mobility, there would likely be an issue in the longterm…

I treat something like this with Active Release Technique, and likely isometric exercise to start. Heat may assist in improving blood flow + oxygen to the tissues depending on severity..

*other suggestions based on your presentation 😉🤝

Have you had something like this? 🙋‍♂️ I treat the whole body. I’m not just a spine doctor 😜 happy to help!

03/18/2026

The VMO is part of the quads and often a source of medial (inside) knee pain.

I’ve seen this 3 times in a fairly short time frame, and all youth athletes!! (Middle school-college)

The VMO (vastus medialis obliqus) is one of the four muscles that make of our QUADS. It looks like a teardrop, and is often referred as the teardrop muscle around the knee.

It attaches on the inside part of the patella and patellar tendon and acts to assist in kneecap stabilization through movement.

The kneecap travels through the patellofemoral groove, or it should 😉

It’s common to have muscular imbalances here where the kneecap is either getting pulled laterally (more common) or medially.

Most of the time, people need to strengthen the VMO. It’s often weak and then more easily strained or irritated.

So in the short term, I’d go after loosening the muscle to help ease tension and pain, then progress to stabilization around the knee and the HIPS!

You dealing with similar symptoms? My first look is above the knee at the quad muscles 👍

I help a lot of people with issues outside of the spine, and I’m happy to help you out. A lot of post-graduate training in rehab/soft tissue, so I’m not your in-and-out chiro 🤝

Address

400 S State St #250
Zeeland, MI
49464

Opening Hours

Monday	11am - 7pm
Tuesday	8am - 4pm
Wednesday	11am - 7pm
Thursday	8am - 4pm
Friday	9am - 1pm

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+16167412364

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http://www.visitwellness.co/

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