Chiropractic & Physiotherapy Clinic in Richmond Hill

If you experience low back pain and struggle to understand why, then this may help shed some light on your situation. Many of us have heard on television commercials about core strength or core training, but what exactly do these terms mean and why is there a push to strengthen our core muscles?
Let’s start off with defining core strength. This is not about getting a six-pack of abs or having a rock hard belly; core strength is about keeping your core muscles in shape as a preventative to injury.

Core muscles are the muscles that form around the trunk of the body. The more common core muscles include:

• Transverse abdominis: This is located under the obliques. It is the deepest of the waist muscles and this helps to keep the spine stable and protected.
• Internal obliques: These are located under the external obliques.
• Pelvic floor muscles: The pelvic floor is a hammock of pelvic floor muscles that connect the pubis bone at the front to the tailbone (coccyx) and sitz bones at the back.
• Multifidis muscles: This area is under the erector spinae (a group of 3 muscles that extend from the lower back to the neck) and runs along the vertebral column. These muscles rotate and extend the spine.

There are other core muscles that include: hip adductors, hip flexors, as well as the gluteus medius, minimus and maximus.

Weak Core Muscles And Reoccurring Back Pain

The abdominals are only a small portion of what makes up the core. Weak or unbalanced core muscles are often linked to severe back pain. Weak core muscles can also result in a loss of good posture and this means eventually there will be pain.

When core muscles are kept toned through core exercises, they stabilize the spine area, as well as the neck and shoulder. All movements originate from the center of the body so keeping these toned is crucial. Before you’re able to do any quick or powerful movement, your spine has to be stable and balanced from the core; if not, and it is weak, and a quick movement occurs, injury can occur. Core exercises develop functional fitness and this is highly beneficial to help with regular activities.

Weak Core Muscles And Back Muscle Spasms

When an individual has a weak core this can lead to the global muscles working harder than they should. Global muscles are large torque-producing muscles that produce a flexing motion. They act on the spine and the trunk without direct attachment. The global muscles are the rectus abdominis and the external oblique. So a weak core exerts pressure on the global muscles which results in regular muscle spasms.

If you have a lack of core development then this means you have a predisposition to injury. When core muscles are weak, putting them to work feels like hard work.  For example, it is easier to slouch than to sit straight – slouching weakens the core muscles. It also creates a shift in the natural alignment of the spine putting continuous pressure on the spinal column and all the core muscles surrounding it.  Before long, muscles become imbalanced (some over stretched and others shortened) and create deviations in the spine that produce chronic back pain

Developed core muscles help you react faster and stronger, and they allow your body distribute stress evenly and absorb shock effectively. In turn, your chances of back pain or injury are greatly minimized.

Developing Core Strength

In order to develop any muscle you have to use it. There are many exercises you can do, the best way to start is through bracing exercises.

Getting that perfect posture is very important. The more centered your spine is in relation to the rest of your body, the more erect you'll sit and stand. Strong lower-back and abdominal muscles help you to even sit at a desk all day. (If you sit several hours at a desk every day, try ditching your chair for a stability ball; sitting on this does wonders for developing and maintaining core strength.)

There is much more you can do to strengthen your core muscles. Chiro-Med Rehab Centre in Richmond Hill has qualified staff to help you regardless of whether you already have a back injury and need treatment or if you need advice on getting your core strength increased.

Chiro-Med Rehab Centre has a walk-in clinic conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill. Call 905-918-0419 for more information or to book a consultation.

The ancient Chinese healing practice of acupuncture was brought to the Western world by some of the first Chinese settlers to reach North America.  Treatment involves the insertion of tiny needles into the skin at precise acupuncture points all over the body.  This therapy does not involve the use of drugs, even though the effects can be much more powerful than that of drugs.  Richmond Hill acupuncture specialists can treat practically any type of ailment using this method, although one of the most common reasons people seek acupuncture treatment is for pain, most often back pain.

It may seem strange that inserting needles into the flesh can actually stop pain instead of causing it, but that is how acupuncture works.  The needles are made from high quality materials, usually stainless steel, but in some cases they may also be made from silver or gold.  They are designed to be ‘atraumatic’, which means that unlike a hypodermic needle, acupuncture needles do not have an angled cutting edge to slice through the skin.  Acupuncture needles are very thin, about as thick as a hair, with a rounded shape and pointed end that can slip easily into the skin without causing pain or bleeding.

Acupuncture is frequently used for the treatment of back pain, but other common uses include headaches, particularly migraines and joint pain.  Any type of chronic pain responds well to acupuncture.  Some Chinese surgeons even use acupuncture in place of anaesthetic drugs during surgery.  They simply insert the needles in the appropriate points and the patients lie awake throughout the procedure, pain-free and sometimes even able to get up and walk away from the operating table after the surgery.  Consult a Richmond Hill acupuncture professional today to learn how acupuncture can help you conquer your pain.

The spine is truly a marvelous set of bones, or more adequately stated, the vertebrae. The entire length of the spine provides protection, support and flexibility for your body. Interestingly, the average sized adult head weighs about 5 kilos or about 11 lbs., so the spine is supporting the equivalent of a bowling bowl.

The vertebra houses the spinal cord that is the nerve centre carrying millions of messages between the body and the brain. Nerves branch out from each vertebrae communicating with the various organs and parts of the body. A nerve irritation from spinal misalignment means that you are likely to feel the results elsewhere, such as sciatica or radiculopathy. Neck problems that affect a cervical nerve root can create symptoms such as pain in the arms and hands; and the lumbar (or lower back) nerve will send pain through the leg and to the foot.

Lumbar disc herniation or radiculopathy is a common problem that occurs when nerve roots are irritated or compressed; many people refer to this as sciatica. Actually, about 90 percent of all disc herniations occur in the lumbar region of the spine.

Causes

Getting older means that the discs in the spine generally lose their flexibility and this means the risk of injury increases. An accident, lifting an item incorrectly, being overweight and even smoking can attribute to disc herniations.

When injury occurs, the soft gel-like material inside the disc ruptures through the outer lining of the cartilage. Usually there is space between the spinal column and the discs but when a lumbar disc herniation applies pressure on a spinal nerve, and then there is trouble.

Symptoms

IIf there is pressure happening in the lumbar region, some symptoms include muscle weakness, numbness and sometimes pain. There can also be tingling. If a lumbar disc herniation puts a lot of pressure on the spinal nerves, then the symptoms will be felt more intense. Common body functions such as urinating, defecating, coughing, sneezing or laughing can heighten the pain of a lumbar disc herniation.

Diagnosing

Diagnosing lumbar disc herniation involves a variety of methods depending on which health professional you choose to visit. A health professional may test your coordination, reflexes, muscle strength and possibly even test your ability to feel sensations. In more severe cases, a spinal MRI, CAT scan or X-ray may be required in order to confirm the diagnosis.

Treatment And Management

Your health professional will work with you in order to develop a treatment plan that works best for you. Everyone is unique therefore an individual treatment plan must be catered to take into consideration the severity of the symptoms as well as your activity level.

A lumbar disc herniation can be treated with non-surgical options in about 90 percent of all cases. Some treatment options include the use of heat, the use of cold compresses, or physiotherapy.

Preventing lumbar disc herniation recurrence
can involve simple strategies such as:

• Maintaining and keeping a healthy weight
• Good posture at all times
• Bending the knees when picking up items
• Avoiding high heels
• Exercises that help to develop strength in the back muscles and in the abdominal area
• Reducing or eliminating smoking

Some patients suffering with lumbar disc herniations require surgical intervention but this is only when non-surgical treatments have not provided pain relief; but this is always as a last resort because surgery is invasive.

Chiropractic and physiotherapy treatment options are very effective and for most patients are recommended. Treatment may involve several visits but the results are worth it.

Spinal decompression therapy is another effective method to manage and/or eliminate pain. It's crucial that patients follow the treatment plan as explained by their health professional in order to maximize the end result which is elimination of pain and increased quality of life.

Treating and managing lumbar disc herniations can be successful when you follow the advice of a health professional. There is no need to suffer when there are many simple options available to you.

If you’re like most people you take vitamin C supplements. This prominent vitamin is promoted for its antioxidant power and role in the support of maintaining a healthy immune system. Did you know that nutrition research into vitamin C has found that it has an important role in forming bone and in bone protection?

Vitamin C is active throughout our body. It strengthens the capillaries and cell walls, and it is crucial for the formation of collagen (a protein found in connective tissue and helps to keep the skin looking healthy). Vitamin C also helps to prevent bruising, promotes healing, and keeps ligaments, tendons and gums strong. It also aids in producing hemoglobin in red blood cells and vitamin C helps our body absorb iron from the foods we eat. This incredible vitamin has also been proven to minimize cold symptoms, has treated asthma, prevents cataracts and offers protection from degenerative diseases such as cancer and heart disease.

This vitamin is not made or stored in the body therefore it must be ingested daily. If you feel you’re not consuming enough of this essential vitamin through diet then taking supplements is very important. There are many factors that go into how much vitamin C needs to be ingested by an individual such as age, weight, gender and lifestyle choices.  There are disputes as to how much should be taken daily so it’s best to speak with a qualified health professional as to what is best for you. (If you have kidney stones, kidney disease or hemochromatosis then you must speak to your health professional before taking supplements.)

So where does this vitamin fit into chiropractic care? This vitamin has a protective role for bone health. I read in a journal a while back that 1,000mg of vitamin C along with 400 IU of alpha-tocopherol could be used in preventing or assisting in the treatment of bone loss and osteoporosis.

There was a study conducted a few years back (Vitamin C supplement use and bone mineral density in postmenopausal women, DJ Morton et al.) in which the findings were encouraging. Women who used vitamin C supplements for an average of 12 ½ years with calcium appeared to have a beneficial effect on levels of bone mineral density.

Vitamin C deficiency is a serious problem in the elderly and is an under-diagnosed contributor to degenerative disc disease. Once this problem starts, accompanying tissue degeneration occurs as well if left untreated.  This is where vitamin C treatments become necessary for collagen synthesis. Getting on a regimented vitamin supplement program and eating lots of fresh vegetables and fruits earlier in life can help avoid this disease.

Far too often the mineral aspect of bone health is what we read about yet the organic matrix is an essential aspect of bone quality. Collagen makes up 90 percent of the organic matrix of bone. Our bones are made up of a lot more than just calcium. (In fact, calcium alone cannot keep bones healthy; it needs magnesium and D3 as well in order for the calcium to be absorbed into the bones.)

Smoking is a huge factor in breaking down bone mineral density. Unhealthy lifestyle choices aren’t just factors in the breakdown of health, they also work against bone health.

Micronutrients such as phosphorus, fluoride, magnesium, sodium, and vitamin C have a critical role in maintaining bone health (as well as calcium and vitamin D3). Taking supplements without the advice of a qualified health professional means you may be causing some harm to your body without even realizing it. The professional staff at Chiro-Med Rehab Centre can help you.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for over half a decade. Chiro-Med Rehab Centre has qualified professionals who can help you come up with a personalized plan to ensure the long term health of your bones, skeletal system and over all well-being. They have clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235.2620 for more information.

A concussion is a mild traumatic brain injury. Concussions can occur as a result of a blow to the head or after a whiplash-type injury. Some concussions may appear mild in their initial presenting symptoms but medical attention and evaluation is always recommended. Concussions can happen to anyone but for those who participate in sports, are at increased risk.

Concussion Symptoms

Symptoms typically vary depending on the injured person. It is a misnomer that all people will experience a loss of consciousness, only some do. Concussions affect everyone differently. Some experience symptoms right away, others may not develop symptoms for hours, days and in some cases, months following the injury.

Some signs of a concussion include:

• loss of memory
• slight to severe confusion
• drowsiness
• dizziness
• blurred vision
• headaches
• nausea (vomiting)
• sensitivity to light
• sensitivity to noise
• inability to balance properly
• slow reaction times

Baseline Testing

This is specialized testing that is conducted on athletes by a trained health care professional prior to the start of the sports season. Baseline tests are structured to assess an athlete's:

• cognitive abilities (memory, concentration, problem solving)
• strength
• proprioception (balance & co-ordination)
• reaction time skills

The results of this baseline testing are put in the athlete's file and during the sports season should there be a suspected concussion then the pre-season results are compared with the athlete's current state. Baseline testing generally takes place during the pre-season before the first practice.

How is Baseline Testing Information Used?

Should an athlete sustain an injury no matter how mild and a concussion is suspected, results from the baseline test can be referred to in order to better identify the effects of the injury. Comparing post-injury test results to baseline test results not only better assists qualified health care professionals in identifying the effects of the injury but it helps them immensely in making a confident and informed decision as to whether or not the athlete can resume playing. This is critical information to have so that the athlete does not resume play while suffering with concussion symptoms.

Frequency of Baseline Testing

When baseline testing is used, research states that this is a procedure that should be repeated once a year to establish valid test results for comparison. However, if an athlete has sustained a concussion there may be the need to have frequent neuropsychological testing to be on the safe side.

Components of Baseline Testing

A thorough baseline test must include a check for concussion symptoms, as well as cognitive, balance and strength assessments. Neuropsychological tests may also be included to better assess an athlete’s concentration, memory, and reaction time.

During the baseline pre-season test qualified health care professionals should be asking about any prior history of concussions. What is also very important is asking the athlete if there are any medical conditions that may affect recovery from a concussion such as mood disorders, anxiety, depression, history of headaches or migraines, learning disabilities or ADHD.

Chiro-Med Rehab Centre provides reliable baseline concussion testing with staff who are experts in interpreting test scores and analyzing data.

Baseline testing is a critical tool for anyone who likes to engage in sports on a regular basis. Not only does this test help in diagnosing a concussion but in the person's ability to safely resume playing their sport.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for over half a decade. Chiro-Med Rehab Centre has qualified professionals who can help assess you if there is a suspected concussion and complete pre-season baseline tests. We have clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Orthotics are shoe inserts that fit inside shoes and other footwear and are designed to support the feet as well as recreational activity such as walking, running, jogging, and much more. Custom orthotics are personalized to fit a specific person, and should always be worn once someone starts using them. They provide constant support to a foot's heel, muscles, arch, tendons and ligaments. Walking can be very enjoyable when the proper support is there.

It is common to experience mild discomfort for the first couple of weeks when starting to wear orthotics. Rest assured that this is normal, and this is caused due to the body readjusting to a new and healthier gait (walking pattern). In fact, mild discomfort is a positive indicator that your orthotics are doing their job!

Who Can Use Custom Orthotics?

Anyone from children to the elderly can wear custom orthotics. The use of orthotics is not age dependent and can benefit people of all ages. Custom orthotics help alleviate foot pain, joint pain, arthritis and various injuries. They are also used in a corrective capacity (orthopedic correction), correcting uneven leg lengths.

Some people worry that custom orthotics may reduce their muscle tone. This is not the case. Custom orthotics will actually help position your foot properly so you will be using the right muscles at the right time. This in turn will help to minimize fatigue and will allow your muscles to be used more efficiently.

How Custom Orthotics Are Made

The first step in making custom orthotics is to analyze a person's gait and feet. A person's gait is analyzed using the Footmax Metascan system. The Footmax System is a cutting-edge patient assessment tool, whereby patient data is recorded and then analyzed by proprietary diagnostic software called Metascan. This diagnostic software then generates a detailed gait report.

Once this is done our professionals analyze the data and determine the type of custom orthotics needed by the patient.

Symptoms And Treatment

Custom orthotics can help out with the following conditions and symptoms:

• Achilles Tendonitis (tendonitis of the Achilles tendon)
• Ankle Pain
• Bunions (often mistaken as enlarged bones around the big toe)
• Fallen Arches
• Flat feet (collapse of a foot's arch)
• Hammer Toes (deformity of a toe's joint, causing it to be bent)
• Headaches
• Hip pain
• Knee pain
• Low Back Pain
• Medial Tibial Stress Syndrome (also known as shin splints)
• Metatarsalgia (a painful foot condition that affects the foot's forefoot region)
• Neck Pain
• Painful Feet
• Pes Cavus (a foot with a high arch, the opposite of "flat foot")
• Plantar Fasciitis (a painful inflammation of the connective tissue on a foot's sole)

Where To Get Custom Orthotics

Custom orthotics that are specifically made to your particular situation are available from Chiro-Med Rehab Centre. Chiro-Med Rehab Centre has the experience and expertise needed to effectively assess and treat conditions that can be alleviated with the use of custom orthotics. Take the first step and call us today to book your appointment for custom orthotics.

Crepitus, sometimes referred to as crepitation, is the grinding, creaking, cracking, grating, crunching, or popping sounds that often takes place when moving a joint. The sound may be loud or soft but this is not indicative of the degree of pathology. Most people have experienced crepitation as this can happen at any age, however it becomes more common as people get older. For something that's obviously quite common, what exactly is happening to make these sounds?

Gas can build up in areas of the body in which it surrounds a joint and this allows tiny bubbles to form in the synovial fluid. The knee is the most common area in which this occurs. Most of us have experienced a knee making a popping, cracking or snapping sound and when this happens some of those tiny bubbles burst and ligaments make those sounds. In fact, the cracking is the sound of gas being released from the joint, an action called cavitation.
Crepitus can also occur as a result of damaged cartilage and bone caused by arthritis. Injuries can also be the antecedent to crepitus developing.

Crepitus in the Knee

As mentioned above, crepitus in the knee is quite common and for the most part, painless; it is very much a part of who we are. However, when pain accompanies this popping sound then it may indicate there could be a problem.
Knee crepitus is a common symptom of osteoarthritis. It may also be a symptom of rheumatoid arthritis. However, if you have ever experienced a knee injury this may be the antecedent of painful crepitus.

Cracking sounds may also occur when cartilage rubs on the joint surface when the knee joint is in motion. This usually occurs when the cartilage is thin and worn out.

Knee injuries such as meniscus tears are somewhat common among those who run, jog or play sports that require a lot of knee use. A meniscus tear can cause crepitus.

If an individual has scar tissue or a tendon passing over a protuberant bony fragment this many also cause the knee to make cracking sounds. In these and all scenarios listed above, crepitus may be more frequently experienced while climbing staircase, or after sitting for a prolonged time with the knees crossed.

Sometimes a person may hear a grating sound accompanied with pain when their knee is moved. This is not crepitus, in more cases than not this is when an individual has a condition known as patellofemoral pain syndrome; this is also referred to as “runner's knee”.

Crepitus and Arthritis

Osteoarthritis is quite common in Canada and this type of arthritis is often referred to as “wear and tear” arthritis. Although the knees are commonly affected, this type of arthritis also affects weight-bearing joints such as the ankles and hips.

Mechanical stress slowly breaks down the cartilage that cushions the knee which in turn causes inflammation and pain. When crepitus is accompanied by pain, it’s usually caused by osteoarthritis.

Knowing that osteoarthritis and other inflammation conditions are so common it is really important that we all focus on prevention. If you are an individual who has crepitus, even though it does not cause pain, then trying to avert this normal condition transforming into a problem later in life is important.

Some people are not sure if they have arthritis in the knee. If crepitus is causing you a lot of pain this is one possible symptom. If there is pain while walking, occasional swelling of the knee, or stiffness then this is another warning.

The most common initial location of arthritis in the knee is on the inside of the knee. Seeking chiropractic assistance can help you with a proper diagnosis.

If crepitus is not causing you pain then prevention is important. To help prevent this (or lessen it) here are some helpful tips:

• Exercise,
• Lose excess weight,
• Eat healthy avoiding as much sugar as possible,
• Massage,
• Safe topical pain remedies,
• Chiropractic care.

Treatment of Painful Knee Crepitus

As mentioned earlier, cracking and popping sounds with no associated pain should not cause you to worry. Be sure to engage in conditioning exercises to help strengthen the muscles and joint. If there is associated pain with these sounds then be sure to seek help from a qualified health professional.

For more information about crepitus and how chiropractic care can help if it is causing you pain please give Chiro-Med a call. Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for a decade. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

Spring has arrived and with it, the heightened desire to get into the garden to start planting. The warmth of the sun, the freshness in the air and seeing new growth coming up every day inspires most people to get into their gardens.

This article is going to provide you with some useful spring gardening tips that come from two angles. First of all, let’s discuss some ideas on what to plant that can benefit your health.

Edible Gardening

You may have heard the term edible gardening, more and more people are turning to their gardens as a source of fresh herbs and food. If you have the space to grow vegetables, then it makes sense. Even if you live in an apartment or have limited space, container gardening is very popular and can keep you eating fresh healthy greens all summer long.

Don’t know what to plant? Here are some quick tips to help you decide.

• Grow what you like to eat. If you like beets, then growing these from seed is easy (remember, beet leaves are also very nutritious to eat).
• Be sure to grow herbs or vegetables that are well-suited for this area.
• We live near Ontario’s salad bowl, the Holland Marsh. Fresh produce (especially carrots and onions) is available from the farmers there at very affordable prices; so choose other produce to grow.
• Get a soil pH kit from a nursery and do a little homework in order to be successful. Vegetables thrive in a variety of soils and trying to grow alkaline veggies such as endive, cucumber or leeks in acidic soil is going to set you up for failure. (This chart is a reliable source to learn what is acidic and what is alkaline.)
• Also be sure to do some homework in regards to sunlight. Where you plan on gardening, is it full or part sun? Some veggies do not thrive in full sun – and some prefer cooler temperatures and do best in early spring or late summer (i.e., peas, some lettuces).
• If you choose to grow in containers, remember to keep in mind that you will have to replenish nutrients often into the soil because container gardening removes nutrients at a much more rapid rate than in the ground.
• Google companion gardening; for example, marigolds help tomatoes stay pest-free while growing.

By planting an edible garden, your body will reap the goodness of all the vitamins, minerals, enzymes and nutrients that you can’t get from store-bought produce.

So, now you have an idea about what to garden, now to start. If you have any health ailments please be sure to speak to your health professional. Getting into the garden may seem like a simple task, but if you suffer from an injury or have arthritis, then you may be facing some challenges. For example:

• Hauling in fertile soil to start container gardening, or manure to help richen the earth with nutrients can be strenuous work. Know your limitations and when to seek help from a friend or family member. Lifting heavy weights or shoveling earth into a wheelbarrow must be done carefully. Always keep the knees slightly bent and always use your legs to lift; never use your back to lift.
• Always try to find ways to make gardening much easier on your body; after all, gardening is physical work. If on your knees a lot, be sure to cushion your knees if you suffer from sore knee joints.
• When container gardening, arrange your containers where you want them to be, then fill them up with earth.
• Always be sure to play it safe; never leave your rakes or other garden implements on the ground. If you forget about them, you could end up tripping over them and hurting yourself.
• If it is hot out, know your limitations. Drink lots of water and take breaks.
• If you have arthritis or any other health issue, be sure to use garden tools that will help you such as long-handled tools. These will allow you to stand so you can avoid stooping over.
• Let your stronger joints do the work whenever possible. Even when something may not be that heavy to lift, instead of using your fingers, use the flat palm of your hand or your forearms to lift. Keep the lifted items close to your body as you carry them. Stand or sit with good posture while you work; and change positions often.

There you have it! Comprehensive spring gardening tips you’ll find valuable. If you have arthritis or painful joints from an injury, and are not sure about gardening, give Chiro-Med Rehab Centre a call. Chiro-Med Rehab Centre has a walk-in clinic conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill.Call 905-918-0419 for more information.