Chiropractic & Physiotherapy Clinic in Richmond Hill

Vertigo is a condition in which you feel dizzy or off-balance, as if you or your surroundings are swaying, spinning or moving. This can be a temporary or long term condition that affects men and women of all ages but is most common among the elderly.

Causes of Vertigo

The vestibular system (a tiny grid of fluid-filled sacs and tubes) is an organ in our ears. There are two identical vestibular systems located in each ear. As we move around the liquid in the tubes also moves and our nerve cells read the levels. This information is transmitted to the brain which calculates which way is down and what should be horizontal.

Balance problems originate in the vestibular system so those who are afflicted with frequent vertigo are said to have vestibular disorder.  Balance problems may be associated with the loss of hearing or ringing in the ears. Changes in our brain may trigger vertigo as well.

Major causes of vertigo include:

• Benign paroxysmal positional vertigo: This can be triggered by moving your head into a certain position or a simple movement of the head. BPPV is the most common form of vertigo.
• Calcium deposits in the ear canal can become dislodged causing vertigo.
• Head trauma: Those who have experienced a massive hit to the head can experience damage to the inner ear which can trigger vertigo.
• Labyrinthitis: Bacterial infections in the middle ear that are left untreated can also cause vertigo and possibly even hearing loss.

Some antibiotics have been known to damage the vestibular system due to high doses or with prolonged use. Acetylsalicylic acid, caffeine, alcohol, sedatives, and tranquilizers can cause temporary dizziness but generally do not cause permanent damage.

Vertigo Symptoms

Vertigo is the main symptom of a balance disorder. If you close your eyes and feel as though you are falling or you are spinning then this is vertigo. Severe vertigo can impede your ability to walk and make you feel nauseous.

The vestibular system is linked to the brain's movement centre and to the eyes, and when there are problems with this system then vision can be affected. In addition, there may be aching muscles in the neck and back.

Other symptoms people experience during episodes of vertigo include memory problems or struggling to read. Often people find vertigo tiring, so much so they have to rest. Symptoms can last from a few moments to hours.

The symptoms of bacterial labyrinthitis are typically an ear infection followed by a significant loss of hearing and extreme vertigo which can last for weeks.

Dealing with or Avoiding Vertigo Triggers

There is plenty a person can do to help themselves if they are prone to experiencing vertigo. Avoiding alcohol, cigarettes, fried foods and excessive salt can trigger vertigo.

Vitamin B6 and ginkgo biloba may help in reducing vertigo. If an individual has a blood sugar imbalance then chromium may help ease the effects of vertigo. Also, getting lots of exercise, meditation, and sufficient sleep all go a long way to treating vertigo.

Also, a chiropractor can develop an appropriate program specifically tailored for you to help treat vertigo.

Vertigo and Chiropractic Care

If you suffer with vertigo and are searching for help then consider chiropractic care. Even if you’ve not experienced any neck or head trauma then the symptoms you’re experiencing may be the result of an upper cervical joint dysfunction.

This form of treatment is not for everyone who has vertigo; some individuals may not respond well to this but a chiropractor is the best person to determine this.  There are some exercises that just may work but again, a chiropractor can determine this.

Treating BPPV

Treatment of benign paroxysmal positional vertigo dizziness is simple, but must be done in a precise manner, determined by which canal is filled with debris. Careful testing is done first to determine how much debris and where it lays. Once treatment is completed there may be some level of discomfort and it is generally recommended that patients do not drive themselves home.

If you are experiencing persistent vertigo it’s best not to take chances. Call Chiro-Med Rehab Centre.

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 stretches and exercises will benefit the health of your head, spine and extremities. 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.

Fibre is something that most people realize they need a lot of, but the science behind fibre is not that commonly known. Also known as bulk or roughage, fibre is the indigestible part of plant foods that travels through our digestive system, absorbing water along the way and easing bowel movements.

Without a doubt, fibre is essential for our digestive health and regular bowel movements. Fibre also helps us to feel fuller, longer; it can improve cholesterol and blood sugar levels and can assist in preventing some diseases such as diabetes, heart disease and bowel cancer.

Soluble and Insoluble Fibre

You may have heard of the terms soluble fibre or insoluble fibre. These are words that are sometimes used to describe the types of fibre in our diet. Although food scientists argue that these terms are no longer really appropriate, these terms are being used. Technically, soluble fibre includes pectins and beta glucan and insoluble fibre includes cellulose. What's important to remember is that fibre-rich foods typically contain both types of fibre.

Beta-Glucan

One type of fibre that has received well-deserved attention lately is beta-glucan, a glucose polymer found in the cell walls of many cereals (e.g., oats, barley), certain types of mushrooms, yeasts, seaweed, and algae. Among these sources, barley typically has the highest beta-glucan content and oats the second highest.

Beta-glucan have been the subject of intensifying research because they have been found to have beneficial roles in lowering insulin resistance and blood cholesterol, reducing the risk of obesity, and boosting the immune system to help thwart off many diseases including cancer.

According to an article in Today's Dietician (online version), some studies suggest that a boost in immunity occurs from consuming oat beta-glucan; however, most of the beta-glucan research on immunity has been done on mushroom extracts, not oats or barley.

Beta Glucan in Mushrooms

Medicinal mushrooms, especially Coriolus versicolor (also known as Trametes versicolor or “turkey tails”), have commonly been used worldwide for centuries. In the 1980s, the Japanese government approved the use of protein-bound polysaccharide (PSK), a beta-glucan compound found in not just Coriolus versicolor, but many wild and cultivated mushrooms for treating several types of cancers and for widespread use in cancer immunotherapy. Instead of directly killing cancer cells, these mushroom beta-glucan are thought to stimulate immune responses that damage cancer cells. However, because PSK is bound to a protein, pure beta-glucan that have been separated and purified may act differently than beta-glucan from food.

Many mushrooms, including the common store-bought button mushroom (Agaricus bisporus), contain beta glucan. However, the percentage in cultivated mushrooms is small compared to wild mushrooms. Some wild mushrooms include:

• Reishi (Ganaderma lucidum)
• Shiitake (Lentinula edodes)
• Cordyceps (Cordyceps sinensis)
• Turkey Tail (Trametes versicolor)
• Chicken of the Woods (Laetiporus sulphurous)
• Maitake (Grifola frondosa)
• Birch Polypore (Piptoporus betulinus)
• Porcini (Boletus edulis)

Lupus, Multiple Sclerosis, Allergies and Rheumatoid Arthritis

In stimulating the immune system beta glucan are highly unique, because other agents that stimulate the immune system can push the system to over-stimulation, which means that they can make matters worse in the case of auto-immune illnesses such as lupus, multiple sclerosis, rheumatoid arthritis, and allergies. Beta-glucan, however, do stimulate the immune system, but never to the point where it becomes overactive.

MRSA

Commonly called the superbug, MRSA (methicillin-resistant Staphylococcus aureus), is a bacterium that can cause serious infections. It is resistant to most antibiotics making it very difficult to treat.

Beta glucan can help to defend individuals against bacterial infections picked up in hospital, particularly nosocomial infections, E. coli and S. aureus bacteria.

Glucan, Glucans, or β-Glucans?

When researching beta-glucan there are three different terms used to describe beta-glucan. Which is correct? According to Dr. Vaclav Vetvicka, the President of the International Society for Glucan Research, glucan, glucans, or β-Glucans is pretty much all the same.

Research

At the time of writing this article (November 2019), the Memorial Sloan Kettering Cancer Center in New York City was studying vaccine therapy with beta-glucan in hopes that it may be an effective treatment for high-risk neuroblastoma in children.

Betaglucan.org is a website that focuses on the study of beta-glucan in baker's yeast.

Dr. Vaclav Vetvicka, Ph.D., Professor of Pathology & Laboratory Medicine at the University of Louisville, specializes in studying the effects of beta glucan as natural immunomodulator. His website is glucan.us.

How Much Beta-Glucan Do We Need?

According to Health Canada's website, it is recommended that we get 2 to 10 grams of beta-glucan every day. Health Canada says that beta-glucan:

• Helps reduce/lower (LDL) cholesterol (which is one risk factor for the development of coronary heart disease)
• Provides support for healthy (postprandial) glucose metabolism (within two hours after a meal).
• Helps improve (postprandial) glucose metabolism (within two hours after a meal).
• Source of fiber for the maintenance of good health.
• Helps support and maintain a healthy digestive system.

If you want to integrate beta-glucan into your diet and need assistance determining how much you need, or, if you have any health ailment in which you think beta-glucan may help, we have qualified health professionals who can help you.

Established in 2007 by Dr. Behalf Sanjari, Chiro-Med Rehab Centre has a proven record of commitment providing quality health care services in the Greater Toronto Area. Chiro-Med Rehab Centre has qualified professionals who can provide the services you need. Chiro-Med has clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

The human foot is truly remarkable as it contains a combination of 112 ligaments, 33 joints, 26 bones and a vast network of nerves, tendons and blood vessels that work hard when you run. Before considering to go out jogging or to take up running, it is very important to make sure that your feet are in good working order because the balance, support, and propulsion of a running body depends on the foot.

Before starting to run, there are some things you can do before you hit the pavement to ensure your running experience will be an enjoyable one. Before getting into the helpful hints, what needs to be said is to hydrate before you run or jog – this is very important.

First of all, are your running shoes appropriate? Your choice of footwear needs to be determined based on your foot structure, your weight, how your feet function and where you run. If you are flat footed when you run, or if you run on the balls of the feet, then an orthotic device should be considered. The shoes should provide shock absorption.

Next, proper foot hygiene needs to be practiced. Be sure your feet are kept dry with appropriate socks and powdered. This is especially important if you have blisters. Getting into the habit of powdering will help to keep athletes foot at bay.

Thirdly, start off slow. Jog for two minutes, then walk fast for five minutes then jog for two minutes, and repeat. If your muscles are feeling stiff, then walk. As the days go by, increase the jogging time 30 to 60 seconds at a time until you are jogging for five, fast walking for five. Keep increasing this and diminish the walking time until you are comfortable with just jogging or running. Be sure to make adjustments for weather conditions; the hotter and more humid it gets, lessen your running time.

The fourth hint is a big one – stretch! Before starting any exercise program and this includes running or jogging, proper stretching is important. When the muscles are properly warmed up then the strain on tendons, joints and muscles is significantly reduced. Walking for 5-10 minutes before stretching is what many joggers and runners do first, and then they stretch for 5-10 minutes. It’s important to remember that stretching is not pulling or bouncing.

Three recommended stretches are:

• Wall push-ups. Stretch one leg at a time by standing a metre away from the wall. Rear leg needs to be straight with the front leg bent as the hands touch the wall. Heels on the ground at all times. Hold the stretch for twenty seconds, and then bend the back leg and hold for twenty seconds, switch legs and repeat three times.
• Stretch the hamstring. Straighten the right leg, place it, with the knee locked, on the curb or other item that is the same height. Squeeze your quadrieps muscle (front thigh) and point your ankle and toes up towards yourself. Hold for twenty seconds. Switch sides and repeat three times.
• Stretching the lower back. Lie down on a firm surface. Bring both knees to your chest and hold for twenty seconds. Repeat this five times.

Last but not least, there is one more thing to consider before taking up jogging or running. Your feet are very important, so visiting a health professional before starting an exercise program may save you a lot of aggravation down the road. A health professional will examine your feet and identify any potential problems. This preventative measure can save your feet from unwarranted injuries.

Chiro-Med Rehab Centre has health professionals on staff who are fully qualified to assess your feet and provide custom orthotics if needed. Conveniently located in Richmond Hill, Chiro-Med Rehab Centre has a walk-in clinic at 10144 Yonge Street, just north of Major MacKenzie Drive. Call 905-918-0419 for more information.

Our sleeping position(s) can have a major impact not only on the quality of sleep, but on overall health as well. Poor sleeping positions could potentially cause back and neck pain, impaired circulation, headaches, and even premature wrinkles.

For young adults and healthy people, the sleep position is not as important as when we get older or have medical issues. With age, or those with medical issues, the sleep position can make or break a good night's sleep. In addition to the sleep position, it goes without saying that the mattress quality and choice of pillow is really important to a good nights sleep. Let`s begin with these basics before discussing positions.

Choosing a Mattress

According to the Medical Centre at the University of Rochester, there’s little scientific research that exists on which mattress is best for maintaining a healthy back let alone for those with back issues. In reality, the mattress that's best for you allows you to wake up feeling fully rested and free of pain or soreness. Unfortunately when we shop for mattresses testing them in a showroom can be a different experience from actually sleeping on it permanently.

If you sleep with a partner, the bed size must allow enough space for both individuals to move into a comfortable sleeping position. Mattresses should be replaced about every ten years. If you have a back problem, ask a qualified healthcare provider or physical therapist to recommend the type of mattress that would be best for you.

Pillows

Depending on your sleeping position, multiple pillows can help keep your spine in the proper position. The pillow for your head should support the natural curve of your neck and be comfortable. A pillow that's too high can put your neck into a position that causes muscle strain on your back, neck, and shoulders. Choose a pillow that will keep the neck aligned with the chest and lower back and it should be adjustable to allow you to sleep in different positions. Pillows should be replaced every one to two years.

Proper Body Alignment

Regardless of your sleeping position, try to keep in mind that it is important to keep your ears, shoulders and hips aligned.

If you sleep on your back then you are part of a small minority. Apparently it is estimated that only 8 percent of people sleep on their backs. Sleeping on the back is by far the healthiest option for most people, because it allows the head, neck, and spine to rest in a neutral position. However, it can cause the tongue to block the breathing tube, making it a dangerous position for those who suffer from sleep apnea. This position can also induce heavy snoring. It is recommended that when sleeping on the back, that a small pillow be placed under the back of the knees because this will reduce stress on your spine and support the natural curve in your lower back. If you suffer from osteoarthritis or any other ailment that affects your knees, this will also help to provide you some relief. The pillow for your head should support your head, the natural curve of your neck, and your shoulders.

Although sleeping on the stomach is good for low-to-no-snoring, it’s bad for practically everything else. Seven percent of adults tend to be stomach sleepers, but this can lead to back and neck pain, unless pillows are strategically placed to provide support. Stomach sleepers put pressure on their muscles and joints, possibly leading to numbness, tingling, aches, and irritated nerves. Sleeping on your stomach can create stress on the back because the spine can be put out of position. Placing a thin pillow under the stomach and pelvic area can help to keep the spine in proper alignment. If you sleep on your stomach, a pillow for your head should also be thin, or if you can manage it, sleep without a pillow.

Sleeping on your side (with your torso and legs being relatively straight) helps the spine to remain elongated therefore warding off back and neck pain. A big plus is that you're less likely to snore in this position because it keeps the airway open. For that reason, this is the best choice for those with sleep apnea. Sleeping on the side has one downside, it can lead to wrinkles, because half of your face pushes against a pillow. A firm pillow between the knees will prevent the upper leg from pulling the spine out of alignment if you sleep on your side. It also helps to reduce stress on the hips and lower back. Bring your knees just slightly toward your chest.

Almost fifty percent of people prefer to sleep in the fetal position. If you are pregnant then this is a good position because it improves circulation in your body and in the fetus. This position is also good for snorers; however, a tight fetal position can restrict breathing in the diaphragm. It can leave you feeling a bit sore in the morning, particularly if you have arthritis in your joints or back. Try to prevent these problems by straightening out your body as much as you can, instead of tucking your chin into your chest and pulling your knees up high. You can also reduce strain on your hips by placing a pillow between your knees.

Most important of all, when changing positions in bed try not to twist or bend at the waist but to shift your entire body. Keep your stomach pulled in and tightened and bend your knees toward the chest when rolling over. This will be a tough one to remember considering when we move we are in a slumber-state or fast asleep.

If you simply cannot find that perfect sleeping position and are experiencing sleep-related pain, then a qualified health professional can help.

Established in 2007 by Dr. Behalf Sanjari, Chiro-Med Rehab Centre has a proven record of commitment providing quality health care services in the Greater Toronto Area. Chiro-Med Rehab Centre has qualified professionals who can provide the services you need. Chiro-Med has clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Meidal epicondylitis, or more commonly referred to as golfer's elbow, is actually a similar injury to tennis elbow only it affects the inside area of the elbow. Golfer's elbow is commonly experienced by those who 'throw' and with golfers hence the nickname. Sometimes golfer's elbow is also referred to as flexor pronator tendinopathy; this elbow pain is seen in tennis players who use a lot of top spin on their forehand shots.

Overuse injuries of the elbow are especially common among athletes. Any sport that subjects an athlete to repetitive elbow flexion-extension or wrist motion can cause these syndromes. This is a condition that can occur at any age; interestingly it is commonly seen in patients between 40 and 60 years of age.

Causes Of Meidal Epicondylitis

The common name of golfer's elbow suggests a cause; however you do not have to play golf to develop meidal epicondylitis. In fact, golfer's elbow is more commonly seen in people who do not play golf. Activities involving repetitive wrist flexion against resistance, forceful, or repetitive gripping of the hand is typically how this develops.

These activities may include manual labour as well as sports.
Some activities include:

• Body building or weight lifting
• Wood working or carpentry
• Hammering
• Painting
• Bricklaying
• Repetitive use of a screwdriver
• Sewing
• Knitting
• Working at a computer
• Golf
• Tennis
• Badminton
• Gymnastics
• Water skiing
• Squash

Patients usually develop this condition following a sudden increase in activities that place stress on the forearm flexors or due to a change in activities. Less frequently, this condition can develop suddenly. This is usually due to a forceful movement that involves a gripping force through the arm or heavy lifting.

There is an increased likelihood of getting meidal epicondylitis if the patient has a history of shoulder, elbow, wrist or neck injury.

Symptoms Of Meidal Epicondylitis

As a rule, golfer's elbow symptoms usually develop gradually over a period of time. Initially, symptoms may be a mild ache that follows an aggravating or unaccustomed activity. This ache may also be felt first thing in the morning following an activity. Patients with meidal epicondylitis usually experience localized elbow pain about 1 to 2 cm down from the bony lump on the inner aspect of the elbow. This pain tends to increase when firmly touching this area. Occasionally, the pain may shoot into the forearm.

In less severe cases patients may only experience a minor ache. In more severe cases, the pain can be quite excruciating and can prevent the patient from sleeping at night. Usually pain is experienced as an ache that increases to a sharper pain as activity level increases. Occasionally, golfer's elbow can be associated with shoulder, upper back or neck pain on the same side

Patients with golfer's elbow often experience an increase of pain during everyday activities including simple tasks such as picking up a cup, turning a handle, opening a jar, shaking hands, carrying groceries or even turning the steering wheel of a car. Elbow stiffness is generally worse first thing in the morning.

Meidal Epicondylitis Treatment

Most cases of meidal epicondylitis are treated with appropriate physiotherapy. This includes a thorough assessment by the physiotherapist to determine exactly what factors have contributed to the development of this problem so that prevention is taken into account.

Our Richmond Hill Chiropractic, Massage Therapy and Physiotherapy centre can help diagnose and treat meidal epicondylitis. Physiotherapy focuses on evaluating, restoring, and maintaining physical function – this is why so many people choose Chiro-Med Rehab Centre in Richmond Hill.

The Chiro-Med Rehab Centre has the necessary knowledge and expertise to start you on the road to recovery today. As professionals we can recommend the type of treatment needed and effectively implement that treatment, getting you back up and running into your routines in as little time as possible!

Piriformis syndrome is a condition where the piriformis muscle (located in the hip) compresses and irritates the sciatic nerve. This results in pain, numbness and general discomfort in the buttocks, lower thighs, legs and lower back (this pain is often referred to as "sciatica"). The sciatic nerve starts in the spine and runs down the back of a person's leg.

The piriformis muscle helps with the lateral rotation of the thigh, and is instrumental for walking since it shifts the body weight to the other side of the foot that is being lifted, thereby keeping a person from falling over.

Causes Of Piriformis Syndrome

Piriformis syndrome can be caused by:

• Inactive gluteal muscles
• Prolonged external rotation of the hip, resulting in the shortening of the piriformis muscle (e.g. when a person sits with their hips flexed for extended periods of time)
• Overuse injury resulting from activities that are performed in the sitting position along with strenuous use of the legs (e.g. rowing, bicycling or sculling)
• Repetitive forward movements that lead to weak hip abductors, tight adductors and a resultant shortening and contraction of the piriformis muscle
• Overpronation of the feet, where a person initially makes contact with the ground on the lateral side of the heel while walking or running

When sciatica occurs and there is no clear spinal reason for the pain then piriformis syndrome is often considered as a possible diagnosis.

Symptoms And Diagnosis Of Piriformis Syndrome

Sciatic pain (sciatica) in the buttocks, thighs and lower legs is the predominant symptom of piriformis syndrome.

Diagnosis is clinical in nature, and relies upon the determined exclusion of other causes of sciatica. Physical examination consists of stretching the piriformis muscle in an attempt to provoke sciatic nerve compression. Types of maneuvers used are the Freiberg, Pace, and FAIR (flexion, adduction, internal rotation) exercises. Conditions that these exercises rule out (as the cause of sciatica) are herniated
nucleus propulsus (HNP), stenosis, facet arthropathy and lumbar muscle strains.

MRI, CT, ultrasound, EMG scans and magnetic resonance neurography (an imaging technique) can also be used to exclude conditions that result in sciatica.

Treatment Of Piriformis Syndrome

Our Richmond Hill Chiropractic, Physiotherapy and Massage Therapy center can help treat piriformis syndrome via:

• Proper stretching exercises and massage therapy that targets the piriformis muscle as well
  as the hamstrings and hip muscles
• Physical therapy, designed to strengthen the core muscles involved (e.g. abdomen, back, etc.)
  thereby reducing strain on the piriformis muscle
• Teaching you how to perform these exercises yourself
• Ice and heat therapy
• Ultrasound therapy
• Gait correction (teaching you proper walking and running techniques)
• Custom orthotics, used for both treatment and prevention

Piriformis syndrome is a debilitating condition that results in pain and discomfort, reducing a person's quality of life by limiting their physical activities.

Fortunately there are things that can be done to treat and prevent this condition.

Chiro-Med Rehab Centre has the necessary knowledge and expertise to start you on the road to recovery today. Try our services: we will have you back on your feet and feeling better, letting you get back to those activities that you love to do!

A bunion is a bony protrusion of the metatarsophalangeal (MTP) joint at the base of the big toe. Once fully developed there is redness, inflammation, and stiffness that restricts motion of the big toe. The Latin name for this deformity is hallux valgus (hallux means big toe, and valgus means turned away from the mid-line of the body).

Narrow shoes force toes into an unnatural position altering the normal structure of the MTP joint, the result is a bunion. This deformity gradually increases and can interfere in the ability to walk pain-free. Incorrect footwear places constant pressure on the bursa (a fluid-filled sac that cushions this joint) forcing it to become inflamed. Although anyone can get a bunion, they are more common in women.

Narrow shoes are not the only culprit to the causes of bunions. Wearing shoes with any of these features can cause a bunion to form:

• Tight fitting or pointy toe box.
• Higher heel than the ball of the foot.
• Backless shoes that do not hold the heel (flip flops, clogs, etc.).

In addition a weak foot tripod due to muscle weakness, joint alignment or flexibility issues can contribute to bunion growth.

Bunion Progression

Bunions start out small yet if the individual continues to wear the footwear that interferes with normal toe positioning, they will get worse. The MTP joint flexes with every step; therefore, the bigger the bunion gets, the more painful and difficult walking becomes.

An advanced bunion alters the appearance of the foot. In severe bunions, the big toe may angle all the way under or over the second toe. This pressure can force the second toe out of alignment, causing more problems. Calluses may develop where the toes rub against each other, causing additional discomfort and difficulty walking.

Foot Problems Related to Bunion Growth

In some cases, an enlarged MTP joint may lead to bursitis. It may also lead to chronic pain and arthritis if the smooth articular cartilage that covers the joint becomes damaged from the joint not gliding smoothly.

Bunions can cause hammertoes. Hammertoe is a contractual deformity of one or both joints of the second, third, fourth or fifth toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop.

A bunion below the little toe or pain in the balls of the foot can also develop as a result of an MTP joint bunion.

Osteoarthritis may develop, and bone spurs can form. Osteoarthritis may cause joint scarring, limiting the foot’s range of motion. Occasionally, gout can cause sudden attacks in which the bunion becomes red, painful, and swollen.

Treatment Options

In most cases, bunions are treated without surgery. Chiropractic care along with the following suggestions can help reduce or eliminate pain caused by bunions. Severe bunions can alter how you walk creating further issues in which a chiropractor can evaluate and assist in correcting.

Changes in Footwear

In the vast majority of cases, bunion pain can be managed successfully by wearing shoes that fit properly, do not compress the toes, or shift body weight onto the ball of the foot.

Padding

Protective bunion-shield pads can help cushion the painful area over the bunion. Pads can be purchased at a pharmacy. Test the pads for a short period of time first; the size of the pad may increase the pressure which may worsen pain rather than reduce it.

Orthotics and Other Devices

To take pressure off a bunion, over-the-counter or custom-made shoe inserts (orthotics) are beneficial. Also, toe spacers can be placed between your toes. In severe cases, a splint worn at night may help to place the big toe in a straighter position possibly relieving pain. It is best to seek the advice of a qualified health professional for orthotics because the wrong product could make matters worse.

Icing

Applying ice several times a day for twenty minutes at a time can help reduce swelling. Never apply ice directly on the skin.

Medications

Nonsteroidal anti-inflammatory (NSAIDS) medications such as ibuprofen and naproxen can help relieve pain and reduce swelling. Before taking any medication please consult your physician or pharmacist. It is not advisable to take these on a regular basis as they have side effects:

• increased risk of serious cardiovascular thrombotic events,
• heart attack,
• stroke,
• upset stomach,
• nausea,
• gastrointestinal problems, and more.

Exercises

Movement in the MTP joint area is important so exercises specific to the foot can help. It is best to have a qualified health professional help you develop an exercise program designed to your needs. Some individuals may have a multitude of foot issues which means some exercises can create further problems.

Chiropractic Care

Any individual who suffers with pain as a result of a bunion, or is developing a bunion, should seek out chiropractic care. There may be more issues than just the MTP joint; therefore, a proper examination is needed in order to successfully work on solutions.

If you have a bunion, regardless of whether it is causing you pain or not, then a qualified health professional at Chiro-Med can help.

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 a decade. Chiro-Med Rehab Centre has qualified professionals who can help you seek relief from migraine pain. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.