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!

Backpacks are, bar none, a better option for carrying books and supplies than a shoulder or a messenger bag. The weight of what is being carried is evenly distributed across the body in which the back and abdominal muscles are used for support. However, backpacks that are not used properly, or if they are overloaded, can cause health problems for children, teens and even adults.

How Can Backpacks Cause Problems?

The human spine consists of 33 vertebrae: 24 presacral vertebrae (7 cervical, 12 thoracic, and 5 lumbar) followed by the sacrum (5 fused sacral vertebrae) and the coccyx (4 frequently fused coccygeal vertebrae). Between the vertebrae are disks that act as natural shock absorbers.

When improperly carrying a heavy weight on your shoulders, the force of the weight can pull you backward. Typically, most people will compensate this by bending forward at the hips or arching the back. This can cause the spine to compress unnaturally.

Those who compensate by leaning forward, over time, the shoulders can become rounded and the upper back may become curved. As a result, neck, shoulder and back pain can develop.

Carrying a messenger bag or backpack over one shoulder can result in lower and upper back pain in addition to straining the neck and shoulders. Backpacks must be worn properly otherwise bad posture may eventually occur.

If you wear a backpack that has tight, narrow straps that put pressure into the shoulders then nerves can be pinched and circulation issues may result. There could even be tingling, weakness and numbness in the arms and hands.

Children Are at Higher Risk

Many health care professionals recommend that children carry no more than 10 to 15 percent of their body weight in their backpacks. The reality is that many carry a lot more than that. Girls and younger children tend to be especially at risk for backpack-related injuries because they're smaller and may carry loads that are heavier in proportion to their body weight.

Wearing school backpacks has a significant biomechanical, physiological and discomfort impact, especially with loads above 10 percent of the student’s body weight.

There are a multitude of health impacts that children and youth are experiencing such as:

• poor posture (changes to spinal posture, lumbo-sacral angles, and thoracic kyphosis);
• gait (increases in plantar pressure during foot-ground contact and increased double support);
• increases in physical discomfort and muscle activity; and
• increases in breathing rate.

Results of a 2003 review of backpack loads carried by school students was referred to by the National Institutes of Health in 2018. They said that during a school day, children were carrying as much as 30 to 40 percent of their body weight. This 2003 review noted that large, heavy backpacks were a relatively recent phenomenon. It addressed how there is an increasing number of high school students having less time between classes to get to their lockers so they must haul their backpacks with them throughout the day.  Nowadays there are larger textbooks, musical instruments, laptops, and other objects that are presenting areas of concern regarding student loads.

According to the National Institute of Health the weight carried by students, backpack pain and other health concerns have shown little to no improvement over the past 15 years and the recommended load of around 10 percent of the body weight is not always being met. It is highly recommended that if any student walks or rides a bike to school, then the backpack should be closer to the 10 percent mark.

Tips for Choosing and Using Backpacks

• When purchasing a new backpack make sure it has two padded straps that go over your shoulders. The wider the straps, the better.
• Hiking backpacks have a waist belt which helps to distribute the weight more evenly across the body. If it is at all possible, try to get a backpack with this strap. Also, backpacks with multiple compartments can also help distribute the weight more evenly.
• Before placing items in your backpack, adjust the straps so the pack sits close to your back. If the pack hits against the lower back as you walk, the straps are inevitably too long.
• Always pack your backpack with the heaviest items closest to your back.
• Wear both straps over your shoulders.
• Try a “back” pack with wheels. Lots of children use these as an alternative to backpacks. Even adults can benefit from this.

Adults and youth can consider strengthening their core muscles. From an overall health perspective, this is a great way to prevent back injury from not just carrying a heavy backpack, but from most physical activities. Weight training, pilates, and yoga are all activities that can be effective in strengthening these core muscles.

If you or your child is experiencing back discomfort chiropractic care has been proven to 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.

Concussions are a form of mild traumatic brain injuries that are caused as a result of a blow to the head, neck, body or face that disrupts normal functions of the brain. Many people are of the belief that the loss of consciousness is a common element of concussions of which it is not; it can happen but it is not that common. A mild traumatic brain injury can leave psychological and physical effects that may not be apparent right away; sometimes symptoms may not appear until days or weeks later.

Concussion Symptoms

There are several indicators and symptoms that a person may experience if they have a concussion. Keep in mind though that these signs may immediately develop or they may not surface for hours, days and possibly weeks. Age is something to consider because in children the signs may be more subtle.

Symptoms may include:

• Pressure in the head or a headache.
• Feeling confused or in a daze.
• Ringing sounds in the ear.
• Amnesia.
• Dizziness, nausea or vomiting for no other apparent reason.
• Speech is slurred.
• Unable to answer a simple question quickly.
• Fatigue.
• Temporary loss of consciousness.
• Loss of concentration and memory.
• Irritability.
• Heightened sensitivity to noise and/or light.
• Inability to get a good sleep at night.
• Depression.
• Taste and smell may be altered.

Should any of these symptoms appear after a head injury (child, youth or adult) then be sure to seek emergency care:

• Continuous vomiting.
• Loss of consciousness lasting more than 30 seconds.
• Headaches that persist and get worse.
• Changes in behaviour such as physical coordination, stumbling or clumsiness.
• Seizures.
• Confused or disoriented as well as having difficulty recognizing people or places
• Slurred speech or other changes in speech
• Vision disturbances including dilated pupils or pupils that are unequal in size.
• Dizziness does not go away.
• Large bumps on the head or bruises on other areas of the head in young children, especially in infants.

Canadian Government

The Government of Canada recognizes that concussions are a serious concern among those participating in sports and recreation activities, especially youth. Concussions in sport are a recognized public health issue because of their frequency and their potential short and long-term consequences. For example:

• 64% of emergency hospital visits among 10-18 year-olds are related to participation in sports and other recreational activities.
• Among children and youth (10-18 years) who visit an emergency department for a sports-related head injury, 39 percent were diagnosed with concussions; another 24 percent were possible concussions.
• Between 2004 and 2014 football, soccer and hockey have all shown a greater than 40% increase in rates of reported head injury for children and youth.

Chiropractic & Physiotherapy Care

Our Chiropractors and Physiotherapists can be an integral part of your recovery as they are trained and certified via Complete Concussion Management protocols and receive ongoing evidence based continuing education in order to provide our patients' with the most relevant treatment approaches.

In many cases concussions occur  along with some type of musculoskeletal injury such as; whiplash, muscle spasms, joint fixations, and facet syndrome. Our Chiropractors and physiotherapists are the best-trained professionals to help resolve the injuries sustained.  A treatment plan will be implemented to help resolve both the musculoskeletal diagnosis and concussion.

For more information about concussions and how we can help you, feel free to call our office during regular business hours and one of our associates will be please to speak with 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 a decade. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

Sources:

http://canada.pch.gc.ca/eng/1465244566173
http://www.brainline.org/content/2012/06/what-you-need-to-know-symptoms-of-concussion.html

The origin of acupuncture dates back to ancient China, 2500 years ago or more.  The practice was adopted by neighbouring Asian countries including Vietnam, Korea and Japan, and was brought to Europe by some of the first Chinese settlers.  Acupuncture did not become well known in North America until the early 1970s, when President Nixon traveled to China.  During this trip, one of the reporters who accompanied Nixon developed appendicitis and had to undergo surgery, after which he was given acupuncture to treat a minor complication that arose.  The reporter wrote about his experience, introducing North America to the practice of Acupuncture.  Today, acupuncture is commonly practiced throughout the world with proven success.  Richmond Hill acupuncture experts can provide professional acupuncture treatments for a wide variety of ailments.

Acupuncture can be used to assist with weight loss or quitting smoking, and it is also very effective in the treatment of substance abuse problems, even severe addictions.  It can eliminate chronic pain and also be used to treat depression, anxiety and other mood disorders.  Chinese surgeons even use acupuncture to control pain during surgery.  In some cases, they perform the entire surgery with the patient awake with no assistance from drugs whatsoever.

The way that acupuncture works, according to Chinese medicine, is that energy runs in several channels throughout the body.  These channels are called meridians.  When the flow of energy becomes blocked, pain or illness can occur.  Acupuncture needles inserted at key points in the meridians unblock the energy, allowing it to flow freely.  According to modern science, inserting the needles in these specific points stimulates the body to release chemicals that address whatever physical problem the point is connected to, correcting the body’s biochemical balance so that it can heal itself.  Contact a Richmond Hill acupuncture specialist to discuss treatment for any type of ailment that you may have.

Shockwave Therapy is a non-invasive treatment for individuals who are suffering from many joint and tendon disorders.  More commonly known as Extracorporeal Shockwave Therapy (ESWT) to health professionals, this form of treatment sends acoustic shock waves into the bone or soft tissue which basically reinjures the area on a cellular level.  As a result scar tissue that has penetrated tendons and ligaments becomes broken up. This controlled method of re-injury allows the body to regenerate bone cells and blood vessels which in turn leads to faster healing.

Shock waves are high energy sound waves that are audible. They occur when an aircraft breaks the sound barrier or during lightning strikes. For over thirty years now shock waves have been used in the medical field (for example) to disintegrate kidney stones.

Shockwave therapy treats a variety of conditions that can plague an individual. Some of these include:

• Lumbar and cervical spine regions
• Chronic muscular pain
• Shin splints
• Bursitis
• Iliotibial band friction syndrome
• Patellar tendonitis
• Hamstrings
• Heel spurs
• Plantar fasciitis
• Achilles tendonitis
• Tennis elbow
• Calcific tendinosis of the rotator cuff muscles
• Non healing ulcers
• Mortons neuroma
• Hallux rigidus

Depending on the condition and how severe it is depends on how many treatments are required. On average, most patients need about 3 to 6 treatment sessions per week. Clinical studies say that for those who were suited for this treatment there is about an 80 to 85 percent chance of the condition being greatly improved yet 95 percent experience some level of improvement. Most people with a soft tissue injury can benefit from this treatment, especially athletes

Proven Success Rates

• 91% improved for calcific tendinitis
• 77% improvement for tennis elbow
• 90% improvement for plantar fasciitis

How Safe is Shockwave Therapy?

The basic technology involved with this shockwave technology has been actively used on millions of people (mostly in Europe) for several decades.  This technology originates in Europe hence the reason for the high number of people who have benefitted from it.

There are virtually no side effects and even the mild side effects such as redness, tingling or redness is rare and short-lived.

There are many benefits from shockwave therapy. Of course it is non-invasive, basically has no side effects, accelerates healing, and coverage is available from most health insurance companies.  This is a treatment that has been fully tested and backed by a lot of scientific evidence.

Are there People Who Cannot Have this Therapy?

Shockwave therapy is not for everyone. It is typically not used on those who may have bone tumours, circulation or nerve disorders, and certain metabolic bone conditions.  Also, it is not used on women who are pregnant either.

There are some other contraindications and/or precautions to be aware of such as:

• Cortisone injections
• Blood thinning medications
• Heart or circulatory problems
• Cancer or diabetes

The best thing to do is have a consultation with a qualified health professional so you can find out if you are a candidate for shockwave therapy.

Connective tissue injuries or dysfunctions are now diagnosed and treated with an innovative approach known as the Graston Technique^®.

Ligaments, tendons and muscle are all part of the connective tissue and when an injury occurs mobility can become restricted and scarring can occur which results in loss of flexibility, pain, loss of motion and tenderness. Interestingly it is somewhat common to have one area of the body feel restrictions and yet the pain and dysfunction in actuality is in another area. This is referred to as the kinetic chain.

The human body can repair itself in time but the muscles, ligaments or tendons are then scarred therefore leaving that area of the body not as flexible or strong as healthy tissue. Over time there is a build-up of fibrous scar tissue subjecting the damaged area to microtrauma; and overuse of that specific area can lead to pain because the replacement tissue simply does not have the strength.

What Is The Graston Technique®?

This innovative technique consists of stainless-steel instruments specifically-designed to locate and treat areas that exhibit inflammation or soft-tissue fibrosis. This simple procedure allows a health professional to accurately detect where scar tissue is so that treatment is targeted to that area(s).

The Graston Technique^® uses handheld instruments that are convex and concave-shaped. Using very specific methods, the heath care practitioner rubs these along the patient. This helps to break down scar tissue thereby promoting a healing environment.

Graston Technique® Treatment

Graston Technique^® treatment protocols vary from patient-to-patient. They may include the use of ice, heat and rehabilitation to restore s patient’s pre-injury activity level.
Stretching and strengthening are at the top of the list on the path to healing however there a form of muscle re-education that is required. The goal is to have as few treatments as possible that provide a patient with maximum results.

The health care practitioner will develop a custom treatment plan for each patient. In order for the patient to achieve maximum results he or she must adhere to the plan otherwise treatment may drag on longer than required.

The good news is that most patients receiving this therapy report improved mobility and a significant reduction in pain within the first two treatments. There may be some discomfort during the initial treatment but it lessens with subsequent treatments. In addition, there may be some mild to moderate bruising as the old scar tissue breaks down; this is perfectly normal. While an individual is in treatment, it is imperative that healthy meals (and snacks) are consumed that are high in proper nutrients as these too are required in the healing process. Also, drinking a minimum of eight glasses of water is needed to aid in the healing.

The Graston Technique^® has been proven to be helpful in managing many musculoskeletal disorders. A partial list includes:

• De Quervain’s Disease
• Carpal Tunnel Syndrome
• Iliotibial Band Syndrome
• Patellar Tendinosis
• Epicondylitis
• Neck pain
• Post-Surgical Treatment

Depending on an individual’s medical condition this technique may not be suitable. A health professional is the best person to consult with to see if this is a recommended form of treatment.

If you think that this rehabilitation therapy may be for you then Chiro-Med Rehab Centre in Richmond Hill can work with you to determine what your best options are. Chiro-Med Rehab Centre has a convenient location and highly qualified health professionals to help you get on the road to eliminating or managing your pain. Visit www.chiro-med.ca or call 905-918-0419 for more information on the Graston Technique^®.

Back, neck and sciatica pain can range from a mild nuisance to excruciating pain. According to the Canadian Chiropractic Association, about 4 million Canadians (15 percent of the population) seek the services of a chiropractor every year.

The back is a marvelous mechanical system that contains a complex group of muscles and the spine. The spine consists of 24 vertebrae (small bones) that are stacked on top of one another and together, they are referred to as the vertebral column. In between each of the vertebrae is a gel-like cushion that absorbs pressure and prevents the bones from touching one another; this cushion is called the disc. Ligaments hold the vertebrae together and tendons connect muscles to the vertebral column. Inside the spinal column is a massive collection of nerve fibres transmitting electrical information throughout the entire body. This mechanical system is so complex that when pain strikes, it can detract you from enjoying your day-to-day activities.

What Is Spinal Decompression Therapy?

If you ever get a chance to go to a local park and find a set of high monkey bars, hang from them; the feeling on the back is almost euphoric. Spinal decompression therapy mimics that feeling by providing a mild linear pull on the body. This gentle pull that spinal decompression therapy provides can assist a misaligned disc to be gently manipulated back into place thereby creating adequate space between the vertebrae and when this occurs, higher levels of oxygen and blood will return to the area providing relief. In addition, any pressure on the spinal nerves will be alleviated.

There are several back conditions that can be treated using spinal decompression therapy. People with lumbar strains, sciatic, herniated discs, bulging discs, degenerative discs, degenerative joint disease, and spinal arthritis have all experienced relief through spinal decompression therapy.

To better illustrate what spinal decompression "looks" like, think of the all the vertebrae as Lego® blocks loosely placed one on top of another. Compression of the spine (which occurs through poor posture, daily wear and tear, degenerating discs or injury) is the pushing of the Lego® blocks tightly together, and for the spine, this is not good.

Spinal decompression therapy is painless and each treatment lasts about 20 to 30 minutes.

Spinal Decompression Therapy Research

In a 2003 Orthopedic Technology Review spinal decompression therapy was studied. Patients who suffered at least four weeks of herniated discs or degenerative disc diseases were treated. The results were astounding – 86 percent of those treated reported immediate symptom relief and after the completion of treatment, 90 days later, they were still pain-free.

Are You A Candidate For Spinal Decompression Therapy?

Spinal decompression therapy is generally only one part of a complete treatment plan. There are other therapies a healthcare provider may recommend to help expedite the healing process. If you are want a non-invasive way to combat back problems and are considering spinal decompression therapy, the fully qualified health professionals at Chiro-Med Rehab Centre are only too pleased to answer any questions you may have. Put an end to back pain and call Chiro-Med Rehab Centre today. Start your road to recovery by booking your appointment today.

The Facts On Torticollis

Torticollis, or wry neck, can cause tremendous neck pain and affects about 1 out of 10,000 people. This is a painful disorder that occurs in the neck and it tends to affect individuals between 30 and 60 years of age and more women than men.

This condition generally affects the muscles on one side of the neck and can involve an occasional or a constant spasm that is very painful. When torticollis strikes, the individual may find that they are forced to rotate and tilt their head to the back, to the side or forward. Depending on the individual, they may find the pain is much worse when they stand, walk or sit.

Causes Of Torticollis

There is no one definitive cause of torticollis. There are many causes such as:

• Nervous system infections;
• Hyperthyroidism;
• Neck tumours;
• Degenerative disc disease
• WAbnormal facial movements that result from the use of antipsychotic medications; or
• Inherited.

Although not proven, some health professionals feel that torticollis can worsen if the individual has emotional difficulties. Also, if torticollis occurs without a known cause then it is referred to as idiopathic torticollis.

On occasion, newborn babies have been known to develop a congenital form of torticollis because some deliveries are difficult and can cause damage to neck muscles. Older children have been known to suffer from torticollis also as a result of an imbalance of the eye muscle. Also, muscle or bone deformities in the upper spinal area can cause torticollis in children.

Symptoms Of Torticollis

The one for sure symptom that you may have torticollis is if you experience acute, painful muscle spasms on one side of your neck. This pain can happen suddenly and be ongoing for some time or it can occur occasionally. When experiencing this pain, your head will no doubt feel forced to tilt in one particular direction and possibly rotate depending on which neck muscles are affected. On occasion, individuals with torticollis also experience muscle spasms in other areas of their head including the face, jaw, eyelids and even in one or both hands.

Other symptoms may include:

• Headache
• Head tremor
• Shoulder becomes higher on one side of the body

More often than not, those who suffer with torticollis experience spasms without any warning and they usually strike only while awake.

There are mild cases as well as severe cases of torticollis. Some patients find that without adequate care, torticollis can worsen then stabilize. For some individuals, torticollis can be a lifelong condition and in very severe cases, it can result in deformities to the posture.

Diagnosing And Treating Torticollis

In order to diagnose torticollis, a health professional will ask detailed questions about previous neck problems as well as past injuries. Depending on the situation, an electromyogram (EMG) may be able to diagnose. If not, then computed tomography (CT) scans may be required, or an MRI (magnetic resonance imaging), or an x-ray. This will aid in discovering the specific causes of the neck spasms. A routine physical examination can determine if there is neck muscle damage in infants and children.

Richmond Hill massage therapy at Chiro-Med Rehab Centre has helped clients who suffered from torticollis. Torticollis can be treated when the cause has been pinpointed.

Physical therapy and massage are techniques that help in alleviating painful spasms. One method of massage, for example, that has helped is when slight pressure is applied to the jaw in a specific manner. Only when physical therapy and massage techniques do not work are more invasive methods suggested to treat torticollis. Some of these methods include a variety of medications, and sometimes surgery. Nerves that are responsible for the spasms in the affected area are surgically removed. Surgery should always be the very last option.

Infants with congenital torticollis are treated with intensive physical therapy to stretch damaged muscles and this should commence within the first year of life. Therapy needs to start as soon as possible because should it be unsuccessful or if it is too late, surgery may be required to repair the child's neck muscles.