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By Denisha
Low back pain is a very common concern physiotherapists treat. Patients often express their pain as a “symptom of aging”—but this cannot be automatically assumed! Assessment would include collecting an in-depth history and then physically testing all components often involved with back pain: movements of the spine, muscle strength/tightness, core activation and any existing imbalances (ex. hip/knee concerns), as well as reviewing any current personal exercise programs. As a pelvic physiotherapist, there are also several other areas to consider and assess- including the pelvic floor musculature. Once we identify the driver of your pain, treatment can include manual therapy (hands on care for the joints/soft tissues), stretches, core activation cues, a home program tailored to you, ergonomic education and strengthening overall- just to name a few. TIP: Daily intentional movement is very important as prevention is key!
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We have all struggled with lower back, stiffness/discomfort or pain one time or another in our lifetime. You worked on the garden or may have lifted a heavy box from the garage or a quick twist the wrong way and uh oh….your whole back has stiffened up and you spend the rest of the day laying down on the couch. Instead of waiting till it goes away, or taking medication to resolve the pain, we should talk about how massage therapy can help your lower back pain or how it can be prevented in the first place. So what is massage therapy and why does it work? Massage Therapy is the treatment and prevention of physical dysfunction and pain of the soft tissue and joints by manipulation to rehabilitate or increase physical function and relieve pain. So generally speaking, massage is an effective way to reduce restrictions and tension in the muscle, ligament and fascial tissue that attach to the lower spine and pelvis joints that has built up over the weeks, months and even years. Why does that happen? Well the most common reason is we are not moving enough and our body adjusts and adapts to our posture. In other words we sit too much and have developed fascial restrictions/adhesions and muscle tension that reduces our lower back range of motion. That is why we suffer from muscle spasm and pain periodically. So the good news is if we just look at the situation on the preventive side, occasional or regular massage treatments before the back develops stiffness and pain will most likely prevent future back pain episodes. If you are experiencing regular or constant back pain. Massage therapy will assist you on your way to recovery as we can resolve the muscle tension and restriction to get you back to your normal activities of living without the stress and aggravation of pain. Don’t ignore it any longer. Massage Therapy is a great option to help resolve the pain you’re experiencing in your lower back. As therapists we will assess your limitations and what is aggravating the pain. Massage therapists’ goal is to reduce restriction and tension in the muscles, ligaments, and fascial tissue to calm the nervous system and reduce stress and inflammation as well as reduce muscle restriction and tension that is causing your lower back pain. It is also a great tool in preventing the pain in the first place Book your next massage appointment today. You are worth the time and self care!  Can you define your role as a Chiropractor? My role is first and foremost to help my patients. What that entails fully depends on the person but most often the underlying reason to seek care is not so much an injury but a functional barrier. Something has either become difficult or unmanageable. My job is to get patients back to the activities and lifestyle they enjoy at the level they desire. What does a chiropractor treat? Any condition that affects the joints, muscles, or nerves of the body. From headaches to toe sprains (and of course back pain) we do it all. What are the top three most common issues you help clients address? Conditions due to overuse, underuse, or the unlucky people that have had some kind of mishap that resulted in injury. Or better known as sprains/strains, postural related pain/discomfort, and sports injuries. What types of treatment methods/approaches do you use? I’m going to break that down into 3 main categories:
What is your treatment philosophy? Personalize every aspect of care. What each patient needs, expects, and experiences is completely different. Their treatment plans should reflect that. What might a typical appointment look like with you? What is involved in an initial assessment? Follow up appointments vary quite a lot from person to person. They usually include some combination of catching up on how things have gone since the last visit, troubleshooting any setbacks, hands-on care, and self-care (exercises, mobilization, positioning/posture). Initial appointments follow a more routine pattern. First I discuss with my patient what brings them in. My goal is to get a good understanding of what is happening, their general health status and how it impacts their day to day life. That information drives my assessment, usually this involves moving around (think bending, squatting, turning) and some orthopaedic tests to confirm what anatomical structures are involved. From there I communicate my diagnosis and explain what to expect in terms of recovery and treatment. Often a hands-on treatment along with education on what can be done at home to improve outcomes is given on the first visit as well. What is a common question patients ask you? Honestly… how many years of school it takes to become a Chiropractor and how many years I’ve been in practice. The answer is 4 years of undergraduate studies (mine is in Biology and Psychology), 4 years of Chiropractic College, and over 5 years in practice now; and I’m still learning every day. If you could give everyone one piece of advice this winter what would it be? Wash your hands! What do you like to do for fun/or tell us something most people don't know about you? I’m obsessed with UK gardening shows. It gets me through winter until I can get outside myself. <<<Click here to Book an appointment with Dr Stephanie Tabbert>>>  Complied By Binumon Joseph, Registered Physiotherapist
Upper crossed syndrome refers to a particular configuration of overlapping overactive and under-active muscle groups in the neck, chest, and shoulders. Typically, poor posture causes the syndrome, including the forward head posture, which occurs when people use electronic devices, read, and drive. Those with upper crossed syndrome usually have the same or similar set of postural irregularities that people may describe as slouching. Many different stretching and strengthening exercises exist that usually offer relief for symptoms of upper crossed syndrome. Fast facts on upper crossed syndrome
With upper crossed syndrome the muscles of the shoulders, neck, and chest have become deformed. Specifically, the back muscles of the neck and shoulders (upper trapezius, and levator scapula) become extremely overactive and strained. The muscles in the front of the chest (the major and minor pectoralis muscles) become shortened and tight. As a result of these overactive muscles, the surrounding counter muscles become underused and weakened. In upper crossed syndrome, this causes weak muscles in the front of the neck (cervical flexor muscles) and in the lower shoulders (rhomboid and lower trapezius muscles). The condition gets its name from the "x" shape that develops when regions of overactive and under-active muscles overlap. Poor posture can be a cause of upper crossed syndrome. Different movements can cause upper crossed syndrome, but most cases develop through poor posture, specifically sitting or standing with the head forward for prolonged periods. Activities that promote this postural position include:
Symptoms Common characteristics of upper crossed syndrome include:
The best way to treat upper crossed syndrome is through exercise and postural changes. Though some people may feel a lot of discomfort when stretching, it is important that they attempt some form of gentle exercise as restricting activity can cause stiffness and soreness. People must ensure they warm up their tissues before exercising, either with gradual, gentle motions or by having a warm bath or shower. Begin all exercises gently and build up slowly. Prevention The best way to prevent and treat upper crossed syndrome is to avoid activities that require stretching the head forward for extended periods of time. Other tips for preventing upper crossed syndrome include:
Correcting or practicing proper posture is also an important part of avoiding and treating upper crossed syndrome.  By Dr Sonya Hamilton, Chiropractor
Acupuncture is an ancient component of Chinese Medicine (TCM) which has gained immense popularity in North America during the past decade due to it's efficacy in relieving pain, and improving quality of movement. Medical acupuncture is an effective treatment approach aimed at reducing and/or relieving pain and improving muscle function and activity of affected areas of the body. A thin, disposable needle is inserted into the skin and tissue in specific areas of the body (as mapped out by TCM Meridians), through the use of western biomechanical principles. Acupuncture stimulates the body to produce its own pain relieving neurochemicals, and it can encourage natural healing through the reduction of inflammation. The use of acupuncture is safe and very effective (as the building body of research literature indicates). The improved energy and biomechanical balance produced by acupuncture stimulates the body's natural healing abilities, and patients often feel better within 5-8 treatments. Acupuncture is very effective in treating a variety of painful disorders such as: Low back pain, Osteoarthritis, Headaches (Migraine/Tension), Neck pain, Rotator cuff tendinitis, IT Band Syndrome, Muscle tightness, Shin splints, Lateral epicondylitis (tennis elbow), Knee pain, Jaw pain, Plantar fasciitis Commonly Asked Questions: What is a treatment like? Contemporary medical acupuncture is generally used by our chiropractor in combination with other manual therapy treatment techniques such as joint mobilization, soft tissue techniques, and rehabilitation exercises. Dr Hamilton will first complete a comprehensive clinical exam and discuss with you her diagnosis, and clinical options to effectively treat your specific diagnosis. How long might my treatment last? The length depends on the goal of the treatment and individual response. For many local uncomplicated injuries the needles can be inserted for up to 15 to 20 minutes to produce an appropriate effect. Research shows that long lasting results take effect from 5-8 visits. Is it painful? In general, most people report that they barely feel an acupuncture needle being inserted with no pain reported. A short and minor feeling of sharpness occasionally happens when a needle is inserted but it is nothing to worry about. Acupuncture is generally a comfortable experience for most. Interested in booking an Acupuncture Assessment with Dr Hamilton? Click Here>>  By: Dr Sonya Hamilton
In our clinic, one of the most common issues I get asked about is sciatica. So what actually is sciatica anyways? Sciatica is a term used to refer to pain which radiates along the sciatic nerve. Sciatic nerve pain is a symptom of an underlying musculoskeletal problem. The sciatic nerve is the largest single nerve in our body. It begins from your lower lumbar region (L3), and travels through the buttock region, down the back of your thigh before it branches below the knee. When it becomes irritated, you may experience leg pain/tingling/numbness, lower limb weakness, burning or ‘electrical’ sensations down the back of your leg from the buttock to the ankle. The length of the sciatic nerve, and the fact that it originates from the low back, makes it susceptible to irritation from a number of different sources. Most commonly, sciatic nerve issues result from lumbar disc injury or herniation, degenerative disc disease, spinal stenosis, and low back muscle strains. Additionally, it can arise from piriformis syndrome, as the nerve passes through the muscles in the buttock region. Pregnancy and sacroiliac joint issues can also lead to sciatic nerve pain. Some may find the pain is made worse with sitting, and sometimes the pain may not travel beyond the buttock. Treatment for sciatic nerve pain is individualized for each patient, due to the fact that the pain may come from one of many sources. If you encounter sciatic nerve pain, you should work with your chiropractor to determine the cause of your pain, and the best course of treatment. Exercise and activity are important steps you can take towards improving your symptoms. Staying active will keep your muscles conditioned, and will encourage movement in the spine resulting in an improved flow of nutrients to your ligaments and joints. You should avoid high impact activities, and continue with your regular tasks and light exercise. Contrary to common belief, bed rest is not appropriate and may lead to your symptoms being prolonged or worsened. Bed rest is only appropriate in rare cases -if your pain is so severe you cannot move- and should be limited to only a day or two. Some of the common recommendations I make to patients include walking, gentle strengthening of core muscles, stretching of target muscles, low impact aerobics, and nerve flossing. It is important to seek out advice on which activities would help your specific cause of sciatic nerve pain, as the wrong exercises may in fact worsen your symptoms. Chiropractic care helps to decrease your symptoms, and your chiropractor can provide advice on how to prevent future sciatic nerve pain from reoccurring. For most, symptoms of sciatica should resolve with appropriate conservative treatment. Feeling some Sciatic nerve symptoms? Book your assessment with Dr Hamilton >>>>  What influenced your decision to become a Massage Therapist?
I've always wanted to work in the healthcare industry. I find that helping individuals with their issues make me feel accomplished like no other job has. It wasn't until when my grandfather was sick that triggered my interested in massage specifically. I kneaded his hands and feet mimicking what he did back when he got sick. And to my surprise he got better. I had a realization that I was great working hands-on, so I pursued the career. It's been two and a half years now and I'm still loving every minute. What are the top three most common issues you help clients address? Number one would have to be low back pain, either from disk herniation or muscle strain. Second, shoulder injuries like rotator cuff tears and third, is knee pain from degeneration. What types of conditions/injuries do you enjoy treating? There is always something to treat. Even when patients only come for relaxation- stress creates tension, and tension builds knots in your muscles. A lot of people don't realize how much tension builds up throughout the week and they come in surprised at how sore their back & shoulders are. That said, I very much enjoy treating stress related tension and teaching patients proper posture and work ergonomics. What types of treatment methods/approaches do you use? I start out with an assessment to see where the patient is physically, or in some cases mentally. After ruling out any red flags I then set reasonable and achievable short-term goals for them. I would then give the patient a few remedial exercises after a treatment as we work together to achieve their goal. I provide deep tissue, or Swedish massage, and am certified in cupping therapy. What is your treatment philosophy? Don't make things more complicated than they need to be. What is a common question patients ask you? Do your hands get tired?... lol If you could give everyone one piece of advice this winter what would it be? When walking on snow or ice , look to the experts. Walk like a penguin. Center your gravity on your whole foot instead of your heels. You'll look a bit silly but at least you'll avoid injury. What do you like to do for fun/or tell us something most people don't know about you? On my free time you'll often find me playing my guitar or rocking the drums. I enjoy jammin' out with friends and occasionally singing karaoke after a few drinks. To stay healthy I try and squeeze in a workout between patients or during my lunch break. So if you see me around the gym, come say hi. I'd be glad to answer any questions or even spot you on your next heavy set.  Here are some great tips from the Ontario Chiropractic Association!
Winter weather can pack a punch and, with the season’s heavy snowfalls, injuries often result. Improper snow shovelling is often to blame. But shovelling out after a storm doesn’t have to leave you stiff and sore. With a little know-how, you can clear your driveway without the all-too-common back, neck and shoulder pain cramping your style. Here’s how: Before You Start
BEND YOUR KNEES.Use your knees, leg and arm muscles to do the pushing and lifting while keeping your back straight. WATCH FOR ICE.Be careful on icy walkways and slippery surfaces. Intermittent thaws and subsequent freezing can lead to ice building up underfoot, resulting in nasty slips and falls. Throw down some salt or sand to ensure you have a good footing. Once you’ve mastered safe snow shovelling techniques, you’ll be free to have fun and stay fit all winter.  What influenced your decision to become a Massage Therapist/Osteopath?
I have always been interested in studying natural ways to heal the human body. I had lots of experience growing up getting treatment from a naturopath, chiropractor, massage, physio etc to keep me healthy for playing sports. My athletic therapist at the time was undergoing their osteopathic studies and wanted to practice techniques on me. My first treatment was something I never had experienced before it was deeply relaxing and therapeutic. I felt a deep connection to that approach to healing and wanted to learn more. What are the top three most common issues you help clients address? 1) Back Pain 2) Neck Pain 3) Stress & Anxiety What types of conditions/injuries do you enjoy treating? 1) Back pain 2) Headaches 3) Foot problems What types of treatment methods/approaches do you use? I use a lot of trigger point therapy, fascial techniques, muscles stripping. What is your treatment philosophy? To help patients heal themselves and work with them in a relaxed setting. Educating them or guiding them so they are more aware of their own body. What is Osteopathy? Osteopathy is a hands on manual therapy aiming to remove any barriers to health by treating the causes of pain and imbalances. Who would likely benefit from an Osteopathic appointment? Most office workers would benefit but anyone can experience an improvement from an Osteopathic appointment. Similar to a massage it can also promote relaxation and stress relief as well as relieve muscle tension. If you could give everyone one piece of advice this winter what would it be? Bundle up and get some fresh air. What do you like to do for fun? Hiking, reading yoga!  What influenced your decision to become a physiotherapist?
From my childhood I was more interested in health issues and my back ground also gives me more experiences with natural medicines and traditional martial arts and their use in healing various health related problems. I was also interested in a system where there are fewer side effects. After my college studies I was trying to get into the medical field, from where I ended up in Physiotherapy, which I learned to be non-invasive and with less side effects and it also involves all population from paediatrics to geriatrics. Later when I completed my course I was more clear about my path and how I can utilize my ability for many of the health-related problems which opened up for me a door in to the world of different practice. What are the top three most common issues you help clients address? It is very difficult to pin point 3 common issues, because there are a lot of issues that can be made better with physiotherapy. Common issues I come across is shoulder and neck pain/stiffness, low back pain, sports injuries and neurological conditions which include stroke and Parkinson’s. What types of conditions/injuries do you enjoy treating? All sports injuries, neck, shoulder, back and leg pain/ injuries, Post concussion symptoms (mTBI, MVA), stroke, Parkinson’s. What types of treatment methods/approaches do you use? I prefer to use more manual techniques, but I use therapeutic modalities such as IFC, ultrasound to help the initial healing process, followed with more with exercises and postural corrections. I do more hands on work with most of the conditions, which gives long lasting relief and prevention of symptoms. Exercises are one of the major compounds I insist for my patients. What is your treatment philosophy? Understanding the condition is the first priority, because I believe that if your diagnosis is right, 90% of your treatment is done. Experience counts- with more than 15 years in this field, I have been exposed to almost all types of clinical conditions and their physiotherapy management. Understanding the root cause and eliminating it rather than beating around the bush is important. I use modalities wisely to help overcome the present situation not solely relying only on them. I rely on active approach rather than to a passive one. What might a typical appointment with you look like? I listen to what the client wants to say, asking questions relating to the condition, physical assessment, various orthopaedic and neurological physical testing. I then discuss the findings with the client, explain the condition- from an anatomical perspective, then I use various treatment approaches. If you could give everyone one piece of advice this winter what would it be? Winter is the worst time for people with arthritis, those more susceptible to fall injuries and MVAs (Motor Vehicle Accidents). Those with arthritis should not expose their joints to cold, always cover up and keep warm. If you have a fall do not hesitate to see health care provider to check that nothing is wrong, because from a small fall you may later end up with some major issues. What can someone expect an initial appointment with you to look like? During an initial appointment we discuss the present situation, history of the complaint, work on finding out the cause, explain the condition- making you understand how and why it happened with anatomical explanation, possible treatments and a small treatment session depending on the available time and of course a home exercises programme for you to continue the exercises at home. What do you like to do for fun? I love gardening in summer (grow your own) fishing, biking, GYM, cooking, spend time with my kids, watching movies with my family. |
AuthorWritten by the team at Rebound Health and Wellness Archives
May 2023
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