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Why To Be Careful With Whiplash Injuries

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As a practicing chiropractor of 35 years I have seen a great number of patients who have suffered needlessly from neck or back pain that originally occurred from a trauma like an auto accident. Once we help them to get rid of their pain with chiropractic care, their frequent comment has been: “I wish I had come here years ago.” This article will discuss the effects of trauma to the body, consequences and what can be done to mitigate the effects.

It is very common to have an auto accident, fall or be struck by something and not feel any immediate pain. This does not mean that our spine did not suffer an injury. It may not start becoming painful until days, weeks or months after the trauma. In fact, research studies show that from 50% to 88% of the people having whiplash from an auto accident continue to suffer years after.

When there is an unexpected sudden trauma from an accident, like whiplash, there can be injury to the soft tissues–muscles, ligaments, tendons and other tissues. If there is a significant accident, I recommend that you first go to an emergency medicine center to make sure there are no life-threatening conditions. However, I’ve seen many times where patients were sent home after x-rays, MRIs or CAT scans found nothing broken or dislocated yet the spine had suffered soft tissue injuries that were not detected by these tests.

Whiplash is a term describing an injury that occurs to a person’s spine, typically their neck. Suddenly and unexpectedly the neck and head are very quickly thrown in one direction and then in the opposite direction. We could say the head is “whipped around” on the neck. This itself be deleterious to the structures of the neck. However additionally, if the head is turned to the right or left a little when the impact occurs this can complicate the effects of the injury. If soft-tissue injuries are not treated the neck and back will not heal properly and may develop problems years later.

To avoid this, I strongly recommend that person be checked to see if there is damage to the spine. If there is not, one can be free from worry. If there is injury, it can be addressed with treatment, quickly, so it doesn’t worsen. Chiropractic care is the most effective form of helping the spine to repair and become healthy. If chiropractic treatment is neglected it could make the difference between health or disability and comfort or pain.

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Source by James Schofield

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Foot Health and How Orthotics Can Help

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Many people suffer unnecessarily from foot pain when they could be benefitting from the comfort of orthotics. Not everyone thinks they need orthotics, but many of the types of foot pain people experience can be relieved with custom orthotics.

Here are some of the basic questions you may have about orthotics:

What are Orthotics?

Orthotics are essentially custom foot supports. They are designed specifically for the unique needs of your feet, and fit much better than ‘generic’ orthotics that can be bought from a store.

What’s the difference between custom orthotics and regular shoe inserts?

Regular insoles are designed to provide a cushion effect and provide shock absorption. They may feel comfortable initially, but this wears off quickly. They are not designed to correct over-pronation, which is a condition which includes dropped arches and rolling inwards of the feet and ankles. Custom orthotics, however, are designed to correct and optimize foot function. Regular insoles may also have arch support, but they tend to be mostly made of soft materials and therefore, the support they provide is often too weak to be of any benefit.

Do I need Orthotics?

People suffering from arch pain or heel pain typically find that orthotics are a good solution for them. Heel pain (called Plantar Fasciitis) can be extremely uncomfortable and custom orthotics can help reduce this pain by better supporting the arch.

Over 70% of people experience ‘over-pronation’ which is also known as flat feet or fallen arches. This can result in pain in the foot but also in other parts of the body such as the back and hips.

In addition, orthotics can act as a preventative measure. As we age, our arches will begin to fall. The use of orthotics can reduce the effect of fallen arches and the pain associated with it. Regardless of how ‘high’ your arch is now, it will fall as you get older. Orthotics can play an important role in maintaining your arch as nature takes its course.

How long do Orthotics last?

Most custom orthotics will last from 2-5 years depending on wear and tear. They will need to be replaced if your feet are still growing or if you have any foot surgery that may affect the shape of your foot.

Is the cost covered by insurance?

Orthotics are not covered by OHIP (in Ontario). Some extended insurance plans will cover some or all of the cost of orthotics.

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Source by Dr. Maya Pande

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Plantar Fasciitis Doesn’t Exist

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The pain in the heel is all in your mind.

Try telling that to someone suffering from the sharp pain of Plantar Fasciitis. Hopefully you’ll have time to say “just kidding” without that sufferer coming after you with his or her tennis shoe!

Suffering from Plantar Fasciitis is no joke. It’s painful. It’s immobilizing. It’s often left untreated.

For up to six weeks.

Imagine walking around for six weeks with a pebble in your shoe, pressing into the fleshy part of your heel. And yet you walk. And eventually you stop placing your heel down fully and instead you shift your weight forward on the ball of your foot.

Ouch.

Pressure on the knee joint, slowly moves into the hip and before you know it your lower back is screaming at you.

Plantar Fasciitis is no laughing matter and the key to healing is taking a few steps immediately at the first sign of heel pain or even simple discomfort.

Key Steps to Plantar Fasciitis Support

  1. Catch the pain early — before it becomes a chronic condition, and you’ll be bowing down to your feet daily.
  2. Rest your feet! Seriously, let your feet rest until the pain goes away. This is not the time to run with the motto “No Pain No Gain.”
  3. Define your gait. Are you overpronate or oversupinate? If you go into a shoe store that specializes in running shoes, they will be able to perform a standing or walking test to see if you step in a way that puts additional stress on the plantar fascia.
  4. Stretching. Stretching. Stretching. Yes, stretching. That delicate tissue known as the plantar fascia is strong and flexible yet can become overused, over stressed. When you have pain, the start of overcoming the discomfort is to rest the foot. And then discover the right stretches to strengthen the muscles and tissue connecting toes to heel.
  5. Cold therapy, such as ice, helps reduce swelling and pain. This is important to do whenever you have discomfort and after stretching or exercising.
  6. Stretch and massage those calf muscles, baby! Tight calf muscles are a sure path to Plantar Fasciitis. Stretching the calf allows the tissue of your feet to be supported properly, so take care of those calf muscles always.
  7. Orthotics or support inserts may be a great way to provide additional treatment options but first get the best one for you. This will mean a bit of research.
  8. Be healthy. This means dropping those extra pounds so that your feet are able to support exactly what they are meant to support based on your height and bone structure.
  9. Plantar Fasciitis night splints. A way to tie yourself up and stretch your calf muscles and Plantar Fasciitis overnight which prevents tightening.
  10. Extracorporeal Shock Wave Therapy, or ESWT. Crazy sounding, but true, and helpful for those in major pain. Sound waves are directed at the heel pain to promote and stimulate healing.

Now there’s also surgery and corticosteroid injections but those should be considered as last options and discussed with a doctor. Surgery is rare and the injections are simply an immediate, but temporary, relief from the pain.

Always check in with your doctor to get the best Plantar Fasciitis support for your current needs.

If you have more questions or need more support for your current condition or are interested in preventing Plantar Fasciitis, then we’ve got the scoop on healthy heels.

We know that Plantar Fasciitis does unfortunately exist, however it doesn’t have to be a painful, chronic life-long sentence. Heal your heel today and enjoy your feet — and your life — right away!

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Source by Sharon ODay

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Cupping Therapy For Eczema

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I have a couple of subscribers to my regular eczema newsletter writing to me about Cupping therapy. Their Traditional Chinese Medicine (TCM) practitioners have advised them to try out Cupping therapy for eczema as part of their holistic treatment. While it is too early to report if the therapy has helped them, I proceeded to find out more about this practically unknown (at least to most of us) form of treatment.

Cupping therapy is an ancient form of Chinese healing, just like acupuncture is. It is the art of using plastic or glass cups with suction balls at the end placed against your skin so as to create vacuum. The vacuum causes local congestion, sucks up your skin and opens the meridians of your body. According to TCM, meridians are the channels from which energy enters and flows. Diseases and illnesses happen with the meridian channels are blocked. Opening up the channels can help speed recovery and bring about healing.

Cupping therapy apparently has many benefits for the skin. It activates your skin tissues and causes them to release toxins. This detoxification therapy can also improve the condition of your varicose veins as it clears instances of blood clotting in the arteries, capillaries, and veins. Most importantly, cupping therapy is believed to stimulate your lymphatic system – the very system that produces antibodies to help fight off diseases.

With these said, cupping therapy proves to be another alternative method for treating eczema, as well as other skin problems like boils. Much of this is because of the therapy’s ability to clear the skin of pathogens – the same ones that trigger an eczema flare-up. Cupping therapy also improves blood circulation and enhances its purification. Since some theories say that certain types of eczema are caused by blood circulatory problems, Cupping therapy may just be the answer to an eczema cure.

During the therapy process, the plastic or glass cups are placed on certain points of your body. The points for eczema are specifically located near your navel, just below the kneecap, at the upper tip of the spinal cord, and right above the ankle. When the plastic or glass cups used in therapy are applied in these areas, you would feel calm and relaxed. In fact, this is what you would expect to experience from the cupping therapy. You may find yourself falling asleep during the session and waking up to feeling more refreshed and energized.

Cupping therapy, as an alternative eczema treatment, is definitely worth trying; since there is no cure by conventional medicine for eczema. In fact, what doctors can do for you right now are different ways to minimize the discomfort that your eczema condition brings. Other than that, there are no guarantees that total healing would happen. You would find that you get eczema outbreaks time and time again. Hence, it would appear that combining the good effects of alternative remedies with modern science may just be the best route to take if you want to cure yourself from eczema.

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Source by Evelyn Lim

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Whiplash – What to Do When the Pain Just Won’t Go Away

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For anyone who has treated patients who had whiplash injuries they know that the pain associated with whiplash is somehow different from other types of neck pain. In the hundreds of patients I have treated who were suffering from a whiplash injury, a disproportionately high number seem to develop chronic unremitting pain. Another characteristic of whiplash injury is that the original pain associated with a neck injury often spreads to nearby regions of the shoulders, arms or even down to the mid-back. In many whiplash patients, the pain unfortunately too often spreads throughout the body, leading to a condition known as chronic widespread pain syndrome.

Because whiplash injuries often involve litigation, many doctors and particularly defense attorneys, have attributed this chronic unrelenting pain associated with whiplash to the fact that patients often seek financial gain through litigation.

In my own practice, I have seen patients who continue to experience neck and widespread pain many years after their court case was settled and they received a settlement payment. This observation argues against litigation as the reason people develop long-term and widespread pain so often after whiplash injury.

There is growing evidence in the scientific literature that supports the idea that whiplash is in the unique type of injury and that a significant number of people who have sustained this type of injury will go on to develop long-lasting pain which spreads well beyond the original injury in the neck.

Researchers publishing in the medical journal Pain looked at nearly 1000 patients who were involved with motor vehicle accidents and sustained a whiplash injury. They compared those patients who are involved litigation versus patients with whiplash who were not involved in litigation. The authors of this study concluded that persistent pain after motor vehicle accident is common even in those patients not involved in litigation. Their findings suggest that some physiological abnormality is likely responsible for the common finding of persistent widespread pain following whiplash injuries that is unrelated to litigation.

Other researchers publishing in the journal Disability Rehabilitation looked at over 700 patients suffering from posttraumatic neck pain. They found the nearly twice as many females versus male whiplash victims reported chronic widespread pain. They conclude that the high-frequency of regional and widespread pain among patients with persistent neck pain after trauma requires a multidisciplinary approach to treatment. What these findings suggest is that traditional treatments for whiplash injuries often failed to correct the underlying problem and leave a significant number of patients, particularly women, at risk for the development of chronic widespread pain symptoms.

The significant number of patients who develop chronic painful symptoms that often spread to the adjacent regions of the body or to the entire body itself following injury to the neck suggests that whiplash trauma involves more than the muscles and joints of the neck itself. In fact, it suggests that patients that develop long-standing and widespread pain following a whiplash injury may actually have alterations in brain function.

To explain how altered brain function may lead to chronic and widespread pain, we need to delve into the neurological circuits that normally process pain and injury.

Think about the last time you stubbed your toe; there was an initial intense pain which quickly converts to a more achy and less intense set of symptoms. This is because at the moment of the initial impact, certain circuits that tell the brain the body has been injured are activated. The circuits from the periphery, in our example the toe, ascend into the spinal cord up to the brain itself. When the signal reaches the brain you become aware that you damaged your toe. However that is not the end of the story. Shortly after you become aware that you have injured your toe, another neurological circuit is activated. This circuit descends from the brain back to the spinal cord and its purpose is to dampen or shut off the ascending pain signals.

This is a simplified example that explains why the intense pain of stubbing your toe soon becomes a more achy, throbbing sensation which while unpleasant, is much different than the original painful experience.

The bright idea here is that there is ascending “on-switch” for pain which sends pain signals from the body to the brain that also activates the descending pain “off- switch” to the spinal cord. This is how pain signaling in its simplest form is supposed to work.

Patients that develop long-standing chronic pain that doesn’t respond well to most forms of care, are believed to have impaired descending circuits that fails to turn off the pain signals traveling from the body to the brain.

If this failure of ascending inhibition of pain signals is severe, it can spill over into adjacent parts of the spinal cord and thus cause pain sensations in parts of the body that were not originally injured.

Researchers publishing a review of literature in the journal Pain Physician looked at studies specifically addressing the issue of brain abnormalities in chronic pain states including patients suffering from whiplash. What they found was that patients suffering from chronic neck pain from whatever cause had brain abnormalities associated with pain processing. The researchers also found these abnormalities in pain processing were more evident in patients suffering from whiplash injury.

Thus the available research suggests that chronic pain and particularly chronic pain following a whiplash injury result from an abnormal signal processing in the brain rather than the neck, muscles, joints, and ligaments originally injured at the time of the whiplash injury. This argues for a different type of treatment than those commonly used to treat chronic post-whiplash pain.

Another group of researchers publishing in the Scandinavian Journal of Pain, use d a special type of MRI scan to study the pain processing circuits in the brains of patients suffering from chronic pain associated with whiplash injury. They furthermore took blood samples of these patients and tested for biomarkers of inflammation in the blood.

They found elevated levels of inflammatory markers in about one of 3 chronic whiplash sufferers. They further found pain processing signal abnormalities, particularly related to the application of cold, in the pain processing circuits of chronic whiplash patients.

There is a model of chronic pain called the Thermo-regulatory Disinhibition model of central pain. In this model (which is beyond the scope of this article) abnormalities in the peripheral pathways that deal with the ability to properly process cold sensations such as an ice bag applied to the skin, are associated with increased activity in those circuits related to pain processing.

In a nutshell, the ability to feel cold sensation suppresses the ability to feel pain at the brain level, therefore anything that alters the ability to process cold stimuli enhances the body’s processing of painful stimuli. Taken to the extreme, loss of ability to process cold signaling will lead to intense pain which is generated at the brain level. This is a common finding after a patient has a stroke or spinal cord injury.

It provides a model however, which helps to explain why a substantial number of whiplash patients go on to develop chronic widespread pain. It also provides a treatment option, based on restoring normal cold sensation processing, which could have the effect of reducing pain signaling going to the brain.

This is a novel approach to the treatment of chronic pain following whiplash injury and represents a brain-based method to treat pain in the body that often fails to respond to traditional methods of rehabilitation.

There are a number of means and methods available to attempt to restore normal cold signal processing that have been found to be abnormal in patients suffering from chronic whiplash signs and symptoms. The restoration of cold signaling in the brain can directly attenuate the brain’s processing of painful stimuli.

These methods of treating pain through modulation of cold processing circuits in the brain, offer the first true breakthrough in chronic whiplash pain management in years. They are an exciting development for patients suffering from chronic widespread post-whiplash pain.

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Source by George Kukurin D.C.

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Benefits of Havaianas Arch Support

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Arch supports which can also be referred to as orthotics are usually available in different ways, there are the custom made arch supports and there are also the ones that are ready made which can be found in different shoe stores. They are usually made of a base of plastic and the top is usually leather or foam.

The podiatrists claim that the these supports help in the reduction of the foot disorder symptoms since they help one in supporting their arch so that they can be comfortable. With the increase in the number of flip flops, there have been cases that have been reported of problems concerning them. This has enabled the manufactures to come up with ways of creating Havaianas arch support. This has greatly reduced the discomfort that is caused by the shoes and people are able to put them on without much worries.

The first benefit of these arch supports is the fact that they are more comfortable to put on. One can be able to walk and stay with them for without getting uncomfortable or without experiencing pain in their feet. Custom made ones are the most advisable ones to go for since they are specifically made to fit your legs and this means that you will not have to tamper with them so that they can fit properly.

The other benefit is that these havaianas arch supports are usually long lasting and one can stay with them for several years without experiencing discomfort which improves the health of those who go for them. These people rarely complain of discomfort in their feet or any related problems.

The other benefits that are associated with these supports are the protection that one gets from having them. If one has a problem with their feet and they use them, they are most likely to find protection from the support that they get and their condition will not be spread to. These supports are usually recommended by the doctors for those who have feet disorders and any kind of condition that may be harmful to their health which is caused by their feet. This is a good treatment that is advised for everyone even those who do not have any condition with the legs.

The people who use these havaianas arch supports experience less back pains, the leg pains and even the hip aches. This is mainly because of the support that someone gets from the arches supports. The benefit also comes from the good posture of the feet that one experiences after getting them. There is also the better control of the motion that the feet takes. All these benefits are associated with the arch support that the legs are getting when introduced to them. It is therefore important to choose sandals that have them so that you can save on the costs of having to go the hospital.

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Source by Ali Raza

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671

Top 5 Benefits of Wearing Women’s Legwear

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When you’re in department stores, you can see a wide assortment of tights, socks, leggings and stockings. They come in a broad range of striking colors, beautiful prints and patterns as well as unique fabric choices. But do you really need these women’s legwear pieces? Just because you live in a tropical country or have a strict office dress code doesn’t mean you’re allowed to skip on these legwear for women as these products are very helpful and useful. Here are the advantages of wearing women’s legwear:

1. Provide Warmth

When it’s winter season, scarves are useful to wrap around your neck while gloves are beneficial for your hands. So how do you keep your legs warm when it’s snowing outside? Your best bet will be wearing women’s legwear. They are made of thick fabrics that retain heat. In cold environments, legwear for women like thick socks and cable knit tights help decrease the risk of frostbite. You can also wear thermal leggings for added warmth.

2. Protect and Guard Your Skin

If you’re a sporty girl, a good item to include in your gym bag is legwear for women. Cotton socks protect your skin from injury while doing active sports. Other types of legwear for women such as leg warmers are wonderful to wear as they help avoid muscle cramps. Basic women’s legwear items such as liners and tights will also help prevent blisters and cuts when wearing brand new shoes or high heels.

3. Therapeutic and Healing

Certain types of women’s legwear such as compression socks and elastic stockings are manufactured specifically to treat swelling of the legs and feet. These legwear for women are curative because they encourage blood flow and circulation in your lower extremities.

4. Add Style to Your Outfit

Not only do they keep you warm and protect your skin, but women’s legwear pieces also add a bit of pizzazz into your everyday looks. Just like a chic bejeweled necklace or a stack of enamel bangles, legwear for women complete your outfit and help you stand out. Patterned stockings are perfect to wear with cocktail dresses during the holidays and traditional fishnet stockings look amazing when paired with a fabulous little black dress. During the weekends, inject some fun into your ensemble by putting on a pair of printed knee-high socks or perhaps pastel-colored lace tights with a casual skirt. If you work in an office, simple opaque tights are suitable to wear. Try to avoid neon colors and busy prints as these tend to make you look unprofessional.

5. Can Be Recycled

When you snag your sheer stockings and other legwear for women, do you throw them out? Do you try to salvage or repair them using nail varnish? I’m sure just like many women, you have a bunch of old tights lying around. Old women’s legwear can actually still be used and recycled. All you have to do is be a little bit creative. You can turn them into floral ornaments, cleaning cloths and these women’s legwear can be used to tie things.

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Source by Aaron Fiedling Parker

Assured Health Physiotherapy clinic is an Interdisciplinary medical clinic located in New Westminster which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, Acup, etc.

Assured Health Physiotherapy is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Assured Health Physiotherapy in New Westminster at 604-526-2671