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What Treatment Works Best For Whiplash Associated Disorders?

Whiplash Associated Disorders (WAD) is a term that describes injuries that can occur after a sports collision, motor vehicle accident or slip and fall. There can be a constellation of complaints including neck pain, upper back pain, headaches, dizziness and pain radiating into the arms. Most healthcare practitioners agree that a conservative, nonsurgical approach is the best method of treating WAD. Research studies show that chiropractic care tends to be very favorable for pain relief and function restoration in the treatment of Whiplash Associated Disorders.

It must be said that “whiplash” is more of a layman’s term than a medical term. It describes a neck injury due to forceful, rapid back and forth movement of the neck, like the cracking of a whip. Of course, this violent movement during an accident, can cause damage to tissues of the neck, especially soft tissues.

Soft tissues of the neck include muscles, ligaments and fascia. Damage can also occur to the small joints between the neck bones, which are called the cervical vertebrae. These joints, called the facet joints, can become misaligned and moving properly.

There has been much research into Whiplash Associated Disorders. Studies usually address the immediate period following injury which is called the acute phase (less than two weeks), the subacute phase (2-12 weeks) and the chronic phase (three months and longer).

It should be noted that a consensus of research studies showed that exercise, and cervical manipulation and mobilization were recommended for pain relief and restoration of function in every phase of recovery. Perhaps surprisingly, immobilization and lack of movement, as one would have when wearing a soft neck collar was ineffective and may even impede recovery.

Chiropractic care in the treatment of WAD involves manipulation and mobilization. These two forms of treatment focus on restoring normal alignment and proper motion to the facet joints of the cervical spine. This helps patients to gain pain relief and the ability to restore normal function to activities of daily living which occur at home, work, and recreational and social endeavors.

Exercises, which are commonly recommended by doctors of chiropractic, focus on stretching and strengthening soft tissues. These exercises speed healing and pain relief and help, long-term, to improve upper body posture to keep painful conditions from recurring.

It is best if chiropractic care is initiated in the acute and subacute phases. Damage to soft tissues and the facet joints of the cervical spine have the best chance to heal when treatment is initiated in the first three months following an accident to achieve pain relief. Deleterious permanent effects like scar tissue, degeneration and arthritis are more likely to occur if chiropractic treatment is not administered early in the restorative process.

Chiropractic care initiated soon after the onset of a Whiplash Associated Disorder could make the difference between health or disability, comfort or pain.



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

Little Known Benefits of Canvas Shoes

Canvas is used as a material for producing sails, canvas, and tent. It is a coarse cloth made of hemp and is a common material in manufacturing casual shoes and sneakers. The shoes are made with rubber sole and canvas upper. You can buy them in any color or design depending on your preference. You can also choose from low top or high top style. One of the drawbacks of canvas is that it is not intended for high intensity activities. It does not provide the support that is needed for such heavy activities like running, playing tennis or attending an aerobics class. The good thing about them is that it shouldn’t be difficult for you to find an inexpensive pair and there are even options for people that need special comfort footwear.

Another good thing about canvas shoes is that they do not require a high level of maintenance. You can just use a cloth care spray or you can apply starch before using them. If you have sensitive skin, you can protect your skin by using rubber gloves. You may also want to wear a mask to avoid any inhaling fumes. Remember to wash your hands thoroughly after cleaning your footwear as well. When this done, you can be assured of a better looking and easy to maintain pair of casual shoes.

If you want to skip the manual cleaning process, you can simply toss them in your washer just like your ordinary clothes. However, if you have been have heavier stains such as mud, it is best to remove the surface dirt by wiping them off with a damp cloth prior to washing. For those stubborn dirt spots, you can use a soft brush to release the stain and rinse them off. You can use any detergent when you wash them. It is best to remove the laces and wash them separately. You can choose to hand wash the laces or you can include them in your next load of laundry. After the wash cycle, you can easily dry your shoes by hanging them. After a short period of time, they will be all set for you to use them again.

Depending on where you live, during the winter months you can experience having salt stains from the road. A canvas shoe is not advisable for use in these types of conditions. However, if you have no choice, you can immediately remove these stains by using suede and fabric shampoo and scrub off these spots by hand. It is not recommended that you tumble dry canvas shoes. You should also remember to not place your pair of canvas shoes near your fireplace, radiator or anything with direct heat. The material will be affected and can cause them to deform. Air drying is the best method.

It is important to note that the natural shape of your canvas shoes will not always be retained. The manner of wearing them and the frequent use will eventually affect the form. Every person has a unique foot and people put weight on different areas of the shoe. This can cause wear and tear on the areas that endure more pressure. The wearing off of the sole or heel can cause the stretching of the upper. To avoid deformation, it is good to use cedar shoe trees to keep them in their original shape.



Source by Chase Bryant

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

Can My Dizziness Be Helped?

On her initial visit to my chiropractic office a patient asked me if her dizziness could be helped. She had been in an automobile accident and had suffered whiplash injuries to her neck. While I can never promise a cure, I told her that if we worked together as a team, we had a very good chance of improving her condition. This article will discuss how dizziness can develop when a neck injury occurs, how chiropractic care may be of help and recent research supporting the efficacy of chiropractic treatment for this problem.

When a person suffers an accidental neck injury, whether it be from a car accident, fall, blow to the head or other traumatic occurrence, many symptoms can occur. Of all the symptoms, dizziness may be the most concerning to a patient because of how it can limit their ability to move about in their daily routines.

Our balance is mainly a function of three areas of the body that provide sensory information. The first is our eyes. We all know that if we close our eyes, we lose some sense of balance. The second area is the balance mechanism of our ears. This is called the vestibular system. You may have had an experience being submerged for a short time in cold water and then experiencing some short-term wooziness and imbalance when you came out of the water. That was because the ear’s vestibular system was affected by the coldness of the water. The last area that provides balance sensory information are the joints of the body. The joints of our feet, hips and upper neck especially, send balance information to our brain.

In a traumatic neck injury, the spinal bones of the neck, called vertebrae, undergo a whipping action which can cause abnormal position misalignments. This is how the term “whiplash” was coined. It is more a layman’s term than a medical description. Misalignment of the vertebrae can cause significant neck pain but because the joints provide sensory balance information to the brain, dizziness can also be an accompanying symptom of a whiplash injury.

In 2019 a research study was performed in which gentle, safe chiropractic realignment treatments were given to 86 patients suffering chronic dizziness which had occurred from neck trauma. The patient participants in the group experienced an improvement in their dizziness and of their balance. The authors of the treatment concluded that chiropractic care was beneficial in the case of dizziness due to neck trauma.

Chiropractors are trained to evaluate neck injuries. Upon an initial visit to a doctor of chiropractic, a patient can expect to be asked questions about the type of trauma that occurred and what symptoms the patient is experiencing. Next, a chiropractor will perform an examination of the neck area. Objective tests noting muscle spasms, swelling and inflammation, loss of range of motion, abnormal alignment and lack of proper motion of the cervical vertebrae and joints are typically examined. X-rays of the neck are usually obtained to further inspect for trauma.

Once the chiropractor has thoroughly evaluated the patient’s injuries it can be determined if chiropractic care is appropriate. When this is the case, the chiropractor will utilize gentle, safe chiropractic adjustments to realign and restore proper motion to the vertebral joints of the patient’s cervical spine. Specific exercises to increase flexibility and improve strength to the area can also be a great help to the patient. Using therapeutic measures such as repetitive applications of cold packs to the neck, by the patient, can also provide pain relief and hasten healing.

I can happily report that the patient who came to me hoping for an improvement of her dizziness experienced a total elimination of her condition. Her balance problems completely resolved, and she was able to go about her every day activities with no problem. If patients and their doctors of chiropractic work together, with good teamwork, it is possible for the patient, suffering from dizziness, to have a good outcome.



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

Custom TLSO – Orthopedic Braces – Finding A Provider Near You – What Is a TLSO?

Does your back really bother you?

Are you a medical professional that needs to help your patient get a custom TLSO for support?

1.) The True Purpose of a TLSO

A TLSO is a back brace that helps to support a patient’s spine. “TLSO” is an acronym that stands for Thoraco-lumbar-sacral orthosis (orthosis is a professional word for brace).

Why is support from a back brace, like a custom TLSO important? – The support that a TLSO can provide is significant because when someone has a fracture or any number of issues with their spine, sometimes improper movements can make things worse. A TLSO can help prevent improper movements by limiting motion in coronal, sagittal or transverse planes of motion. When improper bending, twisting or side bending are minimized, a patient has a better opportunity to quicken the healing process.

A custom TLSO is an orthopedic brace that can help reduce a patient’s back pain as well. Pain reduction alone can be a reason to get a quality made orthopedic support. Patients will tell us on a routine basis that they feel a heightened sense of security and pain reduction with their TLSO, or other back brace. The reduction of pain and increase back support can mean a lot when you have instability and/or pain issues that can consume your time and energy.

2.) Can’t You Just Use An Off The Shelf TLSO Instead?

There are many different kinds of back braces, but the gold standard for a TLSO would be a one that is custom made for the patient. Off the shelf braces / prefabricated supports were designed to help people and they often do, but you can not beat a custom made brace.

Twisting motions (rotation in the transverse plane) can unfortunately compromise an already injured back. This is a very dangerous type of movement for an injured spine! – A custom TLSO will help to minimize this motion and can arguably do this better than any off the shelf type of orthosis. – Moreover, an off the shelf spinal brace can also provide excessive shear force. (Shear force is basically a push in the horizontal plane on the vertebra in your spine.) This can be problematic when the Anterior longitudinal ligament is compromised and the vertebra now has a chance to move without proper resistance from this ligament.

3.) Finding An Orthopedic Brace Provider Near You – Chicago Example

If you live in Chicago, for example, you can go to Google and type in “custom TLSO” and “Chicago” (or the zip code you are in, like 60611 for example). This will help you find a brace provider in this area that can help you. – You can also repeat this process for any suburb, whether it is in Chicago or not. This general example will help you whether you live in the United States or abroad.



Source by Daniel Rinella

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

Concussion and the Need for Chiropractic Evaluation

With the popular movie Concussion and a Public Broadcasting System documentary of the same topic there is substantial national attention on sports related traumatic brain injury and its consequences.

In the United States the prevalence of mild traumatic brain injury, also known as concussion, is estimated at 3.8 million per year. 85% of people sustaining a concussion will have symptoms resolve within 7 to 10 days. The remaining 15%, however will exhibit persisting symptoms lasting weeks, months or even years after their injury. In those suffering, lingering symptoms persisting longer than 4 to 12 weeks the condition is considered to be chronic and is known as post-concussion syndrome.

Many healthcare professionals consider post-concussion syndrome to be purely an injury isolated to the brain. However, recent research shows that another etiology, other than the brain, may be responsible for ongoing, chronic symptomatology.

Those experiencing mild traumatic brain injury tend to have symptoms of headache, dizziness, neck pain, visual problems, concentration problems, hearing disturbances and emotional irregularities. Not coincidentally, these are also findings that occur with neck injuries, like whiplash, as well.

Injuries to the neck can occur from many types of trauma. The classic whiplash of an automobile accident is one with which many can identify. Of course, sports injuries occurring in football can also cause problems with the neck. But many other sports such as falls occurring in cheerleading, heading a ball in soccer, collisions of players in lacrosse, divers landing awkwardly in a swimming pool and anyone striking their head on a gym floor or playing field can lead to trauma to the neck.

Trauma research has revealed the range of linear impact accelerations causing concussion is between 60-160 G’s of force with the peak occurring at 96 G’s. Whiplash associated traumas can occur at accelerations of only 4.5 G’s. From this it is seen that individuals who experience force is strong enough to sustain a concussion will also experience cervical spine injury. In fact, it seems virtually certain that someone having traumatic force causing a concussion will also suffer injury to the soft tissues of the cervical spine.

In a research study evaluating hockey players suffering trauma published in Brain Injury in 2006 it was noted “there is a strong association between whiplash induced neck injuries and the symptoms of concussion in hockey injuries.” The researchers went on to say that athletes/patients should be evaluated for both traumatic brain injury and cervical/whiplash type trauma.

Current thinking is that those suffering from post-concussion syndrome have most certainly also had injury to the neck or cervical spine. Some are terming it Post-concussion Syndrome and associated Cervicogenic trauma. “Cervicogenic” means “from the neck”.

In another study published in the journal Cephalgia in 1990 researchers evaluated patients who had sustained head trauma and who were still suffering from headaches one year later. These patients entered a clinical course of specific manual therapy of the neck, such as chiropractors utilize, to help headache problems. The results were the group treated with manual therapy showed over 50% improvement of their headache pain index compared with the pretreatment level. The researchers stated: “Manual therapy used in this study seems to have a specific effect in reducing post-traumatic headache.”

Chiropractors have extensive training and experience in evaluating injuries of the neck or cervical spine. If there is an abnormality of misalignment or improper movement of the vertebrae of the spine, strain of the muscles and ligamentous sprain, chiropractors have safe, proven methods to treat these injuries.

A 2015 study in the journal The Physician and Sports Medicine quotes “Management of persistent post- concussion symptoms through ongoing brain rest is outdated and demonstrates limited evidence of effectiveness in these patients.” They add further “instead there is evidence that skilled manual therapy related assessment and rehabilitation of the cervical spine dysfunction should be considered for chronic symptoms following concussion injuries.”

When considering this type of information it would be wise for all patients suffering from post-concussion syndrome to be referred to a chiropractor for cervical spine evaluation and treatment.



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

Barefoot Running – Is it For You?

In an age of high priced athletic shoes and broken glass on streets, barefoot running is a rare sight. But, more coaches and trainers are turning to barefoot training for their runners and now recreational athletes, tired of expensive shoes and lower extremities injuries, are picking up on this new trend. It is actually not so new, as people have been running barefoot for hundreds of years. Zola Budd made barefoot running famous by breaking the women’s 5000 meter world record in 1984, running barefoot. So, why are we all paying high dollar for cloth and rubber to surround our feet? Are shoes the problem or the solution? Many are not in agreement about barefoot running and the debate between barefoot proponents, coaches, trainers, runners and podiatrists is in full swing.

Proponents

Barefoot proponents claim that the shod foot (foot enclosed in a shoe) becomes weak over time when it is constricted. They also claim that the body is unable to sense the ground and adapt appropriately. This inability to sense and adapt appropriately leads to injury. The body spends more energy when running in a shoe, than when running barefoot. Some runners claim that the few scratches on their feet were much less painful than the blisters they normally have to deal with after a half or full marathon.

Research

The scientific evidence supporting barefoot running is lacking. A few small studies have supported barefoot running. One study in the Internal Journal of Sports Medicine found that there is actually less impact on the feet while running barefoot because of the way the body adjusts to the impact. Another study found that the body uses about 4% more energy while running in shoes as compared to running barefoot. In underdeveloped countries with both shod and unshod feet, comparisons have shown a higher rate of injuries in the shod foot.

Opposition

Opponents don’t find these studies convincing and claim that these studies were too small or not carried out properly. They point to the fact that the study in underdeveloped countries and point out that this tells us very little about injuries and performance in developed countries.

Those opposing barefoot running do so for many reasons. Podiatrists, in general, are some of the more vocal in opposition to barefoot running. The biggest reason for opposition is foot protection. Puncture wounds are the greatest concern for those running without any protective shoe gear. Many podiatrists feel that blisters and injury are due to ill-fitting shoes, not all shoes.

Many argue that since our ancestors did their walking and running barefoot, we should too. But, the surfaces we walk on today are much more rigid and less forgiving than the grass, dirt and even stone roads our ancestors walked on. Glass and metal shards are common on roads and were not a major concern even a few hundred years ago.

There are different types of feet. Some people have very high arch feet and some people have very low arch feet. Some foot types may adapt well to barefoot running, but that doesn’t mean all foot types will. The mechanics of the foot are extremely complicated. Individuals who overpronate (rotate in) and have a flexible and flat foot type, typically need a more supportive shoe and sometimes a custom made orthotic. Individuals with a very rigid, high arch foot type, place a tremendous amount of pressure on the outside of their feet and may need a shoe or insert to help even this pressure out. Both of these individuals would most likely end up with injuries if they attempted to run barefoot.

The general rule is that if you aren’t having any problems with injuries or performance in your current running shoes, don’t change anything. If, on the other hand, your feet fall somewhere in between a high and a low arch and you have bought every expensive shoe and insert on the market, but continue to get injured, you might consider trying barefoot running. If barefoot running is something you would like to try, make sure to gradually work into it. Puncture wounds, scraps, cuts and bruises are likely unless you choose your surface wisely. Start on grass or a soft surface. Consider sand at the beach or even going to the track. Start gradually and slowly.

A Word About Shoes

An ill-fitting shoe can be the cause of many lower extremity injuries. A shoe can put your foot at the wrong angle to your knee and hip, leading to potential injury. A shoe that is too tight can cause blisters at the toes and toenail problems. A shoe that is too loose may lead to tendonitis or cause blistering at the heel. A shoe that is too flexible may contribute to the development of plantar fasciitis (heel and arch pain). A good shoe does not need to be expensive. When looking for a running shoe, make sure the midsole is supportive. Test this by grabbing the toe area and the heel area and try to bend the shoe in half. If it folds in the middle of the shoe, it is too flexible and will not support the foot. Make sure there is enough room at the toe box. Check the heel counter and make sure the heel counter is stiff enough to hold the heel in place to avoid blisters. Above all, make sure that the shoe is comfortable. Wear them around the house, on the carpet, before going out for a run.

Summary

There are probably a few individuals who could improve their performance and decrease their rate of injury by running barefoot. But, before you toss your shoes in the garbage can and head out for a run with naked feet, consider a better fitting shoe. Barefoot running is not recommended for individuals with a high arch, a very low arch, those who overpronate or those with diabetes. If you do decide to give barefoot running a try, choose the running surface carefully and be aware of puncture wounds.



Source by Christine Dobrowolski, DPM

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

Can I File a Claim If My Injuries Appeared After My Car Accident?

In the case of car accidents, it is quite common for injuries to develop days later. Those involved in auto accidents often think they are fine in the moment, but as time progresses, so do their symptoms of injury. Much like injured athletes who continue on during a game, a person may experience increased chemical levels of adrenaline and endorphins following a car collision. This can sometimes influence a person’s capacity to feel or notice pain.

The inherent risk of this natural phenomenon is that people do not realize they are injured until the excitement from their accident resides and the symptoms of pain begin to appear. The amount of time an onset of injuries takes varies from person to person. It can take anywhere from a few hours to a few days, depending on factors like the current health of the driver, the force of impact, the severity of the accident, and much more. Continue reading to learn more important information about onset of injury following a motor vehicle accident.

Soft Tissue Injuries

The most common type of injury experienced after a car collision is soft tissue damage, which affects he muscles, ligaments, and tendons. This type of injury is notorious for appearing days, even weeks, later, and lasting for a prolonged period of time. It can begin as slight stiffness, develop into minor or moderate soreness, and eventually result as a serious soft tissue injury.

One of the most common soft tissue injury is whiplash. This occurs when the head is abruptly jerked forward and backward as a result of the force produced from the collision. Often times, people do not even realize their neck jerked in this way because it happens so fast. Pain, swelling, and reduced mobility are all common signs of a whiplash injury, but are also indicative of all other types of soft tissue injuries.

Proving Soft Tissue Damage

Soft tissue injuries are complicated to prove since they cannot be seen on any medical photographing device. Neither an x-ray nor MRI will show soft tissue damage, however, they may be able to show muscle tears and ruptures. If you were injured in a motor vehicle accident and have started to develop signs of injury, it is important to talk to a personal injury lawyer before contacting your insurance company to file a claim. They will instruct you to get immediate medical attention and treatment to document your injury, and then begin to learn your case and negotiate a fair settlement to cover your damages and losses.

Concussions and Head Injuries

Just like soft tissue damage, head injuries are also known to show up much later. Concussions and other types of head or brain injuries can include a long list of symptoms. If you show more than one or two of these symptoms, you could have a concussion. For this reason, you must seek medical treatment immediately.

Here are some of the most common signs of a head or brain injury:

  • Headaches
  • Confusion or Clouded Thinking
  • Dizziness
  • Blurred Vision
  • Memory Loss
  • Fainting
  • Loss of Appetite
  • Nausea
  • Malaise
  • Energy Loss
  • Fatigue
  • Excessive Sleeping
  • Difficulty Sleeping



Source by Sarahbeth Kluzinski

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

Back Pain in Sports Players – Can it Be Sacro-Iliac Joint Dysfunction?

Many of the football players treated by Milton Chiropractic Clinic present to our clinic with Sacro-Iliac pain. Often, pain arising from this joint is misdiagnosed as being a “slipped disc”, since the pain caused by the Sacro-Illiac joint can refer into the leg. But in contrast to a slipped disc, the pain rarely radiates below the knee. Typical signs and symptoms of Sacro-Iliac Pain are a dull ache, located at the base of the spine which intensifies with sitting, bending, lifting and standing up from a seated position. Sometimes the pain can refer to the groin, buttock or the back of the thigh.

The Sacro-Iliac joints are located at the back and bottom of the spine and consists of Ilium bones and the Sacrum. The joint surfaces are covered with articular cartilage and the joints are reinforced by thick, strong ligaments, which give the joint great stability.

Sacro-Iliac Joint pain can have several causes, but the one of the most commonest ones is when a person lands on one buttock, during a fall. Something not uncommon in football! A leg length discrepancy might also create Sacro-Iliac pain.

Some inflammatory disorders will also produce pain in the Sacro Iliac joint. The general term for these disorders is: ‘spondyloarthropathies’, which simply means a disease that affects the spine. Examples of these conditions are: ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease and Reiter’s syndrome. The interesting thing about these conditions for the medical staff is is that they occur especially in young men, aged between 16 and 35. These conditions can only be treated with medication, and a referral to a Consultant Rheumatologist is required.

Treatment: What Can You Do?

• Consult a specialist

• Rest from aggravating activities

• Wear some support, like a brace or a belt

• Do light exercises, preferably in a pool

• Use corrective insoles

Chiropractic Care is very effective where normal Sacro Iliac joint movement is ‘blocked’ and needs to be restored. By restoring movement and unlocking the joint, abnormal stresses on the ligaments around the joint will be removed. Once normal Sacro Iliac joint movement has been restored, active rehabilitation exercises will be introduced. These exercises are very specific and will differ for each individual.

Rest from aggravating activities is of vital importance during an acute episode of pain. Ibuprofen, paracetamol or aspirin will also give some form of relief and should be considered during the initial stages of pain. Always consult a professional when taking any medication.

Corrective insoles

Sacro Iliac Joint Dysfunction can be caused by biomechanical factors, such as a difference in leg length or altered leg alignment. These causes must be addressed if someone is looking for long term relief. Custom made Orthotics can be helpful in these cases.

It is very important to differentiate Sacro-Illiac Joint Pain from a slipped disc or a herniated disc, since the management of these conditions differ quite a bit and can cause a long delay in improvement if treated inappropriately. It is therefore of vital importance to consult a professional when dealing with back problems.



Source by Jasper Hulscher

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

For Chiropractors – Whiplash and Personal Injury Analysis – Penning’s Method

This analysis method is by far one of the most useful for determination of loss of range of motion that I have found. This is a great way to show pre/post x-ray changes in a quantifiable way, and to show how the care you provided helped your patients by improving ligament stability in the cervical spine.

To establish hypomobility or hypermobility of vertebral segments in the sagittal plane, Penning’s Method is a one of your greatest methods. This is done with functional examination of the cervical spine in flexion and extension, using radiographic analysis.

If there is a loss of range of motion present, several factors may be found in your patient. You as the attending Cape Girardeau Chiropractor will need to understand these variable factors in order to ensure that the “validity of assessment” criteria have been met according to standards. Doing so will also best help your patient should a personal injury case enter the court room and you find yourself on the witness stand.

The intention of this article is to briefly explain and help Cape Girardeau Chiropractors use this method of functional radiographic diagnosis of the cervical spine during flexion/extension. This will hopefully allow you to better serve your patients and to have solid pre/post analysis. There has been much research done on this topic by Dr Liberti, D.C., as well as many other Doctors and Physicians, such as Dr. Pennings himself.

Completion of Penning’s Method

Penning’s Method is known by many to be the most widely accepted and utilized method for determining flexion/extension motion. To start the extension film is superimposed on the flexion film, with the C7 vertebrae matching perfectly. Next a line is drawn along one of the edges of the extension film, onto the flexion film. You then do the same with C6. A second line is then drawn. You can now measure an angle between these two lines and this establishes the degree of motion between the C6 and C7 vertebra. You follow this sequence for the rest of the cervical spine to determine the degree of motion between all of the vertebrae. The average values of segmental motion are written about by Dr. Penning: Functional Pathology of the Cervical Spine, 1968 pg 1-25. These values can be compared to determine the amount of dysfunction present in your patient’s cervical spine. It should be fairly easy for you to find some examples of these drawings elsewhere on the internet.

To reiterate this is a very valuable method for determining abnormal or pathological conditions such as hyper or hypomobility of the cervical spine.

Penning Method of Radiographic Determination of Loss of Range of Motion:

As an example if the normal for C2-C3 was 12.5 degrees and your patient was 20 degress, your percentage of normal would be 160%. If normal at C3-C4 was 18 degrees and your patient was 15 degrees your percentage of normal would be 83%. This is straight forward, if you would like all the normal values, these can easily be found on the internet.

The percentage of normal is figured out by dividing the patient’s values by Penning’s established normal values. For example C3-C4 15/18 = 83%. This essentially represents 83% of normal motion at the C3-C4 joint had been maintained. On the other hand you see that 17% of normal motion was lost when compared to the normal value as determined by Penning.

If you look at the C2-C3 level you see that you have 160% of normal motion, or 60% more than normal expected motion at this level. This is clear as to how to read this!

*Values above 100 are HYPERMOBILE

*Values below 100 are HYPOMOBILE

NORMAL at 100% (Values within 10% of 100 are considered to lie within the standard deviation of what is accepted as normal.) So anywhere between 90-110% for all intensive purposed is considered normal.

Further Analysis of example patient:

The interpretation of the above example is as follows; multiple areas of abnormal joint motion and dysfunction are present. Cervical Joint Hypomobility or a loss of normal joint range of motion was found at C3/C4, and C5/C6 motor units. Cervical Joint Hypermobility was present at the C2/C3 motor units.

You can also see a compensatory minimal Hypermobility present at C6/C7, but this falls within the normal standard of deviation.

Restated there are two areas of diminished joint range of motion and one with excessive motion involving the cervical spine segments during flexion/extension in the sagittal plane.

As is obvious, these abnormalities exist within the joints of the cervical spinal column and this analysis has been established radiographically.

As goes without saying, in addition to substantiating loss of joint range of motion, a Cape Girardeau Chiropractor should be looking to further evaluate possible existence of any neurological deficit (either sensory or motor). By simply looking at the mechanical and structural aspects of a particular case however, much can be objectively gained, and you will be able to stand with confidence in saying that structural integrity has improved on this patient if post care analysis shows improvement on Penning’s Method. Any degree of improvement substantiates improvement to the patient’s ligamentous integrity and of course increased normal range of motion. These two things alone could prove invaluable, should you find yourself testifying in court. I will soon be writing a Part II of this article titled “Objective Scales of Prognosis for Chiropractors doing Whiplash and Personal Injury Cases.” If you have found this helpful I am sure this will go a long way to giving you the objective findings you need in validating patient care. If you need any further help finding more information on this, any Cape Girardeau Chiropractic Clinic can feel free to look at the resource box in order to contact me with further questions.



Source by Jered Wayland

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

Podiatry – 5 Little Known Facts About Podiatrist’s and Their Field

Here are some facts about Podiatrists and Podiatry:

1. Podiatrists most definitely must be licensed and have about 3 to 4 years of education. They must also complete a 4 years of podiatric college and pass national and State examinations.

2. Many Americans spend an enormous amount of time on their feet. Good foot health is imperative to a healthy life style.

3. According to Columbia Encyclopedia, “The human foot consists of 26 bones, connected by tough bands of ligaments. Seven rounded tarsal bones (the internal, middle, and external cuneiform bones, navicular, cuboid, talus, and calcaneus) lie below the ankle joint and form the instep. Five metatarsal bones form the ball of the foot. There are 14 phalanges in the toes (two in the great toe and three in each of the others. The foot bones form two perpendicular arches that normally meet the ground only at the heel and ball of the foot (see flat foot); these arches are found only in humans.”

4. Podiatrists are trained health-care professionals. They treat bunions along with calluses. They also treat corns, even ingrown toenails. They treat arch problems as well as heel spurs and ankle and foot injuries. They also treat infections, deformities; and diabetic foot issues. In order to take care of these problems, podiatrists prescribe drugs. Podiatrists can set fractures and order physical therapy, as well as perform surgery. They also take advantage of corrective inserts (orthotics) and design plaster casts and strappings to correct deformities. They even design custom-made shoes.

5. Many times the foot is the first place that shows signs of serious conditions such as arthritis, heart disease and diabetes.

6. 23 percent of doctors of podiatry are self-employed. They also work in private practice, clinics and hospitals. Other podiatrists work in hospitals or are employed by the Federal Government.

7. Some podiatrists can perform Cryosurgery; work with soft tissue tumors, and Plantar Fasciitis. They can help with heel pain and Plantar Fasciitis. Podiatrists perform x-rays (in office) as well as Diabetic foot exams. They treat Diabetic Neuropathy; Tarsel Tunnel; Plantar Warts; even Ingrown Toenails. Some podiatrists provide in office Ultrasound. Podiatrists can provide Wound Care in office skin grafting; and Hammertoes’ surgical correction.



Source by Jenn Stevens

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