✔ DIRECT BILLING ✔ NO HASSLE ✔ NO PAPER WORK

Top 5 Common Consequences of Concussions

[ad_1]

1. Headache

Headaches are the most common problem after a concussion. There are a variety of types of headaches that can occur after a concussion. Largely, they are similar to the types of headaches that occur in the non-concussed population. However, those who have sustained concussions sometimes have other concussion-related problems that make treating the headaches more challenging – e.g. binocular vision disorders, visuo-vestibular mismatch, autonomic dysfunction, etc. – and that necessitate and multidisciplinary approach like that offered at our York Region medical clinic and York Region Physiotherapy sites.

2. Neck Pain

Whiplash is a neck injury that commonly occurs in conjunction with a concussion. There is no hard-and-fast rule on the force required to cause a concussion but many biomechanical studies seem to feel that a concussion occurs with forces about the head of above 80 – 95g. Similarly, in the classic “rear-end” motor vehicle accident, it has been shown that only a 12g force (corresponding to an impact speed of 32 km/h) is required to cause whiplash.

3. Dizziness/Imbalance

The specific reason for a particular case of dizziness/poor balance after a concussion can vary. In general, however, it is due to some change in the way the vestibule functions, the way signals are transmitted from the vestibule to the brain, the way the brain processes those signals and/or the way the brain utilizes this information to regulate your automatic reflexes – reflexes that most of us take for granted as we are generally not consciously aware of them. Vestibular in an integrative fashion therapy like that offered at our Aurora physiotherapy & rehabilitation centre is called for.

4. Sensitivity to Light

This is a common complaint after a concussion and often gets better with the right therapy. Immediately helpful measures include avoiding offensive lighting and using sunglasses to cope when the lighting is beyond your control. Management of your energy, sleep, autonomic nervous system training and treating any vestibular and binocular vision abnormalities will also improve this symptom. Our Thornhill location, more centrally located for those seeking sports physiotherapy in Vaughan or physiotherapy in Markham, offers vision therapy for those seeking a post-concussion syndrome specialist in Toronto and its surrounding area with expertise in binocular vision disorders.

5. Insomnia

It is thought that brain synaptic activity returns to a low baseline rate during sleep as compared to when one is awake, when it consumes 80% of the brain’s energy. Sleep quantity, quality and timing are all important variables that require attention and they are commonly manipulated by athletes to train for success.

Lack of effective sleep can also cause other problems – e.g., cognitive issues, headaches, etc. – in and of itself, further confounding the post-concussion clinical assessment. It is useful to regulate sleep and make it as effective as possible. The most effective way to do this is Cognitive Behavioural Therapy for Insomnia, offered at the York Region Concussion Clinic.

[ad_2]

Source by Nicola Siliprandi

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

Why Does a Bone Seem to Stick Out in My Upper Back and How Can I Prevent It Or Get Rid of It?

[ad_1]

Usually when I see this it is associated with forward head posture. Forward head posture occurs for many reasons. You may have had a neck injury or whiplash injury that shifted the spine and was never corrected, or it could be from repetitive motion or a repetitive posture.

Especially with the emergence of computers, laptops and mobile devices you see many people who log long hours with their head down and forward. This is the posture I’m referring to.

What happens as the head shifts forward is that the cervical spine often loses curvature. The upper back follows and starts to hunch outward. This often creates what is called an increased khyphosis. A khyphotic curve is in your dorsal or thoracic spine, otherwise known as your upper and mid back. In the neck and lower back the curvature opens towards the back and is called a lordosis.

An accentuation of one of these curves is called Hyperlordosis, and a flattening or loss of one of these curvatures is referred to as a Hypolordosis. One more thing to note is that in some cases of forward head and hunching of the upper back we see a cervical khyphosis. This is when the normal “C” curve in the neck, the cervical lordosis, actually curves in the wrong direction. And don’t forget, any misalignment, even millimeters, is enough to block the nerve flow over 50% of the normal amount.

A cervical khyphosis puts an abnormally large amount of stress on the spine as well as the spinal cord, nerves, and neck and upper back muscles. Imagine taking a loose rubber band, pulling and stretching it, this is analogous to what you would be doing to your spinal cord. However, this is a topic for another ezine.

Let’s get back to the upper back. In some cases we see extreme humping of the upper back and a hyper khyphosis in the thoracic spine. This is often associated with severe degeneration and osteoporosis. We will sometimes see fractures of the vertebrae allowing this extreme change in alignment to occur. This is called a Dowager’s Hump.

What ever the case, I see hunching out of the upperback more often than I like. I see it in patients, and often they present into the office with neck or back pain, but not always. I also see it sometimes in relatives, people at the grocery store, you name it, just look around.

Remember that if your posture is starting to look like this, then your spine inside is looking like this also, and it usually will continue to worsen. Use postural exercises to prevent as well as get rid of this hump. Also, always be aware of your posture; this can make a huge difference because you can correct it if you are in one position to long or find yourself with your head forward to often. Lastly, a great posture correction tool is a neck pillow. Not only will it prevent this bad posture but it will keep the nerves free from pressure in other instances too.

[ad_2]

Source by Matthew Bellinger

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

Car Accidents Near Cooper City

[ad_1]

Cooper City is a small city in Broward County, Florida, with a population of just under 30,000. With Davie to the North, Pembroke Pines to the South, and Hollywood to the East, Cooper City is a city many call home, but also a city many pass through to get to their destination.

As a small city, and once named one of the top towns in which to raise a family, Cooper City is considered safe. Still, it is no stranger to local car accidents. Furthermore, with larger cities like Hollywood, Pembroke Pines, and Davie just minutes away, the area is often plagued with motor vehicle accidents. In fact, Broward County has the second highest number of crashes in the state.

There were 380 accidents reported in Cooper City in 2015. Of those accidents, 4.21% were alcohol-related. In Pembroke Pines, Davie and Hollywood, a combined 9,800 more accidents were reported.*

Despite its small size compared to larger city areas like Fort Lauderdale, thousands of local residents are injured in automotive accidents.

Some of the most common injuries after a crash include:

  • Muscle sprains and strains
  • Contusions
  • Head trauma
  • Whiplash
  • Broken bones

Whiplash is one of the most common auto accident injuries. This injury occurs when the neck is thrust forward and then back again against the headrest rapidly. The whipping motion can cause the neck muscles and ligaments to become strained, leading to pain, discomfort, and often, headaches.

What to Do After a Cooper City Car Crash
Did you know that the majority of auto accidents occur just a few miles away from your home? The moments after any accident can be terrifying. Although you may be in shock, keeping some of these tips in mind can help you.

  • Check for injuries and call an ambulance if required
  • If possible, move the vehicle out of the way of oncoming traffic
  • Make sure your vehicle’s hazards lights are on
  • Contact Cooper City police, even if the accident is minor
  • Exchange insurance information with the other driver involved
  • Be polite, do not blame anyone or say you were at fault, even if you think you may have been
  • When giving the police a statement, state only the facts

After you have left the accident scene,
contact a chiropractor near Cooper City. Even if you do not think you suffered serious injuries, a complete medical examination and imaging tests can help you determine if you suffered any musculoskeletal injuries.

Even after a wreck, some injury symptoms may not become apparent until days after the crash, which is why medical attention is essential after any Cooper City accident. Florida law requires drivers to carry $10,000 in personal injury protection insurance. Those who suffered injuries may be eligible to receive up to $10,000 in medical benefits to help with medical expenses after a crash.

*Data provided by the Florida Department of Highway Safety & Motor Vehicles

[ad_2]

Source by Sandy Schneider

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

How Much Is Your ICBC Personal Injury Claim Worth?

[ad_1]

Your ICBC claim’s worth is based on what you’ve lost and the amount of harm done to you as a result of your car accident. Your harms and losses are called damages.

Harms and losses form your claim from the time of your accident until as long as you are expected to suffer each particular harm and loss. The following are the most common harms and losses:

  1. pain and suffering and loss of enjoyment of life;
  2. loss of past income;
  3. loss of future earning capacity;
  4. loss of opportunity;
  5. out-of-pocket expenses (special damages);
  6. cost of your future care; and
  7. cost for help with your family responsibilities and your home.

This is not a complete list, but instead sets out the usual harms and losses.

What are these harms and losses and how are they calculated?

1. Pain and suffering and loss of enjoyment of life.

Pain and suffering includes all your symptoms, pain, psychological problems, cognitive impairments, and emotional difficulties that were caused or materially contributed to from your car accident). Loss of enjoyment of life is your limitations stemming from your symptoms, pain, psychological problems, and emotional difficulties. For example, if you suffered a whiplash injury, your pain and suffering is your neck pain and headaches and perhaps back pain. Your resulting loss of enjoyment of life is all the things you can’t do or can’t do as well or as frequently as you could do before your car accident.

The Supreme Court of Canada said in 1978 that money is awarded for pain and suffering and loss of enjoyment of life because “it will serve a useful function in making up for what has been lost in the only way possible, accepting that what has been lost is incapable of being replaced in any direct way (from the court decision in Andrews v. Grand & Toy Alta. Ltd. [1978] 2 S.C.R. 229.

In the Andrews case the Supreme Court of Canada put a maximum on the amount of money that could be awarded for pain and suffering and loss of enjoyment of life. In 1978 the cap was $100,000. As of December 2007, taking inflation into account, the maximum was $320,000.

Therefore, if you sustained X, Y, and Z injuries, the court will use previous cases of similar injuries as a guideline in determining how much to award you. Since every injured person has unique circumstances as well as similarities to previous cases, the court will also consider your circumstances in coming up with a damages award.

2. Loss of past income

For income loss stemming from car crashes, the income amount awarded by courts is what an injured person’s after-tax income would have been. The injured person must prove the income loss.

Presently, the tax deduction is calculated by adding up the entire income loss and then assessing as if it was earned at the time of trial. Then the previous tax year’s marginal tax rates are applied. Consequently, if you were off work for more than one year, the tax rate applied may be higher than if your income was split up over the years you were off work. However, if your income loss is not for a full year and you had other earnings, those other earnings are not added to the income loss amount. This means that in this scenario your income loss deduction may be a lower marginal rate than all your earnings for that year warrant.

The only tax deduction available is the basic personal exemption.

3. Loss of future earning capacity

Damages are awarded for loss of future earning capacity when there is a substantial possibility that injured persons will have less income-earning capacity in the future. Because this award is based on the future, there is no way to determine it with mathematical certainty. Therefore courts determine it using a best or informed estimate based on the medical, educational, and employment evidence.

Another way courts term this loss is a loss of capital asset. The capital asset is the injured person’s ability to earn income. Factors (from Brown v. Golaiy [1985 B.C.J. No. 31] the Court can consider when determining this loss are as follows:

  1. whether the injured person is less capable overall from earning income from all types of employment;
  2. whether the injured person is less marketable or attractive as an employee to potential employers;
  3. whether the injured person has lost the ability to take advantage of all job opportunities which might otherwise have been open had he [or she] not been injured; and
  4. whether the plaintiff is less valuable to himself [or herself] as a person capable of earning income in a competitive labour market.

4. Loss of opportunity

Generally this loss falls under the loss of earning capacity which is described above. However, sometimes the circumstances in a case are such where an injured person’s loss is most accurately termed and considered a loss of opportunity. Usually this loss is the loss of opportunity to work or develop a particular vocation. An example from a British Columbia case is a triathlete whose injuries prevented her from entering the “very top rank” of professional triathletes (Bonham v. Smith [1998] B.C.J. No. 98) para. 42).

In order to prove a loss of opportunity, you must show a “reasonable chance of being successful” (Bonham para. 42).

5. Out-of-pocket expenses (special damages)

From the time of your auto accident to the date it’s resolved you will almost certainly spend some money in some form or another as a result of your crash. These out-of-pocket expenses form part of your claim as a special damage.

In order to receive money for your out-of-pocket expenses, you must show that the money was spent and it was reasonable to spend the money. The following are expenses that can form part of your claim:

  1. transportation/mileage to medical visits;
  2. vehicle damage (if not already paid);
  3. vehicle rental costs;
  4. medical and rehabilitation expenses (i.e. physiotherapy, chiropractor, massage therapy, gym/pool memberships, etc.);
  5. extra hospital costs;
  6. dental expenses; and
  7. cost for past help in your home and yard.

6. Cost of your future care

At some point your claim will resolve by way of settlement or trial, yet you may still require treatment and care such as rehabilitation, fitness facility access, medication, equipment, and assistance, into the future. In order to successfully claim for future care, you must prove that it’s a substantial possibility you will require it.

7. Cost for future help with your family responsibility and home (a.k.a. loss of housekeeping capacity).

If your injuries prevent you from doing some or all you used to be able to do and did in and around your home and for your family, then you can claim for future assistance in and around your home. Again the test for proof is that your loss of housekeeping capacity is a substantial possibility.

At the start of this article I said you are entitled to the applicable above damages if you aren’t 100 per cent at fault for your car crash. If you are zero per cent at fault, then you receive all the damages assessed. However, if you are found 40 per cent at fault, then once all the damages are assessed under the above applicable harms and losses, the Court will reduce the amount by 40 per cent (or whatever per cent you were found at fault).

[ad_2]

Source by Jon Dykstra

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

Pain From an Automobile Accident and Why to Consider Chiropractic Treatment

[ad_1]

It is estimated that a driver in the United States will be in some sort of automobile accident once every ten years. Many of these are just fender bender incidents where no one is injured. Unfortunately, however, some accidents do result in injuries and pain to the driver or occupants.

In a high-speed impact the forces involved can obviously cause one to suffer from neck pain, headaches, lower back pain, and also injuries to the extremities including the shoulders, hips and elbows. But even in a low-speed impact where the vehicles are traveling as slowly as 5 mph injuries can result. Numerous studies have shown that even if there is little or no damage to the vehicle the occupants can experience significant painful conditions.

Many people who are initially injured in an automobile accident don’t seek immediate help thinking their pain “will just go away.” However, credible research articles have shown that up to 62% of whiplash-injured patients had not recovered by six months after the accident.

Additionally, some people are more at risk when involved in an accident than others. These include anyone with a history of previous injury, those with their head and neck turned to the side versus looking straight ahead at the time of impact, people with non-muscular necks like smaller females or tall, thin people, passengers in the front seats versus those in the rear seats and those who are unaware of the impending impact versus those who can brace and protect themselves. This explains why two people traveling in the same car and involved in the same accident can be affected differently: one person may be have no injuries while another may experience quite a bit of pain.

If one is injured in an automobile accident it is advisable to go to an emergency room of a local hospital if there is a chance of life-threatening or serious injury. Once the emergency has passed a chiropractor is well-suited to see for neck pain, headaches, lower back pain, shoulder pain, hip pain or elbow pain. The chiropractor and the injured person will discuss the details of the accident and the extent of the injuries. Next the chiropractor will examine the areas causing the pain and check for possible loss of ranges of motion of the joints, muscle spasms and tenderness, ligaments that may have been sprained and other signs. If necessary, x-rays may be taken. Once the chiropractor has obtained this information he can determine the correct treatment methods to help the injured patient to heal as quickly as possible.

Chiropractors have extensive training and experience in helping those involved in an automobile accident to recover as fully as possible. Studies have shown that early movement results in a better outcome than wearing a collar or not allowing movement. Therefore, gentle mobilization and manipulation by the chiropractor, as soon as it can be tolerated, favor a better result. There are many different methods and techniques that chiropractor can use to speed and assist the recovery process. Prompt treatment is important!

[ad_2]

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

Car Accident Injuries – Causes and Preventive Measures

[ad_1]

Car accidents that cause injuries have happened virtually since automobiles were invented. The first recorded accidental injury occurred in 1869. An Irish woman named Mary Ward was thrown out of the steam-powered carriage she was riding in when it hit an especially deep rut in the road. She was immediately crushed by one of the wheels, her injuries causing an instantaneous death. Her cousin had actually been the inventor of this new type of vehicle, in a cruel example of irony.

Over the last 25 years or so, car accident injuries resulting in deaths have declined an impressive 50% worldwide. This is due primarily to increased emphasis by both governments and car manufacturers on safety, including the standard use of air bags to reduce the number of severe injuries and deaths caused by front and side car-to-car collisions.

Sadly, the United States is one of the few nations where injuries and fatalities caused by cars have increased over this same period. Experts suggest that this has several causes, including an increased number of motorists overall, a steady increase in the number of large trucks and SUVs sold, and a sharp rise in the numbers of people using cell phones and other technological gadgets while driving their cars.

Another common cause of car accident injuries is ‘rubbernecking.’ This is the term for slowing down (sometimes suddenly) to look at an unusual situation happening on the road (or nearby). Often, people do this to check out car accidents, which can cause other motorists farther back who are not paying close attention to fail to slow down or stop in time. Rubbernecking is the #1 cause of all rear-end car accidents and, in particular, whiplash injuries, in the United States.

Car accident prevention designed to reduce injury and fatality numbers focuses on technology and changing human behavior while behind the wheel. Modern cars and trucks are equipped with air bags, and proximity and drift monitors are becoming more common as well. Both emit loud tones to alert the car’s driver that the vehicle is entering a dangerous area. In Europe, this has been shown to reduce accidental injuries from both car-to-car collisions and single-car accidents.

Changing driver behaviors to reduce car accidents is a tougher nut to crack – especially in the United States, where car ownership is embedded in the culture. People spend so much time in their cars today that it results in a sense of invulnerability. The subsequent lack of defensive driving is one of the reasons why accidental injuries from car collisions in America are bucking the worldwide downward trend.

Perhaps surprisingly, U.S. states with less restrictive speed limit laws actually have a slightly lower incidence of car accidents that cause injuries or deaths. This can partially be explained by a lower number of cars on the road per capita vs. some of the states with lower speed limits. However, even when adjusted for this effect, the statistics still show a slight edge to states with higher limits. Advocates of stricter enforcement of posted speed limits may be pursuing the wrong strategy, if the goal is the prevention of car accident injuries.

A better approach to accident prevention should probably focus on two areas that lead to many serious auto accidents: driver distractions and age. Cell phones are becoming the biggest distraction, and more and more states are banning their use by the driver while the vehicle is in motion. Even if you live where it is permissible, it’s an extremely bad idea! Recent studies have shown a clear connection between phone use and car accidents.

Driver age has an interesting correlation with car accidents that cause injuries and deaths. At both ends of the spectrum, ages 16-20 and 70+, a much higher percentage of accidents occur than with other age ranges. Accident prevention based on the driver’s age is not easily implemented, but calls by the public and advocacy groups are on the increase. Some suggestions include mandatory driver education courses, annual driver examinations to reassess abilities, and even a magnetic sticker or decal on all cars driven by a person falling into either age demographic. The latter entails the idea that alerting other drivers will increase their defensive driving attention, reducing the frequency of accidents.

[ad_2]

Source by John Schwartz

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

Looking Through the MIST – Minor Impact Soft Tissue Injury

[ad_1]

As a personal injury attorney in California I, or an attorney anywhere else for that matter can tell you, low impact cases resulting in soft tissue types of injuries, including whiplash, are specifically “red flagged” by the insurance industry as cases meriting special attention. Such cases have been labeled by the code word “MIST”, short for Minor Impact Soft Tissue injury. The idea behind the “MIST” injury originated with insurance companies to allow for lower pay outs for claims resulting in little or no damage to the vehicles involved in an auto accident, and to also permit the insurance companies to pay less for injury claims that cannot be easily seen by the naked eye.

MIST cases are typically denied in their entirety by the defendant’s insurance company. If the MIST claims are not denied categorically, the defendant’s insurance company will often make an extremely low offer to settle, often not enough to even cover all the related injury expenses. This holds true even in cases where the defendant is clearly at fault in the accident. What can be even more frustrating is the fact that often, fault is admitted by the defendant in the accident. The insurance companies simply state that these “low ball” settlement offers are in keeping with what they see jury verdicts rendering in these kinds of related personal injury cases. As a result of the difficulty in litigating MIST injuries, many personal injury attorneys will no longer accept auto accident cases involving low property damage to a vehicle when the injury involved is a soft tissue injury.

The difficulty of litigating soft tissue injuries creates a quandary, leaving an auto accident victim with only two options: accepting the insurance company settlement offer or proceeding to take the defendant to court. Although one does not have to accept an insurance company settlement offer, there are a several facts to keep in mind during the decision making process. The first thing to remember is that going to court involves a substantial commitment of time for both the representing attorney and the recovering client. The second idea to consider is that bringing a case to trial and ultimately through to a verdict is often costly in terms of the expenses required to so, including but not limited to the costs of specialists, medical experts, and accident re-constructionists. Thirdly, it must also be noted that litigation can be risky and that there are absolutely no guarantees as to a successful result. It is up to the client to request their personal injury attorney to proceed through a cost-benefit analysis to determine if the case can be successfully litigated in a cost effective manner.

For victims of MIST injuries, it is important to engage in an active discussion about the possible outcomes of the options comprising soft tissue litigation. It is also important that one question their attorney about the bottom line when obtaining advice for an appropriate course of action to best resolve the soft tissue injury case.

[ad_2]

Source by Jeffrey Frank

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

Neuromuscular Physical Therapy – Megan’s Case Study

[ad_1]

In studying Megan’s case history and symptoms, key moments and events stand out in her time line of pain and dysfunction. Nine years ago, after the birth of her second child, was the first time that Megan noticed that her left foot was slightly wider and longer than her right foot. The timing of this is relevant as during the course of her pregnancy a hormone called relaxin would have been released into her system to loosen the ligaments of her pelvis in anticipation of childbirth. However, relaxin can also loosen ligaments elsewhere in the body and a longer and wider left foot would indicate the collapse of the main arches of the foot due to ligament laxity. This is one of the turning points in Megan’s history that has had a detrimental effect on her health ever since. The relaxed ligaments may never have fully recovered their full stabilizing strength and when she developed a tired aching sensation in her left medial arch a few years later it was probably as a result of this. A fallen arch will lead to over pronation and this will in turn put the tibialis anterior and possibly tibialis posterior muscles under undue stress as they try to stabilize and counteract over pronation. Stressed or overwhelmed muscles will form trigger points (TPs) within them and for tibialis anterior this can refer pain anteromedially as it passes the retinaculum. TPs in the tibialis posterior will refer pain into the sole/arch of the foot. Over pronation will lead to shortened peroneus longus which will further inhibit the tibialis muscles which will further exacerbate the problem in a continuous vicious circle.

The whiplash injury experienced last year would also add to Megan’s problems and since then she has experienced occasional headaches and neck stiffness. The whiplash injury almost certainly would have affected her sub occipital muscles, sternocleidomastoids (SCM), scalene and other stabilizers of the neck and spine. This whiplash would lead to improper neck movement which in turn would lead to TPs in the SCM and possibly the longus colli on one side (left) possibly due to the leg length discrepancy. TPs here would leave these muscles in a shortened state resulting in rotation of the head to the right hand side. If the longus colli is involved it result in kinetic chain problems and affect the peroneals on the lateral aspect of the lower limb further exacerbating the fallen arch. With the peroneus longus muscles in such an unhealthy state it is possible that it could have an effect on the sacrotuberous ligament of the pelvis and its ability to hold the sacrum in position. Megan states that one day last year she felt a twinge in her right sacroiliac joint while assisting an obese client up from a supine position. She experienced locking/jamming and diffuse soft tissue pain in QLs, multifidis and shooting pain into her hip. The fact that she was locked into torso flexion to the right suggests that the QLs went into spasm on the right side after insult and as we find out later her sacral base is an inch high on the right and there is posterior rotation of the right ilium with resultant postural imbalance whereby 2/3rd of Megan’s weight is pressing down on her right side. This extra load and postural imbalance has led to shooting pain in the trochanteric region and referred pain on the lateral aspect of the thigh due to TPs in the weakened gluteus medius and iliotibial band issues due to the over worked tensor fasciae latae.

With all this pain getting to unbearable levels, Megan turned to prescription drugs, codeine based painkillers, antidepressants, Zoloft, anti inflammatory tablets all of which would have exacerbated her problems through time by building up toxins in her system. She was also whilst under the influence of painkillers probably injuring tissue by doing activities that she would not have done if she had her natural alarm system of pain stopping her. The elastic support belt and the taping would have made the situation worse by encouraging atrophy of supporting muscle tissue.

Megan’s right shoulder is lower than the left possibly due to shortened latissimus dorsi pulling on the humerus and inhibiting upper trapezius and hypertrophy of the pectoralis minor muscle pulling the scapula forward and down.

As we consider Megan’s problems, symptoms, and case history, we can appreciate that she is suffering abject pain and dysfunction up and down her functional kinetic chain. From the pain in the plantar fasciae, spastic peroneus longus, inhibited tibialis, medially rotated tibia, medial knee pain, lateral thigh pain, trochanteric pain, lumbo – sacral pelvic pain and dysfunction, posteriorally rotated right ilium, lower left anterior superior iliac spine, 2/3rd weight imbalance to right hand side, lower back pain with QLs and multifidis in a shortened state, latissimus dorsi, neck extensors and flexors all giving problems we have to ask the question as to which functional kinetic chain we are dealing with. In my opinion, considering all areas involved, it would be the spiral oblique chain.

Megan would have to be informed that her treatment will be extensive and prolonged because some issues have been there for a while and would involve neural retraining for the dysfunction and imbalances present.

  • Medical screening.
  • Case history.
  • Postural assessment.
  • ROM testing / neural testing.
  • All shortened and restricted muscles would have to be relaxed / lengthened with TP therapy, METs, positional release / strain- counterstrain.
  • Inhibited muscles would have to be fired and strengthened with tapotement, METs and strengthening exercises.
  • Any areas of bind would need STR, cross fiber friction etc.
  • A consideration would be referral for PCIs to address the pronating left foot initially with a plan to strengthen that area long term.
  • Megan’s nutrition was not mentioned but I would be referring her to a specialist in that field to ensure that she has no nutritional deficiencies that would hinder the healing process.

[ad_2]

Source by Charlie J Molloy

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

Cervicogenic Headaches – A Pain in the Neck (Part 2) – Treatment Options

[ad_1]

OK, so in part 1 we looked at causes and effects of the cervicogenic headaches, now let us turn our attention to treatment options that can be utilized to help decrease their severity and frequency as well as postural and lifestyle changes to eliminate the underlying cause. Treatment options and expectations can be difficult to establish as the cervicogenic headache can be somewhat of a “chicken and the egg” process. The better we can tell what caused what the more accurate the recommendation and prognosis. For the purpose of this article we will divide recommendations into acute or recent onset that resulted from an injury or event and chronic or long term conditions without a history of injury. Certainly there can be a combination of both acute injury and chronic resultant conditions but for simplicity we will look at the former:

An acute injury or traumatic event is most commonly associated with a sports injury or auto accident. Remember, just because you may have not been the driver in an accident, the body goes through the same injury. As an example, studies indicate that a typical low to medium impact “whiplash” injury has the same impact as taking off in a fighter jet…about 5 to 7G’s of force. This force is absorbed by 22 cervical ligaments and tendons in the neck that attach key muscles allowed for movement and overall function. Common treatment options for an acute cervical injury with resultant cervicogenic headache include muscle relaxants, pain killers, manipulation / chiropractic, physical therapy and massage. Ideally, studies indicate that the best results may in fact be accomplished with all of the above used in combination. Pain killers should be considered as a last resort or at best a temporary option due to the potential side effects and addictive qualities. The muscle relaxants do just that, they serve to relax the muscles that are in spasm. These muscle spasms are the body’s natural defense mechanism, however left in spasm for too long they can cause on- going issues including but not limited to the cervicogenic headaches. So, from a relaxation and functional standpoint the anti-inflammatory, muscle relaxer and pain killer (preferably over the counter) provide the body a chance to rest which is important when injured. However, it does little to actually treat the underlying cause of the injuries, that being the sprain and or strain of the cervical spine muscles and ligaments as well as potentially the minor misalignment of the 7 cervical vertebrae or bones in the neck. The manipulation process addresses specifically the top three vertebrae to ensure proper nerve flow, think of it in terms of having a water hose with a kink in it and then releasing the hose to its normal position. Additionally, the muscles need to be addressed through physical therapy and massage in order to maintain the proper alignment. Like a tug of war, if the bones are manipulated to take pressure off of the nerve, yet the muscles remain in spasm then the muscles will simply pull the bone back where it was at the time of the accident or injury. Again a combination of the above treatment options appears to have the best results for acute injuries.

The treatment management of chronic or long term cervicogenic headaches can certainly utilize some or all of the above options as well, however generally speaking the results may be slower as the body has already adapted perhaps with cervical muscle scar tissue and / or cervical spine osteoarthritis depending on the events if any and the duration that led up to the headaches. The body will heal itself the best way it can to function and protect itself in the short term, however if the joint integrity and / or muscle tone is compromised for a prolong period of time then this healing process may not have been biomechanically correct if you will, resulting in chronic cervicogenic headaches. The most common cause for cervicogenic headaches appears to be resulting form postural imbalances. The head forward or flexed positions that we face through the day in front of computers, etc. coupled with poor overall posture sitting, standing and sleeping have lead to headache complaints in record numbers. Some studies indicate that over 2% of the population, translated to 18 million people have suffered cervicogenic headaches resulting in clinical outpatient visits every year! In addition to the above referenced treatment options it is very important to be aware of the potential detrimental result of poor posture of the neck and the relation to cervicogenic headaches. Options for treatment of the chronic cervicogenic headache should include adjusting any book, computer etc. to be at a position that does not require the neck to be in a flexed position for a prolonged period of time. Headsets for phone work are much better than having a phone to the ear (including cell phones). Additionally, daily stretching and range of motion exercises for the neck are very important and lastly, our sleep habits. It is important to sleep on your back or side (do not tuck chin) with the usage of a cervical pillow. The cervical pillow is designed to maintain the integrity of the neck in its proper alignment while we sleep, allowing the supporting and overstressed muscles a much needed chance to rest.

As mentioned earlier cervicogenic headaches are complex to evaluate and treat. Try these suggestions under the direction of your doctor as individual circumstances and results vary. You may just discover that those headaches you have learned to live with may not be around much anymore. Maintain good cervical posture and timely and appropriate health care for any neck injury…The quality of your life may depend on it. Best Wishes.

[ad_2]

Source by Eric J Chartier

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 Treatment Addresses Many Health Challenges

[ad_1]

While many consider podiatry to be an exclusive realm of all things below the ankle, the truth is that treatment of injuries and other problems of the feet affect the whole body. When the biomechanics of walking are misaligned by damage to the feet, it can cause overarching issues in the legs, knees, hips, and back. Chronic pain can reduce the desire to exercise, leading to lethargy and depression.

Help with toe pain

Toes are made up of multiple small bones, ligaments, and muscles. When something in these complicated constructs gets out of place, injured, or torn, the pain can be debilitating. A patient suffering from bunions or hammer toe should seek treatment sooner rather than later. Addressing toe pain earlier on can reduce the need for invasive treatments, and this may make treatment more effective in the long run.

Tendonitis and heel pain

Although tendonitis can happen in several places from the ankles to the toes, it’s most commonly diagnosed in the Achilles tendon. This inflammation can cause moderate to severe pain and make even light exercise difficult. It is most often treated with physical therapy, but other treatments can become necessary if the pain is severe. The normal causes are repetitive stress or not taking enough time to stretch before working out.

Leg, knee and back pain

Most people seek out podiatry treatment only after first consulting an orthopedic surgeon about their knee, back, or hip pain. Many patients don’t realize that the pain in their lower body may be caused by problems in their feet. Balance, movement, and articulation can be affected by injury or malformation of the feet. By treating the source of the problem, these kinds of injuries can be addressed more effectively than by treating the symptoms with painkillers or antidepressants.

Treatment possibilities

Many patients seeking out the care of a podiatry specialist expect surgery to be a part of their treatment plan. While some issues must be dealt with surgically, many can be addressed through less invasive means. X-rays can help pinpoint a diagnosis, and they are often necessary in devising a long-term treatment plan. The options for treatment may range from education about appropriate footwear, to physical therapy, to specialized orthotic inserts.

Preventing podiatry problems

Many patients don’t realize that feet change in shape and size long after puberty, unlike most parts of the body. Many podiatry problems can be avoided simply by having the feet measured when buying shoes, and wearing shoes that fit properly, especially for exercise. When there are problems with the shape of the feet, or an injury that causes problems with walking, custom-created orthopedic inserts may correct balance and other issues.

Seeking out orthopedic treatment at the first sign of pain or strain often prevents further injury. Foot injuries should be treated promptly to reduce the recovery time and help ensure the fullest possible recovery. Wearing the correct shoes for activity and exercise, and taking the time to stretch and warm up before exercise help prevent injuries.

[ad_2]

Source by Abigail Aaronson

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