It is no secret that at the Canadian Chiropractic Association (CCA) we often promote the benefits of regular physical activity as a way to stay healthy and happy. In fact, the CCA thinks it’s so important that we’ve created a free app: Straighten Up Canada! The app is currently available for download via Apple Store, Google Play and Blackberry World. Featuring easy-to-follow exercises, it helps to improve your posture and allows you to stay active during your day!
Investing time to do activities or sports that you enjoy is key to healthy aging and an active lifestyle. Being physically active is often a good way to prevent and manage musculoskeletal (MSK) injuries as well as helping maintain strength and mobility. Varying your routine between high- and low-impact activities is a great way to modify your workouts and challenge the body. We’ve outlined some great suggestions for both so you can get up and get moving!
High-impact exercise is typically described as an (often aerobic) activity where both feet leave the ground at the same time1. Often, high-impact activities may include exercise classes which involve jumping, leaping, or jogging in place. Doing high-impact exercise can put you at greater risk of injury if your body is not prepared, especially if you’re just starting out. Be cautious and adapt to a lower impact version of the activity if in doubt. Otherwise, before starting high-impact exercises make sure you have warmed-up.
Good examples of high-impact exercises are:
Running or jogging on a treadmill (or outdoors)
Performing plyometric exercises
High-impact exercises tend to be more intense and expend more energy, so it’s important that if you’re doing high-impact exercises that you’re well-prepared. For some, high-impact exercises are not appropriate: they may increase the risk of injury, commonly to the ankles, knees, hips, and even the back. That being said, high-impact exercises can have a lot of great benefits too2:
Improves bone density
Increases an individual’s heart rate more quickly, thereby burning more calories
Improves a person’s stability, balance, and coordination
Strengthens the heart and lungs
Low-impact exercise tends to be less jarring on the body and joints, and less intense overall. According to the American Council on Exercise, keeping at least one foot on the ground at all times also reduces your risk of musculoskeletal injury. Some examples include4:
It’s important to realize that low impact doesn’t mean low intensity (unless purposely designed to be so) because you can still get an intense workout keeping both feet on the ground. Low-impact exercises are great for beginners, people with arthritis or osteoporosis, older adults, individuals who are obese, pregnant women, and people with bone, joint, or connective tissue injuries.
Whichever form of physical activity you choose, make sure you do it safely.
You’ve made the decision to take your cardio routine from the treadmill to the sidewalk – congratulations! You’re on your way to reaping some amazing benefits. If you’re feeling wary about transitioning your routine to a new location, we’ve got you covered. With a good pair of running shoes and some healthy preparation, you can get the most out of your running session outdoors.
Note: Running is a high-impact activity. If you’ve never run before, please consult a chiropractor/medical practitioner to ensure you won’t worsen any pre-existing conditions or cause injury to your joints.
Here are some tips to help get you started:
Warm up and cool down: Make sure you stretch before and after your run. Stretches are an essential part of your running routine to avoid injuries. Some important points to keep in mind:
Never stretch a cold muscle
Hold each stretch for a slow count of 30
Repeat twice on each side
Don’t overstretch—be comfortable
Don’t bounce when stretching
Pick a road or trail you are familiar with: When starting out, the last thing you want to worry about is getting lost. Before you lace up your sneakers, do some research: ask friends where they like to run, use online running forums to find popular routes, and check to see if your park has designated trails. The more popular and visible the trail, the better.
Wear the appropriate footwear: Adapt your shoes to your environment. A regular running sneaker works for the flat, predictable surface of a treadmill. But once you are outdoors, make sure the sneaker’s tread can handle the gravel, dirt roads, and slick trails. Runners should get a sneaker that supports the feet while having the appropriate sole to help maneuver and provide support over uneven surfaces.
Start slow: Running outside is more taxing on your muscles, joints and bones, making you more prone to injuries like shin splints. Start off with shorter distances on flat roads or trails. As your endurance improves, gradually increase your mileage and hill work.
Maintain a constant pace: Don’t feel compelled to push yourself to run at the same pace that you would on a treadmill. Start with moderate and comfortable pace that allows you to run safely, and gradually increase your speed over several weeks as your body allows.
If you’ve been running on a treadmill for a while, transitioning to the outdoors may take time. The mechanics of running on a stationary treadmill are different than running outside on an uneven surface.
Originally published June 2016 by the Canadian Chiropractic Association
Most of us in our fast-paced, technology driven, multi-tasking lives have experienced some form of stress. Stress is a state in which internal stability is actually threatened or perceived to be threatened. When it comes to human beings, stress can be actual (real), anticipated and/or imagined while animals respond to actual (real) threat only which is an advantage to them.
Causes of Stress
Isolated events such as sudden unemployment, marriage breakup, death of a loved one are undoubtedly potent sources of stress, but chronic daily stressors are more insidious and more harmful causing long term biological consequences. Stress is cumulative-unmetabolized childhood events as far as from two years of age form unconscious beliefs which drive one‘s life. For those habituated to high levels of internal stress since early childhood, it‘s the absence of this stress that creates unease, boredom and meaninglessness which drives their addiction of accomplishment. These people have a strong sense of time urgency, can‘t relax, are insecure about their status, are highly competitive and are easily angered when life doesn‘t meet their expectations.
There‘s nothing wrong in being a “go-getter”, only if you are motivating force is your inner creativity and you are not working hard to prove your worth to the world. Some common symptoms of stress are anxiety in relationships, anxiety related to work, worry, fear, depression, hostility, irritability, resentment, chronic pain, headaches, neck pain, muscle tension, high blood pressure, abdominal pain, stomach ulcers, indigestion and sleep related issues. Symptoms are nothing but body‘s way to bring attention to your suppressed emotions and feelings .You may suppress symptoms by comfort foods, alcohol, recreational drugs, internet, over exercising, social withdrawal or take medications which provide relief for short time but if root cause is not addressed long term serious health consequences happen. Most people are more externally aware such as traffic, weather, and time of the day or their bank balance but have lost internal awareness of physical sensations in the body, feelings, discomfort. Let‘s dedicate this month to connect with ourselves as disconnection with self is the primary suffering. ?
Here are few tips to become self aware:
1. Take a body inventory or run a body scan from toe to head few times a day to connect yourself to your inner world. Body awareness is the ability to recognize how your body reacts to stressors in your life and is the most powerful step to healing.
2. Breathing is a fundamental necessity of life which most of us take for granted. The easiest way to connect to body is through breath, use breathing to increase awareness of inner peace.
3. Build Mindfulness muscle at least 10 minutes every day. When eating just eat, when talking to your kids, just talk, when walking –just walk.
4. Take relaxation breaks every 2 ½ hours throughout the day for 3-20 minutes.
5. Remind yourself that you don‘t have to do what everyone else is doing. Comparing self to others is a form of self abuse.
6. Connect to nature – It doesn‘t rush, yet accomplishes everything.
7. Pray, meditate or practice slow deep breathing exercises for at least 11 minutes before bed to increase melatonin levels.
8. Connect with someone you care about today. Tell them how much they mean to you.
9. Devote 10 minutes every day to doing something you love.
10. Say “No” to something that bothers you in your life today. Acknowledge an inner conflict or fear. Share it with a partner or friend, and encourage them to do the same
11. Laugh deeply each day- the brain secretes all the good chemicals even if it‘s fake.
Thank you for reading! Dr. Priya Duggal, ND (Naturopathic Doctor)
Dr. Priya Duggal, ND is passionate to asisst everyone live to their full potential and uses “Compassionate Inquiry” -A psychotherapeutic approach developed by Dr. Gabor Mate, Md as a modality to assist her patients cope with stress related health conditions.
Many Canadians continue to have questions about the role that chiropractors play in the healthcare team, and what benefit chiropractic care may have to their health.
1. Once you see a chiropractor you have to keep going back
This is false. When seeking care from a chiropractor, we will perform an assessment including a history and physical examination to determine the cause of the pain or dysfunction. From these observations, a diagnosis will be made and the treatment plan developed in collaboration with the patient – according to their needs and goals. The treatment plan will recommend a number of initial visits to see if the patient responds to care and scheduled re-evaluations. Depending on the patient and the condition, the recommended course of care may vary. Ultimately, the decision to continue care is yours. As a patient, if you have questions or concerns about care, you should feel comfortable to ask the chiropractor for more information on the recommendations made and address any concerns. The care plan should be part of a shared decision-making between the patient and practitioner.
2. Chiropractors are not ‘real’ doctors
Chiropractors are regulated in all 10 Canadian provinces, and are designated to use the title “doctor” similar to physicians, optometrists and dentists after completing the extensive Doctor of Chiropractic degree program. Those professions who are recognized to use the “doctor” title have extensive training in their area of expertise that allows them to be diagnosticians – to provide a diagnosis.
3. A medical doctor must refer you to a chiropractor
In all provinces in Canada, chiropractors are primary contact providers, which means you can access them directly. Due to the extensive training of chiropractors as diagnosticians, chiropractors will perform a comprehensive assessment to help determine a diagnosis or clinical impressions. Depending on the outcome, the chiropractor can discuss a course of care or refer to another healthcare professional, as needed. However, in some cases, you may need a referral to access coverage depending on your benefits provider.
4. There is no evidence to support the effectiveness of chiropractic care
Chiropractic treatment is at times questioned on its effectiveness. Yet, the chiropractic profession and others have invested significant resources to build a robust body of evidence studying the impact of manual therapies on MSK conditions. For example, spinal and joint manipulation has been shown to be effective treatment for acute and chronic MSK conditions, like back pain. In fact, spinal manipulative therapy (SMT) is recommended as first line intervention for back pain in numerous clinical practice guidelines including the Bone and Joint Decade Task Force1, the American College of Physicians and American Pain Society2 as well as Britain’s National Institute of Health and Care Excellence3.
5. Chiropractors can only treat back pain
Chiropractors are musculoskeletal (MSK) experts and are trained in assessing, diagnosing, treating and preventing biomechanical disorders that originate from the muscular, skeletal and nervous system. In addition to the evidence that supports chiropractic care in managing musculoskeletal complaints of the spine, there is also evidence that it supports chiropractic management of the extremities, headaches and even TMJ pain,5,6. Chiropractors are also able to provide lifestyle counselling about nutrition, fitness and ergonomics among others that may be useful in managing or preventing a variety of health conditions. The health of your MSK system doesn’t just start with a healthy spine, you need to be fully aware of your health to maintain a well-rounded healthy lifestyle!
6. Adjustments are painful
In general, adjustments or joint manipulations do not hurt. In fact, many patients report immediate pain relief. Patients may be nervous about the ‘cracking’ or popping sound that may occur during an adjustment. The sound is believed to result from the release of gas bubbles from the joint – similar to cracking your knuckles!
Asking questions about your health and treatment options are very important. You are a partner in your care and your participation is critical to helping us provide the best care to meet your goal. To do so, as a profession, we strive to better understand what information you need to make those important decisions. We want to hear from you! If you have any questions beyond this blog about chiropractic treatment, visit a chiropractor in your area. To learn more about what to expect at your first chiropractic treatment, you can take a look at our online videos.
1Haldeman, S., Carroll, L., Cassidy, J., Schubert, J., & Nygren, A. (2008). The bone and joint decade 2000–2010 task force on neck pain and its associated disorders: Executive summary. Spine, 33(4S), S5-S7.
2Chou, E., Qaseem, A., Snow, V., Casey, D., Cross, T., Shekelle, P., & Owens, D. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478-491.
3National Institute for Health and Clinical Excellence. (2009). Low back pain early management of persistent non-specific low back pain. Londres, Angleterre.
4Hoskins, W., McHardy, A., Pollard, H., Windsham, R., & Onley, R. (2006). Chiropractic treatment of lower extremity conditions: a literature review. Journal of manipulative and physiological therapeutics, 29(8), 658-671.
5McHardy, A., Hoskins, W., Pollard, H., Onley, R., & Windsham, R. (2008). Chiropractic treatment of upper extremity conditions: a systematic review. Journal of manipulative and physiological therapeutics, 31(2), 146-159.
6Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Reugg, R., White, E., & , (2011). Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of Manipulative and Physiological Therapeutics, 34(5), 274-289.
Do you ever ask yourself why your neck is so stiff, or why you have that nagging headache that doesn’t seem to want to go away? Neck pain is a common complaint for Canadians that can range from mildly inconvenient to completely debilitating. You’re probably aware that poor posture, hunching over a computer, or falling asleep on the sofa can cause your neck pain. But did you know your smartphone might be to blame?
How prolonged use can cause strain
According to a recent poll by Forum Research, more than a quarter of Canadians use a mobile device at least two hours a day.1 Over the span of a week, that’s 14 hours spent texting, calling and swiping.
So what exactly is happening to your neck while you’re staring at your smartphone? It all has to do with the angle of your head. When you’re sitting or standing in a neutral position, looking forward, your head weighs between 10-12 lbs. As you begin to tilt your head forward 15 degrees, you put stress on your neck, increasing the pressure to 27 lbs. By the time you angle your head 60 degrees to stare at your smartphone, the pressure equates to a whopping 60 lbs. That’s a lot of strain on your neck and spine!
Tips to relieve pain
What can you do to protect your spine and relieve neck pain? We know you can’t completely disconnect from your smartphones – many of us use our devices for work, to stay connected with distant friends and family, and as a source of entertainment after a long day. But there are small changes you can make to reduce the strain over time.
Dr. Sean Lamasz, DC, recommends the following tips to manage “Text Neck:”2
Lift your phone up to eye level
“A simple way to help prevent neck pain associated with these devices is to avoid bending your neck forward,” advises Dr. Lamasz. “Looking at your phone while sitting at your desk? Lean on your elbows, bringing your phone to eye level, allowing you to keep your neck in its neutral position.”
Take a break
Dr. Lamasz suggests implementing the 20-20-20 rule. For every 20 minutes on your mobile device, take a 20-second break and look 20 feet ahead, which will neutralize your spine.
Stretch it out
If you’re looking for something you can do to instantly relieve neck pain, try these eight simple stretches:
Interested to get to the root cause of your health issue or just want to take control of your health.
Book an appointment with Dr. Priya Duggal, ND.
Dr. Priya provides personalized, patient- centered approach addressing the whole person.
Her areas of expertise are- Autoimmune conditions, Anxiety, Arthritis,Allergies,food sensitivities,Chronic pain,Digestive concerns, Depression,Skin rash-Eczema and Psoriasis, Pre-conception health, Women’s health, hormone balancing, Weight loss ,Thyroid care and Optimal aging.
Dr. Priya utilizes advanced lab testing such as food sensitivity test,male and female hormonal panel, inflammation panel and heavy metal analysis to find the underlying cause.
Call today to book a free 15 minute consult with Dr. Priya .Even If your condition is not listed above, book a complimentary visit to find out how Naturopathic Medicine can help you.
All these exercises are excellent at assisting with creating endurance, control and strength around the shoulder. From our experience, these exercises will assist with preventing slipped rib dysfunction.
Participating in sports is a great way to stay active and in some sports, a level of physical contact is required. However, this physical contact can sometimes result in injury. Although we hope that you are able to play safely, concussions are a common traumatic brain injury that can occur in high-contact sports. This injury can be serious, and it’s important to know what steps you should take in the event that you suspect that you or someone you know has suffered a concussion.
Here are five things Dr. Luciano Di Loreto (Chiropractor) would like you to know about concussions:
A concussion may be caused by a direct blow to the head, face, neck, or impact elsewhere on the body that transmits force to the head.1
There are multiple ways to get a concussion such as from falling, or a car or bike accident. When it comes to physical activity, concussions have a greater risk of occurring in sports that involve body contact, collisions, and/or moving at high speeds.2
A concussion can be difficult to diagnose because clinical symptoms and signs can change and may evolve over time. The diagnosis of a concussion is based on the assessment of a range of symptoms (i.e., headache, difficulty concentrating, feeling like being in a fog, or emotional lability), signs (i.e., loss of consciousness or balance disturbance), cognitive impairment (i.e., confusion or slowed reaction times) and neurobehavioural changes, such as irritability.2
Recovery: When properly managed, 80–90% of concussions resolve in a short period of about 7–10 days, although the recovery time frame may be longer in children and adolescents.1
The most important factor in concussion management is physical and cognitive rest until the symptoms resolve. From there, a step-by-step guideline is followed that slowly increases physical and cognitive exertion before returning to one’s regular active lifestyle.1
Many chiropractors with first responder training commonly work with other healthcare professionals to support sports teams. Part of their role is to manage cases of suspected concussions and refer for additional medical attention as needed. Dr. Luciano Di Loreto (Chiropractor) & Associates can also help to co-manage the recovery and return to play of athletes.
If at any point you believe someone may have a concussion, contact medical staff immediately to assess the situation. Concussions should never be taken as a light injury and must be attended to. For more information on athlete-related concussions, take a look at our blog post on Returning to Sports after a Concussion.
Source: CCA Blog
McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport—the 4th international conference on concussion in sport held in Zurich, November 2012. Br J Sports Med. 2013; 47(5): 250-8. doi: 1136/bjsports-2013-092313.
A slipped rib or in other words slipping rib syndrome occurs when the joint(s) that form between your ribs and spine and/or between your sternum and ribs move out of proper alignment. The condition can also be referred to as tietze’s syndrome or Chostochondritis (usually referring to the joints between the sternum and ribs located in the chest wall). After this injury occurs, the ligaments that hold the joint(s) together get stretched. This “stretch” creates irritation, pain, discomfort or “pinched nerve feeling” in the upper back (and sometimes down the arm) and the opportunity for the rib to slip out of place again and again. Often times, it can feel as if a dagger or sharp object is digging in between the shoulder blades and can cause shortness of breath (appearing like a heart attack or panic attack).
What causes a slipped rib to become slipped?
Slipping Rib Syndrome or slipped ribs occur frequently in life. Often slipped ribs go misdiagnosed and thus under-reported. They are caused by various reasons. Bending, twisting, lifting, reaching, pulling can cause the rib to slip. Furthermore, they may be caused by trauma to the body such as being tackled from the side in sports, jumping, or getting hit in a car accident, prolonged or forceful coughing, uneven lifting of heavy objects (furniture, heavy backpacks, luggage, lifting winter/summer tires, etc).
How Can I Treat my Slipped Rib(s)?
There are many approaches to treat a slipped rib: anti-inflammatories, chiropractic care, physical therapy and strengthening, and sometimes prolotherapy (Prolotherapy, also called proliferation therapy or regenerative injection therapy is an alternative medicine treatment of tissue with the injection of an irritant solution into a joint space, weakened ligament, or tendon insertion to relieve pain).
How does Dr. Luciano Di Loreto (Chiropractor) treat a slipped rib using Chiropractic care?
Slipped ribs can be treated by various techniques. One technique is to relax the musculature with heat, interferential current (muscle stimulation that assists in pain reduction), acupuncture, and registered massage therapy. Recently, I have also been exploring the using of shockwave therapy to treat this conditions (I will comment more about this in an upcoming blog). These techniques may assist in soothing the pain or realigning the rib(s) and vertebrae. A second technique and the one preferred is to adjust the rib(s). This will also assist in realigning the rib and vertebrae into a ‘normal’ or more comfortable position.
What is an adjustment?
The Ontario Chiropractic Association defines an adjustment as a highly skilled and precise movement usually applied by hand to a joint of the body. Adjustment loosens the joint to restore proper movement and optimize function. When a joint is adjusted, a gas bubble escapes causing the popping noise you may have heard about. Chiropractic adjustment techniques have been researched extensively. Complications are rare and side-effects, such as temporary soreness, are usually minor.
How is a slipped rib adjusted by Dr. Luciano Di Loreto?
One technique is to have the patient lie on his/her stomach on a chiropractic table. The adjustment is applied by the chiropractor to the area where the slipped rib(s) is/are irritated. The adjustment to the area is very quick. Following the adjustment, the patient usually knows whether or not that rib(s) is/are still irritating them. Most of the time the pain goes away. Sometimes, the muscles around the slipped rib remain tender to the touch. Another techniques is to have the patient sit at the end of the chiropractic table. The patient sits facing away from the table. The patient is lowered onto the table and will usually feel the pop or click once he/she reaches the table. A third technique that is is to have the patient lay on their side facing the practitioner. In this case, Dr. Luciano Di Loreto, will apply his hand along the area of concern. While in this position, patient will relax and take a deep breath. A small and quick amount of pressure/force is applied and the rib should adjust into alignment. Following these adjustments (only one maybe used), the patient should feel relief and be able to take a deep breath without the sharp dagger like pain in the back. After the adjustments, it is always good practice to use a heat pack to soothe the muscles in the region. Trained Chiropractors and other trained practitioners can perform these rib adjustment procedures in various ways. Always consult a trained health practitioner when contemplating treatment.
Please note that I have NOT exhausted and/or discussed all the options for dealing with a slipped rib. I have only touched on a few that I find work for my patient’s. Do your own research and if you have any questions, please send them along and I will do my best to address them. Look forward to comments.
Hope you found this information on the slipped rib syndrome interesting.
To make an appointment to see Dr. Luciano Di Loreto (Chiropractor & Acupuncture Provider), please contact the office at 647.873.4490.
Dr. Luciano Di Loreto graduated from the Canadian Memorial Chiropractic College (2010) as a Doctor of Chiropractic and obtained a certificate in Medical Acupuncture at McMaster University (2010). At his practice located in Vaughan, Ontario, Canada, Dr. Luciano Di Loreto combines evidence-based chiropractic care with a multidisciplinary and collaborative approach to health care. He is an approachable, passionate, and diligent practitioner with a focus on delivering exceptional acute, preventative, rehabilitative and supportive care for a variety conditions relating to the muscle, nerve, and bone. During his spare time, Dr. Luciano Di Loreto takes pleasure in spending time with his family and friends. He enjoys fishing and playing sports.
Fit for Life Wellness & Rehabilitation Centre is a health clinic located in Vaughan, Ontario, just north of Major Mackenzie on Weston Road (Located in the Vellore Medical Centre & Walk In Clinic). If you have questions for Dr. Luciano Di Loreto & Associates, please contact us and we will get right back to you promptly with information on your conditions/concerns.
MEDICAL DISCLAIMER: The following information is my personal notes about this subject matter. It is intended for informational purposes only. Consult a health practitioner to help you diagnose and treat injuries of any kind.