All Posts tagged Back Pain

6 Tips for Buying a Mattress (And Sleeping Well)

6 Tips for Buying a Mattress (And Sleeping Well)
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Consider the importance and value of a good night’s sleep (beyond the price tag) when you are looking for a new mattress. Your back will thank you.

A 2011 study by the British Chiropractic Association (BCA) reports that 41% of women and 36% of men claimed their back pain was caused by a poor night’s sleep. The pain can often be attributed to the firmness, size, or the offered back support of the mattress. If you’ve ever woken up with a sore neck or back, you may want to evaluate the quality of your mattress. Your mattress can play an important role in maintaining your MSK health. Here are a few tips to consider when making a purchase. 

When to replace your mattress

Waking up from slumber with a sore back on repeated occasions can be a sign that it is time to switch to a newer mattress. Typically, it is said that after 10 years, the bed will begin to deteriorate, which is the best time to consider buying a new one.

What size do I need?

Mattress size depends on the number and size of people sleeping on the bed; therefore, consider the following1,2:

  1. Buy a mattress that provides the proper support for your entire body and promotes good posture.
  2. The sleeper’s spine should lay parallel and not sag in any area because the bed is too soft, or bow because the bed is too hard.
  3. The mattress should be six inches longer than the tallest person sleeping in the bed.
  4. The width of the bed should allow enough space for the person’s pillow and even for a person to put their hands behind their head without their elbows touching any other person sleeping.
  5. If the person is a restless sleeper, it is recommended that the bed be wider to accommodate some tossing and turning.
  6. Take time to try out the bed before you buy and see if it’s right for you.

There are many options to consider when it comes to purchasing a mattress. Make sure to take the time to explore and do your research, especially if you are looking for specific features to meet your needs. A good night’s rest is important for your MSK health and ensures you can continue doing your daily activities. Consider these tips for your next mattress—your back depends on it!

 

References

1 British Chiropractic Association, Mind Your Posture When Buying a Bed, http://www.chiropractic-uk.co.uk/gfx/uploads/member%20area/New%20posture%20sheets/Mind%20your%20posture%20-%20buying%20a%20bed%20-%20sleep.pdf

2 Utah State University, Selecting a Comfortable Mattress, http://www.sleep-mart.com/utah.pdf
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4 Ways Your Feet May Be Hurting Your Back

4 Ways Your Feet May Be Hurting Your Back
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Our body is a complex and fascinating structure of connected and largely interdependent parts. In a past blog, we discussed how your feet can contribute to back pain and other musculoskeletal (MSK) conditions. The altered gait and biomechanics can create additional stress on joints, muscles, bones, and the nervous system, putting you at risk of injury.

Here are some examples of biomechanical foot dysfunctions, and how they can lead to back pain1,2,3,4,5:

  1. Injuries

A series of studies suggest that back pain may result, in part, from repetitive abnormal function of the feet, causing you to alter your posture to compensate for the foot pain—ultimately creating an environment primed for low back pain. The studies also suggest that someone with a previous history of injuries is more likely to reinjure themselves. This is due in part to repeating the same dysfunctional movements over time, consequently altering one’s gait—often without being addressed.

  1. Range of Motion

Motions of the hip, knee, ankle and foot joints flex in the opposite direction from the joint directly above or below it. Should one of these hinges be restricted or limited, the loss of motion in one joint negatively impact the others (higher up the leg or in the spine, for example) and this may result in pain or dysfunction.

  1. Leg Length Discrepancies

A difference in leg length that is greater than 5 millimeters can contribute to low back pain. If the leg length difference is greater than 9 mm there is a significantly greater likelihood of having an episode of low back pain. Leg length discrepancies can be structural or functional. Depending on the discrepancy, measures can be taken to help address these and alleviate symptoms or dysfunctions.

  1. Body Weight Imbalances

There can be subtle structural differences in your body. These can be related to natural asymmetry or an injury, and either could potentially have a dramatic impact on the rest of your body. The parts of your body are all connected in a kinetic chain, and if there is a significant imbalance in your weight, the imbalanced force can end up making its way to your lower back (or another part of your body) causing MSK-related issues down the line. Any host of issues stemming from the foot has the potential to work all the way up to the hips, which is just a short chain link away from your low back, potentially causing you back pain.

We can help! Book an appointment at Fit for Life Wellness & Rehabilitation today!

References

  1. Wilson J, Ferris E, Heckler A, Maitland L, Taylor C (2005). A structured review of the role of gluteus maximus in rehabilitation. New Zealand Journal of Physiotherapy 33(3) 95-100.
  1. Dananberg HJ. The Effect of Gait on Chronic Musculoskeletal pain. Manual for The Langer Foundation for Biomechanics and Sports Medicine Research, 1992 pp.16-22.
  1. Dananberg HJ. Gait style and its relevance in the management of chronic lower back pain. In: Vleeming A, Mooney V, Gracovetsky S, Lee D, et al. (eds): Proceedings, 4th Interdisciplinary World Congress of Low Back & Pelvic Pain, Montreal, Canada, November 8-10, 2001, pp. 225-230.
  2. Dananberg HJ, Guiliano M. Gait mechanics and their relationship to lower back pain. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C. (eds): Proceeding of 3rd Interdisciplinary World Congress on Low Back and Pelvic Pain. European Conference Organizers, Rotterdam, Holland, November 1998.
  3. Dananberg HJ. Gait style and function of the SIJ. In: Vleeming A., Mooney V, Snijders C, Dorman T (eds): Movement, Stability, and Lower Back Pain. Churchill Livingstone, New York, 1998, pp. 253-267.
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From Head to Toe: How your feet may be affecting your back health

From Head to Toe: How your feet may be affecting your back health
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When you think about your back pain, do you consider the health of your feet? Maybe not.  We read this blog on the Canadian Chiropractic Association and thought we would share it with you!

Your feet serve as the foundation for your entire body as it moves. Dysfunction in your feet can manifest as pain in other areas of your body like your back. Did you know that studies have linked flat feet, excessive pronation, ankle instability, and ankle joint dysfunction to low back pain? Faulty foot biomechanics, like the ones we just pointed out, can have a negative impact on all supporting joints above the foot/ankle complex, including the low-back region.

For some people, even those with faulty foot biomechanics, they may not experience symptoms like others do. But for those at risk, read about how your feet may be linked to the pain in your back:

Flat Feet: Flat feet can increase risk of back pain due to flattening and rigidity of the arch. For people who have flatter arches, the feet may not adequately correct how the forces disperse on landing. This can result in forces being translated up to other structures, like the back, causing pain and discomfort1. Foot orthotics can help correct flat feet (pes planus).

Leg Length discrepancy:  This is literally a difference in leg length between one and the other. Leg length discrepancy can be structural or functional. To accommodate the difference, the body will adapt and in some cases may result in a functional scoliosis. Also, to compensate, muscles and other soft tissues may be affected which can cause pain and discomfort1.

Excessive Pronation: Over-pronation occurs when the foot and ankle joint collapse in the centre from bearing weight. The foot absorbs axial rotation of the leg during gait and then prepares the body to react against contact with the floor2.  Foot orthotics can help improve pronation.

Ankle Instability: Ankle instability can be due to an injury, or due to irregular neuromuscular control of the ankle. Studies have shown a correlation between moderate to severe ankle instability and the risk of low back pain3.

So if you are experiencing back pain, consider the role that other structures may play. How your feet function as you move, work, and participate in activities you love can impact the rest of your body. Talk to a chiropractor to find out more about how to prevent or manage such issues.

 

References

1O'Leary C, Cahill C, Robinson A, Barnes M, Hong J. A systematic review: The effects of podiatrical deviations on nonspecific chronic low back pain. Journal Of Back & Musculoskeletal Rehabilitation [serial online]. April 2013;26(2):117-123 7p

2Rothbart B, Estabrook L. Excessive pronation: A major biomechanical determinant in the development of chondromalacia and pelvic lists. J Man Phys Ther. 1988; 11(5): 373-379.

3Marshall PW, McKee AD, Murphy BA. Impaired trunk and ankle stability in subjects with functional ankle instability. Med Sci Sports Exer. 2009; 41(8): 1549-57.
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Shortness of Breath…Can this be caused by a Slipped Rib?

Shortness of Breath…Can this be caused by a Slipped Rib?
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Shortness of Breath…Can Shortness of Breath be caused by a Slipped Rib?

The simple answer is YES.  However, shortness of breath can be caused by more serious conditions.  These conditions require immediate medical attention.

Shortness of breath that comes on suddenly (called acute) has a limited number of causes, including:

  1. Asthma (bronchospasm)
  2. Carbon monoxide poisoning
  3. Cardiac tamponade (excess fluid around the heart)
  4. Heart attack
  5. Heart failure
  6. Low blood pressure (hypotension)
  7. Pulmonary embolism (blood clot in an artery in the lung)
  8. Pneumothorax (collapsed lung)
  9. Pneumonia (pulmonary infection)
  10. Sudden blood loss
  11. Upper airway obstruction (blockage in the breathing passage)

In the case of shortness of breath that has lasted for weeks or longer (called chronic), the condition is most often due to:

  1. Asthma
  2. COPD (chronic obstructive pulmonary disease)
  3. Deconditioning
  4. Heart dysfunction
  5. Interstitial lung disease
  6. Obesity

Although very painful, slipped rib syndrome is usually NOT a serious condition.  It does, however, require special attention and treatment(s).  The assessment and treatment should take place as soon as possible to prevent delay in recovery. 

So why slipped rib syndrome cause “shortness of breath” or DECREASE in taking a FULL BREATH?  

In order to understand this, lets discuss some anatomy first. Slipped rib syndrome was first described in the early 1900’s.  Cases have been reported in children as young as 12 years and much higher in females than males.  We have 2 sets of 12 ribs which create the rib cage.  The ribs attach to each thoracic vertebrae in the back.

Slipped rib syndrome location

Costovertebral Joints (Red Circles)

Sometimes the ligament connection (called costovertebral/costotransverse ligaments) linking the vertebrae of the back and the rib can cause symptoms and discomfort.  If this connection is slightly lax or loose, it may cause something known as hypermobility.  Let’s break up this word – hyper – and – mobile.  Hyper meaning excessive or beyond.  Mobile meaning capable of moving or being moved. Hypermobility may result in stretching of the ligament, misplacement of the bones, and thus an irritation in the back over the attachment location.  Sometimes the nerve in the area can become irritated from this stretching and as a result sends a sharp pain around the torso from the back to the front.  Furthermore, the muscles around the area become taut and irritable as well.   Hope I did not lose you!  If I have, think of it this way…your rib and vertebrae bones are connected together by a ligament (in this case, think of the ligament as an elastic band).  If the elastic band stretches too much, it may cause the bones to shift out of there normal alignment.  If the bones shift, they feel out-of-place and thus cause our body discomfort.  Hope this explanation makes things more clearer.  If the rib is not functioning optimally or creates pain due to ligament stretch, breathing patterns can also be altered.  Sometimes this alteration can lead to shortness of breath or the feeling of not being able to take a deep breath without discomfort.  

How do I treat a slipped rib?

Slipped ribs can be treated by various techniques.  One technique is to relax the musculature with heat, interferential current (electromodality that assists in pain reduction), acupuncture, and registered massage therapy.  These techniques will assist in realigning the rib(s) and vertebrae.  A second technique 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 a Chiropractor?

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.  Trained Chiropractors and other trained practitioners can perform this rib adjustment procedure in various ways.  Always consult a trained health practitioner when contemplating treatment.

What exercises should I try if I have a Slipped Rib?

From my experience, a combination of techniques, modalities (IFC, Cryotherapy, He

Wall angels for Slipped rib syndrome

Wall angels for Slipped rib syndrome

at Therapy), registered massage therapy and adjustment, work extremely well to help with the discomfort of a slipped rib. Furthermore, I find that adding mid back strengthening exercises (such as wall angel exercises) to the mix, helps to prevent future episodes of slipped rib syndrome.

 

Please note that I have NOT exhausted and 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, please contact the office at 647.873.4490. 

Dr. Luciano Di Loreto, HBSc., D.C. & Associates

Chiropractor & Acupuncture Provider

www.fitforlifewellnessclinic.com

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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.

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How do I fix my chair at work to avoid strain?

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SITTING DOWN ON THE JOB

Does your job find you sitting most of the day?

While sitting can seem restful, keep in mind that staying in any one position for long periods of time can cause strain and injury to your muscles, joints, tendons and ligaments. Sustained sitting can take a toll on your neck and lower back – steady compression on the spinal discs hinders their nutrition and can contribute to premature degeneration.

So, if you have to sit at work, what can you do to stay pain-free? Help take the load off your back with these tips:

Take frequent breaks

First, ensure that you take regular breaks from sitting. Get up, take a short walk outside or around the office, and stretch.

Posture perfect

Next, pay attention to your posture. Sitting incorrectly puts strain on your lower back, decreases blood flow to your working muscles and accelerates fatigue. Practise “active sitting” with your feet flat on the ground in front of you, your back straight, your shoulders squared and your chin parallel with the floor. This posture will strengthen the “core” muscles of your abdomen, sides and back to reduce the strain on other areas. The stronger your core muscles, the easier it will be to maintain good posture.

Choose a good office chair

What’s most important in preventing injury and strain is to be able to easily vary your sitting positions throughout the day. An investment in a good office chair can help a lot. The right chair for you should:

  • Be easily adjustable to suit your size
  • Adapt to support your spine in various working positions
  • Have a backrest that supports your lower back
  • Have armrests, if they are appropriate to your work
  • Have a front edge that curves downward to promote proper posture

Stability balls

One recent trend is to use a stability ball at the office. While a ball is a great tool to help you tone your abs at home or at the gym, it should not replace a good chair at your work station. If you do bring the ball to work:

  • Use the ball only for short periods
  • Use your abdominal, back and side muscles to maintain straight posture
  • Stop when your muscles feel tired

Sitting on a ball instead of a chair can actually increase the pressure on your back, especially if your core muscles aren’t strong. So, sitting a long time on the ball may lead to greater discomfort in your lower back. Do not use a ball if you have osteoporosis, balance or low back problems.

Remember, stability balls are not for everyone; consult a chiropractor if you have any pre-existing injury or health problems that could impact your balance or stability.

Provided by: Dr. Luciano Di Loreto, HBSc., D.C. & Associates

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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 at 10395 Weston Road, Unit A., Woodbridge Ontario L4H 3T4). If you have questions for Dr. Luciano Di Loreto & Associates, please comment or email us and we will get right back to you promptly with information on your conditions/concerns.

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Your Benefits Plan Should Always Meet Your Health Needs

Your Benefits Plan Should Always Meet Your Health Needs
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Each year, Ontario businesses, unions and workers make difficult decisions about the kind of health care coverage they can afford. Each organization is unique and must determine its own priorities and needs, but in a changing economic landscape one often has to take an active role in shaping their own health care coverage.

If you are suffering from low back pain and other musculoskeletal disorders, you are not alone. Low back pain affects 84 per cent of the working population and is second only to the common cold as a cause of lost work time. Health Canada estimated that musculoskeletal disorders, including back pain, cost society $16.4 billion in combined direct (treatment and rehabilitation) and indirect (lost productivity) costs Chiropractic is not just good for you, it’s good for your employer. Several reports have concluded that increased utilization of chiropractic care can reduce health care costs and contribute to improved productivity. Patients treated by a chiropractor for back pain returned to work sooner and had reduced rates of chronic problems, hospitalization and reduced the need for prescription drugs.

Despite the evidence, many benefits plans provide only limited coverage for services performed by a chiropractor. As a patient and plan member, you can start a dialogue with your employer and/or your union to make them aware that chiropractic care is important to you and your insurance coverage.

Help Chiropractic Help You Let your employer know that chiropractic is valuable to you. When it comes to prioritizing what is and isn’t covered under their extended health plans, all organizations have one thing in common: what matters most is meeting the needs of plan members. That’s why it’s important for you to talk to your employer and/or union about chiropractic care and your insurance coverage. Please feel free to share this info sheet with your human resources department, manager or union representative to help start the conversation. Make sure everyone has the facts. Your chiropractor and the Ontario Chiropractic Association (OCA) are always pleased to answer any questions you may have. Information about chiropractic, including copies of studies demonstrating the benefits of chiropractic care to organizations, is available on the OCA website at www.chiropractic.on.ca. Chiropractic can help patients, companies and Ontario’s health care system at the same time – your health contributes to a healthy bottom line for your organization and the province.

For more information, please contact the OCA directly at 416-860-0070 or 1-877-327-2273, or by email at oca@chiropractic.on.ca.

1 http://www.ncbi.nlm.nih.gov/pubmed?term=9762743
2 http://www.euro.who.int/en/what-we-do/data-and-evidence/health-evidence-network-hen/publications/ hen-summaries-of-network-members-reports/what-is-the-best-way-to-treat-back-pain
3 http://www.ihe.ca/publications/health-db/geo/563/
4 See Supporting Research

 

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I Am Pregnant With Back Pain: What helps? Try Core Stability Execises!

I Am Pregnant With Back Pain: What helps? Try Core Stability Execises!
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Recently, the Ontario Chiropractic Association launched an excellent pamphlet on pregnancy and back pain.  Within this blog, I would like to summarize the information provided and hopefully enlighten those interested on how to assist in alleviating back pain while pregnant.

According to studies, about 90 percent of pregnant women will experienced lower back and/or pelvic pain related to their pregnancy.  This is a huge number!  There are various reasons for this back/pelvic pain.  First off, weight gain during pregnancy places additional stress on the joints in the body and thus causes a cascade of functional changes to muscles and ligaments.  Furthermore, as the baby grows, muscles (such as the abdominal and obliques) become stretched and may not be as efficient in providing stability to the pelvis and spine.  In order to prevent and help reduce this acquired stress on the joints of the lower back and lower limb, it is important for expectant mothers to perform simple core strengthening exercised.  By performing these exercises, expectant mothers will also be reducing the pain experienced in their lower back and pelvis region.  Also, the expectant mother will be much more prepared for the physical tasks (lifting, carrying, pushing, etc.) that will occur once baby is born.  In the next paragraphs, I will discuss the recommended exercises for expectant mothers.  Please ensure that before commencing any exercise program, you consult your health practitioner.

1) Abdominal Bracing

This exercise is very helpful.  By performing this exercise daily you will assist in keeping the muscles that hold the lower back (lumbar spine), fit and strong.  Start by laying on your back with your spine in a neutral position (neutral means not arching your back or changing the natural position of your back as it rests on the floor).  Next, concentrate on contracting your abdominal muscles without “sucking in” the muscles.  Tighten your abdominal muscles but DO NOT hollow the abdominal area.  You can perform this a couple of times per day.   Hold the position for 5-10 seconds and repeat 3-5 times for 1-3 sets.  Ultimately, this exercise will help to improve core stability  and protect the spine, thus decreasing painful spells.

2) Pelvic Tilt

This next exercise can be performed in various positions.  You can sit, stand, lay on your back or go on al fours….it is your choice.  Choose a comfortable position for you.  First, bring your pubic bone forward by tucking your buttocks in with a scooping motion.  Hold this for 2-3 seconds.  Rock the pelvis the opposite direction to arch the lower back and direct the buttocks out.  Try to maintain a continuous motion.  Repeat this exercise 3-10 times  for 3 sets.  Rest 30-60 seconds between sets.

3) Arm Extension

For the next exercise, you will be required to kneel down onto your hands and knees.  Keep your spine neutral, similar to exercise number one.  Keep your core contracted (tightened)….don’t forget to breath!  Now, extend one arm out in front as much as you can – point your fingers outwards.  Make your arm parallel to the floor, while keeping your body stable.  Hold for 2-3 seconds.  Return to the starting position and then switch sides.

4) Leg Extension

Remaining on the floor on all fours, extend one leg behind you as much as you can.  Stretch your toes out.  Keep stable!  Hold for 2-3 seconds.  Return to starting position and switch sides.  Repeat this move 3-10 times and work up to 3 sets.  Furthermore, you should rest 30-60 second in between sets.

Maintain Good Posture During Pregnancy!

In order to maintain good posture during pregnancy, try to avoid slouching and rolling your shoulder forward.  Keep your shoulders “down and back” and your chin slightly tucked.

After the Baby Arrives

When carrying your child, hold them upright, close to your chest.  Sit in a chair with back support when feeding your baby and try to avoid leaning forward to reach your child’s mouth.  This avoids straining your back.  Safely lift your child – have your feet shoulder width apart, keeping your back completely straight and bend your knees.  Lift with both arms and your thigh muscles.

These are all excellent tips that expectant mothers should know.  There are excellent resources to explore. Thank you for reading this post.

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.

Dr. Luciano Di Loreto, HBSc., DC

Woodbridge Chiropractor

www.fitforlifewellnessclinic.com

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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, please comment and we will get right back to you promptly with information on your conditions/concerns.

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What is Sacroiliac Joint Dysfunction? Relationship between SI, Hip & Back Pain

What is Sacroiliac Joint Dysfunction? Relationship between SI, Hip & Back Pain
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Over the last few years, I have treated various individuals (male and female, young and old), for a condition that is often under and/or misdiagnosed.  Patients usually come to my office as a last resort – after trying various treatments that have not provided them with any longer term  success.  These patients usually complain of locking or discomfort in their hip joint and point to an area above their buttock.  Sometimes, they complain of lower back pain or thigh pain.  After a history and physical examination, I notice that it is neither the hip or back that is the source of pain/discomfort.  In other words, the pain/discomfort/locking maybe a consequence of a bad back or hip, but not the source of the pain.  The type of condition that I diagnose is known as Sacroiliac Joint Dysfunction (SI Joint Dysfunction).  Try saying that name five times fast. 

What is the Sacroiliac Joint?

The sacrum is the triangular bone located at the bottom of the spinal column.  Above the sacrum, you find articulation with the last lumbar vertebrae (L5) and below is the joint made with the coccyx (tailbone).  At either sides of the sacrum you have two ilium or ala.  The sacroiliac joint is the joint that is formed between the sacrum and ala.  The ilium is the bone that also forms part of the area of the hip joint (where the thigh bone, known as the femur, articulates with the ala).  The hip joint is the joint that allows us to move our thighs freely in many directions – upwards, outwards and backwards.

What is the function of the Sacroiliac Joint?

The function of the SI joints is to allow torsional or twisting movements as well as to provide shock absorption from the forces coming above and/or below the joint.  Our thighs and legs act like long levers and without the sacroiliac joints and other joints within the area, the pelvis would be at greater risk of fracture or injury.

What is Sacroiliac Joint Dysfunction?  What does dysfunction mean?

Sacroiliac Joint Dysfunction refers to the SI joint not working properly.  Sometimes the joint can be either too tight (hypomobile) or too loose (hypermobile).  Said another way, the joints can either be locked/restricted (hypo) or loose/abnormally moveable (hypermobile).  When you have a hypo or hyper SI joint, you influence the ligaments, muscles and other surrounding soft tissues in the area (gluteal muscles, piriformis muscles, etc).  As a result of the dysfunction, you change the biomechanics of the joints above and below the area – the back and the hip joints.  The question is – Is it an injury or dysfunction to the back or hips that causes the SI joint dysfunction OR is it the SI Joint dysfunction that causes the hip and/or back pain?  This is the chicken and egg scenario that we commonly get faced with as health practitioners.  I think it can go either way.

What Conservative Treatments are available for SI Joint Dysfunction?

Chiropractic adjustments work very well for SI Joint Dysfunction.  Furthermore, I find that electrotherapy, soft tissue therapy, laser therapy and taping techniques, in combination, also help.   Of course, it is important to address the other joints in the region to ensure that they are functioning properly.  Strengthening exercises are also prescribed for the lower back, core, gluts and legs.

What is a Chiropractic Adjustment?

An adjustment is 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. Your chiropractor is well-trained to determine if your problem will respond to chiropractic care or if you require referral to another health care provider.

-Ontario Chiropractic Association

I hope you have enjoyed this blog post.  Please feel free to write any comments or to contact me if you have any questions.

Dr. Luciano Di Loreto

Chiropractor & Acupuncture Provider

Fit for Life Wellness & Rehabilitation Centre

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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, please comment and we will get right back to you promptly with information on your conditions/concerns.

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What is Sacroiliac Joint Dysfunction? Relationship between SI, Hip & Back Pain

What is Sacroiliac Joint Dysfunction? Relationship between SI, Hip & Back Pain
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Over the last few years, I have treated various individuals (male and female, young and old), for a condition that is often under and/or misdiagnosed.  Patients usually come to my office as a last resort – after trying various treatments that have not provided them with any longer term  success.  These patients usually complain of locking or discomfort in their hip joint and point to an area above their buttock.  Sometimes, they complain of lower back pain or thigh pain.  After a history and physical examination, I notice that it is neither the hip or back that is the source of pain/discomfort.  In other words, the pain/discomfort/locking maybe a consequence of a bad back or hip, but not the source of the pain.  The type of condition that I diagnose is known as Sacroiliac Joint Dysfunction (SI Joint Dysfunction).  Try saying that name five times fast. 

What is the Sacroiliac Joint?

The sacrum is the triangular bone located at the bottom of the spinal column.  Above the sacrum, you find articulation with the last lumbar vertebrae (L5) and below is the joint made with the coccyx (tailbone).  At either sides of the sacrum you have two ilium or ala.  The sacroiliac joint is the joint that is formed between the sacrum and ala.  The ilium is the bone that also forms part of the area of the hip joint (where the thigh bone, known as the femur, articulates with the ala).  The hip joint is the joint that allows us to move our thighs freely in many directions – upwards, outwards and backwards.

What is the function of the Sacroiliac Joint?

The function of the SI joints is to allow torsional or twisting movements as well as to provide shock absorption from the forces coming above and/or below the joint.  Our thighs and legs act like long levers and without the sacroiliac joints and other joints within the area, the pelvis would be at greater risk of fracture or injury.

What is Sacroiliac Joint Dysfunction?  What does dysfunction mean?

Sacroiliac Joint Dysfunction refers to the SI joint not working properly.  Sometimes the joint can be either too tight (hypomobile) or too loose (hypermobile).  Said another way, the joints can either be locked/restricted (hypo) or loose/abnormally moveable (hypermobile).  When you have a hypo or hyper SI joint, you influence the ligaments, muscles and other surrounding soft tissues in the area (gluteal muscles, piriformis muscles, etc).  As a result of the dysfunction, you change the biomechanics of the joints above and below the area – the back and the hip joints.  The question is – Is it an injury or dysfunction to the back or hips that causes the SI joint dysfunction OR is it the SI Joint dysfunction that causes the hip and/or back pain?  This is the chicken and egg scenario that we commonly get faced with as health practitioners.  I think it can go either way.

What Conservative Treatments are available for SI Joint Dysfunction?

Chiropractic adjustments work very well for SI Joint Dysfunction.  Furthermore, I find that electrotherapy, soft tissue therapy, laser therapy and taping techniques, in combination, also help.   Of course, it is important to address the other joints in the region to ensure that they are functioning properly.  Strengthening exercises are also prescribed for the lower back, core, gluts and legs.

What is a Chiropractic Adjustment?

An adjustment is 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. Your chiropractor is well-trained to determine if your problem will respond to chiropractic care or if you require referral to another health care provider.

-Ontario Chiropractic Association

I hope you have enjoyed this blog post.  Please feel free to write any comments or to contact me if you have any questions.

Dr. Luciano Di Loreto

Chiropractor & Acupuncture Provider

Fit for Life Wellness & Rehabilitation Centre

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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, please comment and we will get right back to you promptly with information on your conditions/concerns.

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