All Posts tagged Chiropractic

A chiropractor can change your pain to build a healthier you

A chiropractor can change your pain to build a healthier you
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When you’ve got a lot on the go, personal goals can get lost in the shuffle. Between work, kids, commuting, cooking, and housework, it can be hard to find the time for your personal health and fitness.

Chiropractors can be part of the solution to building a healthier you. You may be surprised at the number of ways a chiropractor can help!

Standing tall

Research has shown that good posture not only prevents pain and injuries but also gives you more energy and improves your appearance and your mood. That’s why having an expert look at how posture affects your muscles, bones, and joints can have a big impact on your quality of life. Your chiropractor can show you how to develop good posture when typing, driving, running, playing sports, and carrying children.

Moving well

When your body is stiff and not very flexible, it’s easier to become injured and more difficult to recover. By teaching you simple exercises and stretches designed for your needs, a chiropractor can help you regain your full function.

Getting the right fuel

Consistently eating well is a challenge whether you’re an athlete, a stay-at-home mom, or an office worker. One of the best ways to sort through your options is to get customized advice from a health practitioner who understands you and your daily needs.

Staying active

While sitting may not seem harmful, too much sitting takes quite a toll on our lower back and neck. Exercise can help undo this damage while also benefitting your muscles and your heart. If you’re struggling to find the time for fitness, Canada’s chiropractors are here for you. Straighten Up Canada is a 3-minute-a-day program for adults and kids that includes posture exercises and stretches to keep you flexible and strong.

A good night’s sleep

Sleep is important to your health, both for your body and your mind. Whether you sleep on your back, your side, or your stomach, the right pillow and mattress will help support your spine so you can be truly relaxed and refreshed while you sleep. If you’re having trouble sleeping, your chiropractor can be part of the solution.

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Tips for Safe Swimming This Summer

Tips for Safe Swimming This Summer
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On a hot day, it is very tempting to go for a swim at the beach or in a cool pool, creating fun summer memories with family and friends. Regardless of where you decide to take a dip, it is always best to take precautions and practice safe swimming. It’s important to have safety rules in place for you and your family while enjoying water activities. These should be discussed in advance and respected by all members of your party regardless of age.

It’s important not to take water safety lightly. The consequences of unsafe water practices can be devastating: The Canadian Red Cross1 reported that between 2001 and 2010, more than 570 children drowned in Canada, two-thirds of which were under the age of 15. Moreover, they also reported that children under the age of 4 are at the greatest risk of drowning1. It’s far better to prevent and manage the risks; being mindful of safe swimming practices is important at all ages and in all environments.

Here are some health and safety tips for both pool and open water swimming:

Backyard Pools 2,3 

  • Build a fence that has a self-enclosing and self-latching gate.
  • Be prepared with a rescue device, phone, and first aid kit nearby.
  • Lifejackets or assistive floating devices should be worn by weaker swimmers. However, lifejackets should not be used as a substitute for adult supervision. Children must be supervised at all times.
  • For those weaker swimmers and children, consider enrolling in swimming lessons with a trained and qualified swimming instructor.
  • Always enter the pool feet first.
  • Do not consume any drugs or alcohol in or around the pool.
  • Do not swim alone.
  • Swim during the daytime.
  • Exit the pool if there is a thunderstorm or lightning.
  • Small portable or “kiddie” pools should be emptied when not in use. The ladder or steps for above ground pools should be removed when not in use.

Open Water

Open water is very different than swimming in a pool, and the risks can be significantly greater. For example, distances can be deceiving, and open water swimmers often have to contend with cold water, waves, currents, drop-offs, sandbars, and other underwater obstacles. Some further cautions:

  • Do not underestimate the power of currents and tides. A swimmer or wader in open water can be easily swept away by currents if they are not attentive or careful.
  • Wind and waves can pose a danger to swimmers and boaters. It is essential to be aware of weather conditions before entering open water, whether swimming or boating.

Enjoy swimming and having fun in the water—but make sure you are enjoying it safely and remain conscious that it can be dangerous without safety measures in place.

In addition to the above swimming safety cautions and tips, make sure to warm-up and stretch properly before jumping in the water. Swimming is a full-body exercise, and stretching can help lower risk of MSK injury when swimming for long distances or long periods of time. Check out our fit tips for ways to make the most out of your physical activity.

References

1 Canadian Red Cross. Child Drownings in Canada. May 24, 2013. http://www.redcross.ca/crc/documents/What-We-Do/Swimming-Water-Safety/facts-and-figures-water-safety-week-2013.pdf.

2 Canadian Red Cross. Swimming, Boating and Water Safety Tips. http://www.redcross.ca/training-and-certification/swimming-and-water-safety-tips-and-resources/swimming--boating-and-water-safety-tips.

3 Canadian Red Cross. Backyard Pools. http://www.redcross.ca/training-and-certification/swimming-and-water-safety-tips-and-resources/swimming--boating-and-water-safety-tips/backyard-pools.
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Hydration Tips for Hiking and Outdoor Activities

Hydration Tips for Hiking and Outdoor Activities
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Hydration Tips for Hiking and Outdoor Activities

Canada has no shortage of beautiful hiking trails. Hiking is a type of activity that has a number of benefits to your physical and mental health, and is a great way to enjoy the outdoors. That being said, whether you are a beginner or an experienced hiker, you should make sure you are prepared for your hike: take into consideration the duration, terrain and level of difficulty.

The amount of water needed when hiking outdoors can vary depending on the season and climate. When planning your adventure, be sure to research the location to learn more about the distance you will be travelling and identify any available water sources.

Dehydration can be a serious threat to your health, as it can cause headaches, confusion, and disorientation, which can quickly lead to a hiker getting lost and can increase one’s risk of injury.

Here are some tips to help keep you hydrated on your next hike1: 

  • When the weather is hot and a person sweats heavily, simply drinking water may not be enough since the body is also sweating salts.
    • Eating salty snacks can help maintain a greater balance between the body’s salt and water content.
    • You may want to consider sports drinks for longer hikes, as these contain salts, potassium, and electrolytes. Drink in moderation as they often contain large amounts of sugar.
  • When hiking with children, be mindful to check their water bottles periodically to ensure that they are taking the time to consume enough water.
  • Avoid drinking caffeinated beverages before a long hike—they act as diuretics, causing you to urinate more often.
  • Both in the winter and in drier climates, the body can dehydrate faster. For example, cold and dry air (which dries out your skin) can lead to dehydration faster than in warm humid air (which holds moisture). Given this, it is important not to ignore hydration in the winter or colder temperatures.

While on your hike, you can also avoid dehydration by paying attention to the signals your body is giving you. Remember: once you are thirsty, your body has already begun to dehydrate—make sure to drink adequate water before, during, and after physical activity. It is also suggested to drink one litre of water for every hour of heavy exercise.1 After losing two litres of water, your body can start holding you back, operating up to twenty percent less efficiently.2

Hiking can be a strenuous activity, so it is important to be prepared before long journeys.

Keep your water bottle full and on hand and enjoy the amazing environment Canada has to offer!

References 1 American Hiking Society, Avoid Dehydration: drink enough water to stay safe outside,” http://www.americanhiking.org/wp-content/uploads/2013/04/Avoiding-Dehydration-fact-sheet.pdf 2 Eastern Maintain Sports, “Staying hydrated on a warm weather hike,” https://www.ems.com/ea-staying-hydrated-on-a-warm-weather-hike.html

 

-Sourced from Canadian Chiropractic Association 

 

Dr. Luciano Di Loreto, HBSc., DC

Chiropractor in Woodbridge, Ontario

www.fitforlifewellnessclinic.com

—–

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, Woodbridge, 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. To book an appointment, simply contact us via email or visit our website for phone information (www.fitforlifewellnessclinic.com).

10395 Weston Road, Building A. Woodbridge, Ontario. L4H-3T

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The Top 3 Common Myths about Chiropractic Treatment

The Top 3 Common Myths about Chiropractic Treatment
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Many Canadians continue to have questions about the role that chiropractors play in the healthcare team, and what benefit care may have to their health. To find out what chiropractic can do for you, find a chiropractor in your community. However, there are commonly shared myths that can be easily explained by your chiropractor.

We took three of the most common myths around chiropractic treatment and explained them:

1. Once you see a chiropractor you have to keep going back

This is false. When seeking care from a chiropractor, the chiropractor 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.

CHIROPRACTIC-1 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. 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.

Learning more about chiropractic care can help you access and determine if chiropractic care is right for you. To learn more, contact your chiropractor and ask questions about how chiropractic care could work for you.  To learn more about what to expect at your first chiropractic treatment, you can take a look at our online videos.

Sourced from the Canadian Chiropractic Association

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What causes Slipped Ribs & How do I Heal a Slipped Rib?

What causes Slipped Ribs & How do I Heal a Slipped Rib?
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What is Slipping Rib Syndrome?

Costovertebral Joints

Costovertebral Joints (where slipped rib occurs)

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 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 together get stretched.   This “stretch” creates irritation, pain, discomfort in the upper back (sometimes down the arm) and the opportunity for the rib to slip out of place again. Often times, it can feel as if a dagger is digging in between your shoulder blades and can cause shortness of breath (appearing like a heart attack or panic attack).

What Causes Slipping Rib Syndrome?

Slipping Rib Syndrome occurs frequently however is often misdiagnosed and thus under-reported. It is caused by various reasons.  Bending, twisting, lifting can cause the rib to slip.  Furthermore,  it may be caused by trauma to the body such as being tackled from the side in sports 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? 

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 do I treat a slipped rib with Chiropractic?

Slipped ribs can be treated by various chiropractic 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.

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

 

—–

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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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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Does your office setup meet these requirements?

Does your office setup meet these requirements?
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Sitting at a desk for even part of the day can be risky. Common office injuries include carpal tunnel syndrome (nerve compression at the wrist) and myofasical pain syndrome of the shoulder and back often caused by incorrect ergonomics. Muscle strains in the neck, back and shoulders can happen when we’re hunched over the a keyboard. It’s not just muscles, either. Staring at a computer screen for too long can cause headaches and swollen, irritated eyes. If any of these symptoms sound familiar, there are thankfully some easy ways to avoid workplace health issues.

Ergonomics-PBJMag

 

ERGONOMICIZE — YOUR ACTION PLAN

Some research suggests an ergonomic setup can alleviate symptoms of musculoskeletal disorders.

If muscle pain or vision problems are causing serious issues, it might be time to see a doctor. The steps below won’t reverse damage but can make for a spiffy, safer, Greatist-approved workspace.

  • Chair: There’s no need for a bejeweled royal throne, but the seat cushion should be comfortable and the chair should have armrests that allow elbows to rest at a 90-degree angle while typing. And one size does not fit all butts, so make sure it’s possible to adjust the height of the seat so arms are at the height of the desk, thighs are parallel to the floor, and feet rest flat on the floor. The backrest should be at a 90-degree angle to the desk (or farther forward depending on personal preference). Swiveling capabilities are also a plus so we don’t need to stretch and strain to reach the stapler in the corner of the desk. Or mix things up and try a sit-stand workstation, which some employees say reduces back and neck pain and helps keep them focused during the workday.
  • Desk: The desk space should be large enough to accommodate all the essentials — monitor, keyboard, mouse, notebook, water bottle, etc. For those who use a mouse instead of a track-pad, position the mouse and keyboard close together. When you look down, the “B” key should be right under your nose. And no fancy dance moves at the desk, either: Wrists should be in a neutral position, not extended up or down. It can also help to use a wrist rest, or a simple cushion that can help prevent contact stress from pressing wrists into the table edge.
  • Monitor: The computer screen should sit about an arm’s length away from you, and should face directly toward you (not angled to the right or left). To minimize glare, don’t wear shades, but align eyes with the top of the screen’s viewing area. Follow the rule: For every 20 minutes spent staring at Pinterest (er, a Word Doc), take 20 seconds to look away from the computer at something at least 20 feet in the distance. Or, alternatively, try taking a gym break or lunch hour away from the computer to give eyes (and mind) some reprieve.
  • Mouse: Consider using a trackball or a touchpad to minimize the repetitive motions of moving a mouse. For standard mouse fans, select a mouse that fits the shape of your hand but is still as flat as possible. Some people prefer to forgo a mouse pad, which can place the mouse at a higher angle and cause wrist strain. And this isn’t a Frisbee game: Move the mouse from the elbow and not the wrist.

Dr. Wendy Mok, HBSC., D.C.

Chiropractor & Acupuncture Provider

Fit for Life Wellness & Rehabilitation Centre

www.fitforlifewellnessclinic.com

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Redness, Tender, Painful Joints – Can this be Gout?

Redness, Tender, Painful Joints – Can this be Gout?
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A 50 year old male patient came in yesterday presenting with intense joint pain around the heel, redness/inflammation around the back of the ankle, and pin point tenderness and lingering discomfort in the back of the heel.

The patient sat down in my treatment room and explained that his medical doctor ordered an x-ray for his foot a couple days back.  The x-ray came back with a report indicating a heel spur located around the achilles tendon attachment site at the back of the ankle.   The doctor explained that this is probably the reason for the redness and pin point pain over the area.  The patient is content that he has an explanation as per the cause of his pain, however is still confused as to why he gets this pain in the heel every 3-4 months and does not know how to treat the pain.  Furthermore, he doesn’t understand why this pain affects other joints (elbow, knee and forearm) and makes him feels extremely stiff in his neck and back.

After a lengthy health history, physical assessment and discussion about his other locations of joint pain, we came to a conclusion. The pain and redness in the joint areas, come on after vacations and cottage trips.  At first, he thought that perhaps he over does it during his vacations / trips to the cottage and thus the reason for the pain.  After thorough evaluation of his health history we came to a very important conclusion and discovery.  During his getaways, the patient eats a high volume of seafood (scallops, lobster, etc.) drinks large quantities beer and indulges in organ meet.  All these food items have a high level of purine.  Purine is broken down by our body into uric acid. When we have plenty of uric acid (too much), this extra uric acid can form into urate crystals which accumulate in the joints.  Normally, uric acid dissolves in your blood and this passes through your kidneys into your urine. Sometimes, however, your body either produces too much uric acid or your kidneys excrete too little uric acid and when this happens, uric acid can build up.  The build up of uric acid can form sharp, needle-like urate crystals (called TOPHI) in a joint or surrounding tissue that cause pain, inflammation and swelling.  My patient had a tophi at the back of his heel!  All these signs and symptoms are what we call GOUTGout which is a complex form of arthritis can affect anyone however here are some risk factors listed below.

Risk Factors for Gout

Foods such as anchovies, herring, asparagus, mushrooms, roast beef, turkey, seafood (scallops), beer have high levels of purine and should be avoided by those who have familial history of gout and/or previous episodes of gout.  Risk factors of gout include: lifestyle factors (excessive alcohol use), medical conditions (high levels of fat and cholesterol), certain medications (diuretics used to treat hypertension), family history of gout and age (40-50) and sex (male more than females).

Severity of Gout

My patient has something called advanced gout.  Recurrent gout comes and goes (depending on diet) and can be treated with medications/exercise and diet modification. Advanced gout occurs when recurrent gout goes untreated and as a result the body deposits  urate crystals to form under the skin in nodules called tophi (TOE-fi). Tophi usually aren’t painful, but they can become swollen and tender during gout attacks. Kidney stones are more serious and will form if urate crystals collect in the urinary tract.

After a lengthy discussion about his condition, the patient went back to the medical doctor for the appropriate medical prescription(s).  In the meantime, the patient wanted to start a diet and exercise program with our clinic.  We developed a program for the patient and also incorporated some registered massage therapy along with some chiropractic stretch techniques to assist with stiffness in the body.  The patient felt much better after six treatment sessions and is extremely happy that he now understands his health issue and how he can prevent it from re-occurring.

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

Chiropractor in Woodbridge, Ontario

www.fitforlifewellnessclinic.com

—–

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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Pain at the Back of My Knee…The Popliteus Syndrome

Pain at the Back of My Knee…The Popliteus Syndrome
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Today, my chiropractic health assistant and I are writing about a rare and often misdiagnosed condition associated with the knee joint and tissue structure surrounding the knee. There are various knee conditions such as Anterior Cruciate Ligament Strain/Sprains/Tears (ACL), Posterior Cruciate Ligament Strain/Sprains/Tears (PCL), Meniscus irritation, and Patellofemoral Arthralgia that get diagnosed correctly. However, at times, a simple strain/sprain/tear injury to the muscles at the back of the knee goes undetected.

Knee Pain

Knee Pain

Just the other day, a 30 year old runner came into the clinic complaining of posterior (back of the knee) pain. The knee pain started after he ran 5km over the weekend. The patient went to his medical doctor and his doctor indicated to rest and ice the knee. The medical doctor referred the patient to our chiropractic clinic for further physical investigation.

We tested the knee for any Anterior Cruciate Ligament (ACL), Posterior Cruciate Ligament (PCL), Medical/Lateral Collateral Ligament, and menisci damage. All the tests were negative. The patient explained that he felt the pain most when we touched the back area of the knee (mushy area) while in a flexed position.  No baker cysts (small ball like structure that can be felt at the back of the knee) were felt. The patient also explained that he felt pain while we tested his knee flexion. We quickly understood the cause of his pain. This rare condition is called Popliteus Syndrome or Popliteus Strain.

The Popliteus knee muscle is responsible for internal rotation of the shin bone (tibia) as well as for unlocking the knee joint when bending the knee from a fully straightened position (extended position). The popliteus muscle originates from outside surface of the knee and goes on to attach to the back aspect of the inside area below the knee joint.

This muscle is often injured through acute injury (sport injuries, car accident or fall) or overuse.

Acute injuries to the popliteus occur after a significant force to the knee. They are common in road traffic accidents or falls where the knee is extended. Popliteus injuries may occur in association with other knee injuries occurring to the ACL, PCL, Meniscus and Collateral ligament. Thus, it is important to screen for this muscle injury at all times and especially in the presence of other knee injuries.

Overuse injuries to the popliteus muscle develop gradually and are most common in runners. They tend to be due to biomechanical issues (foot issues) and tight hamstring muscles, quadriceps and calf muscles. We explained this to our patient.

We went forward by treating the patients knee joint. We started with therapeutic ultrasound, laser therapy and electrotherapy to the posterior/back area of the knee. Following this, we proceeded with soft tissue therapy (15 minutes) to the popliteus and stretched the calfs, hamstrings and quadriceps. The patient returned the next day for a second treatment. After the second treatment, the patient explained that he was much better and did not experience any more locking/pain in the knee joint. The patient went back into training in a progressive fashion (1km added to each day without pain). We made sure that the patient followed proper warm up and stretching instructions in order to prevent the injury from reoccurring. Two weeks following the injury, the patient returned to explain that he ran 5km with no issues.

As one can see, it can be easy to ignore this muscle especially with the other knee areas/injuries/concerns that are often more common.  It is critical to always evaluate all the soft tissues in the knee area (fascia, tendons, muscle, and ligament) in order to avoid missing this often under/misdiagnosed injury. If you have any feedback or comments, please write to us.

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

Chiropractor in Woodbridge, Ontario

www.fitforlifewellnessclinic.com

—–

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, Woodbridge, 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. To book an appointment, simply contact us via email or visit our website for phone information (www.fitforlifewellnessclinic.com).

10395 Weston Road, Building A. Woodbridge, Ontario. L4H-3T4

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Tennis Elbow vs. Golfers Elbow

Tennis Elbow vs. Golfers Elbow
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Let’s first start with a few Case Studies:

1) 45 Year Old Female

Pain on the outside of the elbow due to twisting/closing jam jars over the weekend.  Pain is localized to the outside of the elbow.  Patient is complaining of progressive pain.

2) 50 Year Old Male

Pain on the inside of the elbow after playing a bocce (lawn bowling).  Patient explains that extending the wrist is painful.  Patient finds it difficult to use his wrist due to the progressive pain found along the inside of his elbow.

Answers found below.

Many patients have been presenting and asking me about these two conditions (tennis elbow and golfers elbow) and how they differ.   Okay, so let us break them down into very simple terms.

1) Both conditions occur at the elbow.

2) Tennis Elbow occurs on the outside of the elbow.

3) Golfers Elbow occurs on the inside of the elbow.

Now that we have these simple concepts in place, let us explore the anatomy of the elbow joint and structures surrounding the joint.

Anatomy of the Elbow

The human elbow consists of 3 bones and 3 articulations. The three bones are the humerus (arm bone), ulna and radius (forearm bones – remember the radius is on the thumb side and the ulna is  on the 5th finger side WHEN the hand is in a position where the palm is facing upwards).   The humerus attaches to the ulna – the humeroulnar articulation and the humeroradial articulation (the articulation between the humerus and the radius).  The third is a pivot-type joint with articulation between the head of the radius and the radial notch of the ulna (the two forearm bones).  Surrounding these joints are a number of muscles, ligaments, fascia and arteries/nerves.  The muscles of the forearm are responsible for turning the arm as if you are using a screw driver as well as flexing/extending the wrist.

Elbow Joint

Elbow Joint

What is Tennis Elbow?

Tennis elbow also known as lateral epicondylitis is a condition that affects the muscle on the outside of the elbow.

Tennis elbow is a painful condition of the elbow caused by overuse or repetitive strain (partial tearing of muscle fibers in the elbow) .  Playing tennis or other racquet sports can cause this condition.  However, it is also important to note that other sports like golf, or activities that involve moving your wrists/elbow joint can aggravate the elbow (Golfers, baseball players, bowlers, gardeners or landscapers, house or office cleaners (because of vacuuming, sweeping, and scrubbing), carpenters, mechanics, and assembly line workers).

Symptoms of tennis elbow include:

  • Pain slowly increasing around the outside of the elbow.
  • Pain is worse when shaking hands or squeezing objects (flexion of the wrist).
  • Pain is made worse by stabilizing or moving the wrist with force.
  • Examples which aggravate pain include lifting, using tools, opening jars, or even handling simple utensils such as a knife, fork or toothbrush.

Tennis elbow affects 1% to 3% of the population.  Interestingly, less than 5% of all tennis elbow diagnoses are related to actually playing tennis!!! Tennis elbow affects men more than women. It most often affects people between the ages of 30 and 50.

What is Golfer’s Elbow?

Golfer’s elbow also known as medial epicondylitis causes pain and inflammation in the tendons that connect the forearm to the elbow. The pain is on the inside aspect of the elbow (area the rests beside the torso when your arms are down).

Golfer’s elbow is caused by overusing or straining the muscles in the forearm that allow you to do the following motions – grip, rotate your arm, and flex your wrist. Continuous or repetitive flexing, gripping, or swinging can cause pulls or tiny tears in the tendons.

This condition doesn’t just affect golfers. Those who do activities with repetitive hand, wrist, or forearm motions can lead to golfer’s elbow.  Furthermore, sports include tennis, bowling, and baseball can cause the same symptoms.

Tennis and Golfer’s Elbow are not that different!

Yes, Tennis and Golfer’s elbow are not that different.  In other words, they are very similar types of strains or tendon aggravation (tendonosis) conditions.   One occurs on the inside of the elbow (golfer’s elbow) and the other on the outside of the elbow (tennis elbow).

SO now that I understand the difference, how to I treat these conditions? Golfer's Elbow Support

At our clinic, we provide patients with a variety of both active and passive treatments.  Passively, chiropractic care, acupuncture, soft tissue therapy, mobilizations, electrotherapy, ultrasound and laser therapy are effective.  Actively, eccentric elbow exercises work well.  An exercise is eccentric when a muscle contraction lengthens the muscle, rather than shortens it. The opposite is called concentric exercises.

Furthermore, some individuals do well with golf and tennis elbow supports.  These are fairly inexpensive and assist with controlling some of the discomfort experienced at the elbow (see image to the right).

Back to the Case Studies

1) 45 Year Old Female

Pain on the outside area of the elbow.  Patient was closing a number of jam jars over the weekend.  Pain is becoming progressively worse.  No shooting pain down the arm, only localized pain in the elbow.  What can it be?

Yes, this is a case of TENNIS ELBOW!

-Pain localized to the outside area of the elbow and mechanism of injury is closing jam jars (twisting wrist and using the extensor muscles in the forearm).

2) 50 Year Old Male

Pain on the inside of the elbow after playing a bocce (lawn bowling).  Patient explains that extending the wrist is painful.  Patient finds it difficult to use his wrist due to the progressive pain found along the inside of his elbow.

-Pain localized to the inside area of the elbow and mechanism of injury is using the flexors of

YES, this is a case of GOLFERS ELBOW! Tennis Elbow

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

Chiropractor in Woodbridge, Ontario

www.fitforlifewellnessclinic.com

—–

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, Woodbridge, 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.

10395 Weston Road, Building A

Woodbridge, Ont

L4H-3T4

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