By Luciano Di Loreto
06 Feb, 2017
Concussion, Fit for Life Wellness & Rehabilitation Centre
Blog, Common Conditions, Education, health risks, Healthcare, Injuries, MSK health tips, Sports, sports injuries
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.
- Makdissi M, Davis G, McCrory P. Updated guidelines for the management of sports-related concussion in general practice. Aust Fam Physician. 2014; 43(3): 94-9. http://www.racgp.org.au/afp/2014/march/sports-related-concussion/. Accessed August 29, 2016.
As a society, we’re constantly reminded to exercise our bodies, but when was the last time you were reminded to exercise your mind? Part of a healthy lifestyle involves exercising your brain. Your brain can be trained like a muscle, and without a good workout now and then, it can eventually shrink over time.1
Sedentary activities are not only bad for your physical health, they can also be detrimental to one’s brain.1 Engaging in more stimulating leisure or social activities are a great start to keeping your brain in shape.2 This is because when you actively engage the brain, more cells can be produced, as well as the connections between them. When the body has more brain cells on reserve, research suggests that this may be able to help reduce the risk of developing Alzheimer’s disease or other forms of dementia.2 While more research is needed in this area of study, there are other health benefits to keeping your brain active—like boosting your memory and cognitive function—that are worth keeping in mind.2
What Types of Activities Can I Do?
Any type of stimulating mental activity can help exercise your brain. Here are some questions you can ask yourself to make sure you’re on the right track2:
- Does it incorporate new learning?
- Is the activity reasonably complex?
- Is the activity varied and interesting?
- Do you engage in the activity frequently?
Examples of Brain Exercises2
- Listening to the radio
- Visiting museums
- Taking a course
- Learning a new language
- Playing musical instruments
- Artistic/other hobbies
- Participation in leisure activities such as sports, dancing, or gardening
- Cultural activities and conversation
- Board games, crossword puzzles, Sudoku, and other puzzles
- Doing simple calculations
- Imaginary exercises to stimulate the senses (e.g., recalling a peaceful nature scene)
These are just a few ideas of things you can do to stimulate your brain. When you’re considering your overall brain health, you can also look to your diet, ensuring that it is well-balanced, low in fat and cholesterol, and high in antioxidants.1 Having the right nutrients in your body helps maintain cognitive function and stimulate proper brain function and development.3,4 You can also look to your physical exercise regime—regular physical activity can improve cognition,5 help memory and thinking processes, improve mood and sleep, and reduce stress and anxiety.6
Chiropractors care about your overall health and can help point you in the right direction if you have any questions or concerns about this topic.
Whatever activity you choose, remember that brain health is just as important as physical health, so keep finding new and creative ways to keep those mental juices flowing.
- Melone L. 10 brain exercises that boost memory. EverydayHealth.com. 2016. Available at: http://www.everydayhealth.com/longevity/mental-fitness/brain-exercises-for-memory.aspx. Accessed November 1, 2016.
- Alzheimer’s Australia. Mental exercise and dementia. 2016. Available at: https://www.fightdementia.org.au/files/helpsheets/Helpsheet-DementiaQandA06-MentalExercise_english.pdf. Accessed November 1, 2016.
- Lim S, Kim E, Kim A, Lee H, Choi H, Yang S. Nutritional Factors Affecting Mental Health. 1st ed. Seoul, Korea: Department of Food and Nutrition; 2016.
- Rathod R, Kale A, Joshi S. Novel insights into the effect of vitamin B12 and omega-3 fatty acids on brain function. J Biomed Sci. 2016; 23(1). doi:10.1186/s12929-016-0241-8.
- Chang Y, Chu C, Wang C, Song T, Wei G. Effect of acute exercise and cardiovascular fitness on cognitive function: An event-related cortical desynchronization study. Psychophysiology. 2014; 52(3): 342-51. doi:10.1111/psyp.12364.
- Godman H. Regular exercise changes the brain to improve memory, thinking skills. Harvard Health Blog. 2016. Available at: http://www.health.harvard.edu/blog/regular-exercise-changes-brain-improve-memory-thinking-skills-201404097110. Accessed November 7, 2016.
By Luciano Di Loreto
04 Jan, 2017
Back Pain, Chiropractic, Fit for Life Wellness & Rehabilitation Centre, Fitness, Food Tips
Back Care Tips, Chiropractic Expertise, Common Conditions, Healthcare, Healthy Aging, MSK health tips
Vitamin D, often known as the sunshine vitamin, plays an important role in your bone health.1 It is mostly made by the body through exposure to sunlight. This is unique to vitamin D since most vitamins come from the foods you eat.1 Having too much or too little vitamin D in your body can affect the amount of calcium in your bones and can take a toll on your overall bone health:
- Low levels of vitamin D can lead to decreased bone mass (osteoporosis) which can increase your risk of fractures.1
- Too much vitamin D can lead to calcium deposits in the kidneys (kidney stones), or calcium build-up in other soft tissues like the heart, lungs, and blood vessels.2
More than 90% of a person’s vitamin D requirement tends to come from casual exposure to sunlight.3This poses some unique challenges for those whose environments limit their exposure to the sun.2 For example, in Canada and other countries in the northern hemisphere during the winter months, people are exposed to less ultraviolet light. This means in the winter in Canada our bodies produce little to no vitamin D.1 Statistics Canada reported that, in the winter months, 40% of Canadians had vitamin D levels that were below the recommended range.1 In the summer, that number is much smaller, but still a whopping 25%.1 This means that as a northern country, we often lack the exposure to ultraviolet light that is needed for enough vitamin D to be made in the body year-round.
You can get vitamin D naturally from a few foods, including egg yolks or fatty fish such as salmon or mackerel.1 In Canada, some foods are fortified with vitamin D by law to prevent the risk of vitamin D deficiency in the general population, including milk, soy milk, rice beverages, and margarine.4
This winter, increase your vitamin D intake and keep your bones strong by reading nutritional labels and seeking out products during your regular grocery shop that are fortified with vitamin D. It also never hurts to add a little bit more sunlight to your day!
For questions about keeping your bones (and the rest of your spine, muscle, and nervous system) in good health this winter (and throughout the year), you can ask Dr. Luciano Di Loreto & Associates.
- Vitamin D blood levels of Canadians. Statcangcca. 2015. Available at: http://www.statcan.gc.ca/pub/82-624-x/2013001/article/11727-eng.htm. Accessed October 17, 2016.
- Vitamin d and calcium: updated dietary reference intakes – nutrition and healthy eating – health Canada. Hc-scgcca. 2016. Available at: http://www.hc-sc.gc.ca/fn-an/nutrition/vitamin/vita-d-eng.php. Accessed October 17, 2016.
- Holick M. Vitamin D: important for prevention of osteoporosis, cardiovascular heart disease, type 1 diabetes, autoimmune diseases, and some cancers. Southern Medical Journal. 2005;98(10):1024-1026. doi:10.1097/01.smj.0000140865.32054.db.
- Food sources of vitamin D. Dietitians of Canada. 2014. Available at: http://www.dietitians.ca/Your-Health/Nutrition-A-Z/Vitamins/Food-Sources-of-Vitamin-D.aspx. Accessed October 17, 2016.
By Luciano Di Loreto
06 Oct, 2016
Chiropractic, Fit for Life Wellness & Rehabilitation Centre, Osteoarthritis
Back Care Tips, Blog, Chiropractic and Arthritis, Chronic Pain, Common Conditions, Healthcare, Innovative Delivery of Healthcare: The Future of Chiropractic Treatment in Canada, Low Back Pain, MSK health tips, MSK Strategy, OA, Osteoarthritis
Osteoarthritis is the most common form of arthritis. In fact, it is a growing epidemic in Canada which is only expected to rise as the population ages. Osteoarthritis is described as the “degeneration of joint cartilage and underlying bone” often resulting in pain and stiffness. Even though osteoarthritis can affect any joint in the body, the most commonly affected joints are in the hands, knees, hips and spine. It is often considered as “wear and tear”; however, it is believed instead that it may be due to abnormal stress or injury to the joint(s).
What we know is that osteoarthritis affects one in ten Canadians. By 2040, it is estimated that approximately 470,000 Canadians will suffer from osteoarthritis1. Unfortunately, for many, osteoarthritis is a painful condition that can make daily activities very difficult.
To best manage the symptoms and prevent the progression of the condition, it is important to pay attention to early signs. Although there is no cure for osteoarthritis, there are options that can reduce the risk and relieve pain, stiffness and improve function.
Here are some early signs to take note of2:
- Joint stiffness: Aching, pain and/or stiffness usually occur in the morning or after a period of inactivity and once movement resumes. Typically, stiffness may decrease after about 30 minutes.
- Joint swelling: A person may notice some swelling in the joints and a reduction in range of motion.
- Joint crepitus: The joint may grind, grate or experience a crackling sensation, commonly accompanied by a cracking sound.
- Pain: Pain is usually worse after activity and improves with rest. Early on, the pain may only be triggered by high-impact activities but as it progresses, there may be more frequent episodes of pain. The joint pain or discomfort may affect the person throughout day.
Here are some tips to help manage the condition and prevent progression:
Exercise: Exercise can help manage symptoms while increasing your endurance and strengthening the muscles that help support the joints. Good options for activity include walking, biking and swimming. Download the Straighten Up Canada app for easy to follow exercise videos. Get moving!
Weight management: Excess weight can be an important risk factor due to the additional stress put on your weight-bearing joints. Even a small amount of weight-loss can help reduce pain and limit further joint damage.
Mobility: Gentle stretching may help improve flexibility and mobility, while decreasing stiffness and pain. Exercises like yoga and tai chi can help manage stiffness.
Heat and cold: Applying heat and cold can help relieve pain when aggravated. Heat can relieve stiffness, while ice may help with pain.
Manual therapy: Manual therapy can help provide treatment not only for pain management, but help improve function and prevent progression. Addressing biomechanical dysfunctions can help relieve pressure on joints.
Positive attitude: Studies have demonstrated that a positive attitude can help increase a person’s ability to manage pain.
Like all medical conditions, it’s important to ask questions and get the appropriate information to best manage the symptoms and slow down progression. Osteoarthritis can alter the way you live your life, speak to chiropractor Dr. Luciano Di Loreto & Associates today.
Sourced from Canadian Chiropractic Association
1 Claire Bombardier, The Impact of Arthritis in Canada: Today and over the Next 30 Years, https://www.ergoresearch.com/wp-content/uploads/2012/04/Impact%20on%20arthrisis%20in%20Canada_Today%20and%20over%20the%20next%2030%20years.pdf
2Arthritis Society of Canada, Osteoarthritis, https://arthritis.ca/understand-arthritis/types-of-arthritis/osteoarthritis