All Posts tagged Woodbridge Chiropractic

Fit for Life Wellness & Rehab Centre Has Exciting News to Share!

Fit for Life Wellness & Rehab Centre Has Exciting News to Share!

Many of you have touched base, eager to learn, about the exciting news we mentioned in our previous newsletter.  If you haven’t guessed it, here it is.  We have moved! 

Although, it was very emotional and difficult to leave our prior clinic space, which was exceptional, our team knows that the new facility offers additional benefits for wellness & rehabilitation.  

We have the same Fit for Life team, same contact information and same eagerness to assist you with your health needs. Our new facility is focused on exclusively providing wellness and rehabilitation services including: physiotherapy, chiropractic, registered massage therapy and naturopathic to name a few. Of course, we will continue to collaborate with family physicians, pharmacists and medical specialists in order to be comprehensive and effective with our care plans. 

Along with a clean, modern and functional feel, we have a larger rehabilitation area, additional treatment rooms and some new equipment to showcase. Our new location is located at 3865 Major Mackenzie Drive, Units 101 & 102, just a few minutes south of our prior location.  We are one block west of Major Mackenzie and Weston Road at the corner of Jutland Street/Major Mackenzie. Parking can be found at the back of the building. Please look for the Fit for Life Wellness & Rehab sign. 

We will be offering online booking & reminders emails/text messages.  The online booking feature will be live once we open post COVID-19.  You can access this feature from our website at fitforlifewellnessclinic.com or direct at fitforlifewellness@janeapp.com.  

We cannot wait to open our doors again post COVID-19. Again, this opening date all depends on how successful our societal physical distancing is going, along with our regulated health college recommendations on when clinics can reopen as health providers.  

As always, if you needs anything from me or any of our team members, please do not hesitate to contact us via phone or email. Take a look at the pictures of the new clinic and enjoy!  We cannot wait to have you! Thank you for your loyalty and patience during this time. 

Stay Fit for Life, 
Dr. Luciano Di Loreto & Associates

Fit for Life Wellness Phone: 905.303.6223 or 647.873.4490

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Pain at the Back of My Knee…The Popliteus Syndrome

Pain at the Back of My Knee…The Popliteus Syndrome

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

 

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Tennis Elbow vs. Golfers Elbow

Tennis Elbow vs. Golfers Elbow

Tennis elbow and golfer’s elbow are both forms of tendinitis, which is inflammation of the tendons. Despite their names, these conditions can occur in individuals who don’t play tennis or golf.

Tennis Elbow (Lateral Epicondylitis):

Location of Pain: Pain occurs on the outer part of the elbow.

Affected Tendon: The condition involves the extensor tendons on the lateral (outer) side of the elbow, specifically the common extensor tendon.

Common Causes: Repetitive gripping, wrist extension, and excessive use of the forearm muscles, often associated with activities like playing tennis, hence the name.

Golfer’s Elbow (Medial Epicondylitis):

Location of Pain: Pain occurs on the inner part of the elbow.

Affected Tendon: Golfer’s elbow involves the flexor tendons on the medial (inner) side of the elbow, specifically the common flexor tendon.

Common Causes: Repetitive gripping, wrist flexion, and excessive use of the forearm muscles. Despite its name, it can be caused by various activities and is not limited to golf.

Key Differences:

Location of Pain: The primary difference is the location of pain. Tennis elbow causes pain on the outer side of the elbow, while golfer’s elbow causes pain on the inner side.

Affected Tendons: The tendons affected are different. Tennis elbow involves the extensor tendons, while golfer’s elbow involves the flexor tendons.

Activities: Tennis elbow is often associated with activities that involve repetitive use of the wrist and forearm, such as gripping a tennis racket. Golfer’s elbow, despite its name, can be caused by a variety of activities involving gripping and wrist flexion, not limited to golf.

Treatment: Treatment for both conditions may include rest, ice, anti-inflammatory medications, physical therapy, and in some cases, braces or splints. Severe cases may require more advanced interventions like corticosteroid injections or, in rare cases, surgery.

It’s essential to note that these terms are somewhat misnomers, as the conditions can affect anyone, not just tennis players or golfers. The key is understanding the specific tendons involved and addressing the underlying repetitive strain or overuse causing the inflammation.

How can we help? 

Physical therapy plays a crucial role in the management and rehabilitation of both tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis). The primary goals of physical therapy are to reduce pain, promote healing, and strengthen the affected muscles and tendons. Here are some common physical therapy options for tennis and golfer’s elbow:

Rest and Activity Modification:

Physical therapists may advise rest from the activities that aggravate the condition. Modification of techniques or equipment in sports or daily activities may also be recommended to reduce strain on the affected tendons.

Ice and Heat Therapy:

Cold packs (ice) can help reduce inflammation and numb the area, especially after activities. Heat may be used to improve blood circulation and promote healing during the later stages of rehabilitation.

Stretching Exercises:

Gentle stretching exercises for the forearm muscles can help improve flexibility and reduce muscle tension. Stretching should be done gradually and without causing pain.

Strengthening Exercises:

Eccentric exercises (lengthening of the muscle while it contracts) are often prescribed to strengthen the affected tendons. Resistance exercises with bands or weights may be included to improve overall forearm strength.

Shockwave, Ultrasound and Electrical Stimulation:

Modalities such as shockwave, ultrasound or electrical stimulation may be used to promote healing and reduce pain. These techniques can increase blood flow to the affected area and stimulate the healing process.

Manual Therapy:

Manual therapy techniques, including massage and manipulation, may be employed by physical therapists to improve tissue mobility, reduce muscle tension, and alleviate pain.

Bracing and Taping:

Orthotic devices or braces may be recommended to provide support and alleviate stress on the affected tendons. Taping techniques can also be used to offload the injured tissues.

Functional Training:

Functional exercises that mimic specific activities or sports movements are incorporated to ensure a smooth transition back to regular activities. This helps the individual regain strength and coordination in a more task-specific manner.

Education and Ergonomics:

Education on proper body mechanics, ergonomics, and techniques to prevent re-injury is an essential component of physical therapy. This may involve guidance on proper equipment use, workplace setup, and body mechanics during daily activities.

Home Exercise Program:

Physical therapists often design a customized home exercise program for individuals to continue their rehabilitation independently. Consistency in performing these exercises is crucial for long-term success.

It’s important for individuals to work closely with their physical therapist to tailor the treatment plan to their specific needs and to gradually progress through the rehabilitation process. Additionally, following the therapist’s recommendations for activity modification and lifestyle adjustments can contribute significantly to a successful recovery from tennis or golfer’s elbow.

 

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Headache Referring Behind My Eye!

Headache Referring Behind My Eye!

Headache Referring Behind My Eye!

Have you ever experienced a headache that refers from the back of the neck to your eye? The sensation that I experience is often quite sharp and localized to one side of my head (usually the right side). These type of headaches are quite commonly experienced by many individuals in the population. Perhaps, increased stress, working at the computer for long hours or long commutes maybe responsible for these headaches…

There are a variety of headaches out there – migraine, cluster and tension-type to name a few. The headache that I am referring above is known in the medical literature as a “cervicogenic headache”.

What is a Cervicogenic Headache?

A cervicogenic headache is caused by an abnormality of the structures in the neck. What structures you ask? Basically, the muscles, nerve, bone, fascia and other soft tissues located in the neck area. A cervicogenic headache is sometimes debilitating and is a condition that accounts for 15% to 20% of all headaches. The criteria for diagnosing a cervicogenic headache is as follows:

A. Pain is referred from a source in the neck and perceived in one or more regions of the head and/or face, fulfilling criteria C and D

B. Clinical, laboratory and/or imaging evidence of a disorder within the cervical spine or soft tissues of the neck known to cause headache

C. Clinical signs that implicate a source of pain in the neck.

  • 1. Reduced range of motion
  • 2. Mechanical exacerbation of pain
  • 3. Focal neck tenderness
  • 4. Trigger points that refer to the head

D. When myofascial tender spots are the only cause, the headache should be diagnoses as tension-type headache and not cervicogenic.

What is the cause of a Cervicogenic Headache?

An issue to the neck muscles and other surrounding tissues/structures (bones and joints) are responsible for this type of headache. Whether it be a strain or strain, trauma or fall, our soft tissues and joints can become involved and negatively influenced. Sometimes the C0-C1 joint (first neck joint between the spine and head) or those neck joints below become tight/locked or restricted for whatever the reason. Furthermore, sometimes the muscles in the areas also become tight and tender. A question that is difficult to answer is what causes what – Is it the joint tightness that causes the muscle pain/tightness OR is it that tight muscles that cause the joint pain and thus the cervicogenic headache? This is like the classical chicken and egg scenario. What came first the chicken or the egg? My guess is that the headache can be caused by either structure (joint or muscle/soft tissue) and that both structures influence one another. When the joint is tight, the muscle become tight and when the muscle is tight, the joint does not move as well.

What Evidence Based Treatment Options are Available for Cervicogenic Headache Suffers?

I find that a chiropractic adjustment helps to alleviate my neck and cervicogenic headache symptoms quite quickly. I get cervicogenic headaches periodically – once a month. When I feel that my neck is tight and stiff and a headache is coming on, I have a colleague of mine adjustment my neck and upper back area. Sometimes the relief is instant!

According to some of the latest research on cervicogenic headaches, the following treatments are effective. Spinal manipulation therapy two times per week for 3 weeks. Joint mobilization 8-12 treatments over 6 weeks. Deep neck flexors exercises twice daily for 6 weeks. It is important to note that there is no consistently additive benefit of combing deep neck flexor exercises and joint mobilization for cervicogenic headache. Sourced from “Clinical Practice Guideline for the Management of Headache Disorders in Adults – Jan 2012?

After each treatment, it is important to reassess the condition.

I hope you have found this blog educational.  Remember, it is always important to rule out serious conditions which may also be a source to a headache.  These conditions should be ruled out first before any treatment is commenced.  Always consult your health practitioner prior to commencing any treatment.  Thank you for reading my blog Headache Referring Behing My Eye.

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

 

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