An Open Letter to our Medical friends.

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In the past year, many trusted medical establishments including the FDA (1), CDC (2), Joint Commission (3,4), JAMA (5), and The American College of Physicians/ Annals of Internal Medicine (6) have encouraged medical providers to prescribe spinal manipulation as a first line treatment for acute, subacute, and chronic low back pain.

Most recently, The Lancet echoed that endorsement, and provided a unique perspective:

The reduced emphasis on pharmacological care recommends nonpharmacological care as the first treatment option and reserves pharmacological care for patients for whom nonpharmacological care has not worked. These guidelines endorse the use of exercise and a range of other non- pharmacological therapies, including massage, spinal manipulation, and acupuncture.

Gaps between evidence and practice exist, with limited use of recommended first- line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. Doing more of the same will not reduce back-related disability or its long-term consequences. The advances with the greatest potential are arguably those that align practice with the evidence. (7)

Unfortunately, personal experience skews our perception of each other’s merit, i.e., we primarily see each other’s failures since the successes don’t need to seek additional care. Regardless of our professional degree, we all have failed cases mixed into our many clinical successes. We must not lose sight of the evidence supporting each other’s overwhelming proven value for a given diagnosis. If we judge each other by our successes rather than our failures, we will work toward an integrated model where the patient wins. Together, we will help more patients than either working alone.

We are honored for the opportunity to co-manage your patients.

 

References
1. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. May 2017. Accessed on May 12, 2017
2. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain- United States, 2016. MMWR Recomm Rep 2016;65(No. RR-1):1–49.
3. The Official Newsletter of The Joint Commission. Joint Commission Enhances Pain Assessment and Management Requirements for Accredited Hospitals. July 2017 Volume 37 Number 7. Ahead of print in
2018 Comprehensive Accreditation Manual for Hospitals.
4. Joint Commission Online. Revision to Pain Management Standards. http://www.jointcommission.org/assets/1/23/jconline_november_12_14.pdf
5. Paige NM, Miake-Lye IM, Booth MS, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain; Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.
6. Qaseem A, et al. for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166(7):514-530.
7. Foster, Nadine EBuchbinder, Rachelle et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, Published Online March 21, 2018 http://dx.doi.org/10.1016/ S0140-6736(18)30489-6

Knee Arthritis

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Knee arthritis is a condition that can cause stiffness that limits joint range of motion. Over time, the knee’s flexion and extension movements become limited, generally causing pain and an alteration of the normal biomechanics. Your thigh muscles also have to work harder during movement, generating a feeling of muscle tension.

To date, the exact causes of osteoarthritis have not been fully identified. It is completely normal to have a mild level of osteoarthritis with age. However, the more advanced stages of osteoarthritis can affect the ability to carry out daily activities and sports. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the knee can increase the symptoms of osteoarthritis.

In the knee, the joint affected by osteoarthritis is the t​ibiofemoral joint​, formed by the femur bone and the tibia bone. It is mainly ​cartilage​ damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, certain muscles in the thigh area may compensate for the joint restriction and become more tense.

Each person will react differently to osteoarthritis and management will depend on its stage. Knee osteoarthritis can produce, but is not limited to, local pain in the knee, localized edema and stiffness in certain knee movements. Repetitive movements of the knee during walking or other sports activities and a squatting position with direct pressure can cause pain.

Knee osteoarthritis is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.

Relative rest is a good way to prevent your symptoms from getting worse after a painful episode. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and knee and hip muscles strengthening exercises will allow for better recovery.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve range of motion of your knee’s joint, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of knee osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of knee osteoarthritis.

Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage of osteoarthritis. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

Struggling with knee pain? Contact Us for treatment in Winnipeg.

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Lateral Ankle Sprain

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A lateral ankle sprain (LAS) occurs when you twist or roll your ankle inward.
This can happen by walking/running on an uneven surface, stepping on someone else’s foot, pivoting or changing direction during sport.

The severity of the sprain can range from mild to severe.

Usually, this abrupt inward ankle twist or roll will lead to a stretch or
a tear, partial or complete, of the lateral ligament complex of your ankle.
In the very moment preceding the sprain, your ankle muscles will tend to protect you with a forceful contraction. Sometimes, this can lead to muscle spasms and/or a small bone fracture where the muscle attaches to your foot.

The peroneal nerve and the ligaments of your foot may also be overstretched during a lateral ankle sprain.

Everyone will react differently after an injury and recovery will depend on the severity of the sprain. LAS can cause but is not limited to, pain, difficulty in weight-bearing activities, swelling, ecchymosis, pins & needles.

The severity of the sprain, your rehabilitation plan, your health status, your fitness level and your nutrition affect recovery time. Generally, you can expect to fully recover from a lateral ankle sprain.

Class IV Laser and acupuncture are large parts of our treatments. They provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life.

#AnkleSprain #LaserTherapyWinnipeg #LaserTherapy #PainRelief

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Tennis Elbow

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Lateral epicondylalgia, also called tennis elbow, is an irritation of the wrist extensor muscles. This condition can affect people performing repetitive motions of the wrist and arm, such as tennis players. Symptoms include pain and tenderness on the outside of the elbow.

Tennis elbow is a common overuse injury that often develops gradually over a period of weeks or months. The condition is characterized by pain and tenderness on the outside of the elbow, which may worsen with certain activities or movements.

If you’re dealing with lateral epicondylalgia, know that most people fully recover from this condition. As a general guideline, it can take a few months to recover completely. Of course, this varies from person to person – some may recover more quickly, while others may take longer.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for elbow pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Shin Splints

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If you’re an avid runner, then you’ve probably experienced the pain of medial tibial stress syndrome at some point. Also known as shin splints, this condition is caused by repetitive stress on the tibia, or by excessive traction on the fascia (the muscle envelope) from the surface of the bone.

This condition, commonly known as “shin splints”, affects people who regularly participate in activities that put stress on the lower leg muscles and tibia, such as walking, running, or jumping. The condition is caused by training intensity and/or volume being increased too quickly, without allowing adequate time for recovery.

Shin splints are a painful condition caused by repetitive stress on the shinbone (tibia). This can be from excessive traction on the muscles and fascia around the bone, resulting in inflammation. Shin splints are a common injury, especially for runners. Treatment includes rest, ice, and stretching as.

Repetitive stress on the tibia, or excessive traction of the fascia, can cause medial tibial stress syndrome (shin splints). The fascia is a muscle envelope that covers the surface of the bone. When this tissue is overworked, it can lead to pain and inflammation in the shins.

This condition mostly affects people who do a lot of walking, running, or jumping. Their tibia and lower leg muscles have to absorb a lot of weight, which can lead to injury. Generally, this happens when people suddenly increase the intensity or volume of their training without giving their bodies enough time to recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for leg pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Patellar bursitis

Patellar bursitis is the irritation of the bursa in the front of the knee, just below the kneecap. It is covered by the patellar tendon that connects the kneecap to the tibia.

Sports and activities that require the quadriceps muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Patellar bursitis may also occur as a result of trauma directly to the knee.

The bursa is a small fluid-filled sac. The bursa, located in the front of the knee below the kneecap, acts as a lubricant to reduce friction between the patellar tendon and the tibia.

Each person will react differently after an injury and recovery will depend on the severity of the injury. Patellar bursitis can produce, but is not limited to pain in the front of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface, climbing and descending stairs, and squatting.

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. In most cases, you can expect a full recovery from patellar bursitis. As a general rule, this condition may take a few months to fully recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Patellofemoral syndrome

Patellofemoral syndrome is an irritation of the articular surface between the kneecap and the femur, your thigh bone, that causes pain under and around the kneecap.

Climbing stairs, running and walking for a prolonged period of time often increases pain. Pain can also be felt after sitting for a long time or squatting.

Patellofemoral pain is more prevalent among young women than men, and more prevalent in the active population.

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Generally, the articular cartilage of your kneecap and femur are involved. A weakness of your quadriceps, mostly the internal portion, can be a risk factor. Research also demonstrated the involvement of the fat tissue around your kneecap as a source of pain.

Everyone will react differently after an injury and recovery will depend on the severity of it. Patellofemoral syndrome can cause, but is not limited to, pain at the front of the knee, difficulty with weight-bearing and squatting and sometimes swelling. Pain can also irradiate under and around the knee. Creaking or grinding sensations can occur during physical activity.

Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Most of the time, you can expect to recover fully from a patellofemoral syndrome. As a rule of thumb, this condition can take up to three months to fully recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

Relative rest is a good way to protect your knee and prevent further damage, but it’s important to avoid overprotecting your injury. A few days rest with a reduction of activities might be necessary. A quick but progressive return to weight-bearing during your activities of daily living and light cardiovascular exercise that doesn’t cause pain will allow better recovery.

Follow your practitioner’s advice. It will help you manage the different phases of the recovery process and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain range of motion, strength, endurance and functional status.

As per the principles of rehabilitation for a patellofemoral syndrome, adjusting the volume and intensity of your physical activities is a very important piece for a functional rehabilitation. For this condition, a progressive exercise program performed over a few months period is pretty standard.

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light mobility and strengthening exercises as tolerated.

I Will Not Be Stopped

I will not be stopped; my fitness journey gives me an edge in all areas of my life. Dedication, drive and discipline all increase my success at work, home and sports.

I am determined and I am using what works for me.

I don’t pay attention to the numbers or the scale, I focus on how I feel and how I look. I have a goal and accountability for where I want to be, in this case it’s at my favorite beach in my hometown; Cannes, France.

So far, the journey has been one heck of a ride.

Fitness is a powerful tool that enables me to achieve my potential and goals.

I have learned that I am stronger than I think.

I have learned that I am capable of so much more than I think.

I have learned that I can do whatever I set my mind to, whatever that may be.

I have learned to plan, prioritize and time manage better; to stay focused on what’s important.

I have become a better person.

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The Mayo Clinic On Chiropractic

The Mayo Clinic On Chiropractic
80% of Us Will Suffer From Back Pain.

According to the Mayo Clinic, approximately 80% of Americans will experience back pain at some point in their lives. While back pain can be caused by a variety of factors, including age, injury, or illness, chiropractic care is often an effective treatment for back pain.

With at least 80% of the population suffering from back pain at some stage in their lives, it is no wonder that the use of chiropractic care has increased dramatically in the last few years.

According to the National Council on Chiropractic Syndrome (NCCS), an estimated 3% of the population receives chiropractic care on a regular basis and another 35% visits a chiropractor once or more a year.

At our office, we have helped numerous patients alleviate pain, stiffness, and discomfort, and return to living pain-free, active lives.

Chiropractic adjustments refer to a treatment technique that involves the manipulation of spinal vertebrae to relieve pressure and tension or misalignment in the spine.

Through chiropractic adjustments, chiropractors are able to restore the proper movement of the spine, which may improve posture, reduce stress on the muscles and joints of the back, and decrease pain.

Whether you’re new to chiropractic care, looking for a way to stay in top shape, or just want to maintain a healthy spine and posture, we encourage you to become familiar with chiropractic services and how they can help you achieve your health and wellness goals.

At Aberdeen Chiropractic, we’re dedicated to providing you with excellent service in a comfortable environment.

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