Author: Dr. Robert Speirs DC

Plantar Fasciitis In A Nutshell

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The “Plantar fascia” is a fibrous band running from the under surface of your heel to the ball of your foot. “Plantar fasciitis” is a painful inflammation of this tissue caused by chronic over stretching and mild tearing.

Plantar fasciitis is commonly associated with fallen arches of the foot. To understand how this happens, cup your hand to make a “C” shape. This represents a foot with a high arch.

Imagine a band running from your fingertips to your wrist. This represents the plantar fascia. Now, straighten your fingers to simulate what happens when the arch “falls.” When this happens in your foot, the plantar fascia is stretched and can begin to tear away from your heel.

Plantar fasciitis affects 10% of the population and is more common in women. Approximately one fourth of patients have the problem in both feet at the same time. People who place excessive stress on their feet by being overweight, standing for long periods, or participating in endurance sports are more likely to develop the condition as well. Shoes without adequate arch supports, including sandals or going barefoot, increase your chances of developing plantar fasciitis. Wearing high-heeled shoes or boots may contribute to the problem.

The most common symptom of plantar fasciitis is pain in the heel or arch when standing up after a period of inactivity, particularly first thing in the morning. When you are sleeping, the arch is in a relaxed or shortened state, and the plantar fascia is able to heal. When you stand up first thing in the morning, you stretch the fascia, once again tearing it away from its attachment on the heel. The condition may progress to the point that you experience pain throughout the day, even while resting. The pain often eases after you walk for a period of time, only to redevelop. You may notice some tenderness when you touch your heel, and you probably have tight calf and hamstring muscles as well.

Plantar fasciitis can be a frustrating condition, often lasting 18 months or more if left untreated. Fortunately, you may recover more quickly with proper treatment. One of the most important things that you can do is to make sure that you are wearing shoes with good arch supports on a consistent basis. A period of rest may be necessary to help you recover. Runners may need to temporarily decrease mileage or switch to less stressful activities like swimming, cycling, or using an elliptical machine. A splint or “Strassburg sock” worn at night will help to keep your plantar fascia in a stretched position while it is healing.

Plantar Fasciitis and Laser Therapy

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What is it?

Plantar fasciitis is inflammation of the thick tissue on the bottom of the foot that connects the heel to the toes and creates the arch of the foot.

Symptoms

The most common complaint is pain in the bottom of the heel. The heel pain may be dull or sharp. The bottom of the foot may also ache or burn. This can be painful and make walking more difficult.
The pain is usually worse:

  • In the morning when you take your first steps
  • After standing or sitting for a while
  • When climbing stairs
  • After intense activity

The pain may develop slowly over time, or suddenly after intense activity.

What Causes Plantar Fasciitis?

Plantar fasciitis develops because of repeated small tears to the flat band of ligamentous tissue that connects your heel to the bones of your toes. These tears weaken the arch that supports the foot. As the arch of the foot weakens, increasing strain is placed on the deeper ligaments and tendons of the foot and lower leg. Over time, Plantar Fasciitis can result in Chronic Pain, Heel Spurs and Degenerative Joint Disease (Arthritis).
You are more likely to get plantar fasciitis if you have:
• Foot arch problems (both flat feet and high arches)
• Long-distance running, especially running downhill or on uneven surfaces
• Sudden weight gain or obesity
• Tight Achilles tendon (the tendon connecting the calf muscles to the heel)
• Shoes with poor arch support or soft soles
Plantar fasciitis is seen in both men and women. However, it most often affects active men ages 40 – 70. It is one of the most common orthopedic complaints relating to the foot.
Plantar fasciitis is commonly thought of as being caused by a heel spur, but research has found that this is not the case. On x-ray, heel spurs are seen in people with and without plantar fasciitis.

Signs and tests

The health care provider will perform a physical exam. This may show:
• Tenderness on the bottom of your foot
• Flat feet or high arches
• Mild foot swelling or redness
• Stiffness or tightness of the arch in the bottom of your foot.

Physicians typically treat Plantar Fasciitis with anti-inflammatory drugs and steroid injections. These medications temporarily reduce the pain associated with Plantar Fasciitis but do not treat the cause of the problem. Traditional methods can usually take between 9 months to two years to resolve this condition.

Class IV Laser Plantar Fasciitis Program 

Our program utilizes the latest class IV Lasers, and combines them with other therapies to help reduce the pain, strengthen the muscles around the foot and ankle joints, and increase range of motion. The Class IV Laser is at the heart of our treatment program. It provides a safe, effective, non-invasive, painless solution for plantar fasciitis. Patients generally respond exceptionally well to treatments and usually notice significant pain relief after just a few treatments.

Permanent correction of Plantar Fasciitis requires two procedures.

1. Heal the Damaged Fascia

Ending the pain caused by Plantar Fasciitis requires stopping the cycle of inflammation. This is critical because chronically inflamed tissues block the flow of needed nutrients and oxygen to surrounding muscles and joints. The advanced CLASS IV LASER restores the flow of nutrients and oxygen to the inflamed tissue allowing the cells to repair themselves at an accelerated rate.

2. Correct the Foot and Gait Mechanics

Most cases of plantar fasciitis are resolved very easily with Class IV Laser Therapy alone; however, if the condition has become chronic this can lead to alterations in the gait that will have to be addressed. This could involve stabilizing the arch with orthotics  or implementing a simple series of specific strengthening and stretching exercises.
Plantar fasciitis when treated early has an exceptionally good prognosis with our protocol. We encourage those with Plantar Fasciitis to seek our help right away. The longer one suffers with this painful condition the more likely it will cause other conditions in the knee, hip and spine.

Relieve Tension Headaches with Chiropractic Care: A Natural Solution

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Photo by Sergey Makashin on Pexels.com

Tension headaches are a common ailment that many people experience at some point in their lives. Characterized by a dull, aching pain and a feeling of tightness or pressure across the forehead, sides, or back of the head, tension headaches can significantly impact daily life. While over-the-counter medications can provide temporary relief, chiropractic care offers a natural, non-invasive solution to address the root causes of tension headaches and provide lasting relief.

Understanding Tension Headaches

Tension headaches, also known as stress headaches, are typically caused by muscle contractions in the head and neck regions. These contractions can be triggered by various factors, including:

  • Stress: Emotional stress can cause muscle tension, leading to headaches.
  • Poor Posture: Sitting or standing for long periods with improper posture can strain neck and shoulder muscles.
  • Muscle Strain: Overuse of the muscles in the neck and shoulders, often due to repetitive activities, can lead to tension headaches.
  • Eye Strain: Extended screen time or reading without breaks can cause eye and muscle strain.
  • Fatigue: Lack of sleep and general fatigue can contribute to muscle tension and headaches.

How Chiropractic Care Can Help

Chiropractic care focuses on diagnosing and treating musculoskeletal disorders, particularly those involving the spine. Chiropractors use a variety of techniques to help relieve tension headaches by addressing their underlying causes. Here are some ways chiropractic care can benefit those suffering from tension headaches:

  1. Spinal Adjustments:
    • Spinal adjustments, or manipulations, help correct misalignments in the spine. These misalignments can cause muscle tension and nerve irritation, contributing to headaches. By realigning the spine, chiropractors can reduce tension and improve overall spinal health.
  2. Muscle Relaxation:
    • Chiropractors use various techniques, such as massage, trigger point therapy, and myofascial release, to relax tight muscles in the neck and shoulders. These treatments help reduce muscle tension and improve blood flow, alleviating headache symptoms.
  3. Posture Correction:
    • Poor posture is a common cause of tension headaches. Chiropractors assess your posture and provide guidance on how to maintain proper alignment throughout the day. They may recommend ergonomic changes at work or home to reduce strain on your muscles.
  4. Stress Management:
    • Stress is a significant trigger for tension headaches. Chiropractors often provide advice on stress management techniques, such as relaxation exercises, mindfulness, and breathing exercises, to help reduce overall stress levels and prevent headaches.
  5. Exercise and Stretching:
    • Regular exercise and stretching can help maintain muscle flexibility and strength, reducing the likelihood of tension headaches. Chiropractors can develop personalized exercise and stretching routines to address your specific needs.
  6. Lifestyle and Nutritional Advice:
    • Chiropractors offer holistic care, which includes advice on lifestyle and nutrition. They may suggest dietary changes or supplements to support overall health and reduce headache frequency.

Benefits of Chiropractic Care for Tension Headaches

Opting for chiropractic care to manage tension headaches comes with several benefits:

  • Natural and Non-Invasive: Chiropractic care provides a drug-free, non-surgical approach to headache relief.
  • Addresses Root Causes: Instead of just masking symptoms, chiropractic treatments aim to address the underlying causes of tension headaches.
  • Improves Overall Health: Chiropractic care not only helps with headaches but also promotes overall spinal health and well-being.
  • Reduces Reliance on Medication: Regular chiropractic treatments can reduce the need for over-the-counter or prescription pain medications.
  • Enhances Quality of Life: With reduced headache frequency and severity, you can enjoy a better quality of life and improved daily functioning.

River East Chiropractic: Your Partner in Headache Relief

At River East Chiropractic, we understand how debilitating tension headaches can be. Our experienced chiropractors are dedicated to helping you find relief through personalized, comprehensive care. Our facility offers a range of services, including chiropractic care, acupuncture, massage, occupational therapy, Pilates, and a full gym. Our holistic approach ensures that all aspects of your health are addressed to provide lasting relief from tension headaches.

Don’t let tension headaches control your life. Visit River East Chiropractic today and discover how our natural, effective treatments can help you achieve a headache-free life. Our team is here to support you every step of the way, ensuring you stay healthy, active, and pain-free.

Regular Exercise Reduces Cancer, Dementia, Stroke, and Heart Disease Risks

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Exercise: More Health Benefits of Exercise Revealed.

Experts from the Academy of Medical Royal Colleges analyzed more than 200 pieces of research and found that regular exercise can reduce breast cancer risk by 25%, bowel cancer risk by as much as 45%, dementia and stroke risk by 30%, and the chance of developing heart disease by over 40%. Researcher Dr. John Wass adds, “The results from this report reinforce previous findings that regular physical activity of just 30 minutes, 5 times a week, can make a huge difference to a patient’s health.” Academy of Medical Royal Colleges, February 2015

Put the shovel down and read this!

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Your low back consists of 5 individual vertebrae stacked on top of each other. Flexible cushions called “discs” live between each set of vertebrae. A disc is made up of two basic components. The inner disc, called the “nucleus”, is like a ball of jelly about the size of a marble. This jelly is held in place by the outer part of the disc called the “annulus”, which is a tough ligament that wraps around the inner nucleus much like a ribbon wrapping around your finger.
Your low back relies on discs and other ligaments for support. “Discogenic Low Back Pain” develops when these tissues are placed under excessive stress, much like a rope that frays when it is stretched beyond its normal capacity. Most commonly, disc pain is not the result of any single event, but rather from repeated overloading. Your lumbar discs generally manage small isolated stressors quite well, but repetitive challenges lead to injury in much the same way that constantly bending a piece of copper wire will cause it to break. Examples of these stressors include: bad postures, sedentary lifestyles, poor fitting workstations, repetitive movements, improper lifting, or being overweight.

Approximately one third of adults will experience pain from a lumbar disc at some point in their lifetime. The condition is more common in men. Most lumbar disc problems occur at one of the two lowest discs- L5 or L4. Smokers and people who are generally inactive have a higher risk of lumbar disc problems. Certain occupations may place you at a greater risk, especially if you spend extended periods of time sitting or driving. People who are tall or overweight have increased risk of disc problems.

Symptoms from disc pain may begin abruptly but more commonly develop gradually. Symptoms may range from dull discomfort to surprisingly debilitating pain that becomes sharper when you move. Rest may relieve your symptoms but often leads to stiffness. The pain is generally centered in your lower back but can spread towards your hips or thighs. Be sure to tell your doctor if your pain extends beyond your knee, or if you have weakness in your lower extremities or a fever.

Repeated injuries cause your normal healthy elastic tissue to be replaced with less elastic “scar tissue.” Over time, discs may dehydrate and thin. This process can lead to ongoing pain and even arthritis. Patients who elect to forego treatment and “just deal with it” develop chronic low back pain more than 60% of the time. Seeking early and appropriate treatment like the type provided in our office is critical.

Depending on the severity of your injury, you may need to limit your activity for a while, especially bending, twisting, and lifting, or movements that cause pain. Bed rest is not in your best interest. You should remain active and return to normal activities as your symptoms allow. Light aerobic exercise (i.e. walking, swimming, etc) has been shown to help back pain sufferers. The short-term use of a lumbar support belt may be helpful. Sitting makes your back temporarily more vulnerable to sprains and strains from sudden or unexpected movements. Be sure to take “micro breaks” from workstations for 10 seconds every 20 minutes.

Pubalgia Pain

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Pubalgia is pain in the central point of the pubis, the pubic symphysis, which develops mainly after overexertion during sports activities. Repeated microtraumas or excessive strain on the abdominal and hip adductor muscles can cause slight shearing of this joint and generate pain felt in the groin area.

Pubalgia can produce, but is not limited to, pain in the pubic area and towards the groin area, difficulty in tolerating weight bearing and impacts during walking and running.

Relative rest is a good way to protect yourself and prevent your pubalgia from getting worse, but it’s important to avoid overprotecting. A few days of rest by reducing activities that cause pain may be needed. A progressive return to your activities of daily living, light cardiovascular activities that do not cause pain, and strengthening exercises will allow for better recovery.

#Chiropractic #PainRelief #Healthyliving #LaserTherapy #Winnipeg #BackPain #NeckPain #Headache #Fitness #Athlete #Wellness

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Proper Lifting Techniques

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Proper #lifting techniques are important to avoid injury and strain on the body. Whether you are lifting a heavy object at work or lifting weights at the gym, it is important to use proper lifting techniques to avoid injury and ensure that you are getting the most out of your workouts. Here are some tips for proper lifting methods:

  1. Use your #legs: When lifting an object, it is important to use your legs to do the majority of the work, rather than relying on your back. This will help to reduce strain on your back muscles and prevent injury. To lift an object properly, start by standing with your feet shoulder-width apart and pointing forward. Bend your knees and hinge forward from your hips, keeping your back straight. Grasp the object with a firm grip and lift using your leg muscles, keeping the object close to your body as you stand up.
  2. Keep a neutral spine: When lifting an object, it is important to maintain a neutral spine position to avoid strain on your back muscles. A neutral spine position is one in which your spine is naturally aligned, with the small of your back slightly curved inwards. To maintain a neutral spine position when lifting, keep your shoulders back and down, and avoid rounding your back or leaning too far forward.
  3. Avoid twisting: Twisting while lifting an object can put additional strain on your back muscles and increase the risk of injury. To avoid twisting, turn your entire body in the direction you want to go rather than twisting at the waist.
  4. Use proper grip: It is important to use a proper grip when lifting an object to avoid straining your hands and wrists. A proper grip is one in which your thumb is on top of the object, with your fingers wrapped around the sides. Avoid gripping the object with just your fingers, as this can lead to hand and wrist strain.
  5. Take breaks: If you are lifting heavy objects or doing a lot of lifting in a short period of time, it is important to take breaks to rest and stretch. This will help to prevent fatigue and reduce the risk of injury.
  6. Use proper lifting aids: If you are lifting an extremely heavy object, it is important to use proper lifting aids to reduce the strain on your body. Some examples of lifting aids include lifting belts, slings, and forklifts.

By following these tips for proper lifting techniques, you can help to reduce the risk of injury and ensure that you are getting the most out of your workouts. Remember, if you are lifting an object that is too heavy for you to handle safely, it is important to seek assistance or use proper lifting aids. It is always better to err on the side of caution to avoid injury.

Promoting Physical Activity Among American Youth: Evidence-Based Strategies

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The 2014 study underscores a concerning trend among American youth, revealing that the majority fail to meet the federally recommended guideline of 60 minutes of daily physical activity. In response to this pressing public health concern, the study offers a range of actionable strategies aimed at facilitating children’s attainment of the recommended activity goals.

One proposed intervention is the implementation of mandatory daily physical education classes in schools, ensuring that children have regular opportunities to engage in structured physical activity throughout the school day. Additionally, integrating classroom-based physical activity breaks into academic curriculum can inject bursts of movement into sedentary periods, fostering an active learning environment.

Encouraging alternative modes of transportation, such as walking or biking to school, not only promotes physical activity but also reduces reliance on motor vehicles, contributing to environmental sustainability. Moreover, renovating community parks to include a diverse array of equipment and activity opportunities can transform outdoor spaces into vibrant hubs of recreational activity, enticing children to engage in active play.

The study also advocates for the expansion of after-school physical activity programs, providing children with structured opportunities for exercise and socialization beyond the school day. Furthermore, modifying school playgrounds to incorporate features that facilitate active play can empower children to engage in spontaneous physical activity during recess and leisure time.

Lead author Dr. David Bassett emphasizes the importance of leveraging these evidence-based strategies to inform policy decisions and initiatives aimed at promoting physical activity among youth. By adopting a multifaceted approach that addresses environmental, educational, and recreational factors, stakeholders can collaboratively work towards creating a culture of active living that empowers children to lead healthy, physically active lifestyles.

American Journal of Preventive Medicine, March 2015

What is Whiplash?

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​Up Trap Ext

Whiplash is an injury to the soft-tissues of the neck often referred to as a sprain or strain. Because there are a unique set of symptoms associated with whiplash, doctors and researchers commonly use the term “whiplash associated disorders” or WAD to describe the condition.

WAD commonly occurs as a result of a car crash, but it can also result from a slip and fall, sports injury, a personal injury (such as an assault), and other traumatic causes. The tissues commonly involved include muscle tendons (“strain”), ligaments and joint capsules (“sprains”), disk injuries (tears, herniation), as well as brain injury or concussion—even without hitting the head!

Symptoms vary widely but often include neck pain, stiffness, tender muscles and connective tissue (myofascial pain), headache, dizziness, sensations such as burning, prickly, tingling, numbness, muscle weakness, and referred pain to the shoulder blade, mid-back, arm, head, or face. If concussion occurs, additional symptoms include cognitive problems, concentration loss, poor memory, anxiety/depression, nervousness/irritability, sleep disturbance, fatigue, and more!

Whiplash associated disorders can be broken down into three categories: WAD I includes symptoms without any significant examination findings; WAD II includes loss of cervical range of motion and evidence of soft-tissue damage; and WAD III includes WAD II elements with neurological loss—altered motor and/or sensory functions. There is a WAD IV which includes fracture, but this is less common and often excluded.

Treatment for WAD includes everything from doing nothing to intensive management from multiple disciplines—chiropractic, primary care, physical therapy, clinical psychology, pain management, and specialty services such as neurology, orthopedics, and more. The goal of treatment is to restore normal function and activity participation, as well as symptom management.

The prognosis of WAD is generally good as many will recover without residual problems within days to weeks, with most people recovering around three months after the injury. Unfortunately, some are not so lucky and have continued neck pain, stiffness, headache, and some develop post-concussive syndrome. The latter can affect cognition, memory, vision, and other brain functions. Generally speaking, the higher the WAD category, the worse the prognosis, although each case MUST be managed by its own unique characteristics. If the injury includes neurological loss (muscle strength and/or sensory dysfunction like numbness, tingling, burning, pressure), the prognosis is often worse.

Chiropractic care for the WAD patient can include manipulation, mobilization, and home-based exercises, as well as the use of anti-inflammatory herbs (ginger, turmeric, proteolysis enzymes (bromelain, papain), devil’s claw, boswellia extract, rutin, bioflavonoid, vitamin D, coenzyme Q10, etc.) and dietary modifications aimed at reducing inflammation and promoting healing.

* 83% of those patients involved in an MVA will suffer whiplash injury and 50% will be symptomatic at 1 year.
* 90% of patients with neurologic signs at onset may be symptomatic at 1 year.
* 25- 80% of patients who suffer a whiplash injury will experience late-onset dizziness
* Clinicians should be observant for radiographic signs of instability, including interspinous widening, vertebral subluxation, vertebral compression fracture, and loss of cervical lordosis.
* Horizontal displacement of greater than 3.5 mm or angular displacement of more than 11 degrees on flexion/extension views suggests instability