Winnipeg

Your Arm Pain May Be Coming From Your Neck

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

Cervical radiculopathy is the medical term for when a spinal disc in your neck is irritating or compressing a nerve root, causing pain, numbness, tingling, or weakness in your arm and hand. Specific neck movements, like twisting or bending, may increase the pain. This can happen because of injury or degenerative changes in the spine. The good news is that over 95% of people get well with natural healthcare like Chiropractic. 

Why it Matters: 

A pinched nerve in your neck can cause a lot of pain, and it can be tempting to reach for medications to find relief. However, research shows us you may want to contact your Chiropractor before reaching for any pills. The Annals of Internal Medicine found that Chiropractic adjustments provided more pain relief than medications for people suffering from neck pain and the relief was long-lasting. The patients in the study experienced statistically significant relief up to 1 year after the initial treatment! 

  • Discs in your neck can compress or irritate your nerves causing pain, numbness, or weakness.
  • Research has shown that adjustments were more effective than medication in the short and long-term.
  • Chronic neck pain can be reduced by up to 75% or more after Chiropractic adjustments.

Next Steps:

Research has shown that Chiropractic is an extremely safe and effective healthcare option for treating neck pain or pinched nerves. Additionally, Chiropractors are trained to help you proactively combat neck pain and to prevent it from showing up in the first place. Ask us about some simple stretches and exercises you can perform to help improve your range of motion while keeping your discs and nerves healthy and happy. 

Science Source: 

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Safety of Chiropractic Manipulation of the Cervical Spine. SPINE, Volume 32, 2007 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. 2013 

Health: Your Most Valuable Possession

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

What is the most valuable thing in the world to you? As the great physician Hippocrates once said: “A wise man ought to realize that health is his most valuable possession.” We agree. All the cars, watches, and bitcoins in the world has never improved anyone’s health. That’s why we are so passionate about helping you get well and stay well with Chiropractic care – and we aren’t alone. A recent study in the Journal of Rehabilitation Medicine showed that Chiropractic care had an extremely high perceived value for people suffering from neck pain. In other words, people loved getting adjusted! 

Why it Matters: 

Whether you’re recovering from an injury or just looking to improve your quality of life, maintaining optimal health is a process – so you should have fun doing it! It’s a lot easier to get well and stay well when you enjoy the care and treatment. People love Chiropractic care not only because of the pain relief they receive but also because Chiropractors can help them to live a healthier lifestyle. 

  • An incredible 94% of people receiving adjustments reported high patient satisfaction.
  • Chiropractors are trained to help people live a healthy, active lifestyle, using natural treatment options.
  • Chiropractic is supported by top research journals like SPINE and the Annals of Internal Medicine.

Next Steps:

If you know someone who appreciates natural healthcare and wants to maintain an active lifestyle, then share this Research That Matters paper with them. Without any exposure to Chiropractic care, they may have to rely on dangerous medications or surgery to reduce the pain in their neck, but we believe there is a better way with Chiropractic. 

Science Source(s): 

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Safety of Chiropractic Manipulation of the Cervical Spine. SPINE, Volume 32, 2007 

Perceived Value of Spinal Manipulative Therapy and Exercise Among Seniors with Chronic Neck Pain: A Mixed Methods Study. Journal of Rehabilitation Medicine. 2014 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. 2013 

Neck Pain, Posture and Headaches

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line: 

You know that feeling – the one where you start to feel a headache coming on. For many people, it is a daily occurrence and often begins in the neck and shoulders. That’s right – tight muscles around your neck can result in tension headaches. What’s more, if you sit at a computer all day, your posture may also be contributing to a decreased range of motion, premature degenerative changes in your spine, and headaches – but there’s good news! There are a few simple steps you can take to help you feel less pain, increase your energy, and fend off those degenerative changes. New evidence-based guidelines strongly recommend a combination of exercise, stretching, and Chiropractic adjustments to help reduce neck pain, headaches, and muscle tension. 

Why it Matters:

Chronic neck pain can rob you of the things you love. Enjoying your hobbies, taking a few moments to relax, and time with your family can all be affected. However, neck pain and headaches don’t have to be a part of your daily life. By understanding the latest research, you can take massive action to improve your health. Check out the next steps below to find a few tips to help you take your life back from pain. 

  • Research recommends a combination of Chiropractic, exercise, and stretching to reduce neck pain.
  • Chiropractic has an extremely high patient satisfaction score of over 90%.
  • An amazing 85% of people receiving Chiropractic adjustments for acute neck pain experienced significant improvement.

Next Steps:

It’s exciting that research has continued to showcase that you’re in charge of your health. Your habits and lifestyle can make a massive impact. Start reducing neck pain today by taking breaks every 45-60 minutes and stretching out your neck and shoulders. Take a brisk walk during lunch or hit the gym a few times a week to increase your activity levels. Finally, don’t forget about getting adjusted. Research proves that Chiropractic adjustments are a smart decision! 

Science Source(s): 

Spinal Manipulation, Medication, or Home Exercise with Advice for Acute and Subacute Neck Pain- A Randomized Trial. Annals of Internal Medicine, Volume 156, 2012 

Perceived Value of Spinal Manipulative Therapy and Exercise Among Seniors with Chronic Neck Pain: A Mixed Methods Study. Journal of Rehabilitation Medicine. 2014 

Evidence-Based Guidelines for the Chiropractic Treatment of Adults with Neck Pain. Journal of Manipulative and Physiological Therapeutics. Volume 37. 2014

Performing Your Best

~ Dr. Robert Speirs DC ~ Leave a comment

Bottom Line:

You don’t need to be a pro athlete to have a desire to perform your best, but the link between Chiropractic and performance was discovered by some of the most popular athletes in the world. The difference between winning and losing is often razor thin, and athletes are always on the lookout for anything that can help them perform their best. What used to be a “secret” of athletes like Babe Ruth over 60 years ago has now become the standard for nearly every professional sports team. Chiropractic care is a crucial part of the team, helping athletes stay in the game and perform their best. 

Why it Matters:

Performing your best starts with feeling good. Simply put, you can’t perform your best in pain, and Chiropractic care is a safe and effective way to help reduce discomfort. Over the past ten years, researchers have seen some exciting benefits of Chiropractic care, including the potential for improved strength and balance. Recent studies have started to examine how Chiropractic adjustments can positively impact the central nervous system (your brain and spinal cord). Researchers refer to these as changes in cortical drive and biochemical markers – we call it awesome! 

  • Nearly every major professional sports team has a Chiropractor on staff to help the athletes achieve their best performance. 
  • Strength (or cortical drive) has been shown to increase for a short time following a Chiropractic adjustment.
  • The chemistry of the brain, or biochemical markers (such as oxytocin and neurotensin) can change as a result of an adjustment.

Next Steps: 

Part of performing at your best is having an excellent healthcare team behind you. With Chiropractic as part of your life, you’ve taken a significant first step, but sometimes finding great medical doctors can be tough. As you put together your all-star team, don’t hesitate to ask us if you’re looking for a referral. We’re proud to work with the best healthcare providers in the area and would love to direct you to someone who can help keep you performing your best. 

Science Source(s): 

The effects of a single session of spinal manipulation on strength and cortical drive in athletes. European journal of Applied Physiology. 2018

Changes in biochemical markers following spinal manipulation-a systematic review and meta-analysis. Musculoskeletal Science and Practice. 2017

Guyon’s canal syndrome

~ Dr. Robert Speirs DC ~ Leave a comment

One of the conditions best suited to laser therapy

This syndrome corresponds to a compression or irritation of the ulnar nerve at the level of the Guyon’s canal, located on the anterior surface of the wrist towards the fifth finger.

This condition is usually the result of a direct trauma to the hand or following a prolonged compression of the hand, such as in cyclists or golfers. Also, Guyon’s canal syndrome can occur as a result of repeated grasping movements along hand movements. This problem can also occur following a sustained position with the wrist bent.

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Structures involved

In the wrist, the ulnar nerve passes directly between the pisohamate ligament, which connects two carpal bones together, and the fascia of the palmaris brevis muscle located in the palm of the hand. These two structures together form Guyon’s canal. In addition to the ulnar nerve, the canal also contains the deep branch of the ulnar artery. The syndrome usually occurs when, for one reason or another, the space in Guyon’s canal is reduced and the ulnar nerve is compressed.

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Signs & Symptoms that you may experience

Guyon’s canal syndrome can cause, but is not limited to, numbness, tingling and loss of sensation in the fifth finger and half of the fourth. Atrophy of the hand muscles may also occur. During the night, you may experience pain and numbness from prolonged bending of the wrist. Symptoms are also exacerbated during repetitive activities involving wrist movements or prolonged pressure on the hand.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. Most of the time, you should recover completely from Guyon’s canal syndrome. This condition may take a few months to fully recover.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to protect your Guyon’s canal syndrome and prevent your injury from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercise and specific mobility and strengthening exercises will allow for better recovery.

Rehabilitation

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your rehabilitation program to restore your joint range of motion, muscle strength and endurance, flexibility and functional status.

▶ ​WHAT TO AVOID

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. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, mild strengthening exercises based on your tolerance.

Ischial Bursitis

~ Dr. Robert Speirs DC ~ Leave a comment
Photo by Edgar Martu00ednez on Pexels.com

Ischial Bursitis
Ischial bursitis is the irritation of the bursa at the bony prominence behind the pelvis,​ ​called ischial tuberosity. This bony prominence represents an insertion zone for several muscles, including the hamstrings, and provides support in the sitting position.

Activities and sports that require the hamstring muscles to be repeatedly contracted or stretched during running, jumping or kicking can cause irritation of the bursa and sometimes inflammation. Ischial bursitis usually results from injury to the hamstring tendons. Prolonged sitting on a hard surface or falling on the buttocks can also aggravate the irritation.

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Structures involved

The b​ursa ​is a small fluid-filled sac. The bursa located in the pelvis acts as a lubricant to reduce friction between the muscles and the ischial tuberosity.

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Signs & Symptoms that you may experience

Each person will react differently after an injury and recovery will depend on the severity of the injury. Ischial bursitis can produce, but is not limited to pain in the buttock area, localized swelling of the bursa and reduced mobility at the hip.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. In most cases, you can expect a full recovery from ischial bursitis. As a general rule, this condition may take a few months to fully recover.1

Carpal Tunnel Syndrome

~ Dr. Robert Speirs DC ~ Leave a comment

Carpal Tunnel Syndrome
Carpal tunnel syndrome is a compression or irritation of the median nerve at the carpal tunnel on the anterior side of the wrist.This condition is usually the result of repetitive wrist movement, such as regular and prolonged use of a computer mouse or repetitive movements at work. Carpal tunnel syndrome can also occur as a result of trauma or tendinitis of the flexor muscles of the wrist, or during pregnancy due to nerve compression as a result of swelling in the hands.It is estimated that about 8% of the adult population is affected, making it a relatively common condition. It is the most common compression neuropathy of the upper limb. Women are twice as affected as men.

Structures involvedThe nerves of the hand as well as the tendons of the flexor muscles pass to the anterior aspect of the wrist under the ​transverse carpal ligament​ that holds them in place. It is the passage formed by the transverse ligament and the bones of the wrist, called carpal bones, that forms the carpal tunnel. The syndrome usually occurs when, for some reason, the space in the carpal tunnel is reduced and the median nerve is compressed.In some cases, a dysfunction of the cervical spine can cause symptoms of carpal tunnel syndrome without repetitive wrist extension motion.page1image34618856961

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Signs & Symptoms that you may experience

Carpal tunnel syndrome can cause, but is not limited to, numbness and tingling in the first three fingers and half of the fourth, as well as atrophy of the hand muscles. During the night, you may experience pain and numbness from prolonged bending of the wrist. Symptoms are also exacerbated during repetitive activities involving wrist movements.

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Recovery

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. Most of the time, you should recover completely from carpal tunnel syndrome. This condition may take a few months to fully recover.

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▶​ ​WHAT TO DO

Early Stage

Relative rest is a good way to protect your carpal tunnel syndrome and prevent your injury from getting worse, but it is important to avoid over-protecting it. A few days of rest by reducing activities that cause pain may be necessary. A quick return to your daily activities, light cardiovascular exercise and specific mobility and strengthening exercises will allow for better recovery.

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of successful rehabilitation. Your therapist will accompany you during your rehabilitation program to restore your joint range of motion, muscle strength and endurance, flexibility and functional status.

According to the principles of carpal tunnel rehabilitation, reducing aggravating factors and recovering neural mobility, through neurodynamic exercises, would be an important part of functional recovery.

▶ ​WHAT TO AVOID

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. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, mild strengthening exercises based on your tolerance.

Plantar Fasciitis and Laser Therapy

~ Dr. Robert Speirs DC ~ Leave a comment

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.

Preventing Injury In Young Athletes

~ Dr. Robert Speirs DC ~ Leave a comment

Identifying and reducing risk factors in sports in especially important in young athletes. A review published in “The Adolescent Athlete” journal found that up to 50% go injuries could be avoided with preventative measures for youth participating in sport. Some key items to consider when looking at preventing injuries include:

  • A pre-season screening program to identify muscle imbalances, weakness, previous injury locations and progress of healing at those sites. Waiting for an injury in-season is cuter productive for all athletes but especially young ones.
  • An off-season general strength and conditioning program. This should be aimed at maximizing an athletes general movement skills, sport specific injury prevention through balance and strength and general mobility.
  • Awareness of how growth affects athletes from not only a performance point of view but also how growth impacts muscles, strength and co-ordination, especially in the lower limbs.
  • Awareness of how specific skill sets impact the body through repetitive stress and how to prevent that stress through load management, practice balance and body awareness.
  • Early intervention is always the best course of action when dealing with a young athlete. At first sign of dysfunction, even without pain a professional should be consulted to ensure prevention of exacerbation on the condition. “Toughing it out” leads to more issues down the line.
  • Understanding that pain is not a “normal part of sport”. The old adage “No pain, no gain” needs to be scrubbed from the sporting world. Play and practice smarter and pain can be avoided in all sports.

If you are a coach, parent or athlete looking for more information on these or any sports injury related items, feel free to contact us at any time. 

Can Fibromyalgia Br Prevented?

~ Dr. Robert Speirs DC ~ Leave a comment

What can be done about it?

Fibromyalgia (FM) is a common cause for chronic pain (pain that lasts three or more months) and afflicts 4% of the general population in the United States! FM commonly affects the muscles and soft tissues – not the joints (like arthritis); however, many FM sufferers are mistakenly diagnosed with arthritis, so it may take years before they get an accurate diagnosis. There are NO known accurate diagnostic tests for FM, which is another reason for a delayed diagnosis.

In order to answer the question, “Can fibromyalgia be prevented?” we must first find the cause of FM. There are two types of FM: PRIMARY and SECONDARY. Primary FM occurs for no known reason, while secondary FM can be triggered by a physical event such as a trauma (e.g., car accident), an emotional event or a stressful situation (e.g., loss of a child), and/or a medical event such as a condition like irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosis (SLE). Any condition that carries chronic or long-lasting symptoms can trigger FM, and some argue that the lack of being able to get into the deep sleep stage may be at the core of triggering FM since sleep disorders are a common finding in FM sufferers!

The “KEY” to managing FM has consistently been and probably always will be EXERCISE and SLEEP. So, if FM is preventable, daily exercise and getting the “right kind” of sleep are very important ways that may reduce the likelihood for developing the condition! Since emotions play a KEY ROLE in the cause and/or effect of FM, applying skills that keep life’s stressors in check is also important. This list can include hobbies like reading a good book, playing and/or listening to music, or meditation. The combination of exercise with mindful meditation using approaches like Tai Chi, Yoga, Qi Gong, and others has had positive impacts on FM patients such as improved balance and stability, reduced pain, enhanced mental clarity, and generally improved quality of life. Managing physical conditions that are associated with FM (such as irritable bowel syndrome, rheumatoid arthritis, or systemic lupus erythymatosis) is also important in managing and/or preventing FM.

Another management strategy of FM is diet. As most patients with FM will agree, certain foods help and others make the FM symptoms worse. In a survey published in the Journal of Clinical Rheumatology, 42% of FM patients reported certain foods exacerbated their symptoms. Of course, each individual case is unique, so keeping a food log or journal can be very helpful to determine dietary “friends” vs. “enemies.” The first step is to eliminate certain foods for four to six weeks, such as dairy and/or gluten. Most patients report a significant improvement in energy (less fatigue) while some report less pain when problem foods are eliminated from their diet. Generally, a diet rich in fruits, vegetables, and lean proteins can have a positive impact on the FM patient. Consider eating multiple small meals vs. two or three large meals during the day, as this can keep blood sugar levels more stable and reduce fatigue.

So back to the question, can fibromyalgia be prevented? Maybe…maybe not. Since the medical community doesn’t know the exact cause, it’s hard to answer this question. However, being proactive and implementing the strategies used to better manage FM may help in preventing it as well!

If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!