Chiropractic & Physiotherapy Clinic in Richmond Hill

At Chiro-Med Rehab Centre, we are pleased to offer you physiotherapy and chiropractor services, as well as exercise and rehabilitation therapy. If you need help, you can be sure that we will find the right modality specific to your unique needs or condition.

We Accept All Extended Health Care Insurances, Motor Vehicle Accidents And W.S.I.B.

About Chiro-Med

Chiro-Med Rehab Centre is committed to working with patients, providing program-specific health care services so they may achieve optimal health.

Richmond Hill Clinic

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the inhabitants of Richmond Hill and the surrounding areas.

Newmarket Clinic

Chiro-Med also features expanded clinical operations in the Newmarket region, located in the busy College Manor Plaza.


At Chiro-Med Rehab Centre, we are pleased to offer you physiotherapy and chiropractor services, as well as exercise and rehabilitation therapy. If you need help, you can be sure that we will find the right modality specific to your unique needs or condition.


Our assessments are exceptional, utilizing the latest technology and techniques to thoroughly evaluate our patients' conditions. Our team of highly skilled professionals is dedicated to providing accurate and effective diagnoses that help us tailor treatment plans to each patient's unique needs.

In-Home Assessments

In-home assessments are used to evaluate the various tasks a claimant may have at home, and to what extent their injuries will impair their ability to perform these tasks.

Work-Sites Assessments

A work-site assessment is an objective analysis that is used to provide information on the physical demand requirements of the claimant’s pre-accident job.

Functional Abilities Evaluation

A functional abilities evaluation (FAE) is an assessment that utilizes scientific principles and measurements to analyze the abilities of a claimant as relevant to their pre-injury level of function.


Hear what our cherished clients have to say about our services and staff.

★ ★ ★ ★ ★

"After being involved in a car accident I started being treated at Chiro-Med Rehab Centre and have had an amazing experience at the clinic. Dr. Sanjari and his staff are amazing! They're friendly, helpful, always greet you with a smile and are very knowledgeable about what they do. The treatment i've received has been second to none and the results have significantly improved my quality of life. Thank you Chiro-Med Team."

★ ★ ★ ★ ★

"After being involved in a car accident I started being treated at Chiro-Med Rehab Centre and have had an amazing experience at the clinic. Dr. Sanjari and his staff are amazing! They're friendly, helpful, always greet you with a smile and are very knowledgeable about what they do."


★ ★ ★ ★ ★

"Excellent facility. Great chiropractor, excellent massage specialists and other treating practitioners. I had the best body massage here. Very friendly and charming staff. Very good in keeping time so can plan out other activities."


★ ★ ★ ★ ★

"Since starting with the group at Chiro-Med my flexibility and strength has improved 150%.  I have found the employees at Chiro-Med exceptional."


★ ★ ★ ★ ★

"I can not express enough how grateful I am the the staff at Chiro-Med. The quality of service and professionalism is the best that I have encountered. Dr. Sanjari is very knowledgeable and was able to resolve my issues in a few sessions. I wish I had found them sooner as the issues I had were present for over a year, and now it is a pleasure to be once again pain free. Thank you!!"


★ ★ ★ ★ ★

"Staff here are the very best you'll ever find.  Friendly, always smiling, helping you out in any way the can. Than there is their work which is so comforting and relaxing. Makes one feel like you can always trust them now and into the future."


★ ★ ★ ★ ★

"This location is very convenient for me, specially the parking space. They are professional, I am so happy with the doctor. They always try to help as much as they can. I can see that they really care about the patient.  The staff are very friendly and helpful.  In general I am so happy and satisfied with the services that I get here."


★ ★ ★ ★ ★

"Thanks to Dr. Sanjari my vertigo has been eliminated and my spinal problems, lower back pain and neck pain has been greatly decreased. He is professional, knowledgeable and courtesy, his staff is also courtesy and kind. I recommend Chiro-Med."


★ ★ ★ ★ ★

"Chiro-Med Rehab Centre has a great positive and relaxing environment. Staff are professional and friendly. I would recommend that you drop by and check out the services for yourself."


★ ★ ★ ★ ★

"Chiro-Med is a very professional and pleasant rehab centre. The customer service is great. The receptionists are always very kind, professional and pleasant. They always great you with a smile and quite understanding."


★ ★ ★ ★ ★

"Chiro-Med Rehab Centre is a very friendly, professional and a great environment. The staff are all very well trained."


★ ★ ★ ★ ★

"Chiro-Med is a very organized and clean facility. The staff is very helpful and polite. It’s definitely the best rehab facility (centre)."


★ ★ ★ ★ ★

"They provide you with quick friendly services. They are caring, helpful, and knowledgeable and they remember your name."


★ ★ ★ ★ ★

"I had lower back pain during my pregnancy and Dr. Sanjari really helped me. The staff is really nice, kind and friendly. I like the fact that they remind you of your appointments the day ahead."


★ ★ ★ ★ ★

"People here make you feel like family, always at ease, friendly smiles, easy going, and always there to help you in any way they can."

J. W.

★ ★ ★ ★ ★

"My experience at Dr.Sanjari’s clinic has been wonderful. I do not feel like I am going to a clinic. Dr. Sanjari and all of his staff are friendly and helpful professionals that make you want to return, especially because you see results. I couldn’t ask for a better medical experience."

E. S.

★ ★ ★ ★ ★

"The staff is extremely friendly. They are really involved by helping the patient and explaining the best treatment option. Knowing that, patients will get motivated and push themselves to get better."

E. Z.

★ ★ ★ ★ ★

"I got the DonJoy knee brace about a month ago and the difference is night and day. I’m able to walk and bike once again. I saw an immediate change to the stability of my knee, even stairs are not so daunting to face anymore. I’m very happy to be mobile once more. Even dancing all night no longer proves to be a problem. Most difficult part of getting my brace was the colour / pattern choice. I’d highly recommend this type of brace. By the way my knee injury consists of a blown ACL and severely damaged meniscus!"

★ ★ ★ ★ ★

"I got the DonJoy knee brace about a month ago and the difference is night and day. I’m able to walk and bike once again. I saw an immediate change to the stability of my knee, even stairs are not so daunting to face anymore. I’m very happy to be mobile once more. Even dancing all night no longer proves to be a problem."


Slider Left
Slider Right


Our products are made with high-quality materials and cutting-edge technology, providing exceptional durability and performance. Customers love how easy they are to use and how they have improved their daily lives.


Explore our informative articles which provide valuable insights and information about the industry, technology, and the latest modalities.

Bursitis Of The Hip

A bursa is a small gel-like sac that generally contains a minimal amount of liquid. Bursae are throughout the body but most importantly they are located around the heel, knee, hip, elbow and shoulder. These act as cushions between soft tissues and the bones in order to help reduce friction between the bone and gliding muscles. Should a bursa become inflamed, then bursitis is the result.

Bursitis Risk Factors

Although bursitis is something that can affect anyone those in their later years and women are more at risk. Hip bursitis is the most common and there are several risk factors that contribute to this. They include:

  • Leg length – Sometimes one leg is longer than the other, and in some cases by more than an inch. The body tries to compensate as the person walks and this creates stress leading to hip bursitis.
  • Calcium deposits – These deposits (and bone spurs) can develop within the tendons that attach to the bony prominences toward the near end of the femur (trochanter). This in turn irritates the bursa therefore causing inflammation.
  • Overuse injury – Running, cycling, standing for long periods of time all can contribute to bursitis.
  • Previous surgery – Surgeries around a prosthetic implant or hip can lead to bursitis.
  • Hip injury – Any blow or injury to the hips can cause inflammation of the bursa.
  • Spine disease – Scoliosis, arthritis of the lower spine and other spinal problems can contribute to bursitis.
  • Rheumatoid arthritis – This tends to increase the likelihood of bursae becoming inflamed.

Bursitis Symptoms

If an individual has bursitis, then he or she will feel pain. Often there is an achy or stiff feeling and the affected area looks swollen and is red. The affected area will hurt more when pressure is applied.

Bursitis of the hips often starts with pain at the point of the hip and extends to the outer thigh area. At the onset the pain is sharp and it later becomes achy. Typically the pain is worse after sitting for long periods of time, lying on the hip at night, and it may worsen with prolonged activity.

Nonsurgical Treatment Options

The good news is that most people with hip bursitis can get relief with some simple lifestyle changes. Some of these changes include:

  • Avoid the activities that tend to worsen symptoms.
  • Use anti-inflammatories such as ibuprofen and even turmeric.
  • Overuse injury – Running, cycling, standing for long periods of time all can contribute to bursitis.
  • If only temporary, use a walking cane or crutches to help you get through the worst of it.
  • Seek the advice of a health profession who can help with physical therapy.

Some physical therapy methods include the use of heat, ice, electric stimulation, ultrasound and laser therapy, yet having the guidance of a health professional is strongly advised in order to minimize the length of time it takes to recover.


Of course, like most health ailments, prevention is paramount. Avoiding certain activities that can worsen a pre-existing condition is the first step in prevention. Also, avoid repetitive movements that place stress of areas that have a bursa (especially the hips). Maintaining strength and flexibility in the hip area is really important.

Properly fitted shoes are essential if an individual is aware that one leg is longer than the other.
Last but not least, losing weight may be required to reduce the stress on the hips.

The best plan is that if you have suffered from or it feels like you may have bursitis, see a health professional. Never self-diagnose because things could go from bad to worse before you know it. Chiro-Med Rehab Centre has friendly health professionals on staff to help you live pain-free as naturally as possible. Chiro-Med Rehab Centre has a walk-in clinic conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill. Call 905-918-0419 for more information or to book a consultation.

Achilles Tendonitis

The Achilles tendon is the largest tendon in the body connecting the calf muscles to the heel bone and is in use when walking, running, and jumping. Athletes and runners in particular tend to be those who suffer the most with Achilles tendonitis and it is the bane of many runners. Although this tendon can withstand great stresses it is also prone to tendinitis, a condition associated with degeneration and overuse.

Historically, the Achilles tendon is known as an area prone to disabling injury. Named after Achilles, who according to myth, was protected from wounds. As a baby, his mother dipped him in a special pond by holding onto his heel, which was not immersed; and later in life Achilles died by an arrow wound in his heel. Interestingly, injuries to this part of the body have obviously been around for thousands of years; however, it was only first reported in medical literature 400 years ago.

What Is Achilles Tendonitis?

The Achilles tendon is the largest tendon in the body stretching from the heel to the calf muscles. From the exterior it feels like a springy band of tissue at the back of the ankle, above the heel. This tendon joins three muscles: the soleus and the two heads of the gastrocnemius. The gastrocnemius muscle crosses over three joints: the knee, the ankle, and the subtalar joint. The soleus is the powerful muscle in the back part of the lower leg; it reaches from just below the knee to the Achilles tendon.

There is not a rich blood supply to this tendon; there are a small number of blood vessels throughout its length which suggests the poor vascularity can be an issue when trying to repair the tissue following trauma.

Achilles Tendonitis

There are two types of Achilles tendonitis: insertional and noninsertional. Insertional Achilles tendonitis affects the lower portion of your tendon where it attaches to the heel bone. Noninsertional Achilles tendonitis involves fibers in the mid-portion of the tendon and usually affects active, younger people.

There are several factors that can contribute to Achilles tendonitis. Here are a few factors:

  • Excessive hill running,
  • Improper placement of the foot while exercising or while engaged in a sports activity,
  • Sudden increases in training, or exertion in activity involving the tendon,
  • Not properly stretching the tendon before, during and after physical activity, and
  • Tightness of the posterior muscles in the calf that was not stretched out prior to physical activity.

Shoe design may prolong Achilles tendonitis because of excessive heel cushioning. Some people self-treat and purchase gel or air-filled heels and these are not good for a sore Achilles tendon. If you are wearing a shoe designed to provide heel shock absorption what frequently happens is that after heel contact, the heel continues to sink lower while the shoe is absorbing the shock. This further stretches the Achilles tendon.

Achilles Tendonitis Symptoms

Common symptoms include:

  • Pain and stiffness along the tendon in the morning,
  • Pain along the tendon or back of the heel that worsens with activity,
  • Severe pain the day after exercising, and
  • Swelling.

If you have experienced a sudden "pop" in the back of your calf or heel, you may have torn your Achilles tendon. If this has occurred it is important to help right away.


The good news is that there are many nonsurgical treatment options that will work for most patients. Depending on the severity of the injury it may take a few months for symptoms to completely subside. Also, depending on how soon you seek help after getting Achilles tendonitis will determine the length of treatment required.

Some basic tips to follow for alleviating pain at home include:

Rest. Greatly decreasing or even stopping the activities that make the pain worse is a must. If you regularly partake in high-impact exercises then switch over to low-impact activities, this will put less stress on the Achilles tendon. Biking and swimming are low-impact options to help you stay active.

Ice. Placing ice on the most painful area of the tendon is helpful and can be repeated as needed throughout the day. This can be done up to 20 minutes each session so long as the skin does not get numb.

Exercise. There are some incredible exercises that can help to strengthen the calf muscles and reduce stress on the Achilles tendon. A qualified health professional can show you what specific exercises are best for your particular situation.

At home methods may provide some relief but there is not a doubt that seeking qualified professional help is best in order to heal properly.

For more information about Achilles tendonitis and how chiropractic and physiotherapy can help you, please give Chiro-Med a call. Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for a decade. We have clinics located in Richmond Hill and Newmarket; call 905-918-0419 or 905-235-2620 for more information.

Lateral Epicondylitis AKA Tennis Elbow

Lateral epicondylitis is a physical health condition more commonly referred to as tennis elbow. This painful condition has affected many people and it involves the tendons that attach to the bone on the outside part of the elbow. Tendons anchor muscles to bone. The muscle involved in this condition, the extensor carpi radialis brevis, is what is felt when tennis elbow strikes.

Degeneration of the tendon's attachment is what happens with lateral epicondylitis; the weakening places enormous stress on this area. Eventually this leads to pain when involved with activities in which this muscle is used such as lifting, gripping, and grasping. Tennis is usually associated with this condition but the problem can occur when participating in many different types of athletic or non-athletic activities. The good news is that the qualified professional staff at Chiro-Med Rehab Centre in Richmond Hill can help.

Causes Of Lateral Epicondylitis

There are numerous causes of lateral epicondylitis that are work and leisure-related. Any activity that places enormous or repetitive stress on the tendon attachments causes tennis elbow. These stresses can come from holding too large a grip or from repetitive gripping activities. This can include painting, meat cutting, window washing with a squeegee and much more.

Another cause can be when the area receives a direct blow that results in the swelling of the tendon and this can lead to degeneration. A sudden and extreme action, activity or force can also injure the tendon.

Although this condition affects many people between 30 and 50 years of age, it can occur in any age group.

Symptoms Of Lateral Epicondylitis

Pain is usually the primary reason that patients seek out medical evaluation. The pain is located over the outside area of the elbow, over the bone area which is known as the lateral epicondyle. When you have tennis elbow, this area becomes tender to touch. Pain also occurs by any activity which places stress on the tendon, such as gripping or lifting. With activity, tennis elbow pain generally starts at the elbow and can travel down the forearm to the hand. Depending on the severity, any motion of the elbow can become painful.

Treatment Of Lateral Epicondylitis

The good news is that there are non-surgical treatment options. The most common form of treatment is simply limiting or eliminating aggravating activity. Total rest in some cases is not recommended. Modifying how you grip items can also help.

A brace may be required to reduce the tension on the tendon in order to allow it time to heal properly.

Physical therapy plays a large role in the treatment of tennis elbow. A physiotherapist can provide stretching and strengthening exercises to help treat this condition. Also, modalities such as ultrasound, laser or cryotherapy treatment can be used. In some cases anti-inflammatories may be required.

Only in severe cases is surgery considered. The pain must be incapacitating and the patient has not been able to respond well to conservative care. Surgery should never be an option unless severe pain has been ongoing for many weeks.

Like so many other health conditions, it is very important to diagnose lateral epicondylitis as soon as possible. The sooner tennis elbow is treated, the faster the patient can resume their daily activities.

Chiro-Med Medical Centre has the necessary expertise and knowledge to help you recover from lateral epicondylitis. As professionals we can recommend the type of treatment needed and effectively implement that treatment, getting you back up and running as quick as possible! No two patients are identical and neither is treatment. We ensure that you get a treatment plan tailor-made for your abilities. Chiro-Med Medical Centre in Richmond Hill looks forward to helping you resume activities you enjoy!

What Is Myositis Ossificans

Myositis ossificans is an abnormal bone that forms within the muscle tissue. There are two types of myositis ossificans: myositis ossificans circumscripta is the result of a muscle injury and myositis ossificans progressiva is an inherited condition that causes the formation of bone in many tissues.

This is a condition that athletes often experience after sustaining a blunt injury resulting in deep tissue bleeding. A neglected bad muscle strain or contusion can result in myositis ossificans. When an impact causes damage to the sheath surrounding a muscle or a bone, then a bone growth develops (calcification) that can be quite painful. Bone growth begins two to four weeks after injury and within three to six months is a mature bone.

What Causes Myositis Ossificans?

Sometimes when an injury occurs an individual may self-assess and choose not to follow injury protocol which starts with ‘R.I.C.E.’ immediately after injury (rest, ice, compression and elevate). However, if intensive physiotherapy or massage occurs too soon after injury then this too can result in myositis ossificans. In addition, if an athlete returns to training too soon after injury, this may also result in this condition.

Myositis Ossificans Symptoms

Symptoms of myositis ossificans often varies from person-to-person. Common symptoms include swelling, pain, discomfort, swelling, and a lump within the muscle tissue.

Myositis ossificans progressiva symptoms include digits (fingers and toes) that have changed shape, painful lumps around the joints, a spine with an abnormal curve, as well as a decrease in the range of motion in the shoulders and hips.

Diagnosis And Treatment Options

An examination from a physiotherapist or chiropractor can indicate if myositis ossificans is present. Usually at about three weeks post injury an X-ray can confirm diagnosis. Other diagnosis methods include an MRI scan or an ultrasound.

Once myositis ossificans is established, there are very few options that can be explored to accelerate the restorative process. Treatment will generally focus on rest from activities that can cause agitation and a physiotherapist or chiropractor can provide a gentle pain-free range of movement exercises.


In the event of an injury, a person must diligently follow R.I.C.E. (rest, ice, compression and elevate) in the initial phase of injury (preferably immediately but within the first 24 hours). By following the RICE regime, this greatly reduces the likelihood of the development of myositis ossificans. Far too many people think they’ll be okay and do not follow R.I.C.E.; it is better to be safe than sorry.

What is also very important is to rest from activities, regular icing, and if possible, use a compression bandage. Taking preventative measures at the time of and shortly after an injury will save a lot of time down the road should myositis ossificans develop.

If you suspect you may have myositis ossificans then help is a phone call away. For more information about treatment options to seek relief from myositis ossificans, Chiro-Med Rehab Centre in Richmond Hill can help. Chiro-Med Rehab Centre has a walk-in clinic conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill. Call 905-918-0419 for more information or to book a consultation.

Spondylolisthesis & Spondylolysis

Spondylolisthesis, (pronounced SPON-dill-oh-lis-THEE-sis) and spondylolysis (pronounced SPON-dee-low-LYE-sis are common causes of low back pain. Spondylolisthesis refers to one vertabra slipping over another in the front of the spine. Spondylolysis is when there is a separation of the small bony arch in the back of the spine located between the facet joints; this is called the pars interarticularis. In more common terms, spondylolisthesis is a stress factor that weakens the bones causing them to lose proper positioned and spondylolysis is a stress fracture in the bones of the spinal column.

Spondylolisthesis & Spondylolysis Similarities and Differences

Spondylolysis is considered the most common reason for lower back pain among young athletes. In fact, research shows that only 3 to 6 percent of the entire population are affected. X-rays are the easiest way to determine that the injured individual has this condition. Spondylolysis generally affects the fifth lumbar vertebra (sometimes the fourth).
Spondylolisthesis more commonly occurs in adolescents than adults. This condition can develop anywhere along the spine however the lower back is the mostly affected. In severe cases, the vertebral bones may press on nerves causing intense pain.


These spinal conditions are believed to develop as a result of overuse or it can even be hereditary. From a hereditary perspective, research seems to indicate that spondylolysis is more likely to occur in those who were born with thin vertebral bones. Add to this certain sports and activities that place stress on the lower back means the chances of being inflicted with spondylolysis increases.

Sports such as gymnastics, football and weight-lifting can contribute to spondylolysis and spondylolisthesis formation. Individuals who experienced significant periods of rapid growth in their life may also be at risk for vertebral slippage.


It may sound odd but a person may have one of these conditions and not experience any symptoms. When they do occur, the pain is described like having a muscle strain stretch across the lower back. An attempt to continue in activities that require use of the lower back can worsen spondylolysis back pain.

Spondylolisthesis can affect how a person walks and their posture because this may narrow the spinal canal which causes nerve compression. The individual may also experience an upper back ache and spasms that tighten the hamstring muscles.


Diagnosis of spondylolysis and spondylolisthesis is dependent on a qualified health professional looking at a set of X-rays, a CAT scan, or an MRI scan. In most cases, these conditions are easily seen on an X-ray of the lumbar region.


Treatment goals for spondylolysis and spondylolisthesis are simple:

  • Pain reduction.
  • Allow the fracture to heal.
  • Return the patient to their daily activities.

The great news is that treatment is almost always nonsurgical. Most patients with spondylolysis and low-grade spondylolisthesis will greatly improve with nonsurgical treatment.

Nonsurgical treatment may include:

  • rest;
  • nonsteroidal anti-inflammatory drugs;
  • physical therapy; and
  • bracing

Improving Stability and Control

One chiropractic approach to the treatment of spondylolisthesis is to strengthen and re-coordinate the deep support muscles of the lower back area. An attempt is made to improve the dynamic stability and control of the spine. The patient may learn spinal stabilization exercises to train the muscles in order to gain stability and control.

Postural Correction

Over time many spondylolisthesis patients may develop postural asymmetries. One important factor in treatment is the correction of any loss of the normal upright alignment of the spine and pelvis. Patients will learn corrective exercises specific for the postural imbalances they have developed.


Depending on the individual’s condition, long-term support of the spine may be required by using custom-made orthotics. A common factor that occurs in many of these patients is that they have low or absent arches in their feet making additional support necessary.


Surgery is required only if all other treatment options fail. Nerves that exit the spine must be freed of all pressure by a laminectomy.  However, this is a ‘last resort’ option and only in dire situations. Most patients find relief through regular chiropractic care.

For more information on spondylolisthesis and Spondylolysis feel free to call our office during regular business hours and one of our associates will be please to speak with you. Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for over half a decade. We have clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Can Kyphosis (Hunchback) Be Treated?

Kyphosis is the technical name for having a hunched back that is not remedied by naturally straightening the back. Of course we all get lazy at times and slouch to the point it appears we are hunchbacked; however, kyphosis is a condition in which an individual has an exaggerated thoracic curve and rounded shoulders. This is a condition that is on the increase.

There are causes to this condition with the two most common causes being poor posture and muscular imbalances. When caused by poor posture this condition is known as postural kyphosis. Kyphosis can affect anyone at any age except newborns.

In addition to poor posture and muscular imbalances other possible causes include:

  • upper back muscle weakness
  • arthritis
  • bone degeneration diseases
  • spine injury
  • slipped discs
  • spinal curvature (scoliosis)
  • aging

Although much less common there are other causes that may lead to kyphosis, these include:

  • tumours
  • infection in the spine
  • Paget’s disease
  • muscular dystrophy
  • birth defects

Many people live with kyphosis and rarely seek out treatment. If any individual with this condition experiences breathing difficulties, pain or fatigue then it is really important to get treatment. Pretty much all of our mobility and flexibility depends on the health of our spine. Seeking treatment to help correct kyphosis is important to help reduce the risk of complications later in life.

Postural kyphosis will more than likely cause further trouble down the road. Even if an individual experiences shallow breathing or slight, occasional pain it is imperative they seek treatment.

Treating kyphosis early by strengthening the back muscles and seeking out chiropractic adjustments will help.

Other Types of Kyphosis:

Congenital kyphosis refers to abnormal development of the spine that is inherited. This means a person is born with a defect, such as the incomplete formation of the spine. This can lead to a severe abnormal kyphosis.

Paralysis can lead to kyphosis. Causes of the paralysis can include spinal muscle atrophy or cerebral palsy. The development of kyphosis in these cases is gradual.

Degenerative kyphosis refers to the wear and tear of the lumbar (lower) spine. Over a period of time the degenerative process can cause the collapse of the intervertebral disc and weakening of the spinal ligaments. Once kyphosis begins to form it gradually gets worse.

Scheuermann's kyphosis occurs in children and the thoracic curve is usually 45 and 75 degrees.

Exercises that Can Help

Here are four exercises that can help you if done on a regular basis:

  • Lay Down Y

This exercise will strengthen the extension muscles in the upper back.

How to do it: Lie face down with your head lifted off the floor. Your lower back needs to be slightly hyper-extended. Stretch your arms straight out in a Y position with your thumbs pointing up. Pull your arms back in an arc until your hands are in a ‘handcuff’ position. Slowly reverse your arms until you’re at the start. Repeat 2 or 3 times.

  • Wall Sliding (wall angels)

This exercise will strengthen the scapular retractors and will provide good shoulder mobility.

How to do it: Stand with your back against a wall but take one small step forward. Hold your arms out in the shape of a W with your hands facing up. Push your hands up toward the wall until they reach a Y position. Return your arms to the W position. Repeat 5 times.

  • T-Spine Rotation

Thoracic spine rotations are essential for increasing mobility in the thoracic spine region (where the kyphosis affects).

How to do it: Get on all fours making sure your arms are at full length and your hands are positioned just in front of your shoulders. Take your right arm and stretch out your arm. Slowly move your arm underneath your body (and slow twist at the waist) until your arm is as far through as possible and you are looking at the palm of your right hand. Slowly reverse. Do 3 of these then repeat with the other arm.

  • Crucifix

Spending too much time in a seated position causes lower and upper back muscles to shorten which leads to poor posture. This stretch helps to undo these shortened muscles.

How to do it: Stand tall with your arms extended straight out to your sides at shoulder height. Turn your wrists so your thumbs face backwards and pull your (straight) arms up over your head. Bend your elbows until your elbow is at a 90 degree angle. Lower your left hand until it touches your shoulder. Take your right hand and place it on the left elbow. Lower your left hand as far as you can go and hold for as long as you can. Slowly release. Repeat 2 times then switch to your other arm. Do this exercise several times a day.

Chiropractic Treatment for Kyphosis

Treatment will depend on a couple of factors such as the severity and the underlying cause. For those in which the cause is poor posture the good news is that aggressive treatments are not required. What may be required includes:

  • physical therapy
  • correction of the spinal joint fixations
  • yoga (to help build strength and range of motion)

If the cause of kyphosis is due to an infection then antibiotics may be required. If tumours are the underlying cause then surgery may be required.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for over half a decade. Chiro-Med Rehab Centre has qualified professionals who can help evaluate you. We have clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-0419 for more information.

Collagen Can Help Repair Joints

Optimum joint mobility is the result of supple, healthy joint tissue and joint elasticity. Collagen is a vital component of tissue, bones and cartilage required for healthy joints. Research suggests that boosting collagen intake can contribute to joint health, but can it actually repair? There is no shortage of articles on the Internet that make claims one way or the other, but rarely do they mention what types of collagen there are and what their specific functions are. Yes, collagen can assist in joint repair; but knowing what specific collagen, how it is produced, and other therapies you must do is the key in achieving results.

What is Collagen?

Collagen is the fundamental structural protein that forms connective tissue; it is a vital component of the joints, bones, muscles, tendons and skin. Essential to the formation of connective tissue, it is the highest source of protein found in the body. Collagen contains specific vital amino acids including arginine, proline, glycine and hydroxproline.

The human anatomy contains and utilises over 20 variants of collagen amino acids, however there are three main types of collagen that comprise 80 to 90% of the body.

Different Types of Collagen Explained

First, all three types of collagen decrease with age. The knees generally take the brunt of this loss earlier in life in those who are regularly engaged in vigorous physical active and are not keeping up with the levels of collagen regeneration required for recovery.

There are actually 28 different types of collagen with three being the main types. These three types of collagen are simply named I, II, and III. Collagen type II is the most significant for joint health. Of the three, collagen type II is believed to be most effective in targeting and enhancing joint cell health.

Collagen Type I

This collagen is in our skin, artery walls, bones, tendons and in scar tissue. Type I is the most abundantly found in the body. It is a fibrillar type collagen, and inevitably has been the best investigated collagen.

Collagen Type II

This collagen is found in our cartilage and respiratory tubes. Type II is a fibrillar collagen, and the main component of cartilage. This collagen constitutes 95% of the collagens and approximately 60% of dry weight. Mutations in type II collagen result in several types of chondrodysplasia, leading to premature osteoarthritis.

Collagen Type III

This collagen is predominantly found in blood vessels. Type III collagen is a fibrillar collagen which is secreted by fibroblasts and other mesenchymal cell types. This makes it a huge factor in various inflammation-associated pathologies such as viral and non-viral liver diseases, kidney fibrosis, lung injury, and vascular disorders.

In order for collagen to help repair joints Type II is the collagen people need to have the most of in order to attain any level of relief. Having supplements will help but the body also needs to be able to produce collagen as well. Eating foods high in lysine and arginine will help collagen production. Getting both of these amino acids from food is important.

Collagen and Vegetarian Diets

A vegetarian diet is known to prevent some diseases but it may influence the balance of carbohydrate and fat metabolism as well as collagen synthesis. Research published at Karger Journals in Switzerland, (Vegetarian diet affects genes of oxidative metabolism and collagen synthesis), indicates that there is reduced collagen synthesis in vegetarians, and this could also play a role in the aging process.

However, all is not lost for those adhering to a vegetarian diet. There are some foods that can help but seeking the advice from a qualified health practitioner is strongly advised.

Without Vitamin C There Is No Collagen

Vitamin C intake is critical to collagen production. There is a plethora of research that indicates many people are not getting enough vitamin C to maintain proper health; further to that, it has been argued that the recommended daily values fall short of what we really need.

Vitamin C deficiency, although uncommon in North America, results in our bones being unable to properly manufacture collagen and its connective tissues. The body literally deteriorates as collagen is broken down and not replaced. This results in joints wearing down as tendons weaken.

Denatured vs Undenatured Collagen

Denatured collagen is hydrolyzed. Most of the type II collagen that is derived from the sternum of chickens is denatured or hydrolyzed. This means that high heat and possibly even chemicals have been used to process it. These processes fundamentally alter the molecular structure of the protein, rendering the collagen ineffective as an immunomodulator. There seems to be no peer-reviewed scientific studies showing that denatured type II collagen provides joint health benefits.

Undenatured type II collagen is produced using little or no heat and processing is bare minimum. The processing required is just enough to concentrate the collagen and make it soluble. This type of collagen supplement is the only form that the body can use effectively.

Collagen Helps to Repair Joints

Collagen can help repair joints but under the proper conditions. Not only are foods rich in vitamin C needed (possibly supplementation as well), but also foods high in lysine and arginine ( i.e., fish, chicken, beef, lamb, milk, cheese, beans, and mung bean sprouts). Avoiding foods that cause inflammation is really important and this means reducing or eliminating gluten and anything that contains processed sugar. In addition to diet, exercise is important, but knowing what exercises can be done safely should be approved by a qualified health professional.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has a proven record of commitment providing quality health care services in the Greater Toronto Area. Chiro-Med Rehab Centre has qualified professionals who can help you develop a personalized plan to ensure your joint health is as good as it possible can be. We have clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.


Enzymes and Your Health

Many of us have heard how our body needs enzymes but what exactly are enzymes and why is it our body must have enzymes?

Enzymes can be defined as being catalysts, substances that cause a chemical reaction to move faster. They are the catalysts of biochemical reactions in living organisms which includes the formation, breakdown, and the rearranging of molecules to provide organisms with the energy and materials required to live and function properly. In fact, enzymes are even more important than vitamins and minerals because without enzymes, vitamins and minerals are totally useless.

All enzymes are substances that occur naturally in all living things, including us. If it’s an animal or a plant, it has enzymes. Researchers have identified more than 3,000 different enzymes in the human body up to now; they are still examining the body as they believe they may discover more.

There is not a doubt that enzymes are absolutely critical for life process. Every activity that occurs in our body needs enzymes. This includes:

  • The building of healthy tissue
  • Synthesis and repair of DNA
  • A strong heartbeat
  • Proper digestion
  • Absorption of food
  • Blood coagulation
  • Breathing
  • Absorption of oxygen
  • Breaking down fats in the blood, regulating cholesterol and triglyceride

Nothing can take place without energy and energy is produced with enzymes. The existence of every living cell in the human body depends on enzymes. Those of us whose bodies are rich in enzymes are people who function at their best and have the greatest advantages in resisting disease. In fact, enzymes are not only critical to human health, but they are also critical to plants and animals as well.

Nutrients and Enzymes:

If a person does not have all the enzymes required then their body cannot process and use the nutrients, vitamins or minerals that we also desperately need to be healthy. Enzymes are rather specific and each one promotes one type of chemical reaction. Some break down the proteins, fats, and carbohydrates in our food into smaller molecules so that the digestion process runs smoother.

Like vitamins, minerals, and other nutrients, enzymes work best when they are ingested from fresh sources. Taking enzyme supplements doesn’t replace a healthy diet of quality fresh produce.

Enzymes are not only ingested from the fresh vegetables and fruits we eat but our liver produces enzymes in which we cannot ingest. Having a healthy liver is essential so that it can produce the other enzymes we need.

Our body’s ability to function, to mend after injury, and to ward off disease is directly related to the strength and numbers of the enzymes in our body. Enzymes are also important to help recover from back pain, circulation problems and many other ailments.

Many people have an enzyme deficiency and are totally unaware of it.


Enzymes do not work all by themselves; they rely on other elements to complete their intended function. Some vitamins and minerals are really important for enzymes to do what they need to and these are known as coenzymes. Coenzyme Q10 is one that many are aware of and magnesium is another; in fact, magnesium is needed in over 300 enzyme reactions. Thousands of people are magnesium deficient and are totally unaware. According to Dr. Norman Shealy in Missouri, "Every known illness is associated with a magnesium deficiency" and that, "magnesium is the most critical mineral required for electrical stability of every cell in the body. A magnesium deficiency may be responsible for more diseases than any other nutrient."

Ingesting vitamins, whether from eating foods or as supplements, increases the quantity of coenzymes in the body. Some vitamins helps our body produce coenzymes, such as folic acid (B9) and some of the B vitamins and other vitamins directly act as coenzymes, such as vitamin C.

Boost Your Enzymes Naturally

There are only four things you need to do to increase your enzymes naturally:

  1. Eat plenty of raw, living foods
  2. Decrease calorie intake
  3. Properly (and slowly) chew your food
  4. Avoid gum chewing

The absolute best way to bring enzymes into your body is by eating mostly raw foods in your diet (at least 75 percent). A great way to help achieve this is to eat sprouts. Sprouting is cheap and easy to do. Although all raw foods contain enzymes, some are more powerful than others and sprouts are at the top of the list.

Other enzyme-rich foods include:

  • Papaya, pineapple, mango, kiwi, and grapes
  • Avocado
  • Raw honey
  • Bee pollen
  • Extra virgin olive oil and coconut oil

Our body is very intricate and everything we choose to eat and drink throughout our lifetime will determine just how healthy or unhealthy we are and will become. Be sure to make healthy food choices, eat lots of raw food, and remember, exercise is also important in order to maintain good health.

Slider Left
Slider Right


Welcome to our platform for sharing thoughts, ideas, and insights with our clients. We strive to offer a unique perspective on the topics and subject matter most important to the field.

8 Best Natural Remedies for Arthritis Pain Relief
8 Best Natural Remedies for Arthritis Pain Relief

Arthritis describes a range of conditions that involve inflammation and pain in the joints. Check out these eight best arthritis remedies for pain relief.

7 Signs of a Broken Tailbone in Your Body
7 Signs of a Broken Tailbone in Your Body

A bruised or broken tailbone makes it excruciatingly painful to move your body. Learn about the common signs of a broken tailbone to seek treatment quickly.

How Do OA Knee Braces Work?
How Do OA Knee Braces Work?

Relieve pain & strain with an OA Knee Brace. Call to Request your FREE Consultation with our specialists at Chiro-Med Richmond Hill or Newmarket today!

Top Tennis Elbow Treatments
Top Tennis Elbow Treatments

Tennis elbow is a condition wherein the tendons in the forearm that attach to the elbow become inflamed. Here's our top treatments on how to treat Tennis Elbow.

What Is Second Impact Syndrome: Signs & Symptoms
What Is Second Impact Syndrome: Signs & Symptoms

Second impact syndrome is when an individual experiences a new head injury before recovering from a prior incident. SIS comes with various signs & symptoms.

What Does Acupuncture Treat?
What Does Acupuncture Treat?

Many people don't know the amount of positive applications for acupuncture. If you wonder "what does acupuncture treat," then you're in for a surprise.

How to Relieve Tension Headaches
How to Relieve Tension Headaches

Learn about tension headaches, their symptoms, causes, and treatment options including chiropractic care and massage for natural relief.

Get Lower Back Pain Relief with Physiotherapy
Get Lower Back Pain Relief with Physiotherapy

If you’re seeking lower back pain relief, a visit to a physiotherapist is a great place to start.

Slider Left
Slider Right

For questions, guidance, or more information, call us at any time!
We accept all extended health care insurances, motor vehicle accidents and W.S.I.B.