The ancient art of acupuncture is one of the most widely acclaimed forms of alternative medicine available today.  The mainstream medical community has acknowledged the effectiveness of this ancient Oriental healing method on a myriad of complaints, from weight loss to chronic pain caused by illness or injuries.  It may seem hard to believe that inserting tiny needles into the skin can actually alleviate pain, but millions of satisfied acupuncture patients will assure you that it works.

For thousands of years, Asian doctors have used acupuncture on their patients, and the medical evidence supporting its effectiveness is overwhelming.  Richmond Hill acupuncture treatments can be used to cure headaches, stimulate weight loss, and even help people quit smoking.  Acupuncture can be successful in the treatment of digestive problems, including constipation, loss of appetite or excessive food cravings.  It can also be used to treat allergies, and in some cases, cure them.  Some mood disorders such as anxiety and depression respond well to acupuncture treatments, which can work in conjunction with antidepressant medications or even help eliminate the need for medications altogether.  If you are taking such medications, you should always consult your doctor before stopping the medication, and it may be helpful to tell the doctor that you are having acupuncture treatments so that he or she can monitor your progress and assess your needs for medication.

A Richmond Hill acupuncture specialist can tell you exactly what health problems can be addressed with acupuncture, and you may be surprised to learn that acupuncture treatments can help you in ways you never before imagined possible.  Not only can acupuncture help cure existing ailments, but it can also help prevent the onset of potentially deadly disease.  Regular acupuncture treatments can leave you feeling healthy and vital in many ways, and can even help you to live a longer life.

DeQuervains disease is a painful disorder that affects tendons located at the base of the thumb. There are several kinds of tendon lining inflammatory diseases, but DeQuervains disease is the most common.

Tendons slide through sleeves (sheaths) and the inner wall of these “sleeves” has a slippery fluid to help lubricate the tendons. Repetitive movements such as forceful gripping contribute to the reduction of, or elimination of lubrication. When this occurs friction increases between the sheath and the thumb’s tendon creating an abnormal thickening. This constriction interferes with the smooth gliding motion of the tendons which in turn creates pain.

Although anyone can be afflicted with this, women between the ages of 30 and 50 tend to more likely to suffer from DeQuervains disease.

Causes Of Dequervains Disease

As mentioned above, repetition is the main cause of this condition. Squeezing, pinching, wringing, grasping all can contribute if done repeatedly.

Arthritic diseases such as rheumatoid arthritis can also cause DeQuervains. Also, scar tissue from a previous injury can create difficulty for the tendons to slide easily through the sheath.

Symptoms Of Dequervains Disease

Pain is felt when moving the thumb away from the hand. This pain is felt at the base of the thumb as well as in the forearm.

Treatment

Treatment for DeQuervains Disease is approached in several ways. The first method is the simplest – cease all activities that cause the symptoms; or at the very least when this work cannot be avoided, take several breaks. Sometimes this is very difficult and so laser or chiropractic care may be required.

Chiropractic manipulation can help regain normal alignment and the thumb’s motion.

Benefits Of Laser Therapy

Laser therapy, or rather cold laser therapy is a viable option that can help. Cold laser therapy penetrates particular light waves that increase cellular metabolism. These wavelengths of light waves (photons) can penetrate as far as two to three inches so the affected areas are treated. Once the photons reach injured tissue, they stimulate and energize the cells to repair the damage at a remarkable rate; this helps to move the healing process along quicker and reduce pain.

This treatment is fast and efficient and this enables the patient to be pain free faster than other methods. A professional therapist places a “wand” over the injured area and holds it there a few moments; it’s that simple. Some patients report that they feel instant relief, while others say it takes about a day. Also, repeat visits may be required depending on the level of pain, but many patients have reported how thrilled they were with this treatment option. In the event that a patient experiences re-occuring pain every once in a while, they can continue with cold laser therapy treatment as it is non-invasive, does not hurt and has no side effects. The best part for the patient is that this treatment option only takes about 10 to 20 minutes and is very cost effective.

For more information about the benefits of cold laser therapy or about DeQuervains Disease, 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.

Those who suffer with sciatica describe this symptom as a mild to intense pain that is experienced mostly in one leg making standing or sitting nearly impossible.  Sciatica can be debilitating and there is no need to suffer when there are options to help.

Causes of Sciatica

Sciatica could be a symptom of a pinched nerve affecting one or more of the lower spinal nerves. Conditions that trigger sciatica include:

• Piriformis syndrome develops when the piriformis muscle becomes tight or spasms. This puts pressure on and irritates the sciatic nerve.
• Spinal stenosis is the narrowing of the spinal canal putting pressure on the nerves.
• Spondylolisthesis is the slippage of a vertebra that becomes out of line with the vertebra above it creating a narrow opening through which the nerve exists.
• Herniated or slipped discs that put pressure on a nerve root are the most common cause of sciatica.
• Trauma to the lumbar area can cause sciatica. This can happen as a result of car accidents, sports injuries, or any other accident causing trauma to the lumbar.

Chiropractic Care

Sciatica can be treated with chiropractic care which is non-invasive and drug-free. The type of therapy will depend on the specific cause of sciatica. Treatment can include one or a combination of therapies that include spinal adjustments, spinal decompression, TENS, ice therapy, and ultrasound. What is also recommended is that while under the care of your chiropractor doing specific exercises designed to help with sciatica. It is essential that these are done ONLY under the advisement and care of your chiropractor.

Moves & Exercises to Ease Sciatica:

Low Lunges

Move your right leg back into a lunge, keeping the front left knee directly above the ankle. Lower right knee toward the ground as far as you are able, pause 15-30 seconds, and then slowly lift so right leg is straight then repeat three times. Switch legs so that the left knee is being lowered and straightened three times.

Frog

Get down on your hands and knees with palms on the floor and your knees on a mat. Slowly widen your knees until you feel the inner thighs stretching comfortably; be sure to keep the inside of each calf and foot in contact with the floor.  Keep your ankles in line with your knees then lower your body down to your forearms creating the frog position. Try to hold this stretch for 30 seconds then slowly release. Repeat two times.

Cross Legged Stretch

Lie down face-up on a flat surface and cross your left leg over your right leg. Raise both legs off the floor and reach for the outer ankles. Hug your legs toward your belly. Spread your toes making sure that your feet are flexed. Breathe slowly holding your legs for about 20 seconds. Slowly switch legs to the other side and repeat.

Hip Twist Stretch

Lie down on your back straightening your left leg out and bend your right knee until your right foot is on the floor next to your left knee. Using your left hand gently press the right knee down and towards floor on the left until you feel the buttocks and lower back slightly stretching. Your right hip and buttocks will come off the floor as you twist. Hold this stretch for 30 to 60 seconds then repeat on other side.

Back Extensions

On a flat surface lie on your stomach and prop yourself up on your elbows so that your spine is lengthened. Keep your neck long and be sure to keep the shoulders back. Arch your back up by pushing down on your hands. There should be a stretch felt in your stomach muscles as you arch. Hold for 10 – 15 seconds then return to the start position. Repeat three times.

No one has to suffer with sciatica while under the care of a chiropractor. There are solutions and exercises and Chiro-Med Rehab Centre can help 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 a decade. Chiro-Med Rehab Centre has qualified professionals who can help you manage sciatica. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

Therapeutic massage has been used for centuries to improve overall health, reduce stress, and relieve muscle tension. In fact, the practice of using touch to heal derives from customs in ancient history. The earliest written records of massage therapy were discovered in Egypt and China. Tomb paintings in Egypt depict individuals being kneaded by others. In China, there is ancient written documentation stating that massage therapy dates back to approximately 2700 BCE.
Even though therapeutic massages have been widely accepted for centuries, here in the west, there have been ambivalent thoughts as to the purpose and safety of prenatal massages. Research has clearly shown that not only are prenatal massages safe, they can be highly beneficial to most expecting mothers.

Prenatal Massage Benefits

The majority of women who get prenatal massage therapy state that they feel less depression, less anxious, and they have a notable reduction in leg and back pain.
Massage therapy has been clearly demonstrated to be effective during pregnancy. Cortisol (stress hormone) levels decrease during massage and this has shown that excessive fetal activity decreases. Even better, a study shows that the rate of premature babies is lower in those who receive prenatal massages.
In a study of women having labour pain, women who received massage therapy experienced significantly less pain, and their labours were on average three hours shorter with a great reduction in need for medication. The National Institutes for Health report that an underlying mechanism they have explored is that these effects are mediated by increased vagal activity.
Massage therapy also helps to relieve muscle aches and joint pains, improves labour and newborn health.

What Massage Techniques Are Used?

Most prenatal massages use the principles based on Swedish massage techniques. Swedish massage has been proven to help reduce muscle tension and it can improve blood flow and lymphatic drainage. The primary purpose of Swedish massage is to increase the blood’s oxygen flow and assist in toxin removal from the muscles. It achieves this through the use of six basic strokes. They are:

• effleurage (gliding);
• effleurage (gliding);
• petrissage (kneading);
• friction;
• vibration;
• traction; and
• tapotement (tapping).

What Makes Prenatal Massage Different?

This type of massage differs from general massage because there can be some risks if certain pressure points are stimulated. There are areas of the body in which the uterus can start to contract when pressure is applied during the third trimester. There must be a level of sensitivity and gentleness extended by the therapist; and this must factor in the baby as well.
Prenatal massage is not just for the mother-to-be. Some expectant couples book a massage therapist to give them both a massage as this is a magnificent way to deepen a bond and enhance emotional connectedness.

Prenatal Massage is not for Everyone

There can be certain conditions in which a pregnant woman is not suited for massage. If you are considering a therapeutic prenatal massage be sure to consult with a qualified health practitioner first. It may be best to avoid massage if:

• If your midwife or doctor has advised you against it.
• If you are in a high risk pregnancy category.
• If you have previously had a premature labour.
• If you have pregnancy induced hypertension.
• Some massage therapists have a policy of not doing prenatal massages within the first trimester of a woman’s pregnancy due to a possible increased risk for miscarriage.

The National Institutes of Health Findings

• Massage therapy is the most common alternative therapy recommended during pregnancy.
• Massage therapy has been demonstrated to be effective during pregnancy.
• Depressed pregnant women given prenatal massage experienced fewer prenatal complications.
• In our study on labour pain, the women receiving massage therapy experienced significantly less pain, and their labours were on average 3 hours shorter with less need for medication.
• The most important finding was the lower incidence of prematurity and low birth weight in the massaged depressed women.
• Postpartum depression and cortisol levels were decreased in the massaged women. The newborns of the massaged mothers also had lower cortisol levels than the newborns of the control mothers, and performed better on the Brazelton Neonatal Behavioral Assessment habituation, orientation and motor scales.

Having open lines of communication between you and your massage therapist is critical. If there is a movement that makes you feel slightly uncomfortable you must have your voice heard. At Chiro-Med Rehab Centre you can be sure you are in the hands of not only qualified massage therapists, but therapist who have the best interests of you and your baby.

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 a decade. Chiro-Med Rehab Centre has qualified professionals who can help you and your baby experience relaxation and relief from stress during your pregnancy. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2870995/
https://www.naturalhealers.com/massage-therapy/history/

Myotherapy is a form of physical therapy generally used to treat soft tissue pain and restricted joint movement caused by muscle or myofascial pain syndrome.

This form of therapy can best be defined as the assessment, treatment and management of musculoskeletal conditions. When you see a myotherapist, they assess your condition to find out the specific cause of the pain, provide treatment in the form of manual therapy, and restore pain-free functioning.

What is Myofascial Pain Syndrome

First, myofascial are the thin, fibrous strands of tissue that surround and separate muscles. Tendons and ligaments are comprised of bundled myofascia.

Myofascial pain syndrome (also known as myofascial dysfunction) refers to pain and possible inflammation in the body's soft tissues or muscles. Myofascial pain is a chronic, painful condition that affects the fascia (connective tissue that covers the muscles). Myofascial pain syndrome involves either a single muscle or a muscle group. There are some cases in which the area where a person experiences the pain might not be exactly where the myofascial pain originates. Experts believe that the actual site of the injury or the strain prompts the development of a trigger point that, in turn, causes pain in other areas. In these cases, this situation is known as referred pain.

Can Myofascial Pain Be Muscle Knots?

Most people have experience a muscle knot. Although this term is frequently used, there is no actual knot even though it feels like it. A muscle knot is actually referred to as being is a myofascial trigger point. Every so often we may have a few random trigger points and this is an annoyance; however, a group of these “knots” is known as is myofascial pain syndrome. So yes, these muscle knots are a form of myofascial pain.

Trigger points can be somewhat debilitating. They can cause far more discomfort than most people believe is possible. Trigger points can generate odd sensations, and the source may not be obvious.

Signs and Symptoms

Those with myofascial pain syndrome usually report regionalized aching, and diffuse, persistent pain in certain muscles and joints. The pain intensity can vary from mild to severe and is usually related to muscle activity. Symptoms may begin after trauma or injury to the affected area or can be of gradual onset. The most commonly affected areas are the muscles in the shoulders and neck.

Trigger points, one of the main characteristics of myofascial pain syndrome, are considered to be hyperirritable, circumscribed spots located in a palpable taut band of skeletal muscle. These points are painful on compression and can produce referred pain, referred tenderness, and even autonomic phenomena. Referred pain and tenderness occur when pain is referred to remote sites from compression of a myofascial trigger point. (For example, pain from compression of trigger points in the scalene muscles of the neck may be felt in the hand.)

If you are experiencing soft tissue pain and restricted joint movement caused by muscle or myofascial pain syndrome then myotherapy may be the preferred treatment.

Myotherapy is not a form of massage therapy, though a qualified therapist may use such a technique during a session if it is necessary for the treatment of your presenting condition. Myotherapy is a form of manual therapy which uses evidence-based assessment, treatment and rehabilitation techniques to treat neuromusculoskeletal (nerve, muscle and joint) pain and dysfunction. Clinical myotherapists use massage as their main tool however have also got the skills and knowledge to apply wide variety of other techniques when necessary to further assist the patient regain optimal health.

Some of the other techniques used by myotherapists alongside massage may include:

• Dry needling or trigger point therapy– when pressure or a needle is applied to a ‘knot’ in the muscle. This aids in the release of these trigger points reducing pain. Even though the same needles are used with dry needling their purpose is different to acupuncture.
• Myofascial release is another very effective technique when applied with massage. Myofascial release aims to release the fascia that surrounds all muscles.
• Heat therapy may be used to increase blood flow to an area by opening up the blood vessels. Heat offers a similar effect to massage in that it helps to promote blood flow and lymph flow which brings healthy nutrients and oxygen to the injured site and assists in the removal of wastes and toxins in the blood.

If you have soft tissue pain or restricted joint movement caused by muscle or myofascial pain syndrome then a qualified health professional at Chiro-Med can help.

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 a decade. Chiro-Med Rehab Centre has qualified professionals who can help you seek relief from migraine pain. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

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.

Causes

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.

Symptoms

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

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

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.

Orthotics

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

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.

How do you know if it is time to visit a chiropractor? You may have strained your back during physical activity, either during work or while at play, or perhaps you wake up with back pain every morning due to a poor quality mattress. Some jobs put an unreasonable amount of strain on the spine because we often have to repeat the same actions again and again without a break, or possibly have to stand in one place or sit in the same position for many hours on end. All of these common scenarios often result in a visit to a chiropractor. What many people do not realize is that a Richmond Hill chiropractor can do much more than just relieve pain.

A Richmond Hill chiropractor can provide you with ongoing chiropractic care that can not only correct spinal misalignment and relieve pain, but also prevent future injuries by increasing overall spinal mobility. When you are feeling pain-free and flexible, you are much more likely to participate in exercise that will strengthen your body and make it less susceptible to injury in the first place. Often, injuries to the back and other parts of the body occur because of muscle weakness due to lack of activity, or the wrong type of activity.

However, don’t wait for an injury to occur before you enjoy all of the benefits that chiropractic treatment can provide. It not only keeps the back feeling limber, but it also relieves tension and improves the function of all of the organs. Many people don’t know that visiting a chiropractor can actually relieve constipation, migraines and even arthritis. Ongoing chiropractic care can keep all of the body’s organs functioning properly, to keep you feeling healthy and vital and prevent disease. The best way to maintain optimal health through proper spinal care is to visit a Richmond Hill chiropractor on a regular basis. Your body will thank you!

Anyone who has had massage therapy or even just a deep massage to help aching muscles knows how great they feel afterwards. If there were to be a list of the top three things that relax us, makes us feel great, and has health benefits, massage therapy would be on it.

So why is it that massage therapy helps us to feel so good? Without a doubt, massage therapy helps to increase blood circulation. Ancient Greeks believed that a daily massage was an amazing way to ensure maintaining good health.

There are specific massages that boost circulation to the extremities. Good circulation is essential to good health because when our circulation is where it needs to be, then our circulatory system delivers oxygen-rich blood and nutrients that is required to heal.

Everyone has experienced those moments of inactivity when our hands or feet get cold; this is because of the lack of circulation. Having this happen once in a while is fine, but if this occurs on a regular basis it could be the warning of something more severe such as blocked arteries.

Therapeutic massage can increase the circulation of blood as well as the flow of lymph. The stimulation of nerve receptors causes blood vessels to dilate and this facilitates blood flow. Lymph is a milky white fluid that takes impurities and waste away from the tissues and passes through the lymphatic system which acts as a filtering valve. Lymph does not circulate the same as blood so its movement largely depends on the squeezing effect of muscle contractions. On one hand, inactive people are unable to stimulate lymph flow yet on the other hand the stimulation caused by activity can be outstripped by the increased waste produced by the activity. Fortunately, massage can help the movement of lymph either way.

It goes without saying; our entire body needs to be healthy. Every cell in our body is dependent on an abundant supply of blood and lymph because these fluids deliver nutrients and oxygen and remove wastes and toxins. Without good circulation there is potential trouble.

Buttocks And Backs Of Legs

A  sluggish lymphatic system and circulation can greatly improve with a therapeutic massage to the backs of the legs and buttocks. The movement of lymph is highly dependent on muscle contractions and good circulation. A therapeutic massage helps to drain a blocked up lymphatic system.

Here is an interesting fact that women in particular will want to know; an accumulation of proteins, fats, and other wastes that does not get excreted from the body often ends up becoming cellulite. This is why a therapeutic massage on the back of legs and buttocks can greatly help.

Massaging the wrong areas or focusing on certain acupressure points have been known to trigger uterine contractions in some women making it vital that a prenatal massage be given by a qualified health professional. Massage therapists trained in prenatal massage know exactly what areas to focus on and provide the maximum benefits during the massage therapy.

Arm And Hand Massages

Many people get through the day with tight, clenched hands, arms, and there can be a plethora of stress and anger building up all day causing neck pain, back pain, headaches, and much more.
The lymph can also collect toxins in this area of the body as well.

Getting a therapeutic massage on the arms helps to relax the muscles therefore creating more blood flow. The increased circulation will help relieve pain, and stress. In some cases it has been reported to help those with carpal tunnel syndrome.

Stimulating circulation in your hands is as important as anywhere else on your body. If you suffer from Raynaud's phenomenon (a painful condition of primarily the fingers, toes) then therapeutic massages are important. This condition is thought to be caused by a sharp and persistent contraction of a blood vessel, which reduces blood flow to the fingers.

Improving circulation in the hands is also important following surgery or after an injury, such as ligament sprains and muscle strains. Improved circulation to injured tissues helps to expedite healing by bringing more nutrients to the area and removing harmful metabolic byproducts that tend to accumulate in the tissues following trauma.

The overall therapeutic effect of massage was once described by Hippocrates (the Father of Medicine) as ‘vis medicatrix naturae’. Hippocrates, a massage advocate, believed that massage helped the body’s natural healing powers.

Chiro-Med Rehab Centre in Richmond Hill has qualified massage therapists on staff to help you improve your circulation. Our walk-in clinic is conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill. Visit Chiro-Med online or call 905-918-0419 for more information today!