Cycling is a popular fun activity not to mention a form of transportation for many individuals. A bicycle is considered a vehicle under the Ontario Highway Traffic Act (HTA); this means a cyclist has the same rights and responsibilities to obey all traffic laws. HTA 104 states:

Every cyclist under the age of eighteen must wear an approved bicycle helmet. Parents or guardians shall not knowingly permit cyclists under sixteen to ride without a helmet. Set fine: $60.00

Although there are no helmet laws for adults there is not a doubt that wearing a helmet can ultimately save a person from incredible harm and possibly death.

A report by the Ontario coroner’s office (The Cycling Death Review) found that almost 75 percent of the 129 cyclists killed in Ontario between 2006 and 2012 were not wearing helmets. There is not a doubt that helmets save lives.

Many have argued that helmets are invasive and violate personal rights. Some have even said that when they grew up there were no helmets and “they did just fine”. Bottom line, this is a different world we live in now; more cars, more distracted drivers, and even many cyclists are distracted because they’re wearing ear buds.  The chances of an accident happening now versus many years ago have increased exponentially.  In fact, those who ride a bike without a helmet triple their chances of a fatality due to a head injury than those who wear a helmet. (The Toronto Star: Cyclists without helmets triple their chance of death by head injury. Oct. 15, 2012.)

There is not a doubt that helmets save lives, not just for children but for adults as well. They also help to prevent head injuries.

Choosing the Right Helmet

Cycling helmets come in three basic styles; multi-use, mountain and road.  A multi-use helmet is a great choice for not just cyclists but also inline skaters. (Skateboarders need a special type of helmet.)

Road helmets are preferred by those hard core cyclists because they have generous ventilation, have an aerodynamic design and they do not weigh much.

Mountain bike helmets are well-noted for the visors, ventilate well at low speeds, and there is enhanced rear-head coverage with a firm, secure fit for the rough terrain.

Hockey helmets are much different because they are designed to take several impacts. (They must be replaced if damaged and this includes loose fitting or missing liner pieces. If the helmet has undergone a severe blow then it should be replaced.)

Getting the Right Size

There is no “one size fits all” helmet that can be considered safe. A good fit is crucial. Even if a helmet is a single size it must be adjustable.

The best way to determine what size helmet is best for you is to measure your head. Wrap a flexible tape measure around the largest part of your head (this is about an inch above the eyebrows). Look for a helmet that matches your measurement.

Wear the Helmet Properly

Once you have a helmet that is the right size it will inevitably need some adjustments. When you make the adjustments the helmet should feel snug, not tight. It needs to sit level on your head (not tilted) and the front edge should not be more than one inch (width of two fingers) above your eyebrows.

When to Replace a Helmet

If there has been a crash in which the cyclist has hit their head then the helmet needs to be replaced. It is also recommended that helmets be replaced every five years. This is because the plastics on the helmet dry out and become brittle with age. After a crash in which the head was hit, the foam inside the helmet usually becomes compressed hence the reason for replacing it.

If you or someone you know has suffered a head injury and has not found relief then consider chiropractic care. Chiropractic care has made amazing advances over the years and there are many possible ways to treat symptoms from a head injury through our concussion management program.

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 you. 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.

DonJoy is a pioneer in innovative functional knee braces. They have over a thirty year track record of producing quality knee braces that athletes have come to know and trust.  As their website says, “Know pain? Know gain” and it is this mindset that has DonJoy positioned as a world leader in knee brace designs.

The DonJoy researchers have made a profession out of performance by studying the body, consulting with health professionals, and by listening to athletes. Their passion to help athletes and other individuals with injuries has made its way into an impressive forty-four countries. DonJoy produces world-class products for the health care professionals who prescribe them and for those who wear them.

This brand of custom knee braces provides people with a huge range of options with guaranteed comfort and a great fit. Each knee brace is fabricated within a day or two using anatomical measurements so that the fit is right the first time.

DonJoy knee braces are not just for use after an injury occurs; they are also prescribed to many athletes as a preventative method to possible injury!

The original DonJoy brace was developed by an orthopedic surgeon for patients who suffered with anterior knee pain relating to conditions such as:

• Mild osteoarthritis
• Patellofemoral syndrome
• Chondromalacia patella
• Osgood-Schlatter disease
• Quadriceps and patella tendonitis/tendinosis

How Can a DonJoy Knee Brace Help You?

DonJoy knee braces can help relieve anterior knee pain during all sports activities or during your daily routines. If you have experienced cartilage injury or if you have mild arthritis in the knee a brace can help you maintain mobility.

Countless adults suffer with knee osteoarthritis and in many of these cases; this chronic condition impedes their ability to enjoy their day-to-day routines, work, and to enjoy their recreation.

A knee brace can serve many functions depending on the specific issue that plagues you. Knee braces can not only be used as a means of therapy but they can help stabilize in the event of a fracture and they can help facilitate the healing process after surgery.

A great feature of the DonJoy knee braces is that they have a removable breathable sleeve that prevents sweat from occuring. This is worn beneath the brace to help mobilize the area, and it helps to protect the skin from irritation and chafing as well.

Best of all, those who wear a knee brace find that their overall confidence levels are increased and this is really important especially for those who are healing from surgery or injury.

There are many knee brace options that can help to relieve pain. Only a qualified health professional can help you find the right one for your specific condition.

Contact Chiro Med Rehab Centre if you want more information on whether or not you may be a candidate for a DonJoy knee brace. Chiro-Med Rehab Centre in Richmond Hill has professionals on staff that can help you with many of your health needs. 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.

Winter weather can bring potentially serious injuries if we are not careful. We should always be aware of our surroundings no matter the weather, but in winter it is more important to be aware and take precautions. Needless to say, avoiding winter injuries can save you from lost time at work or from recreational pleasures.

Slip-and-Fall Injuries

Winter can be a beautiful time of year but it presents challenges, especially for those over 40 years of age. Most individuals reach their peak bone mass between the ages of 25 and 30. By the time we reach 40, many of us slowly begin to lose bone mass; weakened bones are in danger of breaking if a fall occurs.

Fresh air and spectacular snowscapes can make it tempting for many to enjoy a winter walk. For many individuals walk their dog once or twice a day, regardless of conditions, because it is not an option. Freezing temperatures and hidden icy patches present hazards. Hip fractures, head injuries, and wrist fractures often occur during winter storms. When trying to force the body to stop from an imminent fall, smaller injuries can occur such as bruising, sprained ankles, and pulled muscles.

Across Ontario, every day, dozens of people visit an emergency department for injuries from a fall involving ice and snow, especially older adults.

Tips to Avoid Falls:

• Do not be in a rush; take slower and shorter steps.
• Be sure you are wearing proper winter footwear with excellent quality rubber tread for traction.
• Always be aware of the conditions of what you are walking on, even ice can form on fields.
• Be especially careful walking on the side of the road during and after a storm. Sidewalks covered with plowed snow, and if conditions include poor visibility, can potentially create an accident scenario in which you get hit. If moving vehicles are close by and you are walking on a slippery surface then stop. This will eliminate the potential of you falling into harms way.

Snow Shoveling

Shoveling snow poses another serious injury risk throughout the winter season. Soft tissue injuries of ligaments and muscles, especially in the lower back, are common from the heavy lifting, bending and twisting.

Those with heart trouble know that the mere act of walking in heavy snow can put a significant strain on the heart, let alone shoveling it. In fact, those over the age of 55 are four times more likely to experience a heart problem while snow shoveling.

Do not think that a snow blower is the answer to snow shoveling safely. Snow blower injuries are more common than many realize because people reach in to un-jam snow blowers resulting in the loss of fingers and in some cases, a hand. Always turn the machine off and use a broom handle or another tool to clear a stuck snow blower.

As for snow shoveling, lessen your chances of getting hurt while shoveling snow. Be sure to:

• Pace yourself and if need be take frequent breaks.
• Wear proper winter boots.
• Push snow as opposed to lifting. Avoid twisting and tossing snow over the shoulders.
• Listen to your body and stop if you get short of breath, start sweating profusely, or experience chest pain.

There is more information on our website: Snow Shoveling Safely; be sure to give it a read.

Be Aware of Your Surroundings

It happens, someone is standing at a corner waiting to cross the street, a car hits a patch of ice causing it to swerve into the innocent bystander. Don`t be that person. When walking outside, even waiting at a bus stop, always be aware of your surroundings. Those who keep their head down, and are wearing ear buds focusing on their cell phone will have a greater chance at being that person who gets hit as opposed to the person who is paying attention and can jump to safety.

Frost Bite and Hypothermia

Hypothermia is defined as a core body temperature less than 35 degrees C and results from prolonged exposure to cold environment, drugs, and underlying pathological conditions. In Canada, there are 8,000 deaths a year due to hypothermia. In fact, cold temperatures kill about 20 times as many people worldwide as hot temperatures do. This was an issue addressed by CBC in a May 2015 article titled: Cold deemed deadlier than heat when it comes to weather deaths.

Frostbite is an injury caused by freezing of the skin and underlying tissues. It is most common on the fingers, toes, nose, ears, cheeks and chin. Skin that is exposed in cold, windy weather is most vulnerable; however, it can occur on parts of our body that is covered, but not sufficiently.

Generally, when you start shivering, it’s your body telling you it’s time to seek warmth. Being proactive by dressing in warm, dry layers, and wearing a hat and gloves is advisable.

If you are driving, always keep extra warm clothes in your vehicle. If you wear shoes, be sure to have boots in the car. Accidents happen and you could literally be left out in the cold for a long period of time. If you are not prepared then you may end up with more troubles than just the accident itself.

CHIRO-MED REHAB CENTRE: REMINDERS

While shoveling, in the event you start to feel heaviness or discomfort in the arms, neck or chest areas, stop shoveling immediately. If it does not subside right away, call 911. Other signs of heart attack to be aware of include a prolonged shortness of breath, dizziness, faintness, excessive sweating, or if you begin to vomit.

Do not work yourself to the point of exhaustion because this contributes to injury, hypothermia and to possible frostbite.

Should you sustain any soft tissue injury while shoveling – stop shoveling right away! If you cannot move or are in serious pain, call 911. If the injury isn’t as severe, then see a health professional as soon as possible. Should there be any inflammation, apply ice right away.

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 provide chiropractic and physiotherapy to help with winter injuries. 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.

Hip health is something most people never give a thought to until trouble starts. This is a computer-driven world in which far too many of us are spending an inordinate amount of time on a daily basis just sitting. We sit in our cars, sit at work or school, sit watching programs on television or the computer, and we generally sit when socializing.

According to Harvard Health, spending too many hours sitting is hazardous to our health. Apart from the possibility of it being detrimental to our hip health, habitual inactivity increases risks for cardiovascular disease, obesity, diabetes, metabolic syndrome, and deep-vein thrombosis. Even the National Health Services in the UK claim that there are studies linking excessive sitting with type 2 diabetes, some types of cancer, and early death.

Hip Flexor Strain

There is a major muscle group located in the front of the hip that helps us to flex or bend our hips; these are known as the hip flexors. These muscles allow the movement of bringing the thighs toward the chest. The main muscles groups are the tensor fascia latae, quadriceps, psoas major, and the psoas minor. These muscles are essential for powerful leg movements and strength for everyday movement. They are intricately attached to the lower spine, the pelvis, the hips and even the rib cage. So, if there is any hip flexor strain it can cause problems throughout the body.

Hip Flexor Strain and Sitting

The human body tends to adapt to the positions in which we put them in the most. It is suspected that many, if not most people spend twelve hours a day in a sitting position; and this places the hip flexors in a position that is not ideal. While sitting, the hip flexors are in a "shortened position". Basically, this means, in the sitting position, the muscles are pulled in together for most of the day. With too many hours spent sitting, these muscles will start to adapt to that position. Over time, this leaves a person feeling stiff and sometimes sore when standing up. Even if it is not apparent that one of the reasons for stiffness after sitting is the hips, these muscles are certainly playing a significant role. Stiff muscles can easily lead to strained muscles. A strain due to overstretch will be more common for “chronic” sitters since the hips will be stiff and resistant to stretch.

Sit enough and tightness will become the norm for the hip flexors, which could end up in a hip flexor strain. When these muscles are strained it can easily affect the whole body due to their role in core control and balance. Basic activities including walking, getting up and down from chairs, in and out of the car, and even the way you sleep will be affected. When these muscles are strained the two biggest complaints tend to be muscle cramping in the hip flexor muscles themselves and low back pain.

Hip Flexor Strain

Whether the hip flexors are strained or just stiff, they have the tendency to hold the pelvis in a forward position. This causes the back to arch and the entire pelvis to tilt forward. Once this occurs then it may feel as though you are stuck in this position. Once this position becomes the norm, it may feel like you get a charlie horse in the front of your hips even with simple movements due to the position you are "stuck" in. Any movements that specifically involve these muscles may become quite painful.

Solutions

Given the amount of available research, breaking up long blocks of sitting to flex these muscles is very important. Building more activity into every day is critical no matter at home or at the office.

• If need be, set a timer to remind yourself to get up and move around every so often (every thirty minutes is optimum).
• Take phone calls standing up.
• Get an adjustable standing desk for your computer.
• At home, do not sit in a chair or on the sofa while watching television, sit on a stability ball, which makes you use muscles to stay upright.
• If it is possible, get a treadmill and watch your favourite shows as you walk.
• Make sure you have a good exercise routine to promote tissue extensibility throughout the body to prevent strain in the hips and throughout the body.

Movement Suggestions

These are some easy stretches you can do throughout the day regardless of whether you are at work or home. Repeat them as often as you feel comfortable. The more often you are able to do these, the better the results.

Standing next to a wall for support, stand on one leg and swing the other leg forwards and backwards to obtain as much range of motion as you can (do this 12 times). Then move your leg up to the side and across in front of your other leg 12 times. This will be more difficult and the range will be much smaller. Repeat for the other leg. If doing this 12 times to too stressful, start doing these 5 or 6 times – whatever you can manage – then work up to 12 times.

Sitting at your chair, lift one leg up and put it over the other leg so your ankle rests on top of the knee of the opposite leg. Then simply bend forward at the waist until you feel a strong pull through the glut muscles. Hold for 10 seconds and repeat for the other leg. You will notice one leg stiffer than the other. This is likely an indication of a structural shift in your body that has developed over years.

Next, stand up facing your chair about 3 feet away from it. Step up onto the chair with one leg and do a deep lunge forward until you feel a deep pull in the back leg. Make sure you keep your back upright and your core muscles flexed and tight. Hold 10 seconds and repeat for the other leg.

If you are experiencing hip stiffness, discomfort or pain chiropractic and physiotherapy care can help.

Established in 2007 by Dr. Behalf 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 provide the services you need. Chiro-Med has clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Studies have shown that acupuncture offers some benefits to those who are trying to lose weight. The body has energy meridians and the ancient practise of acupuncture helps individuals in a myriad of ways including weight loss.

Weight gain isn’t the result of just a bad diet; there are other factors that contribute to gaining weight. Bad diet habits combined with little or no exercise is perhaps the main reason people gain weight but for some, there are other factors. Hormone imbalances and a slow metabolism (usually linked to lack of exercise) are other reasons.

Often people will blame diabetes for their weight, but most individuals with diabetes get this as a result of eating too much food, including sugar. Results of a large epidemiological study conducted at University of California San Francisco, suggest that sugar may have a direct, independent link to diabetes. An article on the university’s website says:

Researchers examined data on global sugar availability and diabetes rates from 175 countries over the past decade. After accounting for obesity and a large array of other factors, the researchers found that increased sugar in a population’s food supply was linked to higher Type 2 diabetes rates, independent of obesity rates. Their study was published Feb. 27 in PLOS ONE.

Losing weight is a major money-making industry with all sorts of gimmicks, products, and pills offering results. Americans spend over $33 billion every year on weight loss programs. Sadly, over 90 percent fail in their attempt to lose the weight they need to maintain good health. The reality is that changing the diet and regular exercise is critical in achieving results. This is much easier said than done and this is why people tend to seek out “quick fixes” when wanting to lose weight. There are additional ways that can help, but again, diet and exercise must be part of the goal to achieve and maintain results.

Acupuncture

Using acupuncture to help with weight loss is a multi-pronged approach. According to the Pacific College of Oriental Medicine, recent studies have shown that when acupuncture is combined with traditional methods of weight loss, patients lose more weight.

A study published at the National Institutes of Health showed that acupuncture in combination with diet restriction was found to be effective for weight loss. Acupuncture can be used as a synergistic treatment option for obesity control (and weight loss in general).

Of particular interest is acupuncture’s ability to influence obesity hormones. Research measuring the effectiveness of acupuncture for weight loss found that acupuncture treatments increased ghrelin, a hormone that regulates fat storage and metabolism. Acupuncture can also strengthen the function of the liver. The liver is the organ that produces chemicals critical for digestion, the processing of nutrients and breaking fat down. It is suspected that acupuncture may increase tone in the smooth muscle of the stomach to help individuals obtain the “full” feeling.

According to Dr. Oz, acupuncturists focus on the four acupuncture points that target hunger points on the ear. Tiny sterilized needles are inserted along these inner channels to decrease the "heat" generated along these meridians and to stimulate centres that trigger the release of neurochemicals and hormones that help in weight loss.

As with any changes to the body, there may be minor side effects to acupuncture treatment that include fatigue, soreness, and possible muscle spasms. In the weight loss process, the body will experience changes including hormone levels (for the better).

It is very important to seek the services of a qualified acupuncturist in order to obtain best results. Be sure to follow through with diet suggestions and exercise regularly.

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 help you safely lose weight. 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.

Sources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877795/

https://www.ucsf.edu/news/2013/02/13591/quantity-sugar-food-supply-linked-diabetes-rates

https://www.pacificcollege.edu/news/blog/2014/11/05/acupuncture-can-help-weight-loss

http://www.doctoroz.com/article/acupuncture-and-weight-loss

Backpacks are, bar none, a better option for carrying books and supplies than a shoulder or a messenger bag. The weight of what is being carried is evenly distributed across the body in which the back and abdominal muscles are used for support. However, backpacks that are not used properly, or if they are overloaded, can cause health problems for children, teens and even adults.

How Can Backpacks Cause Problems?

The human spine consists of 33 vertebrae: 24 presacral vertebrae (7 cervical, 12 thoracic, and 5 lumbar) followed by the sacrum (5 fused sacral vertebrae) and the coccyx (4 frequently fused coccygeal vertebrae). Between the vertebrae are disks that act as natural shock absorbers.

When improperly carrying a heavy weight on your shoulders, the force of the weight can pull you backward. Typically, most people will compensate this by bending forward at the hips or arching the back. This can cause the spine to compress unnaturally.

Those who compensate by leaning forward, over time, the shoulders can become rounded and the upper back may become curved. As a result, neck, shoulder and back pain can develop.

Carrying a messenger bag or backpack over one shoulder can result in lower and upper back pain in addition to straining the neck and shoulders. Backpacks must be worn properly otherwise bad posture may eventually occur.

If you wear a backpack that has tight, narrow straps that put pressure into the shoulders then nerves can be pinched and circulation issues may result. There could even be tingling, weakness and numbness in the arms and hands.

Children Are at Higher Risk

Many health care professionals recommend that children carry no more than 10 to 15 percent of their body weight in their backpacks. The reality is that many carry a lot more than that. Girls and younger children tend to be especially at risk for backpack-related injuries because they're smaller and may carry loads that are heavier in proportion to their body weight.

Wearing school backpacks has a significant biomechanical, physiological and discomfort impact, especially with loads above 10 percent of the student’s body weight.

There are a multitude of health impacts that children and youth are experiencing such as:

• poor posture (changes to spinal posture, lumbo-sacral angles, and thoracic kyphosis);
• gait (increases in plantar pressure during foot-ground contact and increased double support);
• increases in physical discomfort and muscle activity; and
• increases in breathing rate.

Results of a 2003 review of backpack loads carried by school students was referred to by the National Institutes of Health in 2018. They said that during a school day, children were carrying as much as 30 to 40 percent of their body weight. This 2003 review noted that large, heavy backpacks were a relatively recent phenomenon. It addressed how there is an increasing number of high school students having less time between classes to get to their lockers so they must haul their backpacks with them throughout the day.  Nowadays there are larger textbooks, musical instruments, laptops, and other objects that are presenting areas of concern regarding student loads.

According to the National Institute of Health the weight carried by students, backpack pain and other health concerns have shown little to no improvement over the past 15 years and the recommended load of around 10 percent of the body weight is not always being met. It is highly recommended that if any student walks or rides a bike to school, then the backpack should be closer to the 10 percent mark.

Tips for Choosing and Using Backpacks

• When purchasing a new backpack make sure it has two padded straps that go over your shoulders. The wider the straps, the better.
• Hiking backpacks have a waist belt which helps to distribute the weight more evenly across the body. If it is at all possible, try to get a backpack with this strap. Also, backpacks with multiple compartments can also help distribute the weight more evenly.
• Before placing items in your backpack, adjust the straps so the pack sits close to your back. If the pack hits against the lower back as you walk, the straps are inevitably too long.
• Always pack your backpack with the heaviest items closest to your back.
• Wear both straps over your shoulders.
• Try a “back” pack with wheels. Lots of children use these as an alternative to backpacks. Even adults can benefit from this.

Adults and youth can consider strengthening their core muscles. From an overall health perspective, this is a great way to prevent back injury from not just carrying a heavy backpack, but from most physical activities. Weight training, pilates, and yoga are all activities that can be effective in strengthening these core muscles.

If you or your child is experiencing back discomfort chiropractic care has been proven to help.

Established in 2007 by Dr. Behalf 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 provide the services you need. Chiro-Med has clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Temporal Mandibular Joint Syndrome is a condition in which the temporal mandibular joint is not functioning as it should. This is a condition that affects thousands of Canadians and this is pain that affects most everything you do with your mouth.

The temporal bone (the bone that forms the sides of the skull) meets the mandible (jaw bone) and where they meet is at the temporal mandibular joint. This joint is used more frequently than most other joints in the body. The temporal mandibular joint works every time we chew, bite down on something, swallow, or talk. When TMJ syndrome strikes, it has a huge impact on a lot of what you do. Other muscles such as those in the upper back, neck and shoulder can have an effect on this joint's functioning.

On each side of the head there is a temporal mandibular joint and they are located right in front of the ear.

Those with TMJ often cannot determine the specific cause but there are some possible causes such as:

• Stress
• Teeth grinding
• A bad bite
• Bad posture
• Chewing too much gum or nail biting

Symptoms Of TMJ Syndrome

Perhaps one of the most common symptom experienced by those with TMJ syndrome are headaches or facial pain that increases when they attempt to speak or eat. Sometimes pain is felt behind the eyes.

The ears may have a sense of feeling clogged or they can have tinnitus (ringing sound). Also, the patient may experience dizziness or the sensation that the facial muscles are tired.

When opening or closing the mouth there can be a clicking sound or popping sound and when chewing or biting, there is discomfort or difficulty to move the jaw. There can also be tenderness in the jaw area or pain.

TMJ Can Cause Physical Damage

TMJ syndrome can cause damage to the jaw, the teeth, and it can alter the alignment of the bones as well or cause damage to the nearby muscles. In fact, misaligned teeth, a change in chewing patterns(braces, dentures or other dental work), damage to the teeth or jaw can trigger TMJ.

Treatment For TMJ Syndrome

Getting a diagnosis sooner than later is important in order to minimize or eliminate the chances for long- term damage. Temporal mandibular joint syndrome can often be treated with gentle therapies. Learning how to gently stretch, relax or massage the muscles around your jaw correctly may be an option that works. Qualified medical professionals help patients with this and provide massage therapy at a Chiro-Med Rehab Centre. Under proper medical care, patients can learn other techniques such as using heat and cold methods in order to help alleviate or eliminate the symptoms. In addition, learning various ways to reduce stress levels can be explored, as well as exercising several times every week.

Pinpointing a cause can help you better maximize treatment. If a specific cause can be determined then chances are TMJ syndrome can be eliminated. For example, if grinding the teeth at night as you sleep is the cause, mouth guards can help alleviate the pressure. (Although this is not recommended as a permanent solution.) Over-the-counter mouth guards are available, but having one that fits your mouth properly is important and most dentists' custom-make mouth guards.

If you think you may have TMJ syndrome, you may want to try this out in addition to seeking the services of a health professional. Set your cell phone to alert you a few times throughout the day. When you get that alert (or alarm) immediately take note of how you are holding your neck, shoulders and teeth. Are your shoulders up at your ears? Are your teeth clenched? Are you hunched over? If you answer yes to any of these, try to make a subconscious choice to be more aware of how your body is positioned.

Most of us will have minor back pain at some point in our life. As a rule our everyday body movements usually do not cause us problems, but symptoms can develop from everyday wear and tear, slouching, overuse, or injury.

Back pain can cause problems anywhere from the neck to the coccyx (tailbone). Our back consists of:

• The vertebrae (bones and joints).
• Discs separate the vertebrae and act as a shock absorber.
• Muscles and ligaments hold the spine together.

Back injuries are the most common cause of back pain and bad posture is a very close second. Often the two occur together because after an injury many people tend to slouch and this can make the pain worse. Good posture means your ears, shoulders, and hips are in alignment; if this causes you pain then you may have another condition such as a problem with a disc or bones in your back.

No matter the cause of mild back pain there are some stretches and exercises you can do at home to help alleviate the discomfort. Always remember to never attempt doing any stretch or exercise until a qualified health professional has given you the go ahead so that you don't cause further harm.

When you have the ok from a qualified health professional to do some stretching or exercises at home keep the following in mind:

• Wear comfortable clothing.
• Stretching should never hurt.
• Move into a stretch slowly.
• Hold stretches long enough (20-30 seconds) to allow your muscles to become loose.

Stretch #1

Kneel on all fours, with your knees directly under your hips and your hands under shoulders. Do not over-arch your back. Keep your neck stretched out, your shoulders held back, and always have your elbows slightly bent.

Slowly push backwards with your bottom making sure to maintain the natural curve in your spine. Hold the stretch for one deep breath and return to the starting position. Repeat ten to twelve times.

Stretch #2

Find a comfortable rug or mat and lie on your back. Place a small flat cushion under your head. Pull your legs up keeping your knees bent together with your feet flat on the floor. Keep your upper body relaxed and your chin gently tucked in.

Slowly roll your knees to one side, followed by your pelvis; be sure to keep both shoulders on the floor. Hold the stretch for one deep breath and return to the starting position. Then roll your knees to the other side and hold the stretch for one deep breath.  Repeat ten to twelve times making sure you alternate sides.

Stretch #3

Find a comfortable rug or mat and lie on your stomach. Prop yourself on your elbows, lengthening your spine. Keep your shoulders back and stretch out your neck.

Keeping your neck extended, arch your back up by pushing down on your hands. You should feel a gentle stretch in the stomach muscles as you arch backwards. Be sure to keep your hips on the ground. Breathe and hold for ten to fifteen seconds (whatever you are able to). Return to the starting position and repeat ten to twelve times.

Stretch #4

Find a comfortable rug or mat land lie on your back. Place a small, flat cushion under your head. Bend your knees and keep your feet flat on the floor at hip-width apart.

As you breathe out pull up the muscles of your pelvis and lower abdominals, as though you were pulling up a zipper along your stomach. Hold this gentle contraction while breathing from your abdomen anywhere between five and ten seconds, then gently let go. Be sure to keep the legs, shoulders and neck are relaxed. Repeat ten to twelve times.

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 you come up with a personalized plan to ensure the stretches and exercises will benefit the health of your spine. 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.