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.


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."


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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.

Cervical Disc Herniation

Cervical disc herniation typically occurs as we age. Over time discs can lose elasticity and ligaments around the discs can get frail. Damaged discs can rupture or bulge and cause what is known as a slipped or herniated disc. The vast majority of herniated discs occur in the lumbar or the cervical area of the spine.

So where exactly are discs located? Discs act as shock absorbers and are comprised of strong connective tissue located between vertebrae. The cervical spine is located in the neck area and consists of seven vertebrae in total located between the skull and the chest area. Also in the cervical spine are two facet joints that assist in the bending and rotating of the neck and upper back.

A Closer Look At The Discs

A disc is comprised of the "annulus fibrosus," a tough outer layer and the "nucleus pulposus," an almost gel-like centre. Here's where age can affect the discs; the centre of a disc can begin to lose water content which results in the loss of the cushiony effect. As a disc deteriorates, tearing can occur in the outer layer. Displacement of the disc's centre can therefore occur therefore becoming a herniated or ruptured disc. A herniated disc can create pressure on the nerves resulting in tingling, numbness pain or weakness in the arms or shoulders. The first telltale sign that this has happened is usually neck pain.

Cervical Radiculopathy

Cervical radiculopathy basically means the pinching or inflammation of a cervical nerve. So this is cervical disc herniation. It can also be cervical spondylosis which means there are degenerative changes including: the contour of the disc bulging; narrowing of the disc space and; spurs that are the result of the calcification of the disc.


A medical professional will conduct a thorough examination to determine the exact location of the pain as well as an examination of the neck and complete assessment to determine if there is a loss of sensation or reflex changes

The family physician can also provide a cervical disc herniation diagnosis by requisitioning an X-ray image, CT scan or an MRI. An X-ray will reveal narrowing of the disc space and bone spurs but it cannot show a disc herniation or nerves in the spine. The MRI and CT scans can provide a better picture of all the spinal elements and will usually determine if there is a cervical disc herniation.

Nonsurgical Treatment For Cervical Disc Herniation

Many patients will discover that there is a significant improvement with nonsurgical treatment. A qualified health professional can prescribe nonsurgical treatments including rest, a neck collar, heat treatment, cold packs, physical therapy, hands on therapy, as well as specific exercises. The main objective of nonsurgical treatment is to reduce the irritation of the nerve from the herniated disc material so that pain is relieved. So long as there is a specialized care program designed for your exact needs, and you adhere to the health professional's advice, pain management or elimination can be achieved.

Chiropractic and physiotherapy treatment options are very effective and for most patients. Treatment may involve several visits but the results are worth it.

Spinal decompression therapy is another effective method to manage and/or eliminate pain. It's crucial that patients follow the treatment plan as explained by their health professional in order to maximize the end result which is elimination of pain and increased quality of life.

The good news is that very few people suffering with a cervical disc herniation requires surgery. Most individuals are satisfied with the outcome of nonsurgical treatment.

Natural Therapies For Healthy Living

Richmond Hill massage therapy, acupuncture and chiropractic treatments can do more than just relieve pain; these therapies are some of the best methods of promoting overall good health, no matter what your current state of health is. Quite often, people do not seek therapy until they suffer an injury or an illness, but the truth is that we usually need treatment of some sort long before we begin to feel sore, sick or fatigued. Natural therapies such as acupuncture, massage therapy and chiropractic care can actually prevent disease before it begins, and keep you feeling younger and more energetic.

Chiropractic care is not just for back injuries, although it can provide great relief in those cases as well. A chiropractor can make adjustments to your spine that can improve circulation and digestion as well as relieve tension and increase energy levels. By visiting a Richmond Hill chiropractor on a regular basis, you can maintain your spinal health and mobility, preventing pain before it starts. Keeping the spine in alignment helps to keep the rest of the body in balance and functioning properly.

Massage therapy can benefit all parts of the body, inside and out. Increased circulation to the skin and other organs keeps them functioning properly, preventing disease and keeping you looking and feeling young and energetic. Richmond Hill massage therapy professionals know how to provide treatment in the areas that will benefit each client according to their individual needs.

The ancient art of acupuncture is a method of healing practiced by Chinese doctors for centuries, and it has gained wide acceptance in the rest of the world because of overwhelming evidence that it really works. Richmond Hill acupuncture treatments are effective in the control of pain, addictions and eating disorders, and much, much more.

Adjustment? But I feel fine?

Back and neck pain are the most common reasons why patients seek out chiropractic services. When a person feels fine they tend not to visit a chiropractor because nothing is wrong – right? There is ample evidence out there that clearly proves prevention in health care is what can keep people healthy and maintaining chiropractic care is no different.

Chiropractic care is a method of natural healing and this is because it helps to trigger the body's ability to heal. What mainstream physicians don't recognize is that in the human body is complex and when an ailment strikes complete healing involves looking at the body as a whole.

So how is it that if you feel totally fine you should consider an adjustment? Life has a way of taking all the daily stress factors and builds them up in ways we cannot notice. They impact our body in ways by far greater than we realize. Stress causes muscles to tense up and sometimes we don’t notice just how tense  we are because it becomes ‘the norm’. A natural approach to dealing with life's stresses should include regular chiropractic adjustments.

Our brain communicates through our body's nervous system by sending messages through the spinal column. Our spinal column often takes a beating by sleeping in awkward positions, slouching, and sitting incorrectly. You may not know it at the time but the body feels the pressure of incorrect posture and over time will cause some level of discomfort.  In some cases, people who one day wake up feeling a sore back put it to just that one night of not sleeping right, it could be a build-up of having bad posture.

Routine chiropractic care is a vital component of overall good health. Many people believe if you eat healthy you’ll be fine, yes and no; this is only one component of having good health. To maintain great health, imagine your body is a puzzle. The pieces are what are needed to be “whole”; this includes eating well, laughing, exercise, love, avoiding certain lifestyle choices, regular doctor check-ups, dental check-ups and chiropractic check-ups.

What exactly is an Adjustment

Another term used for an adjustment is a spinal manipulation. This is a primary chiropractic application that involves applying a certain amount of force in order to facilitate normal range of motions and to reduce joint restriction.

This is a procedure done only by chiropractors. They use their hands or a small instrument to apply a controlled, rapid force to a spinal joint. An adjustment corrects structural alignment and it improves the body’s overall physical function.

Benefits of an Adjustment

Having regular adjustments can reward you with many significant health benefits.   Some of the benefits include the relief of or management of:

  • Migraine and tension headaches
  • Stress and tension disorders
  • Arthritis
  • Bursitis
  • Chronic injuries
  • Carpal tunnel syndrome
  • Arm or wrist pain
  • Back and neck problems
  • Sciatica
  • High blood pressure
  • Fibromyalgia
  • Knee, foot and ankle pain
  • Shoulder or elbow pain
  • Sleep disorders

There are many other health ailments that can be treated using chiropractic care. Some of the ailments listed above may need more than just an adjustment as they can be complex.

Actor and former California governor Arnold Schwarzenegger is a firm believer in regular chiropractic check-ups. About three years ago he said: “We’ve got to let the people know that there is a necessity, not even an option, it’s a necessity to have a chiropractor.  As much as it is a necessity to have a dentist, you should have a chiropractor for the family.” (You can hear him say this at YouTube.)

If you want more information on how chiropractic methods can benefit you and your family be sure to contact Chiro Med Rehab Centre in Richmond Hill. 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 about our services.

Torticollis (Wryneck)

The Facts On Torticollis

Torticollis, or wry neck, can cause tremendous neck pain and affects about 1 out of 10,000 people. This is a painful disorder that occurs in the neck and it tends to affect individuals between 30 and 60 years of age and more women than men.

This condition generally affects the muscles on one side of the neck and can involve an occasional or a constant spasm that is very painful. When torticollis strikes, the individual may find that they are forced to rotate and tilt their head to the back, to the side or forward. Depending on the individual, they may find the pain is much worse when they stand, walk or sit.

Causes Of Torticollis

There is no one definitive cause of torticollis. There are many causes such as:

  • Nervous system infections;
  • Hyperthyroidism;
  • Neck tumours;
  • Degenerative disc disease
  • WAbnormal facial movements that result from the use of antipsychotic medications; or
  • Inherited.

Although not proven, some health professionals feel that torticollis can worsen if the individual has emotional difficulties. Also, if torticollis occurs without a known cause then it is referred to as idiopathic torticollis.

On occasion, newborn babies have been known to develop a congenital form of torticollis because some deliveries are difficult and can cause damage to neck muscles. Older children have been known to suffer from torticollis also as a result of an imbalance of the eye muscle. Also, muscle or bone deformities in the upper spinal area can cause torticollis in children.

Symptoms Of Torticollis

The one for sure symptom that you may have torticollis is if you experience acute, painful muscle spasms on one side of your neck. This pain can happen suddenly and be ongoing for some time or it can occur occasionally. When experiencing this pain, your head will no doubt feel forced to tilt in one particular direction and possibly rotate depending on which neck muscles are affected. On occasion, individuals with torticollis also experience muscle spasms in other areas of their head including the face, jaw, eyelids and even in one or both hands.

Other symptoms may include:

  • Headache
  • Head tremor
  • Shoulder becomes higher on one side of the body

More often than not, those who suffer with torticollis experience spasms without any warning and they usually strike only while awake.

There are mild cases as well as severe cases of torticollis. Some patients find that without adequate care, torticollis can worsen then stabilize. For some individuals, torticollis can be a lifelong condition and in very severe cases, it can result in deformities to the posture.

Diagnosing And Treating Torticollis

In order to diagnose torticollis, a health professional will ask detailed questions about previous neck problems as well as past injuries. Depending on the situation, an electromyogram (EMG) may be able to diagnose. If not, then computed tomography (CT) scans may be required, or an MRI (magnetic resonance imaging), or an x-ray. This will aid in discovering the specific causes of the neck spasms. A routine physical examination can determine if there is neck muscle damage in infants and children.

Richmond Hill massage therapy at Chiro-Med Rehab Centre has helped clients who suffered from torticollis. Torticollis can be treated when the cause has been pinpointed.

Physical therapy and massage are techniques that help in alleviating painful spasms. One method of massage, for example, that has helped is when slight pressure is applied to the jaw in a specific manner. Only when physical therapy and massage techniques do not work are more invasive methods suggested to treat torticollis. Some of these methods include a variety of medications, and sometimes surgery. Nerves that are responsible for the spasms in the affected area are surgically removed. Surgery should always be the very last option.

Infants with congenital torticollis are treated with intensive physical therapy to stretch damaged muscles and this should commence within the first year of life. Therapy needs to start as soon as possible because should it be unsuccessful or if it is too late, surgery may be required to repair the child's neck muscles.

Spinal Decompression For Bulging / Herniated Discs

When a disc in the spine is damaged, it may break open or it may bulge therefore becoming a herniated disc. A herniated disc is something that can cause immense pain, a numbing sensation and weakness in the area in which the nerve travels in the body. This occurs because the herniated disc is applying pressure onto nerve roots. The pain can be experienced anywhere from the lower back, in the buttock and into the legs as well; this is referred to as sciatica.

The spinal vertebrae are cushioned by spongy, small discs and when they are healthy, they act as a shock absorber in the spine. Any disc can become a herniated disc; however most herniated discs occur in the lower spine. Some may occur in the neck and even though rare, they can occur in the thoracic spine (upper back).

There is no escaping the pain that a bulging herniated disc can inflict. Many people end of on prescription medication for pain management and in more severe cases, surgery. There is another option.

Spinal Decompression

Spinal decompression is a non-invasive medical treatment that helps to relieve the pressure on one or several pinched nerves on the spinal column. Although there is a surgical procedure for this, there is a non-surgical method. This procedure has assisted many people in treating pain induced from a bulging / herniated disc (as well as disc herniation, sciatica and other back ailments). This is simply advanced traction that has an advanced understanding of human physiology. Spinal decompression allows the health care practitioner to treat specific spinal segments and the treatment alternates accordingly between careful stretching and relaxing. This method has helped countless patients to realign their spine and eliminate pain.

Will This Treatment Be Uncomfortable?

No, in fact spinal decompression therapy is actually quite gentle. The system used is computerized; therefore tiny increments are applied until maximum setting has been achieved. Once achieved, there is release. The patient will mild to moderate pulling sensation.

Results will vary from person-to-person based on several factors. Some people respond well and will notice a difference a lot faster than others. Also, there will be some patients who will require maintenance treatments to ensure results are maintained.

There is a plethora of research out there that indicates spinal decompression therapy is effective. However, it is important to know that this form of treatment is not for everyone. If an individual has severe osteoporosis, is severely obese or if a woman is in the advanced stages of pregnancy then this is not recommended. Also, if a person has had spinal surgery and has instrumentations (metal plates, cages, etc.) then this is not a treatment option.

Chiro-Med Rehab Centre has qualified health professionals who are fully trained in providing spinal decompression for bulging / herniated discs. If you want to find out more information about this incredible way to treat pain, please visit Chiro-Med online. 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.

Avoid Common Winter Injuries

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.


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.

Thoracic Outlet Syndrome

The thoracic outlet syndrome (TOS) is a condition that involves the chest, neck and shoulder in which there is compression that affects nerves and vascular supply. The thoracic outlet is the area located between the collar bone and the rib cage. Pain is the result as well as tingling and numbness of the fingers.

There are generally three types of TOS. Vascular thoracic outlet syndrome is when there is compression of one or more veins or arteries under the collar bone.

Neurogenic thoracic outlet syndrome is characterized by the compression of the network of nerves that originate from the spinal cord and control muscle movements. This creates a negative sensation in the shoulder, arm and hand. Most thoracic outlet syndrome cases are neurogenic.

Common thoracic outlet syndrome is chronic pain in the thoracic outlet that worsens with activity. In fact, according to the Mayo Clinic in the U.S., some doctors believe it does not exist, while others say it's common.

Causes Of Thoracic Outlet Syndrome

The human body holds a vast network of blood vessels and nerves, many that come from the spine, and they pass through a narrow area near the collar bone and shoulder as they branch out into the arms. Sometimes as they pass through this area, there is not enough space. As a result, compression (pressure) on those blood vessels and/or nerves will produce symptoms in the hands and arms. Problems with the nerves are the root cause of all thoracic outlet syndrome cases.

This compression can be caused due to an abnormal tight band connecting the spinal vertebra to a rib or in rare cases, there is an extra cervical rib. Also, if an individual has been injured in that area or has overused the shoulder, they may experience TOS.

One other possible cause is that some people have weak (or droopy) shoulders or long necks and this creates extra pressure on the blood vessels and nerves.

Thoracic Outlet Syndrome Symptoms & Diagnosis

As mentioned above, pain is felt in the thoracic area and there can be tingling and numbness of the fingers. Also, when lifting an item, the arm may look pale due to intense pressure on the blood vessels.

A health professional must perform a physical examination and often ask about the patient’s history. Some tests that may be required include an MRI, CT angiogram, and x-ray, EMG (electromyography) or a nerve conduction velocity study. While conducting these tests, there is often a check to ensure there are no other presenting problems such as damaged nerves in the neck or carpal tunnel syndrome.


TOS affects the nerves and the first line of treatment is physical therapy – always. Physical therapy is required to strengthen should muscles, improve range of motion, and it promotes better posture. In more severe cases, pain medication may be discussed with the patient. Depending on the health professional, some will give their patient blood thinners to help reduce any swelling that may be present.

Only in very severe cases will surgery be considered. Surgery is invasive and Chiro-Med Rehab Centre strongly feels that this must always be a last resort option.

If you feel are experiencing any TOS symptoms, 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. The health professionals at Chiro-Med are available to help you with the least invasive methods possible. Call 905-918-0419 for more information or to book a consultation.

Spring Gardening Tips

Spring has arrived and with it, the heightened desire to get into the garden to start planting. The warmth of the sun, the freshness in the air and seeing new growth coming up every day inspires most people to get into their gardens.

This article is going to provide you with some useful spring gardening tips that come from two angles. First of all, let’s discuss some ideas on what to plant that can benefit your health.

Edible Gardening

You may have heard the term edible gardening, more and more people are turning to their gardens as a source of fresh herbs and food. If you have the space to grow vegetables, then it makes sense. Even if you live in an apartment or have limited space, container gardening is very popular and can keep you eating fresh healthy greens all summer long.

Don’t know what to plant? Here are some quick tips to help you decide.

  • Grow what you like to eat. If you like beets, then growing these from seed is easy (remember, beet leaves are also very nutritious to eat).
  • Be sure to grow herbs or vegetables that are well-suited for this area.
  • We live near Ontario’s salad bowl, the Holland Marsh. Fresh produce (especially carrots and onions) is available from the farmers there at very affordable prices; so choose other produce to grow.
  • Get a soil pH kit from a nursery and do a little homework in order to be successful. Vegetables thrive in a variety of soils and trying to grow alkaline veggies such as endive, cucumber or leeks in acidic soil is going to set you up for failure. (This chart is a reliable source to learn what is acidic and what is alkaline.)
  • Also be sure to do some homework in regards to sunlight. Where you plan on gardening, is it full or part sun? Some veggies do not thrive in full sun – and some prefer cooler temperatures and do best in early spring or late summer (i.e., peas, some lettuces).
  • If you choose to grow in containers, remember to keep in mind that you will have to replenish nutrients often into the soil because container gardening removes nutrients at a much more rapid rate than in the ground.
  • Google companion gardening; for example, marigolds help tomatoes stay pest-free while growing.

By planting an edible garden, your body will reap the goodness of all the vitamins, minerals, enzymes and nutrients that you can’t get from store-bought produce.

So, now you have an idea about what to garden, now to start. If you have any health ailments please be sure to speak to your health professional. Getting into the garden may seem like a simple task, but if you suffer from an injury or have arthritis, then you may be facing some challenges. For example:

  • Hauling in fertile soil to start container gardening, or manure to help richen the earth with nutrients can be strenuous work. Know your limitations and when to seek help from a friend or family member. Lifting heavy weights or shoveling earth into a wheelbarrow must be done carefully. Always keep the knees slightly bent and always use your legs to lift; never use your back to lift.
  • Always try to find ways to make gardening much easier on your body; after all, gardening is physical work. If on your knees a lot, be sure to cushion your knees if you suffer from sore knee joints.
  • When container gardening, arrange your containers where you want them to be, then fill them up with earth.
  • Always be sure to play it safe; never leave your rakes or other garden implements on the ground. If you forget about them, you could end up tripping over them and hurting yourself.
  • If it is hot out, know your limitations. Drink lots of water and take breaks.
  • If you have arthritis or any other health issue, be sure to use garden tools that will help you such as long-handled tools. These will allow you to stand so you can avoid stooping over.
  • Let your stronger joints do the work whenever possible. Even when something may not be that heavy to lift, instead of using your fingers, use the flat palm of your hand or your forearms to lift. Keep the lifted items close to your body as you carry them. Stand or sit with good posture while you work; and change positions often.

There you have it! Comprehensive spring gardening tips you’ll find valuable. If you have arthritis or painful joints from an injury, and are not sure about gardening, give Chiro-Med Rehab Centre a call. 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.

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