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.

Services

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.

Assessments

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.

Testimonials

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

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"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."

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"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."

B.K.

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"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."

M.M.

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

R.N.

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"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!!"

D.W.

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"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."

D.W.

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"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."

A.P.

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"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."

L.T.

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"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."

L.T.

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"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."

G.K.

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

T.D.

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

S.B.

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

R.K.

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"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."

R.K.

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"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.

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"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.

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"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.

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"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!"

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"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."

S.G.

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Products

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Articles

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

Upper Cross Syndrome

Many people may be well on their way to suffering with upper cross syndrome and are totally unaware that they can prevent this health issue by improving their posture. Upper cross syndrome is the weakening and lengthening of the neck (rear) muscles and the posterior upper back. Often there is a simultaneous tightening and shortening of the neck (throat area) and anterior pectoral muscles.

Bad posture is the source of many back pains, and in addition, poor digestion. If the body is slumped over, food cannot make its way through the digestion track the way it is intended.

Causes Of Upper Cross Syndrome

Unhealthy posture is the most common cause of upper cross syndrome. Although it is common among the elderly, it is increasingly becoming a problem with all ages because people are slumping at their desks and do not realize they are sitting wrong. Even occupations that require standing for any length of time can cause an individual to not be aware therefore they slouch. Women who have a very large chest size often find themselves humped over due to the excess weight.

Those with chronic bad posture generally have rounded shoulders, their head is somewhat in front of their body and there is an apparent curve in the upper back and neck.

How To Avoid Upper Cross Syndrome

Maintaining correct posture is essential to overall good health and for those who are susceptible; a conscious effort must be made to keep the back straight. Individuals who are at a computer all day tend to sit slouching forward with their head leaning toward the monitor.

Avoiding upper cross syndrome is easy so long as you are always aware of your posture. To help maintain good posture while sitting at a desk for many hours, make sure the monitor is at eye level and the keyboard should not be too far in front of the body. Shoulders need to be kept back (chest out) and it is recommended that both feet be flat on the floor with a 90 degree bend at the knees.

Choosing the right chair is important, one that facilitates good posture. Many health experts in Switzerland back in the 1980’s recommended that their patients use stability balls as their office chair. Stability balls ensure the user has good posture and core muscles get a workout at the same time.

If you are in a job situation in which you have to stand all day, try to find something to keep one leg elevated, and switch legs frequently.

Prevention Of Metatarsalgia

Preventing metatarsalgia is easy so long as you are aware of the causes. Anyone who engages in running, jumping, or aerobic exercises must have proper footwear. Everyday proper footwear is essential in order to keep your feet in good shape. salgia if they are physically active and participate in activities that involve running and or jumping.

Suggested Therapies

Stretching is important. Getting into a good routine of regular stretching throughout the day will not only help prevent, it can help correct upper cross syndrome. The pectoral and anterior shoulder muscles must be stretched often. The importance of stretching can never be stressed enough, but if you suffer from upper cross syndrome, be sure you follow your health professional’s advice.

Exercises are also recommended to help alleviate the pain and discomfort from upper cross syndrome. Many of these are simple, and taking a few moments out of the day to do these will help. As with stretching, be sure to follow the treatment plan your health professional designs specifically for you.

In more serious cases, chiropractic care may be required.

Chiro-Med Rehab Centre in Richmond Hill can help you get a plan together and will help you implement it. If chiropractic services are required, rest assured, the professionals at Chiro-Med Rehab Centre will put you at ease.

Our walk-in clinic is conveniently located at 10144 Yonge Street, just north of Major MacKenzie Drive in the heart of Richmond Hill. Call 905-918-0419 for your free consultation.

Chiropractic Care For Lower Back Pain

Nearly everyone experiences back pain at some point, often as a result of injury or poor posture.  Many jobs require people to stand or sit in the same position for many hours at a time, which puts an unreasonable amount of strain on the lower back over time, causing pain.  A visit to a Richmond Hill chiropractor may be just what you need if you suffer from lower back pain.

Chiropractic medicine is an alternative treatment that uses a drug-free and non-invasive method of treating lower back pain and many other types of health problems through hands-on manipulation of the spine.  Chiropractic care is based on the belief that the body has the power to heal itself if given the opportunity, and that the structure of the spine is connected to the function of all other parts of the body.  The purpose of chiropractic treatment is to balance the relationship between the spine and the rest of the body so that healing can occur.  When the movement of the spine is restricted by injury, swelling or misalignment, back pain occurs.  A Richmond Hill chiropractor will use spinal manipulation to change the alignment of the spine in key areas to loosen the vertebrae so they can move freely.

Lower back pain is one of the most common types of pain, and it can occur in anyone as a result of poor posture or inadequate support while sleeping.  Women who wear high heels often suffer from lower back pain, as the heels change the angle of the spine, forcing it into an unnatural position.  Looking fashionable can come with a price, and many women find themselves in need of regular visits to a chiropractor.  No matter what the source of your back pain is, a visit to a Richmond Hill chiropractor is sure to provide you with the relief that you need.

Enzymes and Your Health

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

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

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

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

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

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

Nutrients and Enzymes:

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

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

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

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

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

Coenzymes:

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

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

Boost Your Enzymes Naturally

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

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

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

Other enzyme-rich foods include:

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

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

Preventing and Treating Injuries with Braces

Our joints are busy working when we move about and perform our daily activities. Those who work in environments in which they must use their joints on a constant basis (i.e. construction) or those who engage in sports activities know how easy it can be to sustain an injury, and re-injure.

Preventing Injuries

Preventing injuries is really important. Far too many people think they will heal from their injury and life carries on. Yes and no. The immediate healing may appear to be fine however, what usually happens later in life is a cause for concern.

Aside from age, weight and heredity, injury to the knees or ankles is one of the biggest factors in developing osteoarthritis (OA) later in life. This is the most common type of arthritis, which involves the inflammation and breakdown of cartilage in the joints and the numbers of those who are afflicted with OA are skyrocketing.

Muscle strength across the joints (and the spine) stabilizes and is very important in helping to prevent injuries. Elliptical machines, stationary bikes, rowing machines, walking, and swimming are examples of low-impact cardio activities that will provide muscle strengthening.

If your job or sport activity requires a lot of movement then be sure to do some warm up activities before starting and always remember to do some cool down stretches at the end.

Environmental factors such as bumpy, hard and uneven surfaces often cause injuries, particularly to the ankle. Avoiding these environments or being careful in these areas is important.

Why Braces?

Braces help support and promote proper function and movement, either in preventing or furthering damage to a susceptible area of your body. Sprains, muscle strain, or tendon tears should always be taken seriously and the affected area should have brace support to prevent further injury even in basic daily activities. In some cases even nerve damage can be aided with the help of braces.

The University of Wisconsin School of Medicine and Public Health has studied the effects of wearing braces as a form of prevention. They studied high school basketball players who wore stabilizing lace-up ankle braces and found that 68 percent were less likely to suffer an ankle injury than the athletes who did not wear braces.

Another study, also by University of Wisconsin School of Medicine and Public Health, found similar results. Both studies involved randomized, controlled trials of large groups of high school basketball and football players. In both studies, there was a significant protective benefit in wearing the ankle brace, whether or not the athlete had experienced a previous sprain.

Interestingly, researchers found no negative effects of preventative bracing.

Braces for Joints at High Risk of Injury

Back

A back brace is designed to protect the lower back and reduce stress on the joints and muscles of the lower back during strenuous activities. This type of brace restricts end-of-range spinal movements and provides stability and support. Back braces are not usually used as a preventative; they are generally beneficial for people who are suffering from lower back pain or injury, especially those who have chronic back pain or the potential to re-aggravate a prior injury. A back brace can also used to keep the area warm which helps to reduce the risk of sprains and strains.

Thumb

Many people find that a thumb brace is great for arthritis as it can support, stabilize, and relieve some of the pain. Thumbs perform an incredible amount of activity on any given day and an arthritic thumb or an injured thumb affects the ability to execute daily tasks. Thumb braces are designed to give support by keeping them in the correct position and taking pressure off of damaged areas. These braces are ideal for mild to moderate injuries involving the wrist and thumb including dequarvains, synovitis, or arthritis.

Wrist

A wrist brace can help to immobilize the area or simply provide flexible support for those suffering from an injury, arthritis, carpal tunnel syndrome or tendinitis. The level of flexibility of a wrist brace is geared toward the condition in which the person is suffering.

Elbow

When the elbow is pushed beyond the normal limit, injury can occur. Elbow braces can be used to treat common injuries, tennis elbow, golfer’s elbow, epicondylitis and arthritis joint pain. If lifting heavy weight on the job or working out, having an elbow brace can help in reducing the chance of injury.

Knees

Knees endure more strain than most other joints because they support the body's weight. They are used in supporting frequent changes of direction as well as in sudden impacts. Knee braces are commonly used as supports for those who are in sports and in strenuous jobs that require a lot of stress on the knees. For those who experience pain, they are used to help reduce pain, provide stability and prevent re-injury. A brace can be additional support for mild sprains and strains of the muscles and ligament within and surrounding the knee.

Ankle

An ankle brace can offer mild support to weak or injured ankles and is ideal for daily use after a mild ankle sprain or strain. These braces stabilize, support and limit range-of-motion of the ankle joint. For those who are prone to ankle injuries, braces are used to immobilize injured ankles or provide joint protection to injuries. Some people use a brace to help relieve general heel pain, plantar fasciitis, heel spurs and to treat Achilles tendon issues. There are also many braces that offer protective support by promoting lateral and medial stability.

Chiro-Med Rehab Centre has a variety of braces that can help you. Chiro-Med carries a large selection of braces including the innovative Custom DonJoy knee brace and the DonJoy ankle brace.

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 in determining what brace is best for you. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

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References:

University of Wisconsin School of Medicine and Public Health

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.

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.

Do You Need Maintenance Chiropractic Care?

Do you need maintenance chiropractic care? Before answering this question, let’s examine some of the evidence that has recently come to the forefront.
In the past two years there have been several studies that demonstrate how maintenance chiropractic care is beneficial for helping to prevent reoccurrence of lower back problems. What is even more exciting about the news is that some of these studies were published in medical journals.

In the April 2011 issue of the Journal of Occupational and Environmental Medicine, an article was published about a study that followed 894 workers’ compensation cases for one year to see their response to chiropractic care as compared to other types of care. The stated objective of this study was “To compare occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP).”

The results showed that when compared to physical therapists and medical doctors, the group of patients that had chiropractic care had the lowest rate of disability recurrence over the one year period. What this study showed was that when injured workers continued with chiropractic care, their rate of disability or re-injury in the year after the original accident was less than those workers under other types of medical care.

The Faculty of Medicine at Mansoura University (Egypt) conducted a study and found that maintenance care provides benefits for those suffering from chronic low back pain.

Spinal manipulation (SMT) is a common treatment option used by some chiropractors for treating low back pain. Many clinical trials have taken place to evaluate maintenance for different subgroups of acute and chronic low back pain patients but not for maintenance spinal manipulative therapy in chronic low back pain sufferers.

In this particular study, sixty patients with chronic, nonspecific low back pain that was persistent minimum six months were randomized into three groups:

  1. Twenty of those studied received twelve treatments of sham spinal manipulative therapy over a thirty day period.
  2. Twenty of them received twelve treatments of spinal manipulative therapy during a thirty day period, with no maintenance care during the following nine months.
  3. Twenty of them received 12 spinal manipulative therapy visits throughout the first month, followed by maintenance spinal manipulative therapy every second week for the next nine months.

In order to determine any difference researchers measured pain and disability scores, back-specific patient satisfaction, and generic health status; and these scores were reviewed at the one month, four month, seven month and at the ten month mark.

At the end of the first one month period, patients in groups 2 and 3 experienced significantly lower pain and disability scores than the sham group

At the ten month follow-up, only the maintenance group (number 3) maintained improvements in pain and disability

This was the first medically managed trial that clearly demonstrated that chiropractic maintenance care provides improved results to those who suffer from chronic low back pain.
So now to answer the question, do you need maintenance chiropractic care? The evidence for maintenance chiropractic care benefiting patients is now there. For many chiropractic patients, receiving ongoing care is in their best interests. No two people are alike and even though the evidence is there, having a consultation with a chiropractor is the best way to get a definite yes or no as to whether or not maintenance care is for you.

Chiro-Med Rehab Centre in Richmond Hill can help you determine if maintenance care is for you. Chiro-Med has a convenient location and highly qualified health professionals to help you with all your chiropractic needs. Call 905-918-0419 for more information or to book your appointment!

Achilles Tendonitis

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

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

What Is Achilles Tendonitis?

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

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

Achilles Tendonitis

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

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

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

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

Achilles Tendonitis Symptoms

Common symptoms include:

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

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

Treatment

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

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

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

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

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

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

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

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.

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