Gardening is a favourite activity enjoyed by many and as the growing season progresses so does back trouble. Working outdoors in the garden or those who are landscapers often experience back issues from time-to-time and this is (usually) treated quite easily. After a long winter we all want to get outside and rush into our gardens yet after sitting idle for many months, racing out there may get many into trouble. Sometimes right away or sometimes weeks later, back troubles start to emerge that inhibit one’s ability to enjoy their garden. The main muscles used during gardening are in the back, shoulders, legs, thighs, and wrists. Lower back pain is the most common pain that gardeners tend to suffer. The lower back muscles support the whole body so it is very common to suffer from lower back pain not only after gardening, but any physical activity.

Prevention is Key

To help prevent back injury doing some simple warm up exercises is important. After all, gardening is exercise and being limbered up to spend time working outdoors can help. Not only will you feel better after gardening, chances are you’ll feel better while out in the garden.Having a brisk walk around the block is a simple exercise you can do to help limber up. A few toe touching movements (be sure knees are bent), holding your arms straight out from your shoulders and making circles, and a few twisting movements at the waist (legs secure, knees bent) all go a long way to loosening up your muscles and helping you get through your garden work with ease.

Repetitive Movements

Keep in mind that repetitive movements and improperly lifting heavy objects are the main causes of injuries. Gardening is bending over, twisting, lifting and pulling. Depending on how much work there is to do, switch up your tasks every 10-15 minutes.

Other Tips

The riskiest thing to a gardener is bending over and lifting heavy objects. Always be sure your knees are bent and when you lift something that your legs are doing the brunt of the works and your back is kept straight at all times. Never twist when picking something up.If you have a lot of raking to do (as most of us do especially in the spring and autumn months) rake with one foot in front of the other then switch ‘lead’ legs once in awhile.Take frequent rest breaks. Stop as often as you need to and evaluate how you feel. Always drink lots of water, and breathe deep while having your breaks.Above all, know your limitations and get help when needed. They say in health care that the caregiver needs to take care of themselves in order to provide the best care. This rule applies to gardening as well. When the gardener takes care of himself, the garden will flourish. Last but not least, if you are down on the ground removing weeds or planting be sure to use knee pads. Knee pads go a long way to prevent knee injuries.

The Sun

Although the sun doesn’t fit into the category of preventing back injury while gardening it needs to be mentioned because it is important to having healthy bones. We all need sunshine on our skin to help our body produce vitamin D which is critical in our overall health. To read more about this please refer to a previous article by clicking here. If you always use sunscreen then you are opening the door to possible health problems including having a poor immune system in the winter. Having 15 or 20 minutes of mid day sun will help your body produce all the vitamin D you need for awhile. However, as summer draws to a close it becomes very important to start taking supplements or making sure you are getting enough vitamin D. The best method of protection when you aren’t “getting” your daily dose of sunshine is simply by wearing a wide brimmed hat and long sleeves. However, if you must use sunscreen please research which ones are safe. Many have been proven to cause cancer because of the chemical content. You can refer to the Environmental Working Group’s sunscreen report to find out what brands are safe.

When Gardening Injury Occurs

An injury can be something as minor as a tiny ache to piecing pain and anything in between. If it is a minor ache and you can still maintain good posture and this ache does not stop you from doing other activities then be sure to take it easy. Sometimes going for a walk can help or doing very light work, but none-the-less do not go overboard.
If your injury causes you to want to reach for pain killers then please seek chiropractic help. Taking a pill will temporarily alleviate pain but it won’t solve the underlying issue which is the injury. It is critical to ensure that the exact problem is taken care of properly to help prevent re-injury.

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 head, spine and extremities. 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.

Winter sports are enjoyed by many outdoor enthusiasts and yet every winter, there are many avoidable sports injuries, especially injuries to the ankle. Ankle injuries include tendon injuries, ligament sprains, dislocation and fractures. Let’s explore some of the most common winter sports ankle injuries.

Snowboarding

Beginner snowboarders are those who are the most frequently injured, in fact, according to the American Academy of Family Physicians (AAFP), almost one quarter of all injuries occur the first time the person tries snowboarding. After the wrist, the ankle is the most frequently injured body part. Studies by the AAFP indicate that soft boots give snowboarders almost twice the risk of injury compared to hard boots.

There is a type of fracture that occurs in this sport referred to as the snowboarder’s ankle. This is a fracture of the lateral process of the talus and this is difficult to see on a standard x-ray. This fracture can affect almost 15 percent of snowboarding ankle injuries that require medical attention.

Snowboarding Ankle Injury Prevention: Getting out there and having fun is important, but it’s really important to know your limits. Studies show first time snowboarders are at greater risk for injury, so regardless of age, taking it easy is important and having a lesson or two from snowboarding professionals is a great strategy in preventing injury.

Ice Skating

According to the Ontario Injury Compass, every year more than 5,000 people find themselves in an emergency department due to an ice skating injury. The good news is that about 94 percent of these people do not require being admitted. Lower limb injuries, including the ankle, occur to 21 percent of those injured.

Ice Skating Ankle Injury Prevention: What is very important is to have a pair of skates that fit properly. Proper ankle support is crucial when ice skating otherwise the window to possible injury is opened. While skating, the skating gait and your posture is important; without good posture and a balanced gait, undue stress is being applied to the ankles as well as other areas of the body. Be aware of your surroundings; watch for obstacles and other people, especially unsupervised children as their movement can be unpredictable therefore causing you to move in such a way that causes you an injury. Knowing and staying within your limits is a good rule to follow in order to prevent injury.

Skiing

The good news is that with the development of improved ski equipment, skiing techniques, and slope grooming, incidents of ankle injuries has decreased. Ankle fractures, achilles tendon ruptures, tendon dislocations and ankle sprains can all occur should a skiing accident occur. Cross country skiers are more susceptible to ankle injuries due to the nature of the equipment.

Skiing Ankle Injury Prevention: Downhill or cross country skiers need to ensure their equipment is always in good condition and properly sized. Bindings need to be tested every year before hitting the slopes or the trails. Always make sure proper sunglasses or goggles are used otherwise a moment of vision impairment can result in an accident. If you are a cross country skier tempted to go down hills that are dangerous, try not to, especially in forested areas. As with snowboarding or ice skating, be aware and stay within your limits, especially if the slopes or trails are busy.

Chiro-Med Rehab Centre suggests that anyone who engages in these or other athletic activities to stretch your muscles before starting. There is a lot of conflicting research out there suggesting that stretching may not prevent injury; yet some research suggests that although it may not prevent an injury, a stretched muscle can better recover from injury. Regardless, stretching is a good habit to get into before any activity. Hopefully your winter activities bring you lots of enjoyment; however, should you unfortunately succumb to an injury, Chiro-Med Rehab Centre in Richmond Hill can get you back on the slopes, the trails or on the ice before you know it!

Scoliosis refers to a medical condition where a person's spine curves from side- to-side. Back x-rays of people with scoliosis demonstrate "C" shapes or "S" shapes, as opposed to being straight.

Anyone can get scoliosis, but geneticists have identified DNA markers associated with adolescent idiopathic scoliosis.

Causes Of Scoliosis

Scoliosis is classified according to its cause, and there are three main classifications:

• Congenital scoliosis, caused by vertebral anomalies at birth
• Idiopathic scoliosis (cause unknown) that occurs with infants, juveniles, adolescents or adults (adolescents is the most common occurrence)
• Neuromuscular scoliosis, which develops as a result of another condition such as cerebral palsy, spinal muscular atrophy, spina bifida or some sort of physical trauma

Curving often accelerates during growth spurts in adolescents, and cases with adolescent woman are most common. Scoliosis is less common with infants and young children, and affects boys and girls equally.

Scoliosis symptoms are as follows:

• Unequal hip lengths or leg lengths, resulting in tilting of the hips
• Uneven musculature development along one side of the spine
• One shoulder is higher than the other
• Lower back pains
• General fatigue
• Spinal curvature from side-to-side

Extended standing or sitting for people with scoliosis may result in spinal fatigue. Pain can also occur, depending on the amount of tissue irritation and spinal bone deterioration.

Treatment Of Scoliosis

There are a wide variety of treatments for scoliosis. The required type of treatment is determined by the amount of spinal curvature along with a person's age (which affects how supple the spine is).

The following treatment options are ordered from least to most severe:

• Physical therapy
• Occupational therapy
• Chiropractic or osteopathic therapy
• Casting (EDF)
• Bracing
• Surgery

Our Richmond Hill Chiropractic, Massage Therapy and Physiotherapy center can help treat scoliosis via:

• Spinal joint mobilization that improves flexibility and blood flow
• Spinal joint manipulation that increases flexibility, breaks down scar tissue, improves blood flow, stretches muscles and speeds healing
• Physiotherapy using the Schroth method, which is a noninvasive treatment based upon the idea that scoliosis results from muscular asymmetries
• Massage therapy that decreases chronic neck pain, shoulder pain and lower back pain
• Orthotics that are customized to your pertinent body measurements

The majority of scoliosis cases can be corrected and even extreme scoliosis can be treated so that the spine becomes straighter. Regardless of the severity, it is not necessary to live with pain resulting from scoliosis.

As treatment progresses your shoulders and hips will become more even, breathing will become easier, there will be less pain and greater ease of movement. Most of the improvement will be permanent, although there may be a small amount of regression between treatment sessions.

Scoliosis is a debilitating condition that needs to be detected and treated as early as possible. The longer it goes unnoticed, the more severe the treatment may have to be.

Fortunately scoliosis is easy to detect, the trick is to get checked out sooner rather than later.

Chiro-Med Rehab Centre has the necessary knowledge and expertise to start you on the road to recovery today. As professionals we can recommend the type of treatment needed and effectively implement that treatment, getting you back up and running in as little time as possible!

A pinched nerve can cause a lot of pain and yet most of us are unaware as to how this starts. Simply stated, a pinched nerve is a medical term for an impaired function of a nerve that is under a lot of pressure. Anyone who has experienced this knows that it can be quite painful and sometimes debilitating.

Pinched nerves develop when one or more nerves become constricted or compressed by muscle, a bone, tendon, or cartilage. How this comes about is often by poor posture, overdoing physical activity, obesity, or if there is a genetic predisposition. This condition happens to nerves that control muscle movements or to nerves that relay sensations to the brain.

What Exactly Are Nerves?

A nerve is a microscopic cell that has bundles of fibres running throughout the body transmitting impulses of sensation to the spinal cord or brain. Some of these are several feet in length. A nerve cell that is in the spinal cord or in the brain is known as a central nerve; and nerves that originate in the spine that extend to the arms or legs are called peripheral nerves. Peripheral nerves are 'packages' of millions of nerve fibres that leave the spinal cord and branch out to their target muscles to help make them move. These nerve fibres also extend to the skin to provide us with the ability to feel.

The Onset of a Pinched Nerve

Symptoms of a pinched nerve may begin with numbness, tingling, burning sensation or shooting pains down the buttocks, legs, or in the neck, shoulders, arms and fingers.

Sometimes the sensations (or pain) you feel are is nowhere near the point of pressure. A pinched nerve in the lower back may originate in the calf. If there is constant pressure then the pain may increase. The person afflicted with this may experience a loss of movement, reflexes, and atrophy in the muscles. Once the pressure is relieved then the pain diminishes.

Many people tend to associate pinched nerves with the neck yet it is most common in the lower area of the back. A trained health professional can follow the pain to determine the origin.

Pinched nerves in the lower back can inhibit a person from participating in sports and even from walking, standing, twisting or lifting something.

If there is a pinched nerve in the neck then the pain will shoot down the arm. Pinched nerves in the neck are generally the result of repeatedly bending the neck but sometimes they can happen due to an impact. When there is a pinched nerve in the neck sometimes the pain can be so horrific that it limits neck motion. Sometimes this is brief and other times it can last quite some time. In severe situations a person can lose their reflex and muscle atrophy sets it.

Some people describe a pinched nerve in the neck as though it is ‘shooting lightning’.

Pinched Nerve Treatments

If you rarely experience a pinched nerve then this is something you need not worry about. However, if this occurs on a somewhat frequent basis then it’s advisable to seek treatment.

There are non-steroidal anti-inflammatory drugs available on the market such as ibuprofen or aspirin but these are designed to mask the pain, not treat the source of the problem.  Some doctors may even say that surgery is required and if this happens to you be sure to get a second and a third opinion. Surgery is not only invasive it involves being right near the spinal cord. Many patients who have taken this route discover that surgery may only relieve pain for a period of time and it re-occurs if the overall structure of the spine is not corrected.

The chiropractic treatment methods do not cover up the pain or the symptoms; it treats damaged areas so that there is complete healing. Often this may include a scan of your spine and central nervous system using the most up-to-date technology available. This helps to target the exact location of the pinched nerve(s). No two individuals are alike so an individualized treatment plan is required in order to receive maximum results.

Often there will be proper chiropractic adjustments required to help relieve the pressure. Since daily activities are sometimes the cause of pinched nerves to begin with the treatment will include ‘the whole picture’. This means putting a plan in place to avoid the activities that cause the problem as well as looking at your diet. Good quality food is the fuel your body needs to help recover and regain good health.

If you have suffered with pinched nerves and want to explore a holistic approach to treatment that works then Chiro-Med Rehab Clinic can help you. Their staff is fully qualified professionals who have the know-how and the experience to help you.

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.

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

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

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

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

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

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

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

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

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

Other Types of Kyphosis:

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

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

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

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

Exercises that Can Help

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

• Lay Down Y

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

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

• Wall Sliding (wall angels)

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

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

• T-Spine Rotation

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

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

• Crucifix

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

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

Chiropractic Treatment for Kyphosis

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

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

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

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

According to the Canadian Institute for Health Information (CIHI), throughout the 2010-2011 winter season there were 1,114 hockey-related hospitalizations. Perhaps not so surprising, is that half of these hockey injuries happened to boys between the ages of ten and nineteen. These are injuries that required hospitalization; there are no known reliable statistics for all hockey-related injuries but they are suspected to be at least doubled. Sadly, these statistics have not improved much at all over the past five years.

There are several factors that can be attributed to the high numbers of (recorded) injuries. Age, level of fitness, level of competition, and the condition of protective equipment all contribute to risk factors. When any of these are not as they should be then injuries such as sprains, strains and other muscle-related injuries tend to occur in the shoulder, knees and neck. Head injuries occur when helmets do not meet standards (including proper fit). Head and neck injuries also occur as well as dislocated shoulders, fractured collar bones, and sprained medial collateral ligaments.

Hockey is a fast and physical sport and the risk of injury is always present. There are ways to avoid common hockey injuries.

Tips To Avoiding Common Hockey Injuries

If purchasing second hand hockey equipment it is imperative to ensure it still meets safety standards and every piece of equipment fits properly. All equipment must meet CSA approval (Canadian Standards Association) in order to have a proper fit.

Head protection that fits is a must. The best way to test this is that when the helmet is on, one finger should be able to fit between the chin and the chinstrap. Should that helmet ever sustain damage or encounter a sever hit then replacing it is a must. Also, replacing helmets every three years is recommended by the industry.

Mouth protection is really important to not only protect the teeth but these also help in preventing concussions. Staying active is important to help avoid a hockey injury. Keeping flexible, maintaining strength and endurance will minimize the chance of injury when a fall occurs (or being rammed into the boards).

Lastly, warming up will help to prevent muscle strains and keeping the body limber which helps in reducing the risk of injury.

Dealing With Hockey Injuries

Depending on what the specific injury is, the type of care the patient will require will be chiropractic, physiotherapy, or a combination of the both. (The exception to this is if the injury is severe and hospitalization is required. Even then, often after a hospital visit, chiropractic or physiotherapy is required to regain a pre-injury state.)

Some of the more common hockey injuries include:

• Achilles Tendon Rupture
• Back Muscle Strain or Ligament Sprain
• Bulging Disc
• Calf Muscle Tears
• Facet Joint Syndrome
• Iliotibial Band Friction Syndrome
• Metatarsalgia
• Muscle Pain: Strains or Tears
• Plantar Fasciitis
• Rotator Cuff Injuries
• Tennis Elbow

Chiropractic care helps to heal the nervous system and the musculoskeletal system. Also, chiropractic care treats neuromusculoskeletal issues that include headaches, pain in the neck, back or in the joints. This is an effective type of health care that is hands-on and drug-free. It also includes examinations, diagnosis and comprehensive treatment.

Physiotherapy is a form of health care that helps people restore, maintain, and maximize their function, strength and movement. This is achieved by the therapist assessing the injury, diagnosing, and treating the injury. This type of health care involves a wide variety of stretching methods.

Once an individual has resumed playing hockey after recovering from an injury ongoing maintenance may be required in order to prevent a reoccurrence. Regular chiropractic care will aid in restoring and maintaining healthy nerves, joints, and muscles through an adjustment. Proper healing can take time and although a patient may feel that he or she is back to normal, ongoing care is strongly recommended to maintain and prevent further injury. In addition, and for the same reasons, ongoing physiotherapy may be needed to prevent an injury from reoccurring.

In addition, and for the same reasons, ongoing physiotherapy may be needed to prevent an injury from reoccurring.

If you have sustained a hockey injury then look no further. 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. Check us out online or call 905-918-0419 for more information or to book a consultation.

Glucosamine sulfate and Methyl Sulfonyl Methane (MSM) are perhaps the most widely used natural
supplements when seeking relief from joint pain. Together, these supplements have been extensively studied for almost thirty years and the results indicate that both these supplements offer a natural solution.

What Are Glucosamine Sulfate And Msm?

Glucosamine sulfate is a naturally occurring chemical found in the fluid that is around our joints.
Glucosamine is also found in other places in nature, for example, the glucosamine sulfate that is often put into dietary supplements is often harvested from shellfish. Although this is a natural substance, it can also be made safely in a lab.

MSM is a white powder that is a naturally-occurring nutrient found in many foods such as cabbage,
broccoli and other cruciferous vegetables. During food preparation, we lose most of it because it is
water soluble therefore it evaporates with the steam or gets tossed out with the water. Over processing our food supply has drastically reduced the amount of MSM that we consume. As a dietary supplement, MSM is synthesized.

What Separate Functions Does Glucosamine Sulfate And Msm Perform?

Glucosamine sulfate is commonly used for arthritis and more specifically, osteoarthritis. Over the years, people have tried glucosamine sulfate for a variety of other health ailments such as glaucoma and even for weight loss. Glucosamine sulfate has not been adequately studied for these uses and as of yet, there is no proof that glucosamine sulfate is beneficial for these conditions. Glucosamine also has the potential to rebuild cartilage lost in a joint due to injury or osteoarthritis.

MSM provides sulfur, which is a vital building block of joints, cartilage, skin, hair and nails, and methyl groups, which support the many vital biochemical processes in the body and this includes our energy production.

Glucosamine Sulfate And Msm Benefits

Together, glucosamine sulfate and MSM have been proven to provide relief from painful joints and

connective tissue. These ingredients have synergy so that together, they maintain the structural
integrity of connective tissue and joints while supporting the healing process.

Glucosamine sulfate protects connective tissue and cartilage to optimize joint function while MSM's
powerful therapeutic agent lessens inflammation, reduces muscle spasms, inhibits pain impulses, softens scar tissue and increases blood supply.

The addition of MSM to glucosamine sulfate is a proven and effective combination in supporting joint health as a whole.

Osteoarthritis

Cartilage absorbs impact and allows for smooth, pain-free motion when joint tissues are healthy.
Osteoarthritis has become a common condition where these soft joint tissues become inflamed, harden or they simply wear away – the results are pain and the loss of mobility. This debilitating disease can affect anyone at any time, although it tends to become more common as we age.

Many of the pain killers and anti-inflammatory drugs used to suppress arthritis symptoms can cause serious side effects that many people do not like. Those wishing to reduce or avoid these potentially dangerous drugs are increasingly turning to natural alternatives that are proven to be safe that lessen symptoms as well as promote long-term healing.

Remember, it's important not to self-diagnose. Let the healthcare professionals at Chiro-Med Rehab Centre in Richmond Hill provide you with all the care you need to ensure safe and proper healing.

When used under the guidance of a healthcare professional, glucosamine sulfate and MSM are perhaps the most effective natural supplements available today that provides relief from joint pain.

Shoulder pain is one of the most common physical complaints people have and it's no wonder when you consider how complex this area of the body really is.

Our shoulder is made up of several joints combined with tendons and muscles that permit a good range of motion in the arm. It is also made up of three bones, the humerus (upper arm bone), scapula (shoulder blade), and the clavicle (collarbone). All these different structures that make up the shoulder can be vulnerable to a variety of problems. A frequent source of pain stems from the rotator cuff.

The arm is kept in the shoulder socket by the rotator cuff. These muscles and tendons form a covering around the head of the upper arm bone and attach it to the shoulder blade. The bursa is a lubricating sac situated between the rotator cuff and the acromion (on top of the shoulder). The bursa allows the rotator cuff tendons to glide freely when the arm moves.

The rotator cuff is part of why shoulder impingement syndrome occurs; when the subacromial bursa and the rotator cuff tendons are compressed between the bones of the shoulder, then pain is the result.

Doing work with the arms stretched above the head can cause shoulder soreness for many people but this does not necessarily cause impingement. Shoulder impingement syndrome is diagnosed when the symptoms persist and normal daily activity becomes a struggle. If not treated early, then chronic impingement can lead to rotator cuff tendonitis, bursitis, and if there is no treatment, thinning or rupture of the rotator cuff tendons can occur.

Causes Of Shoulder Impingement Syndrome

Shoulder impingement syndrome tends to be common in young athletes although it can strike anyone at any time. People who use their arms over their head (such as swimmers, tennis players, painters) are particularly vulnerable.

Although there is no definitive cause, pain can also develop as the result of a minor injury.

Symptoms Of Shoulder Impingement Syndrome

Pain that originates from the rotator cuff generally causes local swelling and tenderness in the front of the shoulder. Stiffness and or pain will be apparent when lifting the arm. In addition, there can be pain when lowering the arm from an elevated position.

At first the symptoms may be so mild that seeking diagnosis or treatment isn't even thought about. What is felt may be interpreted as something that is irritating and the individual continues to function while 'putting up' with the discomfort or pain.

As this pain persists and this condition progresses there may be pain felt at night, loss of strength and motion, and simple tasks such as zipping up a pair of pants may become difficult.

If the pain suddenly occurs, the shoulder may be tender and all movement may be painful and very limited.

Diagnosis Of Shoulder Impingement Syndrome

Discussing your symptoms with your health professional is important. A health professional will perform a thorough examination of the shoulder. He or she will check to see whether it is tender in any area and to measure the range of motion of your shoulder, a health professional will have you move your arm in several different directions as well as testing your strength.

Getting a proper diagnosis by a health professional that specializes in this field is important because there may be other possibilities such as a pinched nerve. Chiro-Med Rehab Centre in Richmond Hill has assisted countless individuals obtain a proper diagnosis and has provided treatment geared specific to each individual.

Treatment Of Shoulder Impingement Syndrome

There are several treatment options available at Chiro-Med Rehab Centre. Nonsurgical and noninvasive treatments are prescribed to Chiro-Med patients and the professionals ensure that each person is treated as an individual.

In addition to treatment there is rehabilitation to make sure that everything possible is being completed to thwart off re-occurrences.

Chiro-Med Rehab Centre in Richmond Hill has a proven record of providing quality care and helping people recover from shoulder impingement syndrome.