Chiropractic & Physiotherapy Clinic in Richmond Hill

Crepitus, sometimes referred to as crepitation, is the grinding, creaking, cracking, grating, crunching, or popping sounds that often takes place when moving a joint. The sound may be loud or soft but this is not indicative of the degree of pathology. Most people have experienced crepitation as this can happen at any age, however it becomes more common as people get older. For something that's obviously quite common, what exactly is happening to make these sounds?

Gas can build up in areas of the body in which it surrounds a joint and this allows tiny bubbles to form in the synovial fluid. The knee is the most common area in which this occurs. Most of us have experienced a knee making a popping, cracking or snapping sound and when this happens some of those tiny bubbles burst and ligaments make those sounds. In fact, the cracking is the sound of gas being released from the joint, an action called cavitation.
Crepitus can also occur as a result of damaged cartilage and bone caused by arthritis. Injuries can also be the antecedent to crepitus developing.

Crepitus in the Knee

As mentioned above, crepitus in the knee is quite common and for the most part, painless; it is very much a part of who we are. However, when pain accompanies this popping sound then it may indicate there could be a problem.
Knee crepitus is a common symptom of osteoarthritis. It may also be a symptom of rheumatoid arthritis. However, if you have ever experienced a knee injury this may be the antecedent of painful crepitus.

Cracking sounds may also occur when cartilage rubs on the joint surface when the knee joint is in motion. This usually occurs when the cartilage is thin and worn out.

Knee injuries such as meniscus tears are somewhat common among those who run, jog or play sports that require a lot of knee use. A meniscus tear can cause crepitus.

If an individual has scar tissue or a tendon passing over a protuberant bony fragment this many also cause the knee to make cracking sounds. In these and all scenarios listed above, crepitus may be more frequently experienced while climbing staircase, or after sitting for a prolonged time with the knees crossed.

Sometimes a person may hear a grating sound accompanied with pain when their knee is moved. This is not crepitus, in more cases than not this is when an individual has a condition known as patellofemoral pain syndrome; this is also referred to as “runner's knee”.

Crepitus and Arthritis

Osteoarthritis is quite common in Canada and this type of arthritis is often referred to as “wear and tear” arthritis. Although the knees are commonly affected, this type of arthritis also affects weight-bearing joints such as the ankles and hips.

Mechanical stress slowly breaks down the cartilage that cushions the knee which in turn causes inflammation and pain. When crepitus is accompanied by pain, it’s usually caused by osteoarthritis.

Knowing that osteoarthritis and other inflammation conditions are so common it is really important that we all focus on prevention. If you are an individual who has crepitus, even though it does not cause pain, then trying to avert this normal condition transforming into a problem later in life is important.

Some people are not sure if they have arthritis in the knee. If crepitus is causing you a lot of pain this is one possible symptom. If there is pain while walking, occasional swelling of the knee, or stiffness then this is another warning.

The most common initial location of arthritis in the knee is on the inside of the knee. Seeking chiropractic assistance can help you with a proper diagnosis.

If crepitus is not causing you pain then prevention is important. To help prevent this (or lessen it) here are some helpful tips:

• Exercise,
• Lose excess weight,
• Eat healthy avoiding as much sugar as possible,
• Massage,
• Safe topical pain remedies,
• Chiropractic care.

Treatment of Painful Knee Crepitus

As mentioned earlier, cracking and popping sounds with no associated pain should not cause you to worry. Be sure to engage in conditioning exercises to help strengthen the muscles and joint. If there is associated pain with these sounds then be sure to seek help from a qualified health professional.

For more information about crepitus and how chiropractic care can help if it is causing you pain 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.

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.

Although most people experience occasional back pain or injury at some point in their lives, there are some who suffer from back pain on a continuous basis.  A Richmond Hill chiropractor can provide professional treatment for all types of back pain, whether it is occasional pain or an ongoing problem.

Ongoing back pain can have a variety of causes, many of them environmental.  A Richmond Hill chiropractor can correct the problem, but part of the treatment is identifying the source of the pain and taking steps to eliminate it.  Poor posture can be caused by excess body weight, uncomfortable shoes, or standing or sitting in the same position for long periods of time.  Many types of mattresses can also cause back pain.  If you wake up every morning with a sore back, it is a good indication that your mattress is not supporting your spine properly, and you may want to try a different type of sleep surface.  Often mattresses that are too soft do not support the body well enough, allowing the heavier parts of the body to sag and putting strain on the spine.  Lower back pain is one of the most common types of back pain, and it is one that often results in a visit to a chiropractor.

When you visit a Richmond Hill chiropractor, your initial visit will involve an assessment of your condition.  This will include an analysis of the type of pain that you are experiencing as well as an overall examination of your spinal alignment.  This will allow the chiropractor to recommend the right type of treatment for your condition.  Together, you and your chiropractor can work together to address some of the issues that are causing your back pain to allow you to get the most out of your treatment.

Connective tissue injuries or dysfunctions are now diagnosed and treated with an innovative approach known as the Graston Technique^®.

Ligaments, tendons and muscle are all part of the connective tissue and when an injury occurs mobility can become restricted and scarring can occur which results in loss of flexibility, pain, loss of motion and tenderness. Interestingly it is somewhat common to have one area of the body feel restrictions and yet the pain and dysfunction in actuality is in another area. This is referred to as the kinetic chain.

The human body can repair itself in time but the muscles, ligaments or tendons are then scarred therefore leaving that area of the body not as flexible or strong as healthy tissue. Over time there is a build-up of fibrous scar tissue subjecting the damaged area to microtrauma; and overuse of that specific area can lead to pain because the replacement tissue simply does not have the strength.

What Is The Graston Technique®?

This innovative technique consists of stainless-steel instruments specifically-designed to locate and treat areas that exhibit inflammation or soft-tissue fibrosis. This simple procedure allows a health professional to accurately detect where scar tissue is so that treatment is targeted to that area(s).

The Graston Technique^® uses handheld instruments that are convex and concave-shaped. Using very specific methods, the heath care practitioner rubs these along the patient. This helps to break down scar tissue thereby promoting a healing environment.

Graston Technique® Treatment

Graston Technique^® treatment protocols vary from patient-to-patient. They may include the use of ice, heat and rehabilitation to restore s patient’s pre-injury activity level.
Stretching and strengthening are at the top of the list on the path to healing however there a form of muscle re-education that is required. The goal is to have as few treatments as possible that provide a patient with maximum results.

The health care practitioner will develop a custom treatment plan for each patient. In order for the patient to achieve maximum results he or she must adhere to the plan otherwise treatment may drag on longer than required.

The good news is that most patients receiving this therapy report improved mobility and a significant reduction in pain within the first two treatments. There may be some discomfort during the initial treatment but it lessens with subsequent treatments. In addition, there may be some mild to moderate bruising as the old scar tissue breaks down; this is perfectly normal. While an individual is in treatment, it is imperative that healthy meals (and snacks) are consumed that are high in proper nutrients as these too are required in the healing process. Also, drinking a minimum of eight glasses of water is needed to aid in the healing.

The Graston Technique^® has been proven to be helpful in managing many musculoskeletal disorders. A partial list includes:

• De Quervain’s Disease
• Carpal Tunnel Syndrome
• Iliotibial Band Syndrome
• Patellar Tendinosis
• Epicondylitis
• Neck pain
• Post-Surgical Treatment

Depending on an individual’s medical condition this technique may not be suitable. A health professional is the best person to consult with to see if this is a recommended form of treatment.

If you think that this rehabilitation therapy may be for you then Chiro-Med Rehab Centre in Richmond Hill can work with you to determine what your best options are. Chiro-Med Rehab Centre has a convenient location and highly qualified health professionals to help you get on the road to eliminating or managing your pain. Visit www.chiro-med.ca or call 905-918-0419 for more information on the Graston Technique^®.

Optimum joint mobility is the result of supple, healthy joint tissue and joint elasticity. Collagen is a vital component of tissue, bones and cartilage required for healthy joints. Research suggests that boosting collagen intake can contribute to joint health, but can it actually repair? There is no shortage of articles on the Internet that make claims one way or the other, but rarely do they mention what types of collagen there are and what their specific functions are. Yes, collagen can assist in joint repair; but knowing what specific collagen, how it is produced, and other therapies you must do is the key in achieving results.

What is Collagen?

Collagen is the fundamental structural protein that forms connective tissue; it is a vital component of the joints, bones, muscles, tendons and skin. Essential to the formation of connective tissue, it is the highest source of protein found in the body. Collagen contains specific vital amino acids including arginine, proline, glycine and hydroxproline.

The human anatomy contains and utilises over 20 variants of collagen amino acids, however there are three main types of collagen that comprise 80 to 90% of the body.

Different Types of Collagen Explained

First, all three types of collagen decrease with age. The knees generally take the brunt of this loss earlier in life in those who are regularly engaged in vigorous physical active and are not keeping up with the levels of collagen regeneration required for recovery.

There are actually 28 different types of collagen with three being the main types. These three types of collagen are simply named I, II, and III. Collagen type II is the most significant for joint health. Of the three, collagen type II is believed to be most effective in targeting and enhancing joint cell health.

Collagen Type I

This collagen is in our skin, artery walls, bones, tendons and in scar tissue. Type I is the most abundantly found in the body. It is a fibrillar type collagen, and inevitably has been the best investigated collagen.

Collagen Type II

This collagen is found in our cartilage and respiratory tubes. Type II is a fibrillar collagen, and the main component of cartilage. This collagen constitutes 95% of the collagens and approximately 60% of dry weight. Mutations in type II collagen result in several types of chondrodysplasia, leading to premature osteoarthritis.

Collagen Type III

This collagen is predominantly found in blood vessels. Type III collagen is a fibrillar collagen which is secreted by fibroblasts and other mesenchymal cell types. This makes it a huge factor in various inflammation-associated pathologies such as viral and non-viral liver diseases, kidney fibrosis, lung injury, and vascular disorders.

In order for collagen to help repair joints Type II is the collagen people need to have the most of in order to attain any level of relief. Having supplements will help but the body also needs to be able to produce collagen as well. Eating foods high in lysine and arginine will help collagen production. Getting both of these amino acids from food is important.

Collagen and Vegetarian Diets

A vegetarian diet is known to prevent some diseases but it may influence the balance of carbohydrate and fat metabolism as well as collagen synthesis. Research published at Karger Journals in Switzerland, (Vegetarian diet affects genes of oxidative metabolism and collagen synthesis), indicates that there is reduced collagen synthesis in vegetarians, and this could also play a role in the aging process.

However, all is not lost for those adhering to a vegetarian diet. There are some foods that can help but seeking the advice from a qualified health practitioner is strongly advised.

Without Vitamin C There Is No Collagen

Vitamin C intake is critical to collagen production. There is a plethora of research that indicates many people are not getting enough vitamin C to maintain proper health; further to that, it has been argued that the recommended daily values fall short of what we really need.

Vitamin C deficiency, although uncommon in North America, results in our bones being unable to properly manufacture collagen and its connective tissues. The body literally deteriorates as collagen is broken down and not replaced. This results in joints wearing down as tendons weaken.

Denatured vs Undenatured Collagen

Denatured collagen is hydrolyzed. Most of the type II collagen that is derived from the sternum of chickens is denatured or hydrolyzed. This means that high heat and possibly even chemicals have been used to process it. These processes fundamentally alter the molecular structure of the protein, rendering the collagen ineffective as an immunomodulator. There seems to be no peer-reviewed scientific studies showing that denatured type II collagen provides joint health benefits.

Undenatured type II collagen is produced using little or no heat and processing is bare minimum. The processing required is just enough to concentrate the collagen and make it soluble. This type of collagen supplement is the only form that the body can use effectively.

Collagen Helps to Repair Joints

Collagen can help repair joints but under the proper conditions. Not only are foods rich in vitamin C needed (possibly supplementation as well), but also foods high in lysine and arginine ( i.e., fish, chicken, beef, lamb, milk, cheese, beans, and mung bean sprouts). Avoiding foods that cause inflammation is really important and this means reducing or eliminating gluten and anything that contains processed sugar. In addition to diet, exercise is important, but knowing what exercises can be done safely should be approved by a qualified health professional.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has a proven record of commitment providing quality health care services in the Greater Toronto Area. Chiro-Med Rehab Centre has qualified professionals who can help you develop a personalized plan to ensure your joint health is as good as it possible can be. 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.

Resources:
https://www.sciencedirect.com/science/article/pii/B9780128098479000015
https://www.omicsonline.org/open-access/efficacy-of-oral-collagen-in-joint-pain--osteoarthritis-and-rheumatoid-arthritis-2167-7921-1000233.php?aid=87350
https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/collagen-type-iii-alpha-1
https://www.ncbi.nlm.nih.gov/pubmed/18772587

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

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

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

Turmeric is a bright yellow spice that provides a wealth of health benefits. This common culinary spice has not just enhanced the flavour of many meals; it has been used for centuries as an anti-inflammatory agent by the Indians and Chinese. In addition, it is also an antioxidant and an antiseptic.

Traditionally called Indian saffron (as it is similar to saffron) it has been used throughout history as a condiment, textile dye and to heal. Turmeric comes from the root of the Curcuma longa plant.

Before getting into all the health benefits from the super-spice, let’s examine the nutrient content. Based on two teaspoons (or 4.40 grams), turmeric has:

• Manganese - 17 percent of the daily value
• Iron - 10 percent of the daily value
• Vitamin B6 - 4 percent of the daily value
• Fibre - 3.7 percent of the daily value
• Potassium - 3.1 percent of the daily value

Turmeric Is A Safe Anti-Inflammatory

The yellow or orange pigment of turmeric is known as curcumin and the anti-inflammatory effects have been proven in numerous studies to be comparable to many pharmaceutical drugs. Most pharmaceutical drugs come with a long list of potential negative side effects; turmeric is known to have no negative side effects.

Rheumatoid Arthritis

Curcumin is a powerful antioxidant and can neutralize free radicals. This is important in many diseases including arthritis where free radicals are the culprits for painful joint inflammation and damage to the joints.

Inflammatory Bowel Disease

Curcumin may be an effective treatment for inflammatory bowel disease, Crohn's and ulcerative colitis according to recent research. While researchers are not yet sure exactly how curcumin achieves its protective effects, they are somewhat certain that its benefits are the result of not only antioxidant activity, but also inhibition of a major cellular inflammatory agent. Curcumin has been found to be safe in large doses.

Cancer Prevention

The antioxidant actions of turmeric have the ability to be a strong cancer preventative. Curcumin has been proven to protect the colon cells from free radicals. It also helps the body to destroy cancer cells that have mutated thus preventing them from spreading.

Frequent use of turmeric has been linked to lower rates of breast, prostate, colon and lung cancers. Lab tests have shown that curcumin can prevent tumours from even starting. Research at the University of Texas suggests that when breast cancer is present, curcumin slows the spread of breast cancer to the lungs (study was conducted on mice).

Here are some other quick looks at this powerful spice:

• Can delay liver damage that eventually leads to cirrhosis.
• Reduces the levels (up to 40 percent) of heterocyclic amines, the carcinogenic compounds that are formed when meats are fried, barbecued or boiled.
• University of South Dakota researchers discovered that taking curcumin before chemo or radiotherapy makes cancer cells more vulnerable.
• Many researchers believe that daily use of turmeric may prevent Alzheimer’s disease.
• WHFoods reports that curcumin can correct the most common expression of the genetic defect that is the culprit for cystic fibrosis.

Turmeric is mild in taste and benefits almost every system in the body. This is a must-have spice as it is a powerful plant to add to your diet. When thinking of using turmeric as a method to help control arthritis or other joint pain, be sure to contact Chiro-Med Rehab Centre.

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.

Iliotibial band syndrome (ITBS), is a common injury that occurs in the thigh especially among those who enjoy running, hiking, cycling and those who do squats while weight-lifting. The iliotibial band is a superficial thickening of tissue on the thigh that extends from the outer pelvic area (at the tensor fascia latae muscle) and stretches down to just below the knee.

Causes Of Iliotibial Band Syndrome

Iliotibial band syndrome can be caused if an individual has weak hip abductor muscles or a weak/non-firing multifidus muscle. (Although it was several years ago, the Clinical Journal of Sports Medicine , July 2000, published results from an interesting study that compared 24 runners who suffered with ITBS with 30 healthy runners. They found that the injured runners had significantly weaker hip abductors than the healthy runners.)

If a person has abnormalities in their leg or feet such as an uneven leg length, high or low arches, bowlegs, or supination of the foot then they may be prone to ITBS.

In addition, if a person runs, then they too may get iliotibial band syndrome if they:

• Engage in excessive running up and/or down a hill.
• Run up and down stairs.
• Run on a banked surface.

Iliotibial Band Syndrome Symptoms

ITBS symptoms range from a somewhat stinging sensation that occurs just above the knee joint (on the outside area where the iliotibial band is located) to tissue swelling (or thickening) where the band moves over the femur. The individual may not feel pain right away during an activity but it may intensify over a period of time. ITBS is typically progressive, starting with tightness and often advancing to the point where the pain is debilitating. When the pain has progressed, it is most severe when the individual walks or runs as the heel strikes the ground. Pain radiates from the knee up the leg to the hip. Pain may also be experienced as the knee flexes, especially when walking up or down stairs.

Pain is a signal to the individual or to the runner that a problem exists. Continuing activities that cause pain is not advised – rest and ice is recommended. If pain persists then this may also be a signal that perhaps there is a biomechanical problem that may lead to further injuries.

ITBS Treatments

Stretching is an important part of a treatment program to help alleviate the pain of ITBS. In addition to stretches that are recommended by a health professional, deep tissue massage along the full length of the iliotibial band will help.

Stretching and massage must be done by a health professional that has the experience in working with ITBS patients. Chiro-Med Rehab Centre has worked with many ITBS patients and they know that healing is only half of the treatment.

In addition to the healing phase, there is a very important phase, that being the strengthening of the hip and thigh muscles.  This process is best done under the supervision of a health professional who helps the patient with what specific exercises must be done in order to strengthen muscles, not re-injure them.

Physical therapy may not be enough, because if the cause of ITBS is mechanical, then the patient may require proper shoes or orthotics. Orthotic shoe inserts can help to correct imbalances.

As with any injury, following the direction of your health professional is important in order to facilitate healing, recovery and rebuilding. Chiro-Med Rehab Centre in Richmond Hill has a convenient location and highly qualified health professionals to help you get back to activities you once enjoyed. Call 905-918-0419 for more information.