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.

Newmarket Clinic

Chiro-Med also features expanded clinical operations in the Newmarket region, located in the busy College Manor Plaza.


At Chiro-Med Rehab Centre, we are pleased to offer you physiotherapy and chiropractor services, as well as exercise and rehabilitation therapy. If you need help, you can be sure that we will find the right modality specific to your unique needs or condition.


Our assessments are exceptional, utilizing the latest technology and techniques to thoroughly evaluate our patients' conditions. Our team of highly skilled professionals is dedicated to providing accurate and effective diagnoses that help us tailor treatment plans to each patient's unique needs.

In-Home Assessments

In-home assessments are used to evaluate the various tasks a claimant may have at home, and to what extent their injuries will impair their ability to perform these tasks.

Work-Sites Assessments

A work-site assessment is an objective analysis that is used to provide information on the physical demand requirements of the claimant’s pre-accident job.

Functional Abilities Evaluation

A functional abilities evaluation (FAE) is an assessment that utilizes scientific principles and measurements to analyze the abilities of a claimant as relevant to their pre-injury level of function.


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

★ ★ ★ ★ ★

"After being involved in a car accident I started being treated at Chiro-Med Rehab Centre and have had an amazing experience at the clinic. Dr. Sanjari and his staff are amazing! They're friendly, helpful, always greet you with a smile and are very knowledgeable about what they do. The treatment i've received has been second to none and the results have significantly improved my quality of life. Thank you Chiro-Med Team."

★ ★ ★ ★ ★

"After being involved in a car accident I started being treated at Chiro-Med Rehab Centre and have had an amazing experience at the clinic. Dr. Sanjari and his staff are amazing! They're friendly, helpful, always greet you with a smile and are very knowledgeable about what they do."


★ ★ ★ ★ ★

"Excellent facility. Great chiropractor, excellent massage specialists and other treating practitioners. I had the best body massage here. Very friendly and charming staff. Very good in keeping time so can plan out other activities."


★ ★ ★ ★ ★

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


★ ★ ★ ★ ★

"I can not express enough how grateful I am the the staff at Chiro-Med. The quality of service and professionalism is the best that I have encountered. Dr. Sanjari is very knowledgeable and was able to resolve my issues in a few sessions. I wish I had found them sooner as the issues I had were present for over a year, and now it is a pleasure to be once again pain free. Thank you!!"


★ ★ ★ ★ ★

"Staff here are the very best you'll ever find.  Friendly, always smiling, helping you out in any way the can. Than there is their work which is so comforting and relaxing. Makes one feel like you can always trust them now and into the future."


★ ★ ★ ★ ★

"This location is very convenient for me, specially the parking space. They are professional, I am so happy with the doctor. They always try to help as much as they can. I can see that they really care about the patient.  The staff are very friendly and helpful.  In general I am so happy and satisfied with the services that I get here."


★ ★ ★ ★ ★

"Thanks to Dr. Sanjari my vertigo has been eliminated and my spinal problems, lower back pain and neck pain has been greatly decreased. He is professional, knowledgeable and courtesy, his staff is also courtesy and kind. I recommend Chiro-Med."


★ ★ ★ ★ ★

"Chiro-Med Rehab Centre has a great positive and relaxing environment. Staff are professional and friendly. I would recommend that you drop by and check out the services for yourself."


★ ★ ★ ★ ★

"Chiro-Med is a very professional and pleasant rehab centre. The customer service is great. The receptionists are always very kind, professional and pleasant. They always great you with a smile and quite understanding."


★ ★ ★ ★ ★

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


★ ★ ★ ★ ★

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


★ ★ ★ ★ ★

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


★ ★ ★ ★ ★

"I had lower back pain during my pregnancy and Dr. Sanjari really helped me. The staff is really nice, kind and friendly. I like the fact that they remind you of your appointments the day ahead."


★ ★ ★ ★ ★

"People here make you feel like family, always at ease, friendly smiles, easy going, and always there to help you in any way they can."

J. W.

★ ★ ★ ★ ★

"My experience at Dr.Sanjari’s clinic has been wonderful. I do not feel like I am going to a clinic. Dr. Sanjari and all of his staff are friendly and helpful professionals that make you want to return, especially because you see results. I couldn’t ask for a better medical experience."

E. S.

★ ★ ★ ★ ★

"The staff is extremely friendly. They are really involved by helping the patient and explaining the best treatment option. Knowing that, patients will get motivated and push themselves to get better."

E. Z.

★ ★ ★ ★ ★

"I got the DonJoy knee brace about a month ago and the difference is night and day. I’m able to walk and bike once again. I saw an immediate change to the stability of my knee, even stairs are not so daunting to face anymore. I’m very happy to be mobile once more. Even dancing all night no longer proves to be a problem. Most difficult part of getting my brace was the colour / pattern choice. I’d highly recommend this type of brace. By the way my knee injury consists of a blown ACL and severely damaged meniscus!"

★ ★ ★ ★ ★

"I got the DonJoy knee brace about a month ago and the difference is night and day. I’m able to walk and bike once again. I saw an immediate change to the stability of my knee, even stairs are not so daunting to face anymore. I’m very happy to be mobile once more. Even dancing all night no longer proves to be a problem."


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

Theralase Laser Therapy

Neuromuscular skeletal conditions are experienced by just about everyone at some point in their life. Strains and sprains causing pain are common occurrences throughout our lifetime and sometimes the pain in so intense that it won’t go away. Part of the reason of this is because many people “carry on” their routines as best as they can without seeking treatment and this results in pain that may not go away.

Inflammation and pain are things that many individuals tend to live with by taking medications as opposed to seeking professional treatment that can relieve pain at the root cause. There are a variety of great treatment options out there but there is a type of medical technology that is innovative because it heals injuries on a cellular level and it is safe. The Theralase line of therapeutic medical laser systems are effective with most patients with treating an injury.

Conditions That Are Treatable

There are over twenty pre-programmed clinically proven treatments that the Theralase super-pulsed laser can help with. Some treatable conditions include:

  • Pain management
  • Arthritis
  • Weight loss
  • Healing wounds
  • Addiction rehabilitation
  • Anti-aging
  • Herpes simplex
  • Skin conditions
  • Wrinkles and stretch mark

How Theralase Laser Therapy Works

Light therapy can improve circulation by increasing the formation of new capillaries. (Capillaries are the smallest of a body's blood vessels and are parts of the body’s micro-circulation.) New capillaries help to speed up the healing process by supplying extra oxygen and nutrients that are required for healing and to stimulate collagen production.

One of the secondary mechanisms of light therapy is that it can increase collagen synthesis. Collagen is the essential protein used to repair and replace tissue that has been damaged. It is the essential substance that binds cells together (in conjunction with elastin) therefore increasing elasticity. Increasing both collagen and elastin production has been proven to decrease scar tissue.

Benefits Of Theralase Laser Therapy

Proven clinical studies have found that there is an efficacy rate up to 90 percent and no side effects. This is treatment decreases or eliminates pain, reduces inflammation, promotes nerve axon growth, and so much more.

The positive biological effects are incredible. Some of these effects include:

  • Reduced Fibrous Tissue Formation – Theralase laser therapy reduces the formation of scar tissue that occurs after being scratched, cut, burned or from surgery incisions and it allows for the re-absorption of fibrotic tissue.
  • Increased Circulation – This laser therapy induces (temporary) vasodilation, which increases blood flow to damaged areas and removes waste products.
  • Increased Metabolic Activity – Theralase laser therapy produces higher outputs of specific enzymes, greater oxygen and nutrients to nourish blood cells. There is also an enhanced production of adenosine triphosphate (ATP).
  • Anti-Inflammatory – This laser therapy reduces swelling caused by bruising and it reduces joint inflammation therefore providing greater joint mobility.
    • Rapid Cell Growth – Theralase accelerates cellular growth and reproduction.
  • Stimulated Nerve Function – This therapy increases the process of nerve cell reconnection. This prevents or stimulates recovery from nerve-damaged areas.
  • Fast Wound Healing – Damaged tissue is repaired quicker as this laser therapy stimulates fibroblast development and accelerates collagen synthesis.

Whether you need help with reducing pain, pain due to arthritis or desire anti-aging treatments give Chiro-Med Rehab Centre a call. Chiro-Med Rehab Centre in Richmond Hill has a convenient location and highly qualified health professionals on staff who are fully trained in the Theralase laser treatment. Visit or call 905-918-0419 for more information.

Vitamin B-12 Deficiency and How Chiropractic Care Can Help

Vitamin B12, also known as cobalamin is one of the eight B vitamins we need. Our body needs B12 as it is necessary in the production of red blood cells as well as the proper functioning of nerve tissues and healthy brain functioning. It also helps in the regulation and synthesizing of DNA.

B12, and all B vitamins are water soluble and they travel through our bloodstream. Vitamin B12 is not stored in the body and any excess amounts are excreted through urine. Structurally this vitamin is the most complicated and the largest.

B12 Sources

Vitamin B12 occurs naturally in animal products such as fish, meat, eggs, and dairy products. Typically this vitamin is not found in fruits and vegetables making B12 intake a challenge for vegans and some vegetarians. It is critical that vegans take supplements as well as women while pregnant and during breastfeeding.

Foods that are good sources of vitamin B12 include:

  • Beef, pork, ham, poultry, and lamb.
  • Fish, especially haddock, sardines and tuna.
  • Milk, cheese, and yogurt.
  • Some nutritional yeast products.
  • Eggs.

Some foods are fortified with B12 such as some types of soya milk and breakfast cereals.

According to Health Canada recommended daily intake of B12 should be 2.4 micrograms per day for men and women ages 19 to 70. Pregnant women should take 2.6 mcg per day and lactating women 2.8 mcg daily. Some health professionals claim that Health Canada provides a low estimate on what daily vitamin intake should be so if you are concerned that these daily values are not enough for you then be sure to visit a qualified health professional.

For those individuals over the age of 50 it is even more important to not only get the minimum daily recommended allowance but to have your B12 levels checked regularly. As we increase in age our bodies become less able to absorb this vitamin not only from the foods we eat but from supplements. It is critical in order to maintain good health to know that your body is actually absorbing B12.

B12 Facts

  • This is the only vitamin that requires a specific substance for absorption.
  • 30 % of vitamin B12 is lost during cooking.
  • Vitamin B12 is destroyed by light.
  • This vitamin was discovered in 1948.

B12 Deficiency & Symptoms

B12 deficiency is more common in those over 50 years of age. Malabsorption of this vitamin is the main cause of deficiency in those who are older. This is caused by atrophy of the gastric mucosa and the gradual loss of gastric acid.

Low levels of this vitamin can cause a reversible blood disorder called pernicious anemia. This causes fatigue, difficulty thinking and concentrating. Other symptoms of B12 deficiency include:

  • Feeling light-headed, weak, and lethargic.
  • Bleeding gums.
  • Experiencing a sore, red tongue.
  • Pale skin.
  • Constipation or diarrhea.
  • Weight loss.
  • Feel sick to the stomach.

If the level of vitamin B12 has been very low for a long period of time it can damage nerve cells. If this has occurred some symptoms may include:

  • Poor sense of balance.
  • Numbness or tingling in fingers and toes.
  • Depression
  • Loss of mental abilities.

Vitamin B12 deficiency is not something to be ignored because there is a serious risk of permanent nerve and brain damage. Those who do not get enough vitamin B12 have a higher risk of developing psychosis, mania, and dementia.

Infants who lack vitamin B12 may have unusual movements which may include:

  • Face tremors.
  • Reflex problems.
  • Feeding difficulties.
  • Eventual growth problems if left untreated.

B12 Deficiency Treatments

Increasing the foods that have vitamin B12 is the first course of action; however, if your deficiency isn't caused by a lack of vitamin B12 in your diet, chances are you’ll need injections. Vitamin B12 is available in an injectable form to be given subcutaneously, intramuscularly, or intravenously.

People with Leber's disease or those who are allergic or sensitive to cobalt or cobalamin must consult their health care provider before taking vitamin B12 supplements.

For a person who is suffering with nerve damage there may be help through chiropractic care in conjunction with either diet and/or B12 supplements. Every person is unique and must be seen by a chiropractor to see if there is chiropractic treatment available for them.

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. Chiro-Med Rehab Centre has qualified professionals who can help assess your needs. We have clinics located in Richmond Hill and Newmarket, call 905-918-0419 or 905-235-2620 for more information.

Additional Information:

For a comprehensive list of foods that contain vitamin B12 please go to Dieticians of Canada.

Torticollis (Wryneck)

The Facts On Torticollis

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

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

Causes Of Torticollis

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

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

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

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

Symptoms Of Torticollis

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

Other symptoms may include:

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

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

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

Diagnosing And Treating Torticollis

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

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

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

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

Conquer Stress With Richmond Hill Massage Therapy

In today’s fast paced world, everyone seems to be in a hurry, burning the candle at both ends to meet deadlines and juggle the responsibilities of everyday life.  Eventually stress can wear down even the hardiest of us, resulting in physical illness.  You may wonder how stress, which triggers an emotional response, can manifest as physical illness, but it is really quite simple.  Every emotion that we feel is associated with the release of chemicals inside the body.  Usually the body absorbs or eliminates such chemicals, but high levels of stress can cause excess amounts of these chemicals to accumulate in the tissues of the body, creating imbalances that can eventually result in the development of dangerous illnesses.  Stress can trigger powerful emotions such as frustration, anger and even depression.  The chemical reactions associated with these emotions often lead to headaches and digestive problems, but can manifest as even more tangible complaints such as heart disease, high blood pressure and even stroke.

Massage therapy is one of the leading methods of relieving stress today, although it has been practiced in many cultures for thousands of years.  Its roots can be found in Greek, Roman, Chinese, Indian and Egyptian cultures several thousand years B.C.  Modern massage therapy often combines techniques borrowed from various different cultures to provide the most beneficial treatment possible.  Richmond Hill massage therapy uses all of the best techniques to provide the most effective treatment possible to relieve your stress and leave you feeling rejuvenated and refreshed.

Richmond Hill massage therapy benefits the body in a variety of ways.  It improves circulation, reducing the heart rate and lowering blood pressure.  It also stimulates the flow of lymphatic fluid and endorphins to detoxify the body and relieve pain.  So if you are feeling overwhelmed by stress, why not indulge yourself with massage therapy from Richmond Hill?

Before You Run: 5 Helpful Hints To Prevent Injury

The human foot is truly remarkable as it contains a combination of 112 ligaments, 33 joints, 26 bones and a vast network of nerves, tendons and blood vessels that work hard when you run. Before considering to go out jogging or to take up running, it is very important to make sure that your feet are in good working order because the balance, support, and propulsion of a running body depends on the foot.

Before starting to run, there are some things you can do before you hit the pavement to ensure your running experience will be an enjoyable one. Before getting into the helpful hints, what needs to be said is to hydrate before you run or jog – this is very important.

First of all, are your running shoes appropriate? Your choice of footwear needs to be determined based on your foot structure, your weight, how your feet function and where you run. If you are flat footed when you run, or if you run on the balls of the feet, then an orthotic device should be considered. The shoes should provide shock absorption.

Next, proper foot hygiene needs to be practiced. Be sure your feet are kept dry with appropriate socks and powdered. This is especially important if you have blisters. Getting into the habit of powdering will help to keep athletes foot at bay.

Thirdly, start off slow. Jog for two minutes, then walk fast for five minutes then jog for two minutes, and repeat. If your muscles are feeling stiff, then walk. As the days go by, increase the jogging time 30 to 60 seconds at a time until you are jogging for five, fast walking for five. Keep increasing this and diminish the walking time until you are comfortable with just jogging or running. Be sure to make adjustments for weather conditions; the hotter and more humid it gets, lessen your running time.

The fourth hint is a big one – stretch! Before starting any exercise program and this includes running or jogging, proper stretching is important. When the muscles are properly warmed up then the strain on tendons, joints and muscles is significantly reduced. Walking for 5-10 minutes before stretching is what many joggers and runners do first, and then they stretch for 5-10 minutes. It’s important to remember that stretching is not pulling or bouncing.

Three recommended stretches are:

  • Wall push-ups. Stretch one leg at a time by standing a metre away from the wall. Rear leg needs to be straight with the front leg bent as the hands touch the wall. Heels on the ground at all times. Hold the stretch for twenty seconds, and then bend the back leg and hold for twenty seconds, switch legs and repeat three times.
  • Stretch the hamstring. Straighten the right leg, place it, with the knee locked, on the curb or other item that is the same height. Squeeze your quadrieps muscle (front thigh) and point your ankle and toes up towards yourself. Hold for twenty seconds. Switch sides and repeat three times.
  • Stretching the lower back. Lie down on a firm surface. Bring both knees to your chest and hold for twenty seconds. Repeat this five times.

Last but not least, there is one more thing to consider before taking up jogging or running. Your feet are very important, so visiting a health professional before starting an exercise program may save you a lot of aggravation down the road. A health professional will examine your feet and identify any potential problems. This preventative measure can save your feet from unwarranted injuries.

Chiro-Med Rehab Centre has health professionals on staff who are fully qualified to assess your feet and provide custom orthotics if needed. Conveniently located in Richmond Hill, Chiro-Med Rehab Centre has a walk-in clinic at 10144 Yonge Street, just north of Major MacKenzie Drive. Call 905-918-0419 for more information.

What Is Myositis Ossificans

Myositis ossificans is an abnormal bone that forms within the muscle tissue. There are two types of myositis ossificans: myositis ossificans circumscripta is the result of a muscle injury and myositis ossificans progressiva is an inherited condition that causes the formation of bone in many tissues.

This is a condition that athletes often experience after sustaining a blunt injury resulting in deep tissue bleeding. A neglected bad muscle strain or contusion can result in myositis ossificans. When an impact causes damage to the sheath surrounding a muscle or a bone, then a bone growth develops (calcification) that can be quite painful. Bone growth begins two to four weeks after injury and within three to six months is a mature bone.

What Causes Myositis Ossificans?

Sometimes when an injury occurs an individual may self-assess and choose not to follow injury protocol which starts with ‘R.I.C.E.’ immediately after injury (rest, ice, compression and elevate). However, if intensive physiotherapy or massage occurs too soon after injury then this too can result in myositis ossificans. In addition, if an athlete returns to training too soon after injury, this may also result in this condition.

Myositis Ossificans Symptoms

Symptoms of myositis ossificans often varies from person-to-person. Common symptoms include swelling, pain, discomfort, swelling, and a lump within the muscle tissue.

Myositis ossificans progressiva symptoms include digits (fingers and toes) that have changed shape, painful lumps around the joints, a spine with an abnormal curve, as well as a decrease in the range of motion in the shoulders and hips.

Diagnosis And Treatment Options

An examination from a physiotherapist or chiropractor can indicate if myositis ossificans is present. Usually at about three weeks post injury an X-ray can confirm diagnosis. Other diagnosis methods include an MRI scan or an ultrasound.

Once myositis ossificans is established, there are very few options that can be explored to accelerate the restorative process. Treatment will generally focus on rest from activities that can cause agitation and a physiotherapist or chiropractor can provide a gentle pain-free range of movement exercises.


In the event of an injury, a person must diligently follow R.I.C.E. (rest, ice, compression and elevate) in the initial phase of injury (preferably immediately but within the first 24 hours). By following the RICE regime, this greatly reduces the likelihood of the development of myositis ossificans. Far too many people think they’ll be okay and do not follow R.I.C.E.; it is better to be safe than sorry.

What is also very important is to rest from activities, regular icing, and if possible, use a compression bandage. Taking preventative measures at the time of and shortly after an injury will save a lot of time down the road should myositis ossificans develop.

If you suspect you may have myositis ossificans then help is a phone call away. For more information about treatment options to seek relief from myositis ossificans, Chiro-Med Rehab Centre in Richmond Hill can help. 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.

Cerebral Spinal Fluid and Chiropractic Care

Cerebral spinal fluid (also referred to as cerebrospinal fluid CSF) is clear fluid produced by dialysis in the choroid plexus (located in the brain). CSF is a critical component in creating a cushion to protect our brain and our central nervous system. Cerebrospinal fluid is always being produced and should there be any disruption in the production or in the protection of the brain and central nervous system then this means trouble.

Other CSF Functions

Cerebrospinal fluid acts as a chemical buffer giving us immunological protection as well as means for transporting nutrients, metabolic wastes and toxic substances. This fluid provides buoyancy to soft neural tissues which is critical in preventing the brain tissue from deforming from its own weight.

Recent research indicates that cerebrospinal fluid has a major influence on the body's homeostatic balance of acidity and alkalinity. There is also scientific research that indicates that the cerebrospinal fluid could act as a chelating agent by which it removes metallic toxins from the spinal cord and the brain providing protection against free radical oxidation.

Disorders of the CSF flow can affect the distribution neurotransmitters, disrupt the blood flow around the brain, and it can affect normal brain function.

Our bodies produce about one cup of CSF every day because it continuously replaces CSF as it is absorbed. There is a delicate balance between what is absorbed and what is produced and when the balance is off then hydrocephalus occurs. The most common factor that can cause this disruption is an obstruction. If left untreated hydrocephalus can cause cysts, infections, and brain tumors.

CSF Stasis

When the CSF flow becomes stagnant, this is a condition referred to as CSF stasis. CSF stasis is associated with several conditions such as vertebral subluxation complex (or joint fixation). (This is a term applied to a vertebra that has lost its regular position in relation to the vertebrae beside it. Eventually the wear and tear on the surrounding discs, ligaments, spinal muscles, or other spinal tissue causes pain, inflammation, tenderness and there is a decrease in spinal mobility.

CSF stasis also reduces cranial rhythmic impulses and can restrict respiratory function. Reduced levels of cerebrospinal fluid through key areas of the brain is a factor involved in degenerative disease.

Sedentary lifestyles and bad posture are culprits in creating a suitable environment for CSF stasis. A sedentary lifestyle creates poor core strength and muscle imbalances that lead to chronic subluxation patterns throughout the spine.

Improving CSF Flow

A healthy CSF flow depends on minimizing subluxation through corrective chiropractic techniques and specific spinal exercises including yoga.
If there is any ligamentous scar tissue along the pathway in which there is CSF then chiropractic adjustments will help to release this tissue. This allows for better neurological function. Also, chiropractic adjustments help to reinforce healthy soft tissue formation in the subluxated regions. This new healthy tissue allows these areas to have normal, healthy motion.

Chiropractic adjustments will dramatically increase CSF flow to help the blood flow properly around the brain, and to ensure proper distribution of neurotransmitters.
Balance board exercises can help restore and reinforce healthy sacral movement and initiate proper CSF flow. Balance boards have a very small centre of gravity that creates a challenge to the brain's coordinating centers resulting in increased receptor information allowing a greater degree of range of motion and an increased CSF pumping effect.

Repetitive cervical traction exercises put motion into the occipital region of the brain (rearmost portion of the skull). This motion helps to create a pressure change, which assists in the facilitation of the cerebrospinal fluid pump. This allows cleaner CSF to flow into the brain stem region providing fresh oxygen and nutrition.
Chiropractic adjustments unlock stiff areas of the spine and encourages growth of healthy soft tissue. In addition to chiropractic adjustments, specialized exercises will help to restore healthy CSF movement in the central nervous system. As part of your chiropractic treatment plan these exercises and adjustments are specifically designed for you so that your CSF flow returns to normal. In return there will be increased oxygen and nutrient-rich fluid reaching your brain stem and improving your overall health.

If you have concerns about the cerebrospinal fluid in your body not flowing at the rate it should be please give Chiro-Med Rehab Centre 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 over half a decade. Chiro-Med Rehab Centre has qualified professionals who can help you attain maximum health. 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.

Plantar Fasciitis

Plantar fasciitis can be quite painful and is one of the most common causes of heel pain. This foot ailment is inflammation of the thick tissue (plantar fascia) located on the bottom of the foot. This tissue is what connects the heel bone to the toes and it creates the arch of the foot; this can be quite painful and make walking more difficult.

Those who have plantar fasciitis feel dull or sharp pain and stiffness at the bottom of the heel. Some people report feeling an ache or burn at the bottom of the foot. This pain is felt worse in the morning when taking the first steps of the day. It is also noticeable after standing or sitting for a period of time. Plantar fasciitis pain may develop slowly over time, or suddenly after intense activity.

Causes Of Plantar Fasciitis

When the thick band of tissue on the bottom of the foot is overused or overstretched this is when plantar fasciitis can occur. Another possible cause of pain and dysfunction is now thought to be degeneration of the collagen fibres close to the attachment to the heel bone.

Risk factors for plantar fasciitis include:

  • High arches or flat feet
  • Poor arch support
  • Sudden weight gain or obesity
  • Tight Achilles tendon
  • Long distance running or running on uneven surfaces

Plantar fasciitis is the most common orthopedic complaints related to the foot and seems to affect mostly men aged between 40 and 70.

If you think you have plantar fasciitis you should see a health professional as soon as possible. An examination will be conducted to determine the tenderness of the foot, arches will be checked, and the tightness or stiffness of the arch will be examined.

Plantar Fasciitis Treatment

Chiro-Med Rehab Centre has helped countless people who have suffered with plantar fasciitis. The severity of this condition will determine the treatment. The good news is that almost always, nonsurgical treatment improves the pain. Patients who have severe plantar fasciitis may require several months of therapy  in order to feel totally better, and in some rare cases, surgery may be needed to relieve pain.

Immediate steps to relieve pain are to apply ice to the painful area, minimum twice a day for about 15-20 minutes.  Wearing shoes with good support are a must and resting as much as possible as well.

You may need to do some heel stretching exercises to help relieve the stiffness. In addition, using night splints to help stretch out the plantar fascia may aid in the healing process.

Orthotics from Chiro-Med Rehab Centre are medical inserts that fit comfortably into normal footwear, and are custom designed to support and improve your ability to walk pain-free. Orthotics should be worn at all times, at work, at home, and during recreational activities. Orthotic insoles work like prescription eye-glasses, they work when they are being worn, providing support to all the areas that need support.
During the first couple of weeks while wearing custom orthotics, there may be a slight discomfort felt in the arches, feet, and legs. This is normal, and is actually an indication that your custom orthotics are doing their job.

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 – pain free! Call 905-918-0419 for more information.

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