Backpacks are, bar none, a better option for carrying books and supplies than a shoulder or a messenger bag. The weight of what is being carried is evenly distributed across the body in which the back and abdominal muscles are used for support. However, backpacks that are not used properly, or if they are overloaded, can cause health problems for children, teens and even adults.

How Can Backpacks Cause Problems?

The human spine consists of 33 vertebrae: 24 presacral vertebrae (7 cervical, 12 thoracic, and 5 lumbar) followed by the sacrum (5 fused sacral vertebrae) and the coccyx (4 frequently fused coccygeal vertebrae). Between the vertebrae are disks that act as natural shock absorbers.

When improperly carrying a heavy weight on your shoulders, the force of the weight can pull you backward. Typically, most people will compensate this by bending forward at the hips or arching the back. This can cause the spine to compress unnaturally.

Those who compensate by leaning forward, over time, the shoulders can become rounded and the upper back may become curved. As a result, neck, shoulder and back pain can develop.

Carrying a messenger bag or backpack over one shoulder can result in lower and upper back pain in addition to straining the neck and shoulders. Backpacks must be worn properly otherwise bad posture may eventually occur.

If you wear a backpack that has tight, narrow straps that put pressure into the shoulders then nerves can be pinched and circulation issues may result. There could even be tingling, weakness and numbness in the arms and hands.

Children Are at Higher Risk

Many health care professionals recommend that children carry no more than 10 to 15 percent of their body weight in their backpacks. The reality is that many carry a lot more than that. Girls and younger children tend to be especially at risk for backpack-related injuries because they're smaller and may carry loads that are heavier in proportion to their body weight.

Wearing school backpacks has a significant biomechanical, physiological and discomfort impact, especially with loads above 10 percent of the student’s body weight.

There are a multitude of health impacts that children and youth are experiencing such as:

• poor posture (changes to spinal posture, lumbo-sacral angles, and thoracic kyphosis);
• gait (increases in plantar pressure during foot-ground contact and increased double support);
• increases in physical discomfort and muscle activity; and
• increases in breathing rate.

Results of a 2003 review of backpack loads carried by school students was referred to by the National Institutes of Health in 2018. They said that during a school day, children were carrying as much as 30 to 40 percent of their body weight. This 2003 review noted that large, heavy backpacks were a relatively recent phenomenon. It addressed how there is an increasing number of high school students having less time between classes to get to their lockers so they must haul their backpacks with them throughout the day.  Nowadays there are larger textbooks, musical instruments, laptops, and other objects that are presenting areas of concern regarding student loads.

According to the National Institute of Health the weight carried by students, backpack pain and other health concerns have shown little to no improvement over the past 15 years and the recommended load of around 10 percent of the body weight is not always being met. It is highly recommended that if any student walks or rides a bike to school, then the backpack should be closer to the 10 percent mark.

Tips for Choosing and Using Backpacks

• When purchasing a new backpack make sure it has two padded straps that go over your shoulders. The wider the straps, the better.
• Hiking backpacks have a waist belt which helps to distribute the weight more evenly across the body. If it is at all possible, try to get a backpack with this strap. Also, backpacks with multiple compartments can also help distribute the weight more evenly.
• Before placing items in your backpack, adjust the straps so the pack sits close to your back. If the pack hits against the lower back as you walk, the straps are inevitably too long.
• Always pack your backpack with the heaviest items closest to your back.
• Wear both straps over your shoulders.
• Try a “back” pack with wheels. Lots of children use these as an alternative to backpacks. Even adults can benefit from this.

Adults and youth can consider strengthening their core muscles. From an overall health perspective, this is a great way to prevent back injury from not just carrying a heavy backpack, but from most physical activities. Weight training, pilates, and yoga are all activities that can be effective in strengthening these core muscles.

If you or your child is experiencing back discomfort chiropractic care has been proven to help.

Established in 2007 by Dr. Behalf Sanjari, Chiro-Med Rehab Centre has a proven record of commitment providing quality health care services in the Greater Toronto Area. Chiro-Med Rehab Centre has qualified professionals who can provide the services you need. Chiro-Med has clinics located in Richmond Hill and Newmarket, visit Chiro-Med online or call 905-918-0419 or 905-235-2620 for more information.

Food choices many people make are done so based on urges, desires and finances. As a result, Canada has over 4 million people who are failing to get the nutrition levels their bodies need.   According to Stats Canada in 2014, just over 20 percent of adults in Canada (approximately 5.3 million), classified themselves as being obese. This does not include those who are obese and do not acknowledge it.

A study from the University of British Columbia released in February 2013 discovered that obesity rates are continuing to rise in Canada. More than 30 percent of those in the Maritimes and territories are estimated to be obese. Here in Ontario obesity rates are just above the national average. This translates to a massive strain on the federal and provincial health care systems in coming years.  Being overweight and having poor nutrition means degenerative diseases will increase exponentially.

For many, this topic brings a sense of shame and this should not be the case. We all make mistakes in life and many of us become addicted to various vices throughout our lifetime. In fact, a 2012 study conducted by Memorial University in Newfoundland found that 1 in 20 Canadians are categorically addicted to food. Unfortunately the food choices they turn to are generally unhealthy foods or foods that may appear to be healthy but are loaded with glucose/fructose and other forms of sugars. Even beverage choices such as pop, slushies or ice cappuccinos may satisfy an emotional need but if these are regular choices these beverages are laced with sugars and other questionable ingredients. Having a registered dietician help to get you back on track may be just what you’re looking for.

A Registered Dietitian’s Role

A good registered dietitian takes sound scientific research about food and nutrition and puts it into layman’s terms to help their clients fully understand what their diet is doing for them – good or bad. They find practical solutions that fit into their client’s budgets to help them improve the quality of food they are eating.

Dietitians don’t have pre-packaged meals or try to sell you specific products to help you; they simply provide solid advice that is specifically-tailored to each individual.

Registered dietitians have university degrees in food and nutrition from an accredited university program. They also have hundreds of hours of supervised hands-on training. Once they are practising on their own or in a clinic setting, registered dieticians must maintain a high level of ethics and complete annual professional development to ensure they are kept up-to-date.

Why Visit a Registered Dietitian?

There can be a multitude of reasons why a person may choose to visit a registered dietitian. Some of these include:

• Weight loss or weight gain is needed.
• Digestive system problems.
• Food allergies.
• Menu planning when changing over to a specific diet such as gluten-free, vegetarian or vegan.
• Sports nutrition.
• Wanting dietary help to aid in the prevention of degenerative diseases such as cancer, heart disease, liver disease, etc.
• Changing a diet to ensure as many nutrients as possible are being consumed to help limit supplements.

When an individual visits a Registered Dietitian, he or she can be rest assured that they get accurate information from an educated professional who is help accountable for his or her expertise. Registered dietitians have a wealth of knowledge and can provide better advice about diet than most weight loss clinics.

For more information about food choices and how we can help you attain your goals, feel free to call our office during regular business hours and one of our associates will be please to speak with you. 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.

Sources:

http://www.statcan.gc.ca/pub/82-625-x/2015001/article/14185-eng.htm

https://www.thestar.com/news/canada/2013/02/28/adult_obesity_rates_in_canada_reaching_historic_highs_ubc_study_warns.html

http://www.torontosun.com/2013/09/16/1-in-20-canadians-are-food-addicts-study

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.

It’s no surprise that far too many of us are spending an inordinate amount of time sitting. We sit as we drive to work, sit at a desk, sit in front of our television, and we sit in front of our computers at home. If you add it all up it really is alarming just how many hours we spend sitting every day. There is a serious problem nowadays with our health because of sitting too much.

The more a person sits all day their risk of dying from all causes, especially cardiovascular diseases dramatically increases. Even if you work out, go for walks, or a swim on a daily basis, if you spend large swathes of the day sitting then you are elevating your risk of death from many diseases. Also keep in mind that sitting increases blood pressure in most people.

Let’s look at this another way – sitting for the bulk of your waking hours is not healthy for your back. There is an increased awareness that ergonomic chairs can help, which yes, can be good; however the bottom line it does not negate the fact that countless hours every day are spent sitting.

If you sit at a desk all day then there are some things you can do to help alleviate the ill-effects.

Move When You Can

Sitting on a stability ball really helps so long as you can stay focused. If you are reading then twist, move your legs up and down, swing your arms in circles or in any movement, twist your head back and forth, or move in any way imaginable that allows you to still focus on the task at hand.

Sit Upright

We know that sitting upright promotes great posture but as you sit upright lean forward and slowly move back; heck you can even move side-to-side somewhat. Hold in the stomach and be sure to be doing some deep breathing.

Stretching

Sitting is a flex posture so stretching is essential every half hour or so to help you feel better. Stretch out your arms, legs and be sure to stand up every so often and stretch. This is vital for infusing oxygen into the blood stream that helps us get through the day.

Standing Desks

Solutions to sitting all day do not include going to the gym or going out for a walk. There is evidence to suggest that the negative effects can’t be countered by a short period of time of strenuous exercise. The answer is to incorporate standing, pacing and other activities into your day.

Now here is a solution that many thought that only eccentrics used – a standing desk. These are gaining in popularity and for good reasons. Some studies have found that the overall mood of a person using a standing desk is better than those who sit. There is even evidence that some people actually lose weight when they use a standing desk.

Naturally this is not a desk for everyone. Those who are not certain if they can stand all day can find relief by having a bar stool-type chair to sit upon when they need to rest. Good standing desks have an elevated foot piece so one foot can be supported off the ground at a time.

Using a gel mat to stand on is really important because too much of a good thing can be a bad thing too and spending several hours on your feet can have bad effects – especially if standing on a hard surface. Keeping your posture straight is just as important standing as it is sitting and moving around a little and stretching is also a must.

Before investing in a standing desk try it out at home first by creating a standing desk out of various items in the home such as strong boxes. Standing desks are not for everyone. When creating a standing desk or purchasing one, keep in mind there are some measurements that you should adhere to. The monitor needs to be at eye level. Viewing distance should be 10 to 30 inches, wrists need to be straight and the elbow angle needs to be at 90 degrees and close to the body.

Standing allows for more movement possibilities such as squats and toe touching.

No matter what desk is for you the most important thing of all is to be sure you are moving as frequently as you can all day. Instead of sending an email to your colleague in the cubicle down the aisle – go deliver the message in person; take stairs not elevators; park a good distance from the front door and walk; these are some suggestions to help you to move as much as you can in the day.

If you want to research more about sitting and standing desks Smithsonian has a great article about this topic. Or you can give us call and one of our qualified health professionals can speak with you to help you determine if a standing desk is a good choice for you.

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 if a standing desk is right for 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.

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

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

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

Chiropractic methods have proven to be a highly effective way to treat various conditions as well as being preventative. Regardless of the incredible track record of success there are still myths and rumors circulating that have no foundation.  Before we look at a couple of myth and fact scenarios, take a look at what the “Chiropractic for the World Foundation” (based in Calgary) has shown.

They posted on their website averages of malpractice insurance rates therefore providing us with some great insight into the amount of claims against health care practitioners.

• OB-GYN in Canada – $12,000 per year
• OB-GYN in Florida – $237,000 per year
• Dentist – $1500-2000 per year
• Chiropractor – $681 per year

What is very interesting is that in 2008, Ontario taxpayers spent $112 million to subsidize the medical malpractice fees paid by doctors and doctors themselves paid only $24 million. This means that the Ontario taxpayers paid 83 percent of the cost of malpractice fees.

Myth Vs. Fact

Chiropractic Care Makes People Feel Worse

Those individuals who have just started care may feel worse before feeling better and this is totally normal. However, what is critical is that the full treatment be provided and for the patient not to abandon care. When a person (for example) has had to live for years with a misaligned spine then it is totally natural for the body to adapt to the changes happening. This is no different than starting to exercise after years of inactivity, there will be aches and pains as the body adjusts. There is a transition period and depending on each individual the time frame will vary. The chiropractor who is treating the patient will explain this and let the patient know what to expect.
Being patient is important, but the results are well worth the wait. Chiropractic care does not just relieve symptoms; it helps the body heal the underlying problem so that the patient’s body will function at its optimum level.

Can Chiropractic Care Cause Strokes?

Some people are terrified of seeing a chiropractor because they believe they will have a stroke. Science has shown us that there is no need for concern.

First of all, according to the July 2000 issue of the Chiropractic Journal, the risk of having a stroke in a medical doctor’s office is equal to that of a chiropractor’s office. Strokes can happen anytime, anywhere.

Make no mistake, there have been extensive studies completed that have analyzed the risk of stroke following a chiropractic adjustment. The best estimates show that the likelihood of stroke following an adjustment range lies somewhere between 1 in 15 million people to 1 in 2 million people. This is in the same likelihood as being struck by lightning. What this study also shows is that yes, some people may have a stroke, the chiropractic treatment they received is NOT the cause.

Let’s take these numbers and put them into perspective.

• The risk of hospitalization (and death) from taking NSAIDs (non-steroidal anti-inflammatory drugs such as Advil, or Motrin) is about 1 in 1000.
• The risk of death from cervical spine surgery (neck surgery) is about 1 in 200.
• The risk of irreversible neurological damage, from the same surgery is 1 in 65.

I Feel Fine. I Don’t Have To Go To A Chiropractor

Health is only a very small portion of how you feel; however, it is mostly about how your body is functioning.  People may feel fine for years yet do not feel cancer, heart disease or diabetes starting. These manifest over a period of many years, meanwhile the person “feels fine.”  Check out this fact: in 60% of cases of cardiovascular disease, the first symptom is either a heart attack or death.

So, you may feel fine however something may be happening with your spine or nervous system. Chiropractic care can assess how the body in functioning, primarily the nervous system. The nervous system controls, regulates, heals , and coordinates the function of your entire body. It only makes sense that is works properly.

Even if you truly feel fine, a chiropractic assessment can identify areas of subluxation (when one or more of the bones of your spine move out of position and create pressure on, or irritate spinal nerves), or decreased brain/body connection. This way, treatment will allow these areas to function properly.

Cracking Knuckles Will Cause Arthritis

There is no research that shows cracking knuckles cause arthritis. Joints need to move in order to function properly and often it is the opposite that causes arthritis, lack of movement.
Arthritis being the end result of knuckle cracking is a myth that inevitably started decades ago by parents who wanted to stop listening to children cracking their knuckles.

If a knuckle “feels” like it must be cracked then there is stiffness that needs to be alleviated. The same can be said for those who crack their backs. There is stiffness or a tight feeling in the spine therefore twisting alleviates that tightness.  (However, if this tight feeling happens frequently, there may be an underlying problem that needs to be attended to.)

If there are any other myths you have heard about chiropractic care please give Chiro-Med Rehab Clinic in Richmond Hill a call. They have a team of professionals that can help you get straight answers to your questions. Chiro-Med has a convenient location and highly qualified health professionals to help you with all your chiropractic needs. Call 905-918-0419 or contact Chiro Med online!

Sources:
http://www.chiropracticfortheworld.org/
http://en.wikipedia.org/wiki/Canadian_Medical_Protective_Association

Indulging yourself with therapeutic massage can allow you to briefly escape from the stress of the outside world.  The soothing atmosphere created by fragrant aromatherapy candles and oils and relaxing music can transport you into another world, even if only for an hour or so.  At Richmond Hill, massage therapy is practiced by qualified professionals who will use relaxation techniques to ease pain and dissolve tension in tired muscles.  Massage therapy has a positive effect on every part of the body, both inside and out, and can even improve your moods and increase your mental awareness.

Massage therapy detoxifies the body by stimulating the lymphatic system to release built-up toxins from the body, helping to prevent the onset of potentially deadly diseases.  It also improves circulation, bringing more oxygen to the tissues and organs, including the brain.  Ample flow of oxygen to the brain increases alertness and cognitive function, and improved circulation in the skin helps keep it retain its elasticity, reducing the appearance of wrinkles and giving the skin a healthy, youthful look.

Massaging the muscles relieves pain and tension caused by sports, injuries and daily stress.  The saying that stress can kill is literally true, because stress can cause a fight-or-flight reaction in the body, releasing adrenaline and other chemicals that can build up in the tissues to toxic levels.  Massage therapy releases these chemicals from the muscle tissue so that the body can eliminate them.

Massage can actually combat depression and anxiety, improving your mood and leaving you feeling happy and content.  It stimulates the endocrine system to release chemicals called endorphins that affect your emotional state, so the feeling of well being that you often get following a massage is an actual physical response.  Richmond Hill massage therapy can benefit you in every way – body, mind and soul.

Shockwave Therapy is a non-invasive treatment for individuals who are suffering from many joint and tendon disorders.  More commonly known as Extracorporeal Shockwave Therapy (ESWT) to health professionals, this form of treatment sends acoustic shock waves into the bone or soft tissue which basically reinjures the area on a cellular level.  As a result scar tissue that has penetrated tendons and ligaments becomes broken up. This controlled method of re-injury allows the body to regenerate bone cells and blood vessels which in turn leads to faster healing.

Shock waves are high energy sound waves that are audible. They occur when an aircraft breaks the sound barrier or during lightning strikes. For over thirty years now shock waves have been used in the medical field (for example) to disintegrate kidney stones.

Shockwave therapy treats a variety of conditions that can plague an individual. Some of these include:

• Lumbar and cervical spine regions
• Chronic muscular pain
• Shin splints
• Bursitis
• Iliotibial band friction syndrome
• Patellar tendonitis
• Hamstrings
• Heel spurs
• Plantar fasciitis
• Achilles tendonitis
• Tennis elbow
• Calcific tendinosis of the rotator cuff muscles
• Non healing ulcers
• Mortons neuroma
• Hallux rigidus

Depending on the condition and how severe it is depends on how many treatments are required. On average, most patients need about 3 to 6 treatment sessions per week. Clinical studies say that for those who were suited for this treatment there is about an 80 to 85 percent chance of the condition being greatly improved yet 95 percent experience some level of improvement. Most people with a soft tissue injury can benefit from this treatment, especially athletes

Proven Success Rates

• 91% improved for calcific tendinitis
• 77% improvement for tennis elbow
• 90% improvement for plantar fasciitis

How Safe is Shockwave Therapy?

The basic technology involved with this shockwave technology has been actively used on millions of people (mostly in Europe) for several decades.  This technology originates in Europe hence the reason for the high number of people who have benefitted from it.

There are virtually no side effects and even the mild side effects such as redness, tingling or redness is rare and short-lived.

There are many benefits from shockwave therapy. Of course it is non-invasive, basically has no side effects, accelerates healing, and coverage is available from most health insurance companies.  This is a treatment that has been fully tested and backed by a lot of scientific evidence.

Are there People Who Cannot Have this Therapy?

Shockwave therapy is not for everyone. It is typically not used on those who may have bone tumours, circulation or nerve disorders, and certain metabolic bone conditions.  Also, it is not used on women who are pregnant either.

There are some other contraindications and/or precautions to be aware of such as:

• Cortisone injections
• Blood thinning medications
• Heart or circulatory problems
• Cancer or diabetes

The best thing to do is have a consultation with a qualified health professional so you can find out if you are a candidate for shockwave therapy.