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.


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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Our products are made with high-quality materials and cutting-edge technology, providing exceptional durability and performance. Customers love how easy they are to use and how they have improved their daily lives.


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

Collagen Can Help Repair Joints

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.


Desks and Your Back Health

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.


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.

Rotator Cuff Sprains And Rotator Cuff Strains

The shoulder is an important junction in the body that contains the rotator cuff. The rotator cuff is comprised of tendons and four muscles (teres minor, subscapularis, supraspinatus and the infraspinatus). Together they provide strength and stability for the shoulder joint as well as anchoring the scapula (shoulder blade) to the humerus (upper arm bone) in order for arm movements to occur in a smooth manner.

Shoulder pain generally occurs due to injury to the rotator cuff tendons that results from weakness, poor posture, trauma, or overuse. The rotator cuff becomes inflamed or irritated when pinching occurs between the humeral head (ball portion) of the shoulder joint and the acromion (roof area of the shoulder).

A sprain is an injury that involves the tearing or stretching of a ligament or joint capsule. Strains occur when a musculo-tendinous structure (muscle and tendon) tears or stretches. A rotator cuff sprain or strain can cause major discomfort and Chiro-Med Rehab Centre in Richmond Hill has professional physiotherapists and chiropractors that can help you restore maximum movement and functioning before the injury worsens.

Rotator Cuff Sprain / Strain Symptoms

The symptom list is not too lengthy for a rotator cuff sprain or rotator cuff strain. If you are experiencing a limited range of motion then this is a warning sign. Shoulder pain can indicate that a sprain or strain is a possibility as well as experiencing shoulder weakness in the muscles. Difficulty lifting over your head or even brushing your hair is another tell-tale sign that something is wrong and medical attention is required.

Sleeping may be affected when you have a rotator cuff sprain or rotator cuff strain. Rolling onto the injury can cause pain and even make the sprain or strain worse.

When you have any discomfort in the shoulder that lasts more than a day or two then it's advisable to get it seen to before it gets worse.

Rotator Cuff Sprain / Strain Treatment

Richmond Hill physiotherapy, chiropractic, acupuncture, massage, exercise and rehabilitation therapies are comprehensive and no two patients are viewed as being the same.

Chiro-Med Rehab Centre in Richmond Hill will assess your injury or area of complaint and prescribe specific exercises (with pictures and explanations) that can be completed at the clinic and at home to expedite healing, increase flexibility, improve strength, and most importantly to prevent re-injury.

There are other treatment options to compliment in office therapy that include rest. Taking a break from activities that affect the rotator cuff is important; as well as applying ice to the injured area to help reduce inflammation.

Stretching and strengthening the shoulder muscles is one method that Chiro-Med Rehab Centre physiotherapists will work on with you when symptoms are less acute. Professional registered massage therapy is another method to restore function to the shoulder. You can be rest assured that you are in professional hands at Chiro-Med Rehab Centre in Richmond Hill. A rotator cuff sprain or a rotator cuff strain can really affect your day-to-day living and we will ensure that you'll have professional support and assistance until you are fully recovered.

Drug-Free Therapies For Pain Relief And Relaxation

If you are one of the millions of people who suffer from stress, muscle stiffness and back pain, you may prefer to use a drug-free approach to treatment. No matter what ailments you may have, you can find a variety of alternative forms of therapy in Richmond Hill. Therapies most commonly used to relieve pain and stress, include chiropractic treatment, massage therapy and acupuncture.

Chiropractic treatment is commonly used for the treatment of back pain, but it can benefit many other parts of the body as well. This is because the spine is linked to all other parts of the body, so adjustment of the spine also helps to adjust other areas as well. Many people find relief from headaches, mood disorders and digestive difficulties by visiting a Richmond Hill chiropractor.

Massage therapy is an ancient art of relaxation that has been practiced in many cultures for thousands of years. Massage is said to balance the mind, body and soul, and enable the body to heal itself both inside and out. Richmond Hill massage therapy improves circulation, releases toxins from the tissues and triggers the release of endorphins that relieve pain and give you an overall sense of well being.

Practiced in the Orient for thousands of years, acupuncture is one of the oldest forms of medicine. In acupuncture treatments, tiny needles are inserted into the skin at key points to relieve pain and promote healing. At Richmond Hill, acupuncture can be used to relieve a multitude of health problems, including chronic pain, disease, obesity and addictions such as smoking.

Most people find therapies such as Richmond Hill massage therapy, chiropractic care and acupuncture much less invasive and unpleasant than conventional medical procedures. In many cases, alternative therapies such as these are a viable alternative to drugs, surgery and other forms of medical intervention.

Adhesive Capsulitis A.K.A. Frozen Shoulder

Adhesive capsulitis or more commonly referred to as frozen shoulder, is when a person loses the ability to move a shoulder around in all directions without pain. The term frozen shoulder best describes this problem because the shoulder becomes stiff and it may not be able to move at all.

Before getting any further ahead, let's briefly discuss how you should be able to move your shoulders in all directions without any discomfort. Testing your shoulder movement is as simple as:

  • With both arms, reach up toward the sky.
  • Hold your arms straight out in front of you.
  • Raise your arms to the sides of your body so that they are level with your shoulder.
  • Pretend that you are pulling something out of your back pocket.
  • Pretend you are trying to unzip the back of your dress.

All these motions should not cause you pain or discomfort. If they do, then Chiro-Med Rehab Centre urges you to see your health professional.

Causes Of Frozen Shoulder

Adhesive capsulitis (frozen shoulder) develops when the connective tissue in your shoulder joint tightens and restricts your joint's movement. Often, this occurs after a time when you have been less active because of another injury, such as a rotator cuff injury, a broken arm or recovering from a surgery.

Another explanation of what causes adhesive capsulitis is that the joint capsule of the shoulder joint has ligaments that keep the shoulder bones together. When inflamed, the capsule impedes in the shoulder bones ability to move freely.

There are even times in which there are no causes, it just happens.
There are risk factors though and they include:

  • Hyperthyroidism
  • Open heart surgery
  • Shoulder surgery
  • Diabetes
  • Cervical disk disease of the neck

People over the age of 40 are at higher risk for adhesive capsulitis, especially women.

Symptoms Of Frozen Shoulder

The most obvious symptom of adhesive capsulitis is a decreased motion in the shoulder area. Pain and stiffness are also possible indicators that frozen shoulder has set in. Pain prevents you from moving your arm and the lack of movement leads to stiffness. Before long, you become unable to perform activities such as reaching over your head or behind you.

Does The Shoulder Really Freeze?

No, sometimes frozen shoulder can cause the shoulder to just stop moving. This generally occurs if you don't use your shoulder enough or if you use it the wrong way; the shoulder develops scar tissue that stops it from easily moving around.

Diagnosing Frozen Shoulder

A physical examination of the shoulder is the first step to diagnose frozen shoulder. A health professional can check for the range of motion and condition of the shoulder. If the health professional is not certain, then he or she may order blood and urine tests to clarify the situation.

In the event of an injury, an x-ray of the shoulder joint can help and an MRI scan may be required to evaluate the severity of adhesive capsulitis.

Chiro-Med Rehab Centre in Richmond Hill is a trusted health care provider and has assisted people for years in obtaining a proper diagnosis of adhesive capsulitis.

Frozen Shoulder Treatment

Diligent physical therapy is important and treatment can include ultrasound, ice packs, electric stimulation, range-of-motion exercise maneuvers, and when the patient is ready, strengthening exercises. Physical therapy can take several weeks to months for full recovery. This depends on the severity of the scarring of the tissues around the shoulder.

It is very important for people with a frozen shoulder to avoid reinjuring the shoulder tissues during the rehabilitation period. These individuals should avoid sudden, jerking motions or heavy lifting with the affected shoulder.

Chiro-Med Rehab Centre in Richmond Hill can help you get on the road to recovery. Our physiotherapists have exercise and rehabilitation therapies that are designed to help each individual; and every treatment plan is tailor-made. There's no need to suffer any longer, give Chiro-Med Rehab Centre in Richmond Hill a call today.

Running Shoes and Your Health

Jogging or running is a preferred form of aerobic exercise for many people. Even in the winter months there are dedicated joggers out there in cold temperatures getting exercise. Although aerobic exercise is important, some people have found that running has caused them some physical problems.

Running involves repetitive jarring of the spine and depending on your back health; it can either cause problems or worsen a current problem.  This sport may appear to be harmless but back pain is a common complaint among joggers, especially when they are not wearing appropriate footwear.

You might be surprised to know that running puts three to five times your body weight onto your feet, joints and muscles every time you hit the ground. You'll want to take your body frame into account when choosing the right shoe for you.

Joints and discs are jarred and compressed when the body leaves the ground and hits the ground with every stride. That’s a lot of pressure on the knees and the back, after all, “pounding the pavement” is not natural and there can be short and long term consequences. Some experts recommend that joggers run on softer surfaces such as a padded track, grass or on a treadmill.

One thing that is critical is that if you jog, you need a top-quality cushioned running shoe. Many health professionals advocate cushion running shoes to help protect the joints and spine.

The Running Shoe

Selecting the right running shoe for your foot can be a daunting task, especially when you walk into a sports store and see dozens of shoes to choose from. Getting advice from a professional is important because a properly trained health professional can determine the type of foot you have and make suggestions that can help thwart off any possible troubles. More importantly, if you have any back pain at all, you should see a chiropractor before continuing to run; you could be causing more problems by ignoring it.

Motion-Control Shoes

Motion-control shoes offer support for those who overpronate (when the foot rolls excessively inward as the edge of the heel strikes the ground). This action can cause lower back stress or alignment issues. Overpronators tend to have low arches that require additional support.

Stability Running Shoes

Stability shoes are designed to control slight overpronation; and most joggers overpronate. These running shoes are designed to provide moderate support and cushioning.

Cushioning Shoes

Joggers wearing cushioned runner shoes typically supinate; this means their feet tend to exhibit an outward movement when they jog. They are the opposite of pronators and typically have higher arches. If there is no cushioning then the body takes the brunt of the pounding and this can cause damage to joints which results in back pain.

Tips for Buying Running Shoes:

  • Every time you shop for running shoes, have your feet sized properly. You may have different sized right and left feet; many people do.
  • Forcing a shoe on a foot will eventually cause pain.
  • Avoid buying shoes based on advice given after a salesperson has watched you walk. Your gait and foot motion are very different when you run; and although a salesperson may be knowledgeable, they are not health professionals.
  • All runners pronate. Pronation is a normal foot motion during walking and running. Pronation alone should not be a reason to select a running shoe. Stopping pronation with cushions in the shoes may actually cause knee or foot problems to develop. Excessive pronation can occur, but in most cases can be corrected with therapy and exercises to strengthen the foot rather than by a shoe.
  • Purchase shoes at the end of the day when your feet have ‘swollen’ as much as they will.
  • Be sure the shoe has a wide toe box. The toe box is the area where your forefoot and toes are. You should be able to wiggle your toes easily. Narrow toe boxes do not permit the normal spread of the foot bones during running.
  • Test the shoe to determine if it is too narrow: take the insert out of the shoes (if you are able) and step on them on the ground. Does your foot hang over the sides of the insert? If so, your shoe is too narrow.

If you have any discomfort or pain in the foot, leg, hip or back and you aren’t sure whether jogging is safe or not, call Chiro-Med Rehab Centre. We can help you determine what exactly is going on and help you to choose the right shoe based on your needs.

Established in 2007 by Dr. Behfar Sanjari, Chiro-Med Rehab Centre has been committed to providing quality health care services to the Greater Toronto Area for over half a decade. Chiro-Med Rehab Centre has qualified professionals who can help you come up with a personalized plan to ensure the stretches and exercises will benefit the health of your spine. 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.

Snow Shoveling Safely

We are all aware that snow shoveling is hard work, and the more snow there is and the "wetter" it is, shoveling becomes extremely challenging. There's no shortage of emergency room statistics that show us, shoveling can cause cardiac arrest if a person is not careful. What emergency rooms do not show are the enormous numbers of injuries that occur. Shoveling snow should be treated in the same manner as if you were to engage in any athletic or exercise program in order to protect yourself.

In January 2011, the results of a seventeen-year study were published in the American Journal of Emergency Medicine and the results were astounding. This study reveals that the most common injury when removing snow (either with a shovel or by using a snow blower) is to the soft tissue; the majority of all injuries are soft tissue injuries such as damage to muscles, ligaments and tendons. The lower back was the most frequently injured, followed by the arms and the hands. Twenty percent of injuries were directly related to slipping or falling as a result of being outside to snow hoveling and shockingly, 15 percent of injuries were the result of being struck by a snow shovel.

Snow shoveling safety needs to be taken seriously in order to avoid becoming a statistic. Here are some tips to help you minimize, if not eliminate any chance of sustaining an injury:

  • First and most important, if you have already had a heart attack or have a history of heart disease, have high blood pressure or have high cholesterol levels, do not attempt shoveling unless your doctor approves.
  • Drink lots of water before starting. Have some water available because shoveling is physical exercise and avoiding dehydration is important. (When you feel thirsty, your body has already started to dehydrate.)
  • Wear appropriate footwear.
  • Shovel at least one hour after eating and if you are a smoker, avoid doing so before or during shoveling.
  • Warm up first by stretching your shoulders, arms, hands, legs and back.
  • Start slow and it is advisable to work at a slow pace – don't be in a hurry because this is when an injury is most likely to occur.
  • Shovel early in a snowfall, and often if need be – better that than waiting for all 30 cm of wet heavy snow to fall!
  • Take breaks.

Snow Shoveling Techniques:

  • Pushing the snow rather than lifting it is best.
  • When shoveling deep snow, shovel it in small amounts.
  • If you know the ground is icy or slippery, toss down some kitty litter, sand, salt or anything else that is safe to use for the ground that will provide you with traction.
  • Lift properly by – keeping feet at hip width – hold the shovel close to your body – space your hands apart to increase your leveraging – tighten up your abdominal muscles while lifting – avoid twisting when lifting – walk to dump the snow; do not toss – and perhaps the most important – bend at your knees not your back!

Chiro-Med Rehab Centre: Reminders

In the event you start to feel heaviness or discomfort in the arms, neck or chest areas, stop shoveling immediately. If it does not subside right away, call 911. Other signs of heart attack to be aware of include a prolonged shortness of breath, dizziness, faintness, excessive sweating, or if you begin to vomit.

Do not work yourself to the point of exhaustion because this contributes to injury, hypothermia and to possible frostbite.

Should you sustain any soft tissue injury while shoveling – stop shoveling right away! If you cannot move or are in serious pain, call 911. If the injury isn't as severe, then see a health professional as soon as possible. Should there be any inflammation, apply ice right away.

Snow Shoveling Benefits

The good news about safely shoveling snow is that fifteen minutes of shoveling counts as a moderate physical workout. Although recommendations vary among agencies, between (minimum) 30-60 minutes of moderate physical activity weekly is essential to good health. If winter brings us lots of snow, then you get lots of fresh air and exercise – without paying for a gym membership.

More good news! Chiro-Med Rehab Centre has worked with countless patients who have sustained injuries due to snow shoveling. Our Rehab Centre has fully qualified professionals that will work with you to minimize the pain and to help get you back to your usual self. Hopefully you won't get injured this winter, but in the unfortunate event you do, call us right away.

Chiropractic Treatment – Will It Work For You?

Because chiropractic therapy is considered to be an alternative method of treatment, some critics question its effectiveness as well as its level of safety.  When you visit a Richmond Hill chiropractor you can rest assured that you will receive professional care from a highly trained specialist in chiropractic medicine.

The level of risk involved in chiropractic care is minimal, and the benefits far outweigh the risks.  Manipulation of the spine for lower back pain, the most common type of back pain is considered to be a safe and effective method of treatment that can be used by nearly everyone.  It is not recommended for anyone who suffers from osteoporosis or nerve damage, and people who have had spinal surgery should consult their physician before seeking chiropractic treatment.  If your back pain is accompanied by other symptoms such as fever, rash or chills, or unexpected weight loss, you should visit your doctor for an examination to rule out other causes such as infections or tumors before seeking chiropractic care.

In most cases, back pain is caused by repetitive movement and poor posture.  This type of back pain responds well to chiropractic treatment, and can be completely eliminated by removing the source of the pain while undergoing treatment.  A Richmond Hill chiropractor can advise you of the environmental factors that may be causing your back pain and suggest ways to improve your overall spinal health through exercise, better posture, and by making your environment more ergonomic.

With the demands that many jobs place on our bodies, it is easy for the spine to suffer additional strain from standing, sitting and repetitive motions.  For many of us, back pain is unavoidable.  Visiting a Richmond Hill chiropractor can provide you with the relief that you need.

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