Thursday, November 12, 2015

How to Stay Active At Home When the Days Get Shorter

Canadian Chiropractic Association

During this time of year, days are getting progressively shorter and we may start to feel a little more pressed for time. Most of us already struggle finding time to stay active, which can take a toll on our overall health and the health of our spines. Staying active and mobile is important to keeping our spine healthy, and decreasing overall tension and stress which can also help prevent MSK conditions. As little as fifteen minutes to a half hour of activity a day can help prevent MSK conditions.

When you feel short on time as the daylight shortens, here are some ways you can stay active at home.
 

Fit-in-15!

 
This is one of our favourite ways to stay active. The Fit-in-15 program was developed by Canada’s Doctors of Chiropractic, recognizing the difficulty in scheduling physical activity in your daily routine. It allows you to quickly build a 15-minute workout plan to target muscle strength, flexibility and cardiovascular health. Designed for simple, practical use, Fit-in-15 will help you stay motivated and active from home!
 

Schedule Your Workout

Sometimes even the perception of shorter days can leave us feeling anxious and stressed about missing out on activities you enjoy – like your workout. If you constantly feel like you are too pressed for time for physical activity, try scheduling it into your day as though it were a meeting you can’t miss. Use the Straighten Up Canada app and set reminders to complete your exercises.
 

Working out at Home

If you don’t feel like heading out into the cold or darkness to get your workout, try some resistance training at home  or follow along to a workout video. Introduce simple, scalable and easy to do activities to your day, such as push-ups, sit-ups and lunges1. These exercises are easy to do since they rely on your own body weight and do not require the use of equipment. You may also find a variety of workout videos on YouTube or popular fitness sites if you do not have the means to purchase a program at home.
 

Weekly Chores

Being indoors makes it easier for us to fall complacent to sedentary activities such as watching TV or using the computer. A great way to stay regularly active at home is to commit to a schedule of daily chores broken down in 15-30 minute segments. Instead of investing hours during the weekend, consider breaking down tasks into smaller, more manageable routines that could also provide you the opportunity for daily exercise. These could include any chores or duties around the home like vacuuming, doing laundry, or mopping2. Committing to your chores on a consistent basis will keep you physically active even when the weather discourages us to venture outside.
 
Staying active can become a challenge as the days get shorter and the lack of exposure to daylight drains our energy. Yet, daily activity can be an important factor to re-energizing the body and the mind, while preventing MSK conditions.
 
For more tips on how to stay active at home during the fall and winter months, visit your local chiropractor.

Monday, November 9, 2015

Treatment And Prevention Of Whiplash Injuries

By Dr. John A. Papa, DC, FCCPOR(C)

The unique forces generated during a motor vehicle collision (MVC) cause more than 100,000 whiplash cases in Canada each year.  This article will specifically focus on the treatment and prevention of whiplash injuries.

The term WAD (Whiplash Associated Disorder) is used to describe a range of injuries that can be attributed to whiplash.  This may include:  neck pain, whole body muscle pain/ache, jaw pain, referred arm pain, shoulder or other joint pain, mid back pain, low back pain, headaches, dizziness, and tinnitus.

WAD Grades 1 and 2 represent the majority of whiplash cases and are amendable to conservative management.  Early treatment and consultation can greatly improve the recovery process and prevent future complications and chronic pain.  Effective treatment strategies may include: pain controlling modalities such as electrotherapy and acupuncture to help facilitate and promote activity and functioning; manual and soft tissue therapy to assist in the healing of injured tissues; education on how to safely re-integrate into activities of daily living; and rehabilitative exercises that may include range of motion, flexibility, strengthening, and balance/coordination training.  An independent home exercise program should also be provided.

The goal of treatment is to get the injured individual back on their feet and up to their normal level of activity.  The majority of people with WAD Grades 1 and 2 experience no significant disruption to their normal activities of daily living.  Some may experience a temporary disruption to their normal activities, but usually improve after a few days or weeks.  Occasionally, symptoms may persist over a longer period of time.  A return to normal activities of daily living may be assisted by active treatment and rehabilitative exercise prescription as described above.

Included below are some tips that may help prevent a MVC and/or whiplash injury (courtesy of the Alberta College and Association of Chiropractors):

1.    Drive defensively.  Always anticipate the actions of other drivers.

2.    Wear your seatbelt at all times.

3.    Make sure your headrest is positioned properly, that is, the top of the headrest should be no lower than the top of your ear.  If more than one driver uses the car, remind each other to always check the headrest height.

4.    Never operate cell phones or other electronic equipment while driving.

5.    When road conditions are poor (i.e. icy, wet, dark, or crowded), slow down accordingly.

6.    Be sure your car is always in good working order, particularly your brakes, tail lights, headlights, and directional signals.

7.   Engage in regular physical activity consisting of cardiovascular, strength, and flexibility training.  This will help keep your body strong and offer some protection in the event your are involved in a MVC.

If a whiplash injury is interfering with your activities of daily living, consider chiropractic care.  A chiropractor can prescribe appropriate conservative therapy, rehabilitation and self-management strategies specifically for you.  For more information, visit www.nhwc.ca.

This article is a basic summary for educational purposes only.  It is not intended, and should not be considered, as a replacement for consultation, diagnosis or treatment by a duly licensed health practitioner.

Tuesday, November 3, 2015

Understanding Whiplash Injuries

By Dr. John A. Papa, DC, FCCPOR(C)

Whiplash is a common injury that can be experienced following a motor vehicle collision (MVC).  There are more than 100,000 whiplash cases in Canada each year.  The unique forces generated during these collisions can stress biological tissues and result in pain and decreased functioning for those affected.  This article provides a review of whiplash specifically focusing on the mechanics of injury, the associated symptoms, and general guidelines for the evaluation of any accompanying injuries.
 

Although rear-end collisions are the most commonly reported mechanism of whiplash injury, an injury may also occur following side and head-on collisions.  The forces generated from these types of impacts thrust the head (and to a lesser extent the entire body) back and forth, much like a snapping whip.  Injury results because the body is unable to compensate adequately for the speed of head and torso movement from the acceleration forces generated at the time of impact.  This will put stretch, compressive and shear stresses on biological tissues such as muscles, ligaments, joints and nerves.  As a result, this can generate pain symptoms, and affect range of motion, strength, coordination, and balance. The onset of whiplash symptoms may immediately follow a MVC or may gradually develop over the first 24-72 hours.  A later onset of symptoms does not necessarily indicate a more serious injury.

Neck pain is frequently associated with whiplash injuries.  However, the whiplash mechanism may also cause injury and symptoms that include: whole body muscle pain/ache, jaw pain, referred arm pain, shoulder or other joint pain, mid back pain, low back pain, headaches, dizziness, and tinnitus.  The term WAD (Whiplash Associated Disorder) encompasses all of these potential symptoms and is commonly used to grade the degree of injury present.  Of the four Grades of WAD, Grades 1 and 2 represent the majority of whiplash cases.

Evaluation of whiplash injuries should include a proper medical history, along with a physical examination consisting of inspection, palpation for tenderness, range of motion, strength, neurological, orthopaedic and functional testing.  Signs of serious injury, such as fracture, are usually evident in early assessments and may require further diagnostic testing such as x-ray, CT scan, or MRI.  Chiropractors are healthcare professionals skilled in the diagnosis and treatment of whiplash injuries and are commonly involved in the management of WAD.

When an individual sustains a whiplash injury, injured tissues can become stiff and weak when they are not used, which can further exacerbate pain symptoms.  Therefore, a return to daily activities after whiplash injury is extremely important for successful healing as extended rest may prolong recovery.  Healing and a return to daily activities may be facilitated with active treatment and rehabilitative exercise prescription.  Join us next time when we specifically take a closer look at the treatment and prevention of whiplash injuries.  For more information, visit www.nhwc.ca.


This article is a basic summary for educational purposes only.  It is not intended, and should not be considered, as a replacement for consultation, diagnosis or treatment by a duly licensed health practitioner.

Friday, October 30, 2015

Preventing Falls


By Dr. John A. Papa, DC, FCCPOR(C)
 
A fall causing serious injury can occur to anyone at any time.  Since most trips, slips and falls happen in and around the home, it is a good idea to fall-proof your home with the following measures:
 
In the Halls and on the Stairs
·        Install non-slip strips on the edge of each step.
·        Secure loose carpet.  Make sure hallways and stairs are cleared of anything that you can trip over (i.e. books, shoes, bags).
·        Replace burnt-out light bulbs so that you always see where you are going.  Night-lights in halls and stairways can also be helpful.
·         Install handrails on both sides of staircases inside and outside the home.
 
In the Bathroom
·         Use non-slip mats inside and outside the bathtub and shower.
·         Install grab bars next to your toilet and in the tub or shower.
 
In the Kitchen
·         Put commonly used items on lower shelves and cabinets so a step-stool is not needed.
·         Replace loose scatter mats with rugs that have a rubber backing.

Outdoors
·        Keep a shovel and covered bucket of sand or salt near the doorway in winter to safely handle slippery conditions.
·        Keep steps and pathways clear of clutter such as yard tools, snow shovels, newspapers and wet leaves.
·        Don’t juggle parcels while trying to enter the house.  Never carry more than is reasonable.  Instead, make a few trips from the car with smaller packages.
 
More tips
·        Quickly dry up any wet areas on the floor to prevent slipping.
·         Wear shoes with good support and non-slip soles.
·         Always sit down to put on or take off shoes and clothes.
·         Employ extra caution when using ladders and step-stools.
·        Regular exercise can help improve your strength, balance and coordination.  Making your body stronger is one of the best ways to prevent falls.  Exercises such as yoga, Tai Chi, resistance training, bicycle riding, and power walking are great examples.
 
The following may be especially important for older individuals:
·         Maintaining a healthy diet and not skipping meals can increase your energy and strength.  Missing meals can lead to weakness, irritability and dizziness.
·        Have your MD or pharmacist review your medications.  Some medications can cause dizziness and weakness, which can affect your balance and perception.  Make sure that your MD or pharmacist explains all of the possible side effects of your medications.
 
Although the risk of falling increases as you get older, there are some simple things people of all ages can do to prevent falls.  In the event that you fall and suffer a muscle or joint injury that does not subside, you should contact a licensed health professional.  For more information, visit www.nhwc.ca.  The author credits the Canadian Chiropractic Association (CCA) in the preparation of this educational information for use by its members and the public.
 
This article is a basic summary for educational purposes only.  It is not intended, and should not be considered, as a replacement for consultation, diagnosis or treatment by a duly licensed health practitioner.
 

Thursday, October 29, 2015

Results Of The 2015 Record Reader Awards

The results of the 2015 Record Reader Awards were published today and...

WE WON!!!



New Hamburg Wellness Centre was awarded the following:

  • Favourite Alternative Medicine Clinic - DIAMOND - 2 years in a row

  • Favourite Chiropractic Clinic - PLATINUM - 2 years in a row

We sincerely appreciate your votes and support for the 2015 Record Reader Awards.


Come visit us at 338 Waterloo Street, Unit 9 in New Hamburg.
New patients are always welcome!
519-662-4441

 

Tuesday, October 27, 2015

What Does It Mean To Have Degenerative Joint Changes?

By Dr. John A. Papa, DC, FCCPOR(C)
 
Have you had a joint problem and been told that you have "degeneration" or "degenerative changes"?  What exactly does this mean?  Is this something that can be fixed?  Let's take a closer look at two common types of degenerative changes and some potential management strategies that can be employed.
 
1.    Degenerative Joint Disease (DJD) is also known as osteoarthritis, and is the most common form of arthritis.  Weight-bearing joints such as the hips and knees are most commonly affected, but DJD can affect any area of the body, including the hands, neck, and low back.
 
Most joints in our body have smooth cartilage surfaces that glide against each other, which allow two or more opposing bones to move freely and perform a specific set of movements.  A joint becomes "degenerated" or arthritic when there is wearing down of these cartilage surfaces, and a change in the composition of the bone underneath the cartilage occurs.  An arthritic joint does not mechanically function like it is supposed to.  This may result in a number of symptoms including:  muscle tightness and weakness, joint pain and stiffness, decreased ranges of motion, creaking in the joints, swelling, inflammation, and joint thickening (i.e. finger nodules, bunions).
 
2.    Degenerative Disc Disease (DDD) specifically affects the spinal discs between each vertebrae and is also considered an arthritic disorder.  Spinal discs allow for some movement between vertebrae, and they also absorb compressive, tensile, and shearing loads with everyday activities.

      The centre of the disc, called the nucleus pulposis, is jelly-like and mostly made up of water.  The outside of the disc, called the annulus fibrosis, is tough and thick and contains the nucleus pulposis.  Over time, the water content of the spinal disc diminishes, causing it to dry out and become fibrotic (tough and brittle).  As the disc becomes fibrotic it can develop tears.  This breakdown can result in disc herniations, the development of bony spurs, and sciatica.


 
 
 
 
 
 
 
 
 
 
Risk factors/causes for DJD and DDD are typically multi-factorial, meaning that there is usually no single cause, but rather a combination of several different factors.  These risk factors/causes may include but are not limited to: advancing age, genetic predisposition, mechanical overload from occupational and recreational activities, direct injury to the affected region, cigarette smoking, lack of exercise, and being overweight or obese.

Degenerative changes can result in debilitating symptoms for some individuals and can be managed a number of ways.  Maintaining an ideal body weight through a healthy diet and regular exercise consisting of strength, flexibility, and endurance training can reduce the risk of pain and subsequent disability.  Treatment from licensed health professionals who utilize manual mobilization therapies, soft tissue therapy, electrotherapy, acupuncture, exercise and rehabilitation strategies can also significantly help to decrease pain by restoring normal muscle and joint motion, and promote healing of arthritic or injured areas.

In the event that you suffer from degenerative joint changes, you should contact a licensed health professional who deals in the diagnosis and treatment of these conditions.  For more information, visit www.nhwc.ca.
 
This article is a basic summary for educational purposes only.  It is not intended, and should not be considered, as a replacement for consultation, diagnosis or treatment by a duly licensed health practitioner.