Comox Valley Chiropractor – Tips for your Health

Health tips from your Comox Valley Chiropractor

Pelvic Pain in Pregnancy February 15, 2009

Pelvic Pregnancy Pain

Pelvic Pregnancy Pain

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Pelvic pain is one of the most common conditions to accompany pregnancy. This problem can range from some soreness in the hips and back to debilitating pain which prevents someone from standing or walking for any length of time.

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In pregnancy, your body will produce a hormone called “relaxin” which loosens your ligaments and makes your joints less stable. This is done in order to ensure that the baby can pass through the pelvis easily.

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This decrease in stability of the pelvis and hips can lead to stresses on the joints that cause pain and disability. This is especially likely when your belly begins to grow and your posture changes. Having an unstable pelvis makes you less able to deal with these changes.

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Pelvic pain can begin anywhere from 8-12 weeks and last until delivery. Depending on the nature, location and severity of the problem, chiropractic can be an effective solution for this condition. Muscle work, taping, and adjustments to the restricted joints of the spine (NOT the loose ones) can help to take pressure off the pelvis and reduce pain.

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Another option which is highly recommended is a trochanteric belt.  This belt helps to stabilize the pelvis and relieve the symptoms. An example of a trochanteric belt can be found here, and you can find them in your local sports medicine/rehabilitation supply store.

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Pelvic pain may linger after delivery, and its important to continue treatment until the symptoms subside. In addition, you should be given home exercises which will help during and after pregnancy, and will help to restore stability after your delivery.

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Dr. Debbie Wright is a practicing Comox Valley Chiropractor.

 

Vitamin Water? No Thanks. February 1, 2009

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Thanks to Dr. Kinsler for reminding me that I haven’t yet ranted about this inane product.

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About 6 months ago a sales rep came around to our office and dropped off 2 massive cases of a brand of vitamin water. We usually carry some bottles of water for patients since we don’t have room for a water cooler in our waiting room (some people will actually look at us with scorn if we offer them tap water, even though Vancouver tap water continually beats bottled water on testing). We figured we’d hit the jackpot and didn’t have to shop for a while.

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Then I read the label. The amount of sugar is staggering, and even though it makes reference to fruit juice in the name of the product, there is nothing of the sort inside. What ever happened to getting your vitamins in your food? What ever happened to being happy with simple water to drink?

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This is just another example of misleading marketing to latch onto the health and wellness craze. You can read Rochester Chiro’s blog post to find out more about the class action lawsuit that is currently being filed against one brand of this product. Just goes to show you when it comes to health, don’t believe everything you read (especially if its advertising!).

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Dr. Debbie Wright is a practicing Comox Valley Chiropractor.

 

Prevent Hockey Injuries January 4, 2009

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Most injuries in hockey tend to be traumatic – cuts, bruises, breaks and concussions from collisions with players, equipment or the boards. However for the more casual player, muscle injuries tend to be very common. Most weekend warriors are guilty of not enough strength and conditioning, and improperly warming up/stretching before the game.

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The Canadian Chiropractic Association has developed an informative pamphlet to help hockey players stay healthy. Besides giving tips on how to prevent injury through proper equipment, they also lay out some stretches for both before and after the game. These stretches will help to prepare, and help recover, the most commonly injured and stressed muscles with hockey.

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You can download the pamphlet by clicking on the following link:

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Hockey Stretches

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As I usually tell my patients, its way easier to prevent the problem from happening than to fix it once its bad. Take the time to stretch properly before and after your game!

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Dr. Debbie Wright is a practicing Comox Valley Chiropractor.

 

How Chiropractic Can Help You December 14, 2008

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Chiropractic is a safe and effective form of treatment for neuro-musculoskeletal complaints. Below is a 30-minute video produced by the BC Chiropractic Association detailing how chiropractic can help you. Whether its a workplace injury, motor vehicle accident or chronic headache, discover how your local chiropractor can get you back on the road to recovery.

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Dr. Debbie Wright is a practicing Comox Valley Chiropractor.

 

Yes Suzy, Chiropractors ARE Doctors! November 2, 2008

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Myth # 2: Chiropractors aren’t doctors, they have very little education compared to medical doctors.

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This is a continuation of my post on the top 4 myths about chiropractic. Before I address the educational qualification of chiropractors, how about a refresher on what makes someone a doctor. In British Columbia, Chiropractic is regulated by our College under the Chiropractic Act.  The Act provides us this designation due to our right to diagnose. This means that we are able to determine a specific cause for a group of signs and symptoms with respect to spine and spine-related disorders. We have enough education and training to be able to come to a diagnosis, and more importantly, to determine when a condition is outside our scope of practice.

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As stated by Canadian Memorial Chiropractic College (where I attended), “The chiropractic curriculum encompasses a diverse range of knowledge including anatomy, pathology, biomechanics, chiropractic principles, diagnosis, and adjustive techniques.” The 4-year program focuses on diagnosis and treatment of musculo-skeletal injuries, and includes 4232 hours of instruction in subjects such as Neurodiagnosis in Chiropractic Practice, Differential Diagnosis, Systems Pathology, Clinical Biomechanics and Radiographic Interpretation. The requirements for admission into an accredited chiropractic program include minimum 3 years undergraduate study (as with medicine) but most students have  completed an undergraduate degree. That works out to 8 years of post-secondary education.

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Interestingly enough, a 2001 article in the Journal of Bone and Joint Surgery analyzed the curriculum of Canadian medical schools and discovered that on average only 2.26% of class time was devoted to musculo-skeletal injuries. This is surprising considering that in BC, one third of all visits to MDs are for spine and spine related conditions. The article concluded that “There is a marked discrepancy between the musculoskeletal knowledge and skill requirements of a primary care physician and the time devoted to musculoskeletal education in Canadian medical schools.”

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So it begs the question – if you have a problem with your back, what kind of doctor do you want to see? In my opinion, the information above speaks for itself.

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The Top 4 Chiropractic Myths October 20, 2008

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Day in and day out in my Comox Valley Chiropractic practice, I encounter new patients who confess that they didn’t try a chiropractor sooner due to hearing negative (and misleading) information. I spend a lot of my time explaining the true situations behind they myths they’ve heard. Over the next few weeks, I’ll expand upon my favourite 4 myths that I hear again and again. They are as follows:

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  1. Chiropractic is addictive – once you go, you have to keep going back for the rest of your life.
  2. Chiropractors aren’t doctors, they have very little education compared to medical doctors.
  3. There is no evidence to show that chiropractic works.
  4. Chiropractic treatment is dangerous.
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I will start with myth #1 – once you go to a chiropractor, you have to go over and over again, and keep going for the rest of your life. This one amuses me for many reasons, not the least is which its a perfect example of why people seem to measure chiropractic with a completely different yardstick than any other health profession.

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I like to compare chiropractic to dentistry. Most of us are born with a beautiful and healthy mouth of teeth. Over our lifespan, we are encouraged to go to the dentist twice a year for check-ups, cleanings and the occasional cavity filling. If we are diligent with our prevention, hopefully we will never have to have a tooth pulled or a root canal performed.

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Similarly, you are also born with a beautiful and healthy spine. Over our lifetime, our spine will also undergo stress and strain due to our relative inactivity, prolonged sitting and excessive amount of computer work (similar to too much candy and soda for the teeth). Just because you can’t see your spine every day in the mirror, doesn’t mean that stress doesn’t accumulate – just ask someone with bone spurs. Seeing a chiropractor for prevention, or treatment of small episodes of back pain, will help to avoid those major episodes which can lead to more invasive treatment such as surgery.

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So, are you addicted to your dentist? What would happen if you didn’t go? You’d either have a horrible set of teeth, or you would be forced to go for major work when the pain became too unbearable. Also, more research is starting to surface between a healthy mouth and a decreased risk of heart disease.

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What would happen if you didn’t go to a chiropractor? Your episodes of back pain would probably still resolve, albeit much slower and with more of an effect on your life. Its possible that the simple back strain you didn’t address would just keep coming back over and over, until it ended up becoming a chronic condition.

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People don’t become addicted to chiropractic. They simply discover a simple and effective treatment to get rid of their aches and pains quickly, so that they don’t become major events. That being said, in my opinion a good chiropractor will also be providing home stretching and strengthening exercises that will help the patient to maintain as much self-sufficiency as possible. So why do we completely accept regular visits to the dentist, but scream bloody murder when a chiropractor suggests preventative care?

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In my next post, I’ll discuss what is considered a normal treatment plan in my office and what I think is reasonable for preventative care. “How long until I get better?” is the most common question I have to answer in my office.

 

Chiropractic the Cost-Effective Solution in a Recession October 16, 2008

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Unless you’ve been hiding under a rock in the last few weeks, you’re aware of the financial crisis that is affecting the world. With governments stepping in with millions (and billions) of dollars to bail out companies and banks alike, its time to realize that this is going to start affecting all government delivered services. In Canada specifically, this means inevitable consequences for the most expensive provincial ministry – Health.

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In various provinces over the years, chiropractic care has been de-listed from the necessary health care services which are covered under the provincial plan. Each time, projected cost savings has been listed as the reason for the cut. By axing chiropractic services, the government can save 15-20 million per year in payments. What they don’t seem to realize (or they do and don’t care) is that people who would have sought out a course of $40 chiropractic visits for their back pain will now cost the system much, much more for an MD visit, prescription medication, an unnecessary X-ray or MRI, specialist consults and possibly surgery.

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This phenomenon has been documented in several instances in the literature. The largest and most comprehensive study to date was a 2004 study in the Archives of Internal Medicine.  The authors analyzed the claims data of 1.7 million California residents – 1 million without chiropractic benefits in their plans, and 700,000 who had chiropractic benefits included.

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What they found was that those people with chiropractic coverage spent 12% less per year on total health care costs. They also used less X-rays and MRIs, had fewer surgeries and hospitalizations, and spent 28% less money each time they had a back pain episode.

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The authors concluded that having chiropractic benefits as part of a plan helped to reduce the overall cost of the plan in four ways:

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  1. People choosing chiropractic were choosing a safer treatment with less side effects. Side effects will lead to increased cost due to the fact that they then need to be further managed.
  2. People would substitute chiropractic in the place of more expensive and less effective medical care, specifically for spine related conditions.
  3. Chiropractic was more conservative and less invasive than some other medical treatments.
  4. Chiropractic has lower health service costs than other common forms of health care.
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Its time to start making health care decisions that will pay off in the future, and stop sacrificing long term viability for short term gain. Chiropractic has been shown to be an effective and cost-effective form of treatment for spine and spine-related problems. Health care policy decisions need to start being made based on evidence and research, and not on which lobby group is the strongest.

 

Prevent Falls and Stay Active with Aging October 8, 2008

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I wrote in a previous post about the public education campaign launched by the Canadian Chiropractic Association which dealt with falls prevention for the elderly. That information can be found here.

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It is well documented that injuries sustained from falls can be a huge factor affecting health into our later years. A recent study in the Archives of Physical Medicine and Rehabilitation demonstrates a simple home stretching routine which can help to improve functional levels.

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Previous studies have shown that walking speed declines with age, and that this is an indicator of ones risk for falls and decreasing function. This recent study tested out two simple stretches in order to measure their effect on hip flexibility, and in return their effect on walking speed.

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The two stretches were a standard calf stretch with one foot flat on the ground, and a hip flexor stretch supported in a shallow lunge position (see pictures). The stretches were done twice per day, 3 times per side and held for 45 seconds. This program went on for a total of 8 weeks.

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When measured against a control group, the stretching group showed a faster walking speed and more hip and ankle flexibility.

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It is important to note though that this study was done in a population of healthy adults with an average age of 72. We can’t extend these findings to those adults with health or joint problems. However, it does show some promise for chiropractors and other clinicians to begin to implement a simple home program with their aging patients.

 

Knee Surgery Ineffective September 14, 2008

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A research study published this week in the New England Journal of Medicine states that Arthroscopic surgery for osteoarthritis of the knee provides no additional benefit to optimized physical and medical therapy.”

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Researchers followed two groups of patients with knee arthritis randomly assigned to receive either knee surgery or physical therapy plus over the counter medication. A follow up at two years showed no difference in pain level and quality of life between the two groups.

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This study is not the first to demonstrate the ineffectiveness of knee surgery for osteoarthritis. A study in the July 2002 edition of the New England Journal of Medicine demonstrated that the outcome after knee surgery was no different than that of placebo treatment (incisions but no surgery).

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Knee surgery is a common procedure recommended for arthritis sufferers for the simple reason that it has always been done. Now, there is mounting evidence that conservative care is just as effective as the surgery, never mind being less invasive, safer and less of a cost on the health care system.

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It is my opinion that as responsible health care consumers, we must make smart informed choices on treatment options. Practically speaking, for most conditions it is wise to choose the most conservative form of therapy first and save the most invasive (surgery) for later. The worst thing that will happen with most conservative therapies is that you don’t improve. Conversely, the worst consequences for surgery include infection, sepsis and death (especially with all the drug resistant bacteria in hospitals such as c. difficile).

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The effectiveness of many common surgical procedures (including those for low back pain) is starting to be questioned. If you would like to learn more about what your options are for conservative therapy, please contact your Comox Valley Chiropractor.

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Kinesiotape – A Great Pain Reliever! August 15, 2008

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Many of you have been watching the Olympics. If you’ve been watching beach volleyball, you’ve no doubt spotted the peculiar black tape all over the shoulder of one of the American women. This taping method which was developed by a chiropractor, called Kinesiotaping, is very popular amongst trainers and chiropractors especially when working with elite athletes. I’ve been using Kinesiotape in my office for about 6 months now with great results.

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From the Kinesiotaping website:

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The Kinesio Taping® Method has taken the Rehabilitation and Sports Medicine world by storm. This amazing taping method was developed by Dr. Kenzo Kase over 25 years ago in Japan. Kinesio Taping® has quickly become the gold, or should we say “platinum” standard, for therapeutic rehabilitative taping. The proprietary method of taping uses a uniquely designed and patented tape for treatment of muscular disorders and lymphedema reduction.

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The Kinesio Taping® Method involves taping over and around muscles in order to assist and give support or to prevent over-contraction. The first technique gives the practitioner the opportunity to actually give support while maintaining full range of motion. This enables the individual to participate in their normal physical activity with functional assistance. The second technique, which is most commonly used in the acute stage of rehabilitation, helps prevent overuse or over-contraction and helps provide facilitation of lymph flow for an entire 24 hour period.

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On a personal note, I have been using Kinesiotape for my knee sprain. When the tape is not applied, I have alot of pain walking, standing for long periods of time, and going from a sitting to a standing position. As soon as the tape is applied over the inside surface of my knee, I get instant relief from pain which enables me to strengthen and heal the injury quicker.

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I have used this method on various injuries in my office. Just yesterday, the tape was used to reduce the inflammation of biceps tendonitis, pregnancy-related pelvic pain and shin splints. If you have any questions about how Kinesiotape can help you, feel free to contact your Comox Valley Chiropractor.

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