What does a chiropractor know about Diabetes?

What does a chiropractor know about diabetes?

During a new patient history after dealing with the main complaint that brought the patient to the office, I will ask some general health questions assessing for things like diabetes.
What does a chiropractor know about diabetes, aren’t they just for backs? A chiropractor’s scope of practice is limited to neuromusculoskeletal conditions, or conditions related to nerves, muscles and bones, however as primary contact health care providers we just as importantly need to know about conditions that we don’t manage.

Getting back to our question, what does a chiropractor know about diabetes? While diabetes is an increasingly common problem, especially Type 2 diabetes that has its onset in middle age, it is often an undiagnosed condition. Research suggests that 3-5% of the adult population are undiagnosed diabetics or prediabetics.

Thus as a chiropractor we need to be aware of the signs and symptoms of diabetes so patients can get the care and education they need. Some of these signs and symptoms relate to the neuromusculoskeletal system, such as muscle cramps, numbness and tingling in the hands or feet, weakness, stiff and painful joints, contractures of the hands, back and neck pain. I will assess the vibration sense of the feet as this sense is often lost early in diabetes, leading to problems with balance, falls and possibly injuries to the feet and toes which can heal poorly.

Secondly, as chiropractors we can help treat some of the neuromusculoskeletal conditions associated with the condition. Encouraging activity and exercise is an early treatment for diabetes, this can be hard to do if it hurts to move.

  • Conditions that are commonly associated with diabetes that can be helped by chiropractic care are:
  • Peripheral neuropathy
  • Stiff Hands Syndrome
  • Carpal tunnel syndrome
  • Adhesive capsulitis of the shoulder
  • Tenosynovitis
  • Back pain
  • Neck pain
  • Joint pain
  • Dupuytren’s contracture

So hopefully that helps to answer the question, what does a chiropractor know about diabetes?

So if you have diabetes or know someone with diabetes, add me to your healthcare team
For more blogs visit https://yourpickeringchiropractors.ca

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What does a chiropractor know about eyes?

What does a chiropractor know about eyes?
What does a chiropractor know about eyes? This is a another question that I’ve heard many times in the past during an examination, in the same vein as last week’s blog here we go. So what does a chiropractor know about eyes?

What does a chiropractor know about eyes?

Why would a chiropractor want to check someone’s eyes anyway, isn’t that the job for a medical doctor or optometrist? Well primarily yes, however you’ve heard the phrase, “ eyes are the window to the soul”? There is some truth to that, in that what is happening with your eyes and vision may tell us something that is going on inside your head. Conversely we can test the eyes to confirm that something is happening elsewhere in the body.

What does a chiropractor know about eyes?

Another example might be someone who had a fall and hurt their back let’s say, why did they fall? Are they having a problem with their balance? As I previously mentioned part of balance comes from the eyes or it could be from joint in the neck or feet. So again we need to assess the eyes to determine where there might be an issue.

What does a chiropractor know about eyes?

Another example to consider is one of a patient with a headache perhaps the headache is due to their vision being poor and not simple muscle tension. Perhaps the patient had a head injury and needs to be assessed for a concussion. If the head injury resulted in a bleed in the brain, there might be increased pressure in the head, this could produce a headache but signs might also show up in the patient’s eyes.

What does a chiropractor know about eyes?

Another example again might relate to lower back pain. Certain types of arthritis, inflammatory types can also produce inflammation of blood vessels in the eye producing a red eye. A red eye is a common presentation to any healthcare provider’s office, is the red eye due to something simple, like a conjunctivitis (pink eye) or something more serious, such as arthritis related iritis? Or increased eye pressure from glaucoma producing a red eye and headache? As chiropractors we need to know the difference.

I hope that answers the question what a chiropractor knows about eyes.
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https://yourpickeringchiropractors.cablog/

Why does my chiropractor care about my feet?

Why does my chiropractor care about my feet?

Why does my chiropractor care about my feet? Isn’t that what a podiatrist or chiropodist is for?
Another good question, why should a chiropractor care about feet?
There are several good reasons why as a chiropractor I am interested in feet. Most obviously, feet are the first thing that make contact with the ground and as such have a bearing on what occurs above them I.e, your ankles, your knees, hips and even your back and neck, areas you might expect me to be more interested in.

Why does my chiropractor care about my feet: Posture
If we take someone with flatter feet, meaning the arch on the inside of the foot is lower or absent altogether, this can cause the ankle to roll in when walking or running, causing more forces to be applied to the inside of the knee, tight muscles at the hip and weak glutes. This can lead to increased or imbalanced stresses at the lower back and other compensatory changes in the upper back and neck.

Why does my chiropractor care about my feet: Musculoskeletal conditions
A couple of common conditions we also see in the feet are plantar fasciitis and fat pad syndrome, these typically present as heel pain, either first step of the day or after rest( plantar fasciitis) or with prolonged activity (fat pad). These are conditions that as chiropractors we can easily manage and help educate the patient to manage at home. This might involve exercises for the muscles of the feet or lower legs, custom or off the shelf orthotics shoe inserts, heat or ice.

Why does my chiropractor care about my feet: Neurological conditions
Have you ever wondered why I may check sensation in your feet? I usually check 3 ways, with a very light touch using a tissue, with a sharp object ( paper clip or pinwheel) and lastly checking vibration sense with a tuning fork. Why do I do this? Checking three types of sensation checks three different pathways of the nervous system from the foot to the brain, a problem feeling these sensations tells me something about where the problem may be. Most often with someone with back pain it might mean that a disc is putting pressure on the nerves going to and coming from the feet. It might also be a sign that someone who is diabetic is having a worsening of their condition and are at greater risk of injury be it from lack of balance because they can’t feel the ground under their feet or from cuts to the feet or toes that may not heal well and cause ulceration.

I hope that briefly explains why a chiropractor might care about your feet.
If you have further questions, please don’t hesitate to ask, or show me your feet.
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Careers that benefit from regular chiropractic care, PART 4: Professional drivers

Regular chiropractic care and professional drivers

Careers that benefit from regular chiropractic care part 4: Professional drivers
In my last blog in this series I talked about our emergency personnel benefitting from regular chiropractic care.
In this issue I will discuss another group of workers who benefit from regular chiropractic care.

This group are our professional drivers, transit employees be they bus drivers, train engineers and subway and streetcar operators, truck drivers, taxi drivers and couriers. These drivers spend their working day behind the wheel of large vehicles responsible for the safety of many passengers and expensive cargo.
These drivers have a number of risk factors for developing back and neck pain in common; constant vibration from the road or rail, prolonged postural stresses leading to postural muscle fatigue, jarring forces from the road or rails and the constant stresses of driving.

Let’s take truck drivers for example, long haul truck drivers can often be driving for 14 hours at a stretch. While they are often using a specialized seat that aims to limit road forces to them, they are only so effective, the truck’s suspension is primarily there to support the load in the trailer, not the driver. As such much of the vibration is transmitted to the driver. The constant vibration of driving has been identified as a risk factor for back pain and the development of osteoarthritis in the spine.
The next group of drivers then should not be a surprise then, bus drivers more so public transit than luxury coach drivers I’m thinking of here, although coach drivers will still be at risk. Public mass transit buses are not built for comfort, most of us who have taken a public bus can attest to the rough ride. The drivers don’t fare much better, they often to have an air suspended seat, but these are not one size fits all and since the bus is operated by many drivers over a week they often will end up with back pain due to the poor designs and often age of the equipment.

Train operators be they subway operators don’t have specialized seats, however they don’t get as many jarring surfaces, subway operators will however have vibration and the jerky motion of the train can often produce back and neck pain. Commuter train operators have a specialized seat however they often are at risk of lateral sway of the vehicle causing a “side-lash” or side whiplash do to the often violent lateral movement of the train.

I often see these drivers regularly as a preventative measure and often as the result of a work-place injury to the neck or back. Regular chiropractic care can limit the negative effects of constant stress, muscle tightness, vibratory and jarring impacts to the spinal joints due to prolonged periods of sitting and muscular fatigue.
If you know of a professional driver who could benefit from my care please don’t hesitate to have them contact me.
For my other blogs in this series or other topics visit here https://yourpickeringchiropractors.ca

Why does my chiropractor care about my bladder?

Why does my chiropractor care about my bladder?

“Why does my chiropractor care about my bladder? ” Recently while taking a history from a new patient, which included a review of various body functions, including bowel and bladder movements, the patient wondered aloud, “ I’m here for my back why do you care about my bowel and bladder movements”?

On the surface it may seem like an odd question from one who’s known for dealing with back, neck and other musculoskeletal conditions, but there’s a very good explanation , I swear.

Most lower back pain is what’s termed Non-specific Mechanical back pain. This type of back pain is very common and most of us will experience it at some point throughout our lifetime. This type of back pain is typically an injury to any one or more of lower back muscles, joints or ligaments. Here there is no involvement of the spinal discs or nerve involvement.

In some cases as I’ve described in previous blogs, the injury is to one of the spinal discs, or intervertebral discs. Infrequently one of these disc injuries causes compression to nerves that control sphincter muscles (muscles that open/close) of the bladder and bowel. This complication called “ Cauda Equina Syndrome” occurs in only 1-3% of disc injuries, mostly to men in their 40s or 50s who have had a history of chronic low back pain or who were born with a narrow spinal canal.

Thus this syndrome if present with lower back pain may produce symptoms related to bowel and bladder function and numbness in the saddle area ( the area of your body that would touch a saddle if you were riding a horse). Bladder symptoms could be things like, inability to stop or start a urine stream, the feeling of urgency for urination or incomplete bladder emptying. Bowel symptoms might include constipation, loss of bowel control or inability to feel when you need to move the bowel or that you have already moved your bowel.

This syndrome is a medical emergency and requires immediate surgery and even if a surgical intervention is performed some of the damage to the nerves may be permanent.

So there you have it, a pretty good reason for a chiropractor to be concerned about your bowel and bladder habits.
For more educational blogs not necessarily about bowel function go to https://yourpickeringchiropractors.caWhy does my chiropractor care about my bladder?

Is it my back or is it my hip?

Is it my back or is it my hip?

This is a common question I’m asked and the answer sometimes isn’t so easy, so I’ll try to explain with a couple of simple clinical scenarios.
The first scenario, involves a person I’ll call “Bill”, Bill is a 35 year old man who was doing some landscaping around his house, lifting and moving flagstone, digging, planting etc. He recalls bending and lifting a rock and then feeling some pain in his “hip” and buttock area and some pain in his groin. He is uncomfortable bending, standing from sitting and rolling over in bed. He finds some relief when he’s up moving around and walking feels better. Is it my back or is it my hip?

In this case Bill’s problem is his sacroiliac joint, or the joint between his sacrum or tailbone and his illium or the bones your belt sits on (unless you are a teenaged boy, then the belt may really sit on the hip) , this is not really your hip, but this is commonly referred to as one’s hip. A problem in this area will often present as Bill did with one sided lower back, buttock and groin pain, with walking tending to help.

Scenario two, has “ Betty” an energetic 77 year old lady who enjoys walking, golfing and gardening. Betty reports that over the past couple of years she has been getting more sore over her right hip, buttock and groin. The pain can be aggravated by her regular walks, getting out of bed in the morning or if she’s been still for a long period. Is it my back or is it my hip?

In Betty’s case the problem is in her true hip joint (ball and socket joint) or where her femur, the leg bone (the ball) inserts into the pelvis ( the socket), here the cartilage components of either the ball or the socket are wearing out and with weight on the right leg the symptoms become worse, inflammatory effects are worse when initiating movement from rest.

So in short is it my back or my hip?
Backs like to walk and hips don’t

Both conditions will respond well to chiropractic care
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Is it my back or is it my hip?

Image courtesy of David Castillo Dominic at FreeDigitalPhotos.net

Back to school means buying backpacks

Back to school means buying backpacks

We’re getting close to what some parents will refer to as, “ the most wonderful time of the year”, when our kids return to school. Back to school invariably also means back to school shopping, and often at the top of the list is a new backpack.

Back to school means buying backpacks

For some this will be their first back pack and for others a replacement for the holey, tattered mess that barely survived the year.

Here are some tips for buying, packing and wearing a backpack.

What to buy:   Several things to consider here, size, fit and features.

If your child is a kindergartner, the back pack should be roughly the same size as their back, so a considerably smaller backpack than the one your teen needs. Look for padded shoulder straps that can be adjusted to fit snug to their back, and internal pockets. Lighter materials are better such as nylon or canvas.

Older students, can have a larger bag, look for reinforced bottoms, padded backs, internal laptop sleeves, straps at the waist and chest will help to lessen the load on the back.

How to pack the bag:

This is important because the recommendation for those children under 10 years is that they carry no more than 10% of their body mass, that includes the weight of the bag itself! Older kids can have up to 15% of their body weight in the backpack, think about that for a minute, a 200 pound teenage boy should still only carry 30 pounds in their backpack! Check your child’s bag many high schoolers will have twice that, not good for a growing spine. A lot of this weight can be reduced by limiting a lot of junk from the bag, also bringing home and to class only what you need. Sometimes provisions can be made for students to have 2 sets of textbooks one for school and one for home if they’re having pain associated with carrying heavy textbooks back and forth from school.

Pack the bag with the heaviest items at the back closest to the body and use the pockets to distribute the load.

Wearing the bag:

Wear the bag with both straps, even though it’s cool not to, adjust the straps so they’re snug keeping the bag close to the body, not hanging way back and low like a teen boy’s pants.

As always if your child experiences any back pain, give me a call and we can assess the problem for any concerns.

For blogs on other topics, go to https://yourpickeringchiropractors.ca

Careers that would benefit from chiropractic care: Part one

Careers that would benefit from regular chiropractic care: Part one

Working on my own home the last few weeks has enlightened me as to certain professional tradespeople who would benefit from regular chiropractic care.

I have been doing a good deal of painting, drywall installation and having electrical wiring done at my home lately and man have I been stiff and sore. The positions needed for performing some of these tasks, painting a ceiling for example leave a lot to be desired from a chiropractic perspective.

This kind of overhead activity causes extension of the neck which compresses the joints in the back of the spine. So what you say? Well prolonged extension postures will cause inflammation of the joints and subsequent local irritation of the nerves and muscles. This will produce muscle contraction reinforcing the compression of the joint and producing a vicious circle of joint irritation and muscle stiffness.

Our bodies are pretty good at hiding this from us, for a time, there may be small hints that this is occurring such as morning stiffness, more pain or stiffness as the day goes on, or headaches. At some point this will translate into pain and dysfunction. For tradespeople often not working means not getting paid.

Careers that would benefit from chiropracitc care: Part one

Other workers who do a lot of overhead work such as electricians, in addition to having potential neck issues will also need to focus on their shoulders. Shoulders or more specifically the tendons of rotator cuff muscles of the shoulder are at risk of being impinged and worn with prolonged activities, potentially resulting in a degenerative rotator cuff tear.

My rationale for writing this, is to encourage those of you who are tradespeople who do physical work daily to receive regular chiropractic care and not let the vicious cycle of joint dysfunction result in disability and time off work.

Give me a call let me keep you on the job.

Dr. Kevin Finn 905-831-3939   For other careers that would benefit from chiropractic care visit  https://yourpickeringchiropractors.ca

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How To Pick The Right Backpack For Your Child’s Back

We are approaching what some parents term, “ the most wonderful time of the year”, when the kids go back to school.

With this however is back to school shopping for paper, binders, pencil crayons and the inevitable backpack.

For some, the kindergartners this is their first one, the first time in their life they need to carry something.

For others, the tweens and teens it is fashion, popularity it needs to be this years “it” bag.

In all cases it is a bag to carry stuff to and from and around school and given that they will wear it for 10 months of the year it needs to work, it needs to fit and when you check some of the prices it needs to last.

Some simple rules of thumb, weight for the younger kids the kindergartners, the bag and its contents should not weigh more than 10% of their weight, for the older kids not more than 15%. Weigh the bag from time to time and go through it to edit accumulated junk.

The size of the bag should be proportional to the size of the child’s back, thus a teen’s bag is too big for a first grader.

Bags should have 2 well padded and adjustable straps, no messenger bags, ideally there will be some padding on the back of the bag that is in contact with the body and there are straps to fasten in the front either at the chest or the waist or both, and they should be encouraged to be used. The bag should be worn on both shoulders, and snug enough so that only a hand’s breadth can be slipped between the bag and the child’s back.

The bag should be loaded so that heavier items are closest to the body, and lighter or bulkier items to the front. Some bags have compression straps to tighten the load in the bag to keep it tighter to the body.

Lastly for younger children put the bag over both shoulders for them or have them place the bag on a table so they can put it on without stooping. Older kids remind them that if they want to be able to play their sports or participate in their extra-curricular activities, little things like not using the right muscles to pick up their bag might mean the difference between watching their team and playing with them.

To review:

  1. Pick an appropriate sized bag, made of good materials and have adjustable straps.
  2. Not more than 10-15% of the child’s body weight should be in the bag
  3. Load it properly
  4. Put it on properly

If your children are complaining of back pain after returning to school, drop in to the office I’m sure we can help. Contact us at https://yourpickeringchiropractors.ca 905-831-3939, follow us on Facebook, Twitter and Google+

What does a Chiropractor do?

 

 

What does a chiropractor do?

What does a chiropractor do?

This is my second blog post, hopefully after the last one you have a bit better understanding of disc related back pain. So what does a chiropractor do?

The other night my 8 year old son asked for some help with a school project, “ what does your parent do”. So in describing what a chiropractor is and does I thought this would be a good blog topic. Perhaps it should have been the first post but here it is nonetheless.

A chiropractor is a doctor who’s area of specialization is with the joints, muscles and nerves of the body, primarily but not restricted to the spine. A chiropractor is a drugless healthcare provider, using a hands on manual therapy approach to restore function, reduce pain and improve quality of life for people having musculoskeletal problems, back pain, neck pain, headaches, sprains and strains etc.

Chiropractors attend a chiropractic college or university for 4 years after completing an undergraduate university degree. Courses in anatomy, physiology, pathology, biomechanics, microbiology, radiology, x-ray taking among others occur during their first 3 years. Don’t forget most importantly the hands on chiropractic care is intensely focussed on during these first three years. This is followed by a one year internship program treating patients under the supervision of a licensed chiropractor.

Chiropractors will then go on to  practice in a number of settings, solo, group, interdisciplinary(multiple different health care providers) , some will continue in research and the profession has 12 research chair professorships across the country. The federal government established research chairs in general to attract and create world class research centres in Canadian Universities. Others like myself will also teach at chiropractic colleges, something I do on  a part-time basis two days a week. In this role I instruct not only the hands on manual therapy chiropractors are known for but also diagnositic skills, symptom based diagnosis and case based simulation.

Stay tuned for more blogs at https://yourpickeringchiropractors.ca