Why does my chiropractor care if I smoke?

Why does my chiropractor care if I smoke?
As a chiropractor why do I care if my patients smoke? I mean it’s not like I’m treating their lungs or heart, right? Well no directly I’m not. I will have some effect on your lung function, what? How? By working on your upper back, rib cage and muscles of respiration we can improve the mechanics of breathing.
Now back to smoking, why does my chiropractor care if I smoke?

Smoking isn’t just for hearts and lungs any more, smoking or more accurately nicotine( so vaping counts) causes a reduction in blood and nutrient flow to the discs between the spine and the spine itself, now the blood supply to these structures is rather limited to start with and some of the nourishment occurs only by nutrients being transmitted to these structures. This can result in degenerative changes to the spine. Should this happen over a long period of time you may then need a spinal fusion surgery, continuing to smoke will result in a poorer surgical outcome.

Smoking will reduce bone formation leading to a greater risk of spinal fracture especially women who may already have lower bone density due to menopause. If there is a fracture, naturally that fracture will now heal slower as well due to decreased blood flow and decreased bone formation to repair the break.

Let’s leave the effects of smoking on your bones and spine and wonder why else does my chiropractor care if I smoke. If you recall smoking can affect blood flow to certain tissues is rather limited, this would hold true for things like ligaments that connect bones together say in your knee. Smokers who injure their knee ligaments requiring surgical repair will again have poorer outcomes post-surgery and may need revision surgeries later on. Not fun.

Why else does my chiropractor care if I smoke? Smoking has been shown to be one of the strongest environmental risk factors for developing rheumatoid arthritis. Rheumatoid arthritis is a chronic, progressive, debilitating and disfiguring form of arthritis, a form of autoimmune reaction characterized by inflammatory joint dysfunction. Eagle Glen Frey recently passed away due to complications related to RA treatment and its subsequent co-morbidities.

So why does my chiropractor care if I smoke? Because I care about you and your overall health.
For more blogs visit here https://yourpickeringchiropractors.ca

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

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

Novel treatments for osteoarthritis

Osteoarthritis treatment

Most of you know someone with osteoarthritis, or may have it yourself; it is a very common form of joint disease that is related to aging and wear and tear of joint surfaces. This can occur in any joint but commonly occurs in the load bearing joints, the hips, knees and spine. Our joints have a super smooth layer of cartilage as its surface which allows the bones to move easily on one another, synovial joint fluid aids in this movement providing lubrication and nourishing the cartilage. As we age the cartilage producing cells lose their ability to keep up with repair processes and the joint begins to wear down, cracks and fissures can occur in the cartilage and the joint may become painful.

Recently treatments have been developed to improve this situation. First we had the development of artificial joint fluid to help with the lubrication of the joint, to mixed success.

Next we had, PRP or platelet rich plasma, here the clinician removes some of your blood, spins it in a centrifuge to remove the red/white cells and increase the concentration of platelets in the plasma. Platelets are special blood components that help with clotting the blood after a cut but also have special proteins that can help repair tissues. There have been some positive results for tendon type injuries; famously Tiger Woods had this procedure done. More recently it has been tried for osteoarthritis of the knees primarily providing some relief of pain, no small thing for anyone suffering from knee osteoarthritis, but not the big prize, regeneration of the cartilage.

A newer treatment, uses stem cells, these cells are master type cells that can convert to certain cell types, i.e. in this case cells that produce cartilage. These cells are harvested typically from your iliac crest, the bones that you put a belt around. These cells are then injected into the knee in several studies have shown to have regenerated the cartilage, improved pain and function.

These newer treatments are still somewhat experimental, not covered by provincial health plans or employer health plans and range from a few hundred to several thousand dollars. The future looks promising for these newer treatments and perhaps a “cure” for osteoarthritis is around the corner. In the mean -time, maintain a good body-weight, exercise, and visit your chiropractor to keep the joints moving well.

For more information on other topics see here https://yourpickeringchiropractors.ca

Disc Related Back Pain

What disc related back pain

What is Disc Related Back Pain?

This being my first blog, I wondered what to speak about, however today I saw someone who’s case while not uncommon gave me the motivation to talk today about low back pain related to a herniated intervertebral disc. What is disc related back pain?

What is disc related back pain?

Most back pain, close to 90% is what one would term, “mechanical low back  pain”, mechanical in the sense that it has as its cause a pain generator in  the muscles or joints of the lower back. This type of back pain while extremely painful and debilitating is uncomplicated and will resolve with treatment in less than 6 weeks in most cases.

Disc related back pain is another matter. The intervertebral (spinal bones) discs are located in between the bones of the spine, they allow for movement and if you imagine are like a jelly donut, firm on the outside and well jelly-like on the inside. In some cases with improper stresses, twisting while bending and lifting either in one event or repeated can cause a weakening of the outer wall of the disc and result in either a bulging outward of the disc or a rupture causing the jelly to come out.  Your body’s response to this injury will typically initially back pain, muscle spasm, you may look crooked, tipped off to one side, movement in any direction will be limited and painful. Days to a week or so later you may then start to have screaming leg pain down the back of one leg, this tends to be worse than the back pain.

Disc injuries can resolve on their own with conservative chiropractic treatment, the majority  in 12 weeks to a year. Your family physician may prescribe some anti-inflammatory medication and order a special test called a MRI (magnetic resonance imaging) for a look at how the disc is impacting your nervous system. Regular x-rays  are of little use in a case like this.

Chiropractic treatment will help with pain control, muscle spasm and help to keep you moving. I will give you exercises to help with the pain as well. As a chiropractor I will also monitor your nervous system’s response to the injury and make the appropriate referral back to your family physician should the condition worsen.

Surgery is usually a last resort, but will help if the health of the nerve is compromised.

If you know of any one with back pain of any sort have them call for an appointment and get them some help.

Dr. Kevin Finn

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https://yourpickeringchiropractors.ca