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Gibsons Chiropractic Blog

June 23, 2010

To Your Health Newsletter 06-22-2010

By Dr. Stacey

Brought to You by Gibsons Chiropractic

Your Body Is Sending a Message

These days, people are constantly “connected” to their hand-held devices, whether it is their cellular phones, portable video games like Nintendo DS, e-readers such as Amazon Kindle, or they are just using apps on an iPhone. A Kaiser Family Foundation survey found that young people 8-18 years old spend in excess of seven-and-a-half hours a day using some form of mobile media. As a result, this younger demographic will surely be developing a condition known as forward head posture (FHP).

As technology advances in the market of hand-held mobile devices, it’s important to understand that where the head goes, the body will follow. If you have forward head posture, then you will have rolled shoulders. With rolled shoulders, a concave chest can follow, and often a pelvic tuck, all of which can contribute to progressive pain and dysfunction over time.

Because the demographic of people ages 13-27 is one of the largest groups of texters, we can expect to see a large increase of medical and chiropractic conditions within the next decade. The amount of time spent in a forward head tilt while texting or gaming, surfing or browsing the Web has increased as hand-held mobile devices such as cell phones, video games, and MP3 players have become smaller, mobile and essentially a direct extension of the person.

Look around you and you will see people with FHP using hand-held mobile device at tables in restaurants, at red lights in their cars, walking through the mall, in line at the grocery store, and even sitting in doctors’ reception areas. We are a society that is “connected,” now more than ever before, and we are suffering the health consequences.

Of course, forward head posture is not a new condition. Chiropractors have been treating and educating patients on the dangers of FHP for years, and the health conditions that FHP or anterior head carriage contribute to are well-researched and documented.

With all this said, it’s important to understand the negative effects of a repetitive stress syndrome and appreciate how many hours you are using your hand-held mobile devices and how many hours your children are using these devices. Talk to your doctor about forward head posture, the dangers of text messaging and other behaviours that put your body in stressful positions, and how you can avoid the pain before it starts.

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Big Benefits of Physical Activity

According to the CDC, adults need to engage in at least 2½ hours (150 minutes) each week of moderate-intensity aerobic activity to achieve substantial health benefits. Examples include brisk walking (3 miles per hour), bicycle riding (less than 10 miles per hour), ballroom dancing, or general gardening. Indeed, aerobic activities that keep you moving are integral to an anti-aging lifestyle. Let’s review some of the wide-ranging benefits of physical activity; then get up and get moving with some physical activity of your own!

1. Help Your Heart. Richard V. Milani, from the Ochsner Clinic Foundation, and colleagues investigated how psychosocial stress influences the effects of exercise training. The team followed 522 cardiac patients, including 53 who had high stress levels and 27 control patients who had high stress levels but did not engage in cardiac rehabilitation. The study subjects were offered 12 weeks of exercise classes consisting of 10 minutes of warm-up, 30 to 40 minutes of aerobic exercise (walking, rowing, jogging, or similar), and then a 10-minute cooldown stretch. The researchers found that the subjects who became physically fitter during the study period (by exercising) were 60 percent less likely to die in the following six years.
2. Grow Brain Cells. David J. Creer, from the National Institute on Aging, and colleagues studied the underlying mechanisms dictating how exercise improves information processing. The researchers prompted adult mice to uses running wheels, finding that doing so increased their number of brain cells and enabled them to perform better at spatial learning tests compared to mice that did not exercise. The exercising mice were better able to tell the difference between the locations of two adjacent identical stimuli, an ability that the team found to be closely linked to an increase in new brain cell growth in the hippocampus portion of the brain.
3. Build Strong Bones. Wolfgang Kemmler, from Freidrich-Alexander University (Germany), and colleagues analyzed data on 246 older women who were enrolled in the Senior Fitness and Prevention (SEFIP) Study. The researchers found that women who exercised had higher bone density in their spine and hip, and also had a 66 percent reduced rate of falls. Fractures due to falls were twice as common in the controls versus the exercise group (12 vs. six incidents). The authors’ conclusion: “Compared with a general wellness program, our 18-month exercise program significantly improved [bone mineral density] and fall risk.”
4. Stress a Little Less. Matthew P. Herring, from the University of Georgia, and colleagues analyzed the results of 40 randomized clinical trials involving nearly 3,000 patients with a variety of chronic medical conditions, including heart disease, multiple sclerosis, cancer and chronic pain from arthritis. The researchers found that, on average, patients who exercised regularly reported a 20 percent reduction in anxiety symptoms compared to those who did not exercise.

So take some advice from the experts, starting today: Get up and get moving! As the research presented in this article suggests, consistent physical activity has profound health and wellness benefits that you deserve to enjoy. Your doctor can help evaluate your current fitness/activity level and outline a fun, energizing, health-promoting exercise routine to keep you happy and healthy day after day, year after year.

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The Science of Sustained Energy

Carbohydrates, fats, and protein are known as the energy-yielding nutrients. These are the dietary components your body can actually break down to create molecules of energy known as ATP (adenosine tri-phosphate). While many diet plans emphasize focusing on one macronutrient over the others, a healthy diet represents balanced intake from all three groups. Let’s take a quick look at each macronutrient and how it impacts energy levels.

Carbs: Carbohydrates are often seen as your body’s preferred source of energy because they can most easily be broken down to create ATP. In fact, for several of your body’s tissues, including your brain, carbohydrates are actually the main source of fuel.

Simple carbohydrates, such as white bread, cookies, and anything made with refined flour, provide the body with a rapid rush of energy as they are quickly metabolized for fuel. Unfortunately, this energy rush is often followed by a fall in blood sugar, felt by the individual as an energy crash (and of course, hunger). On the other hand, a diet high in complex carbohydrates – whole grains, fruits, and vegetables – can offer unlimited health benefits. These carbohydrate sources contain dietary fibre, which provides a slower release of energy and contributes to feelings of fullness and satiety.

Fats: Just like carbohydrates, fat has received some negative publicity when it comes to a healthy diet. However, fat is actually the most energy-sustaining nutrient since it provides 9 kilocalories (kcals) per gram (protein and carbohydrates only provide 4 each). Fat is also digested more slowly and when consumed correctly, can help provide a steady, slow release of energy and contribute to feelings of fullness.

Much like carbohydrates, when incorporating fat into your diet it is important to differentiate between healthy and unhealthy fat sources. While saturated and hydrogenated fats can negatively affect health, omega-3 fatty acids, which can be found in nuts, seeds, and cold-water fish, can contribute to neurological and cardiovascular health.

Protein: Unlike fats and carbohydrates, protein is often touted as the healthiest of the macronutrients. It is true that protein, in addition to providing a source for energy production, is also required for the makeup of skeletal muscle and enzymes. Consuming meals high in protein can support lean body mass as well as contribute to satiety and blood sugar control. Food sources high in protein include meats and poultry, legumes, nuts, and quinoa.

While no one food choice is the best for supporting energy levels, a balanced combination of macronutrients which provide a high dose of micronutrients, including B vitamins and other supportive nutrients, will give your body the nourishment it needs. That’s the science of sustained energy. Talk to your doctor to learn more.

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Visit the To Your Health magazine website

June 19, 2010

Ready for Golf?

By Dr. Stacey

 In honour of Father’s Day this month, I thought I would include a sport’s article in the blog. By following these simple tips from the BC Chiropractic Association,[1] you can improve your golf game and reduce your risk of injury:

 1.         Stretch before and after you do any strengthening exercises. Here are some recommended stretches:

  • Side bending works the muscles on the sides of your back and hips;
  • Hip rotation stretches several muscles in your hip, pelvis and thigh region;
  • The hamstring stretch works the large muscles at the back of your thighs;
  • Back extension helps the muscles that bend your spine backward, while back rotation stretches the muscles that rotate your spine and shoulder muscles; and
  • The shoulder stretch works shoulders and upper arms.

2.         Muscle-strengthening exercises can make your body stronger and more flexible:

  • Wrist strength is very important during the impact phase of a golf game;
  • Strength in rotating the upper arms in either direction is important throughout the golf swing;
  • To improve form and strength in your golf swing, practice good posture by concentrating on using your abdominal and back muscles;
  • Rowing strengthens the muscles of your upper back and shoulders; and
  • Pull-downs also work the shoulder and upper-back muscles.

3.         When taking clubs out of your vehicle, bend your knees, slightly curve your spine, and gently lift the golf bag out of the vehicle.

4.         ‘The clubs before the cart’ – Research shows that after one season of weekly golf games that involved walking the golf course, males over fifty significantly decreased their cholesterol count. [2]

5.         Warm up for your first swing. Make sure you stretch.

6.         Bend your knees and use a golf club for support before stooping for the ball, or when preparing to tee off.

7.         Ensure that you use correct posture and spinal angles when driving and putting.

8.         Stretch to cool down after your game. [3]

For more information on how to improve your golf swing, stretching, and/or reducing injuries, contact Dr. Stacey Rosenberg at Gibsons Chiropractic on (604) 886-7080 or your family chiropractor. 


[1] Source: http://bcchiro.com/bcca/your-spine-your-health/health-tips/golfing-tips.html

[2] Source: October 1990 issue of The Physician and Sports Medicine

[3] For more articles on improving your golf game and spinal health, please visit: http://www.toyourhealth.com/mpacms/tyh/search.php?q=golf&site=ToYourHealth&entqr=0&output=xml_no_dtd&sort=date%3AD%3AL%3Ad1&client=all_sites&ud=1&oe=UTF-8&ie=UTF-8&proxystylesheet=all_sites&proxyreload=1

June 12, 2010

Controlling Stress is Essential for Health

By Dr. Stacey

Stress has been linked to the leading causes of death in North America - heart disease and cancer. It is the cause of many other ailments all too common in our society such as inflammation, obesity, depression, anxiety, fatigue and lowered immune function. (See The Top 5 Things You Can Do to Be the Healthiest You’ve Ever Been – Part 1 for more information on the connection between stress and inflammation). This can result in poor relationships at home and at work, a lowered state of health, a shortened life span, and a poor quality of life. The key is to learn to identify and control sources of stress in your life. Easier said than done, right? The following exercise was developed by psychologists Lyle H. Miller and Alma Dell Smith at Boston University Medical Center and is meant to help you along this path.

Score each item from 1 (almost always) to 5 (never) according to how much of the time each statement applies to you:

  1. I eat at least one hot, balanced meal a day.
  2. I get seven to eight hours sleep at least four nights a week.
  3. I give and receive affection regularly.
  4. I have at least one relative within 80 km. on whom I can rely.
  5. I exercise to the point of perspiration at least twice a week.
  6. I smoke less than half a pack of cigarettes a day.
  7. I take fewer than five alcoholic drinks per week.
  8. I am the appropriate weight for my height.
  9. I have an income adequate to meet basic expenses.
  10. I get strength from my religious beliefs.
  11. I have one or more friends to confide in about personal matters.
  12. I have a network of friends and acquaintances.
  13. I regularly attend club or social activities.
  14. I am in good health (including eyesight, hearing, teeth).
  15. I am able to speak openly about my feelings when I am angry or worried.
  16. I have regular conversations with the people I live with about domestic problems, including chores, money and daily living issues.
  17. I do something for fun at least once a week.
  18. I am able to organize my time effectively.
  19. I drink fewer than three cups of coffee (tea, soda/pop) a day.
  20. I take quiet time for myself during the day.

Total:   To find your score, add up the figures and subtract 20. Any number over 30 indicates a vulnerability to stress. You are seriously vulnerable if your score is between 50 and 75, and extremely vulnerable if it is over 75.  Regular chiropractic adjustments help to naturally reduce stress on the nerve system and enable the body to return to a normal, healthy state. The healthiest people on the planet choose chiropractic! Talk to Dr. Stacey about strategies to decrease stress and maximize your life and see the attached article below.

DID YOU KNOW THAT 60-90% OF ALL DOCTOR VISITS ARE FOR STRESS-RELATED ILLNESSES?

Stress is costly in terms of your health, relationships and performance. When you are affected by too much stress your body wears down and you get sick. Highly disorganized people seem to be more susceptible to sickness as they are always under extreme pressure, running from one disaster to another.

What many people fail to realize is they constantly repeat the same mistakes by not addressing the fundamental issues that are the cause of their problems and guess what this is? Their own personal disorganization!

Here is what you can do to dramatically decrease the stress in your business and your life:

GET ORGANIZED

Learn how to manage yourself and your time. This includes how to plan and prioritize. You can do it yourself (good luck, because if you knew what to do, then why aren’t you doing it?) or you can accelerate your results by getting coached attending seminars or reading or listening to material to learn how to improve your effectiveness.

EXERCISE REGULARLY, EXERCISE DAILY

Try swimming, running or walking.  Your body needs regular activity. “Use it or lose it”.

EAT HEALTHY

Feed yourself healthy food and drink 6-8 glasses of water a day and you will triple your output.

LEARN TO SAY “NO”

Become more discerning about what activities you are prepared to do or participate in. If you are already overloaded, let people know.

DELEGATE OR OUTSOURCE

Do what you do best and get rid of the rest. This applies to work and home.

AVOID PROCRASTINATION

Stop worrying about what may or may not happen if you make a decision, just take action.

THE FINAL WORD

I bet you probably knew all this, didn’t you? Well my questions is, if you’re continually running from one crisis to another, disgruntled with the results you’re getting in your life then what actions are you going to take to rectify your situation?

Are you like the old man and his dog? There was an old man sitting on his porch in his rocking chair. Next to him was his dog. A stranger walks past and says “Why is your dog whining and howling?” The old man says “he’s sitting on a nail”. The stranger replies “then why doesn’t he get off it?”

The old man responds “He isn’t in enough pain yet”

Don’t wait until this is you!

June 9, 2010

To Your Health Newsletter 06-08-2010

By Dr. Stacey

Brought to you by Gibsons Chiropractic

Should You Be Wary of Dairy?

If you kept a nutritional journal for even a few days, you would probably discover that dairy is among the top five products consumed daily in your household. This is troubling because more and more people are finding that dairy (and more specifically a substance in dairy and other products called casein) may be a contributing factor to allergy reactions and behavioral problems in those sensitive to it. Here are a few things to think about next time you’re strolling through the dairy aisle.

Many people who assume they are allergic to milk may actually be suffering from a casein allergy. The complicating factor causing a lack of awareness as to the true allergy is that casein is found in more than just dairy products. As a binding agent, it has technical uses as well as edible; it can be found in paints (including fingernail polish), other cosmetics and even glue (or industrial adhesives).

In 2000, a clinical study by FitzGerald and Bundesanstalt determined that there is a “natural opiate” embedded in casein protein, which may lead to the “comfort feeling” after digestion. This may be a contributing factor to cravings for chocolate and cheese unrelated to hunger.

Studies including those by Dr. Karl Reichel, of The National Hospital in Norway, and Dr. Robert Cade, of the University of Florida, have found high amounts of the casomorphin peptide in urine samples taken from people with conditions ranging from autism to post-partum depression (PPD) to celiac disease to schizophrenia. It has been suggested that this peptide may also be elevated in other similar disorders such as chronic fatigue, fibromyalgia and depression, based on the reported benefits of a gluten-free and casein-free diet.

While casein is most certainly a concern, it’s not the sole problem with milk. A large study led by Catherine S. Berkey of Harvard Medical School and Brigham & Women’s Hospital in Boston revealed that consumption of milk may be contributing to the growing problem of childhood obesity. And Dr. Robert Kradjian, chief of breast surgery at Seton Medical Center in northern California, reviewed archives of medical and scientific journals and found that milk is not the “perfect food” it is reported to be. He found that many common childhood disorders were, if not induced, certainly aggravated by an increased intake of dairy products, including but not limited to allergies, ear and tonsil infections, bed-wetting, asthma, intestinal bleeding (lesions), colic and childhood diabetes.

Fortunately, these days it’s increasingly possible to substitute when necessary. When a recipe calls for 1 cup of milk, try replacing it with 1 cup of soy, rice or coconut milk or 1 cup of water mixed with 1 egg yolk. If a recipe calls for a cup of yogurt, consider the following substitutions: 1 cup of soy yogurt or soy sour cream, 1 cup of unsweetened applesauce or 1 cup of pureed fruit.

Consuming diary products is a matter of choice, of course, but with the potential for allergic reactions, the high fat content and the problems with casein, it’s good to know that there are other choices. Talk to your doctor for more information.

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TV Linked to Depression

There are drawbacks to our increasing dependence on the boob tube, some of which have been documented via research. Studies show that the more television children watch, the more likely they are to become overweight and to have problems with attention span. And according to a recent study involving adolescents, excessive television viewing can do something else: increase the risk of suffering depression, an all-too-common condition with potentially serious consequences.

According to the study, adolescents who reported “more television use had significantly greater odds of developing depression for each additional hour of daily television use. In addition, those reporting more total media exposure had significantly greater odds of developing depression for each additional hour of daily use.”

Interestingly enough, the researchers did not find the same relationship to depression for adolescents who were exposed to videocassettes, computer games, or radio. For parents, that’s an important distinction, because it means that reducing your children’s overall exposure to these items apparently won’t cut it; if they’re spending excessive time watching TV, reducing that time is what needs to happens to reduce your children’s risk of suffering depression.

The American Academy of Pediatrics recommends children be exposed to no more than one to two hours of “total media time” per day. Isn’t that a good idea for everyone, regardless of age? Talk to your doctor to learn more.

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Master the Art of Meditation

Many people find meditation beneficial in managing stress, reaching mental tranquility, focusing attention and maintaining an overall healthier lifestyle. In fact, the results of more than 1,000 peer-reviewed articles on meditation suggest that regular practice of meditation is associated with “significant relief from a variety of stress related physical and mental problems, a stronger immune system, longer life, increased energy and positive changes in brain function.”

If you have never meditated before, why not give it a try? It might seem awkward at first, but if you stick to it, you will find yourself enjoying it more and more. There are many types of meditation, all of which help lead you toward greater mental and physical tranquility and a sense of focus.

The following are some suggestions as an introduction to the practice of meditation.

Choose a relaxing, low-light location free from distractions. Remember, this is un-interrupted “you” time.
Sit comfortably on the floor, in a chair with your back straight, or perhaps in your garden or your favorite quiet space, which could be near the ocean, a lake or any other relaxing body of water.
Close your eyes and slowly take deep breaths.
Try to focus only on your breathing, the rise and fall of your abdomen, and how the air feels as each breath goes in and comes out.
As external thoughts start to pass through your mind, calmly acknowledge them and bring your focus back to the sensation of your breathing.
End your session by opening your eyes and allowing yourself to gently return to your normal daily routine feeling relaxed and refreshed.

And that’s the simple, relaxing, invigorating art of meditation! If you’re experiencing stress or any other condition that requires you “take it a little easier,” meditation may be a perfect place to start.

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June 1, 2010

June is Bike Safety Month

By Dr. Stacey

Cycle Safely!

With June being Bike Safety Month, I thought I would offer a few tips on how to prevent some of the most common cycling injuries…

Start with Good Cycling Posture

Good cycling posture is very different from good posture while sitting or standing. A posture that is comfortable for sitting still will not necessarily be comfortable while actually riding a bicycle. Correct cycling posture must facilitate the pedaling action, and also must enable the rider to cope with the jolts that result from road irregularities.

Many inexperienced cyclists adopt a posture that allows their upper bodies to be supported entirely by their skeleton. This has the advantage that it requires no muscular effort, but can lead to discomfort or injury when road shocks are transmitted through the rigid bones. This discomfort may affect the back, hands, wrists, shoulders or neck.

Posture faults are primarily found in three places:

The back should be arched, like a bridge, not drooping forward between the hips and the shoulders. If the back is properly arched, spinous processes (SP’s) – the bumps you feel down your back – will cause it to flex slightly in the direction of a bit more arch; this is harmless. If you ride swaybacked, the SP’s will cause the back to bow even farther in the forward direction, which can lead to severe lumbar pain, or even serious injury.

Some back-pain sufferers modify their bicycles with extra-high handlebars so that they can sit bolt upright, with their spines straight. This is actually counterproductive in most cases, because a straight spine has no way to “give” when the bike hits rough road. Road irregularities will jam the vertebrae together, often aggravating existing back problems. The bolt-upright posture is comfortable if you’re sitting stationary on the bike, but is not suitable for riding much faster than a brisk walk. Riders who require such a position should use some form of suspension, a sprung saddle at the very least.

The elbows should be slightly bent, not straight and locked. This allows the arm muscles to act as shock absorbers.

The shoulders should be pushed forward so that the muscles in the front of the chest help carry the weight of the upper body. Many cyclists make the error of letting their upper spine dangle forward, held up by the collarbones. Rolling the shoulders forward counteracts the bending of the arms, resulting in the same general angle of the upper body as a relaxed, bone-supported posture provides, but with the resiliency of muscles providing shock absorption.

If you’ve been letting your bones do all the work, you’ll find that the muscle-supported posture is tiring at first. The harder you pedal, the more of your upper-body weight will be supported by the reaction forces to the pedaling. If you’re not used to riding this way, you’ll find that you can only sustain the muscle-supported posture for a few miles. When you tire, you’ll revert to a bone-supported posture, and problems will ensue. The answer to this is to start with rather short distances and only gradually work up to longer ones. It is true that anybody in normal health can ride a bicycle for 10 miles, but someone who is not accustomed to riding with good posture will find such a ride uncomfortable. It is better to start out with 2- or 3-mile rides and gradually increase the distance. Your ability to adopt a good posture on a given bicycle will depend on correct fitting/adjustment of the bicycle.

Occasionally, neck trouble is due to poor adjustment of a helmet, specifically, a helmet which is too far forward on the head. If the helmet is too low in front, the rider is forced to tilt the head upward to keep the helmet from blocking the view forward (poorly fitting eyeglasses that slip down your nose will also cause this problem). Sharp backward bends in the neck can cause severe problems, so make sure that your helmet is properly fitted for your riding style. Riders with a more aggressive riding position need to wear their helmets farther back than those who sit more upright.

Some Common Cycling Injuries

Wrist pain is often caused by poor upper body posture. It can also be caused by having the saddle angle too low in front: This tends to make you slide forward as you ride, and you wind up using your hands to push yourself back into position.

If the skin of your hands gets sore, cycling gloves can help a great deal. If you ride bare handed, sweat may make your hands slippery, and this can lead you to grip the bars too tightly.

Numbness of the fingers is a potentially dangerous symptom, often related to carpal tunnel syndrome. Like your bottom, the heel of your hand has two bumps, with a sort of valley between. There are important nerves that run through this valley, and it is important to avoid excessive pressure here.One common cause of excess pressure on this “valley” is riding on the top corners of drop bars in such a way that the bar presses here. If you use thick foam handlebar grips, and/or gloves with too much foam/gel padding, the “bumps” that are best able to carry weight will press through the foam, but the foam in the middle will press back at the valley. Thus, as with saddles, too much foam/gel can worsen the problem it was intended to correct!

Numbness of the hands can also be related to poor wrist positioning. Generally, the wrist should be held so that the hand is pretty much in line with the forearm. If your hand is bent upward from the forearm, the nerves can get pinched, causing numbness.

Cyclists who do longer rides in hot weather are at risk for painful chafing on the inner thighs. This is usually the result of an inappropriate saddle. A saddle that is too wide will chafe, and saddles with excessive foam/gel are also likely to cause this sort of problem. The best saddles for preventing chafing are traditional leather saddles. Wearing proper cycling shorts will help, but beware shorts with excessive padding, which can make it worse. Many cyclists find relief by generous application of cornstarch before longer rides.

Cycling, done properly, is much less stressful to the knees than many other aerobic activities, since there’s no impact involved. Nevertheless, knee injuries do occur, usually as a result of poor technique or position. A principal cause of knee problems is over-stress as the result of using too high a gear.

Another common cause of knee problems is incorrect saddle adjustment, particularly if the saddle is too low.

Some knee problems result from incorrect placement of shoe cleats. Everybody has a natural angle that each of their feet prefers to be at; when you walk or ride with plain pedals, your foot assumes this angle, and everything is fine. If you use cleated shoes and matching pedals, it is important that the cleat is adjusted so as to permit your foot to be at its natural angle. If your cleats are misadjusted, the resulting twist on your lower leg will affect the alignment of the knee joint, and cause serious problems. This is less of an issue if you ride pedals with “float” (limited rotational freedom) in the cleat attachment. Most of the newer clipless pedals offer at least some float.

Also, the longer your cranks are, the farther your knees will have to flex on each stroke. Different riders will have different amounts of flexibility in this regard, but riding with longer cranks than you are used to may definitely cause knee problems.

If you have pain in the Achilles tendons, it usually indicates a problem in pedaling technique. Achilles tendon problems often result from “ankling” (having your cleats set too far forward or otherwise pedaling with the toes) during the pedal stroke. This is occasionally related to having the saddle set too high, forcing the cyclist to point the toes excessively to reach the bottom of the pedal swing.

Ankle pain while cycling may also result from being flat-footed, in which case orthotic shoe inserts are a good remedy. Another possible cause of ankle pain is a bent pedal or crank, causing the foot to wobble back and forth as the pedals turn.

Foot discomfort is often the result of inappropriate footwear, specifically shoes with soft soles that concentrate the pedal pressure on isolated parts of the foot. It can also be related to riding in a gear that’s too high, which results in more pressure of the foot against the pedal.

Some cyclists are hypersensitive to having their feet overheat while riding. An excellent solution to this is to wear cycling sandals. Cycling sandals are a fairly new development, and most people’s initial reaction to them is “what a goofy idea.” In practice, however, they are very comfortable in warm weather. For longer rides with sandals, you should wear socks to protect against chafing.

Chiropractic Care Can Help…

If you follow these simple tips, you can enjoy safe, pain-free cycling. If you do experience pain and stress, Doctors of Chiropractic are trained and licensed to diagnose and treat problems of the spine and nervous system.

For more tips and/or information on preventing and treating cycling injuries, contact Dr. Stacey Rosenberg at Gibsons Chiropractic (604) 886-7080 or your local family chiropractor.