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Gibsons Chiropractic Blog

January 21, 2011

To-Your-Health-Newsletter-01-20-2011

By Dr. Stacey

Musculoskeletal Injuries in Kids

Children’s musculoskeletal systems are different from adults. To understand pediatric injuries that involve the musculoskeletal system, it’s important to be aware of the differences between children and adults in this regard. The main difference is that children’s bones are growing; adults’ bones have stopped growing. This bone growth happens in two ways – by growing lengthwise and widthwise. The bone grows lengthwise in an area at the ends of the bones called the epiphyseal plate or growth plate, in the region known as the metaphysis. The widthwise growth occurs on the surface of the bone.

Growing bone has inherent areas of weakness due to the growth process. In fact, children’s tendons and ligaments are relatively stronger than the growth plate; therefore, with severe trauma the growth plate will give way before the ligament. On the other hand, children’s bones and muscles are more elastic and heal faster compared to adults.

Due to the differences in growing bone, the patterns of injuries are different from mature bone. There are two main types of bone injuries: one is an acute injury in which violent forces are applied at one time; the second is from chronic, recurring stresses applied to the bone over a prolonged period of time. Growth plate injuries can cause cessation (stoppage) of growth of the bone, resulting in limb-length discrepancy, angular deformity or altered joint mechanics; possibly causing permanent disabilities. The chronic recurring stresses are often termed overuse syndromes, but also include stress fractures, which can lead to changes that affect the joints, causing early arthritic changes. Stress fractures, if not managed correctly, can result in complete fracture.

Adolescents who are in the peak period of linear growth – often termed a growth spurt – are most vulnerable because of imbalances in strength and flexibility and changes in the biomechanical properties of bone. Sports involving contact and jumping have the greatest injury risk. Most chiropractors who treat pediatric patients are aware of these injuries and the potential causes related to the growing musculoskeletal system. They have been uniquely trained to understand the musculoskeletal system, making them excellent resources for the management of sports-injuries.

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Why You Need Enzymes

You’re undoubtedly aware of the role a balanced diet can play in healthy aging and disease prevention, but do you know there is a non-nutritive element that can also exert a profound positive influence on your health? Proper function of the human body is dependent on the continuous activity of thousands of different enzymes. These essential biological molecules are the catalysts in all of the body’s biochemical reactions.

Here are three important health benefits attributable to enzymes. Talk to your doctor for more information about enzymes and their value in maintaining health and wellness.

1. Digestion: Digestive enzymes, which are secreted in saliva and pancreatic juices, are responsible for the breakdown of food. This process helps facilitate proper nutrient absorption. In patients with pancreatic insufficiency or with food allergies, supplementation with a mild digestive enzyme blend can enhance nutrient uptake as well as gastrointestinal comfort. In addition, anyone who consumes a diet high in processed foods may benefit from enzyme supplementation.
 
2. Inflammation: Another known benefit of enzyme supplementation is the treatment of inflammatory and immune mediated conditions. Proteolytic enzymes, such as trypsin, chymotrypsin, bromelain, and papain, have the ability to neutralize inflammatory chemicals to aid in the healing of damaged tissues. It is believed that proteolytic enzymes have the ability to promote healing by decreasing capillary permeability, improving circulation, and dissolving fibrin clot deposits. Enzymes have also been shown to have positive effects on natural killer cells and macrophages, thus enhancing the overall immune response and body’s defense against infection.
 
3. Cancer: The use of enzymes in cancer therapy was first proposed by the embryologist Dr. John Beard in the early 1900s. In his research, The Enzyme Therapy of Cancer, published in 1911, Dr. Beard discussed his theory on injection of pancreatic proteolytic enzymes as a form of cancer therapy. Cancer cells, as well as nearly all pathogens, are often protected by a thick, protein-based, fibrin coating. Proteolytic enzymes have the ability to assist in the breakdown of this fibrin coating, allowing the body’s immune functions to take action against proliferating cancer cells. Although the original research was conducted almost a century ago, proteolytic enzymes are being used as a new and innovative way to combat cancer.

One of the simplest ways to enhance your enzyme levels is to increase your intake of raw foods. Uncooked, unprocessed foods such as fresh fruits and vegetables contain natural enzymes that support digestion and overall enzymatic activity. However, since many Americans consume inadequate amounts of these foods, supplementation may be necessary to ensure enzyme activity is supported. Increasing your intake of enzymes can help support every mode of cellular activity as well as improve overall body communication.

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Antibiotics and Childhood IBD

Antibiotics are medications that fight bacterial infections. That means if your medical doctor ever prescribes an antibiotic to fight your child’s cold, flu, cough (in most cases) sore throat (unless strep) and even bronchitis – all of which are caused by viruses – the antibiotic won’t do any good and will be exposing your child to an unnecessary drug with potential side effects.

Unfortunately, studies have shown that doctors do prescribe antibiotics for viral infections, and that sometimes, it’s to appease the parent, who doesn’t want to hear that their child’s malaise will improve on its own in a few days or so.

Between unnecessary prescribing for viral infections and appropriate prescribing for bacterial infections, children can end up taking several courses of antibiotics in their early years. That can be a problem for several reasons, not the least of which is that, as a recent study suggests, they can end up with inflammatory bowel disease (IBD) later in life.

While researchers did not find a clear cause-and-effect relationship between antibiotic use in year one and IBD in childhood, they did notice that children diagnosed with the condition were more likely to have taken antibiotics (one or more courses) in their first year compared to children without IBD.

Your doctor can tell you more about IBD and the dangers of antibiotic use in infancy, childhood or any age.

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[Source: www.toyourhealth.com]

November 24, 2010

To Your Health Newsletter 11-24-2010

By Dr. Stacey

Engage Your Senses to Reduce Stress

Many people exist in such a perpetual state of stress that activities generally considered stressful actually come as a welcome relief. When you’ve been under the gun at work all day and find yourself faced with a screaming carload of kids, suddenly spending a little quiet time doing household chores or catching up on the bills – in silence – doesn’t sound too bad. Really? You deserve much better than that. Here are a few ways to engage your senses and leave stress behind.

Taste: There’s nothing like a soothing cup of tea and your favorite dessert to take some of the edge off a hectic, stressful day, particularly when combined with a little time to enjoy your own time, far away (as far as you can get) from the stress-inducers that seem to surround you.

Touch: When you’re overworked, overstressed, overwhelmed and just plain over it, find the time to escape and experience the power of touch. Schedule a chiropractic adjustment or a massage, or retreat into the soothing, stress-releasing luxury of a bubble bath and see how your attitude changes in a matter of moments.

See: The so-called “daily grind” is a major source of stress, and it only gets worse when the work hours get long and the days get short. In fact, during the winter months, many people never see the light of day, arriving at work before sunrise and leaving after sunset. Take a midday walk around the block and open your eyes to what the world has to offer. And at night, turn off the glare and light a few calming candles instead.

Smell: The next time you’re on the brink of losing it, let your nose take you to a better place. Sounds funny, but it’s oh so true. Just try to stay stressed after smelling your favorite food wafting up at you from your plate. And don’t discount the power of a scented candle or two; replace the unpleasantry of another dreary day with the aroma of peace and tranquility.

Hear: When was the last time you truly appreciated the lyrics, melody and arrangement of a song? Music has an incredible ability to soothe the soul, but many of us don’t take the time to listen – we just use it as background noise while working out or flip from song to song, station to station in the car. Tune out the stress and tune into the relaxing power of music.

If you’re feeling particularly stressed these days and are dreading the holiday crush and additional stress that’s sure to come, talk to your doctor for ways (above and beyond the above) to reduce stress and improve your life.

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Keep Your Children Safe From Concussions

Children reap a variety of benefits from athletics. Organized sports in particular help foster a sense of teamwork, pride in accomplishment, individual drive and commitment, and of course, a background in physical fitness that is likely to stay with them their entire lives.

There’s also a risk of injury, of course, and the latest news isn’t encouraging. According to a study in the September 2010 issue of Pediatrics, which analyzed data from emergency-room departments nationwide, approximately half of the nearly 500,000 ER visits for concussions (from 2001-2005) involving children and adolescents 8-19 years of age were sports related. Football and ice hockey topped the team sports most likely to lead to concussion, while bicycling and playground activities accounted for the most non-team concussion injuries. Even more disturbing, an estimated 40 percent of concussions were suffered by younger children – ages 8 to 13.

Be familiar with the warning signs that indicate your child may have suffered a concussion, and talk to your doctor about steps you can take to reduce your child’s injury risk.

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Don’t Miss Your Weight-Loss Goal

If you boil life down to a few fundamental concepts, goals are sure to be on the list. Much of life is about the goals you set and the journey you take to achieve them. Accomplish your goals – or even fail while trying your best – makes you a better person; don’t give it your all (or don’t set goals in the first place) and you’ll likely float adrift in life’s waters and end up somewhere you never intended (or wanted) to be. Here are three ways to miss a popular goal – weight loss. Make sure you’re not guilty of any of the following.

Overdo It: Enthusiasm is key when you’re trying to lose weight, but jump in headfirst and without any sense of pacing, and you’ll likely fail. Any good plan requires good planning; when it comes to weight loss, that means you need sensible goals and a plan of attack that’s reasonable, not extreme. Deprive yourself of all your favorite foods or become a slave to the gym, and you’ll burn out fast.

Make Excuses: Whether you’re fit as a fiddle or struggling with your weight, we’ve all had those days when working out and eating right were last on our list. The difference is in the choices we make – to fit in that workout or prepare that healthy meal, regardless of time constraints; or make every excuse imaginable for why we can’t. Remember, you’re only as busy as you convince yourself you are.

Lose Focus: Focus is the ultimate tool for achieving any goal; that means focusing on exactly what you’re trying to accomplish and then making sure you retain that focus throughout the process. Start off vaguely and with limited direction, and you’ll steer south before you know it. Instead, outline how much weight you want to lose, when you want to lose it by, and exactly how you’ll get there, step by step.

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[Source: www.toyourhealthnewsletter.com]

July 31, 2010

CALL FOR NEW SUMMER SAFETY AWARENESS CAMPAIGN

By Dr. Stacey

Chiropractors say they can’t see any reason not to expect another busy summer holiday injury period, and are gearing up for a busy time of back, spinal and neck injuries over the next two months.

 The Chiropractors say just as Governments around Canada spend millions of dollars on road safety messages, similar campaigns should be introduced to warn Canadians about general summer safety during traditionally the busiest time of the year for holidaymakers. Hundreds of Canadians may suffer serious neck, back and spinal injuries as a result of careless or negligent behaviour at the beaches, rivers, lagoons and national parks.

 We need a general awareness campaign throughout Canada focused on general summer safety, especially in relation to beach activity, focussed not just on drowning.

 “The harsh conditions of the surf can put a strain on the spinal cord, and can pose long-term health problems if not identified and cared for properly” the chiropractic spokesperson said.

 “Parents often overlook the dangers their children face in the surf, just because they may not stray far from the waters edge. But the reality is the ‘dumping’ action of the waves at low tide is what often causes injuries, and while children readily play within two metres of the beach waterline, they are often in a dangerous region to be ‘dumped’ and injured.”

 “The most important rule for water safety is always, always check the depth first before diving or jumping into the water, even if the water is clear,” the chiropractic spokesperson said.

 Swimmers and surf goers should be mindful of surf conditions and of swimming in between the markers where the surf conditions tend to be less harsh, to help minimise risk in the surf.

 “It is similarly just as important for beach goers to minimize risk outside the surf, and to listen to their bodies when they experience small aches and pains. We see a variety of injuries ranging from simple strains and sprains to more serious injuries. Some surf injuries may initially appear minor, but unless cared for they are more than likely to re-emerge.”

 “The harsh conditions of the surf and summer water activities including water-skiing can put stress on the spine and neck, which can have long-term health implications. Just consider the pressure on your spine must withstand to swim against strong currents – not to mention the implications from a wipe-out! Spinal and neck problems can upset posture and balance, and unless cared for, your risk of re-injury increases.”

 Chiropractic helps to care for these misalignments that may have been a result of surf or water activity, and through regular checks, beach goers can help reduce the likelihood of re-injury.

 For more information on how to treat or prevent injuries, contact Dr. Stacey Rosenberg at Gibsons Chiropractic on 604-886-7080 or your family chiropractor.

[Original article source:  http://chiropractors.asn.au/]

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 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.

April 28, 2010

Chiropractic for the Treatment and Prevention of Sports Injuries

By Dr. Stacey

Chiropractors have a longstanding history of treating musculoskeletal sports injuries.

Hoskins and Pollard used two groups of male semi elite Australian Rules football athletes, matched them in several ways and randomly placed them in one of two arms of the study. All received the usual and customary management and medical care. Half also received chiropractic care which consisted of both soft tissue and Chiropractic adjustments.AFL 2010 Sydney v West Coast

When chiropractic care was added to conventional management, there was a significant reduction in lower limb strain injuries, time missed as a result of knee injuries, lower low back pain, and there was improvement in health status.

Here’s the full study.

[Thanks to Dr. Michael Beattie for this story...]