If you answered yes, have you done anything about it? Read my latest Chiropractic newsletter to find out more!
Do you have any of the following Symptoms?
- Foot pain with standing or walking
- Foot or ankle pain with running
- Knee pain
- Bunions/calluses/corns
- Uneven shoe wear out
- Chronic hip and low back pain
- Tingling or numbness in the arches of your feet
- Feet fatigue
- Pain in foot arches
- Achilles Tendonitis
Our feet are our foundation. The average person walks approximately 4 miles per day which is equivalent to approximately 8,000 -10,000 steps per day! Your feet support the weight of everything above them. Research shows that approximately 75% of the population will experience foot pain during their life time. Dependant on the cause of foot pain (plantar fasciitis, pronation syndrome, arthritis, in-correct joint mechanics), various forms of treatment are available: stretching, strengthening, ice/heat therapy, anti-inflammatory and custom made orthotics.
Ideally, our feet should not roll in or outward when walking/running. When our feet move in way it was not designed to, the wrong muscles work too hard and the right muscles are not working enough. For example, some feet roll too far inside, a condition called Pronation. When this occurs, the arch collapses the foot/knee and hip roll in. Thus causing possible knee, hip and low back pain. Unless we correct this, cumulative years of stress on these joints can lead to chronic pain, arthritis and compromised quality of life.
Custom Made Orthotics are designed to prevent incorrect foot motion (ie prevent foot from rolling in wards or outwards) and support foot arches.
Assessment and Evaluation
You can visit your local Chiropractor or Podiatrist to have your feet evaluated to determine the need for a custom made orthotic. It is highly recommended to have a full evaluation of the feet and spine as they one effects the other, positively and negatively. Orthotics come in various sizes/styles/shapes all designed to help correct misalignments. This allows you to still enjoy all the activities you love without constant foot pain.
A typical assessment would include:
- History
- Gait analysis (possibly a gait scan)
- Weight bearing (standing) and non weight bearing (seated)examination
- Foam casting
- Discussion on best suited orthotic for your condition (each orthotic is custom made to that individual)
Next Steps
If you answered “yes” to any of the symptoms above, call our clinic TODAY and book yourself in for an Orthotic Assessment.
Please note that most extended health care benefit plans do cover costs associated with Custom Made Orthotics. Please ensure to read the fine print and check if they require a referral from a Medical Doctor. Insurance forms/information is provided at time of orthotic pick up for your extended health care provider. Please call the Clinic today for more information.
Happy Feet = Active Living
NV chiropractor’s life changed by volunteering in Zanzibar
Apryl Leaf
newsroom@nsnews.com
ON the legendary island of Zanzibar, a North Shore chiropractor found both a tropical paradise and a need among locals for preventative care.
Jabeen Jussa was born in Dar Es Salaam, the capital of Tanzania, and moved with her parents to North Vancouver when she was only nine months old. She did not realize, however, that some day she would return to the East African coast to volunteer in doing chiropractic medicine and a whole lot more.
Jussa, who practises on the North Shore, got a letter telling her about a clinic run by a Victoria chiropractor and his wife who had built a house in the village of Jambiani, and while living there, came to realize the need for even simple remedies for the ravaged spines of local people.
This is her story:
Jambo! Habari? (Welcome! How are you?) are the first words you will hear as soon as you set foot on the soil of East Africa. Subsequently I learned that you respond by saying Salama (I am at peace).
In early January 2004, I ventured into a thrilling experience to a distant land, three continents away to Zanzibar, the famed land of spices, cashew nuts and coconuts.
It was my childhood desire to assist underprivileged people of Third World countries in any way I could. With that in view, I volunteered my services as a chiropractor to the Jambiani Wellness Centre on the island of Zanzibar in Tanzania, East Africa. I packed my bags, said goodbye to my family and friends and embarked on a three-month, life-changing adventure.
I landed in Zanzibar after two days of travelling. It was quite a change from the cold winters of Canada to the hot, sultry weather of Zanzibar. From Zanzibar airport, I travelled by car along a gravel bumpy road for 11/2 hours to Jambiani on the east coast of the island.
Visualize a cool gentle breeze from the warm aqua- blue Indian Ocean with the sounds of swaying coconut and banana trees, adorable African children playing soccer and the sound of ocean waves breaking as they crash onto the shore. These are the pleasant and soothing sounds I experienced every day at the Jambiani Wellness Centre where I spent nine weeks volunteering as a chiropractor.
The centre was established in 2001 by Victoria-based chiropractor, Alastair Pirie and his wife, Patricia Elias, a teacher.
The clinic is affiliated with Hands Across the Border Society (HABS) which renders a greatly needed service in this region of the world, treating and educating the local population on preventative health care. Many Canadian health-care practitioners such as chiropractors, massage therapists and nurses have volunteered their time and skills in achieving HABS’ goals.
My typical day in Jambiani would start at 6:30 a.m. with a one-hour walk along the powder-like sandy beaches. This was followed by a breakfast of deliciously sweet and locally grown fruits such as mangoes and papayas, and then off to the clinic to treat the hard-working residents of Zanzibar.
Many of the villagers do strenuous physical work, even past the age of 80, resulting in chronic low back and neck pain. Most of the local women harvest seaweed for which they bend at the waist for long hours with poor body posture, and the men also strain their backs working as fishermen or in construction.
On a regular day, we would treat 25 to 30 patients from Jambiani, the surrounding villages and from as far away as the mainland of Tanzania. Some of the patients would commute two
to three hours, either by foot or local bus to receive the health-care treatments provided by the centre.
At any one time there might be up to 15 patients in line, quietly waiting for their treatment.
People at the clinic treat such common ailments as arthritis, low back and leg pain as well as neck and upper back complaints. Many of these symptoms are a consequence of heavy repetitive work and neck compression caused by carrying heavy loads of water pails or wood on their head and shoulders for miles. Many of the local patients were and are still being prescribed anti-inflammatory medications and analgesics to treat conditions.
But in addition to rendering chiropractic treatment, we also educated the patients on basic exercises for both their joints and muscles, encouraged them to drink more water and to include more fruits and vegetables into their carbohydrate-rich diet.
We were so happy to see that the patients followed our advice. Not only did they respond enthusiastically to our chiropractic treatments, they also tried to adhere to advice on body postures and nutrition.
Interestingly for me, many cases that we treated are not typically presented in a chiropractor’s office here. For example, I treated many children with neurological complications due to uncontrolled fevers, post malaria complications, congenital spine and knee deformities, children with cerebral palsy and respiratory conditions - all with amazing results. Before being seen by us they had little or no medical help available to them.
Ironically, the locals face similar health concerns as we do in the West. Diabetes, hypertension and obesity are quite prevalent in Zanzibar due mainly to a high carbohydrate diet. The local meals are mostly prepared from rice, cassava root, potatoes and tasty coconut curries, which are delicious but fattening.
Unfortunately, they do not have the knowledge or the resources with which we are privileged. HABS is endeavouring to fill this gap to alleviate health concerns and improve the lifestyle of the local population.
For me, these experiences were eye opening and humbling, both professionally and personally. It was really gratifying to see improvements in the patients’ general health conditions and day-to-day lifestyles. Even though I volunteered my skills to provide the much-needed health care, the real rewards I have received from this journey are invaluable.
The nine weeks I spent in Jambiani has forever changed my perspective on humanity and the need for such voluntary services to the underprivileged people of the world. You can never walk away from such an experience without your heart and soul being touched forever. It is my ardent desire that I will be able to render similar voluntary services in the future.
Aka the JAW
Place your fingers in your ears so that you are unable to hear. Then slowly open and close your jaw. If you hear a clicking, popping, and/or grinding noise, the jaw joints may be out of alignment. An assessment, diagnosis and treatment by your Doctor of Chiropractic or Medical Professional are advisable.
WHAT IS IT?
The Temporomandibular Joint (TMJ) or more commonly known, as the Jaw is one of the most frequently used joints in the body for talking, chewing, yawning, biting or any action of the jaw. If you place your fingers right in front of your ears, you will feel a boney prominence. At the same time, open and close your jaw and you will feel two bones separate. That is your Temporomandibular Joint
Temporomandibular dysfunction occurs when the joint is misaligned or not functioning correctly. Studies report that this condition afflicts 10 million Americans annually.
HOW DOES IT WORK?
The TMJ is a structure consisting of muscles, ligaments, bones, disc and a joint. A disc that acts as a cushion or shock absorber to everyday joint impact such as biting, chewing, clenching and grinding, surrounds each TMJ. The TMJ functions to open and close the mouth and assists in chewing, speaking, swallowing and yawning, to name a few.
In a healthy jaw, the joints slide over the disc smoothly and allow the opening and closing of the jaw. If there has been any trauma, direct or indirect, to the TMJ, this will cause a misalignment of the jaw and hence will have a negative impact on the function of this joint.
CAUSES OF TMJ DYSFUNCTION
Research has shown that trauma seems to be the leading cause of TMJ Dysfunction.
If you think you may have TMJ Dysfunction, here is a test. Place a check mark beside each activity you engage in. Bring this in with you for your next Chiropractic visit and we can assess your TMJ.
q Direct blow to the jaw
q Whiplash injury
q Cradling the phone between your ear and shoulder
q Improper fitted braces
q Grinding or clenching your teeth
q Physical stress
q Emotional stress
q Poor bite
q Excessive gum chewing
q Chewing on one side of mouth
q Thumb-sucking
q Nail biting
Bruxism, defined as grinding or clenching of the teeth especially at night, also cause increased stress to the TMJ. Most individuals who grind their teeth do so at night or when they are stressed. Has your Dentist said to you that you must be grinding your teeth? Not only does that cause increased stress to your TMJ but it also wears out the enamel on your teeth. One approach to correct the grinding is a prescription mouth guard.
The force or pressure exerted onto the TMJ during the above activities causes excess wear and tear of the joint. The disc, which cushions the joint and acts as a shock absorber, will wear out or get displaced causing misalignment and/or incorrect functioning of the joint.
Sitting at your dentists chair with your jaw wide open and your neck and back in an awkward posture for a prolonged length of time can cause stress to both your spine and TMJ. It is recommended that you always follow up a dental visit with a visit to your Chiropractor.
Poor or incorrect posture may also contribute to TMJ Dysfunction. Most individuals, especially those who work at a computer tend to have incorrect work station ergonomics i.e. Head turned to left because monitor is to their left, key board too high
CHAIR
As the new 2004 school year approaches, many parents and their children have already begun shopping for school supplies and essentials. One necessity will be a backpack. Choosing a sturdy backpack and knowing the correct ergonomics may help prevent long term back pain for your child.
As millions of children set out every morning to school, many of them overstuff their packs with heavy books, calculators, clothing, lunch and shoes. Some carry their packs on one shoulder intermittently throughout the day. The long-term result: chronic back and neck pain.
A US safety commission estimated that approx. 6,512 emergency room visits each year are due to book bag related injuries.
Our spine can be viewed as the structural foundation of our body. When in proper balance, our spine, joints, discs and muscles are built to absorb certain amounts of shock and load. When an excessive amount of load is placed on a developing spine, the joints, discs and muscles may be overly stretched and sprained, therefore, directly injuring the spine. Additionally, some studies show that backpacks can alter the fluid contents in the spinal disc, therefore, placing the student at a greater risk for herniated disc and osteoarthritis later in life.
Some causes for backpack pain include the quality of the backpack, incorrect packing, lifting and carrying of the pack. The trend for most teens is to carry a heavy backpack on one shoulder. This places tremendous postural stress on the spine and muscles in the mid to low back, as well as muscle and nerve strain. These postural imbalances can predispose individuals to spinal and joint misalignments (areas of the spine/joints where movement is reduced or restricted; bones are out of their normal alignment).
The following are some tips on Back Pack Ergonomics:
CHOOSING A BACKPACK
Choose a sturdy canvas or nylon light weight pack (not leather)
Make sure the pack has many compartments/pockets to evenly distribute the weight
Choose a pack with 2 wide padded shoulder straps which are adjustable
Choose a pack which has waist/hip straps to help stabilize the load
HOW TO LOAD YOUR PACK
The total weight of the filled pack should not exceed 15% of your childs body weight (i.e. An 80 lbs child should not carry more than 12lbs in their backpack
Pack only the items that are necessary for that day
Evenly distribute the weight amongst the individual compartments/pockets
Place the heaviest items close to your childs back (close to center of gravity)
Place bulky or pointy items furthest away from the back or spine
HOW TO WEAR THE PACK
Repetitive improper lifting of a 10-20lbs backpack can cause muscular and spinal strain (damage)
Place the backpack on a table and face the pack
With both hands, check the weight of the pack
Bend both knees
Lift with both legs and arms, not your back
Carefully, slip on one shoulder strap at time
Adjust shoulder straps to comfort and use the waist/hip strap to stabilize the load
THE CORRECT WAY OF CARRYING THE BACKPACK
Wear the pack on two shoulders
Use padded shoulder straps
Adjust straps to fit comfortably and not too loose, otherwise the pack will dangle
Use the waist/hip strap
The bottom of the pack should sit 2 inches above the waist
ADDITIONAL TIPS
Only place what is necessary for that day in the backpack
Try and put heavy book/binders in your locker and pick up between classes as needed
Most kids with spend approx. 18-22 years in the academic setting carrying backpacks. Consider starting some abdominal strengthening exercises to prevent present and future spinal pain
Watch your child as they walk out the front door. If they are hunched too forward or are leaning too far back, this indicates that the pack is too heavy
Consider a rolling pack for your child
Keep in mind that Doctors of Chiropractic are experts in spinal and joint biomechanics. Chiropractors offer spinal checkups, assessments and treatments for children and teens.
SPRING has arrived, along with the season for planting, pruning and weeding.
The following are a few tips to keep in mind when doing a cardiovascular or weight training workout:
1.
Keeping fit and healthy is something to be weary of on a day-to-day basis. Keep updated on new research and findings to help you make the most of your body.