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Managing Delayed Onset Muscle Soreness Following Activity 

Managing Delayed Onset Muscle Soreness Following Activity 

Lack of motivation may be the most significant barrier to approaching a new workout, but delayed muscle soreness (DOMS) doesn’t help either — after all, pain isn’t particularly motivating. Still, there are things you can do to help manage delayed onset muscle soreness and aid recovery as you approach new or increased activity.

First, What Is DOMS?

DOMS is the acronym used to describe Delayed Onset Muscle Soreness – a phenomenon that typically occurs one or two days following new or increased activity. 

Common Signs & Symptoms of Delayed Onset Muscle Soreness

  • Sudden and increased onset of muscle stiffness and soreness within one to two days following activity
  • Muscle soreness that typically peaks 12-48 hours following activity and gradually subsides in the days that follow
  • Muscle tenderness upon palpation or massage
  • Slight swelling or water retention in the affected muscles
  • Muscle soreness and stiffness that’s worse in the morning

Unlike the burning feeling you experience from acute muscle soreness during strenuous activity (such as the last few reps of a weightlifting exercise), delayed muscle soreness isn’t typically felt until 12 or more hours following activity. 

What Causes DOMS?

While Delayed onset muscle soreness is harmless, it can vary in intensity and duration, which can be explained by the physiological process responsible.

Muscle fibres grow via a process of microscopic damage and repair. When your muscles are stimulated from progressively increased intensity, duration, repetition, or load, the stress creates microscopic tears in your muscle fibres. These small tears result in temporary inflammation and soreness while your body works hard to recover and repair. The good news is, pending you give your body sufficient rest and nutrition, your muscles are one step closer to growing stronger and more efficient. 

Who is Prone to Experiencing Delayed Onset Muscle Soreness?

Everyone suffers from occasional DOMS following activity, from elite athletes to exercise newbies. Delayed onset muscle soreness typically occurs one to two days after a physical activity that your body hasn’t adapted to yet. Activities that trigger DOMS includes anything from an intense workout or hike to a day of golf or gardening. Over time, and as your muscles adapt to the simulation you are placing them under, DOMS becomes less intense, requiring shorter recovery periods. 

Delayed onset muscle soreness is more pronounced when:

  • You engage in a new activity after periods of inactivity
  • You engage in eccentric exercises (exercises that place tension or load on a muscle when it’s lengthened, such as slowly lowering the weight during a biceps curl or the stretched position of a deadlift).
  • Your workout is harder or more intense than usual
  • You start a new sport or exercise routine
  • You add a new exercise to your workout
  • Your hydration, nutrition, or recovery is compromised
  • You overdo it during a workout or favourite activity

While it’s okay to return to light activity despite still being sore, it’s important to pay attention to the signs your body sends you about whether its ready engage in certain activities yet. While light activity can help relieve DOMS-related stiffness and pain, sometimes the best thing you can do for your fitness is knowing when to rest.

Pushing your muscles to perform beyond exhaustion and before they’ve had a chance to sufficiently recover can lead to injury and more serious conditions, such as rhabdomyolysis. 

Signs and Symptoms of Something More Serious

While delayed onset muscle soreness can leave you feeling pretty beat up for a couple of days, it’s important to be aware of signs and symptoms of other more concerning causes of muscle pain and soreness (that warrant prompt medical attention). 

If your muscle pain is severe, worsening, or accompanied by any of the following signs and symptoms, contact your physician immediately.

Intense muscle pain or soreness accompanied by:

  • Flushing, fever, or chills
  • Dizziness or nausea
  • Dark, tea-coloured urine
  • Decreased thirst and urine output
  • Swelling, tightness, and redness of the affected area
  • Intense cramping or crushing pain in one affected limb
  • Rash, wound, or red streaks on or near the affected area
  • Sharp or shooting pain when you place weight on a limb or move the affected area
  • Stiffness and tingling or decreased circulation of the affected limb (e.g., extreme pain and swelling in calf muscle accompanied by numbness and pins and needles feeling in feet) 
  • Sharp, shooting pain when moving or placing your weight on the affected limb. 
  • Muscle pain and stiffness that get worse and don’t subside within 3-5 days of rest
  • Sudden intense crushing-like pain or pain that travels from one area to another

Managing DOMS

While delayed onset muscle soreness can’t be avoided entirely, there are things you can do to manage the discomfort and facilitate a faster recovery from DOMS.

Ease into activity and intensity: It can be tempting to jump into an activity you enjoy or a new exercise routine with enthusiasm and a desire to push yourself well beyond your comfort zone, but moderation is key! Overdoing things too early leads to increased muscle soreness and longer recovery periods. 

Adequate recovery and light movement: It seems counterintuitive when you’re already sore from activity, but one of the best ways to decrease delayed onset muscle pain and tension is by engaging your muscles in light activity. If your DOMS is particularly intense, it’s best to give yourself a day or two of complete rest. But resume light activity (such as yoga, swimming, or walking) as soon as you can to ease muscle stiffness and increase circulation. 

Eat and hydrate well: your body needs ample hydration and nutrition, including amino acids and glycogen from carbohydrates, to repair your muscle fibres and recover from inflammation. You’ll still experience occasional DOMS, but you’ll be helping your body to recover faster.

Take a bath or sauna: The magnesium your skin absorbs from an Epsom salt bath and increased circulation from a warm bath or sauna can help with muscle stiffness and soreness.

Therapeutic massage: while your muscles may feel sore to the touch, a massage therapist will know what techniques to use to help facilitate lymphatic circulation and release tension in your muscles and fascia.

When in doubt, seek help: If delayed onset muscle soreness persists and interferes with your ability to return to activities after a few days of rest, it’s best to have things checked out to rule out muscle injury. A consultation with one of our practitioners can go a long way in helping you improve your physical strength, endurance and abilities while preventing pain and injury. 

Take the Next Step 

Give our team of practitioners a call at Diversified Health Clinic today at (250) 382-0018 or book an appointment online. If you’re not sure who to book your appointment with, ask us when you call. We’re happy to help answer your questions, address the cause of your pain and discomfort, and get you on the road to recovery.

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Vertigo, BPPV and the Vestibular System

Vertigo, BPPV and the Vestibular System

Do you find yourself losing your balance, feeling dizzy or nauseous? You may be experiencing vertigo caused by issues with your vestibular system. You would also benefit from a targeted assessment to determine the causes of your symptoms using specific techniques and exercises to improve symptoms and get you feeling back to normal. 

The Vestibular System is found inside your inner ear and sends signals primarily to your brain stem. It is responsible for integrating sensory stimuli and movement and for keeping objects in visual focus as the body moves.

Issues With Your Vestibular System Can Cause Symptoms Such As:

  • Dizziness
  • Spinning sensation
  • Nausea
  • Vomiting
  • Lightheadedness
  • Ringing in the ears
  • Double vision
  • Impaired balance

Vertigo and dizziness are symptoms rather than a disease. Vertigo refers to the sensation of spinning or whirling that occurs due to a disturbance in your balance system. In addition, vertigo is used to describe feelings of dizziness, lightheadedness, faintness, and unsteadiness. Vertigo usually occurs because of a disorder in the vestibular system. The vestibular system is the structures of the inner ear, vestibular nerve, brainstem, and cerebellum. 

The Vestibular System

Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common vestibular conditions. BPPV is rarely serious except for the possible increase in the chances of falling. BPPV is caused by the crystals in the inner ear becoming unstuck from their usual place and freely moving in one or more of the three ear canals that make up the inner ear. These ear canals are filled with fluid and tiny hair cells, and they tell our brain and eyes about the speed and direction we are moving. When the crystals get into these canals, they disrupt the fluids’ normal movement past the hairs, sending our brain confusing information that makes us feel the spins (vertigo). You may also feel your eyes moving funny as they vibrate side to side, referred to as nystagmus. 

Anyone can experience this in their lifetime; however, it is more common in people over the age of 50 and more common in women. Injuries to the balance organs of the inner ear, head trauma or whiplash can also cause BPPV. In addition to vertigo, other symptoms may include:

  • Dizziness
  • Imbalance
  • Difficulty concentrating
  • Nausea
  • Vomiting

BPPV is typically unilateral, which means it occurs either in the left or right ear. Although, in more rare cases, it is bilateral, causing both ears to be affected. BPPV may be experienced for a very short duration, or it may last a lifetime, with symptoms occurring in intermittent patterns that vary by frequency, duration, and intensity. The most common cause of BPPV in people under the age of 50 is head injury and is presumed to result from a concussive force that displaces the otoconia. In people over 50 years of age, BPPV is primarily idiopathic, meaning it occurs for no known reason but is usually linked to natural age-related degeneration of the otolithic membrane. 

Benign Paroxysmal Positional Vertigo Treatment

Sometimes, BPPV will go away on its own within a few weeks or months; However, the symptoms can be debilitating. At Diversified Health, our Vestibular Experts, Chiropractor, Dr. Caitlin Sellan and Physiotherapist, Jennifer Mildon, can treat you with an in-office particle repositioning procedure. This procedure consists of several simple and slow maneuvers for positioning your head. The goal of these movements is to move the particles from the fluid-filled semicircular canals of your inner ear into a tiny bag-like open area that houses one of the otolith organs where these particles don’t cause trouble and are more easily resorbed. You will also be given home repositioning exercises to help maintain your treatment effect. In many cases, only 1-2 treatments are needed to resolve symptoms. 

What to Expect During Your BPPV Treatment

The procedure involves holding four positions for about 30 seconds each or for as long as you experience symptoms in that hold position. Once symptoms have stopped, your Vestibular Clinician will get you to stay in the position for an additional 30 seconds while watching your eyes for abnormal movements. The procedure may be repeated more than once within one treatment session. They may teach you how to perform the procedure yourself so that you can perform it at home as needed, although nearly 80% of people experience relief after the initial treatment. 

Contact our clinic today for more information on Vertigo-related treatments or to book with our Physiotherapist Jennifer Mildon or with our Chiropractor Dr. Caitlin Sellan who specializes in Vestibular treatments. Please contact us at 250-382-0018 or book online at www.diversifiedhealth.janeapp.com.

 

#physiotherapy #vertigo #balance #dizzy #chiropractor #victoriabc #balance #health #multidisciplinaryclinic #vestibular

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Fall in Love With Fitness Again. The Right Personal Trainer Makes It Possible

Whether you’ve taken a long hiatus from your fitness routine or you’re questioning the effectiveness of your current exercise program, there are a few common barriers that may be hindering your results and souring your relationship with fitness. The good news is that the right personal trainer can make a difference. Here’s how:

Common Fitness Barrier #1: You Don’t Know What You’re Doing

A personal trainer takes the guesswork out of your workout routine.

Perhaps it’s your first time visiting a gym, or maybe it’s been so long since you’ve picked up weights that you can’t remember what to do and how to do it properly. You know how that saying goes: when you fail to plan, you plan to fail. Winging it at the gym may feel productive, and it’s certainly better than doing nothing, but for your relationship with fitness to really stick, it needs repetition and consistency. But first, you need to familiarize yourself with the exercises you’ll be doing and why you’ll be doing them — you need a plan! Personal training takes the guesswork out of your workouts with a formula for success. 

Common Fitness Barrier #2: Your Workout Routine Is Painful, Boring, or Both!

The right personal trainer will identify what your workouts need to deliver results.

If your current workouts feel like a slog:

Something needs to change fast before boredom makes you part ways with your gym and question your commitment to fitness. There are several ways to get to your goal without suffering through workouts that make you feel like a hamster on a wheel (hey, hour-long treadmill sessions, I’m talking about you). If you hate what it takes to see results, heading to the gym won’t stand a chance at competing with other, more pleasure-inducing priorities such as Netflix. 

Even worse, pain puts the brakes on activity and progress faster than boredom:

When something hurts, your body screams, “stop!” And often for a good reason. Past or impending injuries, including your general health, should always be assessed before starting a new activity. And, if something hurts, have it checked out by a practitioner before proceeding. One of the key roles a good personal trainer plays in your relationship with fitness is to help you avoid injury by ensuring proper form and addressing any muscle imbalances.

A good personal trainer will also help you know how hard to push and how long to rest, which helps you feel less sore between workouts. While pain means “stop,” muscle soreness is part and parcel of muscle growth, but the right balance of personal training and rest can make delayed onset muscle soreness less severe and more manageable.

Common Fitness Barrier #3: You Stopped Seeing Results

Let’s face it, relationships stick when needs are met, and if your current workout routine is making you feel stuck, it’s time for an intervention. Time, after all, is your most precious commodity, so it makes sense to want to get something out of all the time you invest in the gym and your workouts. 

A good personal trainer and exercise plan takes into account your level of fitness now and what needs to be done to achieve your attainable goals. Personal training is more than jotting down a series of exercises.

The right personal trainer is a skilled strategist that considers:

  • Your current fitness level and abilities
  • Your lifestyle and time constraints
  • Your rest and nutrition 
  • Habits and attitudes towards food and activity that sabotage progress
  • Whether your goals are realistically attainable for your physiology
  • What exercises are best suited to your abilities and goals
  • Exercise frequency, duration, and intensity needed to achieve your goals within the time you can allot to fitness
  • How often your exercise plan needs to change to warrant progressive results
  • How to do each exercise safely and effectively, with proper form that takes into account your body’s dynamics, past injuries, and range of motion – slight adjustments can make a world of difference

Ready to Fall in Love With Fitness Again?

It’s easy to put off making changes, but the sooner you do, the closer you’ll be to attaining your goals (and enjoying your workouts). Our Personal Trainer and Kinesiologist, Angelina Schaaf, is here to help. Imagine how great you’ll feel seeing results from a customized workout plan designed specifically for you and your goals. 

Take the next step:

Book a consultation with our personal trainer and kinesiologist, Angelina Schaaf. Call our clinic today at (250) 382-0018 or book your appointment online.

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Extended Benefit Plans and Direct Billing: What You Need to Know

Extended Benefit Plans and Direct Billing: What You Need to Know

Extended Benefit Plans allow you to receive treatments that are covered under your plan, which can be directly billed at the time of service.

Depending on your coverage, you may have to pay a percentage of the treatment cost or nothing at all. As every benefit plan is different, it is imperative that you reach out directly to your employer or insurance company to get an understanding of your plan and what may or may not be required.

While our clinic is pleased to offer direct billing, our administrative team cannot investigate extended benefit plans on behalf of patients to determine what treatments are covered, how many visits you have used, or how many visits you have left. 

Deductibles

Many extended benefit plans have an annual deductible that is applicable at the start of each new year. A deductible is a dollar amount that you have to pay out of pocket until that dollar amount is reached, and then your extended benefits coverage takes effect. You do not have to pay the entire deductible at your first visit, but instead, each visit will go against the deductible until it reaches the maximum. Generally, the lower the deductible or no deductible, the more expensive the policy is and vice versa.

Please note that we cannot see what your annual deductible is or how much is remaining; we can only view the amount placed against the deductible each time we process a direct billing. To find out the annual deductible amount in your plan, please check with your extended benefits company.

What services are eligible for direct billing? 

Our clinic can bill directly for chiropractic, physiotherapy, acupuncture, and registered massage therapy.

Athletic Therapy is not a direct billable service yet; however, many plans will reimburse you if you submit yourself. Check with your extended benefits plan to see if Athletic Therapy is covered.

Kinesiology is only directly billable to ICBC. Always check your benefit plan to see what treatments they deem eligible for direct billing.

What cannot be direct billed?

  1. Missed appointment fees are not billable to most extended benefit plans.
  2. Orthotics are not direct billable; however, many benefit plans cover orthotics up to a specific dollar amount. For more information on orthotics and orthotic billing, please click here. 
  3. Depending on your specific plan, each of our treatment services may or may not be a direct billable service for you. Please refer to your extended benefits guide for what is directly billable under your plan.

What Insurance companies can we direct bill?

Our clinic can direct bill most extended benefits companies, including but not limited to:

  • Manulife 
  • Sunlife 
  • Canada Life (Formally, Great West Life) 
  • Greenshield
  • Pacific Blue Cross
  • Veterans, RCMP, CAF 
  • Desjardins
  • Group Health/ Group Source
  • People’s Corporation
  • Empire Life
  • ClaimSecure
  • Johnston Group
  • Chamber of Commerce
  • Maximum Benefits
  • Group Medical Service 

Partner/Spousal coverage or secondary policy coverage

We can directly bill your primary benefits provider and your secondary provider at the same time of service with a few exceptions. For example, we generally require your partner’s date of birth and full legal name along with policy information.

Suppose we are unable to bill directly to the secondary coverage due to benefit rules or other restrictions. In that case, we will still direct bill your primary coverage and then only collect the remaining amount from you. We can then provide you with a receipt to send to the secondary coverage for reimbursement. 

For more information or to book a treatment:

Contact our clinic to find out more about extended benefits or to book an appointment at 250-382-0018 or book online at www.diversifiedhealth.janeapp.com

#extendedbenefits #physiotherapy #chiropractic #registeredmassagetherapy #acupuncture #victoriaBC #injury #mva #multidisciplinary #healthandwellness

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Been in a Car Accident? Diversified Health Clinic Is Here to Help!

Been in a Car Accident? Diversified Health Clinic Is Here to Help!

Being in a car accident can be a scary and overwhelming experience that can cause lasting injuries. This is why it is important to understand what your injuries are and what treatments are available to you. One result of trauma when you are involved in an accident is the release of endorphins that can act as a painkiller to mask your injuries and pain.  Most muscle pain and stiffness will typically occur in the first 24 hours but can take as long as 7-10 days to present. For this reason, it is important to seek medical attention within the first 24 hours of your accident.

car accident injuries

After seeking medical attention, the next step is to contact ICBC to report the accident and start your claim. ICBC will assign you a claim number and a care team to help assist with your recovery. For more information on how to report a claim to ICBC, please click here. 

With your approved ICBC claim number, you will have access to several pre-approved treatments that will assess and treat any injuries from your accident under the new Enhanced Care Program. 

 

ICBC Enhanced Care Program

ICBC recently moved to their enhanced care program in 2021, which gives drivers, passengers, pedestrians, or cyclists enhanced recovery benefits. You will have access to pre-approved treatments within the first 12 weeks of the accident date for chiropractic, physiotherapy, registered massage therapy, kinesiology and acupuncture without the requirement of a doctor referral. This means ICBC will be directly billed for treatments with little to no out-of-pocket expense to you. At the end of the 12 weeks or the pre-approved treatments, our practitioners can complete a treatment plan to request additional pre-approved treatments if needed. 

Recovering From Your Injuries: How many pre-approved treatments do you get?

The number of pre-approved treatments will vary depending on the treatment modality. Within the first 12 weeks of the accident date, you are pre-approved for 25 chiropractic and physiotherapy treatments, and for 12 registered massage therapy, kinesiology, and acupuncture treatments.  

What can our team at Diversified Health Clinic do?

Treatment of your auto-collision injuriesOur multi-disciplinary team will work with you, with the ability to collaborate across treatment modalities to ensure you are getting the best treatment results. Our Diversified Health Team can evaluate, diagnose, and treat a wide range of conditions and injuries including:

  • Headaches, concussion
  • Whiplash and neck pain
  • Back pain
  • Chronic pain
  • Numbness, tingling and nerve damage
  • Muscle spasms or weakness
  • Surgical recovery
  • Disc herniation and bulging
  • Soft tissue injuries
  • Hip, knee and/or joint pain
  • Sprains, strains, and fractures

Our valued team of practitioners will assess and create a personalized treatment plan to get you back to your pre-accident self. Our talented Chiropractors, Physiotherapists, Acupuncturists, Registered Massage Therapists, and Kinesiologist have a vast array of treatment knowledge at their disposal along with state-of-the-art technology such as:

Contact our clinic to find out more about ICBC related treatments at 250-382-0018 or book online today.

#ICBC #caraccident #accidentrecovery #physiotherapy #kinesiology #chiropractor #acupuncture #registeredmassagetherapy #victoriabc #whiplash #carinjury #mva

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Spinal Decompression Therapy Explained

Spinal Decompression Therapy Explained

If you have been struggling with chronic back, neck or sciatic pain, you do not have to live with the pain! spinal decompression therapy is a painless, non-surgical, drug-free way to help relieve chronic back, neck and sciatic pain. Continue reading to learn how spinal decompression works and why it’s an option worth exploring. 

What is Spinal Decompression Therapy?

Non-surgical spinal decompression therapy utilizes a type of motorized traction that involves stretching the spine with the goal of relieving back pain and/or leg pain. The bones of the spine are slowly separated, and pressure is slowly reduced within the disc until a vacuum is formed. This vacuum creates negative pressure and space within the disc to allow disc fluid to move back into place. This reduces the bulge or herniation of the disc and creates an environment where the disc can receive more nutrients and therefore be able to heal more effectively.

Spinal Compression Is Used to Treat:

  • Back, neck or sciatica pain
  • Bulging or herniated disks
  • Degenerative disk disease
  • Worn Spinal Joints (posterior facet syndrome)
  • Injured or diseased spinal nerve roots

When Do You Use Non-Surgical Spinal Decompression Therapy?

Spinal decompression therapy is for patients looking for a non-surgical and non-drug approach to relieving chronic back pain, sciatica, and spinal stenosis. Spinal decompression is also used for patients that present with an MRI that confirms herniated discs causing nerve pressure. However, spinal decompression treatments cannot be used for patients who are pregnant or suffering from spinal fractures, tumours of the spine, abdominal aortic aneurysm, severe osteoporotic disease, or metal implantations in their spine. 

What Are Spinal Decompression Treatments Like?Spinal Decompression Therapy Table

During spinal decompression treatments, fully clothed patients are secured into a harness that is attached to the motorized table. The practitioner will program the table for your treatment and the amount of traction your spine will go through. Depending on the treatment, you will be lying either face-up or face down. Each session lasts no longer than 15-20 minutes. You will feel pressure applied to your lower back and will feel as though you are being “stretched out.” You should not feel any pain during spinal decompression therapy.

How Long Until You See Results?

Before and After Spinal Decompression Therapy

Individual results vary; however, most patients notice a difference within their first 5-6 spinal decompression therapy treatments and experience pain relief within as few as 6-10 treatments.

Not only is spinal decompression painless – patients often enjoy the relief they feel from their symptoms when they are on the table being decompressed. Most patients will need to come in for treatment three times a week for one month, transitioning from passive to active treatments as their bodies respond and will also be prescribed a customized exercise program to target the areas that require more stabilization.

Clinical results show that spinal decompression has been effective in over 75% of patients treated. In addition, most patients found long-term relief or effective management of pain when they completed their spinal decompression treatments. Your practitioner may also recommend additional treatment modalities such as heat/cold therapy, electric stimulation, K-Laser and home exercises.

Benefits of Spinal Decompression Therapy

  1. Provides pain relief by relieving tension in tight, spasming or injured muscles. Spinal decompression helps to stimulate the nervous system to release neuro-chemical signals that have an analgesic effect on the body. 
  2. Promotes the healing of spinal disc tissues by imposing a vacuum-like force on the spinal discs, which helps to draw healing fluids, cells, and other substances toward the damaged tissue. 
  3. Helps restore normal spinal joint and disc alignment with the same vacuum-like force. That vacuum-like force helps to align the joints and discs which prevents further pain, inflammation, impaired mobility, and dysfunction.
  4. Relieves pressure on spinal nerves by increasing the space around the nerves which allows them to begin healing.

For More Information on Spinal Decompression Therapy (and Whether It’s Right for You):

Contact Diversified Health Clinic at 250-382-0018 to find out more about spinal decompression treatments, or book with our practitioners online at www.diversifiedhealth.janeapp.com

#physiotherapy #chiropractic #backpain #chronicbackpain #victoriabc #sciatica #degenerativedisc

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Step Into The New Year With Less Foot Pain

Step Into The New Year With Less Foot Pain

Life is too short for uncomfortable shoes, but even the cushiest shoes can feel like bricks at the end of a long day on your feet (especially if you’re already prone to foot pain). While you can’t always put your feet up when you want to, the good news is that there are things you can do to prevent and alleviate foot pain. Continue reading to learn about the most common causes of foot pain and what can be done to treat your feet. 

Common Causes of Foot Pain 

Everyone will experience sore feet at some point, but what happens when foot pain is recurring or, worse yet, persistent? Recurring or constant foot pain often comes down to one or more of the following:

  • Poor-fitting or uncomfortable footwear
  • Wearing inappropriate footwear for an activity 
  • Strained foot muscles caused by occupation, prolonged activity, or excessive body weight
  • Untreated gait issues resulting in excessive supination (rolling outward of the ankles and raising of the arch), pronation (rolling inwards of the ankles and collapsing of the arches) and other biomechanical faults
  • Hereditary conditions, including rheumatoid arthritis that affect the bones and joints of your feet and ankles 
  • Arch pain from fallen arches and poor arch support 
  • Heel spurs, hammertoes and bunions 
  • Past injuries to your feet, ankles, knees or hips that displace more weight to one foot, reducing foot flexibility or causing pain during certain activities
  • Heel pain caused by plantar fasciitis and Achilles tendon pain caused by Achilles tendinopathy
  • Metatarsalgia, causing pain and inflammation in the bottom balls of (one or both) feet, triggered by poor arch support or shock absorption
  • Shin splints pain caused by training on hard surfaces and footwear with poor shock absorption
  • Gait issues that negatively affect your body’s alignment and posture, resulting in knee, hip or lower back pain

Choosing the Right Shoes

Foot Pain Caused By Poor-Fitting Foorwear

In our efforts to be fashionable, we often make footwear choices based on form over function by paying more attention to a style than whether or not our footwear choices properly support our feet. Common blunders include toe boxes that are too tight, heels that are too high or soles that are too flat, resulting in constrained feet and overtaxed foot muscles after a few hours of wear. The ideal footwear considers the activity you’re performing and supports your feet by helping to distribute your weight as evenly as possible and absorbing some of the shock when your feet strike the ground. 

Proper Footwear for Your Occupation and Sport

If your occupation has you on your feet all day, your footwear needs to be more shock-absorbing and offer good stability and arch support to prevent muscle strain and inflammation. 

Selecting the proper footwear for your sport is just as important (if not more) as choosing the rest of your equipment. For example, a good weightlifting shoe will offer drastically different types of support than the ideal shoe for hiking, trail running, CrossFit or field lacrosse. So carefully consider what kind of support your feet and ankles need during the activities you perform. 

Some Feet Need a Little Extra Support

Some feet require extra TLC, and that’s okay! When we consider how much our feet support us every day, it only makes sense to return the favour. 

Some Feet Need a Little Extra Support

Did you know? 

Besides causing pain, improper footwear and unaddressed gait issues can have a detrimental and compounding effect on the rest of your body. For example, Shin pain, knee pain, hip joint pain and lower back pain are sometimes caused and exacerbated by issues that start in your feet. 

Protecting your health from the ground up!

If we compare our bodies to a tower, the strength of a tower’s architecture significantly depends on a solid foundation. The same is true about our bodies. The optimal alignment of our joints (and posture) starts at our feet – our foundation. This is where custom orthotics come in.

How custom orthotics mitigate foot pain

Most foot pain is caused by biomechanical faults of the feet that can be corrected using custom-made orthotics. Even foot pain caused by genetic factors can benefit from having custom orthotics that help reduce foot strain. Custom orthotics are tailored to the exact ergonomics of your foot, taking into account any pain and biomechanical faults caused by foot malformations, fallen arches and other foot muscle imbalances. Properly fitted orthotics improve how your body’s weight is distributed to your feet, improving overall body alignment and shock absorption while standing and during activities.

Custom orthotics add an instant upgrade to almost any pair of shoes

Custom orthotics are made to fit neatly into most types of footwear, and depending on your lifestyle, can be tailored to suit the activities you partake in most. For example, it’s not uncommon for athletes to have more than one pair of custom orthotics – one that is specifically designed to be used during training. 

Custom-made orthotics support your feet where they need it most

Custom Orthotics and Gait AnalysisUnlike off-the-shelf insoles and inserts, custom orthotics are created from exact molds of your feet that are taken after a thorough biomechanical assessment and Gait Analysis that examines your feet and posture when standing and walking. Making orthotics from an exact mold ensures the correction offered by your orthotics is just enough, providing support specifically where your feet need it without interfering with the healthy dynamics of your feet.

Click here to learn more about our Gait Scan Analysis or visit our article on Custom Foot Orthotics to learn more about our Custom Orthotics process at Diversified Health Clinic in Victoria, BC.

Take the Next Step in Treating Foot Pain

Book a private appointment with one of our chiropractors or physiotherapists at Diversified Health Clinic today at (250) 382-0018 to discuss whether orthotics are right for you, or contact our clinic to learn more.

We’re happy to answer your questions, address the cause of your pain and discomfort, and help you step into the new year with happy, healthy feet!

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Custom Foot Orthotics

Custom Foot Orthotics

Many foot problems can be directly attributed to collapsed/fallen arches or other biomechanical issues such as pronation (rolling in and collapsing of the arches) or supination (rolling outward of the ankles and raising of the arch). Many of these biomechanical faults can be genetic in origin and many patients do not know there is a problem, usually until pain manifests. Orthotics can help to provide relief from conditions of the foot, ankle, knee, hips and lower back including, but not limited to:

  • Plantar Fasciitis
  • Bunions
  • Ankle sprains
  • Achilles’ tendinopathy
  • Shin Splints
  • Low back pain

How are custom orthotics made?

If you are an existing patient, you will come in for the first appointment, a biomechanical assessment that includes a gait scan analysis, that looks at your feet when standing, and walking. Next, the practitioner will take a foam cast of your feet, in the proper “neutral position” which allows the orthotic lab to customize the orthotic to your feet. Then we send out the gait scan analysis along with the foam cast to The Orthotic Group’s lab and in about 2-3 weeks, your orthotics will be delivered to the clinic. 

If you are a new or existing patient, you will need to check with your extended benefit company to get an understanding of the requirements they may have for your orthotics to be reimbursed before booking in for the first orthotic appointment, the Biomechanical assessment.

You would then book a fitting appointment roughly 2-3 weeks after the biomechanical assessment. In this appointment you will receive your new orthotics and will be able to try them in your shoes and the practitioner will ensure they are fitting correctly. They will also be able to discuss how often you should start wearing your orthotics for and holding up to wear and tear. After this, you can book in maintenance/checkup appointments if you have any concerns or issues with the custom orthotics. 

If you are a new patient to the clinic, we would have you book an initial appointment first so that your practitioner can get your health history, do a proper assessment and be able to recommend a treatment plan. If the practitioner believes custom orthotics would benefit your treatment and condition, then they would book you the biomechanical assessment.

How Orthotics are Made

Orthotic Fees

At the first biomechanical appointment, along with your appointment fee we will also collect a non-refundable deposit that goes towards the cost of the orthotics (50% orthotic cost). At the fitting appointment, you will pay your appointment fee and the remaining 50% of the orthotic cost. You will also be given your Orthotic package that will include receipt of payment, biomechanical paperwork, proof of manufacturing and if applicable any paperwork that is required by your extended benefit plan. 

Adjustment Period

There is an adjustment period after you receive your orthotics for your body to readjust to the correct position, generally about two weeks. Your body will have adapted to the ground in a certain way when you did not have orthotics, and now must re-learn the correct position. Accompanying your orthotics, our practitioners will provide you with an instruction sheet that suggests the length of time that orthotics should be worn each day until your body has had the chance to readjust. It is important, once you have gone through the adjustment period, to wear your orthotics as prescribed and on a continuous basis to ensure that your body maintains that correct position and to help alleviate pain. 

Shoes

The importance of shoes cannot be over-emphasized here. The best custom orthotics will be ineffective if you wear them with shoes that are not stable. Custom orthotics can be transferred into different shoes that you may wear, however there may be certain shoe types that do not comfortably accommodate your orthotics. A good quality shoe will provide adequate support for only about 8 months if you wear the shoes daily. While the shoes may appear in good condition, the foams in the mid-sole lose their ability to “bounce back”. Replacing your shoes on a regular basis is on the most important things you can do for your foot health. 

Placing Orthotics in the shoe

The most important thing to do when inserting your custom orthotics, is to remove the insole that is already in the shoe. Most insoles have a lip on the back, and this will prevent the custom orthotics from sitting all the way back in the shoe and may lead to arch or heel irritation. After you have placed your custom orthotic into your shoe, you want to make sure that the heel sits all the way back against the heel of the shoe. If there is a gap between the orthotic and the shoe, this is an indication that the shoe is too narrow for your orthotic and your foot. 

How long can I expect the custom orthotics to last?

No orthotics are not indestructible and will wear out eventually or you may even outgrow them. Generally, custom orthotics last 1 to 5 years and determining if they need to be replaced comes down to appearance and how they are used.  Some of the most relevant factors are:

  1. How they are used: if you do a lot of high impact activities, they will wear out faster
  2. How often they are worn: It is recommended to wear your orthotics everyday, and many people choose to get more than one pair to accommodate for dress shoes, running shoes etc
  3. Getting older: Your feet will not be the exact same size and shape, as they will continue to grow and flatten as you get older. 
  4. Signs of damage: scratches and scuffs are fine, but if you notice cracks, creases or breaks in the orthotics, they need to be replaced.
  5. Pain: If your orthotics are working you should experience minimal to no pain.  Any kind of pain is the best indicator that your orthotics need replacing
  6. Lifestyle changes: any kind of significant transformation such as pregnancy, knee surgery, weight gain or weight loss can cause you to need new orthotics. 

If You’re Interested in Orthotics

Contact the clinic to find out more about custom orthotics or to book your biomechanical assessment with Dr. Caitlin Sellan at 250-382-0018 or book online at www.diversifiedhealth.janeapp.com

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The Ins and Outs of Acupuncture

The Ins and Outs of Acupuncture

Acupuncture is a safe and gentle treatment suitable for all ages. It has been used for several thousand years as part of a complete system of medicine that originated in China, known as Traditional Chinese Medicine (TCM). Treatments include: TCM examination, diagnosis, and acupuncture, and may also incorporate lifestyle counseling, fire cupping, Gua Sha, and Chinese massage techniques known as Tui Na. 

Afraid of Needles?

Acupressure can be used for patients who have a fear of needles or a tendency to faint.

How Acupunture Works and What It Treats

Acupuncture works on both mental/emotional and physical levels. It can help with a wide range of issues including, but not limited to, the following:   

  • Acute and chronic pain (osteoarthritis; injuries, including sprains and strains; headaches/migraines; body pain e.g. neck, frozen shoulder, back, knee sciatica; fibromyalgia; facial pain including TMJ; surgery preparation/recovery
  • Mental health (including depression, stress, grief, anxiety, and addiction)
  • Gynecological concerns (such as heavy bleeding, painful cycles, PMS, fertility, symptoms of menopause)
  • Skin conditions (rashes, hives, acne, eczema)
  • Neurological disorders (MS, neuralgias, stroke, palsy)
  • Respiratory disorders (asthma, bronchitis, allergies)
  • Digestive disorders
  • Sleep (insomnia, fatigue, lethargy)

Acupuncture can also be used on an ongoing basis to maintain health and well-being and enhance/support physical and mental performance. 

How Many Treatments Should I Expect to Have?

The number of acupuncture treatments required depends on the condition. Most acute issues will need a minimum of 3-4 treatments; whereas, chronic conditions will require more. It is recommended that you start with treatments once or twice a week until symptoms improve.  

Take the Next Step!

Our registered acupuncturists are here to answer any questions you might have. Initial appointments are 60 minutes and follow-up appointments are 45-60 minutes. Book your first acupuncture allergy treatment at Diversified Health Clinic today, or contact our clinic to learn more.

Related

Acupuncture Allergy Treatments: Natural Relief From Achoos! 

How to Conquer Seasonal Allergies

Spring is in the air! Allergy Season Relief with Acupuncture

Acupuncture for Immunity

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TMJ Symptoms (You Should Never Ignore)

TMJ Symptoms (You Should Never Ignore)

“Snap, crackle, and pop” may be desirable attributes in cereal but are concerning when they describe the sound and sensation your jaw makes when you open and close your mouth or chew. Worse still, if those sounds and sensations are accompanied by facial tension and jaw pain, you may be dealing with a TMJ disorder that warrants professional assessment and prompt treatment before it gets worse. Please continue reading to learn about the most common TMJ symptoms to watch out for, why you should never ignore them, and effective non-surgical TMJ disorder treatments offered in Victoria, B.C. 

What Does TMJ Refer To?

TMJ is an acronym used to describe your temporomandibular joint. Let’s face it, “temporomandibular joint” is a mouthful to remember, and so TMJ is more commonly used. Your temporomandibular joint (TMJ) is a ball in socket joint located on each side of your face, anterior to your ears. Your TMJ is surrounded by strong jaw muscles and ligaments that connect your lower jaw (mandible) to your upper jaw (maxilla) and facilitate the movement of your jaw when you chew, speak, open and close your mouth. TMJ disorder refers to any pain, tension, interruption, or inflammation of your temporomandibular joint that may have a known or unknown cause. 

TMJ Symptoms

The most common TMJ symptoms are pain and tension on one or both sides of your lower jaw and areas surrounding your ears. Pain can be persistent or intermittent, with occasional flare-ups triggered during times of stress or after enjoying your favourite, extra-crunchy or chewy foods. Sometimes, TMJ symptoms can occur without any apparent causes. Following are several other TMJ signs and symptoms to watch out for.

  • Persistent or recurring pain or tenderness on one or both sides of jaw / temporomandibular joints (pain may either be persistent or occur when opening and closing mouth or chewing)
  • Aching pain in or around the ears
  • Tinnitus (ringing in the ears)
  • Pain, discomfort, or difficulty opening and closing mouth or chewing
  • Pain, fatigue, or muscle spasms in the face, neck, and sometimes shoulders
  • Clicking, popping, or grating sensation when opening and closing mouth or chewing accompanied by pain, discomfort, and tension, or limited movement
  • Inability to open or close your jaw completely
  • Swelling on one or booths sides of cheeks or jaw
  • Dizziness and fatigue
  • Frequent headaches
  • Toothaches
  • Changes in bite
  • Facial tension and tenderness
  • Locking of your jaw interfering with your ability to open or close your mouth

Summary of Contributing Factors to TMJ

What causes the onset of TMJ symptoms may or may not be obvious. However, the following includes examples of potential situations and conditions that may be causing or contributing to the onset or progression of TMJ disorder.

  • Arthritis and other autoimmune/connective tissue disorders
  • Jaw injury (dislocation, whiplash, direct injuries, trauma)
  • Long-term (chronic) clenching and grinding of teeth (bruxism)
  • Hormonal changes
  • Strain from forceful or excessive biting and chewing / hard to chew foods
  • Misaligned bite
  • Poor posture, resulting in the forward jutting of your mandible
  • Nutritional deficiencies and dehydration
  • Stress and anxiety

Potential Complications if TMJ Disorder Is Left Untreated

  • Increased loss of jaw mobility
  • Worsening of pain and symptoms
  • Bite issues resulting in damage to teeth and mandibular joint
  • Recurring headaches
  • Sleep apnea

Things You Can Do to Help Prevent TM

  • If nocturnal teeth grinding (bruxism) or a misaligned bite are determined to be the cause, a nightguard or retainer may be issued to mitigate teeth grinding and correct jaw alignment
  • Wearing protective mouth guards during contact sports and weightlifting (activities when jaw clenching is likely to occur)
  • Identifying and correcting suboptimal posture
  • Guided stretching (following proper instruction and demonstration by a health practitioner)
  • Stress management and mindful relaxing of facial muscles
  • Applying a cool pack or moist heat for up to 10 minutes at a time, throughout the day and after activity or when jaw muscles feel tight

Most Importantly

Pay attention to any signs your body sends you, signaling something isn’t quite right, and never ignore pain! While TMJ disorder can be treated at any stage, it is ideal to address any TMJ symptoms early on to prevent worsening symptoms and potential damage to your teeth and mandibular joint. 

If you suspect you may be suffering from TMJ issues, book a professional assessment with one of our registered massage therapists or physiotherapists to identify and help correct any TMJ alignment issues and chronic muscle tension. 

Effective Treatments for TMJ in Victoria, B.C.

How We Treat TMJ Symptoms

Because TMJ symptoms can be caused by a variety of contributing factors, at Diversified Health Clinic, we take a comprehensive approach to treating TMJ disorders. Depending on the severity and cause of your TMJ symptoms (and how long you’ve been experiencing them), successfully treating TMJ disorder may require a combined approach that involves targeted treatments, including:

  • Class VI K-Laser Therapy 
  • TENS Therapy
  • Ultrasound
  • Therapeutic Massage
  • Physical Therapy
  • Intramuscular IMS

One of the advantages offered by Diversified Health Clinic is how our integrated health team provides you access to all the above treatments and highly trained and collaborative health practitioners, all under one roof. In addition, we carefully customize a treatment plan that specifically addresses your needs, delivering immediate relief and fast-tracking your healing and recovery.

The first step in proper treatment is to book an appointment with one of our registered massage therapists or physiotherapists at Diversified Health Clinic. If you’re not sure who to book with first, give our clinic a call at (250) 382-0018. Our clinic concierges will help you book your initial assessment with the best practitioner for your specific concerns.  

What to Expect During Your First Visit

When we meet with you, we’ll start with a thorough initial consultation before tailoring a treatment plan for you that relieves pain while specifically addressing your condition. 

A health practitioner will assess and identify suboptimal posture and bite issues as well as sounds or interruptions in the range of motion you have when opening and closing your mouth. They will also gently palpate your face and jaw to determine areas of discomfort you experience when chewing or otherwise using your jaw.

Our goal is to help you return to the activities you love and enjoy without the interference of pain or risk of injury. 

If You Suffer From TMJ Symptoms:

Give our team of practitioners a call at Diversified Health Clinic today at (250) 382-0018 or book an appointment online. We’re happy to help answer your questions, address the cause of your pain and discomfort, and get you on the road to recovery.

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