Intro to whole body vibration machinesIn the last decade, vibration training was mainly used in the fitness industry, but the use of vibration equipment has now expanded and is widely used in physical therapy, rehabilitation, professional sports, and is increasingly used in beauty and wellness applications. There is an abundance of research worldwide that highlights the benefits of Whole Body Vibration. Studies have shown remarkable results for improved fitness and health in a fraction of the time, compared to traditional exercise.

How vibration machines work

Whole body vibration is implemented through the use of a vibrating platform on which static poses are held or dynamic exercises can be performed depending on the type and force of the machine. The vibrations are generated by a complex mechanism underneath the platform, and those vibrations improve flexibility/balance and strengthens bones/muscles.

Bone Strength

Loss of bone density affects many people at different age groups. One of the key benefits of Whole Body Vibration is that it can stimulate the release of natural hormones. These hormones can in many cases stop the loss of bone density and in some situations may even reverse the effects of osteoporosis. These beneficial claims are from the ground breaking study reported in the Journal of Bone and Mineral Research in 2006.

Blood circulation

Increasing blood circulation can be beneficial in so many ways. With increased blood circulation, your cells receive more oxygen and nourishment. White blood cells help remove debris from broken down cells and from toxins that enter the body. The increase of the body’s lymphatic drainage system is a great way to improve overall health and strengthen the immune system.

Muscles

Regular use of our whole body vibration training machines can help exercise your muscles by increasing the force on the muscles. This is done without the damaging impact of traditional exercise on your joints. There is also little to no strain on ligaments and tendons when one uses a whole body vibration machine correctly.

Pain

Muscle, joint, and nerve pain are all debilitating problems that affect millions of people. Many whole body vibration machines have programs and exercises that help develop your core strength which can improve posture. A stronger core helps to eliminate the root of many muscle related ailments.  Strengthening bones and muscle will also help to reduce muscle aches and pain.

At Diversified Health, our physiotherapists and chiropractors use a vibration machine as a rehabilitation tool. Vibration training can help strengthen muscles without putting strain on joints and ligaments. Rehabilitation often involves an increase in blood flow which is one of the keys to repairing and regenerating soft tissue. Improved circulation also helps to drain fluid build-up from injured tissue.

What is myofascial pain syndrome?Myofascial pain syndrome is a chronic musculoskeletal pain disorder that can involve either a single muscle or a muscle group. It refers to pain and inflammation in the body’s soft tissues. Myofascial pain is a chronic condition that affects the fascia (connective tissue that covers the muscles).

The pain associated with this condition can range from burning, stabbing, aching sensations to include a combination of these symptoms.   With myofascial pain syndrome, excessive strain on a particular muscle, muscle group, ligament or tendon can prompt the development of a “trigger point” that, in turn, causes pain.

Where a person experiences the pain may not be where the myofascial pain generator is located. This is known as referred pain.  Myofascial pain symptoms usually involve muscle pain with specific “trigger” points which can be made worse with activity.

What causes myofascial pain & what are the symptoms?

Myofascial pain typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions, injury to an intervertebral disc, or lack of activity (such as a broken leg).

The main symptom of myofascial pain is ongoing muscle pain, in areas such as the low back, neck, shoulders, and chest.  These symptoms may include a muscle that is sensitive or tender when touched, or a pain that feels aching, burning, stinging, or stabbing and does not lessen in intensity.  Another symptom is reduced range of motion in the affected area and a feeling of weakness in the affected muscle.

How is myofascial pain diagnosed?

Trigger points can be identified by pain produced upon digital palpation (applying pressure with one to three fingers and the thumb). In the diagnosis of myofascial pain syndrome, four types of trigger points can be distinguished:

  •  An active trigger point is an area of extreme tenderness that usually lies within the skeletal muscle and which is associated with a local or regional pain.
  • A latent trigger point is a dormant (inactive) area that has the potential to act like a trigger point.
  • A secondary trigger point is a highly irritable spot in a muscle that can become active due to a trigger point and muscular overload in another muscle.
  • A satellite myofascial point is a highly irritable spot in a muscle that becomes inactive because the muscle is in the region of another trigger pain.

How is myofascial pain treated?

Treatments may include any of the following:

  •     Massage Therapy
  •     Physiotherapy
  •     Lifestyle changes -adjusting your workstation, improving posture, avoiding muscle tension
  •     IMS | Trigger point dry needling
  •     Transcutaneous electrical nerve stimulation | TENS
  •     Laser
  •     Ultrasound

Often a combination of physical therapy, trigger point dry needling and massage are needed in chronic cases.  Please talk with one of our health care practitioners to discuss myofascial pain syndrome.

Dry Needling or IMS | physiotherapy victoria bcTrigger point dry needling, also referred to as intramuscular stimulation (IMS) and/or intramuscular therapy (IMT) is an invasive procedure in which an acupuncture needle is inserted into the skin and muscle. 

It’s actually considered part of physiotherapy, and is not acupuncture.

IMT treatments at Diversified. Read more about here.

What is Trigger Point Dry Needling?

Trigger point dry needling is physical intervention that uses dry needles to stimulate trigger points, diagnose and treat neuromuscular pain and functional movement deficits. 1

As the name implies, dry needling is primarily directed at myofascial trigger points, which are defined as “hyperirritable spots in skeletal muscle that are associated with a hypersensitive palpable point in a taut band”.2

Physical therapists around the world practice trigger point dry needling as part of their clinical practice and use the technique in combination with other physical therapy interventions.  A high degree of kinaesthetic perception allows a physical therapist to use the needle as a palpation tool and appreciate differences in the density of those tissues pierced by the needle.3

Although some people refer to trigger point dry needling as a form of acupuncture, it did not originate as part of the practice of traditional Chinese acupuncture. The difference being that there are distinct anatomical locations of myofascial trigger points within muscle tissue, whereas acupuncture points have point specificity on the body.

There is substantial medical literature on IMS and dry needling that has been subjected to peer review. Trigger point dry needling has been used following a variety of different schools and conceptual models.  According to these models, when the flow of nerve impulses is restricted to an area of the body, all innervated structures, including muscle, spinal nerves, sympathetic ganglia, adrenal glands, sweat cells, and brain cells become atrophic, irritable, and supersensitive.4,5

Many common diagnoses, such as achilles tendonitis, lateral epicondylitis, frozen shoulder, chrondromalacia patellae, headaches, plantar fasciitis, temporomandibular joint (TMJ) dysfunction, myofascial pain syndrome (MPS), and others, might in fact be the result of neuropathy, and associated myofascial trigger points.4

Intramuscular therapy has been very successful for patients with chronic low back pain and sciatica symptoms. Shortening of the paraspinal muscles, particularly the multifidi muscles, can lead to disc compression, narrowing of the intervertebral foramina, and/or cause direct pressure on the nerve root, which subsequently would result in peripheral neuropathy and compression of super sensitive pain receptors, resulting in pain and dysfunction. 4,5

In layman’s terms, the treatment uses acupuncture needles, to target specific muscles that have contracted and become shortened. These shortened muscles compress and irritate the nerves. This treatment can greatly reduce tightness and pain, while increasing flexibility and range of motion.

The treatment involves dry needling of affected areas of the body without injecting any substance. The needle sites can be targeted at the site of taut, painful muscle bands, and/or can be near the spine where the nerve root may have become irritated and super-sensitive.

An important note is needling  of a normal muscle is painless. In contrast a shortened, muscle will ‘grasp’ the needle and produces a  cramping sensation. Intramuscular dry needling can reduce pain and soften these trigger points, while increasing flexibility and range of motion.

  1. 1.Dommerholt J, Mayoral del Moral O, Grobly C.  Trigger point dry needling. The Journal of Manual & Manipulative Therapy 2006; 14(4): E70-87.
  2. Simons DG, Travell JG, Simons LS. Travell and Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol 1. 2nd ed. Baltimore, MD: Williams & Wilkins, 1999.
  3. Mayoral del Moral O. Fisioterapia invasiva del sindrome de dolor myofascial [Spanish; Invasive physical therapy for myofascial pain syndrome]. Fisioterapia 2005;27(2):69-75.
  4. Gunn CC. Radiculopathic pain: Diagnosis, treatment of segmental irritation or sensitization. J Musculoskeletal Pain 1997;5(4):119-134.
  5. 5.  Cannon WB, Rosenblueth A. The Supersensitivity of Denervated Structures: A Law of Denervation. New York, NY: MacMillan, 1949.

 

Before your visit to a doctor or health care practitioner, be prepared for your checkup at a walk in clinic by making sure that you take all the important information with you including your medical records.

  • Dates and results of checkups and screening tests
  • List of shots you’ve received (and the dates you got them)
  • Medicines you take, how much you take, and why you take them (including over-the-counter medicines and vitamins)
  • Any health conditions you have, including allergies
  • The name and phone number of a friend or relative to call if there’s an emergency
  • A list of other doctors, dentist, practitioners or specialists you are seeing.
Be prepared for your checkup at a walk in clinic

Be prepared for your checkup

Make a list of any important changes in your life or health. Changes especially stressful ones can have a direct effect to your overall health.  Be sure to include things like:

  • Becoming unemployed
  • A death in the family
  • A serious illness
  • Surgery
  • A medical condition
  • Changes in sleeping or eating habits
  • Pain or discomfort

The health history of your family is an important part of your personal health record so keep track of conditions that run in your family.

Don’t forget to take a notepad and write down the answers so you remember them later. You may also want to take a friend for support, and don’t be afraid to ask lots of question or have the health practitioner  repeat specific information that you are not sure about.

Staying healthy means taking care of yourself all year long.  Your plan may include getting more active, eating healthy, or watching your weight.  Whatever your health goal, remember to be prepared for your checkup at a walk in clinic and let your health care practitioner be part of your health team.

Knee pain is a common complaint that affects people of all ages. A few reasons one may be experiencing knee pain include: a sudden increase in one’s training or activity schedule, the commencement of a new sport or activity, a change in footwear, improper training technique, or muscle imbalances and/or alignment issues.

Understanding what is causing your knee pain is the first step in treating it, and there are many possible causes of mechanical knee pain which include:

patello-femoral syndrome, patellar fracture, bursitis, Ilio-tibial band friction syndrome, patellar or quadriceps tendinopathy, ligament injuries/sprains, Meniscal injuries/tears, Osteoarthritis, Osgood-Schlatter’s disease,  Loose Bodies, etc…

 Knee pain is one of the most common cycling injuries. The most common cause of knee pain in cyclists in ilio-tibial band (IT band) syndrome. The IT band is a thick band of fibrous tissue that runs down the outside of the upper leg from the hip area to the knee. Pain usually results when the IT band becomes too tight and therefore rubs over the bony prominences of the knee. The IT band has direct attachments to the tensor fascia latae (TFL) muscle, which runs down along the outer front of the thigh/hip area and acts to help flex and abduct the hip. This muscle, which is used consistently in cycling, often becomes shortened and/or tight, thereby increasing tension on the IT band and contributing to knee and/or hip pain.

 As injury can often be a problem of overuse, or misuse, it is important to avoid the temptation to do too much (especially if just starting out with a new sport/activity, or commencing a training season). To avoid misuse of muscles, and prevent injury, it is important to ensure appropriate training technique and equipment fit (ie: bike fit).  With cycling, it is important to add in a stretching program for your lower extremities to help maintain a healthy and appropriate muscle length while training.

 In order to determine the cause of one’s knee pain, a comprehensive examination of the knee is completed and the appropriate treatment plan is outlined.

Treatment for knee pain can include:

1)    Electrotherapy such as ultrasound to decrease swelling, pain, speed up cell turn over and thus enhance healing and recovery.

2)    Interferential current may be used to decrease swelling or joint effusion, decrease pain, and speed up recovery.

3)    Heat may be used to decrease pain and increase range of motion

4)    Ice may be used to decrease inflammation and pain

5)    Soft tissue work to improve circulation, break up adhesions, decrease muscle tightness or tension, decrease pain

6)    Joint mobilizations to increase range of motion, decrease stiffness, increase circulation, and decrease pain

7)    Passive stretching to increase muscle length

8)    Taping to improve muscle function or joint alignment and decrease pain

9)    Comprehensive exercise program to correct for muscle imbalances, increase flexibility, improve strength / stability / proprioception.

 Below are a few exercises to help prevent knee injuries:

  1. Glute med strengthening – use theraband or stretchy tubing tied around ankles. In standing with legs straight and core contracted, side step (with straight legs) to left against the resistance of the band around the ankles. Continue for a minimum of 15 steps or until fatigue and then return to the starting point by side stepping to the right as above.
  2. Double leg or single leg squat, either on a BOSU or on the ground with a stability ball against the wall (your back leaning against the stability ball).
  3. Hamstring, Hip flexor stretching, and IT band rolling on foam roller

Remember to follow the PRICE principle if you believe you’ve sustained an acute knee injury, until you’ve been assessed from your health care practitioner.

P – Protect: Avoid anything that could cause further harm/injury or increase pain

R – Rest: Discontinue any and all physical activity as much as possible

I – Ice: Apply ice, 15-20 min max, 3-4 times/day

C – Compression: Wrap the injured area with a tensor bandage etc applying pressure around the area (to help decrease swelling and inflammation)

E – Elevation: Sit or lie with the limb or injured area elevated

Written by Jessica McCartie M.P.T.

Bursitis Treatment Victoria – Bursitis is an inflammation of one of the body’s bursae (the fluid-filled sacs that cushion the joints). This painful condition can be caused by a mild injury, repeated use (such as prolonged kneeling on a hard surface), arthritis, or infection. Commonly affected joints are the shoulder, elbow, knee, and hip.

Do I Have Bursitis or Something Else? | Bursitis Treatment Victoria Bursitis is typically identified by localized pain or swelling. Bursitis occurs when the small sac (bursa) found inside joints becomes inflamed. The fluid-filled sac helps to lubricate and cushion the joint. When it is inflamed, movement can be painful. Usually bursitis occurs in larger joints such as shoulders and hips.

Without seeing your health care provider, you usually can’t tell the difference between bursitis and pain caused by a strain or arthritis.  Often just resting and elevating the joint can help.  Applying ice may help relieve pain and swelling. Once the joint is no longer painful, you can work to strengthen the muscles around the joint and prevent further flare-ups.  Symptoms of bursitis may include swelling, redness, a warm joint area, aching or stiffness in the joint that gets worse with movement.

Chiropractic  and Physiotherapy treatments can help most people with musculoskeletal disorders such as bursitis. Chiropractic treatments can include  manipulations,  or modalities such as cold lasers, ultrasound, decompression table, and  joint supplements  such as Glucosamine.

Contact Diversified Health and speak with one of our health care practitioners for more information on bursitis and what options would be right for you.

Cold Laser Therapy used in Health Care Victoria, uses laser light to speed the healing process, and is finding widespread use among pain management specialists, including the practitioners at Diversified Health Clinic.

Heath Care Victoria

Photo Credit: handleychiropractic.com

The name LASER is made from an acronym. Light Amplification by Stimulated Emission of Radiation. It is a very pure form of light energy, of a single wavelength. Laser light therapy works by penetrating the laser light deeply into the skin, which stimulates cellular activity, helps to reduce inflammation, repairs tissue and accelerate the healing process.

The treatment involves the application of red and near infra-red light over injuries. Laser and LED beams of light are used to stimulate the cells in the body that repair tissue, reduce inflammation and reduce pain. It is a highly effective treatment for acute soft tissue injuries and chronic pain.

Laser therapy has been proven to be remarkably safe, painless and effective in treating both acute injuries and chronic pain of various kinds.  It has been particularly helpful in stubborn and persistent conditions, such as chronic neck and back pain, tendinitis, plantar fasciitis and other joint and muscle pains. The treatments are pain free, non invasive and there is no recovery time. The treatment time is any where from 10 – 20 minutes, with the majority of patients feeling nothing during the treatment; with a small percentage of our patients feeling a slight tingling or warmth.

The benefits of laser therapy include:

  • Decreased inflammation & decreased pain
  • Increased blood flow to the injured site
  • Minimized formation of scar tissue & growth of new, healthy tissues
  • Speeds up recovery time

The results will depend on the individual’s over all health and condition and the length of time that the condition has existed.  Please contact one of our knowledgeable practitioners to find out more information on Cold Laser Therapy used in Health Care Victoria.

What Does a Physiotherapist Do? | physiotherapy victoria bc – With more moving parts than any other machine, it is not surprising that our body occasionally feels pain.  There are hundreds of different muscles and joints that can go wrong.  Physiotherapy uses a variety of techniques to help your muscles and joints work to their full potential.  Physiotherapy is used to reduce pain with various methods to make it possible for the patient to lead a normal life again.

Many people first encounter a physiotherapist following orthopedic surgery. An exercise regime and other treatments can greatly assist following a fracture or joint replacement.

People suffering with other musculoskeletal disorders, sports injuries, spinal problems, joint or muscle pain, arthritis, etc. are treated with exercises, mobilizations, manipulation, acupuncture, ultrasound and numerous other modalities.

What Does a Physiotherapist Do? | physiotherapy victoria bc

Diversified Health Clinic - Rehab Gym

Can­adian researchers at the University of Western Ontario published a landmark study showing that physiotherapy combined with medication was just as effective as arthroscopic surgery in treating osteo-­arthritic knees. “Many arthritic joints are helped by work on flexibility and strength,” says study co-author Dr. Robert Litchfield, an orthopedic surgeon and the medical director of the university’s Fowler Kennedy Sport Medicine Clinic.

Particularly beneficial for sufferers of lower back pain, physiotherapy is used to release tension and so reduce pain in the back. Various tactics are used such as exercise, traction, massage, acupuncture and spinal decompression – The program of physiotherapy can ease chronic pain by strengthening the muscles that surround painful joints or muscles. Treatment will depend on the source of the problem, using a three-fold approach: weight management (to reduce stress on joints), muscle strengthening (to improve mobility and reduce recurrence) and “re-patterning” of muscles.

One fast-growing area of practice uses physiotherapy techniques to address pelvic floor disorders, which can occur when pelvic muscles tighten, shorten or fall into spasm after pregnancy, childbirth or abdominal surgery. The pelvic floor muscles help support the spine and abdominal organs.

Stretches and strengthening exercises done at home are crucial to treating most problems. It takes time and practice to stretch or retrain muscles that have a long-established bad habit.  For more information on What Does a Physiotherapist Do? | physiotherapy victoria bc – please contact our Physiotherapists and book a consultation.

Your spine is made up of vertebrae and discs, so finding relief from a herniated disc with a natural health practitioner like a doctor of chiropractic makes sense.

Discs are like soft cushions between the bones of the spine. The discs in the spine let you move your backbone. When a disc between two bones in the spine presses on the nerves around the backbone, it’s called a herniated disc. The word “herniate” means to bulge or to stick out. Sometimes this is called a ruptured or slipped disc.

Find Relief from a Herniated Disc with A Natural Health Practitioner

Find Relief from a Herniated Disc

Herniated discs are most common in the lower part of your spine referred to as the lumbar spine. This area is constantly absorbing the impact of bearing the weight of the upper body.  The lower back is also critically involved in our body’s movements throughout the day, as we twist the torso in rotating side to side and as we hinge the back in flexion and extension while bending or lifting.

When part of a disc presses on a nerve, it can cause pain in the back and the legs. How bad the pain is depends on how much of the disc is pressing on the nerve. In most people with herniated discs, the pain spreads over the buttocks and radiates down the back of one thigh and into the calf. This is known as sciatica because the pain travels along the path of the sciatic nerve. Some people have pain in both legs, and will feel numb or a tingly sensation in their the legs or feet.

Here are some signs  If you have a herniated disc, the painful symptoms will worsen:

  • After you have been sitting down or standing for a long period.
  • During the night.
  • When you laugh, cough or sneeze
  • When you walk, even a short distance.
  • When you bend over backward

Becoming active as soon as possible is very important. Exercises can be helpful. The goal of exercise is to make your back and stomach muscles stronger. This will ease the pressure on your disc and make you hurt less. Ask your practitioner about safe exercises for your back, and start these exercises after your back is a little stronger and doesn’t hurt as much.

Spinal Decompression is painless, drug-free, non-surgical  treatment that has numerous published scientific studies reporting its’ effectiveness at 86% to 94%, and most people who have a herniated disc are better in about 4 – 6 weeks.

Spinal Decompression provides relief to severe back and neck pain sufferers by gently reducing the pressure within spinal discs. The bones of the spine are slowly and methodically separated and as the vertebrae are separated pressure is slowly reduced within the disc until a vacuum is formed. This vacuum “sucks” the gelatinous center of the disc back inside thereby reducing the disc bulge or disc herniation. Significant disc bulge reduction removes pressure off the spinal nerves and drastically reduces pain and disability. This “sucking” vacuum also pulls much-needed oxygen, nutrients and fluid into injured and degenerated discs allowing the healing to begin.

What can you do to help prevent a herniated disc?

Good posture (standing up straight, sitting straight, lifting with your back straight) can help your back by reducing the pressure on your discs.

  1. Bend your knees and hips when you lift something, and keep your back straight.
  2. Hold an object close to your body when you carry it.
  3. If you stand for a long time, put one foot on a small stool or box for a while.
  4. If you sit for a long time, put your feet on a small stool so your knees are higher than your hips.
  5. Don’t wear high-heeled shoes.
  6. Don’t sleep on your stomach.

If you or someone you know needs to find relief from a herniated disc with a natural health practitioner, please call Diversified Health Clinic for a free consultation.