February 2023 blog.

Image: International Journal of Spine Surgery

Chiropractors are now able to prescribe advanced medical imaging tests in addition to conventional x-rays for their patients. They can request magnetic resonance imaging tests, scans, ultrasounds or a bone density test, according to the needs of the patient.

In order to provide these new professional services, chiropractors must demonstrate that they have acquired the necessary skills and knowledge and have completed the necessary additional training. This significant advance was made possible through the collaboration of the Collège des médecins du Québec, the Ordre des technologues en imagerie médicale, radio-oncologie et électrophysiologie médicale du Québec and the Ordre des podiatres du Québec. These new activities will give the people of Québec access to an accurate diagnosis and appropriate care in the shortest possible time, while contributing to the increased efficiency of the public health system. In this first part of our blog, we introduce you to each of the new imaging procedures that your chiropractor can prescribe in addition to conventional x-rays.

Tomodensitometry

Commonly referred to as a “scan” or “CT scan”, it is also known as a CAT scan and Computerized axial tomography. The CT scan is very sensitive when it comes to detecting diseases and abnormalities of soft tissue, bone and other anatomical structures. Images are acquired very quickly using this technique. One disadvantage is that the patient is exposed to moderate to high doses of radiation.

Bone Density Scan

Bone densitometry is used to measure bone density. It can be used to check for osteoporosis (a decrease in bone density that makes the bones more fragile). It is worth noting that a standard x-ray is not useful for diagnosing osteoporosis. The radiation emitted during such an examination is very low for the patient.

Diagnostic Ultrasound or Ultrasound

As suggested by its name, this technique uses sound waves to create an image. In addition to being used extensively in obstetrics, ultrasound is useful for evaluating soft tissues such as tendons, muscles and ligaments. A good example of when diagnostic ultrasound is used is to visualize shoulder tendons such as the rotator cuff. The cost of this technology is relatively low and the patient is not exposed to radiation. The structures to be visualized must, however, be superficial (just below the skin).

Magnetic Resonance Imaging (MRI)

MRI allows for a very detailed evaluation of the “soft” parts, i.e.,joints, bone marrow and nerve structures (nerves, spinal cord, etc.). It is frequently used to diagnose spinal nerve compressions, such as those resulting in herniated discs. The patient is not exposed to any harmful radiation with the MRI.However, it is very expensive and obtaining the images takes a long time. There are also several contraindications to this examination (pacemaker, subcutaneous insulin pump, pregnancy, orthopedic prostheses, etc.).

These are the 4 types of advanced imaging that chiropractors can now prescribe in addition to X-rays. Chiropractors may do so when it is within the scope of their practice, within their skills and knowledge and of course when required by the patient’s condition.

In Part 2 of this blog, we will discuss specific situations in which your chiropractor may prescribe advanced imaging.

December 2022 blog.

Source: Ontario Chiropractic Association.

Do you want to be more active, but have trouble getting motivated? Starting a new habit and sticking to it is difficult for many people. So many things get in the way and your favourite comfy chair or TV program can look very enticing after a long, busy day. But did you know that fitting in just 15 minutes of focused activity each day can start you on the way to an energized lifestyle? Who knows where it will take you.

1. Have a distraction

Research studies show that people who have a distraction are more likely to stick with a fitness activity than people who don’t. Brisk walking outdoors provides its own distractions. The scenery and street activity will keep your senses occupied, while your feet keep you moving. If you are fitting in your 15 minutes indoors, listen to the radio, play music you enjoy or workout while watching your favourite TV program.

2. Have a buddy

Research studies also tell us that people who get active with a buddy find it easier to stay active. Invite your partner, a friend, neighbour, relative, one of your children or bring along the family dog to join you for a 15-minute walk or workout. Make it a time to talk, laugh and connect.

3. Pick a specific time of day

Decide on the best time of day to set aside your 15 minutes so it becomes something to look forward to. Then you can schedule other activities around it. Keep to your scheduled time as much as possible.

4. Try not to miss a day

Think of fitting in 15 minutes as a regular daily activity – like taking a shower in the morning. It can be easy to find reasons not to fit in 15. There are always so many other things to do. But the more you fit it in, the easier it gets until you hardly have to think about it. If you miss a day or two, don’t give up! Just fit it in again as soon as you can.

Canada’s chiropractors are committed to helping Canadians be more physically active. A chiropractor can evaluate your strength and flexibility, and screen for anything that may limit your physical activities. Ask your chiropractor for an evaluation. 

October 2022 blog.

Source: Canadian Chiropractic Association.

Good posture not only makes you look better, it also delivers increased energy, better breathing, improved circulation, and less wear and tear on your joints. It’s an investment in both your appearance and your health.

The secret to good posture is maintaining the spine’s natural curves. If your spine is not properly aligned, your muscles and ligaments have to work harder to keep you upright and this can result in strain and pain.

When you slouch, you also put pressure on your lungs and stomach. This can affect breathing and digestion, as well as blood flow.

 

The Posture Test

Ask someone to take side view, back and front photos of yourself:

• When standing: your head, shoulders, hips and ankles should line up, one comfortably above the other. Your knees should be slightly bent and your feet should be shoulder width apart or more.
• When looking at your back: are your shoulders and hips level or is one side higher than the other? Does your head tilt to one side or the other? Does one shoulder blade seem to be more prominent than the other? Do the muscles of the back seem more developed on one side, compared to the other? A healthy back should be symmetrical.
• When looking from the side, your neck and low back should curve to the front of your body, and your mid-back and pelvis should curve to the back. Postural distortions in the curves of your spine mean stress and strain on your back.

Tips for Standing Tall

• If you use a bag or briefcase with a single shoulder strap, choose a strap that is long enough to place over your head and rest on the opposite side from the bag. This helps distribute the weight of the bag evenly and prevents distorting your posture.
• High heels throw your spine out of alignment, making good posture difficult and often leading to low back pain. A low-heeled, supportive shoe is best, but if you are devoted to your fashion footwear, try to restrict the height to no more than two inches.
• Try not to sit in any one position for a long period of time. Take a quick stretch break or change positions every 30-45 minutes. For a quick and easy spinal stretch, stand up and raise your arms above your head.
• Strengthening your core back and abdominal muscles will help promote good posture by keeping your spine well supported.

Chiropractors are experts in back health. If you are concerned about your posture, consider an evaluation.

August 2022 blog. Chiropractic care for figure skaters.

Figure skating is one of the most demanding sports, both physically and mentally. We see figure skaters as graceful and elegant when we watch them float across the ice, but this grace and elegance involves many hours of practice, both on and off the ice, before they can deliver a superior performance. Falls and repetitive movements often result in injuries. The most common injuries include Achilles tendinitis, tendinitis of the lower limbs, patellofemoral syndrome, sacroiliac pain and stress fractures.

Audrey Héneault started figure skating at the age of 6. Now 17 years old, she trains at the École de patinage LMK International Skating School in Laprairie under the guidance of several coaches, including Lynn McKay and Éric Bernard.

“I know that I can count on my chiropractor for effective and prompt treatment of my injuries.
Chiropractic care also helps me to maintain good posture” 

– Audrey héneault

Audrey also underwent her first chiropractic adjustments at the age of 6. Dr. Patrick Lepage, chiropractor, has treated her for her various injuries and muskoskeletal pain, often due to learning new jumps or to falls during training, for the past 11 years. “I know that I can count on my chiropractor for effective and prompt treatment of my injuries. Chiropractic care also helps me to maintain good posture”, says this native of Vaudreuil.

She is currently working on the triple loop, which consists of three complete rotations.“Just like for the other jumps, I need muscular, as well as mental strength” says this athlete, now a resident of Mercier.

“The muskoskeletal system must obviously be at its best for the body to performthese high-flying jumps, due to the explosive movements needed for the upward propulsion of the skaters, in order to potentially succeed in competition.Calves, Achilles tendons and knees are put under great pressure, both during thrust and landing” according to Dr. Lepage, chiropractor.

Last November, Audrey won the silver medal in the free skate program at a Patinage Québec competition. “I am rather proud of my accomplishments when it comes to competitions because I don’t skate for the medals, but rather to constantly improve myself. Still, I am very proud of my performance in the free skate program last November. All of my jumps were successful, I managed to get a high score and I won the silver medal” (click on the video to watch her performance).

The skater plans to pursueher sport as long as possible.“Skating is physically very demanding, but I want to skate as long as my body allows” says the CEGEP student, who would like to pursue a career in the health field.

June-July 2022 blog.

Source: Canadian Chiropractic Association.

Being able to think clearly and calmly allows us to make decisions, process emotions, and carry on with our day-to-day lives. That clarity can be easily destroyed with a strong headache. Many people have occasional headaches,  but frequent headaches that affect your ability to sleep or get on with your day can be disabling.

Different types of headaches

Common types of headaches are tension, migraine, and cervicogenic headaches.

Tension-type headaches commonly present as band-like tension around the head, whereas migraine headaches usually result in pain on one side of the head and are commonly accompanied by nausea and sensitivity to light and sound.

With cervicogenic headaches, the neck is the source of the problem but the pain is perceived in one or more areas of the head and/or face. The causes of headaches are not always well understood but a family history of headaches, neck stiffness, and stress are common factors.

 

How can chiropractors help with headaches?

Chiropractors can assess, diagnose, and manage headaches. Current evidence suggests that chiropractic care, including manual therapy, can be effective in treating cervicogenic and tension headaches. Studies have also shown that chiropractic care can help decrease the intensity and frequency of migraines. The treatment options may include:

1. Manual therapy
2. Soft tissue therapy
3. Modalities including electrical stimulation, acupuncture, and ultrasound
4. Rehabilitation
5. Lifestyle changes and education
6. Referral and co-management

It’s important to take headaches seriously. Consider consulting a chiropractor if you often have headaches, if you frequently take a pain reliever for your headaches, if your headache pattern changes, or if your headaches are getting worse. Seek prompt medical attention if your headache is sudden and severe, follows a head injury, or is accompanied by fever, stiff neck, weakness, numbness, or difficulty speaking.