Move away from pain, move forward optimal posture and wellness.

We help each member of the family to relieve their pain or other symptoms, correct their posture and obtain optimal spinal function, and then to maintain optimal health through, amongst others, regular adjustments and physical activity.

From pain relief to optimal health

To be without pain… is this being cured? Of course not. In our society, little emphasis is placed on prevention. Yet everyone agrees that “prevention is better than cure”. Prevention is not only economical; it is also the best way to not lose valuable time on being sick.

1. Intensive initial care
If you suffer from acute pain, emphasis will first be put on relieving the symptoms. Your chiropractor will nonetheless do a complete health check and will also examine your spine and your posture during your first visit.

Pain that suddenly appears following for example, a false movement, is often the result of several months, even several years of poor function. It is essential that your chiropractor examine you thoroughly to detect all possible causes of your acute symptoms.

In addition to spinal “adjustments”, muscle work and other therapies performed during your first visits, your chiropractor will provide advice in order to quickly regain control over your acute condition.

2. Corrective care
During your third visit, your chiropractor will recommend corrective care. We will explain whatthis implies: the time required, the frequency of visits, the exercises to do and any recommendations that your chiropractor may give you in order for to you obtain optimum health.

Corrective care requires time. Posture disorders, misalignment of the spine and other disorders that your chiropractor will recommend correcting have settled slowly over the years. This is true, even if thepain has appeared recently due to something insignificant.

3. Preventive and periodic care
Once you have completed your corrective care, your chiropractor will usually recommend periodic preventive care, also known as wellness treatment. They have several objectives and benefits:

– Maintaining optimal function of your spine.
– Preventing relapses of acute injuries such lower back injuries.
– Early detection, before symptoms appear, of posture and spine disorders.
– Monitoring problems or discomfort you feel on a daily basis.
– Maintaining your current file at our clinic, in order to facilitate access to care, in case of an emergency or pressing need.
– Getting answers to your questions concerning your health from an available qualified Healthcare Professional.

Advanced Imaging. Part 1.

February 2023 blog.

Image: International Journal of Spine Surgery

Chiropractors are now able to prescribe advanced medical imaging tests as well as 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.

Sports Chiropractic

Over the past 22 years, we have helped more than 5000 people to relieve their pain, correct their posture and find lasting solutions in order to maintain optimal health. Also, many athletes at all levels were able to resume competition and perform at their personal best, thanks to the diagnosis and treatment of musculoskeletal injuries we offer.

With the growing popularity of running, many of our patients practice this activity with passion and commitment. Dr. Lepage being a marathoner himself, our patients arevery confident in the diagnosis and treatment of injuries related to running, in the preparation forlong-distance events or simply to learn how to start running without injury.

Family Chiropractic

The clientele we serve is composed mainly of families whose members place health as their basic value, participate in regular physical activities and maintain good postural hygiene, as well as a healthy lifestyle.

We help each member of these families to relieve their pain or other symptoms, correct their posture and obtain optimal spinal function, and then to maintain optimal health through, amongst others, regular adjustments and physical activity.

family-kids-happy-people-46252

4 Fitness Motivators to Help You Get Started.

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. 

Posture perfect.

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.
From the side, your ear, shoulder, hip, knee and ankle should be vertically aligned.
Image credit: rehabconceptspt.com

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.

Audrey Héneault: Steady and Straight on the Triple Loop .

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
Photo credit: Multi photos.

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.

Click here to watch Audrey’s performance.

“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.

Photo credit: Danielle Earl

6 ways chiropractic care can help manage headaches

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.

 

Stay Aligned In and Out of the Saddle.

May 2022 blog.

Text in part from The Joint Chiropractic (www.thejoint.com). Photo credit: Amy Dragoo for Shannon Brinkman

Riding a horse is an invigorating experience. The rider connects with an animal that holds incredible physical power. One can engage with horseback in a way that can be energizing, calming, or competitive. Regardless of how you ride, the ever-shifting weight distribution your body experiences while horseback riding can take a toll on skeletal alignment and joint health. On top of that, taking care of your horse — and possibly even getting bucked or thrown off — can lead to injury that can be reduced through chiropractic care. 

Constantly Changing Weight Distribution 

As the horse shifts from trot to canter and gallop, your body has to adjust constantly. Not only are your joints affected by the animal’s speed, but also by the ever-changing angles of the horse’s body. This can throw your skeletal structure out of alignment, and lead to injuries, either in the moment or down the road.

Injuries from Falls, Stable Upkeep, And More

While riding has its set of stressors on your structure, regularly riding and taking care of a horse can increase your risks of injury. Whether you’re cleaning out the stable or you are catapulted off a horse’s back, there are opportunities for injury. However, joint dysfunctions can lead to more dramatic accidents as the surrounding muscles can already be in pain and tensed to the point that regular injury can be exacerbated.

“Regular chiropractic adjustments have helped me focus on my posture in and out of the saddle.” says Brooke Massie, a St-Lazare resident and CCI4* event rider. “Making sure my body alignment is correct has been beneficial to not only myself, but also in keeping my horses straight and even in their training”, adds the 26 years old elite rider.
Photo credit: Brant Gamma

How Spinal Adjustments Can Help 

A preventative regime of chiropractic adjustments can lead to a healthier equestrian experience. Through the process of spinal manipulations and posture correction, riders can look toward reducing the impact of future injuries, as well as getting into a better groove with the horse’s gait. The more you’re in alignment and motion, the more control you have over moving accurately in response to your horse’s movements.

“Regular chiropractic adjustments have helped me focus on my posture in and out of the saddle.” says Brooke Massie, a St-Lazare resident and CCI4* event rider. “Making sure my body alignment is correct has been beneficial to not only myself, but also in keeping my horses straight and even in their training”, adds the 26 years old elite rider.

Nipping joint dysfunctions in the bud before it has a major effect on your riding can save you a great deal of trouble. As with all athletics, chiropractic is available to enhance performance, prevent injury, and help you heal quicker when you do, indeed, get hurt. 

Happy riding!

 

What is that Popping Sound During an adjustment?

March 2022 blog.

Text from Dr Mark Jessop, chiropractor and BC Chiropractic Association.

As chiropractors one of the many techniques we use and probably the technique chiropractors are most famous for is manipulation or “chiropractic adjustment”.  Manipulation involves a quick, specific movement of a joint and is often accompanied by a popping or clicking sound.  But what causes that popping sound during manipulation? The proper technical name for this sound is joint cavitation.

Is your back out?

We are often told by patients that their back is “out” and they need me to “put it back”. Is the pop the back going back in? Modern science has now shown that this is not the case and a patient’s back is not “out.” If it was manipulation certainly would not be appropriate. So when people have back pain or neck pain and their back is manipulated what is the sound? Is it the bones cracking? Again this is not the case, although it might sound like it is.

 

So what causes that popping sound?

In a study published in Plos One, an international team of researchers led by the University of Alberta used MRI video to determine what happens inside finger joints to cause the distinctive popping sounds heard when cracking knuckles. For the first time, they observed that the cause is a cavity forming rapidly inside the joint.

In every instance, the cracking and joint separation was associated with the rapid creation of a gas-filled cavity within the synovial fluid, a super-slippery substance that lubricates the joints.

Static MRI of the hand in the resting phase before cracking (left). The same hand following cracking with the addition of a post-cracking distraction force (right). Note the dark, interarticular void (yellow arrow). Source: Dr. Greg Kawchuk.

“It’s a little bit like forming a vacuum,” said professor and lead author Greg Kawchuk, Faculty of Rehabilitation Medicine. “As the joint surfaces suddenly separate, there is no more fluid available to fill the increasing joint volume, so a cavity is created and that event is what’s associated with the sound.”

 

So what happens if there is no sound during the adjustment?

Manipulation has been shown to be effective in the treatment of many musculoskeletal issues such as back pain and neck pain. But how does it work and is the pop important?  The mechanism of how manipulation works is complex and not a case of pushing the bones back into place because they are out of line. Although it can sometimes be nice for the patient to hear the pop as it confirms something has been done, it is not essential for therapeutic benefit.

To read Dr Greg Kawchuck research paper: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0119470