New Custom Orthotic Insole Product at True Health Studio

After numerous requests from our female patients, True Health Studio is proud to offer custom orthotic insoles for women high heels, boots and flats! Its a brand new product from Footmaxx©!

Please share with friends and family if they are experiencing foot pain, knee/hip pain and/or lower back pain. Chiropractic adjustments along with custom orthotic insoles can alleviate these problems.

Our Chiropractor can fit, scan and custom order a pair of orthotic insoles for you today at True Health Studio (a family doctor referral maybe required for insurance claims. Please check your insurance provider for more information).

For more information on custom orthotic insoles please visit here.

 

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What is One of the Most Popular Reasons for Repetitive Strain Injury?

159627312_2670919bWritten by Dr. Marcus Wong

Ten years ago, if someone asked a practitioner this question, the answer would simply be ‘from the work place’.  Ergonomic problems in the work force have caused many injuries, resulting in millions of dollars spent in health care each year in North America.  There are usually two main kinds of injuries that occurs to a patient.  The first and most obvious is ‘direct trauma’. This is when the patient falls or injures themselves in sports and activities. The second type is less recognized, but most common. The ‘repetitive strain’ injury occurs most often when an action at work or from a hobby consists of the same repetitive moments and/or posture.  This repetitive motion will result in misalignment in the spine and cause muscle imbalance.  From this, symptoms arise and patients feel discomfort.

Ironically, what causes this popular type of injury today isn’t just from the work force alone, but also from the same technology that makes our lives more enjoyable, convenient and overall ‘better’.  Several new studies show that the #1 cause of repetitive strain injury is from overuse of electronic handheld devices such as mobile phones, tablets, and handheld gaming devices.  The average adult uses these devices for 5-6 hours per day. This problem affects both adults and children as parents frequently allow their young children to use these handheld devices. Soon enough, their children will suffer from the same physiological strain just like their parents and this problem will affect many generations.

young_boy_textingLet’s talk a little bit about what is happening to our body when we are using these handheld devices for long periods of time.  On average, our head  weighs about ten pounds. As we look down on our mobile phones or tablets, our head is pushed forward, adding extra pressure and weight.  This extra weight is mainly supported by your cervical spine or the neck.  The extended time will cause the joints to compress and become misaligned, in turn causing the supporting muscles to go into spasms.  This is when the patient feels stiffness and pain.  These symptoms can radiate to the shoulders and mid-back.  In some severe cases, headaches will result from this sustained posture.  These may be simple acute symptoms, but long-term damage may result in chronic cervical spinal misalignment and muscle strain, disc herniations and pinched nerves. Over time, it can even flatten or reverse the natural curve of your neck.  Due to prolong strain on your neck, this will eventually lead to issues in mid and lower back.  Symptoms of the lower back is the same as the neck.

Since these electronic devices have been integrated into our daily lives already, there are some steps to take that can help and/or prevent repetitive strain injuries to our neck.  A simple rule of thumb as with any postural issue is to take micro breaks in between long sessions of using these devices.  Regular stretches and postural exercises should be done as well.  Please refer to the exercise portion of our website for more information and instruction on proper stretching and postural techniques.

As with work force injuries, using electronic devices have been so embedded and implemented into our lifestyle that it is inevitable that majority of us will suffer from these symptoms.  For acute and/or chronic symptoms, chiropractic adjustments along with massage therapy and/or acupuncture has been effectively shown to manage repetitive strain injuries.

If you have any questions please contact Dr. Marcus Wong at drwong@truehealthstudio.com

True Health Studio is Moving !!!

True Health Studio is excited to announce that we are relocating to a brand new location on March 1, 2015.  We will continue to provide chiropractic care, custom orthotic insoles, registered massage therapy, and acupuncture treatments.

This new location is at 2688 Arbutus Street on the corner of 11th and Arbutus Street.  It is just 5 minutes away from our current location.

There are visitor parking spots, as well as plenty of street parking, and an underground parkade available below the building across the street.  Transit by bus is also very convenient.

It has been my pleasure to serve you throughout these years at my old clinic, and I am looking forward to continue my care for you and your family/friends for many more years to come.

If you have any questions or concerns please contact me at 604-221-8783 or email at drwong@truehealthstudio.com

Dr. Marcus Wong

 

Winners of our Spring Contest Announced !!

Here are the winners of our contest, please claim your prize at our clinic this month.

I would like to thank all the participants who entered.

First Prize: Laylie W.
Second Prize: Donna H.
Third Prize: Jon S.

New Research Shows the Dangers in Acetaminophen in Rx Drugs

Written by Dr. Marcus Wong

 

paracetamolOur Naturopathic Medicine practitioner, Dr. Melanie DesChatelets, came across this article and posted it on our Facebook page.  I took some time to read it, and thought I would share it with everyone here.

It highlights the warnings from the FDA in the USA, stating that prescription drugs should not contain more than 325mg of Acetaminophen.  Acetaminophen overdose has overtaken viral hepatitis infection as the most common cause of acute liver failure. It is now the second most common cause of liver failure requiring transplantation in the United States.

This only applies to prescription drugs, as over the counter drugs containing Acetaminophen is still acceptable.  FDA suggest the reason for only prescription drugs is that sometimes medical doctors or dentist prescribe both prescription and over counter drugs at the same time, and patients are not aware that both kinds of drugs contain Acetaminophen, hence resulting in overdose.

Many of us don’t rely on prescription drugs, but its good that finally FDA is looking out for common over dosage in everyday household pain medication.

To read the full article please click on this link

If you have any more questions about this article or any information about drug usage please email Dr. Melanie DesChatelets at melanie@drdeschat.com

Importance for Parents to Accurately Identify Concussion in Children

Written by Dr. Marcus Wong

 

A recent research study was done by Dr. Craig J Coghlin, Dr. Bryan D Myles, and Dr. Scott D Howitt to assess the ability of parents/guardian identifying concussion symptoms in their children from sports injuries.

child-concussion-head-injuryThe study was done with parents/guardians of Bantam-aged minor hockey league athletes volunteered fro the study.  These children were age 13-14 years old.  The outcome measures were the ability to recognize different signs and symptoms listed on the Sport Concussion Assessment Tools (SCAT) as well as 8 detractors consisting of signs and symptoms not associated with post concussive syndrome.  Additional questions assessing the parents’ knowledge of concussion management and recognition abilities were also posed.

In conclusion of this investigation showed that there is still a disconnect in regards to key components of recognizing a concussion in the children.  The mothers/females of the study displayed better ability to better differentiate between true and false signs and symptoms of concussion compared to the fathers/males.

~ Journal of the Canadian Chiropractic Association/December 2009/Vol. 53/No.4

This is an astonishing study that shows that majority of the parents/guardians don’t know how to correctly identify a concussion in their children, but at the same time still allow their children to participate in physical sports such as hockey, basketball, and football.

Some basic things to look for are

  • if your child is unconscious
  • abnormal breathing
  • obvious serious wound or fracture
  • bleeding or clear fluid from the nose, ear, or mouth
  • disturbance of speech or vision
  • pupils of unequal size
  • weakness or paralysis
  • dizziness
  • neck pain or stiffness
  • seizure
  • vomiting more than two to three times
  • loss of bladder or bowel control

child-injuries-300x336 (1)If your child have any of the symptoms above contact your doctor or call an ambulance immediately, and don’t try to move your child as this may cause further damages.

If the child doesn’t have the above symptoms, monitor them for 24-48 hours for any abnormality.  If they have difficulty with sleep, disorientation symptoms, and emotional irritability contact your doctor.

The importance of treating concussion at the very beginning stages are crucial as some concussions may lead to death or disability in the child.  Therefore, this is an immediate medical emergency and be treated as soon as possible.

Keep in mind the above tips are the minimal, if you are unsure of anything contact your doctor immediately.

If you have any questions please contact Dr. Marcus Wong at drwong@truehealthstudio.com

Importance of Choosing the Correct Baby Equipment to Prevent Infant Hip Dysplasia

Written by Dr. Marcus Wong.

 

This past week, I have treated a patient who just gave birth to a baby girl, and she asked me several questions regarding infant care and sign/symptoms of concern about infant development of the spine.  This got me thinking about my next post for this week, and I believe many new parents out there should be educated about one of the most feared condition regarding infants.  This condition is called infant hip dysplasia.  Although this condition may occur in adults as well, it is the infant form that is of most concern as this can lead to developmental difficulties.  In some severe and late diagnosed cases surgery is required which can lead to permanent disability for the remainder of the child’s life.  Therefore, education of this condition and early detection is of most importance for the health of every infant.

 

Cause of Hip Dysplasia

 

Lets begin with a basic information about hip dysplasia.  Hip dysplasia is an abnormality of development of the hip.  There isn’t an exact cause for this in infants, but many experts believe it usually occurs in the developmental stages of children.  Although we don’t know the exact reasons for this condition, it is seen that genetics plays a role in this disease, therefore, its more likely to occur in a newborn if their siblings or parents have had this condition before.

Infant hip dysplasia can happen to the child at any time during their childhood.  The position of the baby in the mother’s womb can play a role in the incidence of this condition.  In a normal position the pressure of the hips are towards the left hip hence increasing likelihood of the condition to the left hip.  If the infant was in the breech position there is increased pressure on both hips hence leading to increased chance of this disease.  

Hormones of the mother also play a role in this condition as well.  Hormones during pregnancy makes the ligaments more lax.  Some infants especially females are more sensitive to these hormones making their hip ligaments more loose leading to hip dysplasia.  

Lastly, infant bones are more soft than adult bones which makes it easier to change shape or be damaged resulting into hip dysplasia.

 

Sign and Symptoms

 

It is very hard to detect hip dysplasia in an infant as it is usually non painful and the child can still develop to walk.  A parent can monitor their infant for any of these following signs, and if one suspect anything please contact your family physician immediately.  Further examination using ultrasound and x-rays are needed to fully confirm the diagnosis of hip dysplasia.  It is better to have your child examine and produce negative results than risking their health later down the road.

1.  Examine your child for asymmetrical buttock creases.  This can be caused by an abnormal hip formation or dislocation.

2.  If your child’s hip produce a clicking sound.  Hip clicking can be also due to normal ligament development around the hip joint.

3.  There is limited range of motion in the infant’s hips.  The first sign can be when the parent tries to change the child’s clothes or diapers, he/she finds it more difficult then before.  Do not force the infant into it as it can damage the liagments and/or the hip further more.  There should always be a light give in range of motion and not a restriction or huge clunk feeling.

4.  As stated before pain is not common in young infants or children, but there are incidences of this symptom in young teenagers.

5.  After the child learns to walk, if he/she waddles or a swayback position is observed.  This is usually painless as well.

 

Choosing the correct equipment helps prevent abnormal development of the hips in infants.   Different kinds of baby carriers and equipment my interfere with the positioning of the infant’s hips.  Many times the child is placed in these carriers/devices for extended periods of time restraining proper movement for the child.  Here are some simple pictures from International Hip Dysplasia Institute showing the correct forms which the child should be in when they are using each equipment.  This should be used as a guideline only as every child is differently formed.  What may work for your friend’s child doesn’t mean will work for yours; as each child is shaped and weighs differently.

 

Car Seats Selection:

 

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Baby Harness Selection:

 

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If you have any more questions about groin injuries or treatment options please email Dr. Marcus Wong at drwong@truehealthstudio.com

 

Spring Contest !!!

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Groin Injury in Hockey

Written by Dr. Marcus Wong

In the light of the 2014 Winter Olympics I think this is a good topic to discuss.  During the past hockey seasons, many injured patients has injured their groin from playing hockey.  As many people who watches hockey realize that groin injury is a very common thing, and can affect the athlete’s performance and recovery.  Some players might not be able to reach the same level of performance again after this injury.  A major reason for this common injury is through improper training of the groin area and skating technique.

Also goaltenders suffer groin injuries as well due to the quick lateral push off movements and splits.  This injury to goaltenders are more substantial then to other positions, as it requires a very strong and healthy groin to be a goaltender.

Roberto Luongo injured in the first period against the Penguins in Pittsburgh

ant-view-of-legmed-view-of-legLets start off with describing the anatomy of the groin region of the leg.  The groin area is the medial or inner part of your thigh area.  It is made up of several muscles mainly the adductor longus and brevis, adductor magnus, pectineus, and the gracilis.  Any of these muscles can be injured through strenuous skating, which may weaken other surrounding structures such as the hip joint or the knee as these muscles comes from the hip, and attaches to the knee.

During skating there are mainly two groups of muscles that are involved, the ones that abducts the leg (move the leg outwards), and the ones that adducts the leg (move the leg inward).  The muscles which are used to abduct or move the leg outward in the initial power stroke to propel the player are the tensor of fascia lata and the sartorius.  The muscles which are used to adduct or move the leg inward in the movement to bring back the leg towards the body are the groin muscle group.  Usually the abductor muscle group is more powerful and tighter than the groin muscles, therefore, if the two muscle groups aren’t equally trained the groin muscles will be overused and injured resulting in a groin pull or strain.

To treat the groin injury it will take time and patience.  The initial part of the treatment will be actively stretching out the scar tissue or adhesion formed from the injury.  As with any tissue injury, inflammation and scar tissue formation is inevitable.  Also loosen up the tight abductor muscles as well.  Once the pain level has decrease and the groin has healed, rehabilitation of the groin area can take place.  First will start off with light stretch exercises and active range of motion of the leg.  Next will be adding some tubing exercises for light resistance rehabilitation.  Lastly, will be strengthen exercises using light weights and properly skating technique.

If you have any more questions about groin injuries or treatment options please email Dr. Marcus Wong at drwong@truehealthstudio.com

Chiropractic Best Option for Sacroiliac Joint Pain

99367830-300x225Dysfunction in the sacroiliac joint (SIJ), located in the pelvis, is thought to be a possible cause of sciatica, resulting in back pain that radiates down the leg and below the knee.

Scientists have questioned what the best treatment option is for patients with SIJ-related leg pain. In a recent study, researchers compared three treatment options: physical therapy, chiropractic manual therapy, and intra-articular injections of corticosteroids. Patients included 51 adults with leg pain associated with the sacroiliac joint. Researchers analyzed the effectiveness of each method after 6 weeks of selected treatments, and again after 12 weeks. The results for each patient was categorized as either a success or failure, based on relief or worsening of symptoms and average pain scores.

The study’s findings revealed that manual therapy is the superior choice for treating leg pain associated with the SIJ. The success rate for chiropractic manual therapy was 72%, compared to just 20% for physiotherapy and 50% for corticosteroid injections. Researchers also found that neither physical therapy nor injections resulted in significant pain relief, whereas manual therapy resulted in a significant improvement on pain scores.

Due to the success rate and pain reduction of manual therapy, the study authors concluded that chiropractic should be the first treatment of choice in patients with SIJ-related leg pain. They hoped that their findings would be confirmed by further research with a larger sample size.

Additional research has highlighted the efficacy of chiropractic for sciatica, even after surgery has failed.

If you have any more questions about sacroiliac joint injuries/prevention or treatment options please email Dr. Marcus Wong at drwong@truehealthstudio.com

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