Thank You from True Health Studio !!

I want to give a big Thank You to those of you who supported us on our first annual Food Bank drive! Whether you bought gift certificates or brought us your food donations (both matched by a donation from the Acupuncturists at True Health Studio), it is your generosity that enables us to raise $62.00 plus food items to the Vancouver Food Bank. This may not be a huge amount but it’s our first year doing this, and I think a very promising start! Thank you so much again! Look forward to giving more next year!

– Edmond Chen, R.Ac

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Inversion Ankle Sprains

Written by Dr. Marcus Wong

Several of us have experienced an ankle sprain to some degree in our lives.  Some, more often than others. In the game of basketball, the ankle sprain injury is one of the most common types of injury.  The two most common types of ankle sprains are the inversion and eversion sprains.  Inversion sprains are more common, but the eversion sprains are usually more severe.  An Inversion sprain is when the ankle is manipulated or “rolled” medially or “inwards towards the body”.  The eversion sprain is the opposite of inversion – the ankle is “rolled” laterally or “outwards, away from the body”.

ankle-sprain-ligsAnkle sprains can be classified by mild, moderate, or severe.

Mild cases of sprains:

  • may be tender to the touch
  • might have decrease in range of motion of the ankle joint
  • might walk with a slight limp
  • might show some signs of swelling.

Moderate cases of ankle sprains:

  • tender or painful to the touch
  • decrease range of motion of the ankle joint
  • signs of limping
  • signs of swelling and/or bruising.

Severe cases of ankle sprains:

  • there might be signs of fracture
  • very painful to the touch
  • unable to move the ankle joint
  • unable to walk on the foot/leg
  • excessive swelling/bruising.

torn-ankle-ligament1The ankle joint is made up of three bones: the medial malleolus which is part of the tibia, the lateral malleolus which is part of the fibula, and the talus.  Several tendons run along the ankle joint.  The common tendons which may be injured as a result of an ankle sprain are the peroneus longus/brevis and tibialis anterior/posterior.  In some severe cases the achilles tendon may be ruptured or injured.  Several ligaments can be injured in the ankle joint, but the most common ligaments injured in an inversion sprain is the anterior talofibular and calcaneofibular ligaments.

At the first sign of an ankle injury assess the following to determine if there is a fracture or torn ligament or tendon:

  • is there severe to uncontrollable pain
  • is the injured person able to walk 4 steps, even if its a limp.
  • is there severe pain with pressure along the sides of the ankle (medial/lateral malleolus)
  • lost of sensation in the leg or foot
  • severe bruising and/or swelling around the ankle joint especially the back of the ankle where the achille tendon is located.
  • any pain along the sides of the leg or the calf area.
  • any abnormal “lump” anywhere on the foot, ankle or leg

If any of the above symptoms or signs are present please seek emergency or professional consultation as soon as possible as there may be a fracture, contusion, and nerve damage.  As this may require surgical repair or casting / bracing by a medical professional.

If there aren’t any of the above symptoms then conservative care at home and by a chiropractor can be taken.

During the first 24-48 hours these steps can be taken:

  • Protect the injured area.  Avoid any contact by other objects.  A mild brace may be used.
  • Rest the injured area.  Avoid excessive walking and/or running.  Lie down on the bed or rest the foot on a foot stool, etc.
  • Ice the injured area.  Applying ice for 15 minutes as needed with 60 minutes intervals to help reduce the initial inflammation/swelling/bruising of the ankle joint.
  • Compress the injured area.  Using a brace or supportive tape.
  • Elevate the injured area.  This allows the drainage of the swelling/bruising of the ankle.
  • NSAIDs or Advil may be taken under supervision / direction of the medical doctor to reduce initial stages of inflammation and pain.

Treatment at the chiropractic office may consist of:

  • Scar removal using Active Release Technique®.  As scarring around the ankle joint may decrease future range of motion, and might predispose the ankle to future recurrent sprains.
  • Adjustment of the ankle joint to break away scar tissue and realigning the ankle structure.
  • Professional taping/ bracing of the ankle
  • Passive and active range of motion of the ankle joint
  • Tubing / strengthen exercises of the ankle joint
  • Rocker board exercises to retrain the neurological receptors around the ankle joint

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

Chiropractic Thaws Frozen Shoulder Syndrome

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Many patients with shoulder pain are told have surgery, get steroid shots, or take anti-inflammatory drugs to relieve the pain. Unfortunately, these treatments do not always work to reliably reduce symptoms, particularly in patients with frozen shoulder syndrome.

Frozen shoulder syndrome is characterized by night pain and painful restriction of shoulder movement during rotation and abduction. Only 2-5% of the general population has FSS, but rates are higher among people with Parkinson’s disease, cardiovascular disease, thyroid disease, and stroke; in fact, up to 40% of patients with diabetes suffer from FSS.

Finding an effective way to relieve FSS remains a challenge since many patients say they still experience symptoms for several years after their initial medical treatment. A recent study suggests that chiropractic treatment may provide better relief for persistent FSS.

The study included 50 patients with FSS between the ages of 40-70 years old. Patients were treated with a high-velocity, low-amplitude thrust that seeks to correct dysfunction of occipitoatlantal articulation (C0-C1 chiropractic subluxation).

After an average treatment time of 28 days, the majority of patients had substantial improvements in shoulder adduction and pain. The median average patient had their pain score drop from a nine out of ten to a two out of ten, resulting in a median 78% improvement in pain. Additionally, researchers evaluated the patients’ shoulder function by measuring their degree of shoulder adduction. Sixteen patients had regained completely normal shoulder adduction; 25 patients had 75-90% improvement in shoulder adduction; and eight showed a 50-75% improvement.

“The results of this case series are encouraging in that many of these patients’ complaints seemed to improve or resolve within 1 month of presentation, whereas, in general, it is thought that FSS symptoms can persist for 2 years or more,” the researchers wrote.

Although large-scale studies are needed to test these results, the findings suggest that chiropractic adjustment can provide effective relief of FSS.

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

Source

Chiropractic Beats Epidural Injections for Disc Herniations

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Chiropractic adjustments were just as effective as epidural injections for patients with back pain in a new study — without the risks and at lower cost.

The findings show that chiropractic can significantly reduce pain in patients with lumbar disc herniation, and is less expensive than medical treatment.

Lumbar epidural injections are frequently used for back pain and sciatica in patients with lumbar disc herniation, failed back surgery syndrome, and spinal stenosis. During the procedure, a physician injects a high dose of pain medication, and sometimes steroids, into the area of the lumbar spine around the damaged nerve. This temporarily reduces inflammation and pain.

Although the injections are widely used, controversy lingers due to the lack of a studies with placebo controls, and questions about the effects of steroids versus anesthetic alone. Side effects of steroids include a weakening of muscles and spinal bones around the affected nerve and a disruption of the body’s natural hormone balance. It’s also unclear whether epidural injections are more effective than other conservative treatments for lumbar disc herniation.

While a number of studies have established the efficacy of chiropractic for low-back pain, fewer have tested its comparative effectiveness with other treatments for lumbar disc herniation.

In a new study from the Journal of Manual and Physiological Therapeutics, researchers from Switzerland compared the effects of chiropractic spinal manipulative therapy (SMT) and epidural nerve root injections (NRI). The study included 102 with symptomatic, MRI-confirmed lumbar disc herniation who were treated with either SMT or NRI.

After one month of treatment, both groups experienced significant improvements. Of the patients under chiropractic care, 76.5% said they were “much better” or  “better” compared to 62.7% of NRI patients. Sixty percent of chiropractic patients had a significant reduction in pain compared to 53% of NRI patients. These slight differences were not statistically significant.

While none of the chiropractic patients received surgery, three of the NRI patients eventually opted for an operation.

Since the treatments were considered equally effective, the cost analysis became even more important for comparing both treatments, the researchers pointed out.  On average, one month of chiropractic adjustments was less expensive than NRI ($558 vs. $729). Their analysis included only the “minimum cost” of NRIs, and did not take into account other costs that are frequently tacked on like additional consultations with clinicians, multiple injections, or possible surgery. Additionally, treatment cost for chiropractic patients may have been slightly higher than normal since they were required to receive an MRI to be in the study. Many chiropractic patients do not receive MRI because imaging guidelines do not recommend MRIs for patients with lumbar disc herniation in most cases. In contrast, MRIs are typically performed before injections or other more invasive procedures.

Although randomized trials are needed to confirm these results, the authors concluded that, “There were no significant differences in outcomes between the more universally accepted treatment procedure of NRI compared to SMT.”

This study suggest that patients can experience substantial relief from chiropractic care without worrying about the side effects of steroids or drugs. It may even save them money, since researchsuggests that chiropractic patients have lower annual medical costs compared to patients under traditional care.

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

Source

Chiropractic May Lower Blood Pressure

Blood-pressure

Nearly a third of Americans have high blood pressure, putting them at risk for heart disease, stroke, and number of health conditions. While medication is the primary treatment for hypertension, there are several non-pharmaceutical ways to manage high blood pressure including, stress reduction, weight loss, and diet changes. Now, a growing body of research suggests that chiropractic care could help.

Researchers from Sherman College of Chiropractic have found preliminary evidence that regular chiropractic care reduced blood pressure in middle-aged African Americans. Earlier research has suggested that chiropractic adjustments can decrease blood pressure in patients with cervical spine dysfunction or anxiety. However there have been no age and racial-specific studies on the effects of chiropractic on blood pressure.

Researches conducted a non-randomized, non-controlled pragmatic study to evaluate the feasibility of a future clinical trial. The results are still considered preliminary, but since they support earlier findings, they are highly suggestive as to the potential effects chiropractic can have on blood pressure.

The study included 58 hypertensive patients of African American descent who were over the age of 40. Patients received one year of chiropractic care for various spinal conditions, and their blood pressure was taken three times throughout the course of the study.

The researchers discovered that in patients with a BMI lower than  50, diastolic blood pressure significantly decreased over the course of treatment. Patients with a BMI higher than 50 (considered severely obese), did not experience the same drops in blood pressure. This lead researchers to suggest that obese patients may be “more resistant” to blood pressure reductions when it came to chiropractic care.

If you have any more questions about blood pressure options please email Dr. Marcus Wong at drwong@truehealthstudio.com

Source

Merry Christmas and Happy New Year from True Health Studio !!

true health studioAt True Health Studio we are offering a Christmas Special for Chiropractic and Registered Massage treatment package!!!

Exisiting patients can purchase for friends/family.  New patients are welcome to purchase this package on their first visit as well.

For $150 the patient receives 1 hour massage treatment and 2 Chiropractic treatments (this applies for both existing and new patients)

If interested please call us at 604-221-8783 or email at info@truehealthstudio.com or book online.

This special is good until December 31, 2013, and its valid for 1 year on the date of purchase.

Knee Pain

Written by Dr. Marcus Wong

The knee is a very complex structure of our body leading to a lot of pain after increase exercise or motions.  This is due to the fact that not every individual train their knees properly which can lead to problems even with everyday activities.  As we age our knees become weak and/or tight over time, therefore, even simple activities as running or walking in the park can lead to discomfort and long term chronic knee issues.  Certain parts of the knee is strain and other parts of the knee must over compensate leading to unbalance muscle groups in the knee.  When this happen several treatment options and rehabilitation exercises are available.

First lets describe the basic anatomy of the knee.  The knee is made up of 4 major bones: the femur, tibia, fibula, and the patella.  There are four major ligaments the hold up the knee:  medial collateral ligament, lateral collateral ligament, anterior cruciate ligament, and posterior cruciate ligament.

 

 

Several muscles surrounds the knee.  The major ones consists of the quadriceps femoris, hamstrings, and calf muscles.

The anterior portion of the knee is made up of the quadriceps femoris muscle.  This group of muscles comprise of 4 individual muscles consisting of the rectus femoris which is the middle portion of the thigh, the vastus medialis which is the inner portion of the thigh, vastus lateralis which is the outer portion of the thigh, and the vastus intermedius which is the portion underneath the rectus femoris.

 

The posterior thigh of the knee is made up of the hamstring muscle group.  This group of muscles comprise of 4 individual muscles as well: biceps femoris long/short head, semitendonosis, and semimembranosus.

 

 

Lastly the calf muscles which forms the lower posterior portion of the knee consisting of mainly the gastrocnemius and the soleus.

 

 

Majority of the patients who comes in with knee pain are usually the ones that have over used their knee.  This will result in certain parts of the knee being too tight (usually the rectus femoris and vastus lateralis) and certain parts of the knee being too weak (vastus medialis).  Muscle imbalance results and knee discomfort and pain are the symptoms.  If this is the case chiropractic treatments made be done.  Such treatment options include:

  • Chiropractic adjustments
  • Muscle stretching of the knee muscles using Active Release Technique®
  • Proper taping of the knee during acute stages for support
  • Active range of motion and tubing/strengthen exercises
  • Balance/proprioception exercises

 

In some more serious cases the ligaments of the knee are partially torn or fully torn, in this case medical consultation or surgery are required.  After re evaluation and/or surgery conservative care with chiropractic treatments can be rendered.

In the older population cartilage in the knee may deteriorate and decrease.  When this happens surgery may be need, but conservative chiropractic care may be used at first as well.  Proper supplementation of glucosamine sulfate may also be used.

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

Chiropractic is Recommended from Medical Journal

Journal of the American Medical Association recommends Chiropractic

 

Perhaps a turning point has been reached. The Journal of the American Medical Association (JAMA) has recommended that patients who seek back pain treatment should consider chiropractic care before taking invasive measures such as electing for surgery. The surgical option should only be considered if conservative therapies fail. According to the JAMA, conservative alternatives like Chiropractic care should be the first “line of defense” because they are safer and more efficient in relieving pain.

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Back pain can be anything from dull or sharp pain in your back or tingling or numbness that runs down your leg. These symptoms may indicate a pinched nerve which occurs when the disc bulges out and puts extra pressure on the nerve that is exiting between the spinal bones.

Chiropractic care can show you how to properly maintain back health and prevent the possibility of future spinal pain. Surgery should always be a last resort because there is a higher chance of failure. If you have or have had back pain or any other spinal conditions, please follow the advice of the JAMA and consider seeing a chiropractor.

– source

Golf Season is Here !!!

Written by Dr. Marcus Wong

The sun is finally out and it looks like its here to stay!!!  Many people start to dust off their golf bags if they haven’t done so already.  Some even started hitting balls at the driving range already couple months ago in the rain and cold breezy weather of Vancouver.  But after a long period of sitting on the couch and the holiday festivities of Christmas and then the Winter Olympics, and the ending playoff run of the Vancouver Canucks, many of us are left out of shape and not quite fit for a nice long season of golfing.  After all low back pain and elbow injuries are the most common conditions suffered by golfers.

 

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Every time you take a swing the spinal rotation of the golf swing can reach up to 160 km/h, which can leave a lot of stress on your body.  Here are some tips to follow to prevent such injuries to your body:

  • Strength training of your core muscles are very to important prevent injuries.  The muscles stabilizes your spine and body through each swing, and acts as shock absorbers to prevent sprains and strains.  Core muscle flexibility and strength also increase proper oxygen flow in the body.
  • Warm-up and cool-down both before and after your game or session for a 20 minutes, which include gentle stretching and range of motion exercises, as well as a brisk walk or gentle jog to loosen the muscles and joints.  Muscles which should be stretched include your low back, hamstrings, quadriceps, calf muscles, etc.
  • Stay hydrated by drinking plenty of fluids before, during and after your game.  Remember that once you are thirsty, you are already starting to dehydrate.  Dehydration affects your energy level and your physical functioning and performance.  When your body and energy level decrease, this is when your body is most prone to injuries.
  • Use a wheeled golf cart for carrying heavy clubs. If you must carry your golf bag, buy the ones that have two shoulders straps.  This will spread the weight across a greater area on your back, so there isn’t one side of your back that is stressed throughout the day.  If there is only one strap, alternate sides frequently.  If you find that your bag is getting too heavy, put it down and take a break.  Taking breaks frequently is important, its your body telling you to stop and rest. Further stress will once again make your body prone to injuries
  • When wheeling your golf cart, push rather than pull.
  • Golf requires long periods of standing.  Frequently alternate your weight from one foot to the other or rest one of them on your golf bag or cart.  Taking breaks and sitting down if you get dehydrated or really tired.  Gentle stretching of your hamstrings, quadriceps, and calf muscles throughout the game.
  • Make sure you have the proper shoes for your type of feet.  Golf shoes with short cleats are the best.  Some times you may need orthodic insoles custom made for your feet.
  • Use the right technique for your physical capacity and limits. Adopting a golf swing based on your physical and biomechanical capacity is important.  Amateurs are usually better off adopting a classic golf swing, which enables the hips to turn nearly as much as the shoulders to minimize spinal twisting.  If in doubt, consult a golf pro.
  • Sleep well the night before the game, and have an overall healthy diet.  Eat before games and after games to replenish your body.  Playing hungry in any sport is not optimal for the body as your body tires quickly and your body will be prone to further injuries.

Preventing Shoulder Injuries

Shoulder injuries in golfers are common due to the repetitive nature of the swing.  This is a type of repetitive strain injury.  Therefore, a proper swing is very important as you don’t want to repetitively add stress and strain to your shoulders.   To reduce shoulder pain, try these two tips.

  • Shorten the back swing slightly. Instead of ending the club head at the 3 o’clock position, stop at the 1o’clock position.
  • Strengthen your shoulder, scapular, chest , and back muscles. Your chest and back muscles are large and generate the power in the swing.

Preventing Elbow, Wrist and Hand Injuries

  • Select larger and softer club grips and use a neutral grip.
  • Select irons with large heads and graphite shafts to lessen vibration.
  • Select the correct club length.
  • Strengthen your forearm muscles.

Chiropractors can help prevent backpack problems by showing you golf exercises and stretches. Should you suffer an injury from golf, a chiropractor can also provide treatment for your low back pain or shoulder/elbow injuries.

 

golf_mont_tremblant

 

Enjoy yourself this golf season, remember to prepare yourself and prevent injuries before they occur is most important!!!!

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

Gardening is a Great Exercise !!

Written by Dr. Marcus Wong

 Have a look around you, the trees are turning green, the flowers are blossoming, and people everywhere are mowing their fresh green lawns. As the summer approaches, many people are bring out their tools from the shed and getting ready to “jazz” up their garden for the nice summer weather.  Gardening is a great exercise alternative, and you can enjoy the sunshine as well.

 

cover-gardening

 

Every spring and summer, many individuals take part in raking, lifting, digging, kneeling and planting activities that lead to aches and pains in their neck, low back, and other extremities issues. Improper gardening techniques can cause repetitive strain injuries, lead to degenerative joint and disc problems, cause sprain and strain injuries to muscles throughout the body and wear and tear to joints and muscles.  Here are some following tips to follow for a safe and enjoyable gardening season.

  • Always stretch and warm up before starting any activities.  Gardening seems like a stress free activity, but it can lead to strenuous strain to the body resulting in injuries and aches and pains.  Take the time to prepare your body for activity by stretching your low back, shoulders, arms and legs.  Always warm-up and cool down your muscles. Take a short walk around the neighbourhood.
  • Always use good proper lifting technique.  Keep the load close to your body with your back straight.  Bend your knees while picking up and putting down the load. Avoid flexion of the trunk and twisting, as this puts lots of strain in your vertebral disc, and can result in injury.  Ask someone for help with heavy, awkward loads.

 

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  • Alternate your tasks. Take turns between heavy chores such as digging and less physically demanding tasks such as planting.
  • Stand with one leg forward and one leg back when you rake. Raking can put significant strain on your back and arms. So take extra care with this activity.
  • Change hands often: Changing hands frequently when you rake, hoe or dig prevents muscle strain on one side of the body.
  • Kneel onto grass or soft surface to plant and weed. Don’t kneel on hard surfaces or cement as this can put stress on your knee joints.  Use kneepads or a kneeling mat to minimize the amount of stress.  Constant bending can put strain on your back, neck and leg muscles and joints.
  • Change positions frequently. Make a point of changing position every 10 to 15 minutes. Move from kneeling to standing, from digging to planting.
  • Make sure that tools are a comfortable weight and size for you.  There are many ergonomically designed tools which are lightweight with long, padded handles and spring-action mechanisms that can reduce strain and effort.Get-up, move around, alternate tasks, repeat your stretch routine or sit back, relax and have a cool drink.
  • Get-up, move around, alternate tasks, repeat your stretch routine or sit back, relax and have a cool drink.  Try not to overexert yourself; and take three brief breaks at least once every hour. The work can also be spread over several days! Give yourself a breather. Your back will thank you!

 

vegetable-gardening

 

If you do get injured or have aches and pains stop the gardening immediately.  Trying to push yourself or thinking the pain will go away on its own is not a good thing.  Rest and ice the area for the first 48 hours.  Use ice for 15 minutes intervals with a 60 minute break between each session as needed.  If the problem persists for over 5 days, seek treatment/help from a chiropractor.  Chiropractors play an important role in providing preventative education and early detection of spinal problems, as well as expert care for back, muscle and joint pain and injury.

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