Cranial Osteopathy and Cranio-sacral therapy

Our Osteopathic Manual Practitioners at Beachealth have completed a 5 year double degree university program at Victoria University in Australia for Osteopathy. This qualifies them to practice osteopathy and in Australia under the title of Doctor. The basic training of cranial osteopathic technique is given during the medical degree, but some Osteopaths specialize at post graduate level.

In the 1970’s Cranio-Sacral therapy embraced these osteopathic techniques. However, most Cranio-Sacral Therapists are not Osteopaths, and not all therapists have a background in anatomy, physiology, pathology, diagnosis and biomechanics. Therefore they are unable to offer a valid working diagnosis which is essential prior to application of treatment.

Swift Treatment For Warts

Now available at Beaches Foot Care Centre (@Beachealth)

Treat warts with confidence!

Swift is the pioneering new microwave therapy system for the treatment of Plantar Warts.

How frustrated are you trying to get rid of Plantar Warts? I know that after many years of implementing many different types of treatments, I became tired of not seeing much,  or any progress in resolving this stubborn infection for my patients. In search for the best option available I decided that “SWIFT”  will be my best solution to fight this stubborn viral infection.

What are warts??

Warts are benign skin growth caused by human papilloma virus (HPV). There are many types of warts, and at our clinic we are treating specifically Plantar/ Foot Warts. These are usually found on the soles of feet. Plantar warts often grow into the deeper layer of skin due to the pressure from walking, and standing. Walking around barefoot increases your risk of developing plantar warts.

Warts may spread from person to person by direct or indirect contact, and may also spread from one area of body to another. individuals with weakened immune systems may be more susceptible. 

At “Beaches Foot Care Centre” , I would first assess infection  and together with patient decide on the best treatment option.  Thera are few options we offer, to name a few: the application of blistering medications, wart needling… These treatments are time consuming and often painful, and traditionally warts have been very resistant to most of them. That is, until now.

What is “SWIFT”?

Swift is a new technology, developed in the UK, which has been licenced for the general treatment of skin lesions in Podiatry and Dermatology. Swift uses microwave energy which is delivered through a special probe applied to the skin to treat the affects tissue. After continued research into novel microwave based medical product, success rate spiked significantly.

I am proud to be among very few clinics in Toronto using this new and exciting technology.

If you are suffering from wart infection, do not hesitate to contact me to inquire more information, or make an appointment.

Sincerely,

Lada Milos Lee B.Sc, D.Ch.

Is the Empty Can Test A Good Rehab Exercise?

Over the past couple of weeks, I have been seeing a few more shoulder injuries, all which have started for many different reasons. There have been falls, sports injuries and others which have been there for a long period of time. However, with some of the presentations there has been a common factor and that has been a particular exercise or rehab that has been prescribed.


After spending some time with the clients going through their medical history and working out actions that may aggravate or relieve their pain, we are able to come to a clinical impression, which gives us an ability to determine a personalised rehab plan to the shoulder joint. The shoulder can be a complicated joint as there are lots of different muscles which attach around the area and influence its movement.
While I don’t like to call out another practitioner or say that one exercise shouldn’t be performed, I do believe that there are exercises that are better for people so that we are to strengthen an area while limiting pain.

The empty can/ full can exercise involves taking your arms out to the side (abduction) on about a 45-degree angle and turning your thumbs down (pronation) or as if you are pouring a can out and then turning the can upwards (supination) this exercise is done with weights being held and repeating the pronation and supination action.

This exercise has been proven to target the supraspinatus muscle, which is one of the four rotator cuff muscles. When you pronate your wrist, we decrease the amount of space our shoulder joint has to move and this is one of the many reasons that people may get shoulder pain. So you can imagine that if you have been given this exercise from a healthcare practitioner and you are getting a sharp pain in the front of your shoulder, your desire to perform the exercise is not going to be very good. So how do we target the muscle without placing our shoulder in a painful position?

There are a number of different ways, but to keep it simple, standing external rotations and lateral raises, should be sufficient enough to train the muscles. Each person is different and require slightly different instructions or cues to help them feel the activation of a muscle, but as a general sense these 2 exercises can activate the muscle correctly without putting the shoulder into a position which may cause more impingement pain.

If you think that this could be beneficial for yourself, please don’t hesitate to contact us at the clinic

Written By: Brendan Ashman

New Year Elimination Diet

With the start of a new decade and coming off of an indulgent holiday season you may be considering doing a cleanse or a healthy eating kick. The elimination diet is a great place to start as it can provide the structure you need to make that goal happen. Whether it’s about giving your body a break from toxic foods or finding out food you may be sensitive to, the elimination diet can help. Typically a person will maintain this diet for 2-4 weeks. The main rationale behind the diet is that by eliminating offending foods the body is able to recover and proper digestion returns while identifying specific food allergies that may be the cause of digestive concerns to begin with. Some people report some initial reactions to the diet, especially in the first week, as their bodies adjust to a different dietary program, these symptoms rarely last more than a few days. This guideline is for informational purposes only. Make sure to consult a health professional before implementing this diet to be sure it is right for you.

Comprehensive Elimination Diet Guidelines

Foods to eat: 

Leafy greens: kale, spinach, radicchio, arugula, etc.
Cruciferous vegetables: cauliflower,
broccoli, brussel sprouts, cabbage, etc. (at least 1 serving – ½ cup – per day)
Colourful vegetables: peppers,
tomatoes, carrots, cucumber, beets,
sweet potato, etc.
Fruits, especially berries: apples,
pears, banana, grapes, blueberries,
blackberries, strawberries, etc.
Healthy fats: olive oil, coconut oil,
avocado, fish oil, flax oil
Nuts and seeds: almonds and almond butter, chia seeds, walnuts, hemp seeds, brazil nuts, etc.
Lean protein: lean ground beef,
chicken, turkey, fish, eggs, lean pork,
whey protein isolate (not whey protein concentrate), organic soy, legumes.
Organic grass-fed meats are preferred, if possible.
Healthy gluten-free grains: quinoa,
brown rice, teff, millet, gluten-free oats

Foods to avoid:

Gluten-containing grains: wheat, rye,
barley and non-gluten-free oats
Dairy: cheese, milk, ice cream, yogurt
Processed foods: processed meats,
packaged foods, fast food, chips,
cookies, etc.
Alcohol: wine, beer, hard liquor, spirits, etc.
Sugar: all added sugars (high fructose corn syrup, fructose, glucose, sucrose)
White carbohydrates: white rice, white potato, white flours and most commercial breakfast cereals.

 

Written By: Dr. Bridget Ross, ND

Visceral Manipulation

In late November, early December I had the opportunity to spend four days at a course here in Toronto, which looked at our organs and the correlation they can have with patient’s pain.

In this course there was a heavy focus on the Liver, Gall bladder, Stomach, Oesophagus, Small and Large Intestines. The techniques in which were taught, were mostly very gentle and should not feel invasive or make the patient too uncomfortable.

Some of you may ask, why would you treat a person’s organ? Well sometimes a person can be experiencing pain which is coming from the organ. Let’s take the Gallbladder for example. The Gallbladder is supplied by our Vagus nerve and our Celiac ganglia. The Vagus nerve is our 10th cranial nerve which controls our heart, lungs, and digestive tract and It is the longest nerve of our autonomic nervous system. It runs from our head down through our neck, chest, and into the abdomen. As the pathway is so long any compression along this pathway could result in pain.

The close proximity of the gallbladder to the liver and diaphragm can suggest that our right shoulder could also be a place in which pain can be produced. Our diaphragm is innovated by our phrenic nerve which consist of nerves C3-5 from our neck. As this particular nerve also supply muscles in our shoulder and neck, if there is a problem with our gallbladder there is a chance that it could be producing some kind of shoulder pain in a patient.

It is important to remember that as Osteopaths we are always trying to locate the source of pain and whether it is coming directly from the area that you are experiencing pain or whether it is coming from somewhere else. So, if we start asking questions about different areas of the body or asking if there is any relationship with your pain and food, it is because we might be looking for a specific link to point us in the direction of the source of pain.

Hope you all had a great break and happy new years to you all!

 

Brendan Ashman

Manual Osteopathic practitioner

Ice or Heat

Heat v Ice to Treat a Sports Injury

Most patients ask ‘do I use heat or ice?’ Now the answer to this question generally is if it’s acute or chronic.

An acute injury, being one that happened suddenly, will show signs and symptoms of pain (usually intense), local tenderness, redness, warm to touch and swelling. These signs and symptoms are mostly the result of internal bleeding and inflammation, which is the body’s response to an injury occurring suddenly and usually the inflammatory process should last 48 hours. The best therapy for an acute injury in these initial stages is rest and iceIce is a vasoconstrictor (it causes the blood vessels to narrow) and limits internal bleeding at the injury site and would therefore reduce the swelling and pain. Apply ice (wrapped in a thin towel) to the affected area for 10-15 minutes at a time and generally repeat every hour (if needed). The main goal during these initial stages is that you want to isolate, decrease and prevent the inflammation from spreading further.

Chronic injuries, on the other hand, can be subtle and slow to develop. They sometimes come and go, and may cause dull pain or soreness. They are often the result of overuse, but sometimes develop when an acute injury is not properly treated and doesn’t heal. Chronic injuries generally do not have inflammation or swelling and that is when heat a good form of therapy. Heat is best to stimulate blood flow, increase the elasticity of joint connective tissues and help relax tight muscles or muscle spasms. Safely apply heat (i.e. wheat pack) to an injury 15-20 minutes at a time and use enough layers between your skin and the heating source to prevent burns. Because heat increases circulation and raises the skin temperature, you should not apply heat to acute injuries or injuries that show signs of inflammation, as this will generally make them worse. This is a common mistake made by a lot of people with acute injuries, so please use cold in the initial stages of injury.

Some exemptions to the rule are:

Heat is recommended in an acute injury once the inflammation has settled down (usually after 48 hours). This will encourage the blood flow to the injury site and promote the healing process.

If you have a chronic injury, but suddenly aggravate the injury and the pain greatly increases in severity, ice would be recommended for the next 2 days. This type of injury is also known as acute on chronic.

If you are unsure or the injury does not show signs of improvement within 48 hours please consult with your local doctor or osteopath.

 

Written by: Daniel Stasiuk

Numbness Or Tingling In Your Arms And Legs, What Does It Mean?

Numbness and tingling are abnormal sensations that can occur anywhere in your body however, numbness and tingling in the arms and legs are the most common association and complaint.

Sensations related to numbness and tingling in the arms and legs are often caused by an interruption in proper nerve flow. Activities like sitting or standing in one position for a long period of time can cause a temporary pinch on the nerve thereby interrupting its conduction. Continuous pressure on a nerve can cause lasting damage to the layers of the nerve known as myelin sheaths.

Causes of Numbness of Tingling

There are many common causes of numbness and tingling in arms and legs. Some common causes include:

  • Disc Herniation’s
  • Carpal Tunnel
  • Diabetes
  • Multiple Sclerosis
  • Stroke
  • Transient Ischemic Attack
  • Raynaud ’s phenomenon
  • Vitamin B12 Deficiency

How Your Osteopath Can Relieve Numbness and Tingling in Arms and Legs

In the case of prolonged numbness and tingling in arms and legs, early detection and proper diagnosis by an Osteopath, is of the utmost importance. Most causes of numbness and tingling are not serious and we can resolve quickly.  By examining your spine & joints, lifestyle, daily activities, diet and exercise we are able to not only identify the symptoms causing your arm and leg discomfort, but also the causes. This integrated approach helps determine the best and quickest treatment protocol for your arm and leg discomfort.

Treatment may include activity modification, anti-inflammatory medications and joint mobilizations’. The Osteopath will be able to provide you with a series of stretching and strengthening exercises designed to return you back to participation and to reduce the chances of the injury re-occurring.

Joint mobilisations can help restore alignment, improve mobility, and relieve arm and leg pain, swelling and stiffness. Osteopathy may apply a variety of therapeutic modalities in conjunction with the adjustments which may include but not be limited to dry needling, massage, traction, stretching and strengthening exercises.

Make an Osteopathic appointment with Beachealth today and relieve yourself from numbness and tingling in the arms and legs.

Ankle Sprains

The ankle is made up of 3 bones: The Tibia (the shin bone), Fibula (runs on the outside of the shin bone) and Talus (connects our foot to the shin bone). The bony bumps found on the inside and outside of the foot are called the medial and lateral malleolus.

The way the ankle is designed, its primary movement is dorsi and plantar flexion (up and down), while it is subtalar joint which produces eversion and inversion movements (turning foot in and out).

 

The ankle has a number of ligaments which holds the bones together and allow the ankle and foot to move. The two main sets of ligaments which originate from the malleolus are the Medial and Lateral Ligaments.

The Medial Ligament, or the Deltoid ligament is a strong, flat and triangular band which consist of four ligaments and fans out from the medial malleolus to the talus, calcaneus and navicular bones. The primary action of this ligament is to resist over-eversion of the foot or rolling the foot inwards. This particular type of rolling motion which may cause an ankle sprain is rare and is normally associated with a fibula fracture known as a Pott’s fracture.

The lateral Ligament has 3 parts to it, which we separate into 3 different names. The Anterior talofibular, Posterior talofibular and Calcaneofibular ligaments. They all originate from the lateral malleolus and attach onto other bones of the foot. These ligaments all resist over-inversion of the foot. This type of ankle sprain is the most common.

So how do we treat a sprained ankle?

As osteopaths, we have a number of special test that we can do to make sure that we are able to identify the exact ligament that is involved and rule out a fracture. If we are unable to rule out a fracture we may advise an x-ray to identify a break and possibly a cast if needed.

If no break is suspected, the first goal of treatment is to assist in getting the swelling down while keeping as much range of motion throughout the foot and ankle bones. Rehabilitation is extremely important with a ankle sprain and vital for getting the person back to their sport or daily task. We would start off with some advice which would include rest, ice, compression and elevation (RICE). Then followed by basic ankle and foot range of motion exercises such as the ABC’s (which is just moving the foot to the letters of the alphabet).

Once the person’s pain and swelling has decreased and their range of motion is better, we can start to add in some harder exercises like balance exercises, theraband ankle work and increasing their range of motion exercises. The very last step is to make the persons rehab a little more sport specific to them, such as hopping, jumping and changing directions. Whether it is basketball, running or just getting back to playing with the kids.

 

Written By: Brendan Ashman

Concussions and Our Kids In Sports

After a conversation with one of the Beach Integrated Health Clinics patients, the topic of concussions with kids in sports came up. It prompted me to write a little bit about concussions, what to look out for and how as Osteopaths we can help.

So what is a concussion? A concussion is an injury to the brain that results in temporary loss of normal brain function. It is usually caused by a bump, blow or jolt to the head or body. This force to the body or head may or may not involve a loss of consciousness. Often there are no specific signs of head trauma like bleeding or even a bump.
A person who has suffered a concussion often cannot remember what happened immediately before or after the injury and may act confused. Which is why it is important to know the type of questions to ask someone if you suspect a concussion has occurred. A concussion can manifest in different ways such as altered memory, judgment, reflexes, speech, balance and muscle coordination.

Who can suffer from a concussion?
Everyone has the potential to get a concussion at some point in their life. Studies have shown that concussions seem to effect women more than men. Which could be for a number of reasons, though researchers seem to think the main reason for that is because women are more likely to report it or at least mention it to their healthcare professionals. A person who has had a previous history of concussions, especially a history of 2 or more concussions, are more at risk for increase in symptoms.

Symptoms of a concussion may include:
• Prolonged headache
• Vision disturbances
• Dizziness
• Nausea or vomiting
• Impaired balance
• Confusion
• Memory loss
• Ringing ears
• Difficulty concentrating
• Sensitivity to light
• Loss of smell or taste
There are also some post Concussions symptoms to be aware of, as some symptoms may not show immediately.
• Mental fog
• Mental slowness
• Memory loss
• Confusion
• Irritability (especially in children)
• More emotional
• Nervous
• Sad
• Difficulty falling asleep
• Sleep changes
There are ways to decrease the risk of a player getting a concussion in many sports like encouraging kids to wear a helmet in sports such as hockey and rugby if it isn’t already compulsory, however, this will not 100% stop a concussion from occurring.
The treatment for a concussion is rest. However, we must take into consideration the severity of the concussion and other factors that might be inhibiting the individual to heal. For example: after a tackle in football a player may hit their head and get a concussion. After 72 hours they may still have some neck pain and a dull headache. Although the concussion may have settled down, the player may have some neck stiffness or pain, which is causing the headache to be persistent. This is where our Osteopaths can help. Having spent time as an Australian Football league Trainer 1 have seen my fair share of concussions and it is important to treat all concussions as a serious injury. While taking a medical history and we decide on techniques that are a little gentler, so we don’t expose the individual to a jolting sensation through the body, neck or head to our treatment.
If you come across a person who you suspect does have a concussion the rule that I like to follow is if in doubt sit them out. While they may be unhappy that they cannot return to the sport, it is always better to be cautious. If they subject their body or head to another heavy blow, it may increase the persons symptoms exponentially.

By Brendan Ashman
Manual Osteopathic Practitioner

Getting your bike setup correctly

Over the last three weeks, the Tour De France has been running. The Tour consists of 21-day stages over a 23-day period, and the riders will cover around 3,500 kilometres (2,200 mi). While not all of us are elite athletes, there has certainly been an increase in cyclist on the road with the nice weather.

Cycling can be a great form of exercise. We get a great cardiovascular workout and it helps improve the strength of the leg muscles. There are, however, many common injuries that can occur when we start to ride or with high volume riding without the correct recovery methods.

Some of the most common sites of pain in cyclists are the neck, shoulder, knee, lower back and sacroiliac joints (SIJs). There are many reasons in which a person might be experiencing pain. It could be related to a new hobby, a predisposing injury, muscle tightness, or it could even be the set-up of your bike. Just like a work desk, our bike set up can be incredibly important to ergonomics, decrease injury, aid in decreasing pain and keep you riding for a longer period of time.

Getting the correct set up on your bike will depend on what kind of bike you have, how tall you are, shoulder reach, as well as what feels comfortable.

Here are a couple of quick tests you can do:

To check your seat height get onto your bike with one leg straight and place the heel of your foot on the pedal at the lowest point, which should make your leg straight. If this does occur then your saddle should be at the correct height for you.

To find the best saddle position, you should sit on the bike with the pedal at 3 o’clock. Place your foot with the joint of the toes on the pedal spindle. In the perfect scenario an imagery perpendicular line should run from your knee-cap through the spindle of the pedal. If the line runs behind the spindle, then the saddle needs to be pushed forward. If the line runs in front of the spindle then the saddle needs to be pushed backwards.

There are a lot of measurements and angles to take into consideration when setting up your bike with an ergonomics assessment. My best advice is that if you are experiencing any pain before, during or after riding your bike, it might be worth a visit to your local bike shop or your local specialized practitioner and ask for an ergonomic bike set up. This will allow to can for longer with the correct posture and decrease your chances of dealing with some of the getting some of the common cyclist pain.

If you would like more information on ergonomic set ups on bikes. Please ask us for a bike set up hand out.

 

Written by Brendan Ashman

 

Did you know that Brendan recently did a certification course for bike fitting and setup. For more information please ask Brendan at brendan@beachealth.com or call (416) 546 4887