Our patients are represented by persons of all age
groups. Most patients present to our clinic with symptoms of physical
discomfort or pain significantly affecting their quality of life and
functioning.
These disorders include typical back pain
presentations, but also include problems causing neck pain, shoulder pain,
hip and knee pain, and foot and ankle pain disorders.
Some patients find that chiropractic treatments
based on SMT delivered on a regular interval, such as one visit a month,
helps to reduce or eliminate the occurrence of symptom flare-ups, such as
previously troublesome bouts of back pain, in particular as it relates to
underlying osteoarthritis and degenerative disc disease.
A more comprehensive list of disorders, examined for
and cared for, can be found under the heading "Specific Conditions Treated"
WSIB
- We are registered as a healthcare provider for WSIB for low back pain
programs of care, rotator cuff injuries, carpal tunnel disorders, and
tennis elbow.
- Forms - this website can provide examples of forms used by
patients for WSIB claims, by links to the
WSIB of Ontario.
- Chiropractic care is completely covered by WSIB for
specific treatment services in approved cases.
- Our friendly and courteous staff can help with your
questions in completing the appropriate forms so that your care can be
initiated and completed as soon as possible.
- Chiropractors pride themselves in cost-effectiveness
and efficiency in returning injured workers back to the workforce through
comprehensive working neuromusculoskeletal diagnoses, specific treatments
directed at pain reduction, return of function, exercise and education.
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Automobile Insurance Injury Claims (MVA)
- We provide care for patients whose injuries were
sustained as a result of a motor vehicle accident, including whiplash
injuries.
- Many of our patients who present with MVA injuries
sustain injury to multiple sites. It is not uncommon to experience strain
to the shoulder girdle from seatbelt restraint, trauma to the neck and head
from acceleration-deceleration forces and airbag deployment injury to the
face and neck, as well as trauma to the legs from contact with the
dashboard, all as a part of a high speed collision.
- You do not require a medical referral to consult a
chiropractic clinic, although we have on occasion seen patients referred
directly from the ER, as well as had referrals from family physicians. We
obviously appreciate the physician's confidence in our delivery of
chiropractic care.
- Our friendly and courteous staff can assist patients
in obtaining the appropriate insurance forms for completion as part of the
patient's responsibility for insurance claim coverage.
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Maternity Care
- We have a designated maternity treatment table and
provide care to expecting mothers experiencing low back pain associated with pregnancy, as well as for mid and upper back pain
from related ribcage strain related to fetal pressure and gastrointestinal
discomfort.
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Care For Infants and Children
- We provide treatment for infant colic and help
assess infants and children for underlying disorders causing sleep
disturbances, behavioural issues, irritability, and growing pains. What do we look for clinically? Infants with
furrowed brows (from discomfort), hiccupping excessively, spitting up after
most feedings or projectile vomiting, are excessively gassy, have
difficulty latching on, have neck stiffness…and no fever or medical signs of
illness. What do we treat specifically? Some examples include TMJ
manipulation for in utero positional jaw strain (meaning that before birth
the infant had his or her fist pressed against the face straining the jaw
joint. Occasionally there is an associated displacement of the ear
cartilage (external auditory meatus) on the same side. This treatment is
performed to assist in latching on with breast feeding by correcting a
biomechanical problem noted with the joint.
- Colic symptoms, the most common infant disorder
examined for and treated at this clinic, are managed by manipulating the
infant with traction forces to the costal (rib cage) margins of
the spine. Gas movement during or immediately following treatment is noted
with increased flatulence, burping, ease of BM, and a reduction in physical symptoms of arching, restlessness, and ease of settling for rest/sleep.
Foot Care
- We are affiliated with a podiatric style lab for the
provision of custom-fitted plaster cast orthotic manufacturing for the
specific treatment of biomechanical ankle and foot disorders including
excessive pronation, adult aquired flat foot, metatarsalgia, plantar
fasciitis, and bunion formation.
- Not everyone requires orthotics, but those who do
often complain of knee pain, tired and achy legs, as well as frequently
recurring low back pain.
- Slight mechanical distortion at the ankle mortise
joint is amplified upwards through the tibia to the knee joint, often
causing unresolving knee pain (often because treatment is only focused at
the knee as the source of the problem, whereas in this case it is secondary
to a foot/ankle problem).
- Biomechanical assessment of the lower limb includes
gait analysis. This involves observing a patient walk over a distance of
approx. 50 feet either barefoot or with socks on, noting changes in foot
angle and heel-achilles placement. Excessive pronation and supination are
recorded, and further tested on weight-bearing examination.
- Custom-fitted prescription orthotics can be modified
with a slight cork heel lift on a short leg side, and heel posts can help
reduce heel roll in cases of excessive pronation.
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Exercises for patients
Patients of our clinic are frequently prescribed
exercises to help with their recovery and maintain functioning. Regular
exercise is encouraged whenever appropriate, and gauged to the patient's
level of activity and lifestyle.
The Canadian Chiropractic Association has an
excellent general fitness program called
FIT in FIFTEEN. We also provide direction for patient
injuries from motor vehicle accidents with strength recovery programs
co-ordinated through regional fitness centers, enlisting personal trainers
provided at those centers.
The following exercise programs are custom designed
for each patient depending on their level of progress and symptoms:
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Low Back Exercises
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Shoulder Exercises
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Spinal Stretches
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Squatting Exercises
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Hip Exercises
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Wrist Exercises
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Restless Legs Syndrome Exercises
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Osgoode-Schlatter Knee Pain Exercises
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Neck Exercises
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Planar Fasciitis Exercises
Outcomes and Measures
How does a patient's condition get evaluated, and
how do the patient and practitioner know the patient is improving?
This clinic utilizes a numerical pain scale, often on initial examination,
to record a patient's perception of pain or limitations. Effective
treatment is dependant on as specific a diagnosis as possible. We will
often pull up all relevant health information, recent diagnostic tests,
MRI results, etc. to complete the clinical picture. When appropriate, we
will work with other healthcare providers to obtain further information
into a patient's general health and functioning. This has included EEG
studies to rule out epilepsy, endoscopic and colonoscopic
examination to evaluate upper and lower gastrointestinal integrity, and
diagnositic ultrasound examination to assist with vascular
evaluation.
Sleep Clinic referrals are just a part of the
diverse services that this clinic utilizes to assist in bettering the
healthcare status of our patients. Many patients have been subsequently
diagnosed medically with sleep apnea and effectively treated with CPAP
devices as a direct effort of our clinic. Why would a chiropractor refer
a patient to a sleep clinic? The need for normal physiological sleep for
human functioning and performance is so basically essential that problems
with sleep, such as those caused by sleep apnea, RLS, or GERD (gastroesophageal
reflux disease) to name but a few, will generally cause physical
symptoms. These symptoms will include low back pain, leg pains and
fatigue, headaches and migraines, achy and sore joints, neck pain, and any
number of combinations thereof. Yet the patient "appears" healthy: Often
all blood work and usual diagnostic tests are unremarkable. The outcomes
and measures that are utilized by the WSIB and associations like the
Ontario Chiropractic Association practice guidelines help practitioners
formulate how often a patient needs to be treated for a particular
problem, and how long it should typically take for the patient to get
better. So what about those patients who fail to respond in reasonable
times? Why do some patient's symptoms continue to reoccur, or persist
after usual measures are provided that would typically work? This is just
one reason why a comprehensive diagnosis is essential if treatment is
going to be truly effective (and cost efficient).
Glossary of terms:
SMT- spinal manipulative therapy
Cryotherapy- Ice pack applications, limited
to 10 minutes @application to a specific region as directed by the
practitioner Mobilization/manipulation-technique whereby joint is
physically treated with movement to reduce pain in surrounding tissues and
muscles
Referred pain- Pain that presents as a
symptom in the musculoskeletal system from an underlying organic disorder.
Electrotherapy- Low volt stimulation
applied to a particular area to reduce pain and muscle tension.
Ultrasound- Therapy directed to injured or
inflamed tissue to accelerate recovery times and promote healing of
injured tissue.
ER- Emergency room: The first and best
place to be for any and all symptoms of chest pain with or without left
arm pain, jaw pain, nausea and shortness of breath. The ER team of
healthcare providers can effectively assess the possibility of cardiac or
pulmonary problems affecting your health with these symptoms.
Emergency Care:
The following is list of Stroke Warning Signs, as
presented by the Heart & Stroke Foundation: If you experience any of
these symptoms, do not wait to consult your chiropractor or medical
doctor, but call 9-1-1, or your local emergency number immediately:
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WEAKNESS Sudden loss of strength or
sudden numbness in the face, arm or leg, even temporary
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TROUBLE SPEAKING Sudden difficulty
speaking or understanding or sudden confusion, even temporary
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VISION PROBLEMS Sudden trouble with
vision, even temporary
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HEADACHE Sudden severe and unusual
headache
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DIZZINESS Sudden loss of balance,
especially with any of the above signs
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