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Neck Injury? Whiplash Do’s and Don’ts

Whiplash can be a very serious neck injury. The neck is hyperextended, the muscles sometimes torn or stretched. Nerve damage can result. In really severe instances, the spine can sustain permanent damage. In most cases, whiplash results from a car accident. The victim is driving along when suddenly their auto is struck from behind, causing their head to snap in the direction of the body’s momentum. What’s actually happening in this scenario, is that the body is unexpectedly thrust forward, the head lags behind and then “whips” forward in an effort to catch up to the body. Though this is the most common occurrence, it’s certainly not the only one. Whiplash victims are sometimes pedestrians who are struck by cars. Other whiplash injuries include, but are not limited to falling off a horse, motorcycle or bicycle. Typically, the symptoms range from stiff neck or back muscles to headaches or sometimes, much worse. Because the symptoms range in severity and sometimes don’t show up immediately, whiplash is an injury to be taken very seriously. Proper medical care should be sought and one should consider filing a whiplash injury claim.

Stated below are your basic do’s and don’ts for filing your whiplash injury claim:

Do: seek medical help immediately. Very often the symptoms of whiplash are not felt right away. Many times the victim is “caught up” in the emotional rush of the accident and is not aware of any discomfort.. Other times, there is simply a gradual intensifying of pain. Whatever the case, the full details of the injuries must be reported and documented by a doctor.

Do: plan and keep regular office visits to your doctor or caregiver. When dealing with whiplash, new or developing symptoms often arise. They must also be treated and documented.

Do: hire or consult with a personal injury solicitor or whiplash attorney. The insurance companies have lots of “small print” that you must be aware of. There are provisions and special terms that must be gone over and fully understood. A top notch, experienced attorney can help you recover any out of pocket expenses incurred by you, such as automobile or medical costs.

Don’t: Delay. Far too often whiplash victims put off treatment. This isn’t very smart for 2 reasons:

Almost 50% of whiplash victims report new symptoms two years from the date of accident. Whiplash symptoms may grow gradually. Delaying treatment will often cause existing milder symptoms to evolve into more painful ones and cause new symptoms to develop.

If whiplash related injuries are not fully reported and documented, It makes it much more difficult to get full compensation from the insurance company.

Don’t: Rely solely on x-rays to find whiplash injuries.Soft tissue damage does not show up. A comprehensive exam must be given and the victim’s medical history must be taken into consideration.

Don’t take the insurance first offer if you agree to settle. They will low ball you, for certain. Do your due diligence. find out what payout averages are. Speak with other whiplash victims. Pick your lawyer’s brain.

Minor may be the accident, whiplash is not…



Source by Anthony Mumford

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com

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Foot Health and How Orthotics Can Help

Many people suffer unnecessarily from foot pain when they could be benefitting from the comfort of orthotics. Not everyone thinks they need orthotics, but many of the types of foot pain people experience can be relieved with custom orthotics.

Here are some of the basic questions you may have about orthotics:

What are Orthotics?

Orthotics are essentially custom foot supports. They are designed specifically for the unique needs of your feet, and fit much better than ‘generic’ orthotics that can be bought from a store.

What’s the difference between custom orthotics and regular shoe inserts?

Regular insoles are designed to provide a cushion effect and provide shock absorption. They may feel comfortable initially, but this wears off quickly. They are not designed to correct over-pronation, which is a condition which includes dropped arches and rolling inwards of the feet and ankles. Custom orthotics, however, are designed to correct and optimize foot function. Regular insoles may also have arch support, but they tend to be mostly made of soft materials and therefore, the support they provide is often too weak to be of any benefit.

Do I need Orthotics?

People suffering from arch pain or heel pain typically find that orthotics are a good solution for them. Heel pain (called Plantar Fasciitis) can be extremely uncomfortable and custom orthotics can help reduce this pain by better supporting the arch.

Over 70% of people experience ‘over-pronation’ which is also known as flat feet or fallen arches. This can result in pain in the foot but also in other parts of the body such as the back and hips.

In addition, orthotics can act as a preventative measure. As we age, our arches will begin to fall. The use of orthotics can reduce the effect of fallen arches and the pain associated with it. Regardless of how ‘high’ your arch is now, it will fall as you get older. Orthotics can play an important role in maintaining your arch as nature takes its course.

How long do Orthotics last?

Most custom orthotics will last from 2-5 years depending on wear and tear. They will need to be replaced if your feet are still growing or if you have any foot surgery that may affect the shape of your foot.

Is the cost covered by insurance?

Orthotics are not covered by OHIP (in Ontario). Some extended insurance plans will cover some or all of the cost of orthotics.



Source by Dr. Maya Pande

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com

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Different Types of Women’s Legwear

For you to have a well-edited and well-curated wardrobe, certain essentials must be present. Ladies spend their money on great fitting jeans, classic black pumps, genuine leather bag, a little black dress and elegant jewelry. Apart from shopping for the latest handbag or buying several fashion accessories, women’s legwear pieces are also great wardrobe additions. They’re pretty versatile, easy to find and put the finishing touches to your outfit. Because they are available in unique designs and hues, every girl is bound to find the ones that reflect her style. They don’t cost much so purchasing them is definitely an inexpensive way to update your closet. So what are the different types of legwear for women?

Socks, specifically ones made of cotton, are women’s legwear items that are best worn when doing strenuous activities like contact sports as they’re comfortable and they help absorb sweat. This type of legwear for women also serves as protection for the feet and toes from harsh leather shoes.

Liners are usually made of a combination Nylon and Spandex. These stylish women’s legwear articles are perfect for summer or in warm settings. These are a bit thinner compared to regular socks so they won’t be noticeable when worn with closed heels and dainty shoes. May it be lace, fishnet or cotton, you may choose from various designs of this legwear for women.

Leg Warmers are similar to socks but are thicker and footless. This legwear for women cover the lower legs and were originally used by dancers to keep the muscles in their legs warm, prevent muscular injuries as well as to avoid cramps. This women’s legwear come in different lengths and widths, depending on the material. Legwarmers are commonly worn between the ankle to just below the knee. When the movies “Fame” and “Flashdance” came out, this legwear for women became an instant hit. They were worn with leggings or tights as well as with jeans and loose tops.

Compression Stockings are legwear products specifically designed to prevent swelling of the legs and feet. These elastic legwear items also inhibit the progression of such problem.

Tights are legwear pieces for women that are ideal to wear especially during the Fall and Winter Season. This women’s legwear was popularly worn by ballet dancers. They come in various colors, textures and designs and are worn by many. This kind of women’s legwear is usually paired with chic dresses, mini skirts as well as jean shorts. Black opaque tights are appropriate to wear for work while printed sheer designs are great for everyday use.

Leggings are also fashionable women’s legwear items. They are footless tights and are offered in different styles and designs. This type of legwear for ladies is usually worn in the Summer season with breezy tunics and cotton blouses. You can find them in cotton fabrics, leather ones as well as leggings that are manufactured to look like denim jeans. These legwear styles for women are closet staples and can be worn with many outfits.



Source by Aaron Fiedling Parker

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com

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How to Give a Girl a Thigh Massage Using the Capping Technique

Thigh massage can improve circulation and also tone muscles quite well. This is particularly true when a “Cupping Technique” is used. Cupping involves the use of the hand in a cupped shape, and this is then used to deliver light blows or “Tapotement” to the muscle. This is always done after a preliminary deeper rubbing action, and the process serves to compress the skin and tissue while also enhancing circulation and tone.

To perform a thigh massage with the Cupping Technique one must first use the gentler “Effleurage” process that relies on a soft and gliding motion that introduces oils to the skin and warms up the muscle in preparation for the deeper work.

To begin, the receiver is positioned flat on their back with their arms comfortably extended along their side. The provider will stand at the knee area and set one hand with its palm flat along the lower region of the thigh muscle. They will place the palm of the other hand across their wrist and use this hand to slowly increase the pressure of their movements. They will begin with a single motion of the hand along the muscle and back to the starting position. They will then quickly lift the hands and form them into a cupped shape, placing the “pinky sides” of both hands at the starting point they will make gentle tapping motions up and back along their initial trajectory. This process is repeated three times along several paths of motion, with rubbing being followed by cupped tapping. The paths of motion tend to include the outer thigh, the top of the thigh, and the inner thigh. The process can also be repeated on the reverse of the thigh, with the receiver lying on their stomach too.

The Cupping Technique tends to improve reflexes and also tone muscles, and is a sure way to increase the quality of circulation throughout the leg. It is always partnered with a rubbing technique to prevent discomfort, and the entire process should be opened and closed with a brief period of stimulating Effleurage as well.



Source by Stella Wanderema

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com

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Whiplash Disorders – What Should I Do?

In my experience, I’ve found that whiplash is a commonly misunderstood diagnosis among the patient population. Many people self-diagnose the pain in the neck following a bad roller coaster ride or car accident as a whiplash injury. While they may or may not be correct, the truth is that whiplash is a type of injury with serious implications, and is frequently mismanaged by unscrupulous folks with a big stake in the business of personal injury.

Whiplash is a common name for a group of neck disorders known as cervical acceleration-deceleration injury or cervical sprain/strain injury. It occurs when the head and neck are placed in motion and suddenly forced to a stop causing a hyperflexion or hyperextension motion. This irregular movement of the neck causes the ligaments of the spine to sprain and the muscles to splint the unstable structure. This type of injury is also known to cause the discs of the spine to bulge and herniate, thus complicating matters even further.

It’s easy to see how whiplash can be a real pain in the neck (pun intended), but most people treat it like a sprained ankle and hope that the pain goes away in a few weeks. However, there can be long term consequences; even for people who don’t have pain symptoms immediately. Research has shown that whiplash associated disorders are related to inflammatory and endocrine problems like those seen in chronic fatigue syndrome or fibromyalgia (1). Whiplash is also associated with chronic pain by making your brain more sensitive to pain signals, which explains why so many people can suffer without any evidence of physical damage (2). Additionally, people who report whiplash injuries after a rear-end accident are likely to show complaints of headaches, TMJ, back pain, fatigue, and sleep problems even 7 years later (3)! Whiplash has even been associated with chronic inflammation by making the body’s own immune system overly responsive to normal stimuli (4, 5).

Though the focus of my practice has never been on auto-accidents cases, the truth is that most drivers will be involved in a collision no matter how good a driver they may be. Most will probably not experience pain immediately after a collision, especially if you’re in your teens or early 20’s. However, the impact of a vehicle traveling at speeds as low as 15 mph can show visible signs of structural damage to the neck. These include s-shaped curves in the neck, anterior ligament instability, Atlas Displacement, and Anterior Head Syndrome. A recent study has found that this type of trauma to the spine can cause parts of the brain and brain stem to slip further into the neck creating a condition called Chiari Malformation (6). While they may not be painful in their early stages, these structural changes can pre-dispose the spine to early degeneration and arthritis if left uncorrected over the course of several years.

As a chiropractor focused on structural correction, I see patients everyday with Secondary Conditions like headaches and TMJ related to accidents that took place many years earlier. While some of these patients suffered painful injuries and received treatment following an accident, most people will walk in and say they didn’t have any symptoms until years later. When someone asks why their pain seemed to come out of nowhere, I can usually look at their x-ray and see that the structure of the neck fits the familiar S-shape of a previous rear end collision.

Here are your take home messages:
• First, problems can grow in the body in the absence of symptoms. Much like cancer and heart disease don’t happen overnight, people with chronic pain usually under go slow physiologic changes in their brain and hormonal systems for years before they have a condition that won’t go away.

• Second, if you have a physical/structural problem, then you must go beyond treating the pain symptoms to help get full resolution of the problem. Whiplash injuries cause distinct structural problems in the spine. While pain relief is important, making the pain go away while leaving the structure in bad shape is like taking the battery out of a smoke detector when a fire is burning in the house.

Whiplash associated disorders can be a complicated problem that requires a comprehensive solution. When selecting a team of doctors, make sure that you have someone in your corner that can look at you from a functional standpoint rather than sheer pathology, that addresses the structure of your spine in 3-dimensions, and understands the nature of traumatic injuries.

References:
1. Gaab J, Baumann S, Budnoik A et al. Reduced reactivity and enhanced negative feedback sensitivity of the hypothalamus-pituitary-adrenal axis in chronic whiplash associated disorder. Pain. December 2005. 119(1). 219-224.
2. Banic B, Peterson-Felix S, Anderson OK et al. Evidence for spinal cord hypersensitivity in chronic pain after whiplash injury and in fibromyalgia. Pain. January 2004. 7-15.
3. Berglund A, Afredsson L, Jensen I, Cassidy JD, Nygren Ake. The association between exposure to a rear-end collision and future health complaints. J of Clinical Epidemiology. Aug 2001 (54): 851-856.
4. Kivioja J, Rinaldi L, Ozenci V et al. Chemokines and their receptors in whiplash injury: elevated RANTES and CCR-5. J Clin Immunol. Jul 2001; 21(4): 272-7
5. Kivioja J, Ozenci V, Rinaldi L. Systemic response in whiplash injury and ankle sprain: elevated IL06 and IL-10. Clin Immunol. Oct 2001; 101(1): 106-12.
6. Freeman MD, Rosa S, Harshfield D et al. A case-control study of cerebellar tonsillar ectopia (Chiari) and head/neck trauma (whiplash). Brain Inj. 2010; 24(7-8): 988-94.



Source by Dr. Jonathan Chung

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com

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Custom Vs Prefabricated TLSOs – A Comparison of Two Approaches To Back Support

Custom and Prefabricated TLSOs

Definition of a “T.L.S.O.”

A T.L.S.O. is an acronym that stands for, thoracic, lumbar, sacral orthosis. Orthosis in this context is a fancy word for brace. – Essentially, this kind of brace helps to support your spine from just under your clavicle down to where your legs meet your body when you sit. There are different versions of this kind of brace, such as a low profile, mid profile and high profile design.

Prefabricated Designs

When someone gets a prefabricated TLSO they will be getting a brace that will help to support their spine. The benefits of a prefabricated TLSO is that can be delivered shortly after an order is placed for the brace. This usually means that the brace will be delivered within 24 hours, if not much sooner. Sometimes, time is such a critical part of the equation that a prefabricated orthosis might be the only option for the patient. These braces can be very helpful for people, under these circumstances, if you do not have time to get a custom made brace. This might be the biggest plus of getting one of these kinds of supports. – These braces actually can provide patients with support and that is also why they are used extensively by medical professionals today that do not have the capacity to make the custom orthoses themselves.

Custom Made TLSOs

It is hard to beat the support that a custom made TLSO can provide. Many people have contours that a prefabricated brace will try to address. Many times it may address a person’s body type well, but it is really hard to beat the support levels of a custom made brace. With some prefabricated models, shear forces and rotational issues that are extremely important, may be lacking with a prefabricated design. This is at the center of the debate for medical professionals, including orthotists. – Custom made TLSOs are made from measurements and a cast of a person’s body and in this way, an orthotist believes that they can help to control the areas that a prefabricated brace might miss on occasion. Better control of rotation and shear forces are some of the benefits of these kinds of orthoses (braces).

Where to Get a Custom or Prefabricated TLSO

When you need to get a back brace it is best to work with a local, licensed orthotist. If the individual is licensed, then individuals they have provided orthoses (braces) for at least one years time, passed rigorous tests and have studied the subject of orthotics for an extensive period of time. These individuals do not just show up, there is a lot of training that is involved and with experience comes an eye for detail that others might miss.



Source by Daniel Rinella

Kenzie Wellness Centre is an Interdisciplinary medical clinic located in Vancouver which offers several premedical services such as RMT, physiotherapy, chiropractic, RMT, acupuncture, etc.

Kenzie Wellness Centre is also offering medical products such as Custom-made orthotics, Compression Stockings, braces, and TENS machines.

To find out more, please Contact Kenzie Wellness Centre in Vancouver at info@kenziewellnesscentre.com