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Winter is coming – Shoveling Tips

As our favourite characters on Game of Thrones love to remind us:

What they don’t teach us on that show is how to protect our bodies while combatting that winter weather. When the snow starts coming down, it’s important to know how we can prevent injury while shoveling.

The Ontario Chiropractic Association’s (OCA) campaign “Lift Light, Shovel Right” teaches us some great tips to keep our backs feeling good during the upcoming snowy season.

  • Start early!

Don’t wait until the snowfall is finished. Shoveling smaller amounts at a time will put less strain on your back.

  1. Pick the right shovel

A lightweight plastic shovel, especially the pusher-type will help keep the weight of your load down. If you are using a metal one, the OCA recommends spraying it with Teflon first to prevent snow from sticking to the shovel.

  1. Bend your knees, maintain neutral spine

If you do have to lift, make sure you’re bending from your knees and not flexing your spine too much. Try to maintain that natural curve of your lower back to help avoid injury.

  1. Warm up

It’s important to get your body warm and moving nicely before doing any strenuous activity. Something as simple as a short walk, even if you stay in one spot, can be very helpful to keep your body happy.

  1. Take breaks

Sometimes we are too determined to finish our task and forget about the importance of rest. If you feel tired or out of breath, it’s important to take a break. Grab some water, stretch, shake out your arms and legs

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Progression is Key

By Dr. Paolo De Ciantis

It’s a new year and many of us who are active in exercise or sporting activities may have taken some time off during the recent holiday season in order to participate in office, family or friend parties and enjoy as much food and drink as possible! That being said, it’s great that we get back into the grind of our workout and training regiments. However, progression is key!

Empirical research informs us that after discontinuing an activity, 14 days is all we need to be officially “de-conditioned”. This is generally irregardless of how active we were in that particular activity or for how long. That being said, after 2 weeks, should you get right back into an activity at the same level of intensity and frequency, you may injure yourself! As such, we generally recommend a progressive return back into the sport or activity. I like to recommend the “Rule of 25”. Now, this rule will require you to perform some math, but it’ll be worth it in the end. I recommend that you start off with 25% of your previous level or intensity, frequency, weight, reps, sets or time of the target sport or activity. For example, if my activity was weight lifting and prior the holiday break I left off my bench press at 4 sets of 10 at 100 lbs, I will sart back up again with 1 set of 2 reps at 25 lbs. If there is no pain or problems, then the next time the activity is performed, add 25% of the previous level of intensity, sets, reps, time and weight etc. until you’re back to 100%. This will give your body time to adjust and re-condition itself back to the specific activity as well as minimize the risk of injury!

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Are you cracking my bones?

What is that popping sound during a chiropractic adjustment?

Chiropractors get this question all the time… what’s that sound? Are you cracking my bones?

First of all – NO – we’re not cracking your bones! Here’s an explanation of that “pop” or “crack” you might hear with a chiropractic adjustment. The more technical term for this noise is a cavitation.

To start off, I need to give a small anatomy lesson. Many joints in your body, especially the ones targeted by the chiropractic adjustment, are considered synovial joints. This means there is a capsule of connective tissue surrounding the joint and synovial fluid inside to help lubricate the joint.

http://chemistry.bd.psu.edu/jircitano/gases.html

Now we have to think back to high school science class and remember Boyle’s Law which states that the volume of a given amount of gas held at constant temperature varies inversely with the applied pressure when the temperature and mass are constant. In other words, when volume goes up, pressure goes down. You might remember that in some cases, liquid is just a compressed version of a gas. Lots of pressure can change the state of matter from a gas into a liquid. Alternately, if you reduce that pressure by increasing the volume of the space the liquid is being held, the liquid can change into a gas.

That is the basics of what is going on during an adjustment. Many would say that the goal of a chiropractic adjustment is to gap the joints to increase movement in a hypomobile joint (i.e. a joint that isn’t moving as well as we would like it to). With the high-velocity, low-amplitude manipulation, the gapping of the joint creates an increase in the volume of the joint capsule, which in turn reduces the pressure and allows some of that synovial fluid to change states from a liquid into a gas.

THAT is your noise – the change in state from liquid to gas. The formation of this gas bubble in the synovial joint can cause a “pop” or “crack” sound.

Dr. Greg Kawchuk and his colleagues recently did a study where they used an MRI to visualize a joint cavitation in real time. Below is a short video of their findings:


Kawchuk GN, Fryer J, Jaremko JL, Zeng H, Rowe L, Thompson R (2015) Real-Time Visualization of Joint Cavitation. PLoS ONE 10(4): e0119470. doi:10.1371/journal.pone.0119470

Now you can teach all of your friends about the science the next time they cringe when you crack your knuckles…

Author: Dr. Allie Dennis, B.Sc. Kin (Hons.), D.C., FRCms
Chiropractor | Acupuncture Provider | Functional Range Conditioning Mobility Specialist

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We’ve Been Nominated!

Sports Specialist Rehab Centre is proud to announce that we are an Official 2020 Top Choice Award Nominee! Thank you to all of those who have taken the time to nominate us! Now, we need your help to WIN! Voting is now open and if you feel that we have earned your vote, we would appreciate you taking the time to vote for us. Winning the Top Choice Award is one of the largest endorsements a business can receive within North America & Europe, so this is a BIG deal!

Show us some love by voting for us. Your vote will automatically enter you into a draw for a chance to win a grand cash prize of $2000 or one of many Toppy T-shirts. You can vote for us here: topchoiceawards.com/vote?survey_id=k82Yzj – Otherwise, you can contact Top Choice Awards via email or phone to vote for us.

‍Voting ends December 20th, 2019.

‍We would love to win the Top Choice Award… But we need your help to do so. If you believe we are your Top Choice, why not help us spread the word!Thank you for your time and we appreciate your vote!

P.S your written feedback in the survey is anonymous but very important to us, as it allows us to know what you love about us and what we can improve to continue serving you every day and providing the best customer experience possible. Many thanks in advance!

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Join Marco at APHA Expo!

Dear Colleagues,

Join me at the American Public Health Association’s 2019 Annual Meeting & Expo where the scientific research I co-authored will be presented. The APHA Annual Meeting is the premier public health event taking place Nov. 2-6 in Philadelphia, PA. With more than 1,000 cutting edge scientific sessions, 600 booths of information and state-of-the-art public health products and services, this is an extremely important meeting in the public health field.

My submission, titled “Application and effectiveness of educational programming in musculoskeletal evaluation and management led by chiropractors in a rural Ugandan population” is scheduled to be presented at session , “Public health & chiropractic “, at . View the session online for more details. 

For general information about APHA2019 or to find out about other sessions and presentations visit the Annual Meeting home page.

I hope you can attend my presentation and join the public health community and APHA in exploring the latest public health practices and challenges.

Sincerely,

Marco De Ciantis

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Sports Rehab TO joins forces with Inspira Athletica

We have recently be privileged to meet Chas and Anne owners and operators of Inspira Athletica!

We were impressed and humbled by the care and dedication Chas , Anne and and the  team demonstrate to all clients at Inspira! The  team have a rare and unique ability to listen to clients and develop personalized, goal orientated programs that are for the unique client that you are.   It is truly inspiring to see such a caring and knowlegable group of personal trainers and therapists dedicated to the health and well being of others!
Should you require personal training services, please visit and/or contact Inspira Atheltica located at 3291-3293 Yonge St., Toronto, ON, M4N 2L8,
Call 647-238-3094 (Chas) or 416-201-1348 (Anne)

Email : Chas@inspiraathletica.com
Website:  inspiraathletica.com
Instagram:   @inspiraathletica

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Dr. Marco De Ciantis Wins Award for Outstanding Patient Care

Toronto, Ontario –The Ontario Chiropractic Association (OCA) named Dr. Marco De Ciantis as the recipient of the Patient Care award for providing exceptional patient experiences. Dr.  De Ciantis was honoured at the OCA Gala ceremony held December 8, 2018.

Dr. De Ciantis was selected by the committee for his focus on a collaborative care environment that provides patient-centred care, both within his multidisciplinary practice and with his patient’s external health care team.

He cultivated this environment by leading clinical case meetings in which practitioners worked as a team to understand cases more fully. He also spearheaded a project to connect chiropractors with physicians to open the lines of communication to keep patient progress on track.

“It is an honour to receive this award from the OCA,” said Dr. De Ciantis. “It is especially gratifying to receive the Patient Care award as I have been dedicated to delivering exceptional care for all of my patients. I hope to continue helping all of my patients navigate the complex matrix of how the body works and the health care system!” 

Patient Care Award

The Patient Care Award recognizes a chiropractor, clinic or organization that has excelled in providing exceptional patient experiences. The Patient Care Award recipient is recognized by the effect they have on patients and their achievements in all of the following:

  • Delivery of outstanding service & collaboration: The chiropractor works with a broad range of health professionals in a variety of collaborative models of care to provide high quality, cost-effective, patient-centred care.
  • Patient experience & satisfaction: The chiropractor consistently receives positive feedback and high satisfaction ratings from patients about their experience. As a result of exceptional patient care, patients regularly return and refer the recipient to people they know.
  • Development of patient-centred models of care: The chiropractor has developed models of care that are regarded as ideal treatments or a best practice guide among their professional colleagues.

About The Ontario Chiropractic Association

Founded in 1929, the Ontario Chiropractic Association represents the professional interests of more than 3,600 Ontario chiropractors. Chiropractic is a non‐invasive, hands‐on health care discipline that focuses on treatment and preventative care for disorders related to the spine, pelvis, nervous system and joints. Chiropractors are primary care practitioners, trained to develop and carry out a comprehensive treatment/management plan, recommend therapeutic exercise and other non‐invasive therapies, and provide nutritional, dietary and lifestyle counselling. More than two million Ontarians rely on chiropractic care every year to help them get back to work and back to doing the things they love. For more information about chiropractic care or to find a chiropractor in your area, go to www.chiropractic.on.ca.

For further information please contact: 

Miguel Pacheco
Director, Communications and Marketing
Ontario Chiropractic Association
MPacheco@chiropractic.on.ca
416-860-7183

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Sports Specialist Rehab Centre has been nominated as Top Chiropractic Clinic of 2019 in Toronto by Top Choice

Sports Specialist Rehab Centre is proud to announce that we are an Official 2019 Top Choice Award Nominee! Thank you to all of those who have taken the time to nominate us! Now, we need your help to WIN! Voting is now open and if you feel that we have earned your vote, we would appreciate you taking the time to vote for us. Winning the Top Choice Award is one of the largest endorsements a business can receive within North America & Europe, so this is a BIG deal!

Show us some love by voting for us. Your vote will automatically enter you into a draw for a chance to win a grand cash prize of $2000 or one of many Toppy T-shirts.

You can vote for us here. Otherwise, you can contact Top Choice Awards via email or phone to vote for us.

Voting ends January 2nd, 2019.

We would love to win the Top Choice Award… But we need your help to do so. If you believe we are your Top Choice, why not help us spread the word!
Thank you for your time and we appreciate your vote!

P.S your written feedback in the survey is anonymous but very important to us, as it allows us to know what you love about us and what we can improve to continue serving you every day and providing the best customer experience possible. Many thanks in advance!

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Dr. Allie Joins Our Team!

Dr. Allie graduated Magna Cum Laude with a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto. She was the recipient of the Mark A. King Memorial Award for outstanding proficiency in the field of diagnostic imaging as well as the Harold Beasley Award for Excellence in Jurisprudence. She holds a Bachelor of Science Honors Specialization in Kinesiology from the University of Western Ontario, and is also a Certified Personal Trainer (CPT) and Exercise is Medicine® Canada (EIMC) practitioner through the Canadian Society for Exercise Physiology (CSEP). Dr. Allie is an SFMA Certified practitioner focusing on functional movement assessments. She is a Certified First Responder with the Canadian Red Cross and has experience with on-field and sideline care for sports teams. Dr. Allie believes in living a healthy, well-rounded lifestyle. She is very active and loves sports, especially soccer where she has competed at the international level. She has a passion for travel and has had the opportunity to visit almost every continent – she was even selected as one of 13 interns to participate in a chiropractic outreach in the Dominican Republic during her final year at CMCC.

Dr. Allie loves working with patients of all ages and abilities! She has had the opportunity to work with everyone from elite athletes (both as a Student Athletic Trainer for the women’s Varsity Rugby team at Western and as a Team Host for the Chilean Blind Soccer team at the Parapan Am Games in Toronto in 2015) to weekend warriors to office workers and those with chronic pain and several comorbidities. She uses a functional approach tailored to each patient to get people back to doing what they love. In addition to her strong manual skills (adjustments, mobilizations, soft tissue therapy), Dr. Allie uses active care as an integral part of her treatment plans in order to get you stronger, happier and healthier. She will progress through rehab with you in the clinic and send you away with homework to maintain and build on the the progress made together.

Dr. Allie’s love of health and fitness drives her to always go above and beyond for our patients. Her welcoming and positive attitude, attention to detail, and exceptional knowledge of the human body and physical medicine make her an invaluable member of our healthcare team.

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