Clinic Update

Clinic Update

We look forward to helping you restore some normalcy to your lives. The essence of chiropractic has always been to help people get their lives back, which seems more fitting now than ever. The NS health authority has given the green light to open our doors Friday, June 5th, in anticipation of opening we have opened online booking. When we do reopen we expect to have a wait list as operations will look slightly different…

Clinic Update - Optimistic Opening, Exercise Classes and COVID Care Collection.

Clinic Update - Optimistic Opening, Exercise Classes and COVID Care Collection.

It’s been over a month and a half now, how are you all doing?

  • Are you self isolating all alone (and tired of the company?) or self isolating with your two toddlers (and tired of the company??)

  • Have you been keeping with a routine, or just letting each day unfold as it happens? (usually toddler meltdown time is a scheduled event at our house)

  • Is your fitness regimen going up or downhill?

  • Are you not missing the things you thought you would and missing things you never even used to think of?

We are hanging in, thanks for asking!

Increased TV time? Give this stretch a try!

Increased TV time?  Give this stretch a try!

A common reason for hip flexor pain/ injury is shortening due to prolonged sitting. Your hip flexors are in a shortened position when your are in a seated posture, combine that with binge watching a new series and you are asking for issues. Hip flexors can be associated with…

     

 
   Stress Eating   No matter how you look at it, self isolation is challenging.  Some people may be prone to overeating due to a multitude of different reasons; stress, boredom, anxiety or fear may all be reasons why you could be tempted to

No matter how you look at it, self isolation is a challenging time. Some people may be prone to overeating due to a multitude of different reasons, stress, boredom, anxiety or fear may all be reasons why you could be tempted to visit the refrigerator more than you should. Let’s discuss some strategies to help you avoid overeating during this time of social distancing.

Improving and maintaining lean mass as we age (and we are all aging) Part 2

Improving and maintaining lean mass as we age (and we are all aging) Part 2

Your body composition is made up of fat, bone, water and muscle; with your lean body mass being your fat-free mass. As we age it becomes more difficult to maintain our lean mass which is protective against injury, illness, and death. In this post we will…

Improving and maintaining lean mass as we age (and we are all aging) Part 1

Improving and maintaining lean mass as we age (and we are all aging) Part 1

Your body composition is made up of fat, bone, water and muscle; with your lean body mass being your fat-free mass. As we age it becomes more difficult to maintain our lean mass which is protective against injury, illness, and death. In this post we…

Stay / Get healthy during quarantine

Stay / Get healthy during quarantine

It’s easy to become overwhelmed with a wide variety of feelings during this period of uncertainty and isolation. Here are some some things we are doing around our house to stay healthy. This may be the perfect time to make your health a priority, and if you don’t know where to start, these tips could be exactly what you’ve been looking for.

Complimentary online Telehealth service available

These are unprecedented times and we recognize the call to support our patients now more than ever. Many of you may be experiencing feelings of anxiety, stress, frustration and even fear. You may not have had treatment in a long time and possibly be experiencing physical pain on top of all these difficult emotions.

As difficult days may still be ahead of us, we want to provide our services in order to help manage pain, discomfort or crisis that you may be currently experiencing. We have decided to offer our services completely free of charge! Yes, completely free of charge, we recognize that some of you may not be in the same financial position as before or perhaps have lost your health insurance coverage due to lay-offs. We want to help you feel better, without having to worry about the bills.

Thinking of others first is what this entire situation is all about, staying home for others, taking care of others and reaching out to others is as simple as it can get.

While we recognize that nothing compares to hands on manual therapy, however, Telehealth care can help patients with:

  • Rehabilitation exercises

  • Self-care techniques and strategies

  • Nutritional advice

  • Home office ergonomics set up

  • Discussing questions regarding your health and possibly appropriate referral

In accordance to the Nova Scotia College of Chiropractors, at this time we are only able to offer these online services to current practice members in Nova Scotia that have been to our clinic in the past year.

Chiropractic care is considered an essential service, so if you are in crisis and are requiring an emergency visit, we are making arrangements on a case-by-case basis, please email us at info@islandchiro.com or give us a call 902-270-7022 and we can discuss your case further.

Currently we are able to offer Telehealth services to MacOS and Windows for desktop and Android mobile devices. These appointments can be made online (head over to book now link), by email or by calling us at 902-270-7022.

Click here to book now - Limited availability, book in advance to avoid disappointment.

Take care of yourself and each other.

Drs. J & S

What if you can't walk 10,000 steps a day?

The ideal number of steps a day has been said to be 10,000. This became the number that people were told to start aiming for right around the same time that wrist fitness trackers started becoming popular. But where did this number come from and what if 10,000 isn’t achievable?

The guideline assumes that the more physically active a person is, the better chances they will have at keeping metabolic syndrome or lifestyle diseases at bay. The actual number seems to have come from Japan in the mid-sixtes. At that time, Japanese walking clubs were popular and a new step counting device’s slogan was “Let’s walk 10,000 steps a day” and so people did.

The target number was reached by assuming that most people get around 5000-7000 steps in one day (which I believe to be much less if the person leads a sedentary lifestyle) and that a 30-minute walk is around 3000-4000 steps depending on stride length. By adding the daily steps with the added steps from a 30-minute walk, the 10,000 target was born.

A study published in 2020 examined the relationship to all cause mortality and the daily step count of adults living in the USA. It was no surprise to find that a high daily step count is associated with a lower all cause mortality. But what it also found that benefits are present at any incrementally higher level, so 8000 steps is better than 4000 steps at preventing cardiovascular disease.

It also found that it didn’t really matter how fast you were going. Step intensity did not seem to influence mortality rates. So when it comes to walking, don’t worry about your pace (although you do want to try and get your heart rate elevated for at least 30 minutes) and aim for higher daily numbers.

The current Canadian guidelines for adults aged 18-64 is: 150-minutes of moderate to high aerobic physical activity a week, in sessions fo 10-minutes or longer. Weight resistance training is recommended at last 2 times a week.

It is important to recognize there is a difference between walking for health and walking for weight loss. Starting a new fitness routine can increase the chances of incident if you currently have various medical conditions, are obese or pregnant. Please consult with your chiropractor or physician before starting any new fitness regime. None of the information provided on this website should be substituted for medical evaluation, diagnosis, or treatment from a licensed healthcare practitioner. This information is simply for interest and readers are invited to follow the citation links to learn more.

Citation

Canadian physical activity guidelines. Accessed March 31, 2020

McGill Office for Science and Society Accessed March 31, 2020

Saint-Maurice PF, Troiano RP, Bassett DR, et al. Association of Daily Step Count and Step Intensity With Mortality Among US Adults. JAMA. 2020;323(12):1151–1160. doi:10.1001/jama.2020.1382

Hot baths to live longer?

A Heart Journal study published in 2020 by the British Cardiovascular Society examined the relationship between tub bathing and cardiovascular disease. This study followed over 30,000 people for nearly 20 years and asked if frequent hot bathing influenced cardiovascular health.

The study determined that those who frequently bathed had a lower association with hypertension. This suggested a beneficial effect of tub bathing is a lowered risk of cardiovascular disease based on the relationship to high blood pressure.

Heat soaking increases core body temperature and cardiac contractility, similar to what happens to your body during exercise. Exposure to heat increases cellular production of something called heat shock proteins and in particular heat shock protein 90 (Hsp90). Hsp90 plays many cellular roles within the body, the cardiovascular relationship is involved with endothelial nitric oxide synthase and guanylate cyclase where it assists with vasorelaxation of smooth muscle.

While it is exciting to suggest that taking hot baths may offer protection against heart disease (after all who doesn’t enjoy a nice relaxing hot bath?), perhaps the association was due to the fact that those who took daily baths also had other heart healthy habits. The study found that those who took frequent baths were more likely to be non-smokers, employed, had better sleep hygiene, less likelihood of diabetes (thus likely healthier diets), exercise frequently, worked in an office (steady reliable income) and ate a larger proportion of fish, fruit and vegetable. So it seems that daily hot baths are just part of the program that keeps your heart healthy.

It is important to note that hot bathing can increase the risk of heatstroke, or exacerbate various medical conditions. If you have underlying medical conditions or are pregnant, Please consult with your chiropractor or physician before starting a regime of heat bathing. None of the information provided on this website should be substituted for medical evaluation, diagnosis, or treatment from a licensed healthcare practitioner. This information is simply for interest and readers are invited to follow the citation links to learn more.

Citation

Antonova G, Lichtenbeld H, Xia T, Chatterjee A, Dimitropoulou C, Catravas JD (2007). "Functional significance of hsp90 complexes with NOS and sGC in endothelial cells". Clinical Hemorheology and Microcirculation. 37 (1–2): 19–35. PMID 17641392. Archived from the original on 2013-01-28.

Ukai T, Iso H, Yamagishi K, et al. Habitual tub bathing and risks of incident coronary heart disease and stroke

Heart  Published Online First: 24 March 2020. doi: 10.1136/heartjnl-2019-315752

Clinic Update

It’s been over a week since we made the moral call to only accept emergency visits and we are glad to hear that other clinics are finally following the lead. The only way are are going to slow the spread of COVID-19 and keep the pressure off our hospital is to stay home.

Although it was a tremendously difficult decision to make, as of 6pm Monday March 23rd 2020, we decided to close the clinic completely until Monday April 13th. As parents of two young children, we’ve decided that we will use this as an opportunity to focus on growth, education and family fun.

If you had an appointment scheduled with us for the week of April 6-10th, we have rescheduled you to the same time/day the following week. As of right now, our reopening date is tentative, as you all know, the situation changes on a daily basis and we will keep you updated.

The women’s wellness Expo has now been rescheduled to Saturday October 3rd. We will follow up with separate information on that in the days to come.

These are uncertain times for everyone, especially those who are self employed. If you are wondering what you can do to help local business during this difficult time (beyond online shopping or orders), please consider heading over to their facebook pages and give them a like/share or even better, leave them (or us) a review! When it comes to life after COVID, an online testimonial will do wonders for rebuilding a small business. To our friends at the farmers’ market, our favourite restaurants, our Crossfit gym and our favourite local stores, we will see you all real soon.

As usual, we will try to update our blog with health information, recipes and other random thoughts, please check back for updates. In a world with so much uncertainty, we are trying to keep our social media posts light and fun, hopefully bringing a smile to your face at some point during your day.

Stay healthy, keep in touch!

Dr. Jen, Dr. Shaun, RMT Raylyn Routledge & Allyson Lewis

Perspective

It is easy to get mentally caught up with the current state of affairs, now more than ever. Taking good care of your mental health during this crisis is just as important as the well being of your physical body. Here are some thoughts:

  • We have always been “walkers”, but it is so nice to see families out on the street going for walks (keeping social distance of course). Usually we are the only ones on the street during our walk, yesterday we saw 4 other families out for a early evening stroll. This is the perfect opportunity for families to create new health habits and spend time moving outdoors with their loved ones.

  • Taking time at home has given us the opportunity to do more home cooking and even the chance to teach our children cooking skills. Perhaps more people will get back to cooking roots and start learning how to make things from scratch, the old fashioned way. Shaun has started a sourdough “mother” and we are curious about this cooking experiment - this is something we would not be doing if things were “normal”.

  • Social media is a blessing and a curse. I never feel good after scrolling on social media at the best of times. Now, it’s even worse. I’m going to make a stronger effort to avoid chasing stories down the social media rabbit hole. Does it enrich my life or does it leave me feeling more stressed and worried about the current situation?

  • On that note, we’ve turned off the radio, as constant COVID news can break down nerves. We listen to music on CBC radio 2 or spotify. Even better, we are listening to learning podcasts. Listening to history podcasts that talk about other times in history distracts the brain and reminds us that history is literally happening now and life will continue.

  • When I was feeling especially blue after listening to the radio and reading online stories, I decided to switch my content and looked at happy pictures and videos of my children. Trying to see the world through their eyes makes dealing with today much more simple.

  • Staying curious and engaging with the world around you is a great way to stay distracted. Pick a question you’ve always wondered about and take some time to look it up. We have a guitar at home and I feel like it’s the perfect time for some online lessons!

  • Physical activity calms the mind. Even if you do not have a yoga trapeze or set of weights you can still get creative! Play ‘the floor is lava’ with the kids, do a yoga class online, try out a new workout on YouTube, go for walks or runs outside (social distance in check), use the cans in the pantry as weights, stretch, clean your house - anything that get’s your heart pumping counts!

  • For now, we have nothing but time. What are the projects that you’ve put back until you had more time to do? Things like updating a blog, organizing family pictures, cleaning up your desktop or rearranging the furniture, no time like the present to work on those projects!

  • If feelings start to overwhelm you, reach out - friends and family are only a FaceTime away. Also, grandparents would probably love to FaceTime with the kids!

Check our the post on “Mindfulness and Meditation” by clicking HERE.

Let's talk about posture

“Your state (emotions) changes other people’s state. Change your state physically - change your biochemistry. The way you move, the way you breath, the way you use your voice - changes biochemistry” —Tony Robbins.

 Good posture can increase energy, improve breathing, circulation, and digestion. Good posture means less strain and pain on your connective tissue and joints.  It can reduce stress and anxiety while increasing feelings of personal control and confidence(1). Poor posture is increasingly common with smartphones, computer work, and sedentary behaviour.  Sitting, slouching and standing with poor posture is a repetitive strain on our body.  It compresses our musculoskeletal system, lungs and digestive system.  Wearing high heels or even running shoes with a large heal can put your spine out of good alignment.  Specializing in sport or hobbies may add to asymmetry in our posture.  

Test your posture.

Have a family member take a picture of you from the front, side, and back. Your head, shoulders, hips and ankles should line up, one above the other. Your feet should be shoulder width apart. Your shoulders and hips should be level? Does your head tilt? Does one shoulder blade seem to be more prominent than the other? Do the muscles of the back seem more developed on one side? A healthy back should be symmetrical. Does your spine maintain its natural curves?

You can use a wall to help train good posture. Stand with the back of your head, shoulders and buttocks touching the wall, and your heels a few inches from the wall. Put a flat hand behind the small of your back. You should be able to just barely slide your hand between your lower back and the wall for a correct lower back curve.  If you have too much space here draw your bellybutton toward your spine to bring your lower back closer to the wall.  If you need more space arch your back just enough so that your hand can slide behind you. Then walk away from the wall trying to maintain good posture. 

Habits for good posture.

The way to improve bad posture is to be posture-conscious when sitting, standing, walking and sleeping.  

  1. Avoid sitting or standing in any one position for a long period of time.

  2. Take a micro break (stand up and raise your arms above your head) or change positions every 30 minutes.

  3. Strengthen your core with McGill’s Big 3.

  4. Strength train a couple times a week.

  5. Think about expansion of the ribcage and spine. Keep your head up and chest spread.

  6. When walking lead with your chest not your head and allow your arms to swing naturally from there shoulders.

  7. Keep an active tension in your core while walking (think about somebody going to punch you in the belly).

  8. Walk barefoot.

  9. Breath through your nose. This initiates diaphragmatic breathing which allows us to breathe without fatiguing secondary breathing muscles in the upper chest and shoulders.

  10. Sit on the floor more. It forces hips and other joints to use greater ranges of motion than sitting on a chair.

  11. Sleep on your back or side maintaining the natural curvature of your neutral spine.

Stand up straight! Learn more by clicking HERE.

  1. Cuddy, Amy J.C., Caroline A. Wilmuth, and Dana R. Carney. "The Benefit of Power Posing Before a High-Stakes Social Evaluation." Harvard Business School Working Paper, No. 13-027, September 2012.


Office Closure

Effective 6pm Monday March 16th we are going to close the clinic to all non-essential visits.  For many, we have been a primary care provider, but at this point, as chiropractors we cannot risk exposure to those members of our practice who are most vulnerable.  

If you have an appointment booked with us in the next two weeks, we will reschedule your appointment to (hopefully) the week of the 30th.  If you have an acute injury, please contact us as we will arrange urgent care by appointment only.  Not only is it imperative that we practice social isolation, but also that we keep our ER free of non-emergency complaints.  If you require immediate care, we will make this provision for you, granted you have not been exposed to (or are) somebody who has travelled in the past 14-days and are not showing any symptoms of infection. 

This does not mean that allied health visits are not considered essential, just that at this time, we have examined our social conscious and are choosing to help “flatten the curve”.  We work with too many seniors, pregnant patients, children and immunocompromised people to take this lightly. 

Financially as small business owners of a multidisciplinary clinic with numerous associates, this decision was not taken lightly.  We look to our government in the recovery weeks that follow to help with stimulus plan for all small business owners and we look forward to seeing new and familiar faces back in our clinic and at our exercise classes.

Truly, the best case scenario, is that we look back on this and conclude that it was an overreaction. Let’s try to stay level headed and take care of each other. 

 Dr. Jen & Dr Shaun, Raylyn & Allyson