Chiropractic Care is one of the largest Regulated Healthcare Professions utilized in Ontario. Primarily focusing on the Musculoskeletal system, Chiropractic manipulation is a non-invasive, hands-on, evidence-informed physical treatment. With you, your Chiropractor will establish a thorough health history and perform an in-depth physical assessment to identify a diagnosis or primary cause for your condition. From there, they were propose, and execute a comprehensive treatment plan. This plan may include chiropractic manipulations, soft tissue treatment, homecare exercises, nutritional/dietary advice or lifestyle advice.
Chiropractic care works well independently to enhance health and well-being and as a complimentary therapy with other forms of healthcare provision to support or relieve musculoskeletal issues associated with many conditions. Chiropractic care also works well to provide symptomatic relief of chronic conditions.
Shock Wave Therapy
Do You Have Plantar Fasciitis? Achilles Tendonitis? Tennis Elbow? Golfer’s Elbow? Are You Dealing With Calcific Rotator Cuff Tendinitis? Jumper’s Knee? Imagine what it would feel like if you didn’t have to deal with the pain anymore!
All of these problems and more can be relieved with shockwave therapy to allow you to once again enjoy life.
Extracorporeal shock wave therapy (ESWT) is a treatment modality that has been extensively researched, and clinically shown to accelerate the body’s natural healing process. Shockwave therapy generates strong energy waves for short periods of time. The energy wave is conducted from the applicator to the desired tissue via the use of an acoustic wave generator (coupling gel). These energy pulses create bubbles (micro-cavitation) that expand and burst. The force generated by these cavitations penetrates tissue and stimulates cells responsible for blood vessel formation, bone and connective tissue healing. Shockwave therapy is the most effective in recalcitrant (unresponsive to treatment) pathological alterations of tendons, ligaments, capsules, muscles and bones.
Shockwave therapy has been clinically shown to stimulate new blood vessel synthesis (neovascularization) by increasing the production of vascular endothelial growth factor (VGEF). New blood vessel synthesis enhances blood circulation to regenerate damaged tissue. Neovascularization as a result of shockwave therapy has also been clinically shown to stimulate the metabolism.
Studies have also demonstrated an increased production of endothelial NOS (eNOS) and bone morphogenic protein (BMP). eNOS causes the blood vessels to relax, which allows nutrients to diffuse into the surrounding tissue. BMP’s are important in bone and cartilage development.
There are numerous benefits from shockwave therapy, such as: non-surgical intervention accelerated healing, elimination pain, restoration of mobility and improved quality of life. Patients typically experience the benefits of shockwave therapy after only 1 or 2 treatments.
Literature has shown that shockwave therapy when combined with exercise has an 85% success rate for plantar fasciitis, 76% success rate for Achilles tendinopathy and a 75% success rate for the treatment of patellar tendinopathy (jumper’s knee). Other treatment uses for shockwave include:
- Tennis Elbow
- Hamstring Strains
- Stress Fractures
- Calcific Rotator Cuff Tendinitis
- Trigger Point Therapy
- Non Healing Ulcers
- Mortons Neuroma
- Scar Tissue Treatment
- Hallux Rigidus
(Adapted from Shockwave Canada)
Electrotherapy utilizes electrical currents to block painful stimuli travelling from the nerves in your muscles and skin to your central nervous system (brain and spinal cord). Electrotherapy is an umbrella term that incorporates several different integrative medicine treatments, such as: interferential current (IFC) and transcutaneous electrical nerve stimulation (TENS). Electrotherapy can also be used to strengthen a muscle following an injury by increasing the neurological contraction of the muscle: electrical muscle stimulation (EMS). Having the ability to decrease a patient’s pain is vital in managing acute/chronic conditions, and reducing recovery time.
Electrotherapy is effective for a variety of conditions, including:
- Back pain
- Cutaneous pain (skin)
- Decreased swelling
- Increased local blood flow
- Muscle pain
- Neck pain
- Nerve pain (sciatica)
- Pain relief
- Muscle stimulation – prevent muscle wastage, re-education, maintain range of motion
Graston Technique ®
Instrument-assisted soft tissue mobilization (Graston) is a technique that enables a clinician to effectively detect and treat scar tissue, as well as fascial restrictions that interfere with normal function. Microscopic evaluation of connective tissue shows that collagen fibers of normal ligaments and tendons are oriented in a parallel manner. When ligaments and tendons are injured, fibroblasts secrete polarized collagen molecules that orient themselves in a haphazard manner. Overtime this build-up of haphazard collagen molecules can form scar tissue resulting in decreased range of motion and an increase in pain. Instrument assisted soft tissue therapy is an effective means of re-arranging scar tissue allowing the patient to performing at their optimal level. Instrument-assisted soft tissue has been shown to:
- Detect and break down collagen cross-links
- Stretch connective tissue and muscle fibers
- Increase the temperature of the skin
- Assists in reflex changes in chronic muscle holding patterns
- Increase blood flow rate and volume to and from a desired treatment area
- Increase the cellular activity fibroblasts and mast cells
- Increase the histamine response in response to mast cell activity
(Adapted from grastontechnique.com)
Orthotic Services and Products
Plantar fasciitis? Knee pain? Achilles Tendonitis? Bunions? Shin Splints? Imagine what it would feel like if you didn’t have to deal with the pain anymore!
All of these problems and more can be relieved with Orthotics to improve your quality of life.
Your feet and ankles make up the foundation of your musculoskeletal system, and transfer ground reaction forces to your knees, hips and low back. Improper joint alignment, altered joint range of motion, ligament laxity and overuse injuries can lead to an improper transfer of forces causing pain and dysfunction.
At Green Base Health, every patient is provided with a biomechanical analysis of foot, ankle and knee joint alignment. This information is combined with data from a force plate sensor which detects minuet changes of foot pressure during static balance and dynamic gait (walking). This information is combined with a foam cast of your feet to create custom built orthotics made in a state of the art laboratory, with individual modifications based your needs.
Research has shown orthotics to be effective for a number of musculoskeletal conditions, including:
- Achilles tendonitis
- Chondromalacia patella
- Hammer toes
- Iliotibial band syndrome
- Knee osteoarthritis
- Mortons Neuroma
- Overuse injuries
- Recurrent ankle sprains
- Shin splints
(Adapted from Footmaxx)