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My Journey Into IMS/Dry Needling | Part II

My Journey Into IMS/Dry Needling | Part IIMy research into IMS/dry needling is complete, and I have chosen my health care practitioner – a    physiotherapist  from Diversified Health.

Entering the room on my first visit I was a bit anxious.  Knowing that the treatment can be uncomfortable is like taking Buckley’s cough syrup… you know it will taste horrible, but it works!

My therapist was great, we talked about my health history, why I chose this treatment, and what my expectations of this therapy was.  The therapist explained in great detail what would happen on this first visit and what I should expect after my treatment.

Laying on the table the practitioner felt the area in question, my low back and hips and located numerous trigger points.  A Trigger Point is a hyper-irritable spot within a taut band of skeletal muscle which is painful on compression. These trigger points, sometimes referred to as myofascial pain, can refer pain to other areas and often restrict the flexibility of the affected muscle.  If left untreated, they can create new trigger points.  As we talked about how intense the pain was, she was assessing where to place the needles.

My physiotherapist sterilized the treatment area and removed a needle from a sealed package.  Each sterilized needle comes in an individual sealed package. Because the filament needles are so thin there is virtually no discomfort when the needle is inserted.

As the needle entered the skin and reached the muscle, this is when the muscle contracted and I felt twitching, spasms, and tingling; a potpourri of senses.  As the practitioner moved the needle, I felt a sensation like hitting your funny bone,  weird, tingly and painful, but the whole experience happened in under 4 seconds.

This was repeated numerous times on different areas on my lower back and hips. The therapist worked on one side of my body, and then mirrored the treatment on the other side of my body. The physiotherapist talked to me throughout the treatment and was aware and attentive to my reactions to each treatment.

Each needle felt sightly different, some treatment areas felt achy, hot, a stinging then tightening feeling.  Some areas were extremely painful while others areas I felt very little.  The tighter or more damaged the muscle, the more discomfort you feel.

When the session was over, I found myself physically and mentally tired… not sure if it was because I was so anxious on my first visit or because the treatment was physical.  After resting for about 5 minutes, I got up and spoke with my physiotherapist, who answered all my questions, and gave me a set of exercises to complete at home.  Because of the release of toxins and lactic acid that get held in muscles I was quite tired, and found drinking lots of water after the treatment very helpful.  Two hours after my treatment I felt tired and achy, but nothing that an Advil couldn’t help.

There is absolutely no “down time” with IMS/dry needling.

What happened the next morning was just short of a “miracle”.  For the last several years I have found it strenuous to get up from a sitting position due to super tight muscles and back issues… nothing major, just always found myself  getting “prepared” to get up…tightening my stomach muscles and placing my hands on the chair to help push off.

I was standing in the middle of my living room when I suddenly realized that I had gotten out of my chair without a thought.  This may seem small, but this victory solidified my belief that IMS/dry needling is an outstanding treatment for chronic or acute pain.

Dry needling will not be for everyone, it is at times painful (3 to 4 seconds of pain), but there is no denying my results.  I have booked several more treatments, and will update you on my continued journey into IMS/dry needling in Part III.

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eToims Device Stimulates Trigger Points To Relieve Pain

EToimsNews Release – The company LLC is marketing a surface electrical stimulation device that targets deep muscles to relieve myofascial pain and discomfort. The patented portable ET127 Evoked Response Stimulator excites deep trigger points to elicit muscle twitches. According to the company, these abrupt, brisk, and vigorous twitches relieve pain by ending muscle spasms and promoting healing of irritable trigger points.

Twitches produced by eToims (electrical twitch obtaining intramuscular stimulation) stretch muscle fibers in spasm, resulting in compression of intramuscular blood vessels and nerve fibers and reducing traction on pain-sensitive structures, such as periosteum and joint capsules to which muscles attach, says Jennifer Chu, MD, founder of eToims Medical Technology. She explains that consequently, twitch-induced exercise also promotes local blood flow, improving tissue oxygenation, promoting healing, and removing local accumulation of pain-producing neurochemicals.

In normal situations, trigger points stimulated to twitch produce movements that effect joint rocking and shaking. In acute situations, hyperexcitability of trigger points produces forceful twitches sufficient to lift the joint on which the stimulated muscle acts, causing these twitches to dissipate abruptly. In chronic situations, trigger points are very difficult to find, and twitch forces are feeble, says Chu.

According to Chu, acute and subacute myofascial problems resolve well with eToims as a standalone treatment. However, chronic problems tend to have guarded prognosis due to the presence of partial nerve and muscle fibrosis, requiring long-term eToims as an adjunctive treatment for improvement of quality of life. Chu has found that twitches, key to relief of myofascial pain or discomfort, are simultaneously diagnostic, therapeutic, and prognostic.

In the presence of very tight muscles, whereas routine exercise produces simultaneous active contractions of many muscles that can increase ischemic pain, eToims-induced twitches can enable active, painless exercise of 1 muscle at a time to remove or reduce pain.

Chu notes that a top football franchise in the UK now uses eToims for rehabilitation to prevent injuries as well as to rapidly rehabilitate soft tissue injuries to reduce elite-player down time. ET127 is now available for sale to clinicians in Europe, Canada, Taiwan, and Hong Kong, as well as for home use as a personal device.

The practitioners at Diversified Health are certified to use eToims Therapy as a part of your treatment plan.

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Seasonal Affective Disorder (SAD)

T_Seasonal_Disorder_enHD_1Seasonal affective disorder (SAD), also known as seasonal depression, is a mood disorder in which people experience depressive symptoms in the fall and winter months.

Our moods and energy levels fluctuate with the seasons.  Traditional Chinese Medicine understands these seasonal cycles, and that conflict in the body causes stress, which can result in SAD.

Low levels of vitamin D and limited exposure to ultraviolet-B on their skin,can also result in SAD.

What is Seasonal Affective Disorder?

Seasonal affective disorder is a type of depression that people experience at the same time every year.  Typically symptoms start in October and continue until April.  The symptoms include:

  • Irritability
  • Headaches
  • Extreme fatigue
  • Increased appetite/cravings
  • Lack of concentration
  • Decreased libido

There are many theories as to what causes SAD, and most of the theories involve light.  Serotonin, a neurotransmitter that affects mood, is triggered by light, and that the decreased serotonin is the culprit.  Others theories involve melatonin, a hormone that affects sleep and mood, because it is affected by darkness.  In either case, light plays a role.

Acupuncture is a very effective option for treating SAD.  Anxiety, SAD, and other mood disorders respond very well to acupuncture.   Acupuncture has been proven to relieve stress and have a relaxing, calming effect on the body. Patients suffering from SAD will often feel immediate relief following a treatment. With regular, continued treatments, acupuncture can help to minimize and prevent SAD symptoms and help the body adapt to seasonal changes.

Acupuncture helps our bodies to regain its natural balance by correcting various systems that are responsible for sleep, energy, and immune system.

Advice for Seasonal Affective Disorder

  • Limit carbohydrates in the form of starches and sweets; add more protein and dark coloured vegetables to your diet
  • Avoid overeating or gaining weight
  • Exercise regularly by walking 15 minutes a day when there is the most sunlight
  • Work by a window to allow exposure to natural light
  • Go to bed earlier and get up earlier so you maximize daylight hours
  • Think positive – keep a gratitude journal

These are health-promoting strategies that will help to relieve your seasonal symptoms and improve  your health.

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Pasteurizing Almonds: Good or Bad?

almondsWritten By Jennifer Dages

Most almonds and hazelnuts in the USA are now irradiated. Irradiation is the use of radiation to help preserve foods and kill off bacteria. This has been standard practice since 2007 when the FDA decided that all raw almonds grown in the USA must be pasteurized before sale.

The reasoning behind this decision was 2 outbreaks of salmonella that were traced back to almonds (2001 and 2004).   The outbreaks were very mild and the almonds  turned out to be grown by conventional farmers, not organic farmers.

But nonetheless all almonds were to be irradiated rather than practices change to prevent the repeat of a problem.

So what is wrong with pasteurizing almonds?

If you are a raw milk drinker and supporter then you already know the answer to this question.  Pasteurization and heat destroy important enzymes and vitamins.

There are 4 main types of pasteurizing almonds:

  • steam processing
  • high heat treatment (roasting)
  • blanching
  • highly toxic fumigation treatment with propylene oxide (PPO)

Two are the primary methods used, which are steam processing, and PPO fumigation.

Steam processing is the method used for pasteurizing organic almonds and they are heated to a temperature of 200 degrees with steam.  Not only are the enzymes and vitamins destroyed but so are the  bonds of the fats and the fat then oxidizes and  becomes a source of free radicals.

Recent scientific studies show that heating almonds creates potentially harmful levels of acrylamide, a dangerous byproduct of the amino acid asparagine. Acrylamide is a chemical known to cause cancer, or reproductive toxicity (such as birth defects and other reproductive harm).

If your almonds are pasteurized with propylene oxide fumigation(PPO) there is much more to be concerned about.   PPO is a verified carcinogen that is highly flammable, with fumes that are  hazardous to a human being’s personal health.

The EPA has declared PPO a carcinogenic chemical that is responsible for neurological, gastrointestinal, respiratory, and immune system dysfunctions, as well as liver disease.   The European Union, Mexico and Canada have all banned the use of this toxic chemical in anything to do with our food.

Can you avoid pasteurized almonds?

You can avoid pasteurized nuts but you have to buy your almonds  directly from the farmer or you have to buy organic.   The other exception to this rule is nuts that are foreign imports often avoid the irradiation.

In researching I found one source at Raw Nuts and Seeds where they sell organic almonds that are not pasteurized.   Nuts.com  sells organic almonds from Spain that are not pasteurized.   Amazon also sells some organic imported almonds that are not pasteurized.

If you live in California which is almond country you may be able to find a local farmer that will sell you nuts before they send them to be pasteurized (kind of the way some farmers will sell their raw milk before the milk truck picks it up- just don’t tell anyone).

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My Journey Into IMS/Dry Needling | Part I

skin-needlingLike many of us, I live a fairly sedentary lifestyle.  Years spent in front of a computer, combined with injuries, and the stress of everyday life is taking a toll on my body.

Over the years I have employed the services of acupuncturists, chiropractors, physiotherapists and massage therapists to alleviate my aches and pains.

A friend suggested that I try dry needling.  I had never heard of this treatment, and so began my research into the science of IMS/ Dry needling.  Dry needling, a relatively new medical treatment option, treats muscle, tendon and other soft tissue injuries.

Dry needling also known as intramuscular stimulation is an invasive procedure in which solid filament needles are inserted into the skin and muscle at a myofascial trigger point in order to cause a small, specific injury or “wound” in the tissue.  This injury or wound signals the brain to begin to repair the damaged tissue with new healthy tissue.  Placing a needle in a muscular knot or painful trigger point will provokes a “twitch” response from the muscle. Once a “twitch” response has been elicited, the muscle fibers in that area begin to heal. The area around the muscle will relax and will start to lengthen, the inflammation will start to reduced and circulation and blood flow will increase.

Dry needling is characterized as a painful treatment. The more chronic the tigger point or muscle knot the more painful the treatment…healthy muscle tissue will not “twitch” when stimulated by a needle, and therefore will not be painful.

According to a report from the American Academy of Orthopedic Manual Physical Therapists:  “Research supports that dry needling improves pain control, reduces muscle tension, normalizes biochemical and electrical dysfunction of motor endplates, and facilitates an accelerated return to active rehabilitation”.

I have booked my first appointment, and am curious to find out how painful this treatment is, what it will feel like and what the results will be.

Keep an eye out for Part II of my journey into IMS/Dry Needling!

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#1 Way To Deal With Stress

stress-and-acid-refluxLong-term exposure to stress can lead to serious health issues by raising your blood pressure, increasing your risk of having a heart attack, and suppressing your immune system. Ignoring the symptoms of stress can lead to anxiety and depression.

Physical symptoms from prolonged stress can range from headaches, upset stomach, high blood pressure, chest pains, difficulty breathing and trouble sleeping.

Everyone deals with stress differently; the import factor is to find healthy ways  to deal with stress that work for you.

#1 most effective way to deal with stress – RELAX

Deep Breathing | Deliberate and mindful breathing will help your muscles to relax and make you feel less tense.

Massage | Booking even a short 30 minute massage focusing on the muscles in the back of your neck and upper back will help you feel less tense.

Time Out | Stepping away from the situation, even for a few minutes will have a beneficial effect on your mood. Going for a walk around the block can go a long way to decreasing your stress.

Grateful List | Make a mental list of 5 things you are thankful for. This will remove your focus from the stressful situation and will allow you to gain quick perspective of your life.

#2 Take care of your body

Sleep | 7 to 9 hours will help your body recover

Eat healthy | Eat fruits, vegetables, proteins, and whole grains. Don’t fall into bad habits of junk food, and limit your caffeine or high-sugar snack foods.

Exercise | Getting physical activity helps relax your tense muscles and improve your mood.

 Avoid | alcohol, drugs, smoking

# 3 Involve your Health Care Practitioners

Be proactive – don’t wait till you can no longer cope.  Make sure that you talk to your health care practitioner, and work together to find a treatment plan that works for you.

Book a massage –  Clinical studies show that even a single 1 ½ -hour session can significantly lower heart rate, cortisol levels and insulin levels-all of which help reduce stress through massage therapy. On-going massage therapy can improve overall physical and mental performance.

Book an acupuncture session – The body secretes hormones into the bloodstream as a reaction to stress.  Acupuncture can block the chronic, stress-induced elevations of these hormones leaving you with a sense of calm & relaxation.

Book a Chiropractic session – One of the effects of chronic stress is prolonged muscle tension. This muscle tension can leads to a misalignment of the spine and the other joints in the body. These misalignments can cause common conditions such as; back pain, neck pain, and headaches. Chiropractic adjustments reduce nerve irritation, improve circulation, and release muscle tension.

Book a Physiotherapy session – can assist decease stress levels through manual therapy. Manual therapy involves manipulation of muscles and tissues in the body. This technique is used to reduce muscle tension, improve circulation, and carry fresh oxygen to tissues in the body.

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New Balance Victoria – Footwear Guide

NBV_storeA practical guide to choosing proper footwear at New Balance. Even for the most of informed customers, buying shoes can be a daunting task due to all the technical jargon. With the help of the following tips and the guidance of a knowledgeable footwear expert, buying the appropriate footwear can be both fun and easy.

 1. Shoe sizes are not standard: Shoe sizes will vary according to the brand and the style. Do not buy a shoe according to the number associated with the size; go with how the shoe feels.

2. Both feet may not be the same size or shape: It is necessary that the bigger or most “troublesome” foot is fitted first — sacrifices may have to be made.

3. Wear the same socks that you will normally wear with the shoes

4. Be fit for the shoe late in the day or after physical activity: Be fit for the shoe later in the day — your foot expands later in the day after bearing weight.  Further, prolonged physical activity may cause your feet to swell slightly.

5. Select shoes that match the shape of your foot: Everybody has a different and sometimes unique shape to their feet (e.g., wide forefoot, narrow heel) and needs to be fitted accordingly.

6. Shoes should be slightly longer and wider than your feet. Further, the balls (i.e., front) of your feet should fit comfortably in the shoe: Do not assume the shoe will “stretch” to fit your feet. Ideally, you should feel like you could “play the piano” with your toes inside the shoe.

7. Shoes should fit comfortably in the heel: The upper of the shoe should not rub on the ankle bones and the heel should not excessively move inside the shoe.

8. Bring orthotics/inserts when you try on shoes: The orthotic/insert may change the fit and/or function of the shoe.

9. Compare a variety (e.g., 2 or 3 different pairs) of shoes and test them out in the store

10. Choose shoes appropriate for the activity: E.g., Aerobics shoes are generally not good for running on the road.

New Balance Victoria is a locally owned and operated retailer, offering the best selection of New Balance footwear and apparel in sizes and widths on Vancouver Island. We seek to provide a memorable experience through outstanding customer service and quality performance products to support your lifestyle.

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Traditional Running Shoes VS Minimalist Running Shoes

Traditional Running Shoes VS Minimalist Running ShoesThe theory behind minimalist running shoes is the less weight on the foot, the less energy you expend, and the faster, and longer, you will be able to run.

Minimalist running shoes promote a forefoot-first stride which lessens the impact of the heel strike and is bio-mechanically more natural which minimizes repetitive-motion injuries.

This is achieved by a wider and roomier toebox, (articulated toes) a minimal design that uses less material between the runner and the ground and a zero-drop heel.

Traditional Running Shoes VS Minimalist Running ShoesTraditional running shoes, with a heel-first stride, increases the impact of heel strike, which in the long-term can lead to injury or joint pain.

Manufacturers of traditional, running shoes claim stabilization and cushioning technologies can solve most personal bio-mechanical issues such as running on hard services like concrete, leg-length discrepancies, and over-pronation.

Switching from a traditional running shoe to a minimalist running shoe needs to be done very gradually.  Using a forefoot-first stride will require muscle strength and flexibility in your foot, ankle, and quads.  Due to a zero-drop heel your stride will be noticeably shorter.  Changing too quickly from a traditional running shoe to a minimalist running shoe will increase your risk of injury, so you will need to incorporate training time.

During your training period, you will need to dramatically decrease your daily mileage, avoiding steep hills and minimize running on hard surfaces.  You may want to consider starting with a runner that has a 4-8mm heel drop to help with the transition from traditional runners to zero-drop runners.

The drop refers to the difference in height of the shoe from the heel to the toe.  Traditional running shoes raise the heel anywhere from 15-25mm off the ground, with the toe of the runner measuring 8-15mm.  This difference creates a forward leaning slope which encourages heel-toe gait. The theory is that a smaller drop creates a more natural gait.

Deciding to switch to a minimalist runner?  Here are a few things to consider…

~ Don’t buy a shoe that you’re not ready for.  Perhaps a drop of is 4 or 8mm is a better place to start than a zero-drop.

~Don’t buy the wrong size, make sure it fits properly.

~Don’t buy the wrong type of shoe or buy a shoe because of the way it looks.  Minimalist running shoes are designed for different needs.  If you’re going to be running trails, buy a minimalist trail running shoe.  If you’re going to be running on the street, go for a minimalist road shoe.

~ Don’t wear a new pair of running shoes with a race coming up.  Remember that transitioning takes time.

Choosing which style of runner is best for you, comes down to which runner fits well, and works well for your personal stride, foot shape, bio-mechanical needs and the type of activity you will be engaging in.

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Do You Eat Breakfast?

Do You Eat Breakfast?We have all heard that breakfast is the most important meal of the the day, and here’s why.

If you deprive your body of food in the morning you may find that you feel tired, dizzy and have trouble concentrating. If you don’t eat anything in the morning, you will most likely find yourself craving something sweet to eat, as your body needs energy – NOW!

To compensate for no breakfast you may find yourself reaching for something very unhealthy, and you will be more likely to consume up to  twice as many calories than you would if you ate breakfast.

After a night’s sleep, your stomach is empty and requires fuel.  It makes sense that the best way to start the day is to energize and revitalize your body by eating a nutritious and healthy breakfast, that will keep you satisfied until lunch.

Our body needs a healthy breakfast packed full of vitamins and nutrients providing  us with energy and fuel for our brain.  The best types of foods to be eaten at breakfast are complex carbohydrates such as whole grains including oats, and 12 grain bread together with a small amount of fruit, yogurt and freshly squeezed juice.

These foods have a low GI (glycemic index), which means that they release glucose steadily and slowly into the bloodstream, unlike the unhealthier breakfast choices such as pastries. Foods with a low GI will keep you fuller for longer, preventing unhealthy snacking, and keep your energy levels steady while providing you with essential minerals and vitamins.

Many people like to consume some form of protein in the morning, as protein balances blood sugar levels and recent studies have also proven that concentration levels are enhanced if some form of protein is consumed during the breakfast meal.

The results are in and study after study proves that adults who eat breakfast in the morning perform better at work, have a healthier body weight and are more physically fit, so get eating!

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Buying New Running Shoes?

Buying New Running Shoes?Shoes aren’t just designed for different foot shapes; they are designed for different running patterns; so a running gait analysis  is a great place to start when finding the best fit from your running shoes. When you buy, think feel and fit, not fashion.

Ask yourself these questions… Do you run for long periods – four or more times a week?  Do you run short lengths a couple times a week?

When buying running shoes, keep these tips in mind:

The time of day you shop is a factor.  Feet swell as you use them and that’s especially important to remember when buying running shoes.  Try them on at the end of the day so you have a better idea of how they’ll feel after a run.  Make sure you have a half to a full thumb’s nail length from your big toe to the end of the shoe.

Take a short run around the store to test the fit, function and comfort before you buy.

Remember to take your orthotics with you and make sure you try them out in the shoes before you purchase them. (orthotics need to be replaced every about every 18 months)

Running in old worn-out shoes is one of the most common causes of running injuries. Your shoes lose cushioning, stability and shock absorption over time. A “good” rule of thumb is to replace your running shoes every 500km.

At Diversified Health our practitioners use a gait scan to help assess your foot concerns.  As you move across a pressure plate, thousands of tiny sensors capture the distribution of pressure of your foot and the computer displays 2D and 3D visual representations of the pressure under your foot.  These findings help the practitioners to evaluate your foot function.

Please contact the clinic if you have questions about what type of running shoes would be beneficial for your fitness level and remember that a running gait analysis can help get the best fit from your running shoes.

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