Autumn & Acupuncture | acupuncture victoria bcIn Autumn, we observe nature withdrawing inward.  We see leaves wither on the branch as the trees gather energy inward and down to the deep center and roots to protect and guard vitality, like a precious secret, throughout the winter months.

As winter draws near, we notice a similar process in our own bodies. Our skin become pale and dry. Our energy draws inward to protect vital organs from the dampness and cold. We develop the urge to be quiet, sleep and stay indoors more than in the warmer months.

Our modern, urban lifestyle often prevents most of us from the luxury of indulging our natural instincts to hibernate when winter arrives. Exposing ourselves to the elements and over-spending energy during cold months can compromise the immune system, leaving us vulnerable to viruses that cause influenza and the common cold.

For those of us who are unable to spend the winter in Mexico, here are some tips on how to protect your immune system:

Never leave the house with wet hair

Dampness allows cold to penetrate more deeply. It’s especially important to prevent the neck and head from becoming exposed to harsh elements. This is usually the first area to be effected by colds and flu. Most infectious illness in winter begin with a stiff neck and headache.

Avoid eating too many cold foods

In winter, our bodies are using energy to warm our internal organs. Help your body in this regard by eating healthy cooked cereals, soups and stews. Fresh fruit and vegetables are important too, but are to be consumed in much smaller quantity than in summer months. Root vegetables, brown rice and carefully chosen protein sources can be a staple.

Try not to eat too much spicy foods

Even though spicy food is great for warming our bodies, it’s too ‘hot’ in nature to be useful in winter. Spicy foods are used in hot climates to promote sweating in order to cool the body and are delicious, however, spicy foods are an inappropriate choice for use during cold weather.

Wear a scarf and cover your legs

Even those of us who don’t feel the need to cover our necks and legs in winter need to avoid exposing bare skin. A light scarf, thin gloves and tights can be enough to guard against the elements.

Try acupuncture to boost your immune system

There is scientific and clinical evidence to support claims that acupuncture is an effective treatment for migraines and headaches.; as well as getting rid of lingering symptoms of colds and flus that are prevalent this time of year.  Acupuncture works by regulating circulation to the internal organs which in turn allows the immune system to work as nature intended to heal the body.

Written by: Victoria Spaurel, R.Ac., Registered Acupuncturist

Should You Race a Half Marathon to train for a Marathon?The first question you need to ask is;  is a half marathon a good idea for every marathoner?

The answer is; it depends on your fitness level and marathon goals.

If you’re a first-time marathoner and your only goal is to finish the race, the benefits of a half marathon race aren’t as important.  Remember that racing causes muscle damage, and novice runners won’t heal as quickly as more advanced  runners, which means that the novice runner will need to take time off to recover and this can set back your training schedule.

If you are a experienced marathoner and have a specific time goal, there are advantageous to racing a half marathon to prepare your body. Running a half marathon will allow you to estimate your marathon finish time, familiarize yourself with the course and will give you a much more accurate estimate of your fitness level.

If you choose to race a half marathon as your marathon tune-up race, follow these guidelines:

  • Schedule them 5 to 7 weeks before your marathon to allow sufficient recovery
  • Don’t run more than one half during a marathon training cycle  and don’t wear, eat or drink anything new on race day.
  • Prioritize recovery after the race: extra sleep, an ice baths, and light cross-training will get you back to marathon training as soon as possible
  • Reduce the volume and intensity of the next 1 to 3 runs in your training plan

You know your body best and if you get beat up by racing and need more time to recover adequately you should choose a shorter tune-up race, such as a 10K.

What you don’t want to do is increase your training a few weeks before the race. This is the time when many runners have been racing for at least 2 months and have become used to a certain level of training. Draw strength from the hard work you’ve put in and have confidence in what you’ve been doing.

Running a half marathon can be a valuable tool to help estimate your finish time and gauge how well your body & fitness level will hold up to a full marathon….. Good Luck!

Degenerative Disc Disease | Rehab Victoria BCDegenerative disc disease is one of the most common causes of low back pain.

The lumbar disc is a well-designed structure in the spine. It is strong enough to resist terrific forces in multiple different planes of motion, yet it is still very mobile. However, too much physical activity, gravity, and injuries can cause the spinal column to compress, which narrows the channel through which blood freely flows; and this restriction of the needed nutrients can result in damage and deterioration.

The pain associated with degenerative disc disease is normally caused from inflammation and abnormal micro-motion instability.  Inflammation in the disc space can lead to low back pain radiating to the hips; with associated pain traveling down the back of the legs.

Patients with degenerative disc disease will have some underlying chronic low back pain, experiencing periodic severe low back pain. In an attempt to stabilize the spine and decrease the micro-motion, the body reacts to the disc pain with muscle spasms. The reactive spasms are what make patients feel like their back has “gone out”.

This is why Spinal Decompression tables are one of the most effective treatments for Degenerative Disc Disease.  Spinal Decompression uses a distraction force to relieve the nerve compression often associated with low back pain. This treatment specifically addresses the compression or pressure in the spinal column.

It is a non-surgical treatment that makes use of a specially-designed table that decompresses the specific area of the spine where the pressure is evident. The decompression process reduces the pressure in the affected area of the spine and restores it to its normal position. Spinal decompression’s primary goal is to allow much-needed oxygen, nutrients and fluid into injured and degenerated discs allowing the healing to begin.

Common Symptoms of Degenerative Disc Disease Include:

Low back pain made worse with sitting.  (in the seated position the discs are loaded three times more than standing)

Certain types of activity will  worsen the low back pain, especially bending, lifting and twisting.

Walking, and even running, will feel better than prolonged sitting or standing.

Feeling better by changing positions frequently. (lying down is the best position since this relieves stress on the disc space)

Please contact any of our health care practitioners for more information on Degenerative Disc Disease.

acupuncture victoria bcA new study of acupuncture — the most rigorous and detailed analysis of the treatment to date — found that it can ease migraines and arthritis and other forms of chronic pain.

The findings provide strong scientific support for an age-old therapy used by an estimated three million Americans each year. Though acupuncture has been studied for decades, the body of medical research on it has been mixed and mired to some extent by small and poor-quality studies. Financed by the National Institutes of Health and carried out over about half a decade, the new research was a detailed analysis of earlier research that involved data on nearly 18,000 patients.

The researchers, who published their results in Archives of Internal Medicine, found that acupuncture outperformed sham treatments and standard care when used by people suffering from osteoarthritis, migraines and chronic back, neck and shoulder pain.

“This has been a controversial subject for a long time,” said Dr. Andrew J. Vickers, attending research methodologist at Memorial Sloan-Kettering Cancer Center in New York and the lead author of the study. “But when you try to answer the question the right way, as we did, you get very clear answers.

“We think there’s firm evidence supporting acupuncture for the treatment of chronic pain.”

Acupuncture, which involves inserting needles at various places on the body to stimulate so-called acupoints, is among the most widely practiced forms of alternative medicine in the country and is offered by many hospitals. Most commonly the treatment is sought by adults looking for relief from chronic pain, though it is also used with growing frequency in children. According to government estimates, about 150,000 children in the United States underwent acupuncture in 2007.

But for all its popularity, questions about its efficacy have long been commonplace. Are those who swear by it experiencing true relief or the psychological balm of the placebo effect?

Dr. Vickers and a team of scientists from around the world — England, Germany, Sweden and elsewhere — sought an answer by pooling years of data. Rather than averaging the results or conclusions from years of previous studies, a common but less rigorous form of meta-analysis, Dr. Vickers and his colleagues first selected 29 randomized studies of acupuncture that they determined to be of high quality. Then they contacted the authors to obtain their raw data, which they scrutinized and pooled for further analysis. This helped them correct for statistical and methodological problems with the previous studies, allowing them to reach more precise and reliable conclusions about whether acupuncture actually works.

All told, the painstaking process took the team about six years. “Replicating pretty much every single number reported in dozens of papers is no quick or easy task,” Dr. Vickers said.

The meta-analysis included studies that compared acupuncture with usual care, like over-the-counter pain relievers and other standard medicines. It also included studies that used sham acupuncture treatments, in which needles were inserted only superficially, for example, or in which patients in control groups were treated with needles that covertly retracted into handles.

Ultimately, Dr. Vickers and his colleagues found that at the end of treatment, about half of the patients treated with true acupuncture reported improvements, compared with about 30 percent of patients who did not undergo it.

“There were 30 or 40 people from all over the world involved in this research, and as a whole the sense was that this was a clinically important effect size,” Dr. Vickers said. That is especially the case, he added, given that acupuncture “is relatively noninvasive and relatively safe.”

Dr. Vickers said the results of the study suggest that people undergoing the treatment are getting more than just a psychological boost. “They’re not just getting some placebo effect,” he said. “It’s not some sort of strange healing ritual.”

The NewYork Times | Health & Science                                                                                                                                                              By Anahad O’Connor

It’s no secret that the nature of work has changed over the past fifty years. Most of us no longer rely on brawn to bring home the bacon, but instead rely on brains to navigate the knowledge economy.

But could this change in work habits slowly be killing us?

Click through the infographic below to find out more.

The team at Diversified Health Clinic has collected a few statistics that demonstrate what many of us have started noticing more and more: not only we getting fatter as a result of work, our our sedentary desk jobs are starting to take a sinister toll on our health. Never to fear – there are some solutions, from simply eating less and exercising more, to changing the way you work.

Have an idea on how to fight off your deathly desk? Let us know!

Many doctors in Victoria BC promote regular exercise and a change in diet as a treatment for metabolic syndrome.

Orthotics are biomechanical appliances, that enable feet to be held in a more stable position, therefore reducing stress and strain on the body.

Over 50% of the population have feet that overpronate or underpronate. This means that the foot turns too much or not enough. Overpronation or underpronation can lead to serious injury and pain.  Orthotics can help this by correcting the problem by adjusting the angles in which your feet touch the ground.

Do you Overpronate or Underpronate? | Orthotics Victoria Orthotics can help with such conditions as plantar fascitis, chronic blisters, shinsplints and back pain. Most problems that occur within your body, are likely caused by too much stress on it. Too much stress causes things to break, rip or tear. In this case, orthotics help prevent these injuries by reducing the amount of stress that has caused the problem in the first place.

Orthotics help restore the normal balance and alignment of your body by gently correcting foot abnormalities. They gently reduce problems associated with pressure points, and muscle strain on knees, hips and backs.

What type of orthotics to use depends on what you are trying to accomplish for the foot. For the over-pronator, generally a more rigid type of orthotic is necessary since you are trying to limit the amount of rolling that occurs. Softer types of orthotics are indicated for under-pronators, to fill the arch and provide increased shock absorption.

The important point to remember when considering orthotics is that they should be customized for your feet and made by someone well-trained in foot biomechanics. While there is a lot of science that goes into deciding upon and making an orthotic, there is some art as well and sometimes adjustments are necessary. The final orthotic product should be something you would not think of going on a run without, not an expensive dust collector in the back of your closet.

Diversified Health’s lead Chiropractor, Dr. Krisjan Gustavson has been making orthotics for over 25 years, and would be happy to meet with you to discuss if you are a candidate for custom orthotics.

Dry Needling or IMS | physiotherapy victoria bcTrigger point dry needling, also referred to as intramuscular stimulation (IMS) and/or intramuscular therapy (IMT) is an invasive procedure in which an acupuncture needle is inserted into the skin and muscle. 

It’s actually considered part of physiotherapy, and is not acupuncture.

IMT treatments at Diversified. Read more about here.

What is Trigger Point Dry Needling?

Trigger point dry needling is physical intervention that uses dry needles to stimulate trigger points, diagnose and treat neuromuscular pain and functional movement deficits. 1

As the name implies, dry needling is primarily directed at myofascial trigger points, which are defined as “hyperirritable spots in skeletal muscle that are associated with a hypersensitive palpable point in a taut band”.2

Physical therapists around the world practice trigger point dry needling as part of their clinical practice and use the technique in combination with other physical therapy interventions.  A high degree of kinaesthetic perception allows a physical therapist to use the needle as a palpation tool and appreciate differences in the density of those tissues pierced by the needle.3

Although some people refer to trigger point dry needling as a form of acupuncture, it did not originate as part of the practice of traditional Chinese acupuncture. The difference being that there are distinct anatomical locations of myofascial trigger points within muscle tissue, whereas acupuncture points have point specificity on the body.

There is substantial medical literature on IMS and dry needling that has been subjected to peer review. Trigger point dry needling has been used following a variety of different schools and conceptual models.  According to these models, when the flow of nerve impulses is restricted to an area of the body, all innervated structures, including muscle, spinal nerves, sympathetic ganglia, adrenal glands, sweat cells, and brain cells become atrophic, irritable, and supersensitive.4,5

Many common diagnoses, such as achilles tendonitis, lateral epicondylitis, frozen shoulder, chrondromalacia patellae, headaches, plantar fasciitis, temporomandibular joint (TMJ) dysfunction, myofascial pain syndrome (MPS), and others, might in fact be the result of neuropathy, and associated myofascial trigger points.4

Intramuscular therapy has been very successful for patients with chronic low back pain and sciatica symptoms. Shortening of the paraspinal muscles, particularly the multifidi muscles, can lead to disc compression, narrowing of the intervertebral foramina, and/or cause direct pressure on the nerve root, which subsequently would result in peripheral neuropathy and compression of super sensitive pain receptors, resulting in pain and dysfunction. 4,5

In layman’s terms, the treatment uses acupuncture needles, to target specific muscles that have contracted and become shortened. These shortened muscles compress and irritate the nerves. This treatment can greatly reduce tightness and pain, while increasing flexibility and range of motion.

The treatment involves dry needling of affected areas of the body without injecting any substance. The needle sites can be targeted at the site of taut, painful muscle bands, and/or can be near the spine where the nerve root may have become irritated and super-sensitive.

An important note is needling  of a normal muscle is painless. In contrast a shortened, muscle will ‘grasp’ the needle and produces a  cramping sensation. Intramuscular dry needling can reduce pain and soften these trigger points, while increasing flexibility and range of motion.

  1. 1.Dommerholt J, Mayoral del Moral O, Grobly C.  Trigger point dry needling. The Journal of Manual & Manipulative Therapy 2006; 14(4): E70-87.
  2. Simons DG, Travell JG, Simons LS. Travell and Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol 1. 2nd ed. Baltimore, MD: Williams & Wilkins, 1999.
  3. Mayoral del Moral O. Fisioterapia invasiva del sindrome de dolor myofascial [Spanish; Invasive physical therapy for myofascial pain syndrome]. Fisioterapia 2005;27(2):69-75.
  4. Gunn CC. Radiculopathic pain: Diagnosis, treatment of segmental irritation or sensitization. J Musculoskeletal Pain 1997;5(4):119-134.
  5. 5.  Cannon WB, Rosenblueth A. The Supersensitivity of Denervated Structures: A Law of Denervation. New York, NY: MacMillan, 1949.