Tag Archives: chiropractic

We work with many patients in our Chiropractic office who have previously had spinal surgeries. The techniques and locations that are adjusted change depending on the patient's history and previous surgery. Below is the abstract of a case study and review of the literature from 2019 highlighting the improvement in a patient's low back pain and quality of life after two failed back surgeries.

Improved Spinal Alignment, Chronic Low Back Pain and Improved Quality of Life in a 62-year-old Patient Undergoing Chiropractic Care Following Failed Surgical Syndrome: A Case Study & Review of the Literature

Rebecca Lapham-Yaun, D.C. & Katheryne Castro, D.C. Annals of Vertebral Subluxation Research ~ January 17, 2019

Abstract
Objective: The purpose of this paper is to report the effects of chiropractic care in a 62-year-old female that presented with a chief complaint of chronic low back pain with concomitant 25.3° right convex thoracolumbar scoliosis as well as an L5 discectomy and an L5-S1 fusion.

Clinical Features: A 62-year-old female presented to the chiropractor with chronic low back pain following failed surgical syndrome from an L5 discectomy and subsequent L5-S1 fusion. The patient underwent surgery 20 and 13 years prior to her visit. She was on 13 different medications for her condition. Examination and x-ray revealed the following: 25.3° right convex thoracolumbar scoliosis at T4-L3 which was measured using the Cobb Method, anterior head translation and a left high ilium. Thermal scan revealed dysautonomia secondary to vertebral subluxation. She sought chiropractic care to improve her quality of life.

Intervention and Outcomes: The patient received chiropractic care utilizing Thompson Technique, massage therapy, Chiropractic Biophysics (CBP) mirror-image exercises, and heel lifts. The patient was initially seen 2 times per week for 6 weeks, then 1 time per week for another 6 weeks until the first re-examination. After the first 3 months of care a re-examination and new x-rays revealed an improvement in thermal scan readings from severe to mild, left high ilium was balanced, posture improved, Cobb angle reduced to 24°. She had decreased low back pain, improved function and quality of life.

Conclusion: Chiropractic care is beneficial in reducing chronic low back pain even in failed surgical syndrome. This case study demonstrated that chiropractic care along with massage, mirror imaging adjustments, and postural exercises improved function, quality of life and improved spinal alignment in an elderly patient. Further studies are suggested.

Can you adjust someone who has had back surgery?

Yes. As highlighted in the above case, a Chiropractor can adjust a patient who has had back surgery before. The Chiropractic techniques and locations that are adjusted change depending on the patient's history and previous surgery.

How can Chiropractic help a patient who has had surgery before?

After a surgery, patients have a lot of work to do to build back their strength and good habits amongst their spine again. A Chiropractic can greatly help a patient coordinate and align their spine, even after a surgery. Often times the area that has been surgically corrected is not touched, but the rest of the spine is. By addressing all of the moving parts it allows the body and spine to function better again.

The lady in the above case study was not aligned from the head to the pelvis. In helping adjust the neck, mid back, and low back the Chiropractor was able to help her find better spinal balance. This in turn helped her greatly to feel better and live better.

I work with many patients who have had successful surgeries before. I also work with many patients who have had unsuccessful surgeries. I hope that your surgery has been successful. If you want to make the best of your spine for the future - consider Chiropractic.

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Chiropractic help after back surgery

We work with many patients in our Chiropractic office who have previously had spinal surgeries. The techniques and locations that are adjusted change depending on the patient’s history and previous surgery. Below is the abstract of a case study and review of the literature from 2019 highlighting the improvement in a patient’s low back pain and quality of life after two failed back surgeries.

Improved Spinal Alignment, Chronic Low Back Pain and Improved Quality of Life in a 62-year-old Patient Undergoing Chiropractic Care Following Failed Surgical Syndrome: A Case Study & Review of the Literature

Rebecca Lapham-Yaun, D.C. & Katheryne Castro, D.C. Annals of Vertebral Subluxation Research ~ January 17, 2019

Abstract
Objective: The purpose of this paper is to report the effects of chiropractic care in a 62-year-old female that presented with a chief complaint of chronic low back pain with concomitant 25.3° right convex thoracolumbar scoliosis as well as an L5 discectomy and an L5-S1 fusion.

Clinical Features: A 62-year-old female presented to the chiropractor with chronic low back pain following failed surgical syndrome from an L5 discectomy and subsequent L5-S1 fusion. The patient underwent surgery 20 and 13 years prior to her visit. She was on 13 different medications for her condition. Examination and x-ray revealed the following: 25.3° right convex thoracolumbar scoliosis at T4-L3 which was measured using the Cobb Method, anterior head translation and a left high ilium. Thermal scan revealed dysautonomia secondary to vertebral subluxation. She sought chiropractic care to improve her quality of life.

Intervention and Outcomes: The patient received chiropractic care utilizing Thompson Technique, massage therapy, Chiropractic Biophysics (CBP) mirror-image exercises, and heel lifts. The patient was initially seen 2 times per week for 6 weeks, then 1 time per week for another 6 weeks until the first re-examination. After the first 3 months of care a re-examination and new x-rays revealed an improvement in thermal scan readings from severe to mild, left high ilium was balanced, posture improved, Cobb angle reduced to 24°. She had decreased low back pain, improved function and quality of life.

Conclusion: Chiropractic care is beneficial in reducing chronic low back pain even in failed surgical syndrome. This case study demonstrated that chiropractic care along with massage, mirror imaging adjustments, and postural exercises improved function, quality of life and improved spinal alignment in an elderly patient. Further studies are suggested.

Can you adjust someone who has had back surgery?

Yes. As highlighted in the above case, a Chiropractor can adjust a patient who has had back surgery before. The Chiropractic techniques and locations that are adjusted change depending on the patient’s history and previous surgery.

How can Chiropractic help a patient who has had surgery before?

After a surgery, patients have a lot of work to do to build back their strength and good habits amongst their spine again. A Chiropractic can greatly help a patient coordinate and align their spine, even after a surgery. Often times the area that has been surgically corrected is not touched, but the rest of the spine is. By addressing all of the moving parts it allows the body and spine to function better again.

The lady in the above case study was not aligned from the head to the pelvis. In helping adjust the neck, mid back, and low back the Chiropractor was able to help her find better spinal balance. This in turn helped her greatly to feel better and live better.

I work with many patients who have had successful surgeries before. I also work with many patients who have had unsuccessful surgeries. I hope that your surgery has been successful. If you want to make the best of your spine for the future – consider Chiropractic.

acrostic poem about chiropractic written by heather peever

Chiropractic acrostic poem

CHIROPRACTIC acrostic poem

Care for the Whole Body
Healthy way to optimize living
Innate wisdom of the body to heal from
the inside, out
Respect for the body
Optimum Health is the Clinics Motto
Positive and Healthy results
Realize your potential
Activator & Manual Adjustments
Compassionate Doctors
Teach about the value of Chiropractic
Inspire others about healthy healing
Chiropractic

Written by Heather Peever

Back Spasms Prevention Tips

Suffering from old injuries

Old injuries can play a painful role in our futures.  Unfortunately, the injury has happened – that can’t be erased.  Time continues forward and life continues on.  The body may have completely healed from this injury or it may not have.  Regardless, the brain has experienced this and has now created stronger nerve pathways to this area of injury. 

The stronger nerve pathway is similar to learning to write with your right hand vs. your left.  The dominant hand gets the training, leading to stronger neurological connections.    This works in your favour in this case, but not in the case of injuries. 

In the case of injuries, the stronger pathway means that you are able to feel things from that area of the body much easier.  And because it is associated with an injury from your past, it is most likely a thing your body wants you to avoid.  The brain perceives this information as threatening or dangerous, leading to pain.  Often it is a similar pain as the old injury was due to the memory / pathway. 

Interestingly, even when the pain is extreme, the old injury may be safe / not newly injured.  The pain can be a way for your body to scare you into avoiding hurting it again – a warning mechanism.  A Chiropractor who knows your body and your injury patterns can help you navigate this painful time and encourage you towards recovery. 

Back injuries can be especially prone to create suffering in the future due to the amount of nerves travelling through the area and their complexity. Stronger nerve pathways – stronger connection for the brain to connect to the injury. Learning how to address these injuries is very important at any stage of healing and recovery.

What can you do about old injuries when they hurt?

As a Chiropractor, I help people manage with their old injuries every day in my Mississauga practice.  By analyzing the movements and reflexes of their body as a whole, it is possible to determine the best way to guide the patient towards their normal again. 

What can you do about old injuries on the better days?

During the better days, it is important to continue working on good healing habits.  This may be specific to the injury or more general towards healthy behaviours.  Chiropractic is an amazing way to improve and work on an old injury, even when it is not painful.  Often times this is referred to as maintenance care.  The patients acknowledge an area of problem within their body, and so do efforts to maintain its ability to function, move, and to try and avoid more recurrences.

Another important aspect is to help the brain relearn from the area of the old injury.  This includes learning to properly move the area and learning to trust nerve information coming from that area again. 

How can you help the brain relearn from the area of the old injury?

Even touching an injured area in the past gently can create an intense amount of pain.  It is important however to learn how to trust this information coming to the brain from the old injury as not dangerous.  Chiropractors are very good at helping people learn how to trust their old injuries again.  I talk with patients about this topic often in my practice.

There is a subconscious aspect to an old injury.  This can be addressed at the injury location or at the brain directly.  Using meditative techniques or hypnotherapy techniques can be helpful.  One of our Mississauga Naturopaths, Dr. Kirsten Almon, incorporates hypnotherapy aspects into her practice.

I have even used mantras, or repetitive phrases, to assist me with trusting my body as it was healing and recovering from old injuries.  I would say “My power is on, my body is healing” while feeling in great pain and discomfort, having trouble moving.   

How do you learn to properly move the area?

There are many ways to do this depending on the injury. In Chiropractic, we are always analyzing a person’s movements and reflexes.  In doing so, we often can identify improper ways they are doing things, or improper patterns.  The Chiropractic adjustment is done to help change the bad pattern and to help create new ones.  This requires repetition due to the brain holding on to old movement habits.  Identifying the bad habit with the patient is important as well, so that they can learn to avoid creating it or do behaviours that would help move towards a new pattern.

I hope this has given you confidence to work on your old injuries from a new perspective.  Work on it in good and bad times at the injury location, but also from the nerve pathways / brain. 

spinal fluid flow MRI

Spinal Fluid Flow

MRI Videos of Spinal Fluid Flow that is impacted with Neck Postures

 

When learning about the spine and how the body functions at the Canadian Memorial Chiropractic College in Toronto I didn’t understand from the text books how quickly the fluid in the spinal cord (Cerebral Spinal Fluid – CSF) moves.

I understood that the CSF was important for supplying nutrients/removing toxins from the brain and spinal cord and for protecting the cord from mechanical as well as chemical forces.  But I was missing a visual to understand its full functional impact on the health of the brain.

What I was missing was a visual:

Visual: The following two videos show standing functional MRI studies of a normal neck and a neck with a “blockage” created by poor postural strain on the neck and spinal cord.

(The front of the face is on the left. The back of the head is on the right. The brain is in the center with the spinal cord going down. The CSF is the black on the screen that is moving. The static is just background noise. )

Normal Neck with good flow of CSFNormal Neck with good flow of CSF. The fluid moves up and down smoothly in this case.
Blockage in neck with poor CSF flowBlockage in neck with poor CSF flow. The CSF fluid doesn’t make it past the mechanical blockage in the neck highlighted with the black arrow and “pounds” in the back of the head.

 


What did I learn as a Chiropractor from these MRI videos of the spinal cord, brain, and neck?

When I saw these functional MRI “videos”, a lot of clinical experiences made so much more sense to me. The experience that comes to mind is a pounding headache or migraine. Most people don’t make the connection of their headache or migraine pain to their neck and postures. But take one look at these videos and you can see the impact that a blockage in the neck has on the brain.  Constant physical pressure on the flow of the cerebral spinal fluid will greatly impact the health of the brain!

Through Chiropractic care, adjustments can be specifically given to the spine in order to unblock the neck. In doing so the pressure comes off the spinal cord and allows the CSF fluid to flow fluidly!

An analogy to show how the flow of fluid impacts the function of the brain and spinal cord

 

An early way to describe how Chiropractic treatment was helping a body was to use a garden hose as an analogy. When the hose is pinched, the water coming through it is slowed. The same goes for the spine with respect to the flow of CSF.

Also realize that I mention postural blockage in my description of the second video. These postural blockages, which in Chiropractic are called vertebral subluxations, can be induced by injuries, bad habits, sitting postures, and more.

A complete Chiropractic exam will help you identify any postural blockages that may be occurring in your spine. If any blockages are found, it is a good idea to correct them and keep them from returning!

Will I have pain in my neck if I have a postural blockage like the one seen in the video?

Sometimes, but not always.

Pain in the neck or pain in the back CAN be a warning sign that a blockage is occurring. Many people try to ignore or numb the pain associated with the spinal cord pressure by taking pain killers. The drug may make it hurt less, but it won’t move the bones.

But with today’s life we are so busy and focused that we usually don’t realize a health problem building up before it is too late.  A good example is a person who has a heart attack.  They usually feel okay before the heart attack – but they were in bad shape leading up to it.  The same goes for these postural blockages in your neck and spine.

That’s why it is imperative to have a complete Chiropractic checkup.

Where are these neck and spine videos from?

The videos are from a website that also discusses further implications of the long term consequences of a decrease in CSF flow and mechanical pressure on the spinal cord in the neck. Just imagine what would happen if the garden hose you were trusting to water your garden was pinched / twisted… your garden would not flourish without the proper water supply regardless of how often you fertilized the plants with chemicals. Now realize that a similar problem can be happening to your body and brain with the mechanical pressure occurring in your spine.

I hope this has helped you visualize the flow and blockage of the cerebral spinal fluid throughout the spine and how it can impact headaches and your health.  Read more about this topic just below!

If you want to stop having headaches and to grow your brain by positively impacting your spinal fluid flow – connect with a chiropractor and read more about postures here.

Sincerely,

Dr. Callum Peever – Mississauga Chiropractor at Erin Mills Optimum Health

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Natural Trees

Bad Balance Associated With Brain Damage And Decline

Bad Balance is Associated With Brain Damage And Decline

I recently came across this study from Japan that found an association between postural instability (bad balance) and early pathological changes in the brain and functional decline, even in apparently healthy subjects.  Check out the article, read my insights, and also read the case of a young boy with a traumatic brain injury leading to balance and coordination problems who was able to improve with the help of Chiropractic! – Dr. Callum Peever

Association of Postural Instability With Asymptomatic Cerebrovascular Damage and Cognitive Decline
The Japan Shimanami Health Promoting Program Study

The postural instability was identified and assessed with a one-leg standing time test and posturography findings.  I am uncertain what specifically posturography entails, but can deduce that it is a measure of a person’s posture.  I do understand one-leg standing times and tests and use it frequently in my chiropractic office in Mississauga.

One Leg standing tests in my Chiropractic Offices in Mississauga

One-leg standing is an important function of a functioning body.

If you cannot stand on one leg, you cannot confidently walk or go up stairs, and it is also difficult to walk and down stairs.

This greatly impedes a person’s ability to maintain there independence and I will usually say that if you cannot stand on one leg for over 5 seconds – you need a cane or support.

The coordination of balancing on two legs against gravity is challenging for the body, but we do get good at it through our neurodevelopment as a child.

Standing on one leg is much more difficult, but once again our bodies do get impressively good at coordinating all of the neurological reflexes and mechanical motions required to stand on one leg well.

How do you use one leg standing time in your Mississauga Chiropractic office?

I will typically have patients stand on one leg or balance with their eyes closed when undergoing a chiropractic exam to determine how well their brain is able to connect/communicate/coordinate their body against gravity.

I notice that people with a health history of hitting their heads will be more unstable when attempting to balance.

It is interesting is to see that these researchers in Japan found an association between postural instability and cognitive decline and brain damage.

Improving one leg standing tests in an elderly chiropractor patient – 

In my chiropractic offices I have seen patients improve their one leg standing times, postures, and balance while undergoing regular chiropractic care.

John is a chiropractic patient in his 90’s who was very unstable when I first started working with him.  He was also very rude and could not handle the other social interactions throughout the waiting room at my chiropractic clinic.  Through weekly chiropractic adjustments it has been amazing to see the improvements in John’s balance over the year.  His confidence has also noticeably improved and his demeanor with other people.

Even though this study from Japan did not discuss improvements in posture and spinal mechanics impacting the health of the brain, we do see the impact in our chiropractic offices, such as in John.  There are studies regarding neuroplasticity that highlight the amazing ability of the brain to continue to change, grow, and improve even at any age.

If you are noticing that your balance is decreasing, start making an impact to improve it now as it can be associated with cognitive decline and brain damage.

Recognize that Chiropractic care is aimed at helping keep your nervous system clear of interference so that the brain can communicate well with the body, which can help you improve your balance in life and help you live well.

Here is a 2018 research study from the Journal of Upper Cervical Chiropractic Research that highlights the improvement in stability of 9 separate patients when measured by posturography.

Are there other studies I could read if I am curious to learn more?

Here’s another recent study “…showed statistically significant differences in static balance parameters between patients with spinal canal stenosis compared with the asymptomatic group.” -A comparative analysis of static balance between patients with lumbar spinal canal stenosis and asymptomatic participants.

Here is a 2015 study showing excellent results of patients being helped by chiropractic care when experiencing dizziness or balance disorders :

The Role of Chiropractic Care in the Treatment of Dizziness or Balance Disorders: Analysis of National Health Interview Survey Data.

And here is a pdf report about how Chiropractic adjustments can make you smarter! Can Chiropractic Adjustments Make you Smarter PDF

Here to help you improve your brain health through chiropractic care!

Dr. Callum Peever – Chiropractor in Mississauga at Erin Mills Optimum Health

phdabis presentation on balance in the workplace by Dr. Tiffany and Dr. Callum
Peel Halton Dufferin Acquired Brain Injury Services presentation on balance in the workplace by Dr. Tiffany and Dr. Callum


Improvement in a young patient with a traumatic brain injury that led to balance problems

The following are excerpts from a 2016 research article from the journal of pediatric, maternal, and family health regarding the case of a boy who had a traumatic brain injury causing many coordination and balance problems.  Fortunately for this boy, his family sought chiropractic care and he was able to improve his coordinate and balance, leading to more confidence and improved quality of life. Amazing! – Dr. Callum Peever – Chiropractor in Mississauga at Erin Mill Optimum Health

Improvement Following Chiropractic Care in an 11-year-old Male with Traumatic Brain Injury: Case Report & review of Literature

“Clinical Features: An 11-year-old male presents for chiropractic care with a history of traumatic brain injury (TBI) as a result of a motor vehicle collision 5 years prior. The patient lacked proper motor control and use of his left hand and lacked balance and coordination of the lower extremities. The patient had difficulties with speech and was unable to find balance of a global wobble board and took 5 minutes to find balance on a uniplanar wobble board and held it for 5 seconds.”

“Intervention and Outcome: The patient received chiropractic adjustments characterized as high velocity, low amplitude (HVLA) thrust type known as Diversified and Thompson Technique. In addition to adjustments, neuromuscular re-education was utilized to provide increased coordination for left upper extremities and proprioception for lower extremities. The patient received care over a period of eight months consisting of 28 visits. As a result of the care he received, the patient demonstrated improved coordination, is able to balance on a global wobble board, is better able to enunciate words and has an improved quality of life.”

“Conclusion: This case report provides supporting evidence on the effectiveness of chiropractic care in children with traumatic brain injury.”

“Case Narrative: An 11-year-old boy with a traumatic brain injury 5 years prior involving many fractures leading to decreased strength and coordination. The mother stated previous practitioners reported there was nothing more that could be done to improve her son’s coordination. On postural examination, the patient demonstrated an anterior head carriage with bilateral rounded shoulders.”

“The patient received care over a period of 8 months consisting of 28 visits. As a result of the care he received, the patient demonstrated improved coordination, is able to perform finger-to-nose without hitting himself, is able to balance on the global wobble board, and is better able to enunciate words. The patient’s mother stated “The other day he ran to me saying he was able to tie his shoes and had me watch him. He was not able to button his pants, dress himself, or tie his shoes before coming here to the clinic. Now he is able to button his pants, dress himself, and tie his shoes without any help. He is getting better grades in school and is now participating in sports and activities in his Physical Education class. He is so much happier and more independent.””

“Conclusion: The case study demonstrates that chiropractic combined with neuromuscular re-education and therapeutic exercises may be effective in improving coordination, strength and balance due to a Traumatic Brain Injury.”

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