Tag Archives: treatment

Trigeminal Neuralgia

Chiropractic has Helped With Trigeminal Neuralgia

Chiropractic has helped people suffering with trigeminal neuralgia.

The pain experienced from trigeminal neuralgia is excruciating. Many patients are left on painkillers with no hope for help.  Chiropractic offers a natural supportive strategy that helps reduce the pressure on the nerve system at different key locations.

“I have been a patient of Erin Mills Optimum Health since 2007.  The care and treatment that I receive is that of excellence and compassion.  I suffer from Trigeminal Neuralgia – otherwise referred to as the Suicide Disease.  The pain accompanied with this condition is extreme and dibilitating, with little medication available to deal with pain.  Chiropractic has been a ‘life line’ for me, without this, I would not have any quality of life.  The mental impact of the condition is a challenge each day.  Erin Mills Optimum Health has allowed me to deal with life in a positive and healthy way – so happy they are in my life.  – K.H.”

What is the trigeminal nerve?

The trigeminal nerve supplies many nerves to the face as seen in the featured image.  The nerve comes through the skull bones and can be irritated by these openings as well as the jaw (TMJ).  The trigeminal nerve originates along the brainstem and into the upper neck at the base of the skull.  Pressure on this nerve creates the painful condition called trigeminal neuralgia.

How can Chiropractic help with Trigeminal Neuralgia?

Since the nerve originates in the spinal cord, pressure created by vertebral subluxations in the upper neck can irritate trigeminal neuralgia.  By specifically adjusting these subluxated vertebrae, the pressure can be slowly released from the spinal cord and these nerves, reducing the excruciating pain and allowing the patient to get back to their naturally healthy selves.  By also checking and adjusting the jaw (TMJ), any pressure created by the jaw on the trigeminal nerve branches can be reduced as well.

Chiropractic can help.

Here is a 2015 research report on Resolution of Facial Neuralgia Following Reduction of Atlas Subluxation Complex:   A Case Study

Here are some great excerpts from a 2016 research paper titled Resolution of Trigeminal Neuralgia Following Upper Cervical Chiropractic Care Using Quantum Spinal Mechanics 3 (QSM3)

“Trigeminal Neuralgia (TN), “tic douloureux,” French in origin meainging “painful smasm,” is a widespread neurological disorder…”

“TN is a condition derived from neurological origin involving segmental demyelination of the trigeminal nerve and its sensory branches. Advanced research has shown that injury to the myelin, caused by compressive forces on the microvasculature supplied to the trigeminal nerve, can lead to demyelination and over activity of the nerve. Demyelination of the trigeminal nerve can take place in the nerve root or at its location exiting the pons.3,4 Although the exact etiology of TN remains unclear, several causes have been found to contribute to the formation of TN. Trigeminal neuralgia is usually caused by an intracranial artery (anterior inferior cerebellar artery and ectatic basilar artery) or, less often, a venous loop that compresses the 5th cranial (trigeminal) nerve at its root entry zone into the brain stem.6 Less common causes include compression by a tumor, multiple sclerosis plaque at the root entry zone, an aneurysm, or by a whiplash injury, causing a subluxation to the upper cervical region.3,6 “

“A 55-year-old female patient presented with a chief complaint of Trigeminal Neuralgia, affecting her right jaw region. The patient claims her symptoms were experienced at least once a day and included spontaneous, intermittent pain paroxysms that were aggravated by activities such as chewing, talking and stress related interactions. The patient reported that her symptoms began six months prior to her seeking medical treatment and was diagnosed by her neurologist with TN.” – Unfortunately for this patient, the drugs did not help her pain or the occurances of trigeminal neuralgia.

Discussion:

“By incorporating Kent’s models of vertebral subluxation, the dysafferentation model can be used to propose a theory of how the upper cervical vertebral subluxation in this case led to the relief of symptoms caused by TN. Kent explains, “as a consequence, biomechanical dysfunction may result in an alteration in normal nociception and/or mechanoreception.” These alterations may result in postural abnormalities affecting tone. Furthermore, it is believed that “correcting the specific vertebral subluxation cause is paramount to restoring normal afferent input to the CNS, and allowing the body to correctly perceive itself and its environment.”16”

“Structural Consideration The trigeminal nerve (CN V) is anatomically considered the largest of the cranial nerves; predominantly providing sensation to majority of the face, as well as supplying motor innervation to muscles located around the jaw involved in chewing and biting. CN V nuclei (a collection of cell bodies) are located in the middle portion of the brainstem; the pons.19”

“According to source based chiropractic literature, patients diagnosed with TN and receiving chiropractic care, have shown to improve in pain symptomatology when receiving chiropractic adjustments in the upper cervical spine.3, 21 ,22”

“Chiropractic literature and research based upper cervical care, have shown to benefit those suffering from this condition, as well as other neurological deficits produced by spinal misalignments found in the C1 or C2 regions.3,21-28 “

” “If misalignments of the cervical spine are to affect the spinal cord a mechanical linkage must exist between the osseous structures and the spinal cord.” Grostic observed that “anterior rotation of the atlas on the side to which the atlas has laterally deviated with the lateral traction it may be possible to put traction directly on the sensory nucleus of the trigeminal nerve at the level of the first and second cervical vertebrae.” This investigation has led to the advancement in clinical chiropractic practice in effort to treat TN, as well as many other neurological deficits stemming from the upper cervical region.23,25,26  “

“Consequently, stress exerted on the spinal cord due to cervical vertebral misalignments, along with constant mechanical irritation, may result in venous occlusion; which can lead to a depletion of oxygen and nutrients delivered and supplied to the nervous system. Also, Grostic noted that delivery of blood is critical to the nervous system and if there is an obstruction, an increase in irritability of nerve tracts will occur leading to increase sensitivity on the nerves, perceived usually as pain.23”

“The chiropractic management of a 55-year-old patient suffering from trigeminal neuralgia is presented in this case study. Comprehensive improvement and alleviation of symptoms were achieved and recorded. “

-Fortunately for this person, her symptoms were able to alleviate with the help of Chiropractic.  I hope this happens for you as well.

Here to help,

Dr. Callum Peever
Chiropractor in Mississauga

heel pain picture

Ouch, My Heels Hurt!

Ouch, My Heels Hurt!

I often see patients complaining of heel spurs. More often than not, they have visited their family doctor, who have ordered x-rays and confirmed heel spurs as the cause of the heel pain and made referrals to me (Kiran Dave), as the specialist in foot disorders in Mississauga.

Today, I wanted to share with you all the distinction between the many causes of heel pain.

Patients who call my Mississauga health clinic with symptoms of heel pain usually require more time to evaluate, as often it is caused by a complex array of pathologies classified under the science of biomechanical dysfunctions. Although I am most often aware that the heel pain is not caused by heel spurs, as diagnosed by the family doctor with x-rays in hand, the condition still warrants a good biomechanical examination so as to not discount anything.

heel pain is not caused by heel spurs”

Most heel pains are caused by a soft tissue stress and strain called, Planter Fasciitis

(planter means the bottom of the foot and fasciitis means the inflammation of the planter fascia tissue). The Planter fascia is attached to the bottom of the heel bone and usually sustains strain in this area, secondary to bony structural compensations. Any stress injury stimulates repairs via inflammation, which is what causes the pain in the heel due to prolonged standing and walking. Most patients will complain of pain on getting out of bed in the morning or after sitting for a period of time. When a patient walks a little, they milk the inflammation out of the area and it actually alleviates some of their discomfort.

It is important to make the distinction that heel spurs are formed as a result of chronic Planter Fasciitis, and often cause no pain, unless the bottom of the heel is severely aggravated.

So what else could heel pains be caused from?

There are many other reasons and pathologies that will elicit heel pain. Usually, by undergoing detailed history and examination, I can always diagnose the reasons accurately and formulate the correct treatment plan.

  • Sub Calcaneal Bursitis mimics heel spur pains, but is another soft tissue injury.
  • A bruised heel can also create pain in the heels, but usually this falls into the category of a sub calcaneal bursitis.
  • Medial Planter Nerve Entrapment is also a painful heel condition, usually from soft tissue compressing the medial planter nerve. The symptoms are very different in the eyes of an experienced Chiropodist.
  • Heel bone Hairline Fracture is another reason which is normally sustained from jumping or traumatic injuries.
  • There are also some Cancerous growth elements that can,( but much rarer), also create heel pains.
  • Growing pain in the back of the heels, amongst young boys between the ages of 9 to 13 can also suffer from heel pain from a condition called Severs Disease, which is a growth plate dysfunction.
  • Pain in the back of the heel can be created by yet other soft tissue injuries labelled as Achilles Tendonitis, and/or Retro Calcaneal Bursitis.

Most of the above conditions eliciting heel pains are created from faulty structural or biomechanical dysfunction of the foot, resulting possibly from other body structures such as knee, leg, hip or back.

Treatment for heel pains

Treatment really depends on what the diagnosis is and what mechanisms are involved in eliciting the symptoms of pain.

Other factors include:

  •         What activities the patient is engaged with
  •         Occupation
  •         Footwear type
  •         Other symptoms involved

So much more is factored into making a unique treatment plan that works for the patient.

Any of the selections of treatment are discussed and the patient educated, so that patient can make a full and informed decision as to what works best for them. More often than not, the patient selects orthotic devices, which are custom made using accurate techniques, and approved by insurance companies. Custom orthotics will help not only heal the foot, but also other symptoms, and so remains the favorite choice by many. Nonetheless, a good and thorough examination is still the determining factor.

Take action quickly when suffering with heel pains

I would always suggest coming in as early as you can when you get any of the above symptoms, so that it can be accurately diagnosed and treated to prevent more advancing conditions that can stop you in your tracks. For example, when you have plantar fascial heel pains in one foot which are left unattended, it will eventually move into the other foot due to compensatory mechanisms. Referred pain can also continue to other structures.

By having your feet checked early, I intend to help you prevent other larger issues, such as back, hip, knee, leg, and ankle pains.

Get educated and informed about your feet, so we can help you take the right step forward.

Kiran Dave D.Ch
Chiropodist

Chiropodist Foot Care Specialist



What are are Heel Spurs?

A bony spur that projects from the back or underside of the heel bone (the calcaneus) and that may make walking painful. The walking is especially painful after a period of non weight bearing rest.

Calcaneal spurs at the back of the heel are associated with inflammation of the Achilles tendon (Achilles tendinitis), and cause tenderness and pain at the back of the heel, which is made worse by pushing off the ball of the foot.

Calcaneal Spurs at the bottom part of your heel bone under the sole (the plantar area) are associated with inflammation of the plantar fascia. The plantar fascia is the bowstring-like tissue that stretches from the heel to the forefoot underneath the sole.

These spurs can cause localized tenderness and pain that is made worse by stepping down on the heel. Calcaneal spurs and plantar fasciitis can occur alone, together, or they can be related to underlying diseases that cause arthritis, such as reactive arthritis and ankylosing spondylitis. In some cases, back, hip, knee and leg dysfunction can propagate heel pains or vise versa.

What can be done about heel spurs?

Treatment is originally designed to decrease the inflammation and avoid re-injury.

It is commonly suggested that heel lifts can be used to reduce stress symptoms on the Achilles tendon and relieve painful spurs at the back of the heel. Also, donut-shaped shoe inserts can be used to take pressure off any plantar spurs. Infrequently, surgery is done on chronically inflamed spurs.

However. most practitioners misunderstand and misdiagnose heel pains as heel spurs, when it is in fact planter fasciitis, so it needs to be looked at in a more holistic manner.

Our chiropodist eventually finds that for people suffering with calcaneal spurs or and planter fasciitis, he is required to make prescription orthotics to control the very cause and not just the symptoms. He finds that the other recommendations for the spurs only have limited benefits and can allow the original cause to progress as they may not be addressing the original underlying cause.

Our chiropodist suggests that it is always better to control the aetiology via good bio-engineered prescription orthotics. The approach is to do a full and extensive examination of the entire lower limbs, find the dysfunctional causes (and there is usually more than one cause), and educate the patient sufficiently, so that they can make an informed decision on what may work best for them.

What is a heel spur? Our Chiropodist explains.

How to Boost your Immune System

How to boost your immune system

Treatment and Prevention of Colds, Flus and General Immune System Support

Naturopathic Treatment of colds and flus:

 

Vitamin C: There is a treatment for the common cold after all. Vitamin C given in doses of 1000-8000 mg per day may reduce the duration of a cold episode by as much as 48%. [Does Vitamin C Alleviate the Symptoms of the Common Cold? – A Review of Current Evidence Scan J Infect Dis 1994;26:1-4.]

Oregano or Berberis complex: these herbs are anti-microbial. When taken 3x/day can stop any bacterial infection and decrease sick days.

Children and Adult’s Cold and Flu Elixir: for coughs, colds and flu this delicious elixir is gentle enough for children, but adults can also benefit from taking it.

Warming Socks: ask our Naturopathic Doctors or front desk for a copy on how to do this wonderful treatment that stimulates the body’s immune system to get busy to fight off colds.

Nebulized Glutathione: this in-house treatment given by our Naturopathic Doctors helps to break up mucous and hasten the recovery of bronchitis and sinusitis.

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Common Foot Issues – Bunions

Common Foot Issues – Bunions

Our friendly Mississauga Chiropodist, Kiran Dave, works with many common foot issues, such as Bunions.  Here he discusses what they are as well as their cause and treatment.  If you have more questions or need to investigate further, he will be happy to investigate your foot problem with you.

What are bunions?

  • Most commonly found in the female gender, but also seen in males.
  • Appears as a hard lump at the great toe joint with a misaligned big toe.
  • Bunions are progressive and can cause discomfort, especially in a bad shoe, like a pump.
  • Bunions also lead to hammertoes and clawed toes.

What is the cause of bunions?

The cause of a common foot issue like a bunion can be poor biomechanical function, hereditary and poor footwear.  Consult with our Mississauga foot specialist to investigate what is causing your foot issue.

What are the treatments for bunions?

The preferred treatment for bunions, which is most successful, is prescription orthotics. It is non invasive, simple and effective with good footwear.

Surgery can also be performed to correct the problem, but it is not the first recommended option.

For more information related to your common foot issues schedule a consultation with Kiran Dave.

Chiropodist Foot Care Specialist