We-Fix-U Physiotherapy and Foot Health Centres

Have You (or Someone You Know) Had a Heart Attack?

2012-02-13T21:33:00.001-08:00

Are you a victim of a heart attack? Are you scared to go for a walk with a friend, your spouse or your dog? Are you afraid to play too much with your grand children? Are you scared to play sports, laugh too hard, be intimate with your partner, or return to work? Do you avoid doing the things you used to love to do, because you fear having another heart attack? Are you or your family constantly watching for the warning signs of another heart attack?

If you are reading this and you feel lost in the world of what to do or not to do, we have good news for you. There is HOPE! We have the answers you need, and we can get you back to being active again. Cardiac rehabilitation reduces the risk of dying from another cardiac event by as much as 50 percent. It also improves quality of life.

At We-Fix-U Physiotherapy and Foot Health Centres, our team understands the anxiety and stress heart disease creates, which is why we are thrilled to announce our expanded Cardiac Rehabilitation program at our Cobourg location, at 727 William Street.

Our scientifically proven approach is suitable for people who have known heart disease (angina, coronary artery disease, have had an angioplasty), have had heart surgery, a heart attack or minor stroke. It is also suitable for people with high blood pressure, high cholesterol, overweight or obesity and diabetes.

Our program is medically supervised, and our professional staff work with you to develop an individualized program, which combines exercise, education and lifestyle change, with the support of our multidisciplinary team. And even better, once you graduate from the program, we are here to help you maintain your progress with ongoing support.

If you would like a safe and effective way to overcome the physical complications of heart disease, limit your risk of developing further heart trouble, and to return to an active lifestyle, then this program is for you. Call 905-373-7045 to set up your no-obligation free consultation to see if this program is suitable for you.

Shovelling Snow and Saving Your Back

2012-01-18T21:09:00.001-08:00

After a fantastically mild winter so far, Jack Frost is finally nipping at our toes, showing us the truism of Canadian winters – SNOW! Our shovels are out folks, and that means that snow–shovelling injuries are underway. While most people recognize that shovelling snow is hard work, few realize that it can actually be quite dangerous. Experts say it requires as much energy as running 9 miles per hour! Snow-shovelling also creates enormous amounts of stress and strain on your back. So, as winter “sets in”, I have outlined several tips for how to keep you back healthy this winter:

How to Avoid Hurting Your Back While Shovelling

· Don't shovel soon after you wake up. A slipped disc injury is much more likely to occur in the morning due to the build-up of fluid in the disc from lying down all night.

· Warm-up before you start shovelling. Cold, tight muscles are more likely to strain than warm, relaxed muscles.

· Choose a snow shovel that is right for you! : Your shovel should have a curved handle, which allows you to keep your back straighter when shovelling. The handle should be correct for you – you should be able to slightly bend your knees, flex your back 10 degrees or less, and hold the shovel comfortably in your hands at the start of the shovelling “stroke”. When you grip the shovel, make sure your hands are at least 12 inches apart. By creating distance between your hands, you increase your leverage and reduce the strain on your body. . A smaller blade will require you to lift less snow, putting less strain on your body.

· Push the snow, don’t lift it. Pushing puts less strain on your spine than lifting.

· If you must lift the snow, make sure you lift properly: Squat with your feet about hip width apart for balance and keep the shovel close to your body. Your knees should be bent and back straight. Lift with your legs (bend from the knees, not from the back). Do not bend at the waist. Tighten your stomach muscles as you lift the snow. Scoop small amounts of snow into the shovel and walk to where you want to dump it. Pick the right shovel for you

· Never throw snow over your shoulder: avoid twisting movements. If you need to move the snow to one side, reposition your feet to face the direction the snow will be going.

· Try to scoop a lot of little loads instead of fewer big ones.

· Pace yourself by taking frequent breaks to gently stretch your back, arms and legs.

· Use slip-resistant boots or wear ice shoes

· Spray or rub some type of lubricant on the shovel blade to keep snow from sticking to your shovel.

· Most importantly, listen to your body. Stop if you feel pain.

Northumberland's New Neurological Rehabilitation Program

2011-12-02T09:15:00.001-08:00

Northumberland County is about to get a new much-needed rehabilitation service for residents with neurological impairments, such as stroke, acquired brain injuries, Multiple Sclerosis, or Parkinson’s. Alison Crawford, a physiotherapist with 25 years of experience in rehabilitating neurological conditions, has joined the team at We-Fix-U Physiotherapy and Foot Health Centres.

Typically, when a traumatic event causing damage to the nervous system occurs, acute rehabilitation is provided through our local hospital physiotherapy department. Following discharge from the hospital, the patient is able to receive a limited number of visits for rehabilitation in their own home, with funding through local agencies. Unfortunately, this is not enough to achieve the maximum recovery possible. As an example, research states that a stroke victim can benefit from physiotherapy up to one year post -stroke. Conditions like this need daily intense physiotherapy for at least the first 3-6 months.. We-Fix-U co-owner and Physiotherapist, David Evans, was concerned about the lack of intensive rehabilitation available once the patient leaves the hospital, and so he decided to take action, leading to Mrs. Crawford’s recruitment.

Alison will be heading the new Neurological Rehabilitation program offered at We-Fix-U clinics in Cobourg and Port Hope. Primarily using the very specialized and most advanced neuro-rehabilitation method called the “Bobath Concept”, Alison will be able to work hands-on with Northumberland residents who have suffered strokes, Multiple Sclerosis, Parkinson’s Disease and other brain and spinal cord problems. Through rehabilitation, Alison will teach patients how to manage their condition to maintain or gain as much functional independence as possible; she will work with patients to reach their goals, and can work with care givers to reduce the physical burden of care giving. This program is available in the clinic setting, or in-home.

For more information about the program, or to book an appointment for a free consultation with Alison, please call 905-373-7045.

Omega-3s Instead of Anti-Inflammatory Drugs?

2011-11-29T20:34:00.001-08:00

Non-steroidal anti-inflammatory medication is often prescribed to people with acute and chronic inflammatory conditions, such as injury or arthritis. Many people do not realize the potential harmful effects the medications can have, especially if taken for long periods. There is good news! New medical research has shown that omega-3 fatty acids (found in fish and flax seed oils) may be just as effective as anti-inflammatory drugs, without any of the negative side effects.

Another medical research study, through the medical centre of Pittsburgh University, studied the effects of omega-3 used to treat neck and back pain, instead of anti-inflammatory medication.

The study involved 125 patients suffering from chronic back and neck pain who were being treated with anti-inflammatory drugs. Each person also took one 1200 mg fish oil capsule per day.

After 3 months the results showed that:

- 59% of patients found that the omega-3 was so effective at relieving the pain that they were able to stop the anti-inflammatory treatment,

- 60% of patients said that their pain had been generally relieved

- Pain in joints in particular had been relieved in 60% of cases

- 80% of respondents said that they were satisfied with their treatment and 88% wished to continue taking omega-3.

Curling Training Tips

2011-11-23T18:39:00.001-08:00

We all want to have perfect form and the perfect shot when delivering a stone down the ice but most often when we push off we are more worred about trying not to fall over.

Balance is a major factor in the sport of curling. Balance is not the easiest at the best of times. Add to the mix some ice, a slippery shoe, some painful joints and the aging process and you have a recipe fo a fall or other injury.

What most do not know is that you can improve your balance quite easily. You do not need to go to the gym or buy big heavy equipment to improve your balance.

Balance comes from the brain. All the muscles and joints in your body have little receptors that provide feedback to our brain telling us where every part of our body is in space. This is called proprioception. When you are sliding down the ice to take a shot and you start to loose your balance you muscle and joint receptors send messages to the brain to adjust your center of gravity. Your muscles then react to this stimulation trying their best to keep you from wiping out.

The solution is easy and your game or hip will thank you. So lets all take 5 minutes out of our busy day, stand on one foot and balance. You achieve maximum benefits by putting yourself in a situation that makes you wobble forcing you to regain a controlled position. If you find standing on one foot too easy try closing your eyes or juggling while standing on one foot. It only takes 5 minutes a day and in 3 weeks you will feel a significant difference when making your next shot.

If you are afraid of falling or have fallen in the past you might want to be assessed by a physiotherapist. They are experts in this area and will help you regain your balance and confidence again.

Play Safe, Play long.

By David Evans, Physiotherapist

Safe Curling

2011-11-10T08:34:00.001-08:00

Good news. Studies show that the curling is a very safe sport with an overall reported injury rate of 3.5%. While curlers are seldom injured seriously, the nature of the sport stresses our bodies in ways we don’t typically stress in our daily routine. Knee, back and shoulder pain are common symptoms experienced by curling participants, due to the sweeping motion, which involves repetitive upper limb movements, and the delivery position which requires sustained knee and low back flexion. Unfortunately, the aging process that causes our joints to degenerate and muscles to get weaker makes us more vulnerable to these types of strains and pains.

If you were like me at the start of this curling season you did not do a pre season strength and stretch program to get your body ready for the added joint and muscle stress. You most likely are experiencing some muscle and joint soreness today.

As with any physical activity, the joints you rely on are only as strong as the muscles supporting them, so a regular exercise program aimed at strengthening all of the leg muscles will help prevent the knees from injury. Low back and shoulder problems often result from improper sweeping technique, as well as poor technique in moving and sliding the rocks. Curling stones weigh up to 20 kilograms so remember to slide -- not lift -- the rocks, especially during delivery, and to bend at the knees while keeping your back straight. Wear the right equipment, including proper curling shoes to help keep your feet solidly underneath you on the slippery ice. Finally, take lessons to learn proper technique so you avoid common mistakes in form that can cause injuries.

Preparing your body is important not only throughout the season, but also as preparation in the pre-season. A pre- and post-game routine of at least 5 minutes of warm-up exercises and stretching of the back, arms, shoulder, legs and groin will help prepare the muscles and joints for the game.

If you curl at The West Northumberland Curling Club you will find a warm-up exercise board provided by We-Fix-UPhysiotherapy and Foot Health Centres, located in the change rooms and lounge. These exercises will guide you towards a safe and injury-free season. You can also find these exercises on our website: www.we-fix-u.com

Play Safe, Play long.

David Evans

Physiotherapist

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2011-11-08T10:24:00.001-08:00

Diabetes: Local Foot Specialists Prevent Amputations

2011-11-08T10:10:00.001-08:00

According to the Canadian Diabetes Association fifty percent of lower extremity amputations result from diabetes-related complications. Eighty-five percent of all diabetes-related amputations are preventable.

Nerve damage so poor that a person may not be able to feel their feet at all, poor blood supply, poor wound healing, increased risk of infection and changes to foot structure (which can lead to open sores on the feet) are only a few of the complications associated with diabetes. All of these complications increase a person’s risk of amputation. “Our role as foot specialists is to educate and prevent amputation in people with diabetes”, says Cristol Smyth, Chiropodist and co-owner of We-Fix-U Physiotherapy and Foot Health Centres.

The celebrate World Diabetes Month, foot specialists at We-Fix-U have a mission to provide foot health education to as many people with diabetes in Northumberland County as possible. “We have a tremendous roster of clients who participate in our diabetes foot health program, however for various reasons, there are still many people who are not able to access this type of service, and so are not familiar with how to prevent foot complications related to diabetes”, says Mrs. Smyth.

On Friday, November 18 from 9:00 a.m. until 2:00 p.m. Chiropodists at We-Fix-U locations in Cobourg and Port Hope will offer their FREE annual diabetes foot health screening clinic, to identify risk of diabetes-related foot complications, provide foot health advice, and evaluate footwear. To book an appointment contact the clinics immediately as the schedule fills quickly. Participants in the program will also be given a free diabetes care kit.

We-Fix-U COBOURG

727 William Street, COBOURG

905-373-7045

We-Fix-U PORT HOPE

125 Toronto Road, PORT HOPE

905-885-0024

About Chiropodists (Aka Podiatrists)

Members of the College of Chiropodists of Ontario are the only provincially regulated foot health specialists. They are exclusively trained and licensed to practise foot health. It's your assurance of the most comprehensive foot medicine available by practitioners regulated to the highest standards of care.

About We-Fix-U

The staffs at We-Fix-U understand that pain and disability impact your life and you don’t always have enough time to take care of it. “The Dave and Cristol Standards of Care” for We-Fix-U encompass a three-pronged approach to treating your ailments. The First is to resolve your symptoms so you can start to feel better, faster. The Second is to discover the root of the problem so they can prevent it, and new ones, from returning. The Third is to make your treatment fun, friendly, effective and professional.

The staffs at We-Fix-U have the ability to use a true multidisciplinary approach to your wellbeing. This allows them to consult with various experts on their team, to ensure they are giving you the best and most comprehensive approach to getting you better.

We-Fix-U’s team includes physiotherapists, chiropodists (medical foot health specialists), registered massage therapists, athletic therapists, and chiropractors.

We-Fix-U has two locations in Northumberland County: 727 William Street in Cobourg, and 125 Toronto Road in Port Hope. Visit we-fix-u.com

Chiropractors Attack $8 Billion Annual Cost of Injury Treatment

2011-10-17T07:24:00.001-07:00

Chiropractors are physicians who have studied for 7-8 years, earning the title of Doctor of Chiropractic. They use their superior manual approach to provide non-invasive, hands-on techniques to diagnose, treat, and prevent disorders related to the spine, pelvis, nervous system, joints and muscles.

Dr. Paul Davison, a Chiropractor at We-Fix-U Physiotherapy and Foot Health Centres, says that “by specializing in spinal and joint manipulation, Chiropractors play an important role in the Canadian health care system by getting patients back on their feet quickly and cost effectively”. Studies indicate earlier return to work, reduced costs and high patient satisfaction with chiropractic treatment for spinal and other musculoskeletal disorders. This directly attacks the $8 billion a year cost of back pain and related disorders (Canadian chiropractic association, 2006).

Chiropractic care can benefit a wide range of people, from infants, to the elderly, athletes to chess players. Chiropractic care may also be used to gain symptomatic relief for patients who suffer with chronic conditions. There are many reasons to seek chiropractic care:

· Back pain

· Neck pain

· Headache

· Whiplash

· Strains and sprains

· Repetitive strain injury (RSI)

· Work and sports injuries

· Arthritis

· Limited range of motion in the back, shoulder, neck or limbs

· General health and well-being

When seeing a Chiropractor, the goals of treatment are to return the patient back to their daily lives with pain-free activity. Once the practitioner and patient feel sufficient progress is being made, a gradual reduction of treatments occurs and the patient is then placed on maintenance care. Maintenance care is the prevention of future injury. “You don’t wait until the engine seizes up before you change the engine oil right? No, you change the oil every 5,000km’s to prevent that from happening. Well, you need to help keep your body “tuned up” so injury is less likely to occur”, says Dr. Davison.

Chiropractic is a regulated health profession, recognized by statute in all Canadian provinces. Almost 2 million patients in Ontario rely on Chiropractic care every year to help them live healthy, active lives. Although Chiropractic care is not covered by O.H.I.P, it is generally covered under extended health benefits. You do not require a family doctor’s referral to see a Chiropractor.

About Dr. Paul Davison, Hons B.Kin, DC, ART (Chiropractor / ART provider):

Dr. Davison was born and raised in Cobourg. He graduated from Brock University with honours in Kinesiology and then went on to graduate with distinction from the New York Chiropractic College. His area of special interest is in treating athletic injuries. He is a competitive athlete himself, and helping his fellow competitors recover from their injuries is his passion. Dr. Davison volunteers his time as a trainer with the Cobourg Cougars Jr. A hockey team. Dr. Davison is now accepting new patients at both the Cobourg and Port Hope offices of We-Fix-U.

About We-Fix-U Physiotherapy and Foot Health Centres:

We-Fix-U understands that pains and disability impact your life and you don't always have enough time to take care of yourself. That is why We-Fix-U's goal is to get you better, faster, and keep you going, longer.

Employing a large team of experts: Physiotherapists, Chiropodists, Massage Therapists and Chiropractors, We-Fix-U has the ability to give you the best and most comprehensive approach to getting you better.

We-Fix-U co-founders David Evans (Physiotherapist) and Cristol Smyth (Chiropodist), employ a standard at each clinic, appropriately called "The Dave and Cristol Standard". Through this standard, We-Fix-U takes a three-pronged approach to treating your ailments: The first is to resolve your symptoms so you can start to feel better, faster. The second is to discover the root of the problem so we can prevent it, and new ones from returning. The third is to make your treatment fun, friendly and effective. Visit www.we-fix-u.com

Local Dentist "Hearts" We-Fix-U!

2011-10-14T08:36:00.001-07:00

If you suffer from heel pain (plantar fasciitis), click here for help!: http://www.we-fix-u.com/footCare/plantarFasciitis.htm

About We-Fix-U Physiotherapy and Foot Health Centres:

We-Fix-U co-founders David Evans (Physiotherapist) and Cristol Smyth (Chiropodist), employ a standard at each clinic, approrpiately called "The Dave and Cristol Standard". Through this standard, We-Fix-U takes a three-pronged approach to treating your ailments: The first is to resolve your symptoms so you can start to feel better, faster. The second is to discover the root of the problem so we can prevent it, and new ones from returning. a three-pronged approach to treating ailments: The first is to resolve symptoms, and the second is to discover the root of the problem, to prevent your problem (and new ones), from returning. The third is to make your treatment fun, friendly and effective. Visit www.we-fix-u.com

Local Dentist <3 s We-Fix-U!

2011-10-14T08:21:00.001-07:00

Local Dentist <3 s We-Fix-U

2011-10-14T08:20:00.001-07:00

David Beckham and now Ryan Howard: Achilles Tendon Injury

2011-10-14T07:41:00.001-07:00

David Beckham, and now Philies’ slugger Ryan Howard, are among many professional athletes who have suffered through an Achilles tendon injury. More specifically, they tore their Achilles tendon. While an Achilles’ tendon tear can be seen in all levels of competitive athletes, they are commonly linked with male recreational athletes; especially the weekend-warrior type, who may be somewhat de-conditioned.

Recognition and treatment of an Achilles tendon injury is very important, as neglected or unrecognized ruptures can cause many future problems with both daily activities and sports competition.

Where is the Achilles tendon, and what does it do?

The Achilles tendon attaches the calf muscles to the back of the heel bone. The tendon is large and strong and must be able to resist and transmit large forces produced by the powerful calf muscles to move the foot. The tendon is responsible for pushing the foot down, and is therefore necessary to perform in all sports, especially those in which jumping is necessary.

What is an Achilles tendon rupture (tear)?

A tear at any point in the tendon, but generally it is seen slightly above where the tendon attaches to the heel bone.

What causes injury to the Achilles tendon?

High impact activities that put repeated strain on the tendon. Common activities that stress the tendon are running, prolonged walking, high–impact sports such as soccer, volley-ball and basket-ball, and even standing for prolonged periods of time. Really, any activity which creates significant force placed on the leg with the knee extended and foot pulled up. This usually happens when awkwardly landing from a jump, and stresses the tendon when it is stretched to its maximum ability.

A person is often at a higher-risk of injury if they have over-pronation, seen most commonly in those with flat feet. The arch collapses during impact activities, causing the foot to roll inward, and puts stress on the Achilles tendon.

Other risk factors which initially create a weakening of the tendon, include cortisone injections in or around the Achilles tendon (which can weaken the tendon), pre-existing Achilles tendonitis (inflammation of the tendon) which causes weakening of the tendon over time, certain medications, diabetes.

What are the symptoms of an Achilles tendon tear?

A sudden sharp pain as if someone has whacked you in the back of the leg with something. This will often be accompanied by a loud “snap” or “popping” sound. You will feel weakness in your leg and will be unable to walk properly or stand on tip toe. You will be unable to walk properly and unable to stand on tip toe. There may be a gap felt in the tendon. There will be a lot of swelling.

How is an Achilles tendon tear treated?

There are two types of treatment options: Surgical and non-surgical. Prompt treatment is necessary as a torn Achilles tendon does not heal on its own.

Non-surgical treatment typically involves placing the foot in a cast or rigid boot to hold the foot in a down-pointed position, to get the torn tendon edges as close as possible. Weight bearing is not permitted in the beginning, but is gradually encouraged after healing ensues at 4 to 6 weeks. Physiotherapy is always necessary, to strengthen the muscles of the leg and calf, and is initiated when significant healing has occurred. Physiotherapy is also needed to build increased balance and proprioception.

The non-surgical form of treatment However, this form of treatment may result in incomplete or no healing; creating a high risk of re-injury; and it can take a year or more to return to athletic activity.

Surgical treatment involves surgically re-attaching the Achilles tendon, followed by the non-surgical treatment protocol as above.

At our clinics, we use a multidisciplinary approach to treating Achilles tendon injuries, because we want our patients to get better quickly and we want to make sure that we address all areas of concern, to prevent re-injury. While undergoing physiotherapy, our patients may also be treated by a massage therapist and/or chiropractor; and a chiropodist to address any mechanical foot problems which place increased strain on the tendon.

If you have noticed some discomfort in your Achilles tendon or the back of your heel, chances are you have strained the tendon and have Achilles tendonitis. Click here: http://www.we-fix-u.com/footCare/achilles.htm, to avoid further injury.

About We-Fix-U Physiotherapy and Foot Health Centres:

Are Your Feet Getting Old?

2011-10-12T22:59:00.001-07:00

Experiencing the Agony of De “Feet”? You are not alone. Foot problems are especially common in seniors for a variety of reasons. Feet lose cushioning as they age, and the skin and nails can grow dry and brittle, and nails often become difficult to trim. Many seniors have poor circulation, and this can slow the healing of foot sores.

There are many different problems seniors commonly face. Keep in mind that most of these problems can be prevented and treated. Here are a few of the most common problems:

Dry Skin: Apply a thick cream to your feet TWICE daily. Avoid putting cream between your toes.

Athlete’s Foot: Athlete’s foot is a fungal infection which can infect you anywhere on your feet: soles, between the toes and the toe nails are the most common areas. Feet are the best place for this fungus to cause problems. The fungus loves a warm, moist and dark environment. Common signs and symptoms are redness, peeling, itching (sometimes), and tiny blisters. If you suspect that you may have athlete’s foot, please seek professional help. To prevent this infection, keep your feet dry and clean and avoid walking barefoot in public areas.

Hammer Toes and Claw Toes: Arthritis, heredity and a muscle imbalance in the foot or other foot dysfunction can cause hammer toes and claw toes. Though they are not always painful, they can be. Generally, the most common reason for pain is the development of a corn or callus on top or at the bottom of the toes. This is generally due to shoes fitting too shallow in the toe area. Always make sure to wear shoes with a deep toe box to avoid the pressure on the top of the toes.

Corns and Calluses: Sometimes caused by ill-fitting shoes, but not always. Most are caused by a mechanical problem in the foot, causing excessive pressure which causes a callus or corn to develop. Wearing properly fitting shoes and consulting with a chiropodist is the best way to prevent these often painful areas. If they do arise, you can file them down with a pumice stone or foot file. Avoid medicated corn pads sold in drugstores as they can cause damage to the healthy skin and cause serious problems and pain.

The very best thing you can do for your feet is to wear comfortable and SUPPORTIVE shoes. Keep in mind that your feet can become wider, and seemingly longer (the arch may collapse) as you age. Your foot size will then change. You should always have your feet measured (while standing) before buying new shoes. Spending a lot of money on shoes does not guarantee that the shoes are supportive…neither does the brand. To find a supportive shoe look for three things: The heel counter (back of the shoe) should be stiff when squeezed. The arch of the shoe should not bend easily and the shoe should be stiff if twisted from side to side. Proper footwear is essential in preventing foot problems and falls.

If you think you may have a foot problem, visit the office of a Chiropodist. Members of the College of Chiropodists of Ontario are your regulated medical foot health specialists in this province. They are designated as primary health care professionals, and they are the only practitioners in Ontario trained and regulated exclusively to provide advanced foot care and orthotics. We-Fix-U Physiotherapy and Foot Health Centres has a highly educated and highly trained team of Chiropodists who can help you get the results you need.

About We-Fix-U:

We-Fix-U takes understands that pain and disability impact your life and you don't always have enough time to take care of yourself. That is why We-Fix-U's goal is to get you better, faster, and keep you going, longer.

Visit www.we-fix-u.com

Free Gait Analysis!

2011-09-30T07:28:00.001-07:00

Local Chiropractor Joins We-Fix-U Team!

2011-09-26T08:21:00.001-07:00

There is a new, but not so new face in town: Dr. Paul Davison. A native of Cobourg, Dr. Davison has returned to his home town to use his chiropractic skills to assist residents of Northumberland County in achieving optimal health. Dr. Davison has joined the team at We-Fix-U: Your Physiotherapy and Foot Health Centres and will begin his practice on October 3, 2011. “I am excited to join the We-Fix-U multidisciplinary team”, says Dr. Davison. “I am drawn to working with a team of health professionals who work together to achieve exceptional results for their patients”. Cristol Smyth, Chiropodist and co-founder of We-Fix-U is ecstatic over Dr. Davison’s decision to join her team. “Our standards have always been about getting our patients better faster, and getting to the root of the problem so we can prevent it, and new ones, from returning. Adding the expertise of a chiropractor to our team will further enhance patients’ success.

We-Fix-U Has a New Team Member!

2011-09-22T06:39:00.001-07:00

About Dr. Paul Davison:

Paul was born and raised in Cobourg. He graduated from Brock University with honours in Kinesiology and then went on to graduate with distinction from the New York Chiropractic College. Paul is currently volunteering his time as a trainer with the Cobourg Cougars Jr. A hockey team and is looking forward to being a part of the We-Fix-U team. He looks forward to treating both new and returning patients.

Dr. Davison is now accepting new patients at both the Cobourg and Port Hope offices of We-Fix-U.

www.we-fix-u.com

Physiotherapists are able to help you even MORE now!

2011-09-16T09:50:00.001-07:00

Do you know what physiotherapy really is or all the amazing things they can do for you? Do you know what role they play in injury prevention and treatment? If you answered no, you are not alone. “Our very own recent study of Northumberland County suggests that most people think physiotherapists just massage, or just give exercises,” says David Evans, physiotherapist and co-founder of we-fix-u: Your Physiotherapy and Foot Health Centres. “While those techniques are part of what physiotherapists do, that isn’t all we do. Not knowing the scope of practice of a physiotherapist limits your ability to get the best drug free therapy available”.

Physiotherapists are primary health care providers who have gone to University for 6-7 years, specifically studying body science and injury management. Through this training, they develop an advanced knowledge of how the body works, what keeps it from moving well, and how to get your body back to moving properly. To do this, they use very specialized hands-on manual skills to evaluate and treat symptoms. “Our goal is prevention and/or injury management by improving or maintaining your physical mobility and independence, by maximizing your strength, function, movement and overall wellness,” says Mr. Evans.

In Ontario, patients have direct access to evaluation and care by a physiotherapist, (which means you don’t need to wait long times to see your doctor, just to get a referral). However, despite direct access to care, years of advanced medical training, and a study which demonstrated more accurate clinical diagnoses of musculoskeletal injuries by physiotherapists than resident MD’s, physiotherapists weren’t able to communicate a diagnosis to their patients. Despite the ability to thoroughly assess and diagnose conditions, the Ontario government didn’t permit physiotherapists to “tell” their patients what was wrong with them. This “rule” however, has changed.

“Our staff at we-fix-u is celebrating,” says Mr. Evans. “We are celebrating that on September 1, 2011 the Ontario government awarded our profession the ability to now communicate a diagnosis”.

“While we were already fantastic at what we do, this new legislation is going to assist us in providing an even greater experience for our patients. At our clinics, our staff strives to educate our patients about their condition and what we need to do to get them better; allowing us to communicate the diagnosis is going to help us educate them even more. We expect higher patient compliance and even more successful results.”

About David Evans, PT:

David is the co-founder of his new rapidly growing business, we-fix-u: Your Physiotherapy and Foot Health Centres, which has two locations in Northumberland County

David’s team has won the Reader’s Choice Award 9 consecutive years and was nominated for a “Business of the Year” award.

David is known well in the community, by providing physiotherapy services to thousands of locals needing his help, and to residents at several local long-term care and retirement homes, along with his physiotherapy team.

David is a sports enthusiast, enjoying and participating in nearly every sport. His passion is educating people about how to make physical improvements and how to get into optimal health and shape, to live a longer, healthier and injury-free life. Visit we-fix-u.com

About we-fix-u

The staff at we-fix-u understands that pain and disability impact your life and you don’t always have enough time to take care of it. The Dave and Cristol Standards of Care for we-fix-u encompass a three-pronged approach to treating your ailments. The First is to resolve your symptoms so you can start to feel better, faster. The Second is to discover the root of the problem so they can prevent it, and new ones, from returning. The Third is to make your treatment fun, friendly, effective and professional.

we-fix-u Physiotherapists strive to be at the leading edge of evidence-based practice, always staying current with new techniques, technologies and developments in the field. we-fix-u Chiropodists are leaders in areas such as biomechanics and gait analysis, orthotic therapy, wound management, diabetic foot health and preventative care. we-fix-u is also a Custom Orthotic Centre, using the suspended sub-talar joint neutral technique for orthotic casting which is the gold standard. Therapeutic massage is offered by Registered Massage Therapists as a treatment for back and neck pain, whiplash, stress, pregnancy-related muscle pain, sports and other soft-tissue injuries. we-fix-u also offers performance and health enhancement services, reinforcing their proactive approach to client care in the workplace and in everyday life

The staff at we-fix-u has the ability to use a true multidisciplinary approach to your wellbeing. This allows them to consult with various experts on their team, to ensure they are giving you the best and most comprehensive approach to getting you better.

we-fix-u has two locations in Northumberland County: 727 William Street in Cobourg, and 125 Toronto Road in Port Hope. Visit we-fix-u.com

we-fix-athletes!

2011-08-25T16:19:00.001-07:00

And all other individuals who want to be at their peak performance level!

Do you want to be in the best

shape you possibly can? Would

you like have a professional

diagnosis by one of the most

unique and revolutionary new

technological advances available?

Join us at the Cobourg YMCA

on September 19 between

5:30-7:30 p.m where we’ll be

offering free assessments and

testing athletes with our new

Optojump system. Get ready,

get set, and jump with we-fix-u.

What is CHIROPODY anyway?

2011-08-24T08:49:00.001-07:00

The practice of Chiropody (Ker-o-pody) is the assessment of the foot and the treatment and prevention of diseases or disorders of the foot by therapeutic, surgical, orthotic, pharmaceutical and palliative means. In a nutshell, Chiropodists are foot specialists. They treat everything and anything foot-related.

Why see a Chiropodist for your foot problems?

Would you see your eye doctor for a toothache? Of course not, so it's important to see a foot health expert for your foot pain or problem. Chiropodists are highly educated, highly skilled foot health practitioners, who undergo 7-8 years of post-graduate education prior to becoming licenced. Members of the College of Chiropodists of Ontario are the only provincially regulated foot health specialists. They are exclusively trained and licensed to practise foot health. It's your assurance of the most comprehensive foot medicine available by practitioners regulated to the highest standards of care.

At We-Fix-U Physiotherapy and Foot Health Centres, our Chiropodists are leaders in the areas of biomechanics and orthotics, pediatrics, diabetic foot health and surgical intervention (when necessary). If you would like to speak with a member of our Chiropody team, please visit us at www.we-fix-u.com for our clinic locations.

Please join us in supporting the St. Michael's School Breakfast Program!

2011-08-23T09:11:00.001-07:00

Filling hungry tummies for 14 years, the St. Michael’s Breakfast Program is possible thanks to community volunteers and generous donations from service clubs, families and private sources. Twenty seven volunteers working in teams of four serve breakfast 5 days a week from September to June. Last year 5,161 meals were served to children in our community…..all thanks to generous donations from people like you!

Please join us in supporting the St. Michael’s Breakfast Program; a small donation can go a long way! The following is a list of items that would be much appreciated:

NON-PERISHABLES:

CHEERIOS CEREAL (regular or multi-grain)

LIFE CEREAL (regular or multi-grain)

PANCAKE MIX (water mix)

PANCAKE SYRUP

KETCHUP

STRAWBERRY JAM

APPLE JUICE (48oz Allen’s, Rosemont, etc)

INCIDENTALS:

DISH SOAP, SCOURING PADS, TIN FOIL, CLING WRAP, PAPER NAPKINS

FINANCIAL: (used to purchase perishables)

CHEQUES (payable to St. Michael’s School for Breakfast Program)

CASH

*financial donations over $20 will receive tax receipts from PVNCCDSP

Thank you for your help! Donations will be received at our Cobourg clinic, 727 William St. Cobourg ON

Beth Gives the IdeaHub a Smackdown!

2011-08-18T12:58:00.001-07:00

Our Patient Representative Beth Boileau, participated in the Northumberland Women's Business Network exhibition at IdeaHub in Port Hope yesterday. Here she is, showing off our wonderful display!

We Need Your Help!

2011-08-18T11:41:00.001-07:00

Students who are given nutritious breakfasts daily make significant improvements in learning, school attendance, behaviour and self-esteem. The School Breakfast Program ensures that children in need have access to a nutritious breakfast in a safe, supervised environment – to help each child start their day ready to learn.

The School Breakfast Program is open to all children. Students may be identified through school staff or parents. The philosophy of the program is that no child/youth is turned away.

Please join us in supporting the St. Michael's Breakfast Program; a small donation can go a long way! The following is a list of items that would be very much appreciated and can easily be carried with you to you appointment(s), until September 30, 2011.

NON-PERISHABLES:

Cheerios cereal (regular or multi-grain)
Pancake mix (water mix)
Pancake syrup
Life cereal (regular or multi-grain)
Apple Juice (48 oz Allen, Rosemont, etc)
Ketchup
Strawberry Jam

INCIDENTALS:
Dish soap, scouring pads, tin foil, cling wrap, paper napkins

FINANCIAL: (used to purchase perishables)
Cheques (payable to St. Michael's School for Breakfast Program)
Cash

Nicole Aids in the Fight Against Multiple Sclerosis!

2011-08-17T17:13:00.001-07:00

Team Physiotherapist, Nicole Stieber, rode 150 Km (Acton to Waterloo) this past weekend to raise money for the Multiple Sclerosis Society of Canada. This will be her third year riding in the tour, and she had a great time participating! She says "It is a really fun event which raises money for a great cause".

Multiple Sclerosis is the most common neurological disease of young adults in Canada. It is estimated that 3 people are diagnosed with MS each day, and that there are currently 50,000 Canadians living with this disease. MS is most commonly diagnosed in people between the ages of 15 and 40, but can be diagnosed at any age. At this time the cause and "cure" is unknown, although medications now exist to help control symptoms and prevent flares of the disease. The MS society of Canada not only supports MS research, but helps to fund services for people with MS and their families, as well as MS clinics, and government/social action.

Way to go Nicole! We are so proud of you!

We-Fix-Wackamolers!!!

2011-08-08T18:14:00.001-07:00

WFU_wack-a-mole.pdf Download this file

wack-a-molers

and all other individuals who suffer from carpal tunnel syndrome

It’s obvious you’re a sucker for that age-old sport. But after far too many years of trying to keep that good old mole down, you’ve lost that spring in your wrist.

Lucky for you, David and his physio team know what it takes to get you back into walloping shape.

So stop in one of our newly transformed health centres whenever your body is letting you down.

What is carpal tunnel syndrome?

Carpal tunnel syndrome is common in individuals who perform repetitive wrist motions such as keyboarding, assembly or painting.

Repetitive strain causes swelling in a tunnel that is formed by the carpal bones of the wrist. This tunnel is a passage way for important structures, such as tendons and nerves, to enter the hand. This swelling pinches the structures. Pinching of one important structure, the median nerve, can cause numbness, tingling and weakness of the hand. Pregnancy may also cause swelling in this area leading to carpal tunnel.

Treatment for carpal tunnel includes reducing repetitive strain, ice, stretching and

strengthening. Your Physiotherapist may also use manual therapy and modalities to speed recovery or may suggest a brace.

For more infortmation and tips that can help you feel great visit we-fix-u.com.

we-fix-u COBOURG
727 William Street • 905.373.7045

we-fix-u PORT HOPE
125 Toronto Road • 905.885.0024

www.we-fix-u.com

We-Fix-Wackamolers!!!

2011-08-08T17:29:00.001-07:00

wack-a-molers

andaand carpal tunnel syndrome

It’s obvious you’re a sucker for that age-old sport. But after far too many years of trying to keep that good old mole down, you’ve lost that spring in your wrist.

Lucky for you, David and his physio team know what it takes to get you back into walloping shape.

So stop in one of our newly transformed health centres whenever your body is letting you down.

What is carpal tunnel syndrome?

Carpal tunnel syndrome is common in individuals who perform repetitive wrist motions such as keyboarding, assembly or painting.

Treatment for carpal tunnel includes reducing repetitive strain, ice, stretching and

strengthening. Your Physiotherapist may also use manual therapy and modalities to speed recovery or may suggest a brace.

For more infortmation and tips that can help you feel great visit we-fix-u.com.

we-fix-u COBOURG
727 William Street • 905.373.7045

we-fix-u PORT HOPE
125 Toronto Road • 905.885.0024

www.we-fix-u.com

WFU_wack-a-mole.pdf Download this file

We-Fix-Wackamolers!!!

2011-08-08T17:24:00.001-07:00

three In a SerIeS

wack-a-molers

and all other individuals who suffer from carpal tunnel syndrome

We-fix-u_moler_poeter.pdf Download this file

It’s obvious you’re a sucker for that age-old sport. But after far too many years of trying to keep that good old mole down, you’ve lost that spring in your wrist.

Lucky for you, David and his physio team know what it takes to get you back into walloping shape.

So stop in one of our newly transformed health centres whenever your body is letting you down.

What is carpal tunnel syndrome?

Carpal tunnel syndrome is common in individuals who perform repetitive wrist motions such as keyboarding, assembly or painting.

Treatment for carpal tunnel includes reducing repetitive strain, ice, stretching and

strengthening. Your Physiotherapist may also use manual therapy and modalities to speed

recovery or may suggest a brace.
For more infortmation and tips that can help you feel great visit we-fix-u.com.

we-fix-u COBOURG
727 William Street • 905.373.7045

we-fix-u PORT HOPE
125 Toronto Road • 905.885.0024

Why your kids are bad for you back...And why Physiotherapy is important!

2011-07-07T21:07:00.001-07:00

From cradling a newborn to crawling after a baby to helping a toddler walk, parents want to be fully engaged in each stage of their young child’s life. But along with each amazing stage of development come new demands on the body.

“I feel it in my neck and back,” says Kate Taylor, mom of nine-month old twin girls. “It’s as if I’m constantly slouched forward, whether it’s picking them up from their cribs or helping them stand up and walk.” And she is not alone.

“I have tightness in my neck and shoulders,” says Christine Rose, mom to a four-month-old baby boy, a three-year-old boy, and a five-year-old girl. “Luckily I have a strong back, but I still feel a general weakness in one arm from favouring one side.”

Christina Lisinska, mom of a seven-month-old girl, was surprised by the amount of tension parenting caused. “I went out of my way to stay fit when I was pregnant. I knew this would be hard on my back, so I worked the front and back of my core. But there have been a couple of times that my neck has just gone and I feel like I can’t turn my head for days.”

Amy Brown, owner of Pilates for Life studio in Toronto, has heard this many times before. “I have yet to meet a parent of young children who has no aches or pains“And unfortunately, (for new parents) it can mean a couple of years of bad posture or compromised spinal alignment.”

These aches and pains can manifest themselves in different ways, but parents of young children seem to adopt one of three body postures, depending on the age of their kids.

THE QUESTION MARK

Most common with parents of newborns and infants, this is characterized by the shoulders slumping forward and the chest caving in. Rose is aware of the way her movements are affecting her posture. “I have less mobility in my neck right now from holding and nursing my youngest and, because I’m not sleeping well, I’m more tense.”

“Mothers are probably the most affected because of nursing or bottle-feeding,” says Lois Piper, a registered massage therapist who treats parents with kids of all ages. “The front of the neck muscles and the chest get tight from keeping your head down to look at the baby.” This can lead to pain in the neck, back and shoulders, and can also result in tension headaches.

THE FIX: Try a standing chest stretch. Stand up (we know - what were the chances you were sitting down, anyway?) and clasp hands behind your back. Draw the shoulders blade towards one another and downwards, as you lift your arms up.

THE HIP CHECK

This posture is a result of carrying a child on one hip and completing tasks with the opposite arm. The body adopts a sideways tilt to compensate, which causes the spine to go out of alignment.

Sarah Patterson, mother of nineteen-month old and four-year-old boys knows this all too well. “Both my boys needed to be carried a lot. Even now, when I’m out walking, I’m usually pushing the stroller and carrying one child on my hip. I know I compensate with my back and neck because I always feel it later.”

Piper says this is possibly the hardest posture on a parent’s body and the one adopted over the longest period as well. Being either right or left-handed, “we naturally favour one side,” she explains. This posture can cause lower back pain, strain in the shoulder area and neck, and an imbalance of the hips.

THE FIX: Use a side stretch to balance things out. While standing, stretch your right arm overhead. Lengthen through the spine and bend sideways to the left, sliding the left hand down the side of the left leg. Repeat on other side. (Spend twice as long stretching out the side of the body you favour when carrying your child).

THE FORWARD FOLD

From lifting babies out of the crib, stroller or carseat, or bending over to help a toddler walk, this posture mimics the image of a body far older than it is. With a slight lean of the chest, and the buttocks shifting back, the body looks as if it is forward heavy. This puts undue strain on the back and neck. “Generally, we’re not used to bending down and lifting or moving a squirming weight. It can really jar the body. Especially when our muscles are cold, like picking a baby up from their crib in the middle of the night,” Brown says.

Our back muscles and spine are most at risk with this posture. As Taylor says, “I’ll periodically stretch my arms and shoulders back, and ask myself how long it’s been since I’ve been slumped forward. It often feels like days.”

THE FIX: Find relief with this lunge and arm extension. From a standing position, step forward into a lunge with the right leg. Extend your arms up overhead with palms facing one another. Repeat on other side.

Clearly, moms and dads cannot avoid feeding their infant, lifting their child out of the crib or helping their toddler walk, so here are four more tips to help parents keep pace with their kids with as little pain as possible.

Be Aware

If a parent is in tune with their physical body, it is easier to prevent or counteract negative stress on the muscles and joints. “Taking care of yourself can be a challenge when your focus is on another little being,” says Piper, “but do what you can because in the end you’ll be able to take better care of the ones you’re caring for.” Brown has this suggestion: “Be aware by taking a breath, taking a split second to set yourself up in a stable position before you do any awkward lifting. And be extra conscious of your movements.”

Keep a strong core, strong legs and neutral back

The spine and back muscles take the brunt of the physical stresses of parenting. When you must bend forward, Brown recommends hinging from the hips while pulling the belly button towards the spine. If you’re helping a toddler walk, aim to get down to his or her level. “Try to keep the back in a neutral position and almost go into a half-squat instead of stooping over,” suggests Piper. “It’s also good workout for your legs.” Of course, parents can’t walk in a squat all the time, but as much as possible attempt to limit strain on the back.

Do one movement at a time

The act of twisting and lifting all at once is a common cause of back injury because it puts a strain on the spine when in a weak position. If you’re taking the kids in and out of the crib, the carseat, the high chair, or any movement that involves more than one plane of motion (flexion and rotation), aim to move in one direction, then the other, instead of both at the same time.

Take a break

Ideally, parents would have time to stretch, exercise, and combat the tensions that arise during the day. But not everyone can get to a yoga class or Pilates workout, or even manage a brisk walk. Eventually these physical stresses can become debilitating. “Small stretching breaks are the easiest for people to do,” says Piper. If you spend most of the day carrying your infant on one hip, “put your child down, and do a quick side-bend stretch in the opposite direction. Tiny stretches throughout the day don’t seem as onerous as putting the yoga mat down.”

When it comes to parenting, staying physically healthy not only improves quality of life and quality of time spent with the kids, it is also a great example to set for your children as they grow up.

Call us to book an appointment with our physiotherapists to improve your "mom" quality!

www.we-fix-u.com

source: The Toronto Star

How to Treat Heel Pain

2011-07-05T20:06:00.001-07:00

Heel Pain

What is it?

Most often caused by an inflammation of the fibrous band that maintains the arch of the foot called the plantar fascia (in medical terms the condition is known as plantar fasciitis fah-shee-eye-tus).

What causes it?

Structural problems in the feet such as flat feet or high arches often result in arch pain Inflammation results as the plantar fascia is pulled away from where it attaches to the bones of your feet, particularly in the heel; this can eventually lead to a heel spur as the body inserts bone into the area in an attempt to repair itself where the plantar fascia is pulling away. Inflammation is made worse by activity, including walking. This is why it is important to seek treatment early to prevent the condition from becoming chronic.

Signs and Symptoms:

May begin as a dull pain in the heel and sometimes in the mid or forefoot. Pain may get sharper, more intense, and more persistent over time. Pain is usually worst after getting out of bed in the morning or following a prolonged period of rest. Visible swelling may be present in severe cases.

Prevention and Treatments:

Icing for ten minutes three times per day and/or anti-inflammatory drugs to reduce inflammation during initial acute stage; heat therapy may be effective for chronic, longstanding cases.
Low dye strapping (taping) to help relieve stress on the plantar fascia.
Off-the-shelf arch supports for simple, non-severe problems.
Prescription custom orthotics to help correct structural foot problems causing the pain.
Possibly prescription custom footwear from your Chiropodist, depending on the severity of the structural foot problem.
Stretching exercises for your plantar fascia.

Examples of the kinds of exercises your Chiropodist may recommend:

Towel Curl

Place a towel on the floor. Curl the towel toward you, using only the toes of your injured foot. Resistance can be increased by placing a weight on the end of the towel. Perform this exercise 20 times.

Toe Taps

Lift all your toes off the floor and, while keeping your heel on the floor and the outside four toes in the air, tap just the big toe to the floor. Next you will change the order and tap the outside four toes to the floor a number of times while keeping the big toe in the air. Start with 10 taps and work up to 50 taps per session.

Calf Stretch

Lean against a wall with your back knee locked. Press forward until a stretch is felt in your calf muscle, but do not stretch to the point of pain. Hold the stretch for 15-30 seconds. Repeat three times for each calf.

Achilles Stretch

Lean against a wall. Gradually bend your back knee bent. until a stretch is felt in your Achilles tendon, but do not stretch to the point of pain. Hold the stretch for 15-30 seconds. Repeat three times for each foot.

As a last resort for rare, extreme cases, a soft-tissue surgical procedure called a plantar fasciotomy may be performed in which a small notch is made in the plantar fascia to relieve stress.

www.we-fix-u.com

Got Back Pain? You Need A Back Rub!

2011-07-05T19:44:00.001-07:00

A new study published in the Annals of Internal Medicine found that patients with low back pain who got a one-hour massage once a week for 10 weeks had significant improvement for people with persistent pain who hadn't had their pain adequately addressed by other means. While the benefits of massage for this problem appeared to diminish over time, patients still reaped the benefits even after 6 months.

Why is this news important? Because if people with low back pain can feel better quicker, they might be able to resume regular activities sooner.

At We-Fix-U: Your Physiotherapy and Foot Health Centres, our standard of care is to get our patients better, faster. We use a holistic approach to patient welfare by encompassing treatments provided by various health experts on our team. We often find that massage therapy, performed by one our registered massage therapists, is a wonderful compliment to treatment plans.

www.we-fix-u.com

Registered Massage Therapists Required

2011-07-05T10:04:00.001-07:00

Our clinics are expanding and we are looking for a Full Time (or Part Time) registered massage therapist with ambitions to build a career with us. You need to posses the desire to help others and contribute to our organization's incredible expansion in the Cobourg and Port Hope area.

Our multidisciplinary facility (physiotherapy, chiropody, massage therapy) provides a comfortable and friendly patient focused environment. Our client base includes clients who are recovering from orthopedic and sports related injuries, motor vehicle accidents, work related injuries, and general foot care.

We offer:

Relaxed, friendly, flexible work environment
Well equipped facility
A cohesive multidisciplinary team
Peer-mentorship
Supportive and team-oriented setting
Flexible hours
Funded educational opportunities
Competitive remuneration
Performance bonuses

Who we are looking for:

Hard working massage therapists that have a verifiable history of getting things done, like helping people and are happiest when doing so. Above all we are looking for someone who loves being a massage therapist and would like the freedom to perform his or her craft.

Join a proven team with the clinical, administrative, and promotional support of a well-established clinic with an impeccable reputation for excellence among patients and partners in the health care community.

Please contact us to see if you qualify to join our team. Send email with cover letter and resume to Attn: David Evans, davidevans@we-fix-u.com or fax to 905-373-7271.

An Official Introduction to We-Fix-U

2011-07-04T18:13:00.001-07:00

Well, it’s been one day of business in our new clinic, and already we have been asked the inevitable question we anticipated:

"Why?"

So here is our explanation =)

We recognize that times are changing quickly. The needs and wants of our community need to have reliable, evidence based resources at your finger tips. That is why Dave Evans (physiotherapist) and Cristol Smyth (chiropodist) opened their new business on July 1: We-Fix-U: Your Physiotherapy and Foot Health Centres, at their former business’ location at 727 William Street in Cobourg and 125 Toronto Road in Port Hope. Not only will you continue to receive Dave and Cristol’s standards of care from staff and management you have come to love, but our website www.we-fix-u.com will be a tremendous resource for you to get accurate, evidence based information on treating conditions that concern you. Once completed, we encourage you to try some of our self-health tips.

Dave and Cristol’s success has been in knowing that the more health professionals that get involved in making an accurate diagnosis, the better. Our team of health professionals use each other as resources with each client because we all have our own area of expertise. Abiding by the Dave and Cristol Standard, this collective effort helps our clients on their path to getting better faster, and staying better longer.

Watch us closely as this new layer of skin evolves in to the Therapy EXPERIENCE!

There is a reason why our clients say we are fun, friendly, effective and professional. And if you haven't already, now is time to CHECK US OUT.

The Dave and Cristol Standard:

1) The first is to resolve your symptoms so you can start to feel better, faster.

2) The Second is to discover the root of the problem so we can prevent it, and new ones, from returning.

3) The third is to make your treatment fun, friendly, effective and professional.

Our New Exterior!

2011-07-04T15:57:00.001-07:00

Along with the introduction of our new business We-Fix-U: Your Physiotherapy and Foot Health Centres, Dave and Cristol are planning to recreate your experience, beginning with a complete overhaul of the exterior. Currently, the Cobourg location lacks curb appeal. We think it looks like a warehouse, instead of the welcoming, comfortable, current, posh presence we want it to give.

Our brander and designer has created a mock-up of his interpretation of what the exterior should look like. The upper perimeter is black cladding, with stained cedar on the bottom, and black metal trim surrounding the windows and doors. In addition, planters filled with cedars will create a path around the exterior to soften it.

We'd love to hear your comments and/or suggestions, so please let us know what you think! Do you like it? or Are you not so crazy about it? Please leave us a comment...We need to know YOUR thoughts because we are doing this for YOU, so don't be shy!

We-Fix-U: Your Physiotherapy and Foot Health Centres

www.we-fix-u.com

HUGE ANNOUNCEMENT!!!!

2011-06-30T21:26:00.001-07:00

Dave Evans and Cristol Smyth have opened a NEW business called We-Fix-U Physiotherapy and Foot Health Centres, located at 727 William Street in Cobourg, and 125 Toronto Road in Port Hope, both former locations of their previous businesses. Please spread the word! "LIKE" We-Fix-U Physiotherapy and Foot Care Centres on facebook, RT in Twitter, and SHARE, SHARE, SHARE this news with everyone and anyone!

Posted via email from We-Fix-U Physiotherapy and Foot Health Centres

HUGE ANNOUNCEMENT!!!

2011-06-30T21:24:00.001-07:00

Posted via email from We-Fix-U Physiotherapy and Foot Health Centres

What does facelift REALLY mean??? Stay Tuned to find out!

2011-06-28T18:01:00.001-07:00

Posted via email from Northumberland Physiotherapy and Foot Care Centre's posterous

Today's Fashion Can Be Tomorrow's Pain

2011-06-25T08:48:00.001-07:00

Looking your best might not always be the best thing for you. Today's society is extremely fashion and style conscious. Unfortunately, clothing designers and stylists aim to please by creating unique looks that might not always be practical or even comfortable.

The look of the season shows runway models in high platform heels and tight skirts or pants. Models have perfected the runway "walk," but the popular looks and accessories are frequently impractical and could create leg, back, and spine or neck problems. "Sometimes I see a woman walking down the street with high heels and a two-ton bag, and I want to stop her and make her aware of what she is doing to her body," said ACA president Dr. Richard Brassard.

Women generally wear high heels to complement an outfit, not for comfort, but some might not realize that these shoes can cause serious discomfort in the feet and can also exacerbate back pain. High heels alter the balanced position of a person's body. When a woman wears high heels, a new dynamic equilibrium occurs. Dr. Brassard compared the musculoskeletal system to a mobile, hanging in dynamic equilibrium, each part balancing the other. If one part becomes 'fixed,' the whole system will compensate with a movement or restriction. Essentially, wearing high heels for any length of time increases the normal forward curve of the back and causes the pelvis to tip forward. This alters the normal configuration of the pelvis and spine necessary for the body to maintain a center of gravity.

"The legs are the foundation of the musculoskeletal system, and a person standing flat-footed or bare-footed would be completely balanced," said Dr. Brassard. "While standing, the hamstrings are taut and both parts of the pelvis are stabilized so that the support is normal. By bringing the heel up, you encourage the shortness of the hamstring muscles."

Women and men alike fall into the fashion trap. However, women, more than men, tend to wear clothes that are too tight. Stylish tight tube skirts and tight pants can be attractive, but are often too restrictive. Clothes that are too tight throw a person off-balance, and simple everyday tasks such as bending, sitting and walking become difficult. "Tight clothes restrict a person from moving comfortably, resulting in poor posture and misalignment of the spine," said Dr. Brassard.

Another unhealthy fashion statement is the use of heavy purses, backpacks and handbags. Women and men tend to carry too many items in one bag, or briefcase, and are often not aware of the potential health risks associated with toting an excessive amount of "stuff." Carrying a bag with detectable weight-more than 10 percent of your body weight-can cause improper balance. When hiked over one shoulder, it interferes with the natural movement of the upper and lower body. "The person carrying the bag will hike one shoulder to subconsciously guard against the weight, holding the other shoulder immobile," said Dr. Brassard. "This results in the unnatural counterbalance movement of one shoulder and little control over the movements of the arms and legs. Even worse, the spine curves toward the shoulder."

More and more people carry their credit cards, ATM cards and personal identification in the back pocket of their pants. This might be a convenient way of carrying the necessary items with you each day, but carrying your wallet in the back pocket of your pants can cause discomfort. Dr. Brassard suggested men and women remove their wallets or other items before sitting for long periods of time. "Sitting on your wallet or card holder for the entire day will create a pocket in the muscle lying underneath the wallet, and whether your pants are tight or loose-fitting, this can result in discomfort or pain."

In today's society, it might be important to you to look fashionable, but it is more important to choose clothes, shoes and bags that are comfortable and that suit your style. By following and remembering these simple steps, it is possible to look and feel your best.

Choose comfortable shoes. If you must wear high heels, bring a pair of flat shoes along with you to change into should you become uncomfortable. If you walk to work, wear flat shoes and change into your more fashionable shoes when you arrive to alleviate any pain or discomfort.
If the shoe is uncomfortable while standing, chances are it will not be any more comfortable while walking. The wrong shoe can affect the body's center of gravity.
Choose supportive shoes. Designer spikes or non-supportive loafers may look nice but do not allow for easy, symmetrical walking.
While sitting, whether or not you are wearing heels, it is important to take frequent stretch breaks to alleviate atrophy of the hamstring muscles.
Avoid excessive wear of tight pants or clothing. If you prefer tighter clothes, choose styles that allow you to perform daily tasks with ease.
Select a briefcase or purse with a wide adjustable strap. Ideally, the strap should be long enough to place over the head. This evenly distributes the bulk of the weight across the body.
When carrying a bag, or briefcase, switch sides frequently to avoid placing the burden of the weight on one side of your body.
Take the time to empty unnecessary items from your bag.
Place all necessary items-such as wallets and cellular phones-in the front pockets of the bag. Stretching around to reach for your wallet can result in a pulled neck or back.
If you are driving or sitting for long periods of time, remove your wallet or card holder from the back pocket of your pants.
Think about your daily tasks. If your clothes affect your movements, consider outfits that fit your lifestyle.

Designers and stylists tend to be more concerned about the way something looks rather than the way it feels. Listen to your body. One of the most important aspects of being in style and looking your best is to maintain healthy judgement. By following simple suggestions, being fashionable can be comfortable.

www.we-fix-u.com

Source: Amercian Chiropractic Association

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Full Time Receptionist Needed...

2011-06-20T07:42:00.001-07:00

Do you have a passion for helping others?
Do you love to work as a team member?
Do you work well under pressure?
Do you enjoy a diversity of tasks within a position?

If you’ve answered “yes” to each of these questions, then drop us a line for an opportunity to work in an organization with a stellar reputation that provides a complete training program, looks out for the well-being of its staff, with the opportunity for advancement.

We’re looking for a highly motivated, outgoing receptionist with a desire to work in a fast-paced environment to join the dedicated health care professionals at Northumberland Physiotherapy and Foot Care Centre.

The successful candidate must be well presented, enthusiastic and reliable with excellent customer service qualities. Strong communication skills with a desire to learn and the ability to build rapport with staff/customers are mandatory requirements for this position.

Please forward your cover letter and resume to cristolsmyth@gmail.com

While all resumes will be considered, only those selected for an interview will be contacted

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Have chronic Pain? Vitamin D Might Help!

2011-06-20T06:51:00.001-07:00

It‘s summer (well, as of tomorrow it is!)... Go and enjoy some sunshine!!!

We have been taught so stringently about the skin cancer-causing effects of sun, but what about its merits? Well, Vitamin D, for one.

Vitamin D is the sunshine vitamin; it is something we get through sunlight rather than from food. While some foods do contain vitamin D, it is nowhere near enough to replace what we get from the sun.

Researchers have begun to realize this and numerous studies over the past decade have associated Vitamin D deficiency not only in bone diseases like rickets, but also in a host of other serious disorders and illnesses: cancer, multiple sclerosis, diabetes, cardiovascular disease, immune disorders, to name just a few.

Vitamin D has some pretty awesome benefits:

Reduces chances of heart disease
Reduces chances of cancer
Extremely helpful against osteoporosis
Very good for the immune system
Helps fight depression
Reduces acne
Helps reduce chances of getting Alzheimer’s
May also help with weight loss
Help prevent pathological muscle weakness
Combat type II diabetes and the metabolic syndrome

More recently there have been a number of studies linking Vitamin D deficiency and non-specific (unidentified; no know origin) chronic musculoskeletal pain. Scientists are now suggesting that vitamin D deficiency should be included in the list of possible diagnoses in the evaluation of musculoskeletal pain complaints in a physiotherapy setting, and treatment should be considered an important component of the treatment plan.

There are several patient-types with chronic pain who are at risk for this deficiency:

· Housebound seniors

· Patients with pigmented skin (i.e. black or brown skin)

· People with cultural avoidances of sun (wearing a veil or long sleeves)

· People with existing GI issues as they typically don’t have the ability to absorb vitamin D

· And finally.....those of us who live in the northern latitude during wintertime, which is all of us in Canada!!!

So, if you’re attending physiotherapy, if you have chronic musculoskeletal pain, and if you fit one of the above risk categories...don’t be surprised if your therapist recommends vitamin D supplements (specifically vitamin D₃), or that you bask in the warmth of the sunlight 10-20 minutes each day (but still wear sunscreen!).

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What Do Kate Hudson and Healthy Feet Have In Common?

2011-06-14T20:49:00.001-07:00

Dr’s Remedy Enriched Nail Polish!!!

Kate loves it, and so do our patients! While our chiropodists will often give you a slap in the hand for using nail polish regularly on your tender tootsies, Dr.’s Remedy nail polish has been approved by chiropodists at our clinic. This nail polish appeals to health-conscious women, including pregnant women (and children), because it removes the potentially harmful additives found in most commercial nail polishes. Among these chemicals:

- DBP, a potential developmental and reproductive toxin that may cause birth defects and is banned in Europe
- Formaldehyde, which has been proven to cause cancer
- Toluene, a chemical that the EPA restricts in our drinking water because it can cause nervous system disorders as well as damage to the liver and kidneys.

Not only is it safe, but it actually makes your nails healthier! The polish contains naturally occurring antifungal ingredients, as well as vitamins and protein – known to make the nail stronger and help with discoloration. Both of our locations carry Dr.’s Remedy Enriched Nail Polish, in 19 fabulous colors, an enriched base coat, a sealing top coat, an enriched non-acetone remover, enriched cuticle oil, and a clear coat hydrating treatment for dry brittle nails. Check out www.remedynails.com for more info about this fantastic product, or stop by our clinics to see it for real! Hurry though...we can’t seem to keep enough of this stuff in stock!

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Are You a Chiropodist Wanting to Relocate? We're Hiring!

2011-06-12T19:32:00.001-07:00

Our clinics are expanding and we require a Full Time (or Part Time) Chiropodist with exceptional biomechanical and orthotic prescription skills. Strong knowledge of sagittal plane facilitation is an asset. We are looking for a chiropodist with ambitions to build a career with us. You need to posses the desire to help others and contribute to our organization's incredible expansion in the Cobourg and Port Hope area.

Cobourg is one of the best kept wellness secrets in the province. It's far enough away from the major cities to have the genuine, small town ambiance; yet close enough to enjoy all of the larger city conveniences. One hundred kilometers east of Toronto along the shoreline of Lake Ontario, historic Cobourg is tucked into the rolling hills of Northumberland County in a tranquil setting, making it the perfect place to relax, live and work.

We offer:

Relaxed, friendly, flexible work environment
Well equipped facility
A cohesive multidisciplinary team
Peer-mentorship
Supportive and team-oriented setting
Flexible hours
Funded educational opportunities
Competitive remuneration
Performance bonuses

Who we are looking for:

Hard working chiropodists that have a verifiable history of getting things done, like helping people and are happiest when doing so. Above all we are looking for someone who loves being a chiropodist and would like the freedom to perform his or her craft.

3 or more years of experience is preferred, though all applicants will be considered.

Please contact us to see if you qualify to join our team. Send email with cover letter and resume to Attn: Cristol Smyth, D.Ch., cristolsmyth@gmail.com

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Education: What's Happening at Our Clinics?

2011-06-01T07:29:00.001-07:00

Our practitioners strive to be at the leading edge of evidence-based practice, always staying current with new techniques, technologies and developments in the field of physiotherapy, podiatric medicine (chiropody) and massage therapy. It is part of the "Dave and Cristol Standard" that our practitioners stay abreast of current research and are continuously upgrading their skills.

How does this help you? We understand that pain and disability impact your life which is why our goal at Northumberland Physiotherapy and Foot Care Centre is to get you better, fast. Regularly increasing our knowledge allows us to take a two-pronged approach to treating your ailments: The first is to resolve your symptoms, and the second is to discover the root of the problem, so we can prevent your problem (and new ones) from returning. In the end WE GET RESULTS!

We've been busy at NPFCC, and here is a summary of the most recent courses we have taken:

Our Assistants (Laura, Cheryl, and Norine) are now Certified Compression Stocking Fitters! That's right! They have all taken the certification course, and compression stockings can now be professionally fitted at our Cobourg and Port Hope clinics.

Physiotherapists recently attended a 3-day course on Manipulation of the Thoracic Spine Region, with guru Jim Meadows, PT. This course presented a different approach to treating back and nerve-related problems.

Chiropodists completed a 5 month-long course to upgrade their oral prescription scope of practice, allowing them to treat you literally from the inside-out.

Physiotherapist Sherry Heenan recently completed her acupuncture certification, which added a third team member with this certification.

Physiotherapists Sherry Heenan and Marcus Kapteyn are currently working towards their manual therapy certification.

Chiropodist Mark Smyth will be participating in a cadaveric hands-on soft tissue surgery workshop in July.

Owners David Evans and Cristol Smyth will be attending a Practice Management Conference in Clearwater, FL early next week. They attend these conferences regularly, and bring back the best practice technologies used today. This makes for a happy, efficient and well-organized team!

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Physiotherapists do that!

2011-06-01T05:57:00.001-07:00

Whether it's allowing an older adult to gain the strength and mobility needed to remain living independently, returning someone to work and health following an injury, or restoring movement and allowing a child with a fractured ankle to return to work, physiotherapists do that!

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It's World No-Tobacco Day! Horrible Foot Problems Caused by Smoking:

2011-05-31T05:20:00.001-07:00

In honour of World No-Tobacco Day, we thought we’d shed some light on how smoking cigarettes can affect the health of your feet. You’ve heard how smoking can affect your lungs and heart, causes your fingernails and teeth to turn yellow, and even causes bad breath, but no one ever mentions how it seriously affects your feet.

In our clinics, we see some heart breaking problems caused by smoking. Sometimes chiropodists at our clinics can tell just by looking at a patient’s feet that they smoke! Surprised? The skin on their feet is often thinner, shinier, and reddish in colour.

Your feet are the furthest body part from your heart, which means that even under the best of circumstances, they don't receive as much blood circulation as other parts of your body. And if you smoke, your body is definitely not working under peak conditions.

Smoking causes poor circulation, or more technically, peripheral arterial disease. Arteries are the blood vessels that bring fresh oxygenated blood to all tissues of the body. The further the arteries are from the heart, the smaller they are. The best arteries are wide open. Smoking causes a substance called plaque to build up in the arteries, causing them to become stiff and narrowed (and sometimes plugged), often affecting the arteries that run down your legs to your feet, which in turn, reduces the ability for blood to reach your feet. Peripheral arterial disease can be a painful and debilitating disease, often leading to infection, gangrene and eventually , amputation. Smoking is the leading cause of lower extremity amputations, which is ENTIRELY PREVENTABLE!

Here is a list of signs and symptoms of Peripheral arterial disease, and some problems it can cause:

1. The development of peripheral artery disease will make you 5 times as likely to die from a cardiovascular heart disease

2. Pain in your legs and/or feet when walking or standing

3. Numbness and tingling in your feet are the beginning affects of neuropathy, generally caused by poor circulation. This nerve damage makes your feet numb or unable to feel sensations, and can reduce your ability to feel your feet, or pain, heat, or cold. Foot injury is more likely if you suffer from neuropathy.

4. An inability to fight foot infections

5. Wounds, cuts, and lacerations heal slowly or poorly

6. Cold feet

7. Possible changes in the shape or structure of your foot

8. Foot Ulcers on the foot, and toes

9. Feet turn blue or reddish in color

10. May develop Beurger’s disease – a painful disorder that involves leg pain and gangrene of the hands and feet that are very are painful, and is a result of smoking

11. Amputation of your toes or foot

Smoking can also cause the growth of your toenails to slow down. It can cause the texture of your nails to change, and a certain shape of the nail can indicate lung cancer, often caused by smoking. Clubbing of the nails (Hippocratic nails), often indicates lung problems.

If you notice any of the signs noted above, please book and appointment to be thoroughly assessed by our chiropodists.

Later, we’ll discuss how researchers have discovered that taking toenail samples from a person who smokes, can identify their risk of lung cancer!

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Mosquitoes Bite Because of Your Smelly Feet!

2011-05-30T06:34:00.001-07:00

If being embarrassed by your stinky feet, or having your spouse complain about them, isn't enough of a reason to do something about it, here is one more reason: Your smelly feet attract mosquitoes!

Yep, according to recent research, mosquitoes may be attracted to the bacteria in sweaty, moist, sinky feet. So, it may mean that if you can get rid of that nasty odour, you will be able to lower their nuisance level!

Here are the specs:

Remco Suer worked with the African mosquito Anopheles gambiae, one of the primary vectors for the spread malaria in sub-Saharan Africa, and tested them against the smells in his lab:

Suer tested their sense of smell in the labratory by pumping additional Carbon Dioxide into a container to simulate human breath, then added a high concentration of five different foot odors and found that the mosquitoes were unable to react to the carbon dioxide for several seconds. The sole-ful odors actually stopped mosquitoes from sensing carbon dioxide from breathing — which could be a reason why malarial mosquitoes divert when honing in on a person and move instead to the feet at close ranges.

That's pretty cool news. Keep in mind, though, that A. gambiae is only one variety of mosquito that is reacting to a specific cocktail of smells. How mosquitoes like Aedes aegypti that spread West Nile might respond in different ways. Still, there's at least promise in knowing what the effects of bad breath and a set of funky feet can do for your summertime health. [PhyOrg, Photo via Shutterstock]

This study is supported by results from a study performed by Entomologist Daniel L. Kline whose research determined that mosquitoes love smelly feet. He experimented with using dirty socks as a mosquito lure, and found his 3-day-old socks were irresistible to them. Specifically, it's the bacteria that grow on human feet that seems to draw a crowd.

Want to know other sure-fire ways to get a mosquitoe bite?

1. Keep breathing. Mosquitoes detect carbon dioxide in the air, so the more you breathe, the more likely you are to become a blood meal.

2. Skip the shower. Bring on the B.O.! The more you stink, the easier it is for blood-thirsty mosquitoes to find you.

3. Run around. First, mosquitoes find you by using their sight, so if you're moving, they'll find you! If you run around, it's like you're telling the mosquitoes "Pick me, Pick me!"

4. Sweat a lot. Perspiration is the perfect combination of mosquito attractants – moisture and odors. Head outdoors on a hot, sticky summer evening, and work up a sweat. The mosquitoes will thank you.

6. Dress in dark colors. We all know this, right?Research shows that mosquitoes respond best to dark colors, especially blue (I was always taught it is black!).

7. Wear perfume or cologne. Especially floral scents, which are especially attractive to mosquitoes.

8. Use alpha hydroxy products on your skin.Lactic acid, which our bodies produce naturally, is a big draw for mosquitoes. It just so happens that many skin care products contain lactic acid, too, and so might help boost your chemistry with these blood-seeking bugs.

10. Drink beer and eat limburger cheese.
Studies show people who've had a few beers score the most mosquito bites at the barbecue. Snack on some limburger cheese while enjoying a beer, and you will open yourself up to an all out assault. Limburger cheese is made with the same bacteria that makes your feet stink.

Argh, I am suddenly feeling very itchy, just writing this. I'm on my way to buy a bug zapper! Do this things really work???

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It's French Open Friday! GotTennis Elbow???

2011-05-27T07:13:00.001-07:00

The Elbow and Forearm

Elbow Tendonitis

This is a very common condition involving inflammation of the tendons crossing the elbow. There are three groups of tendons which can be involved, the lateral, the medial, or the posterior compartments.

Symptoms that patient's experience are:

Pain over the inside, outside, or back of the elbow, depending on which tendons are involved.
The onset of pain is usually gradual. It may be related to wrist extension activities (lateral tendonitis) or wrist flexion and downward rotation (medial tendonitis).
The pain varies from a dull ache or no pain at rest to sharp twinges or a straining sensation with activities.

Management- In acute cases ice, immobilization, and gentle range of motion is used to resolve the inflammation and progress the condition to a more treatable chronic state. Once the inflammation is controlled the condition is managed using advice as to the appropriate level and type of activity that may be preformed, ultrasound and friction massage, as well as a strengthening and mobility program.

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Cleaning House and Curing Cancer PLEASE SHARE!

2011-05-27T07:05:00.001-07:00

YARD SALE - Come join us at NPFCC this Saturday 7am-2pm to raise funds for Relay for Life. Just SOME of the fun stuff you can expect... Bake Sale, Raffle, BBQ, hand painted pinstripe tattoos, car wash, lemonade stand, and much more!!!

Cleaning House and Curing Cancer!

PS - we still need your stuff! If you have items you wish to donate for our sale, please bring them to the clinic before 5pm on Friday.

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Cleaning House and Curing Cancer

2011-05-27T06:53:00.001-07:00

Cleaning House and Curing Cancer!

PS - we still need your stuff! If you have items you wish to donate for our sale, please bring them to the clinic before 5pm on Friday.

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Get Rid of Nasty Fungal Nails

2011-05-24T09:32:00.001-07:00

Depending on the stage of involvement, fungal nails can be very difficult to cure, however there are many options available at our clinics to help rid your toes of the embarrassing discoloration appearance that fungal nails are known for. Here are two conservative and painless options:

Formula 3 anti-fungal medication- Our first line approach to treating fungal toenails. It is a great option for complimentary treatment in your own home that is as simple as painting your nails. Formula 3 is available at our clinics.

Dr.'s Remedy Nail Polish - With an expanding variety of gorgeous colours, Dr.'s Remedy Nail Polish is a fantastic alternative to typical nail polishes, which contain unhealthy damaging chemicals. Think: TOXINS. Specific chemicals found in nail polish (formaldehyde to name one) damage the nail and render it at-risk for fungal invasion. Want your feet to look pretty in your sandals? Dr.'s Remedy is free of those nasty chemicals, and contains natural anti-fungal, nail strengthening ingredients. Dr.'s Remedy Nail Polish is available at our clinics. View this link to choose your favorite colour: http://www.remedynails.com/

Keep in mind that if left untreated, fungal nail infections can affect the entire nail and the surrounding skin, but with these simple options, having to find new ways to hide your toenails due to this unsightly infection shouldn’t be a problem! Visit www.we-fix-u to find a clinic near you. Book an appointment today and let us help you slip into some summer sandals without feeling embarrassed

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Services provided by Chiropodists and physiotherapists are usually covered by health insurance. You don't need a doctor's referral.

2011-05-24T09:01:00.001-07:00

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MBT™ footwear: A chiropodist’s view of the “Physiological” footwear

2011-05-24T06:33:00.001-07:00

Over the past year, I have been asked on several occasions to express my opinion on the benefits and risks of wearing unconventional footwear such as MBT™ (Masai Barefoot Technology) shoes , Sketchers “Shape Up”™ shoes and other similar shoes.

I have reviewed research presented at scientific seminars, talked to a MBT footwear medical representative and I have also received feedback from a few patients over the past year who have used MBT shoes or other similar shoes. In this blog I will discuss the design of MBT footwear and its effects on the thigh and lower leg muscles while standing and walking in MBT footwear. I will also discuss the effects on ankle joint motion while walking in MBT footwear.

MBT footwear was developed in Switzerland in 1996 and came to North America in 2003. The unstable MBT shoe has been promoted as the original “barefoot” function shoe. This shoe has a rounded sole starting from the heel and continues to the toe and a cushioned sensor under the heel area that creates a natural degree of instability. This instability is felt from both the back to front directions and from inside to outside directions. The basic concept behind the unstable shoe is to transform flat and hard surfaces such as concrete sidewalks into uneven surfaces such as grass or sand. The design of the MBT footwear has been promoted to provide some of the benefits of barefoot walking.

The features of MBT footwear are thought to specifically activate, strengthen and condition the smaller neglected extrinsic foot muscles that originate in the lower leg and attach via tendons into the foot. This muscle activation is thought to occur while standing or walking in MBT footwear. By activating these neglected muscles, posture and gait could be improved and the loads or stresses on the lower limb joints may be reduced to help prevent injuries and reduce pain.

MBT footwear has been studied by a few university based biomechanics research laboratories. It is important to note the findings of these research papers can only be applied to MBT shoes and cannot be compared to similar type shoes such as Sketcher™ “Shape Up” shoes because of the shoe design differences.

In 2005, the University of Calgary Biomechanics laboratory conducted one study observing the effect on muscle activity while subjects just stood while wearing MBT shoes. When we stand, the muscles in our legs and thighs are active to prevent us from buckling at our hips, knees and ankles. The results of this study demonstrated an increase in the activity of many of the lower leg and thigh muscles while subjects stood wearing MBT shoes. These results seem to be consistent with the muscle activation benefits as promoted by the makers of MBT shoes. The researchers also measured postural sway of the upper body while standing and wearing a MBT shoe. Postural sway is the phenomenon of constant displacement and correction of the position of the center of gravity within the base of support. In layman’s terms this describes our ability to keep balanced without falling over. Using a MBT shoe is similar to balancing on a wobble board. Wobble boards are used for rehab after an ankle sprain which helps to strengthen muscles around an injured ankle joint and promote balance. Postural sway increased while wearing MBT shoes compared to a New Balance shoe.

In 2005, the University of Calgary Biomechanics Laboratory conducted a second study where they compared subjects wearing a New Balance 756 running shoe and subjects wearing MBT shoes while walking. The investigators measured the differences in muscle activity and ankle joint motion. They found increased muscle activity in the subjects in the MBT shoe group versus the subjects in the New Balance shoe group. Again these results were consistent with the muscle activation benefits as promoted by the makers of MBT shoes.

Wearing MBT shoes while walking caused an increase in ankle joint dorsiflexion (dorsiflexion of the ankle happens when you move your foot towards your leg) from initial heel contact through to midstance (midstance is the time when your swinging leg is even to your weight bearing foot and leg). Increased ankle dorsiflexion at contact to midstance makes your calf muscle stretch more while walking as compared to subjects wearing the New Balance shoe.

In 2009 researchers at Stanford University conducted a study examining what happened when individuals ran in MBT shoes versus New Balance 658 running shoes. They found running in MBT footwear led to a greater amount of ankle dorsiflexion from initial heel contact through to midstance. If you have tight calf muscles the use of MBT footwear while walking or running may cause strain on the tendo Achilles leading to tendinitis.

These increases in muscular activity that have been reported in these studies have led to the “Toning or Physiological” footwear category. A number of shoe companies have developed their own Toning or Physiological footwear to capitalize on the popularity of MBT footwear. Until research has been conducted on these other “Toning and Physiological” shoe brands you can not apply the MBT research findings to these other shoe brands.

In my next blog, I will outline the lower leg and foot problems that can be relieved by wearing MBT footwear and the lower leg and foot problems that will be aggravated if you wear MBT footwear.

Source & Written By: Peter Guy, B.Sc., D.Ch., www.painfreefeet.ca

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What are the benefits and risks of wearing MBT™ footwear?

2011-05-24T06:13:00.001-07:00

MBT Download this file

In this blog, I will discuss the benefits and risks of wearing MBT™ footwear if you have a specific foot and lower leg problem. To help answer this question, I have summarized feedback from various chiropodists and podiatrists from Canada and the USA gathered by Dr. Chris MacLean, Director of Biomechanics at Paris Orthotics Ltd in Vancouver, BC.

Some of the benefits of wearing MBT shoes are definitely due to the rocker shaped outer sole. A pilot study in 2005 by Department of Orthopaedic Surgery at the Edinburgh Royal Infirmary used pressure sensing insoles inside of MBT footwear while the study participants were either standing or walking. They compared the pressure readings in the MBT™ shoes to pressure readings inside of a flat soled running shoe. The study specifically compared the peak pressures of the heel, midfoot, ball of the foot (forefoot) and toes between the two shoe groups.

Results of this study showed:

1. MBT’s decreased peak pressures in the forefoot and midfoot when walking,

2. MBT’s decreased peak pressures and in the midfoot and heel when standing,

3. Peak pressure was raised in the toes in MBT’s in both standing and walking conditions,

4. The most dramatic difference was during standing, where the MBT shoes increased peak pressure in the toes by 76%, and lowered peak pressure in the midfoot and heels by 21% and 11% respectively and

5. The most consistent finding, when both standing and walking, was decreased pressures in the midfoot in MBT’s.

These results of the Department of Orthopaedic Surgery at the Edinburgh Royal Infirmary study are consistent with the feedback that Chris MacLean gathered on the benefits of wearing MBT footwear.

What foot problems can benefit from MBT footwear?

1. Stiffness in the big toe joint(hallux limitus)

2. Bunions

3. Heel pain or plantar fasciitis

4. Pain in the forefoot( metatarsalagia)

5. Decreasing weight away from the ball of the foot

6. Painful callus on the ball of the foot

7. Inflammation of the joint capsule in the forefoot

8. Neuroma ( irritation of nerves between the metatarsal bones of the foot)

9. Foot osteoarthritis

10. Someone who mostly stands while they work.

In my last blog, I discussed the effects of wearing MBT footwear. I have summarized these effects.

1. Wearing MBT shoes increased the activity of many of the lower leg and thigh muscles while subjects stood or walked wearing MBT shoes.

2. Wearing MBT shoes is similar to balancing on a wobble board. Wobble boards are used for rehab after an ankle sprain which helps to strengthen muscles around an injured ankle joint and promote balance. Postural sway increased while wearing MBT shoes.

3. Wearing MBT a shoes while walking caused an increase in ankle joint dorsiflexion (dorsiflexion of the ankle happens when you move your foot towards your leg) from initial heel contact through to midstance (midstance is the time when your swinging leg is even to your weight bearing foot and leg). Increased ankle dorsiflexion at contact to midstance makes your calf muscle stretch more while walking as compared to subjects wearing the New Balance shoe. If you have tight calf muscles the use of MBT footwear may cause strain on the tendo Achilles resulting in tendinitis.

If you are considering MBT footwear you probably should have good balance, good muscle flexibility and an intact nervous system.

These are problems that are considered too risky to use MBT footwear:

1. Achilles tendinitis or peroneal tendinitis(these tendons are found on the outside of the foot and are damaged during ankle sprain),

2. Poor balance,

3. History of ankle sprains,

4. Loss of nerve transmission to the lower extremities such as diabetic neuropathy,

5. Neurological deficits such as multiple sclerosis,

6. Stress fractures especially while standing and

7. Knee problems

Before you consider buying a pair of “Toning or Physiological shoes you should be aware of the risks and benefits of wearing these types of shoes. Most if not all of the research has been conducted using MBT footwear, therefore, the MBT footwear benefit and risk profile cannot be applied to the other “Toning and Physiological” brands of footwear.

In my next blog entry I will discuss the topic of minimalist running shoes used for barefoot running.

Source: Peter Guy, B.Sc., D.Ch - www.painfreefeet.ca

www.painfreefeet.ca

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85% of amputations resulting from Diabetes are PREVENTABLE!

2011-05-19T00:38:00.001-07:00

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Don't Bend at the Knees!

2011-05-17T19:30:00.001-07:00

The well-known phrase that most people hear is "bend at the knees, not at the back".

However, in many cases bending at the knees may not be the best advice.

Bending the knees to squat all the way down to pick up something has been described as "impractical"...and may potentially be harmul to knees.

SOLUTION:P "Bend at the hips, not at the back" may be more efective advice.

Flexing at the hips while maintaining a neutral curve in your lower spine is the "natural" way we were meant to lift.

Source: www.aptei.com

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Ice Therapy???

2011-05-17T19:26:00.001-07:00

Ice, Compression and elevation are basic principals that all Physiotherapists and Chiropodists are aware of, however the "type" of ice used and the method of application is always debatable.

The evidence from this research paper* suggests that melting ice applied through a wet towel for repeated periods of 10 minutes is most effective at reducing deep tissue temperature.

Applying the ice repeatedly versus continuously (i.e. 20 minutes) helps reduce deep muscle/tissue temperature with less risk of damaging the superficial skin.

*Reference: Mac Auley D. 2001 Ice therapy: how good is the evidence? International Journal of Sports Medicine 22(5):379-384

Source: www.aptei.com

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Is It A Wart or a Callus?

2011-05-02T14:33:00.001-07:00

This time of year people are often barefoot and can easily pick up a virus known as a wart. A wart is commonly seen on the foot, especially in children 7 to 16 years of age. It can spread from one area of the foot to another, as well as from person to person. Unlike a callus that is uncomfortable from direct pressure, a wart is painful when pressure is applied from side to side. In many cases people seek treatment from over the counter redmedies with very little success. For options on how to deal with plantar warts, contact our offices: www.we-fix-u.com

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Heel Pain: Plantar Fasciitis...GET INFORMED!

2011-05-01T07:55:00.001-07:00

Plantar Fasciitis is severe heel pain that occurs when weight is applied to the foot. Commonly the first several steps in the morning are the worst. Heel pain may decrease as the foot becomes warmed up or with rest, only to reoccur when activity resumes. In most cases people associate this pain with heel spurs. Calf stretching, kneeling, crouching, and wearing flat shoes can aggravate this condition. Without proper treatment Plantar Fasciitis can last years.

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Ingrown Toe Nails

2011-04-28T06:06:00.001-07:00

Ingrown toe nails are very painful and often cause infection. Many times the nail may look normal but is tender along the sides when pressure is applied. Generally people blame this condition on improper toe nail cutting, however in most cases it is a hereditary condition and the nail is simply to big for the toe. A very simple procedure can be performed to permanently correct this condition without removing the entire nail.

Our clinics offer Permanent Solutions for ingrown toe nails!

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GOT JUNK??? We Need It!!!

2011-04-26T19:12:00.001-07:00

GOT JUNK??? We Need It!!!

To help us raise funds for this year's Relay for Life, benefiting the Canadian Cancer Society, we are holding a yard sale and BBQ in the parking lot at Northumberland Physiotherapy and Foot Care Centre:

727 William Street, Cobourg

Saturday, May 28, 2011

8:00 a.m. to 2:00 p.m.

If you have anything you would like to donate, big or small, we'd love to have it! Drops offs will be accepted at the clinic Monday to Thursday 8:00 a.m. to 8:00 p.m. and Fridays 8:00 a.m. to 5:00 p.m. until May 27. If you have anything (i.e. large items) you would like us to pick up, we are planning a drive-around on Saturday, May 14.

REMEMBER: Your Junk is OUR Treasure!

Please spread the word...

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We have an INCREDIBLE team, and it shows! Read awesome thank-you letter from a valued patient...

2011-04-25T09:19:00.001-07:00

Northumberland Physiotherapy & Foot Care Centre

727 William Street

Cobourg, Ontario K9A 3A7

April 25th, 2011

Dear Cristol Smyth,

I am writing this letter to you as I am compelled to share with you how extremely impressed I

am of your staff.

My son Dwayne DeGroote has been seeing Allen for about 4 months now from his ACL

surgery and he has shown great progress thanks to the efforts of Allen. Allen has done a

superb job with Dwayne and he has now offered to take my son to the next level of his rehab

program.

As stated above, all your staff members show such excellent customer service from the time you enter

the door till departing from the appointment. Everyone is so professional and more so everybody has a

smile and such an upbeat attitude. This is evident from your front reception staff all the way through to

your physiotherapists. They always welcome you with a smile and I truly enjoy listening to everyone

laughing and the attention provided to all your patients.

I can honestly say that you and all your staff show what it takes to provide you’re cliental the most

professional and business manner approach that I have had the pleasure of witnessing.

Sincerely,

John DeGroote

An extremely satisfied customer!

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Physiotherapist Needed

2011-04-25T08:03:00.001-07:00

Our clinics are expanding and we require a Full Time (or Part Time) Physiotherapist with their FCAMT. We are looking for a manual therapist with ambitions to move into an administration/therapist role as clinical manager. You need to posses the desire to help others and contribute to our organization's incredible expansion in the Cobourg area.

Our facility provides a comfortable and friendly patient focused environment. Our client base includes clients who are recovering from orthopedic and sports related injuries, motor vehicle accidents and work related injuries.

We offer:

Relaxed, friendly, flexible work environment
Well equipped facility
A cohesive multidisciplinary team
Peer-mentorship
Supportive and team-oriented setting
Flexible hours
Fully funded educational opportunities
Competitive remuneration
Performance bonuses

Who we are looking for:

Hard working physiotherapists that have a verifiable history of getting things done, like helping people and are happiest when doing so. Above all we are looking for someone who loves being a physiotherapist and would like the freedom to perform his or her craft.

Please contact us to see if you qualify to join our team. Send email with cover letter and resume to Attn: David S Evans, pt_davidevans@hotmail.com or call (905) 373-5859 or fax to (905) 373-7271

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"Old" Feet Can Feel New Again!

2011-04-21T08:33:00.001-07:00

Experiencing the Agony of De “Feet”? You are not alone. Foot problems are especially common in seniors and for a variety of reasons. Feet lose cushioning as they age, and the skin and nails can grow dry and brittle, and nails often become difficult to trim. Many seniors have poor circulation, and this can slow the healing of foot sores.

There are many different problems seniors commonly face. Keep in mind that most of these problems can be prevented and treated. Here are a few of the most common problems:

Dry Skin: Apply a thick cream to your feet TWICE daily. Avoid putting cream between your toes.

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Part-Time Receptionist Needed

2011-04-18T15:56:00.001-07:00

Our clinics are expanding, so we need another team member!

Do you love helping people and are happiest when doing so?

Do you have a verifiable history of getting things done?

Do you love to work as a team member?
Do you work well under pressure?
Do you enjoy a diversity of tasks within a position?

We’re looking for a highly motivated, outgoing part-time receptionist with a desire to work in a fast-paced environment to join the dedicated health care professionals at Northumberland Physiotherapy and Foot Care Centre and The Sports Injury and Foot Health Centre. As the largest clinic in the area, you’ll work along-side a multi-disciplinary rehabilitation team that includes physiotherapy, Chiropody (Podiatry), Massage Therapy, and Athletic Therapy. The successful candidate must be well presented, enthusiastic and reliable with excellent customer service qualities. Strong communication skills with a desire to learn and the ability to build rapport with staff/customers are mandatory requirements for this position.

Qualifications:

Superior computer skills, especially in using Microsoft Office programs including Word, Excel, Outlook.
Experience with InTouch and/or Nightingale systems would be an asset.
Superior communication skills, written and verbal.
Proven multi-tasking ability.
Excellent organizational skills.
Experience with WSIB, MVA, and insurance billing would be an asset.
Proven customer service experience.
Desire and ability to work and thrive in a fast-paced work environment.
Excellent administration skills and ability to work within a team.
Must be a quick learner and a self-starter.

The ideal candidate possesses the same commitment to hard work, execution, excellence and customer service as the rest of the centre’s existing staff.

The primary location for employment will be The Sports Injury and Foot Health Centre in Port Hope, though shifts at our Cobourg location may be necessary. The candidate must have own transportation and be able to work evenings and some Saturdays. This position may lead to full time for the right candidate.

To apply for this exciting opportunity please submit your cover letter and resume to cristolsmyth@gmail.com. Position Availability will close Friday, April 22, 2011.

Due to volume of applications only those selected for an interview will be contacted

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Stroke or Brain Injury? Regain Your Independence: One Step at a Time

2011-04-17T20:39:00.001-07:00

You may have experienced changes in the way you walk after a stroke or brain injury. These changes can eventually lead to problems with your feet. However, you can avoid most of these problems by taking a few, very simple steps.

Helpful tips

· Your affected leg is probably thinner and the atrophy (smaller and weaker) is not limited to the muscles. The arteries can also be affected so that you may have developed peripheral arterial disease (PAD, poor circulation) in the effected extremity.

· Exercises can help open up alternative small vessels, and increase blood flow into your leg. Walking 5-10 minutes for 3x week is usually a good start.

· If you have drop-foot, don’t walk around letting your foot slap or flop: it can be injured or you can fall and cause further injury. A drop foot may develop as a result of weakness or paralysis of the muscles which lift the top of the foot. A prosthetic device, called an ankle foot orthoses (AFO) may be necessary to keep the foot and toes from dragging or catching on the ground when walking.

· British researchers analyzed 14 randomized controlled trials with 429 participants evaluating the effects of orthoses in people with stroke and other non-progressive brain lesions. They found that there was a significant and beneficial effect of lower limb orthoses on walking speed, walking step and stride length and weight distribution in standing.

· Check your feet every day for cracks, blisters, sores, swelling or any changes in skin colour. This is especially important if you have circulation problems or reduced feeling in your feet. Any sign of infection, such as redness, swelling, or discharge (oozing), should be examined by your family doctor or your chiropodist (foot specialist).

· Socks and Shoes: The average pair of feet sweat approximately 1/2 pint of fluid per day. That sweat is absorbed mostly by shoes as socks have a limited ability to absorb much moisture. It takes a leather shoe about 30 hours to dry out. So, have at least two pair of shoes and alternate them. If you have really sweaty feet, cotton/wool/polyester blends have traditionally been recommended as old studies show these absorb the most moisture.

· Buy shoes that are wide and deep enough, and fit snugly at the heel. Ideal shoes for stroke patients have low heels, shock absorbing soles, Velcro fasteners, deep, rounded toe boxes, and leather or canvas uppers.

· Shop for shoes at the end of the day when your feet are naturally swollen. Be sure to have both feet measured. If you have any insensitivity in the stroke affected leg make sure that a professional fits your shoes.

· A stroke or brain injuries may cause complete or partial paralysis of the leg or entire side of the body. With partial paralysis or weakness, rehabilitation and physical therapy can increase strength and improve ambulation over time.

· Strokes or brain injuries may also affect balance and coordination, as well as result in a loss of the perception of body position. This means there is a decreased awareness of where different parts are. Understanding body perception is crucial for walking rehabilitation. The foot and ankle and lower leg send numerous signals to the brain about the foot position. The foot can easily adapt to walking on uneven surfaces without an individual looking at their feet. Once this perception of foot and ankle position is lost, it becomes extremely difficult for the brain to know exactly where the foot and leg are. Rehabilitation programs focus on increasing movement and strength, but also on sensory as well as re-educating the brain to identify movements and position.

· Stroke or brain injury rehabilitation may take months or a year and depends on the nature and severity of the stroke-related complications. It is important to have realistic goals and expectations.

· Posture – It is important for everyone and especially after a stroke. While sitting, slouching and curving the spine will cause many other problems. Back and neck issues will occur. While doing exercises and walking, maintain your posture by keep your head up, shoulders back, and the lower part of your back straight.

· Keep a positive attitude! Everyone has bad days, and good days! Stay positive! Every day you take a small step forwards, and after looking back in a month, you will see that you walked a mile!

EXERCISES-

The exercise program is designed to help you improve your strength and endurance to regain your independence. With your exercise program, here are some helpful hints:

- Posture is important!

- Limit the distractions around you while you are exercising. Losing focus can lead to improper mechanics and possibility of falling.

- With any exercise program, stay within your painful range of motion! If it hurts, stop!

- Fatigue – do not exercise to exhaustion. Once you fatigue, stop!

- With most exercises, start having a lot of physical support (ie-table or chair to hold onto). Once the exercise is easy, progress to holding on with little support (ie- one hand holding on the chair) and then completely unsupported. Go at your own pace, don’t perform exercises if you are not ready for them.

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Arthritis

2011-04-15T06:54:00.001-07:00

ONE OF THE MOST COMMON FORMS OF ARTHRITIS IS OSTEOARTHRITIS. IT DAMAGES YOUR JOINTS THROUGH WEAR AND TEAR. IT CAN BE PAINFUL AND DEPRESSING.THERE IS NO CURE, BUT THERE ARE WAYS OF MANAGING THE CONDITION AND MAKING LIFE EASIER. PHYSIOTHERAPY IS AN IMPORTANT PART OF THAT MANAGEMENT

HOW DOES OSTEOARTHRITIS AFFECT PEOPLE?

Most people develop some degree of osteoarthritis especially as they get older. The changes are permanent and exist even when there are no symptoms. Osteoarthritis affects people in varying degrees. Some people may be symptom-free or suffer only mild or intermittent pain provoked by episodes of increased use or minor trauma. For some people symptoms can be disabling and, when it involves the larger joints of the body such as the hip or the knee, the severity of the problem may require surgical treatment. Wear and tear of our joints may occur due to ageing, injury,

prolonged poor posture, over use of joints, or excess weight.

DIAGNOSIS

Osteoarthritis is one of 150 different forms of arthritis for which there are different treatments. Your general medical practitioner can make a diagnosis. Treatment may include physiotherapy and/or anti-inflammatory medication. Treatment methods may include gentle passive movement, heat, electrical treatments, muscle stimulation, aquatic physiotherapy (hydrotherapy), splints and advice on preventing further joint

damage through self management. Specific exercise prescription is also a proven therapy in the management of arthritis.

SYMPTOMS AND SIGNS

• Recurring pain or tenderness in a joint.

• Stiffness, particularly early morning stiffness.

• Swelling in a joint.

• Obvious redness or heat in a joint.

• Inability to move a joint.

HOW PHYSIOTHERAPY CAN HELP

HOW CAN A PHYSIOTHERAPIST HELP?

Physiotherapists are highly qualified in the assessment and treatment of the effects of osteoarthritis. Physiotherapy can:

• Reduce pain.

• Improve movement and posture.

• Strengthen muscles.

• Improve independent function.

• Assess and treat biomechanical problems that may

exacerbate the pain and loss of function.

HOW YOU CAN HELP YOURSELF

• Always respect pain.

• Avoid over-stressing joints.

• Avoid jerky/sudden movements.

• Don't overload joints.

• Take care with lifting.

•Watch your weight.

• Improve your body alignment to take stress off any

arthritic joints.

• Use splints or walking aids as advised.

• Don't overdo activity or exercises.

EXERCISES - HOW DO THEY HELP?

Exercises for people with osteoarthritis should be individually prescribed. Your physiotherapist can devise a program of exercises to suit your condition. As a general

rule remember if any exercise hurts then DON'T DO IT. Recent physiotherapy research has consistently shown exercise to be effective in management of osteoarthritis of

the knee.

EXERCISES HELP BY

• Maintaining or increasing movement.

• Improving joint lubrication and nutrition.

• Restoring muscle balance.

• Improving circulation.

• Improving strength and stability.

• Improving poor posture.

Don't forget to maintain your GENERAL FITNESS LEVEL - this helps you feel better and retain your healthy joints. Gentle regular exercises such as swimming, exercising in

water (hydrotherapy), walking or cycling are recommended.

REST

Whilst rest is an important part of managing your osteoarthritis, it is usually balanced with exercises and activity. In particular rest is required when joints are HOT,SWOLLEN OR PAINFUL.

Northumberland Physiotherapy and Foot Care Centre has a specific arthritis program. To book an appointment with a physiotherapist, call 905-373-7045.

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Get Your Feet to Spring Into Shape!

2011-04-14T09:37:00.001-07:00

Early planning Tips for the spring athlete!

Spring is approaching fast. For those athletes itching to get outdoors, plan now to be ready the minute the temperature stays consistently in the positive digits.

Different sports activities call for specific footwear to protect feet and ankles. Sports-specific athletic shoes are a wise investment for serious athletes, though perhaps a less critical consideration for the weekend or occasional athlete. Nevertheless, it's a good idea to use the correct shoe for each sport.

Athletic footwear should be fitted to hold the foot in the position that's most natural to the movement involved, says chiropodist, Cristol Smyth, Chiropodist, co-owner of Cobourg’s most comprehensive foot clinic Northumberland Physiotherapy and Foot Care Centre.

“For example, a running shoe is built to accommodate the impact on the forefoot, while a tennis shoe is made to give relatively more support to the ankles, and permit sudden stops and turns. Because of the many intricate maneuvers involved in such events and the added strain they put on the feet, athletic shoes ought to be fitted for comfort and support”, says Smyth.

Smyth always tells patients that it is widely accepted that a regular regimen of walking is physically rewarding. Here again, footwear with proper support is most important.

Smyth recommends the following tips when selecting the appropriate footwear.

1. Choose a good quality, lightweight walking shoe with breathable upper materials, such as leather or nylon mesh.

2. The heel counter should be firm and the heel positioned close to the ground for walking stability.

3. The front or forefoot area should have flexibility, and plenty of room for the toes to move around.

4. Consideration should be given to cushioned soles for resilience on hard surfaces and tread for traction on slippery surfaces.

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Health Tip: Understanding Risk Factors for Type 2 Diabetes - US News and World Report

2011-04-14T06:51:00.001-07:00

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(HealthDay News) -- Type 2 diabetes occurs when people can't properly convert food to energy that the body's cells can use.
Food is broken down into a blood sugar called glucose. Then a pancreatic hormone called insulin is supposed to convert glucose to energy.

When this process doesn't work correctly, too much glucose builds up in the blood, and the individual cells become starved for energy. And over time, high blood glucose can lead to serious complications, such as heart and kidney disease, stroke or blindness.

The National Diabetes Information Clearinghouse mentions these potential risk factors for type 2 diabetes:
Being overweight.
Having a family history of diabetes or cardiovascular disease.
Having high blood pressure or high cholesterol.
Having pre-diabetes.
Being of Asian, African, Pacific Island, American Indian, Alaskan or Hispanic descent.
Being 60 or older.
Having had gestational diabetes while pregnant.
Exercising fewer than three times per week.
Copyright © 2011 HealthDay. All rights reserved.

via health.usnews.com

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Emphasizing Proper Shoe Fit And Better Shoe Choices For Children | Podiatry Today

2011-04-14T06:04:00.001-07:00

One of the most common questions I get from parents is, “What is the right shoe for my child?” I have different answers to this question based upon the age of the child and the activity for which the child will be using the shoe.

For children under my care, I will often make specific recommendations to help with a particular gait issue. I keep recommended shoe lists in my office to offer general advice to parents on what constitutes a good shoe for a child at key ages. When a specific shoe type or design is part of my therapeutic plan, I offer a detailed description to the parents and I will write a “prescription” for the shoe, even if it is not an orthopedic or special shoe, so they have written notes to refer to when shopping.

I like to recommend specific stores that know my patients and me. These are stores that have a good track record of providing appropriate shoes for children, offering a good selection and recommending shoes that work well with my other therapies such as foot orthoses. I try to stay clear of recommending a specific shoe and I will concentrate on the properties of the proper shoe for a particular child. I find if I give parents a specific shoe to purchase, they may end up on a wild goose chase to locate that particular shoe.

However, what is really on my mind concerning children and shoes is how often the wrong shoe is contributing to a foot problem and how often the parents do not realize the shoe is a key culprit. I see this scenario occasionally in children of primary school age and younger. I start to see this problem more frequently in teenagers once they are in middle school and high school. The primary culprits here are ill-chosen or ill-fitting shoes, and parents beginning to lose control over the choices their children make as they become teenagers and beyond.

Sometimes fashion and trends are at work, and the child is simply choosing the shoe his or her friends are wearing even if it is unwise. The most glaring example of this is the ever popular Uggs, which can be seen on the feet of pre-teen and teenage girls everywhere, even when the temperature climbs into the 70s. Why? It is because they are soft, padded, comfy and cool. Never mind that they offer little or no support for the rearfoot and arch. They may be great on a snow day in January but they just do not work for feet during an afternoon at the mall.

The ballet slipper style shoe is another example of a shoe that may be contributing to pathology or symptoms on the wrong foot. These shoes are often pretty and feminine, and are popular with girls of all ages. In a so-called “normal” foot that is not overpronating, these slippers may be fine for short periods when activity is minimal. In the hyperpronator, however, these shoes are the equivalent of going barefoot with a sheath over your foot and may easily lead to overuse symptomatology and premature fatigue.

When Teenagers Present With Adult Digital Problems

Another scenario that I am seeing with alarming frequency is teenagers presenting with digital problems. These include painful bunions, corns, hammertoe, mallet toes, claw toes, interdigital corns with bursitis and other related symptoms. Teens often present with digital problems, saying they want surgery to fix their toes.

You might be thinking, aren’t these typical forefoot problems of older patients, not teenagers? Well, more and more teenagers are turning up with these problems because they are wearing ill-fitting shoes that are cramping, bending and squeezing their toes. I am not talking about high heels, pumps and other fashion footwear in which we see crowding of the toes as a result. These kids are causing these problems with sneakers and other so-called “comfortable” shoes.

So what is at work here? First, teenagers can be lazy and they may not let their parents know when a shoe is getting tight or small. Parents are much less involved in such matters in teenagers and often they just do not realize what is happening.

Of even greater concern -- and I am amazed at how often I see this, particularly in an inner-city setting -- are children who choose to stay in small shoes to make their feet look smaller, even if they will not admit the reason. You might think this problem would be more common in females but not necessarily. I have seen it with many adolescent males who may not “like” the size of their feet as they are maturing. These kids get that sheepish look on their faces when you suggest what you think is going on here.

Final Notes

Needless to say, when I am evaluating and treating digital problems in this population, I spend some time on the shoes. Evaluating the shoe, how it fits and types of changes in the shoe may help to alleviate the presenting symptoms. In some cases, the shape or height of the toe box has to be adjusted but in quite a few cases, simply getting a shoe in the correct size goes a long way in relieving symptoms associated with squished toes.

via podiatrytoday.com

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Free Foot Health Presentation

2011-04-13T22:14:00.001-07:00

When Your Feet Hurt, You Hurt All Over. But they don't have to. Foot pain is entirely preventable, and treatable. Attend our free presentation to learn how foot problems are caused and what to do to treat them. We'll have you limping in and leaping out! Call 905-373-7045 to reserve your spot.

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Your Child's Feet

2011-04-08T07:29:00.001-07:00

As parents, we all worry about our children’s teeth, eyes and other parts of the body, but other than counting how many toes our newborn baby has, how many of us actually worry about the development of our children’s feet? A baby's foot is not simply a smaller version of an adult's. At birth the 26 bones that will eventually make up the adult foot are mostly cartilage, making them pliable and therefore susceptible to damage. As parents, we must be concerned about these developing feet, which have to carry the entire weight of the body through a lifetime.

Many adult foot ailments begin in childhood and are present at birth. Neglecting foot health invites problems in other parts of the body, such as the legs and back. Any problem occurring in the foot can transfer problems to other parts of the body, as a result of our body’s compensation mechanism.

In my practice I see a large number of children with varying problems. The most common being flat feet, in-toeing or out-toeing.

Flat feet: For the first two years or so, your child’s feet will have seemingly low arches.

During infancy and toddler-hood, parents should not be concerned that their child’s foot is “flat”. Most children are born with flat feet. This is because the feet have numerous loose ligaments, weak muscles and a generous padding of fat. As your child masters walking, the ligaments and muscles will strengthen and the fat pads in the arch area won't be so noticeable. By around five to seven years of age, your child should have normal arches in both feet.

Feet that turn inwards (In-Toeing): Many toddlers walk 'pigeon-toed', with either one or both feet turned inwards. In most cases, this is simply a sign of developing posture and balance, and should resolve by itself (without the need for medical intervention) somewhere between the ages of three and five years. However, if the in-toeing is severe, seems to involve the leg and hip as well as the foot, or isn't improving by the time your child is around one and a half to two years of age, see your chiropodist for assessment. Excessive in-toeing may be caused by a variety of underlying difficulties, such as hip joint problems.

Feet that turn outwards (Out-Toeing): Very occasionally, toddlers walk with their feet turned outwards. This tends to be more common in children who were born prematurely. In most cases, out-toeing resolves by itself as posture and balance matures, but see your chiropodist if you are concerned.

Problems that need professional attention:

Symptoms of problem feet may include the following:

Abnormally shaped toes
Ingrown toenails
Bunions or other deformities
Stiffness in the foot
Limping
The child complains of pain while walking
Severe in-toeing or out-toeing
Flat feet beyond the age of five years
A sudden change in the way your child walks
If your child isn't walking at all by two years of age.

Please see your doctor or chiropodist if one or more of this problems is noticed.

Your Baby's Feet

A child's feet grow rapidly during the first year, reaching almost half their adult foot size. This is why foot specialists consider the first year to be the most important in the development of the feet.

Here are some suggestions to help you ensure that this development proceeds normally:

Look carefully at your baby's feet. If you notice something that does not look normal to you, seek professional care immediately. Deformities will not be outgrown by themselves.

Cover baby's feet loosely. Tight covers restrict movement and can impede normal development.

Provide an opportunity for exercising the feet. Lying uncovered enables the baby to kick and perform other related motions which prepare the feet for weight bearing.

Change the baby's position several times a day. Lying too long in one spot, especially on the stomach, can put excessive strain on the feet and legs.

Starting to Walk

It is unwise to force a child to walk. When physically and emotionally ready, the child

will walk. Comparisons with other children are misleading, since the age for independent walking ranges from 8 to 18 months.

A child learning to walk receives important sensory information from the soles of their feet. Shoes, particularly those with hard and inflexible soles, can make walking more difficult. When the child first begins to walk, shoes are not necessary indoors (Beware: our mothers will tell us likewise!). Allowing the child to go barefoot or to wear just socks helps the foot to grow normally and to develop its musculature and strength. Children only require shoes to protect their feet when walking outside or on a rough surface. Shoes then, should be lightweight, flexible and made of natural materials. Actually, recent research suggests that wearing shoes too early in childhood may be detrimental to the development of a normal arch.

Growing Up

Children under the age of 16-18 months grow more than half a foot size every two months. Toddlers from the ages of 16 to 24 months grow an average of half a foot size every three months. When they are 24 to 36 months old they grow approximately half a foot size every four months. Over 3 years of age, they increase half a foot size every four to six months.

As you can see, children's feet grow very quickly and their shoe size may need updating every few months to allow room for the feet to grow. Although foot problems result mainly from injury, deformity, illness or hereditary factors, improper footwear can hamper your child’s walking, cause problems such as ingrown toenails, and can aggravate pre-existing conditions, such as bunions.

Tips for Fitting Footwear:

o Measuring feet is only a guide. A good shoe store will always check the fit of both shoes on the feet. The child should be STANDING when feet are measured and shoes are fitted.

o Choose a shoe that gives stability and protection to feet, which are still soft and flexible. An ideal shoe should have a rounded toe and snug heel, with breathing leather uppers and laces or velcro to prevent excessive movement or slipping of the foot inside the shoe.

o Choose a store that offers shoes in width fittings and half sizes and that has trained staff that can expertly fit them. Less than a third of children are 'average' fitting so foot measurement and correct fitting are vital to a pair of feet.

o Fitted shoes have growing room to ensure good fit throughout the life of the shoe. It's not necessary to buy a larger shoe than one which is fitted. In fact, shoes that are too big can do as much damage as shoes that are too small. A proper fitting shoe should have one thumb’s width (1/2”) between the end of the longest toe and the end of the shoe, while standing.

Advice for Parents

Problems noticed at birth will not disappear by themselves. You should not wait until the child begins walking to take care of a problem you've noticed earlier.

Remember that lack of complaint by a youngster is not a reliable sign. The bones of growing feet are so flexible that they can be twisted and distorted without the child being aware of it.

Walking is the best of all foot exercises, according to chiropodists. We also recommend that walking patterns be carefully observed. Does the child toe-in or out, have knock knees, or other gait abnormalities? These problems may be corrected if they are detected early.

Chiropodists have long known of the high incidence of foot problems among children. A thorough examination by a chiropodist may detect an underlying defect or condition which may require immediate treatment or consultation with another specialist. We recommend foot health examinations for children on a regular basis.

Whenever you have questions about your child's foot health, contact us.

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Pear, Fennel & Walnut Salad

2011-04-04T16:14:00.001-07:00

Prep TIme: 10 min Serves 4

2 tbsp Walnut pieces

1/4 cup Low Fat Mayonnaise

1 pear, thinly chopped

1 Cucumber, thinly chopped

1/2 fennel bulb, thinly chopped

pepper to taste

1/2 cup cubbed Light Havarti Cheese

Toast walnuts in a dry skillet on medium heat, stirring until fragrant, about 3 min. Once cooled, combine with mayonnaise. Mix with all other ingredients.

Can also spread this salad on bread! Makes a wonderful sandwich!

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75% of Nail Salons Don't Properly Disinfect!

2011-04-03T09:34:00.001-07:00

Podiatrist Dr. Robert Spalding, author of Death by Pedicure, states that "at this time, an estimated one million unsuspecting clients walk out of their chosen salon with infections -- bacterial, viral and fungal." And no matter which salon you go to, there is always a risk of infection.

Spalding claims that in his research "75 percent of salons in the United States are not following their own state protocols for disinfections," which includes not mixing their disinfectant solutions properly on a daily basis, not soaking their instruments appropriately, and using counterfeit products to reduce costs (for example Windex substituted for Barbicide), says the doctor. And the problem is that there is no way to really "verify an instrument has been properly soaked and sterilized" without watching the process.

Source: PM News

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FLIP-FLOPS: A major...FLOP!

2011-04-03T07:03:00.001-07:00

After spending hours walking at last years' Cobourg Waterfront Festival (we never tire of it!), I was absolutely amazed at how many people were wearing flip-flops. There is some serious walking at this festival folks!
In recent years, flip-flops have become the new "norm" for people of all ages, not just teenagers. What used to be a shoe designed for use around the pool or at the beach, has now become a shoe worn for all activities, just like regular shoes. Sure, they are inexpensive, they let your feet air out, and some even find them comfortable, but they have NO SUPPORT! If you wear these shoes for every day use, you are risking serious injury to your feet, legs and back - injuries that can create a lifetime of painful problems.
Think about it - how does an extremely flat piece of rubber, held together by another strip of rubber, provide support? Your feet have to work really hard to keep these shoes on.
Now, I don't have an issue with the shoes themselves - they are great if used for their intended purpose - but I do take issue with people who wear them for long jaunts, or allow their kids to wear them at the playground (what would happen if the child's flip-flop got caught on the monkey bars???....CRASH!). This little flat rubber shoe is fantastic at the pool or at the beach, providing protection from the hot sand, slippery pool surround, and to protect the foot from viral (plantar warts) and fungal (athlete's foot and fungal toenails) infections. So, why not use them for just that?
If, after reading this post, you decide to continue to wear flip-flops because you are making an "informed decision", lol, please consider wearing ones with good arch support...and wear your running/walking shoes when you plan to be on your feet for long periods.
If you are a die hard flip-flop wearer and need some help getting your feet back to good health, our chiropodists would love to help you (and no, we won't lecture you...you already know better). Give us a call.....Northumberland Physiotherapy and Foot Care Centre, in Cobourg (905-373-7045), The Sports Injury and Foot Health Centre, in Port Hope (905) 885-0024. Visit us at our website too: http://www.we-fix-u.com/

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Flip Flops Lack Necessary Support for Everyday Use

2011-04-03T06:52:00.001-07:00

One person’s comfort may be another person’s pain. Dr. Karen Rouw, a podiatrist at Central Minnesota Foot & Ankle Clinic in St. Cloud, has seen plenty of patients with foot problems. “In recent years, flip-flops have become the norm for so many people — not just teenagers,” Rouw said. “People will use them just as regular shoes, and yeah, they’re cheap and air out your toes, but you don’t have the support and are at more risk at developing foot problems.”

They may be supremely comfortable for some but — constructed of a flat piece of rubber or leather and held on the foot by a thin strip —flip-flops can be a headache. “There are people who need more support than their body is able to give naturally. If you have a flatter foot with very little arch, you’re more prone to having foot pain,” Rouw said.

Flip-flops do protect the foot from, say, the hot sand of a beach or the grit found poolside, and they can also help prevent the spread of athlete’s foot or plantar warts. Rouw said, “But you’re more prone to injury because you’ve got exposed toes.”

Source: Frank Lee, St. Cloud Times [5/19/09]

"Reprinted by permission from PM News. PM News is available free by writing to bblock@podiayrtm.com."

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Foot Safety On and Off the Job

2011-04-02T14:23:00.001-07:00

Your ability to use your feet safely, with ease and comfort, is vital if you are to remain a valuable and productive worker. When your job requires you to stand on your feet fr long periods, work in potentially hazardous areas or with potentially hazardous materials, you have some risk of ft injury. However, you can do a lot to prevent injuries by keeping your feet healthy and following safe work practices.

Off-the-Job

There are a few simple things you should do:
Bathe your feet daily; dry them thoroughly.
Check your feet frequently for corns, calluses, cracks.
Keep your feet warm.
Trim your toenails straight across, slightly longer than the end of the toe.
Prevent foot problems by visiting our chiropodists as part of your annual health check-up.
Wear protective footwear when using lawnmowers, chainsaw, and moving heavy objects.

On-the-Job

It is important for you to develop safe work habits and attitudes. Some things to remember:
Be aware of the hazards of your job and the proper protective measures to take.
Don't take chances or unnecessary risks. Take time to
Follow the rules. Don't cut corners. Use your equipment as specified.
Do your job right.
Be alert. Watch for hidden hazards.
Be considerate. Watch out for other workers' safety.
Concentrate on the job. Inattention can lead to accidents.
Pace yourself. Work steadily at a comfortable speed.
Keep your work area clean and your tools in their place.

Protective Footwear is Essential

Safety shoes and boots protect your feet, help prevent injuries to them, and reduce the severity of injuries that do occur in the workplace.

The foot is the most valuable part of your body subjected to injury in industry. Because of the many potential work hazards, it is important that you discuss with your supervisor the safety shoe, boot, or other protective equipment that you need for your protection.

If Your Feet are Injured at Work

Report any injury to your foreman or supervisor promptly for necessary first aid. Then see our chiropodists if further treatment is recommended. Proper foot care improves your efficiency and keeps you on the job.

Chiropodists are specialists who treat foot disorders and injuries medically and surgically. By visiting our chiropodists regularly, you can insure for yourself a lifetime of pain-free feet.

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The War Against Foot Odour

2011-04-01T14:49:00.001-07:00

Although smelly feet affects many people throughout the year, the stinkiest season is approaching. Foot odour usually occurs due to decomposition of the protein within the skin, in the presence of excessive sweat production. A fungal infection (athlete's foot) will worsen the condition. The cause of foot odour will determine how it will be treated. It is usually recommended that you:

Wash your feet daily with antibacterial soap. Dry well, paying particular attention to the spaces between the toes.

Change socks daily; make sure that they are absorbent.

Try foot deodorants with antibacterial agents. Tea soaks may also help (the tannin in tea has a drying affect on the skin).

You may require prescription medication

Wear sandals or go barefoot when safely possible, to allow perspiration to evaporate from feet.

Always wear socks with shoes. Take an extra change of socks with you, in case your socks become sweat drenched.

Let shoes dry 24 hours between wearings

Finally, perhaps you don't have "normal" foot odour. You may have a more aggressive strain of athlete's foot that requires the attention of your chiropodist.

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2011-04-01T06:12:00.001-07:00

Free Osteoarthritis Education: Do I have to live with the pain?
Saturday, April 9th
10 am - 11am

Learn what you should & shouldn't do when living with arthritis, as well as solutions to help you manage, reduce, or even eliminate your pain.

727 William St
Cobourg, Ontario

Call To Reserve Your Seat
(905) 373-7045

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Untitled

2011-04-01T06:03:00.001-07:00

Pain is a protective mechanism that warns us that something is wrong. Pain initial job is to tell us “stop doing that”. Prolonged pain is your body’s way of saying “I’m not getting better on my own”. Prolonged pain can also make nerves in the brain and body hypersensitive. Emotion such as anxiety, fear of further injury, or depression can also excite these nerves making things more painful and delaying recovery. Continuous stress means your body is always on high alert as well. Techniques to de-stress include deep breathing, adequate sleep, drinking enough fluids and aerobic exercise. It is also important to talk to a healthcare practitioner about the cause of your pain and how they can help. Following these steps can eliminate pain from the mind and body.

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Ladies, Be Kind to Your Feet

2011-03-31T07:22:00.001-07:00

No matter what the source - footwear, neglect, hereditary factors, or just plain bad luck - women are subject to numerous foot and foot-related problems. In fact, statistics show that women have about four times as many foot problems as men. "Why is this?" you may ask yourself. One reason why so many more women are actually seen in a foot clinic could be your basic old-as-the-hills gender difference, of which so many wives have complained about at least once in their lives - male ego. Not only will husbands not pull over to ask for directions, but also is seems that they also don't like to seek help with the direction of their foot health, either. We see the typical scenario on nearly a daily basis - a female patient says to me. "You know, my husband has some foot problems too. Maybe I should get him to come and see you."

My response is, "Why don't you bring him in with you the next time?"

Six weeks later, nine times out of ten, she's back, he's not. 'He didn't want to come in today', or 'He takes care of it himself', is the common excuse. Apart from this egotistical male factor, however, the reason for more women in a foot clinic is simple and rather obvious - more foot problems.

Hereditary factors cannot account solely (no pun intended) for this lop-sided number, neither can bad luck, or neglect. What's left? Footwear! Probably the major difference between men and women's feet is what is put on them. From high heels to slip-ons, these can cause some significant foot problems, which seem to multiply as the years of wearing these shoes increase (and as a woman's closet fills with these shoes!).

Yes, women can be notoriously cruel to their feet. We see ladies in our clinics all the time complaining of foot pain: "When I wear these shoes my feet hurt. When I were these other ones they're fine." More often than not, the culprit shoes area a skinny pair of heels that she struggles to twist and contort her toes into and persuade herself she's comfortable - all in the name of fashion. When I suggest that the cause of pain might be her shoes, almost always the reply is, "Oh no, I paid 200 dollars for these shoes. They're very comfortable."

So often we see this unfortunate message echoed in fashion magazines and on TV. It's sending precisely the wrong message to women of all ages. Those high heels may look sleek and sexy, but the mess of gnarled toes, ingrown toenails, corns, and callus they inflict are hardly appealing. Neither are these foot conditions:

The "pump-bump": is a bony enlargement at the back of the foot where the Achilles' tendon attaches to the heel. It is generally the result of shoes that offer little support and very little foot room, so the heel is constantly rubbing against the shoe. These can be painful, and they affect the fit and comfort of all your other shoes.

The bunion: Everybody has heard of this one. It seems to be the butt of every joke out there, and is associated with gross, smelly feet. In fact, it has nothing to do with foot cleanliness or odor. It is simply a mis-alignment of the big toe joint that causes this toe to point sideways (towards the little toe), causing the joint to become swollen and painful. The condition can be hereditary, and is mainly caused by flatter-than-normal feet, but shoes that are too narrow in the toes can increase the symptoms of this condition.

Plantar Fasciitis: The main cause of heel and arch pain, and by far the most common foot disorder seen in our clinic, this is inflammation of the plantar fascia, which is a thick band of connective tissue under the foot that runs from the bottom of the heel and fans out to attach across the entire ball of the foot. High heeled shoes hold the foot in an awkward position that places a lot of stress on this structure, which can lead to inflammation and pain under the arch and heel.

Metatarsalgia: this is the general medical term for 'pain in the metatarsal bones', of which there are five in each foot. This word is not very descriptive, and is not a diagnosis but merely a symptom of a foot disorder that could be due to a number of problems, but can usually be summed up as pain in the ball of the foot. High-heeled shoes place a lot of stress in this region, so these joints can become overloaded with pressure, resulting in pain.

Achille's Tendonitis: Take your foot and point your toes like a ballerina or gymnast. This motion contracts your calf muscle on the back of your lower leg, of which your Achilles' tendon is a part. Hold this position for eight hours a day, 5 days a week, and you will soon find that you will have lost a lot of flexibility back there. That's how high heels hold your feet, and over time it essentially shortens the tendon. Switch suddenly to a low-heeled shoe for any physical activity and you run the risk of overstretching the Achilles', causing tendonitis.

Truly there are few things in life better or more liberating than a comfortable pair of shoes. Our wonderful assistant Norine has brought in some fabulous, approved, shoes who are looking for good homes. Call the clinic and asked to be booked with Norine for "shoe shopping"! (YAY!!!!). She'll properly measure your feet and get you into something that is fashionable and good for your feet.

www-we-fix-u.com

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Physiotherapy for Cancer?

2011-03-30T18:51:00.001-07:00

Did you know physiotherapy can be used to manage the physical complications of cancer and its treatments, maximize mobility with neurological disorders such as stroke, Parkinson’s disease, as well as cardiac and respiratory conditions?

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New Cream!

2011-03-30T16:55:00.001-07:00

Our Chiropodists have found and approved, a new cream which is now dispensed from our clinics.

Superior Moisturizer for Dry Skin Conditions
Most lotions provide short-term relief of symptoms, but ultimately leave your skin as dry as ever. You need a treatment that’s specially formulated to put the moisture back into dry skin and keep it there.

• Urisec™ 22% provides protection against harsh environmental conditions, summer or winter.

• All seasons, Urisec™ 22% heals by dissolving dry, damaged cells as it draws in moisture and helps skin retain it, leaving a healthful texture.

Urisec™ Cream 22% is a superior keratin softening cream for rough, damaged skin, which effectively dissolves dry, damaged skin cells. It provides extra potency for relief of extra dry, damaged skin.

Unique Therapeutic Ingredients
• Urea, the active ingredient in Urisec™, is naturally present in the outer layer of the skin and is well established, scientifically proven, potent therapy against the pain and itching of dry skin. It is a powerful hydrating, moisturizing agent, that helps to maintain the integrity of the skin.

• Menthyl lactate, a non-irritating, non steroidal, ingredient, gives a pleasant, cooling, soothing effect to dry, itchy skin.

Non-Greasy
Unlike many dry skin lotions and creams that have a greasy, oily base, Urisec™ features a smooth emollient cream base, particularly effective for hydrating the whole body, even the traditional rough spots such as legs, arms, knees, feet, elbow, and hands.

Fresh Scent
Urisec™ non sensitizing, subtle, delicate scent is so pleasant and non medicinal, you may find it hard to believe that it is a potent dermatologist-recommended therapy for dry damaged skin.

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Simple Heel and Arch Pain Exercises

2011-03-30T16:33:00.001-07:00

Many of us, especially those of us that live on our feet, often suffer from arch and heel pain.

Here are a couple of quick stretches that can help reduce or even eliminate the pain!

Using a frozen water bottle, slowly roll your foot over the bottle from the heel to ball of foot.

Repeat for 2 minutes – 2x’s day

Cross your leg over your knee then pull your big toe back towards you while pushing your heal away from your body and hold.

Minimum of 15 sec. x 3 reps.

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Atherosclerosis & Disc Degeneration & Back Pain

2011-03-30T16:06:00.001-07:00

Did you know that there is a connection between diet, cholesterol, the thickening of artery walls (Atherosclerosis/ ASVD) and back pain?

Fact #1:

Post-mortem studies showed an association between atherosclerosis in the aorta and DDD (Degenerate Disk Disorder).

Fact #2:

Post-mortem studies also showed a strong association between narrowing of the lumbar arteries and a life-time of lower back pain (LBP).

Fact #3:

Epidemiological studies showed that smoking and high serum cholesterol levels were the most consistent associations with DDD and LBP.

Conclusion:
So DDD is NOT just related to 'old age'! Perhaps by controlling ASVD through proper nutrition and exercise, we can influence DDD! Stop smoking and eating 'fast foods', eat 5 servings of fresh fruits and vegetables, consume Omega 3s in fish oil and most importantly, EXERCISE, as it is the best way to reduce your LBP.

From: www.aptei.com

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Untitled

2011-03-29T20:52:00.001-07:00

There are over 300 different ailments of the foot, none of which should be ignored.

In most cases, pain or excessive foot fatigue will alert you that you may have a foot problem, although some problems may go unnoticed, particularly if you suffer from diabetes.

Indeed, foot pain has a multitude of causes. A Chiropodist will accurately assess your problem, and devise a management plan to treat it appropriately via conservative (cutting nails or shaving callus, for example), pharmaceutical, biomechanical (custom orthotics, braces, custom footwear or footwear recommendations), surgical or high tech means, like our computerized infrared light therapy. Visit www.we-fix-u.com to learn more about all we can do for you!

Yes, those of you who suffer with "the agony of de-feet", know that painful feet can affect your ability to enjoy the most basic activities in you daily lives. Thankfully, many foot conditions can be easily prevented or treated.

Greek philosopher Socrates summed it up well: "When your feet hurt, you hurt all over".

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Nail Salons...BEWARE!!!

2011-03-26T09:23:00.001-07:00

Well girlies, it’s that time of year again….our tender tootsies, spent hibernating in hot, sweaty shoes all winter long, are dying to be exposed. Freed to the sunshine. Freed to gentle breezes. There is nothing better than the first sandal-wearing day of summer. Mmmmmm, I relish the moment.

Like most women, I spend every chance I get in my sandals, from the first warm day of spring, to the last in autumn. BUT...these little piggies of ours, they don’t look so purrty after spending the winter all cramped up - so what do we do? We get pedicures. We get pedicures, and more pedicures, and more pedicures. Do I get pedicures? NO. Have I ever had a pedicure? Yes. ONCE. Why once do you ask? Because my one and only experience was awful. A-W-F-U-L.

There was a fly in my foot bath. A FLY!!!!! And I had to ask the pedicure lady to take it out. I HAD TO ASK!!!!!!!! And, guess how she cleaned the (gulp, reusable) foot file? She cleaned it in my stinky smelly footbath water. YEP, she used the same water my sweaty feet had been soaking in, TO CLEAN THE FILE! I cringe when I ponder how the nail instruments were cleaned and disinfected, ‘cause I’m pretty certain they weren’t sterilized. Like most nail salons, the instruments may have only been rinsed off in the sink, or dipped in a “barbicide-like” substance, and reused again on another unsuspecting victim. Ladies, this salon I went to is right here in COBOURG!!! And, it is a reputable salon.

Here is the problem. Nail salons are not regulated. There is nobody to enforce how instruments should be cleaned, how footbaths should be cleaned. Most salons don’t sterilize their instruments. Most salons don’t properly disinfect their footbaths. Most salons use the same file on everyone. Most salons use the same nail polish on everyone.

Did you know that sharing nail polish can lead to the spread of fungal nail infections? It’s true! When someone with nail fungus has their nails painted (and trust me, a lot of salons do not discriminate against nail fungus… they just ignore it and pamper the nail anyway), the fungus transfers from the toe, to the brush, and eventually into the paint. It waits there, like a thief, waiting for the next unsuspecting victim to paint their nails, and then BAM! A second person comes into contact with the fungus.

Admittedly, toenail fungus is not a life-or-death issue for most people. But it is gross. And it is contagious. Who wants flakey, crusty, thick and discoloured toenails that resemble something that came from the crypt? Especially when they are visible in sandals!!!

If you are going to have a foot pampering session, please do the following:

Ask how they STERILIZE (Not clean. Not disinfect. STERILIZE.) their instruments. Are they placed in an autoclave (a machine which gets really hot and sterilizes under pressure – always seen in your dentist and chiropodist’s office)? I certainly hope so.

If they don’t sterilize, do they use disposable tools? Make sure you see the pedicurist remove the packaging from the tools.

Is the salon clean and tidy? Or are toenails and toe jam lurking on the floors? This should be your first observation.

Can you bring/buy your own nail polish?

To be even safer, can you bring your own tools?

Make sure they use a disposable liner if they soak your feet in a footbath.

NEVER let your bare feet be dipped into the wax bath. Your feet should be covered with some sort of plastic wrap.

Don’t let them cut your cuticles. They are there for a reason - they stop the entrance of harmful bacteria.

If you are doubting any of the above…..RUN AWAY!!!

By the way…Chiropodists/Podiatrists are the only regulated foot health specialists in Ontario. We have standards set in place to ensure that we keep our instruments sterilized. At Northumberland Physiotherapy and Foot Health Centres, we take the standards one step further. We test our autoclaves regularly to ensure that they are functioning properly. Just ask to see our proudly displayed test results. You will never see a failed test.

Visit us at www.we-fix-u.com

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Heel Pain and Orthotics

2011-03-26T08:47:00.001-07:00

Anyone who suffers from heel pain, often referred to as plantar fasciitis (plan-tar fa-shee-eye-tis), knows that it can be a chronic problem that affects their lifestyle and activity.

By far the most common condition see at Northumberland Physiotherapy and Foot Health Centres, plantar fasciitis is an inflammation of a fibrous band of tissue that runs along the bottom of the foot, called the plantar fascia (fa-sha). One of its purposes is to maintain the arch of the foot, and it works during all impact activities, like walking or running. One method of treatment that may be very effective for plantar fasciitis is orthotic therapy.

Orthotics are footwear for your footwear that help correct structural problems in your feet. However, from shoe stores to shopping mall kiosks and other entrepreneurs, it seems everyone is selling "orthotics" these days. Even some helath practitioners who are not foot specialists are providing orthotics as a sideline.

Methods like foam boxes, ink pad prints, and seemingly "advanced" technology like 2-dimensional weight bearing electronic computer scanners may seem impressive. However, what the unsuspecting public may be purcashing is an overpriced arch support, or worse, a custom insert that is shaped to a faulty foot.

Ideally, prescription custom orthotics are precisely "cast" using a very specialized technique. The practitioner should be adjusting the foot into a special position called "sub-talar joint neutral" while it is suspended in the air, and then either creates a plaster mold or creates a 3-dimensional non-weight bearing scan. Adjustments to the cast are then prescribed using precise calculations to help correct any deficiencies in the foot structure. The other methods of casting, take a mold of your foot while you are standing on it. But why would you want a device that was created for your foot while it was in the position that was causing your pain in the first place?

So, why must the average foot pain sufferer face so much confusion? One challenge is that orthtotics therapy is not regulated in Canada. Essentially, anyone can set up shop to provide a device they call an "orthotic". As the only government regulated health practitioners in the province trained and licensed exclusively in foot medicine, members of the College of Chiropodists of Ontario (chiropodists/podiatrists) are bound by specific rules, including using the "sub-talar neutral" method for foot orthotic molds.

Another issue is training. Chiropodist and podiatrists receive several years of lower limb biomechanics, in addition to their undergraduate degree, as part of the foot medicine program. Some people providing orthotics receive a little as one day of training, or worse, none at all. They often lack expertise in other foot health treatments that might be needed instead of, or alongside, orthotic therapy. Chiropodists and podiatrists must also receive continuing education throughout their career to maintain their license. Much of this includes further biomechanical tranining.

All of this should not frighten the average person away from orthotic therapy. High quality, properly cast and properly prescribed orthotics can be extremely effective in treating heel pain and numerous other foot problems. Seeing a chiropodist for a foot problem is assurance that you are being assessed and treated by a government regulated health practitioner whose only focus is foot medicine, and who has the expertise to provide the widest range of treatment options, including whether orthotic therapy is best for you.

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Meet Your Feet

2011-03-23T18:24:00.001-07:00

Leonardo Da Vinci used no codes when he described the human foot as a "masterpiece of engineering, and a work of art". Indeed, the human foot is a biological masterpiece. It is strong, flexible, adaptable, and its design enables it to do its job well and without complaint (if you take good care of it).

The foot can be compared to a finely tuned race car, a vehicle whose function dictates its design and structure. And like that car, the human foot is complex, containing within its relatively small size 26 bones (the two feet contain a quarter of all the bones in the body), 33 joints, 107 ligaments, and 19 muscles, to say nothing of blood vessels and nerves.

These components work together to provide the body with support, balance, mobility, and sharing of the tremendous pressures of daily living. An average day of walking, for example, brings anywhere from 3,000 to 10,000 steps, with each step putting up to 1.5 times your body weight through each foot. Do the math! That's 675,000 to 2,250,000lbs per day for a 150 lb adult!!!

Believe it or not, the human foot is designed to withstand all that stress. However, not all feet are created equal. While some feet seem to take incredible abuse with no complaints, many are not so lucky. Although ill fitting or improper shoes may cause some foot discomfort, the foot itself is usually the problem. A structural flaw or malfunction in any one part can result in the development of problems within the foot and elsewhere in the body. Likewise, abnormalities in other parts of the body can lead to problems in the feet. So heredity, our lifestyle, what shoes we wear, and how active we are, all affect our risk of foot problems. The young foot is typically more resilient, and may easily recover from minor injuries, or structural abnormalities. Wear and tear eventually take their toll however, and the tissues lose their ability to fully recover. Hence, foot complaints become more prevalent as we age. This was put into words very well through a sign reportedly seen in a Chiropodist's window: "Time wounds all heels!"

Mark Smyth, Chiropodist

Northumberland Physiotherapy and Foot Care Centre

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Back pain coming back?

2011-03-11T08:50:00.000-08:00

Recent research shows that over 84% of people with back pain will have their pain come back unless they get it treated! Of those who had treatment the first time they had pain only 24% had their pain come back. Researchers predicted that education on back injuries added to treatment could eliminate reoccurrence of back pain!

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2011-01-20T13:37:00.001-08:00

Arthritis affects a great deal of the population causing people pain and preventing them from participating in social activities. Osteoarthritis involves degeneration of cartilage and bone of joints (knees, hips, back etc). Degeneration of cartilage can lead to grinding (crepitus) and pain when bone begins to rub on bone. It is important to KEEP MOVING when you have arthritis. Strengthening and range of motion exercises can delay and sometimes prevent surgery. More importantly these exercises can keep you doing the things you love to do. Being educated on arthritis can also be very helpful. There are many resources available for individuals with arthritis such as your local physiotherapist or the arthritis society.

Upcoming info sessions include...

Stay active – Manage OA Pain (Feb 01, 2011, 9AM-12PM)

and

Osteoarthritis (OA) Hand (March 01, 2011, 9-11:30 AM)

Both are being held at the Arthritis Society

159 King St, Suite 203B

Peterborough ON

Call 1-800-321-1433 ext. 3381 to register

www.arthritis.ca

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2011-01-06T12:31:00.001-08:00

Older = Fitter??

A recent study done in England showed that middle-aged individuals exercise and participate in more sporting events then younger individuals. Dr Emmanual Stamatakis, of University College London stated that this recent trend may be due to exercise increasing in popularity in the 1990’s. It’s thought that individuals who got the itch to exercise during this time have continued to value exercise. While the number of individuals participating in activities, such as running, has increased overall (20% increase for women), the number of younger individuals participating is actually going down. After all, it is hard to text and run at the same time!! Of particular concern is the relationship between serious illness and exercise. Exercise has been shown to decrease chronic disease such as diabetes, osteoporosis, heart disease, and certain cancers in numerous studies. Without exercise to prevent these conditions it is questionable what our society will look like in the future…the near future.

Check out the full study free at

http://bjsm.bmj.com/content/42/11/901.full

Reference

Stamatakis E, Chaudhury M. (In Press 2008) Temporal trends in adults’ sports participation patterns in England between 1997 and 2006: The Health Survey for England. British Journal of Sports Medicine.

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