People come to our office for a variety of reasons, usually because they are in pain.
Some go for symptomatic relief of pain or discomfort only. Others are more interested in having the cause of the problem, as well as the symptoms, corrected and relieved.
We always respect your needs and desires when recommending a treatment program.
Chiropractors diagnose conditions using the same approach as other health care providers. On your first visit, Dr. Levine obtains both your past medical history and the history of your current condition.
Below is an interactive list of the types of spinal and back care that Chiropractic Health Centre provides, please roll over each type of care for more detailed information about each type of treatment or care.
Treating your problem
After diagnosing your problem, Dr. Levine uses a combination of the following natural treatment tools to return you to optimum function as soon as possible. See also Types and phases of care.
• Joint manipulative therapies
• Soft tissue manipulation
• Associated therapies
• Patient education
Joint manipulative therapies
Joint manipulative therapies help restore normal motion to your spinal joints and other joints of your body. Normal joint movement is critical to the health of your joints. Abnormal joint movement many times leads to pain, dysfunction and premature joint degeneration.
Years of practice allow Dr. Levine to fully understand your problem, determine specifically which of your joints needs to be gently manipulated, and then perform the treatment to restore proper joint movement. The major benefits of joint manipulation include rapid pain relief, better mobility and decreased muscle tension.
Depending on the condition, joint mobilization therapy may be used to also help restore normal joint motion.
Mobilization is another type of joint manipulative therapy in which Dr. Levine gently guides the joints in specific directions and depths with, or without, the patient’s assistance, to stretch the joint and its surrounding tissues. The choice between joint manipulation and mobilization depends will vary depending on the patient.
Soft tissue manipulationSoft tissue (muscle, tendon, and ligament) manipulation includes stretching, various forms of massage, and gentle pressure techniques similar to adjustments. This therapy helps reduce muscle spasm, fluid accumulation, and adhesions formed as a result of your injury or degenerative condition.
Electrical Muscle Stimulation
Often referred to as “muscle stim,” the therapy involves low levels of electrical impulses delivered to the injured, painful tissues to reduce pain and speed healing. Often described by patients as a pleasant, “tingling” sensation, or “electrical massage,” these impulses stimulate the body to release natural pain relievers, called endorphins.
These endorphins reduce pain and inflammation, thereby promoting faster healing of the injured tissues. This therapy is often used to treat acute or chronic pain, as well as strains or sprains of the muscles, joints, and soft tissues of the spine and extremities.
UltrasoundThis treatment should not be confused with diagnostic ultrasound, often used in prenatal screening, but is instead a therapeutic procedure that utilizes sound waves to treat injured muscles, joints, and soft tissues. The sound waves vibrate the tissues back and forth, creating a deep, micro-massage effect. In the case of a recent injury, this helps to decrease scar tissue and adhesion formation, which would otherwise interfere with the body’s healing process.
The sound waves also decrease inflammation by destroying unwanted inflammatory cells. The sound waves also accelerate healing by stimulating the activity of the cells responsible for cellular and tissue repair. In chronic cases, special settings are used to create a deep-heating effect, heating the tissues far below the skin’s surface. This heat, along with the vibrations that are caused by the ultrasound, help to “melt away” the muscle spasms and “knots” felt in our muscles.
Ice therapy or cryotherapy is often thought of as the therapy of choice for acute injuries. Actually, the application of ice over any painful tissue is usually effective at any stage of an injury. It works by constricting blood flow to the tissue, thereby reducing swelling, pain, and muscular spasms. It is very important to use ice correctly.
It should be used for a maximum of 20 minutes, but may be applied each hour. Also, it is important that you do not apply the ice directly to the skin. Instead, wrap the ice pack in a paper towel or thin damp cloth prior to applying to the injured area.
The use of heat is effective in treating conditions that are more chronic in nature. It is not recommended that heat be used within the First few days or weeks of a new injury, especially when any signs of swelling are present. The best forms of heat are in the form of a warm bath/shower or a moist heating pad. Avoid “dry” heating pads, as they can promote additional swelling and inflammation.
As with ice therapy, apply the heat for a maximum of 20 minutes per hour. Never go to sleep with a heating pad, as this can result in increased pain and tissue damage.
Extremity manipulative therapies
At times, extremity manipulation and extremity adjusting will be used to mobilize muscles and joints in areas other than the spinal column that may be causing musculoskeletal problems. The goal of extremity manipulation and extremity adjusting is to correct mobility and nerve supply to joints and extremities to restore normal functioning of that joint.
OrthoticsOrthotics is a field concerned with the application and manufacture of orthoses, devices which support or correct the function of the limbs and spinal column. The term is derived from the Greek “ortho”, to straighten. Sciences such as materials engineering, gait analysis, anatomy and physiology contribute to the work done by orthotists, the professionals engaged in the field of orthotics.
Foot orthotics allow the muscles, tendons and bones of the feet and lower legs to function at their highest potential. When appropriately prescribed and casted in our office, orthotics can decrease pain, not only in the foot, but in other parts of the body such as the knee, hip and lower back. They can also increase stability in an unstable joint, prevent a deformed foot from developing additional problems and improve a person’s quality of life.
Types of care
People come to our office for a variety of reasons, usually because they are in pain. Some go for symptomatic relief of pain or discomfort only. Others are more interested in having the cause of the problem, as well as the symptoms, corrected and relieved.
We respect your needs and desires when recommending your treatment program. Our goals are to improve your health and improve your quality of life.It is important to understand that patient cases fall into two categories: uncomplicated and complicated. Complicated cases usually require more treatment to obtain the maximum therapeutic benefit.
Uncomplicated casesAn uncomplicated case is one in which the patient recovers faster, or at the same rate, as could be expected if left to heal without any assistance.
A complicated case is one in which the patient, because of one or more factors, exhibits regression or delayed recovery compared to the rate expected if left to heal unassisted.Examples of complicating factors include· pain for more than 8 days prior to treatment:
• severe pain
• four or more previous episodes of pain
• underlying structural changes (for example degenerative joint disease or osteoarthritis)
• reinjury during the course of treatment
Examples of general risk factors for delayed healing include a poor level of fitness, demands of daily activities at work, smoking, diabetes, previous injury to the area or medication for an unrelated disorder.
Phases of careThere are four general phases of chiropractic care. The first two generally apply to everyone while the last two depend on your condition and what level of chiropractic care you require.
• Initial care
• Rehabilitative care
• Preventative/Maintenance care
• Supportive care
Initial careYour first goal while under treatment is to start to feel better; therefore, your office visits are more frequent and composed of therapies designed to help offer relief of your symptoms and to show you ways to prevent it from reoccurring.
Depending on your age, condition, lifestyle, and response to treatment repeated visits over weeks may be needed to reduce or eliminate your symptoms. The goal is to move through this phase as quickly as possible to stabilize the situation. Although your symptoms may be largely gone at the end of this phase of treatment, it is very important to continue your care into the next phase to completely heal and prevent any reoccurrence of your problem.
After maximum therapeutic benefit has been gained, you may elect to see us on a phone-in basis or you may visit us on a periodic visit basis. Because many problems are due to chronically poor posture and overuse syndromes, occasional visits can help catch problems before they become serious.
The spine and other related joints and tissues are generally strong and resilient structures; however, the demands of daily living can make us susceptible to injury. By identifying and treating problems early on, often when the symptoms are mild, progressive dysfunction is limited and escalading problems can be stopped or minimized.
Our office creates mutually agreed upon visits that include treatments as well as reevaluations, specific self-help activities, and exercise plans. As your life situation changes (for example, your job stresses) your treatment needs change and so will your care plan. Our goals are to improve your health and improve your quality of life.
After maximum therapeutic benefit has been attained, some patients over time fail to sustain this benefit and regress after their treatment has stopped. Typical reasons may include chronic injuries, ongoing stress at work or other activities of daily living. These patients are put on a supportive care plan to help them manage their conditions and prevent their initial problems from reoccurring.
Underlying tissue dysfunction and degeneration often remain after your original symptoms have improved. Rehabilitative care stabilizes your condition and promotes complete healing. During this time your visit frequency is reduced and advanced strengthening and flexibility exercises are given. You learn how to take care of yourself for life to avoid reinjury and understand how to minimize problems should they arise again.
Cancer prevention strategies
What is Prevention? It is taking action to decrease the chance of getting a disease such as cancer. For example, cancer prevention includes avoiding risk factors such as smoking, obesity, lack of exercise, and radiation exposure while increasing protective factors such as spinal health, getting regular physical activity, staying at a healthy weight, having a healthy diet, postive mental attitude and encouraging supportive social well being.
Education is perhaps the most important tool Dr. Levine uses to treat and prevent pain, reduce stress and promote a healthy lifestyle. Dr. Levine can show you how to take care of yourself at home and on the job to ensure a healthier way of living. Depending on the problem being treated, you will learn a healthier way of living. By taking an active role in your health you will continue on the road to healthy living.