Archive for the ‘Dr. Pamela Leader’ category

What Is Scoliosis?

March 27, 2012

The Greeks once defined scoliosis as being a crooked spine, which in a way was correct but over the last 100 years with much research physicians have realized there is far more to it than that! Everybody has a natural curve in the spine from front to back. This curve is what produces the rounding of one’s shoulders and the sway that is found in the lower back. Those who suffer from Scoliosis have an abnormal curvature of the spine, which is normally characterized by a rotational deformity from side to side. The spine is found to take an, ‘S’ shape or ‘C’ shape. Almost three out of every one hundred people have some degree of curvature in their spine and for most it never becomes too much of a problem. Those who do suffer from scoliosis may find that the curve will become worse over time, (but usually only during puberty) and it can cause pain and limit what many would consider normal daily activities including complications to breathing and circulation in severe cases.

Who can it affect?

The most common scoliosis is named idiopathic scoliosis, indicating that the cause is unknown. The condition usually begins in children although it is usually not identified until teenage years or later as growth is in more advanced stages. Anyone can suffer from a scoliosis but research has shown it tends to run in families and is more likely to affect girls than boys.

Sometimes the curvature seen in the spine is obvious visibly such as one shoulder blade being higher than the other or the body tilting to one side more than the other.

Symptoms:

Often there are no painful symptoms but, the symptoms can include:

– Back Pain

– Fatigue when standing or sitting

– Problems with circulation

– Problems with breathing

– Difficulty bending down

 

A Neurological beginning?

As advances are made in research, it is becoming clearer that scoliosis may be a neurological problem, which begins when, for some reason the usual lordosis, or curve in the neck is not developed or lost. This curve is the first to develop when the baby begins to hold up their head and look around at the world. Babies do this when they lie on their tummies, and hence the need for “tummy time”. In this phase of development the baby starts to use his balance organs in the inner ear. Anything that impedes this phase of development, even as simple as birth trauma or reflux, when the parents keep the baby mostly on their back, could mess up the normal cervical curve development. It could be one of the first imbalances that eventually lead to the development of scoliosis. In fact, when we examine the x rays of a scoliosis patient, they invariably have lost the cervical curve. This is yet another good reason to have your baby’s spine checked at an early age.

During our Dubai school check ups, we found a number of scoliosis and straightened neck curves in children as young as six years of age and the numbers increased as the age bracket went up. Correct exercise and monitoring should be part of a child’s normal yearly health check ups.

Check out the x rays here:

 

 

 

 

Where it starts. Here we can see the natural curve in the neck has been lost causing pressure on the rest of the spine.

 

 

 

 

 

 

 

 

 

 

Again we can see the neck from a straight on view and a slight curve is apparent

 

 

 

 

 

 

 

 

 

 

A clear case of scoliosis is evident

 

 

 

 

 

 

 

 

Here we can see the spine up from the pelvis and the large curvature due to scoliosis

 

 

 

 

 

As Chiropractors we are trained to diagnose and manage problems with the spine and back. We can provide a number of tests to check your range of motion and also order spinal x-rays to identify any problems you may be having such as an abnormal degree of curvature in the spine. If you do think that you may be suffering from scoliosis or have a friend or family member who may be and would like to see one of our Chiropractors, please call us on 04 348 1166 or visit http://www.chiropracticdubai.com to book an appointment online. The condition can worsen over time and our Chiropractors and Physical therapists are equipped to monitor the scoliosis as well as prescribing a variety of treatments and exercise programs that can make sure that you maintain flexibility of the spine, are living your life as pain free and with as few restrictions as possible.

Dr. Pamela Leader

Chiropractic Dubai

http://www.chiropracticdubai.com

Ready To Fly! – No More Ear Pain

September 25, 2011

Seb is a 9 year-old boy who dreaded flying due to the extreme pain in his ears on take off and landing. As a baby he suffered badly with his ears, having many ear infections and courses of antibiotics. After each course of antibiotics, the earache came back and in the end at 18 months, the doctor said there was no alternative but to fit grommets. He ended up with three sets of grommets during his infancy. Seb also had continuous coughs and colds.

It turned out that after a suction-assisted birth, due to the baby being stuck in the birth canal, baby Seb used to lie with his head bent to one side. Mum had also had a lot of low back pain during her pregnancy.

Seb’s mother brought him along to me after talking with a couple of chiropractors and learning that the spine can play a role in many different health issues. She had tried many doctors with no solutions working and was desperate to find a solution to her son’s agony, which was affecting the whole family. Air flights had been cut to a minimum because nobody wanted to put a child through that terrible pain, but now living in Dubai, it was essential that the family could fly home to see relatives.

After collecting the details of Seb’s health it became apparent that he had most probably been suffering from some spinal misalignments from birth.

  • Back pain during pregnancy may have meant that mum’s pelvis was twisted and the in-utero torsion may have meant that Seb was already lacking space. His neck may have been bent to one side for the latter part of the pregnancy.
  • The difficult birth may have put more strain on the neck and caused the first vertebra to remain misaligned.
  • Babies with repetitive ear infections often also have cervical misalignment, which can affect the ears and it has also been found that adjusting the neck, boosts the function of the immune system.
  • Colds and coughs are also related to poor immunity.

It was a pity nobody had informed Seb’s mum earlier about chiropractic for babies. Seb probably had KISS syndrome, which is the abbreviation for kinematic imbalances of the sub-occipital spine. In layman’s terms this is simply a misalignment of the upper neck bones. As you can see from this true story, it can have far reaching effects, which may be different in each child.

Examination of Seb’s neck and back revealed immediately that he had his atlas, the first bone of the spine below the skull, situated more to the left than to the right and also the spinal joints were not moving very well. He did have some other postural differences in his whole spine as well, but the upper neck situation was the most urgent to deal with.

A most willing patient, anxious himself to find a solution to this painful and limiting problem, Seb agreed to a chiropractic adjustment. He was a bit surprised at the funny noise it made, but felt fine after the treatment. I did four more treatments over a period of 2 weeks followed by one treatment just before his next flight. I couldn’t wait to hear how it went.

Today he came back very happy. His flight had gone well with no pain for the first time, on take off and landing and now the whole family can plan their air travel with confidence.

I just treated his spine with chiropractic adjustments and was very happy that it resolved the problem. Now we are working on his posture and he will without a doubt grow up with less health problems than he would have done, had he never seen a chiropractor. His mum is now busy spreading the news and advising both pregnant mums and new mums to get themselves and their babies checked, especially if there is a problem.

I have often seen adults with upper neck problems, which were most probably present from birth. They can of course be helped, but the earlier a problem is corrected, the less health problems need to be suffered. You can read about other children’s problems in my past articles. Call the clinic if you would like to be checked or have your baby or child checked for any spinal problems which may be affecting their general health.

 Dr. Pamela Leader

http://www.chiropracticdubai.com

Backpacks may cause pain and possible future spinal problems in children

September 5, 2011

It is time for a new school term and a moment to reflect on how your child or teenager may be suffering under the weight of too many books in their backpack.

Unfortunately, back pain among young children due to overweight backpacks is a rising trend. Therefore, it’s important to take care with the proper fit, correct size and to educate against using the straps too long. All too often, adults do not treat the complaints of discomfort from youngsters as seriously as they should.  What they carry in their backpacks is usually a contributing factor that could lead to back, neck and shoulder pain.

Even the U.S.A. Consumer Product Safety Commission reports that backpack related injuries sent more than 7,000 people to the emergency room in 2001 alone.

A recent piece of research using upright MRI scanning of the lumbar spine of 11 to 13 year old boys and girls, showed that the heavier the load, the more pain was reported. Even more worrying was the compression of the lumbar vertebrae and the lumbar asymmetry seen on the MRI scans. Asymmetry is the distortion of the pelvis and spine, which could theoretically lead to scoliosis and pelvic dysfunction in the future. The study was done using 5, 8 and 12 kilogram loads, representing from 10% to 30% of the child’s body weight, very commonly seen among Dubai school children. The research was conducted by medical doctors in the Department of Orthopaedic Surgery at the University of California and published in Spine in January 2010.

Many of the problems associated with backpacks can be prevented by ensuring the correct fit, size and weight for your child. As chiropractors, we advise parents about the correct weight for your particular child and check for any deviation from normal spinal function.

The chiropractors and physical therapists of Chiropractic Dubai have checked the spines of over 1000 school children in Dubai schools and the results are quite worrying. Comparing the secondary children with the junior school children, more postural abnormalities were present. Forward head posture and scoliosis were more prevalent in the secondary group of children. As we all know, the quantity of books that a child carries usually rises as they start secondary school just when the rapid changes of puberty are underway. Scoliosis was more often seen in girls than boys in all age groups. Many factors may influence the development of scoliosis including genetic influences, however since the mediating factors are not yet fully understood, it is prudent to prevent any excess stress on the spine of a growing child.

There is a clear trend here that of the pupils checked between the age of 6 and 10 years old, the majority showing early signs of scoliosis were girls. 44 of the 448 checked were girls showing signs while only 14 were boys. 390 students showed no signs of scoliosis developing.

Again there is a clear trend for the older pupils aged 11-16 years of age that the majority of those checked showing signs of scoliosis development are girls. 44 of the 163 checked at this age group showing signs of scoliosis were female while only 14 were male. 110 Showed no signs of scoliosis developing.

Research has shown that backpacks even with small loads affect the lumbar discs of children adversely. In the years of growth, during puberty and childhood when good postural habits are developing, it is essential that we prevent our children from inadvertently getting repetitive strain injury from regular bad use of backpacks and school furniture. Spinal assessment and chiropractic treatments may help prevent your child from developing chronic pain issues especially if they already have a problem.

Backpack safety rules

  1. Limit the backpack’s weight to no more than 5 to 10 percent of the child’s body weight. Any backpack will cause the child to bend forward in an attempt to support the weight on his or her back. The heavier it is the more the head and upper body bends forward. A 50-pound child should not carry more than 5 pounds, for example.
  2. The shoulder straps should be adjustable so the backpack can be fitted to your child’s body. Straps that are too loose can cause the backpack to hang down and cause even more spinal misalignment and pain.
    The backpack should never hang more than four inches below the waistline. A backpack that hangs too low increases the weight on the shoulders, causing your child to lean forward even more when walking. This “longer straps fashion” has become popular recently among teenagers who think it is un-cool to carry the pack where it is designed to be.
  3. The more room there is in a backpack, the more your child will carry and the heavier the backpack will be. Smaller backpacks should be the preference. Schools should be encouraged to have lockers where most books can be kept at school.
  4. Urge your child to wear both shoulder straps. Dragging the backpack around by one strap can cause a shift of weight to one side, leading to neck and muscle spasms and even low back pain.
  5. Wide, padded straps are very important. Non-padded straps are uncomfortable and they can dig into your child’s shoulders causing neck and arm pain.
  6. Use backpacks on wheels or roller packs with caution. Children tend to overload these bags and then need to haul them up bus and school stairs resulting in injury.

Dr. Pamela Leader

http://www.chiropracticdubai.com

Chronic Stress and Adrenal fatigue or burnout

August 30, 2011

Your adrenal glands are situated above your kidneys and they are responsible for producing cortisol, a hormone essential to deal with stress and immunity. We are not far evolved from the days when stress meant a burst of energy to fight or run from a wild animal. When that event was over, recovery time would be ample and the cortisol used up would have plenty of time to be replenished by the adrenal glands, especially during sleep.

The adrenals have many functions such as making the only anti-inflammatory hormone for pain – (cortisol), immunity support, balancing fluid and salt levels, controlling minerals, heart rate, and sleep and wake cycles. They even act as back-up organs for the ovaries during menopause, partly replacing the sex hormones.Nowadays, for many people stress is a constant nagging problem, which rarely goes away. There are many types of stress and they all add up to overuse of the adrenal glands. These glands will do their best to keep up production, but in the end after months and years of chronic stress they become fatigued. This has a number of negative effects on the body and daily capabilities of the sufferer, some of which are far reaching in terms of long-term health.

1. What are the major stresses in life 2. Less dramatic, constant stressors
Death or illness of a loved one Grief, anger, worry and jealousy
Divorce and separation Constant illness or pain
Moving home Strife in relationships
Children leaving home Work dissatisfaction
Changing jobs Financial difficulties
Marriage Crowded living quarters
Starting a family Poor diet and toxins
Lack of sleep or irregular sleeping pattern

This list could go on and on. You will know some of the stress factors in your life. Some can be eliminated, and others have to be worked on. The constant stress is the type, which eventually leads to adrenal fatigue and later when the adrenals can no longer cope at all adrenal burnout.

What effect does adrenal fatigue have on the mind and body?

In the short term you wake up tired and probably need coffee to get going, maybe several cups. Again after lunch you feel tired and about 6 pm you get a spurt of energy. Sleepy at nine or ten but if you get through that another energy burst at midnight. Sleep may be easy at first but then it is difficult to sleep through the night and feel rested in the morning. Sore muscles, which do not recover from exercise is a classic symptom. When your legs will not keep still, especially when tired it can be a sign of adrenal fatigue.

Long-term effects

Although this does not always happen, excess fat in both the middle around the waist and the face (including puffy eyes) can develop gradually from adrenal fatigue. In the midsection, the fat forms primarily in and around the abdominal organs and sags down. This is internal fat, rather than fat under the skin. Loss of collagen can also cause stretch type marks in the fat zone. This fat is laid down for survival due to the constant stress.

Dark circles around the eyes and a tired appearance and confusion with short term memory loss. The usual 90 minute sleep cycles from superficial to deep sleep and disturbed and often stressed people wake at 2,3 or 4 am and cannot stop thinking. Functioning normally the next day is almost impossible and the bad cycle can go on for months and even years.
Decreased white blood cells, neutrophils leave you open to infection, so you easily get sick with any bug going around. Add this to the lack of cortisol to fight inflammation and the bug hits you harder and lasts longer than your less stressed friends and loved ones.

Autoimmune diseases, where the body defences attack your own cells, often hit people after long-term illness, an injury, the loss of someone dear or a divorce. Most treatment for them consists of cortisone medication, which switches off your own immune system. Could these also be signs of adrenal burnout?

What can you do to treat this problem?

There is no quick fix, but some hard lifestyle decisions directed at avoiding stressful people or resolving conflict come first. Eliminate pain and treat illness. Biomechanical pain is very successfully treated with chiropractic and this allows better sleeping in order to produce cortisol. Since the cortisol is also used for healing, you need to get regular good quality sleep each night as a priority.

Getting pain free is also essential for being able to exercise properly. There is no better way to lower stress than by doing regular exercise. If you are not used to doing exercise, please make sure you are fit to do so and know the correct exercise for your state of health and fitness. Here at Chiropractic Dubai, our chiropractors and physical therapists carefully teach and guide you along the correct pathway, so that you do not fall into the trap of too much too fast. For example, with any back pain sufferers, it is vitally important to be correctly aligned by the chiropractor before concentrating on core strength exercises. For some people they need flexibility from spinal adjustments before they can tackle certain types of exercise.

For those who worry and go over problems continually in their mind, meditation and yoga are a great help. Learning to cut off and relax is an essential life skill and helps with restful sleep as well as stress control. Do not hold on to negative thoughts and emotions. They only harm you. Give them a time limit to ponder and when you realize there is no solution, or that it was in the past, let them float away and leave you with peace. Make yourself a relaxing routine such as a bath with candles and soft music or a massage. Be open minded, all these have helped me at various times in my life but sometimes I find that the person who needs it most is the one who is determined it will not work for them.

Adrenal support

Before you consider supplementing with no medical advice, please realize that even supplements can have an interaction with any medications or any chemicals such as alcohol you may be taking. If you need regular medication, including pain control medication, please check with your doctor which of the following are advisable in your case.

There are some foods and supplements, which can help to boost and support the adrenal function. Vitamin C enhances immunity and may reduce the symptoms of asthma and allergies. It also helps to block the lipid plaques forming in your arteries. The adrenal gland has the highest concentration of vitamin C in the body and so a good easily digestible form of vitamin C is key to reversal of adrenal fatigue syndrome. Eat good fresh fruit and vegetable sources as well as a good daily tablet. Cartons and bottled juices contain very little vitamin C and it is easily destroyed in air and with length of time from picking.

Other essential vitamins are vitamin B6 and pantothenic acid and check your vitamin D3 levels and supplement if needed. Both zinc 5mg per day and Magnesium 100mg per day help to boost immunity and support the adrenals.

Ashwaghanda, an Indian herb at 374mg daily and Shisandra 100mg will also help support the adrenal rebuilding process.

Curumin is also a potent agent to boost immunity and this is found in curry.

Siberian Ginseng at 200mg twice a day may be beneficial for adrenal stress as well as for athletes. However, do not take this together with decongestants or blood thinning medication.
Suspend Ginseng if you have any infection with a high fever.

Aged garlic and Fish oils.

Take only one coffee a day as it depletes vitamin B and leads to anxiety and tremors. The caffeine, which is also in tea chocolate and soda drinks, stimulates the body and gives and energy burst, but overuse this mechanism and it takes you even closer to adrenal burn out.

It should go without saying that a good wholesome diet, rich in vegetables and fruits, which are as fresh and whole as possible is the best way to get nourishment. Cooking at home with healthy oils and fats is always preferable to eating out. Fast foods especially should be avoided as they are laden with additives and trans fats, which only add to the metabolic stress on your system.

So you need to fight your chronic stress on every level. Mentally, with relaxation and perhaps counseling; metabolically, by getting your diet and supplementation as well as detoxing from environmental poisons and additives and of course physically. Physical rebuilding includes good quality sleep, optimum exercise regime and optimal joint and muscle function. If you are in pain, or experiencing any mechanical symptoms, you can benefit greatly from a chiropractic treatment plan with in house rehabilitation.

Dr. Pamela Leader

http://www.chiropracticdubai.com

How to buy a bed

August 25, 2011
  1. Do not be fooled by beautiful appearance of the bed itself. The important parts are the base and mattress. They will be supporting you for 1/3 of your life. Think of it as an investment in your health.
  2. Never buy a bed that you have not tried out first. Lie on the bed with a pillow and check that it feels good. It should not feel too hard or too soft.
  3. Take your partner with you or a friend. You can each check each other as you lie on your side to see if your spine is sagging or the bed is dipping too much in the waist region. Women are usually more curvy than men and need a softer mattress top to accommodate their hips and shoulders. Both need support that does not give under their weight.
  4. Couples need to make sure that the heavier partner does not create a dip, which the lighter partner tends to fall into. This means absolutely no sagging in the centre of the bed should be seen.
  5. Price is no guarantee of quality, but a very cheap bed will not last long even if it feels good at first. Try to find a seller who can give good advice and checks your sleeping position on the bed.
  6. Springs or latex are a matter of preference, but springs are best if individual rather than connected and latex is better if strengthened with a cork or other natural layer between the latex layers. The number and placement of coils in the mattress determines the level of support, while the amount of padding on the mattress determines the level of comfort.
  7. Do not let the words medical or orthopedic fool you. Many bed manufacturers have used these words to help make their products sell better. Who controls how they package their product? It is not always a sign of a good bed.
  8. Mattresses should not be too hard. A recent study in Spain revealed that back pain sufferers slept worse on a harder mattress than a medium hard one. Sleeping on a mattress that is too hard exerts additional pressure on the back, resulting in more back pain for some patients. Research was published in the Lancet.
  9. Sagging old mattresses should have been replaced a long time ago. There is no other choice but replacement.
  10. If your expensive mattress is too hard and you do not want to replace it, buy a topper. A 5cm topper provides a softer top, which the shoulder and hip can snuggle into, without losing the firm support of the harder mattress underneath. You can get beds now that have different density on either side so that you can both get what you want without compromising.
  11. Pillows should not sag under the weight and humidity of the sleeper. Latex, shaped pillows provide good lasting support for side and back sleepers.
  12. A whole debate is currently going on about the materials used in mattresses. Once natural materials were used but now most are constructed from petrochemical based materials, which are said to gradually give out carcinogenic and mutagenic micro chemicals. Since we are in close proximity to the warm moist mattress for eight hours each night, we may be at risk from this kind of pollution of our bodies. Many companies now offer organic mattresses, which remove this potential health problem. Consider this carefully for yourself and especially for children.
  13. With the variety of beds and mattresses on the market, personal preference in terms of sleep comfort and back support should ultimately be the guide for those with back pain and back problems as well as those who want to remain pain free. Remember no one type of bed is right for every body type and condition, so the more good beds you can try the better your final decision will be.
Hips and Shoulders do not dip into the mattress and the waist is not supported

Body dips at the waistline, tilting the pelvis upwards

Perfect alignment of the spine and pelvis should be at 90 degrees from the bed surface

Is Chiropractic Just About Relieving Pain?

June 12, 2011

If you ask the man in the street what he knows about chiropractic, you will be lucky if he has heard about it at all. If he has, he will probably tell you it is treatment which helps get rid of back pain. This is what chiropractors have become known for and as well as back pain we are great at decreasing or removing pain from conditions like sciatica, headache and neck pain as well. In fact, painful joints in many parts of the body can be successfully treated by a chiropractor.

We are however well qualified and experienced in creating a whole new picture of optimum health for our patients. This is where the real goal should be and with many of my patients, given a little education and open mindedness, I get to the bottom of many of their health problems which have eluded a solution for many years. The focus may not only be pain and joint problems, but general feelings of tiredness and lack of energy.

The problem may be that patient’s prime objective when they find us is to get rid of pain. So when we examine them and reach a diagnosis, it explains their current pain. This is also what insurance companies want to hear about. The treatment plan then becomes focused on pain reduction and elimination.

We do this well and when the pain has gone, the patient is happy and may think that this is the whole solution. They can go off about their daily life and repeat the whole cycle, which brought about their painful situation in the first place. That is, unless I have succeeded in helping them to understand the deeper meaning of health, being not just the absence of pain. In fact, this pain free point in time should be the start of the second phase of care, which would be more focused on rehabilitation. The patient – chiropractor bond should have brought about a greater understanding of the long term / original causes of the patients ill health.

In the case of low back pain for example, the loss of the curve in the neck, called the cervical lordosis usually present for many years before back pain occurs, could have been one of the long-term factors predisposing you to get back pain. Changes in posture generally are worrying signs of future spinal problems. Should I then wave goodbye to my pain free patient without warning her of the true situation? It is far better to give her the chance to rehabilitate the curve and correct the posture with a series of dedicated exercises. With fewer visits to me, for occasional check ups and adjustments the patient takes responsibility for their own health. This way she will enhance much more than her chances of recurring back pain.

The real question is when should this patient have first consulted a chiropractor, when she noticed her poor posture, or before that in order to prevent it happening?

Consider the forward head posture or “poked head” as it is sometimes called. Look around you and you will see more than half the population with this problem, whether sitting walking or standing still. Our present daily activities are constantly driving us into a forward bent posture with rounded shoulders and head jutted forward.

Sitting at computers, driving, texting and playing with hand held computer games has turned us all back toward the fetal position, totally flexed forward.

Figure 1 This head forward posture can be seen all over the world.

Could it be that this posture results in so many of the pain syndromes we see in our clinic? Can this posture adversely affect our thinking and decision-making? If we look at the research, many studies point to the conclusion that a straight or reversed curve in the neck results in stretching of the nerves, which supply the input to the cortex, the thinking part of the brain. Neck posture also has a vital influence on the brain structures responsible for the autonomic nervous system. This in turn regulates heart rate, lung function and heart function as well as the whole digestive system. Not the least neck posture ha a profound effect on vision including the eye co-ordination muscles and focusing muscles.

Faulty neck posture also has a huge effect on the lower spinal curves of the dorsal, lumbar and sacral spine, which have to adapt to the altered neck posture. So many of the important bodily functions can be affected, the least of which is low back integrity, which causes pain and may be the factor, which brought you to the chiropractor. Patients wonder why I am so interested in their neck, even though they came to see me about low back pain. I cannot explain this as fully as |I would like to, as well as the many other important instructions on the first visit, so I normally tell them the simple truth that it is all connected and one part of the spine influences the next. Gradually, as the treatment plan advances, I explain why together as a team the patient and I have to correct the lost curve in the neck and subsequently any other errant postural habits they have.

Correction involves intensive rehab, daily exercises to reshape the cervical curve and recondition the low back, which can be done with our team in our own onsite rehab studio.

Even when, and especially when a patient has been hooked on a certain way of exercising, a chiropractor who knows your back and postural problems and who had studied the anatomy, physiology and neurology of the human form, can give the correct advice on the progressive stages of exercise you need. It may not be what you want to hear but if it has brought you to a situation of pain and you want to remain in optimum health, you should listen.

I have an example. One of my patients loves to cycle. It relieves him of his stress and gives him that high he needs to be able to put up with his daily stressful lifestyle. The problem is that although he stays pain free for a while, he keeps returning to me with the same problem. His back becomes stuck in the flexed position, exactly the position he is in when cycling. I have asked him to stretch and do some extension based exercises, but he probably does very little of it. His cervical spine is also in a forward position. I am still trying to get this rushed patient to get the big idea and add some different rehabilitation exercises to his routine.

Another of my patients who has got the message has overcome long term nagging back pain. He is regularly doing the cervical spine exercises along with his regular football and swimming. He has never felt better and knows that his time is spent well, invested in the slower degeneration of his spinal joints and future pain free optimum health. He has an appointment with me on a monthly basis for a check up and adjustments to keep his spine healthy and mobile. This, for the patient and me is the most rewarding use of chiropractic care, as it benefits the patient for his whole life, not just a brief period. So when a patient, on his first visit to me says, “Am I going to have to come and see you for life”, my answer is, “Only if you want to”. When they say, will my pain go, I am always conservative, despite the fact that our results are very good indeed. I want to say, at that point, “Yes, but that may be the least of your problems”.

Dr. Pamela Leader

http://www.chiropracticdubai.com

Wellness care and Orthotics

March 20, 2011

In her treatment visit today one of my patients brought music to my ears when she spoke of her positive experience with her treatment plan. She came to me two weeks previously suffering from low back pain and is now pain free. As part of her particular plan she was prescribed custom made pelvic stabilizers to wear on a daily basis in her shoes. These are her thoughts on their effect:

“My insoles are fantastic. My right leg used to get really tired but now walking feels so different. My knees are further apart and my hips have opened up. I am really happy with them.”

She had been suffering from tight hamstring and gluteal muscles for years. This may not seem significant to one at the time but it causes the pelvis to tilt back, adversely change the posture often causing rounded shoulders and forward head posture. In the long term there is an increase in wear and tear on the lumbar discs and facet joints which can lead to chronic low back pain, stiffness and discomfort. The head forward position is also known to decrease breathing capacity up to 30%.

In the case of this lady, she also had flat feet and inwardly turned knees, which is not ideal for preservation of the knee joints. Uneven forces are put on the knee and hip joints whenever she is standing, walking or running. Without this help from her pelvic stabilizers, over time, her knee joints are more likely to become arthritic due to this uneven wear and tear.

She is only in the break in phase of wearing her custom made insoles, but she has already felt how they are beginning to change her biomechanics from the feet upwards. Together with her regular maintenance check ups and chiropractic adjustments she will continue to improve her posture and flexibility in the short term and she is ensuring that she has a pain free quality life style for years to come. This is true wellness care.

If you would like to find out more about your own pain syndrome or how to improve your posture and stay healthier in the future, please give me a call on 043481166 and ask for a consultation with myself, or one of our doctors of chiropractic.

Dr. Pamela Leader

http://www.chiropracticdubai.com