When pain is present in many areas, how can we know what’s causing it? The Integrated Systems Model approach helps physiotherapists determine the primary cause when there are multiple sites of pain or impairment. The approach helps physiotherapists not only understand a patient’s pain, but also understand them as a person. The model considers the interaction and contribution of multiple systems, such as articular, myofascial, neural, visceral, hormonal, and neuroendocrine, and how these can contribute not only to pain, but also to overall health. A physiotherapist using this model can not only determine how to provide pain relief but can also offer steps for pain prevention.

Diane Lee & Associates, DianeLee.ca

Total knee replacement is the most definitive treatment for advanced osteoarthritis. This procedure is typically done in a hospital setting, with 3-5 days of hospital stay. In recent years, it has become clear that healthy individuals can be discharged from the hospital on the day of their surgery, to safely and conveniently recover at home. Having surgery done at a medical centre provides a welcome alternative to hospitals. This can help reduce complications associated with hospitalization, and for many patients, the convenience and comfort of being at home with family is much preferred over the rustle and bustle of a busy surgical ward.

Dr. Arno Smit, MD, FRCSC, Orthopaedic Surgeon, White Rock Orthopaedic Surgery Centre, Wrosc.com

Excess weight can be due to a variety of underlying causes, such as hormonal imbalance, emotional eating, liver dysfunction, and malabsorption. Weight management programs require a tailored approach to help clients successfully lose weight. Laser acupuncture uses a non-invasive cold laser to stimulate various acupressure points on your body. Stimulating these points causes your body to release endorphins, which can help with suppressing your appetite, controlling hunger cravings, speeding up your metabolism, and enhancing your current diet and exercise program, all of which can help lead to weight loss and successful weight management.

Imagine Laserworks, ImagineLaserworks.com

Spring and summer are typical times for allergies to trees, grasses, pollens, and dust to manifest increased symptoms. Simply rinsing nasal passages and eyes with a normal saline solution several times a day is a quick way to reduce symptoms before they become worse. Use of allergy medications (sprays and tablets) can help reduce symptoms further. There are many people who suffer from allergy-like symptoms who do not have the typical immunoglobulin response on testing. These sensitivities and intolerances still need to be identified and treated in order to obtain long-term symptom relief and allow the immune and detoxification systems to work properly.

Ocean Park Natural Therapies & BBRcnx, Neurofeedback Training. Janise O’Leandros, Certified Neurofeedback Tech. Dr. Timothy Brown N.D. WhiteRockNeurofeedback.com, OceanParkHealth.com

Q: What is Achilles tendonitis? A: The Achilles tendon runs down the back of the leg and connects the calf muscle to the back of the heel. It can become inflamed due to overuse or inflexibility. An inflamed Achilles may feel tender and stiff. To deal with the pain, stop doing any aggravating activities and take an anti-inflammatory two or three times a day. In some cases, a 1 to 2 cm heel lift will reduce the tension in the tendon. Stretching before and after activities can help prevent the problem from recurring. If the pain persists after 10 to 14 days, you should see your doctor, a sports-oriented physical therapist, or a podiatrist.

Many find it hard to stay active during the long winter days. Once spring arrives, aches and pains can stand in the way of carrying on as you remember. Joints, muscles, and tendons decondition rapidly. Often, a little bit of concerted effort can get you back on track. A proper diagnosis and treatment plan will outline realistic options. Non-surgical interventions are often enough. Recalcitrant problems may respond to precisely administered injections; ultrasound imaging and careful local anesthesia make this well tolerated by virtually everyone. This smooth and effective treatment brings early and reliable improvement in pain, often allowing return to activity within days.

As our pets age, their health naturally begins to decline and there is a higher risk of developing certain age-related conditions, such as heart disease, diabetes, and cancer. Some senior pets develop arthritis in the joints, reducing mobility and, if they’re suffering in pain, quality of life. Like humans, pets need us to pay increased attention to their health in order to help them feel good for as long as possible. Preventative checkups become very important as pets get older as they allow you to catch emerging conditions early and implement nutrition and exercise plans that will benefit your pet. Please call 604-560-8344 to schedule your evaluation.

Athletes are always looking to get into “the zone” – a balance of attention, concentration, and confidence. Quick thinking is crucial to making decisions that can be the difference between winning and losing a game. Neurofeedback is a tool that allows for identifying the areas of an athlete’s brain that are responsible for mental flexibility, task switching, and rapid decision-making. This allows an athlete to control how their brain reacts to stress, which in turn can help achieve peak performance. Neurofeedback training can help an athlete increase their cognitive abilities, while reducing the white noise of distractions around them.

Input from the vestibular system (located in your inner ear and brain) is essential for equilibrium, and dizziness can occur when this system is impaired. Vestibular disorders can be caused by trauma to the head (whiplash), degeneration of the system itself, ear infections, ototoxicity (high dosage of certain drugs), acoustic neuroma, poor blood supply, or trauma induced by pressure to the ear. Treatment depends on the underlying cause of your dizziness and is highly individual. Working with a physiotherapist who is certified in vestibular rehabilitation can help you sort the cause and best treatment for your dizziness so that you can reduce and hopefully eliminate this very disturbing symptom.

Excess weight can be due to a variety of underlying causes, such as hormonal imbalance, emotional eating, liver dysfunction, and malabsorption. Weight management programs require a tailored approach to help clients successfully lose weight. Laser acupuncture uses a non-invasive cold laser to stimulate various acupressure points on your body. Stimulating these points causes your body to release endorphins, which can help with suppressing your appetite, controlling hunger cravings, speeding up your metabolism, and enhancing your current diet and exercise program, all of which can help lead to weight loss and successful weight management.