Proper Lifting Technique in Your Daily Life

Christine Mo, PT ,RMT  has haChristine (Ruo), Mo --Registered Massage Therapistd many clients seeking Physiotherapy and Massage Therapy come in to the NTO Wellness and Rehab Centre with the very common lower back pain, muscle strain or ache that has been triggered from some of the most common day-to-day activities in our daily lives.   In some cases she has had clients come in to see her who have injured their back from working out, weight-lifting, doing dance aerobics and a variety of physical intense sports.

Whether it is lifting the grocery bags out of the trunk of your car, lifting heavy boxes when moving houses or picking up your 2 year old child when walking in the park – it is important to know the right technique for lifting in order to prevent back injury or muscle strain.  Christine has put together a video that focuses on the proper lifting technique so that you can prevent injury when going about your daily errands and activities.

As a proactive measure for injury prevention, Christine would like to demonstrate a stretching exercise that you can do to improve your posture when going about your daily activities.

The severity of the lower back injury and/or muscle strain is determined based on the level of impact and intensity that was incurred when the muscle strain happened – a sudden sneeze could be all it takes to jolt your lower back in the wrong manner, or lifting a heavy box from a bad angle and not squared in front could cause some serious damage to your soft tissue and lower back muscles.

In most cases the soft tissue, ligaments and muscle may have been impacted resulting in the need for manual therapy, soft tissue manipulation, myofascial release – this is where NTO Wellness and Rehab Centre can assist in your rehabilitation and recovery process.  However it is important to note that in some cases a lower back strain could be so severe that you are unable to walk immediately following the injury, in this case, you may have fractured a bone, herniated a disc or damaged your spine requiring an X-ray to confirm the fracture or disfunction – please seek emergency assistance from your medical practitioner or go to the nearest ER to prevent further injury.

Should I take a vitamin or mineral supplement?

joannepunJoanne Pun, Registered Dietitian at NTO Wellness and Rehab provides her professional advice on whether to take a vitamin or mineral supplement.

When you take a walk down the supplement aisle at your local pharmacy, you may wonder whether you are getting the nutrients you need after seeing rows of supplements available. The simple answer is: if you are eating a well-balanced diet that includes all four food groups (vegetables & fruit, whole grains, milk & alternatives, meat & alternatives), you probably do not need any additional supplementation.

However, there are a few groups of people that may benefit from taking a supplement. Vegetarians may need to consider an iron or vitamin B12 supplement if their diet is not well-planned. Older adults may also benefit from including a calcium, iron or vitamin B12 supplement as the absorption of some of these vitamins and minerals decreases as we age. It is also recommended by Health Canada that anyone over the age of 50 include a vitamin D supplement of 400IU (international units) daily as vitamin D is needed for optimal bone health and is not commonly found in food. People that are very picky eaters and avoid many different foods, may benefit from a daily multivitamin Also, if your family doctor has done blood work on you and determined you are deficient in a certain vitamin or mineral, it may be recommended for you to consider taking certain supplements.

Many people who exercise consider taking protein supplementation such as protein powder. Our body has a maximum limit on how much protein we absorb. Any extra protein supplementation is filtered through the kidney and passed in urine. Excessive protein can also cause strain and damage on the kidneys. Most people have enough protein in their diet already therefore it is much healthier and safer to include food sources of protein such as a cup of milk or yogurt after a workout instead of relying on protein powder.

Bottom line: Vitamin/mineral supplements are usually not needed for most people. Excess supplementation can actually cause harm on our body such as damage to the kidneys or increase the risks of some cancers. A diet that includes all food groups and various colourful vegetables and fruits everyday ensures adequate vitamins and minerals.

If you are concerned your diet is lacking in certain vitamins and minerals, book an appointment to speak to our Registered Dietitian on your next visit to NTO Wellness and Rehab.

What kind of oil should I use in cooking?

joannepunJoanne Pun, Registered Dietitian at NTO Wellness and Rehab provides her professional advice on what kind of oil you should use for cooking.

There are many different types of cooking oils popular on the market – coconut, vegetable, olive, avocado, just to name a few. So, which oil is best? When we are choosing which type of oil to use, we mainly have to look at 2 factors.

Factor #1: proportion of unsaturated/saturated fat.

Saturated fat is known as the “bad fat” – it raises your LDL-cholesterol (bad cholesterol) and triglycerides (type of fat in your blood). When we have too much LDL-cholesterol and triglycerides in our blood, it can cause blockages in our hearts and brains, increasing the risk of heart disease and stroke. Unsaturated fat, is a healthier fat because it helps lower “bad cholesterol”.

All cooking oils have varying proportions of unsaturated/saturated fat. Oils that have a high proportion of saturated fat (bad fat) include butter, lard, coconut and palm oil. Try to choose ones with a higher proportion of unsaturated fat (healthy fats). Some popular oils include – avocado, sunflower, canola, grapeseed, olive and vegetable.

Factor #2: smoke point

Smoke point is the temperature that causes the oil to smoke, making toxic fumes and cancer-causing agents. Different oils have different smoking points based on their chemical structure. This means that some oils are more suitable for cooking at higher temperatures (e.g. searing, browning) compared to others.

When using for:

– searing/browning, choose:  avocado, sunflower, almond

– baking/stir-frying, choose: canola, grapeseed, extra-virgin olive

– light sautéing, choose: corn, sesame

– dressing/dips/marinades, choose: flaxseed, olive

Keep in mind that oil is still fat and can cause weight gain when eaten in excess. Therefore, even if an oil is a good source of unsaturated (healthy) fat, it should be used in moderation. Having too many different types of oils in your kitchen is not recommended. When oils are in your cupboard for a long time,  they can be ruined by heat, light and air. It is best to just choose 1-2 different types.

I heard coconut oil is good for me. Is this true? In recent years, coconut oil has gained tremendous popularity from claims of improving health such as helping to burn fat, prevent infections and lowering risk of Alzheimer’s. However, these claims are based on very small clinical studies which means the benefits may not apply to everyone. Coconut oil is made of almost 90% saturated fat. It has been extensively studied and proven that a diet lower in saturated (bad) fat and higher in unsaturated (good) fat is best for heart health. Therefore, it is not recommended at this time to include large amounts of coconut oil in our diet.

If you have further questions about what oil to cook with, book an appointment to speak to our Registered Dietitian on your next visit to NTO Wellness and Rehab.

Athletic Therapy advice from NTO Rehab

Recognizing Acute Musculoskeletal Injuries

Christine (Ruo), Mo --Registered Massage TherapistAt NTO Wellness and Rehab our very own Registered Massage Therapist and Certified Athletic Therapist, Christine Mo would like to share some advice on recognizing acute musculoskeletal injuries in your daily lives, whether you are an athlete planning to run a marathon this weekend or somebody that has difficulty performing day-to-day tasks such as walking to the bus stop and/or lifting heavy groceries.

 Christine Mo -HBSc, CAT(C), RMT, ATC, CSCS, CPT

Musculoskeletal injuries are any damage done to the muscles, bones, joints, tendons and other soft tissue. They can be anything ranging from a “Charley Horse” in the calf to a broken bone in the arm. Acute musculoskeletal injuries usually happen following sudden onset of accidents, for example, a slip and fall, a car accident, a hard blow in hockey or a wrongful landing from a jump.

In acute injuries, symptoms of inflammation are often present. Pain, obviously, is one of the most recognizable one. If the pain is so severe that you cannot move or bear weight, do not force the movement. You might have suffered a broken bone or a severe sprain or strain. In this case, stay where you are, and wait for help from a trained emergency care professional.  

If you are able to move, bear weight and even walk, it usually means the injury you sustained is not worth a trip to the hospital. However, it does not mean there is no need for care. Although rare, some serious injuries can be hidden, and can only be found out after a thorough assessment by trained healthcare professionals.

Furthermore, trained healthcare professionals are able to provide appropriate treatment to your injury so it heals faster without any compensatory complications.

If you suspect that you may be experiencing musculoskeletal pain of any kind in your day-to-day activity, please do not hesitate to let one of the healthcare professionals or front desk staff know at NTO Wellness and Rehab Centre.

In my next blog I will be introducing the different types of professionals you can see for an acute musculoskeletal injury and the self treatment can be done while you’re looking for your therapist.

 

 

Heat or Ice? The Ongoing Debate

Physiotherapist - Leo WanAt NTO Wellness and Rehab our very own Registered Physiotherapist Leo Wan would like to share some advice on one of the most common questions he often gets asked at the clinic:  Heat or Ice?  The Ongoing Debate.

 

The question I get asked most in at the NTO Wellness and Rehab Centre, ” Should I apply heat or ice when I have pain?”

Honestly, we don’t blame patients for asking this question because this has been an ongoing debate, even in the health community. Heat is generally used to promote more circulation to an
injured area, providing it with more nutrients and oxygen to aide in healing. The warmth can help to alleviate pain, relax muscles, decrease muscle spasms and increase range of motion of the
affected joint. Ice, on the other hand helps to decrease circulation to the area, thereby reducing swelling, inflammation and pain.

So what is the big difference between the two? Simply put, heat will increase circulation and ice will decrease circulation. Both modalities are useful and effective only if used at the right timing in
the course of your injury. Therefore, the biggest question is “when”. Here are some general guidelines on when to use ice or heat.

When to use Ice?

You should use ice within 24 to 48 hours after an injury. It is not recommended to ice after this time frame as it may delay healing of the injured tissues. The main goal of icing at this time is to
help reduce or prevent excess swelling that may occur during your body’s inflammatory response to the injury. You may use ice again if you re­aggravated the injured area and caused more
swelling. Ice should be applied for no more than 20 minutes and you should wait an hour before re­applying it again.

When to use Heat?

After the  initial 48 hours after an injury, you may start to use heat. The main goal of heating at this point is to bring more blood to the area to stimulate healing of the damaged tissues. You can
also use heat if you are suffering from muscle spasms, chronic injury and joint or muscle stiffness.  Heat should be applied for no more than 20 minutes and you should wait an hour before re­applying it again.

If you are unsure about the nature of your injury or have any doubt as to whether to apply heat or ice to an injury, you should contact your health care provider for more information.  Feel free to bring up this question of Heat or Ice the next time you see me at the NTO Wellness and Rehab Centre.