Rheumatoid Arthritis

Surrey Pain & Wellness Chiropractic – Wellness Series Part 3 of 3

Is wellness physical health?  Quality of life?  Freedom from pain?

Health and wellness is all of these things.  Doctors and scientists have studied the lifestyles and genetics of people from different periods in history, from different cultures and environments to help understand health and longevity. This month the Surrey Pain & Wellness Chiropractic blog is focusing on wellness – welcome to part three of this three part series, a focus on freedom from pain.


Freedom from Pain

Pain.  No one needs to describe what it feels like – we can all identify with it, whether it’s the intense sensation of a scrape, burn or injury or something much more serious.

Even if you don’t know the cause of your pain, pain tells us that something in our body isn’t right.  So do you visit the doctor? The chiropractor?  Physiotherapist or massage therapist?  Take medication? Vitamins?  All or none of the above?

When pain becomes chronic – generally lasting at least three months, it becomes something else entirely.    The physical and emotional core is stressed, fatigued and their day-to-day living is affected.  Chronic pain can undermines a person’s well-being,  productivity and even of the essence of who they are, as the focus of each day is on how to eradicate the pain and trying all of the above remedies, and many others.

Chronic pain is complex in that it can differ tremendously – even between individuals  who suffer from the exact same injury or disease.   This can be because of a co-existing condition or injury or many other environmental or psychological factors that must be factored into how an individual perceives and experiences pain.

Diagnosing Chronic Pain

There is no way to measure how pain varies between individuals, but first and foremost, health care providers must take the patient’s description and feedback into account.   This is probably more important than what the medical books suggest a patient could or should be feeling for any condition.

A full physical examination can provide more insight into the cause of chronic pain.  However, more detailed and technical examinations will likely be made and may include x-ray, MRI, EEG, blood tests, etc.

Managing & Treating Chronic Pain

The goal of pain management is to improve the day-to-day function and quality of life for the patient, and as mentioned that varies from person to person.

Whatever treatment regime is it is important to remember that chronic pain is treatable, and may require a combination of many approaches, such as physical activity, relaxation, nutrition and access to health care.  Different health care providers will also recommend different approaches or courses of treatment.  While it is important for patients who suffer from chronic pain to explore a range of different health care providers, it is always best to be up front with each as to what kinds of treatments, medications etc. have been used in the past.  Each patient should document this not only to share with other health care providers, but as a reference for themselves and a tool for making decisions on what is working and what is not.

Though chronic pain is an individual and personal health issue – it is also a major issue for public health, as well as  family, friends, employers and health care providers who are affected and need to give ongoing support for those who suffer from the physical as well as the emotional impact of chronic pain.

Chiropractic treatments can be useful in reducing  many kinds of pain, and may be most effective with chronic pain, since  pain  impacts the structure and function of the body – how you move, your posture and the quality of sleep you have.  Even organic disease causes reactions in the body’s skeletal and muscular functioning that can increase the level of pain in the body overall.

Surrey Pain & Wellness Chiropractic Clinic welcomes feedback and insight for those who have suffered with chronic pain, whether or not chiropractic is a part of your current or ongoing recovery from chronic pain.

If you currently suffer from chronic pain or know someone who does, refer them to Surrey Pain & Wellness Clinic for a consultation – our goal is to let the healing begin.  604.507.9929.



Chiropractic for Knee Pain?

Surrey Pain & Wellness Chiropractic Clinic has several treatment options that are very effective for problems that cause knee pain

Acute Knee Injury

Acute injuries to the knee are usually the result of a trauma to the ligaments and cartilage through sports injury, accidents, and sometimes overuse:  ligament sprains, tears, meniscus and cartilage injuries, patella dislocations, chondromalacia (runner’s knee) osteoarthritis.  These kinds of  “mechanical” injury can result in knee instability or almost complete immobility in the affected leg.   These kinds of injury require a diagnosis to determine the extent of injury (usually requiring x-rays and an MRI) as well as  pain management and rehabilitation.

While severe injuries likely require surgery, minor or moderate injuries can avoid surgery thanks to a multi-modal approach used at Surrey Pain & Wellness Chiropractic Clinic.


Another common cause of knee pain is osteoarthritis. While there is not a cure for osteoarthritis,  the symptoms can be reduced and the progression slowed or stopped with a range of treatments at Surrey Pain & Wellness Clinic.  Early treatment is also key to recovery so that inflamed joints do not progress from acute the acute phase to chronic.

As long as the knee joint does not become severely degenerated, surgery can be avoided.  Mild to moderate degeneration in the knee joint can be dealt with by strengthening the surrounding muscles to protect the joint from being vulnerable to continued injury or inflammation.

Pain reduction and managing inflammation is an important part of rehabilitation to keep strengthening and recovery moving forward.    Contact Surrey Pain & Wellness Chiropractic Clinic at 604.507.9929 or visit our website services to learn more about moving forward to recovery.


The R.I.C.E. treatment is important during the initial 48 hours of injury:  (Rest, Ice, Compression & Elevation).


Reduce or stop activity for the first 48 hours.


Use an ice pack on the knee for 20 minutes at a time 4-10 times a day.  (Up to once an hour to reduce swelling and inflammation)


Wrap the knee in an elastic bandage or wear a support brace to reduce swelling and protect the injured area.


Keep the leg elevated, using a stool or bench when sitting or a pillow when lying down.


For more information, call Surrey Pain & Wellness Clinic or visit the Service section of the website.




Can Chiropractic Care Help Prevent Falls?

While chiropractic care has benefits for all people, the benefits to seniors can be of particular importance.

Regular Chiropractic Care Can Provide Important Benefits for Seniors

Chiropractic care increases balance and coordination: As we age, balance and coordination becomes more difficult. Studies have shown that the receptors located in the joints of the upper cervical spine are largely responsible for providing the brain with essential information important for balance and coordination. Research has also shown that injury to these “neck” receptors is a significant cause of balance and coordination problems in humans.

Studies have shown that chiropractic care can help restore balance and coordination by stimulating the joint receptors  in the cervical spine. This stimulation is thought to restore or normalize joint receptor functioning which leads to improvements in balance and coordination.

Chiropractic care can decrease injuries, including falls: Unlike when a child or athlete falls, an older person who falls is more susceptible to suffer significant injuries.

Injuries as a result of falls are a particular risk to seniors and one of the major causes of injury in the elderly:

  • Responsible for 90% of the 850,000 bone fractures which occur annually among Americans past the age of 65
  • In people over the age of 65 account for over 80% of injury related hospital admissions and they are the leading cause of accidental death
  • New Zealand: 230 deaths per year and Australia = 1000 deaths per year
  • One third of community dwelling older adults experiences one or more falls each year
  • Australia: Related health care costs estimated to be as high as $4,500,000,000 annually
  • USA: Related health-care costs as much as $30,000,000,000 annually

A report recently published on seniors’ falls in Canada by the Public Health Agency of Canada (PHAC) asserted that seniors who fall are fall are ten times more likely to be hospitalized and eight times more likely to die than are children who fall. In addition, recovery from a fall-related injury is often prolonged or incomplete, which in turn leads to a worsening of fall-related risk factors such as de-conditioning due to being sedentary.

The report says that chiropractors have an important part to play with respect to fall prevention. Not only can practitioners champion many of the interventions recommended (home safety checklists, physical activity), but some experts also suggest that chiropractic care, especially spinal manipulative therapy contributes to decreasing the risk of falls among seniors as well. Although there is at yet little medical evidence for such a contribution, there are a few studies which serve as examples of this important research direction.

The chiropractic profession in Canada has taken a leadership role in the area of fall prevention among seniors by developing a falls prevention program targeted toward both older patients and chiropractors themselves. Called The Best Foot Forward: Don’t Let A Fall Get You Down, this fall prevention program was developed in 2008 for the Canadian Chiropractic Association.

The Best Foot Forward Program was divided into two broad sections. The first section including epidemiological information, risk factors, a quiz a person could take to determine his or her risk of falling and a home safety checklist.  Please email Surrey Pain & Wellness Clinic at info@surreywellness.com to receive a copy of the checklist.

Chiropractic Care for Aging Adults

Is it More Important?

Regular chiropractic care helps all kinds of people, young and old, improve health and mobility and regain control of their lives.  Chiropractic care for the “third age” or senior population will help manage and even eliminate acute and chronic pain, increase flexibility, improve mobility and function, restore postural alignment, enhance balance, de-stress and tune the nervous system, improve general health and wellbeing.  Even increase the overall quality of life.

Chiropractic care is especially important for maturing and elderly adults because of the dramatic changes that occur in the spine with increasing age. As we age, spinal discs, joints, ligaments, muscles and other spinal tissues become weaker, less hydrated, more fibrous, and less able to withstand normal strain. As a result, back pain from spinal degeneration (arthritis) becomes more prominent, soft tissues increase as the body is more vulnerable to injury.  As the time to heal from injury increases as we age, minimizing risk and optimizing overall health and wellness becomes even more important.

Modern chiropractic procedures take into consideration the nature of the aging spine and the many abnormalities present to provide an effective, safe and non-invasive treatment plan. Through the use of 21st century gentle adjusting techniques, physical therapies, and incorporation of stretching and exercise programs spinal pain is reduced, spinal stresses are decreased, flexibility and mobility are improved, and degeneration is minimized.

What are the Benefits of Chiropractic Care for Aging Adults?

Routine chiropractic care has a number of benefits which are especially important as we age:

  • Pain relief from neck, spine and joint pain
  • Decrease in muscle stiffness, spasms and rigidity
  • Increased mobility and range of motion
  • Straighter, aligned posture
  • Increased balance and coordination
  • Increased sense of well-being and overall energy
  • Decreased tissue inflammation
  • Decreased arthritis and arthritic joint pain
  • Minimized spinal stress and tension
  • Reduced risk of fall injuries

Are There Studies Showing the Benefits of Chiropractic Care for Aging Adults?

According to one paper chiropractors may be well-positioned to play an important role in health promotion, injury and disease prevention, and on geriatric care teams, due to their practice style and holistic philosophy. Chiropractic services are safe and relatively low-cost, and patient satisfaction with them is very high. Relative to musculoskeletal care in elderly patients, chiropractic adjustments are recommended by the Agency for Health Care Policy and Research for the care of acute low back pain, and the American Geriatric Society Panel Guidelines for the Management of Chronic Pain state that non-pharmaceutical interventions such as chiropractic may be appropriate. Various lower-force chiropractic techniques are available as safe alternatives to drugs and surgery for musculoskeletal complaints in the older patient. Due to the prevalence of these conditions in older patients, and the success of chiropractic in caring for these patients, interdisciplinary geriatric health care teams should include the doctor of chiropractic.

(Killinger LZ. Chiropractic and geriatrics: a review of the training, role, and scope of chiropractic in caring for aging patients. Clin Geriatr Med. 2004 May; 20(2):223-35.)

One study evaluated the health status of 414 elderly individuals (average age of 80 years) and compared those individuals under chiropractic care with those not under chiropractic care. The researchers found a number of significant findings which included:

  • 87% of those who used chiropractic care rated their health as good or excellent compared with only 68% in the non-chiropractic group
  • Only 13% of those who used chiropractic care rated their health as fair or poor compared with 32% in the non-chiropractic group
  • 44% of those who used chiropractic care reported having arthritis compared with 66% in the non-chiropractic care group
  • Those who used chiropractic care were more likely to still be doing strenuous levels of exercise
  • At 3 years follow-up, less than 5% of those who used chiropractic care used a nursing home while a staggering 48% of those who did not use chiropractic care did use a nursing home
  • At 3 years follow-up, only 26% of those who used chiropractic care were hospitalized compared with 48% of those in the non-chiropractic group

(Coulter, PhD et al. Chiropractic and Care for the Elderly. Top Clin Chiro 1996; 3(2):46-55.)

Other research attempted to define more clearly the exact nature of Chiropractic Maintenance Care. The study population consisted of elderly chiropractic patients who had received health-promotion and prevention services for at least five years at a minimum of four chiropractic visits per year. Patients were selected from 73 chiropractic offices in six geographic locations across the USA. Doctors enrolled the first 10 consenting patients who met the inclusion criteria, and data were gathered on health habits, expenditures of health services, frequency of use, and perceived value of chiropractic prevention and health promotion services. Results included:

  • An average of 16.95 visits were made per patient per year for chiropractic MC treatments
  • Stretching exercises, aerobic exercises, dietary advice, and other prevention strategies were commonly recommended
  • Patients reported making only half the annual number of visits to medical providers compared with the national average for patients 65 and older
  • The health habits of patients receiving MC were similar to or better than those of the general population

(Rupert RL, Manello D, Sandefur R. Maintenance care: health promotion services administered to U.S. chiropractic patients aged 65 and older, Part II. Journal of Manipulative and Physiological Therapeutics, Jan. 2000: 23(1), pp10-19.)

Chiropractic Care Can Reduce the Risk of Falls by:

  1. Specific chiropractic adjustment techniques to normalize spinal joint receptors which provide the brain with important balance and coordination information
  2. Stretching and exercise programs to increase strength, flexibility, mobility, balance and coordination
  3. Diet and nutritional counseling to improve nutritional status, increase energy levels, and increase sense of well-being

Chiropractic increases joint nutrition and relieves spinal joint arthritis: Spinal discs and spinal joints receive their nutrition and eliminate their wastes through joint movement. Without sufficient movement, adhesions and scar tissue will soon develop in the joints.

Chiropractic care involves restoring and optimizing spinal and extra-spinal joint motion which brings vital nutrients into the joint and flushes toxic waste products out. This helps keep the joints healthy and minimizes the degenerative joint changes which lead to arthritis.

Chiropractic decreases joint and tissue degeneration: Similar to an out-of-aligned wheel on an automobile, a misaligned spine with abnormal biomechanics will wear out prematurely. As all moving parts will eventually wear down over time, it’s important to get the maximum “mileage” out of your spine, especially since it’s the only one you’ll ever get.

Chiropractic restores postural alignment: Bad posture has been linked with aches and pains, poor emotional state, increased disability, reduced health and wellbeing, and even premature death. In general people’s posture becomes more rounded, compressed and distorted with age. Maintaining regular chiropractic care can help to reduce the underlying biomechanical and neurological causes of poor posture.

Chiropractic care balances the nervous system: Modern chiropractic techniques are less about bones and muscles, and more about nerves and energy. By analysing and correcting the stored tension that builds up in everyone’s body, chiropractic adjustments can help to tune up the whole body. The older we get, the more accumulated stress and strain we carry, and the more we can benefit from a regular chiropractic adjustment.

Chiropractic care can increase the overall feeling of health and well-being: When you’re free from nagging pain, stiff joints and can do the things you enjoy (golf, gardening, playing with the grandchildren, etc.) life is far more enjoyable. Feeling good, staying healthy and doing the things that make us happy are what keeps us looking forward to each new day.

Regular chiropractic care in those over the age of 40 is aimed at increasing the quality of life, and not just the elimination of pain and correction of soft tissue abnormalities. Don’t cheat yourself from living life to its fullest…

What Else Can Chiropractic Help?

Chiropractic care can useful for so much more than aches and pains: Over the years many case studies, case series and longitudinal research has shown that chiropractic care can be beneficial for many ailments that commonly plague our aging population:

Sciatica, headaches, migraines, dizziness, vertigo and  Meniere’s Disease, as well as back, neck, shoulder, knee, hip and joint problems, be they associated with injury, disease or some of the “normal” degenerative issues associated with aging.

It is important to note that as in all medical treatments, outcomes vary between patients.

For more information, contact the clinic at 604.507.9929.

The Hip Bone’s Connected to the Thigh Bone…

Arthritis in the hip (and other parts of the body)

The hip joint is a marvellous feat of engineering and is in fact, one of the strongest and most complex joints in the human body, enabling a range of movements, including the most basic of them all –  walking.

With the complexity of the hip, there is also much that can go wrong.  To understand why, we need to know a little bit about the anatomy of the hip.   A ball and socket joint connects the hip bone to the thigh bone.  A thin, smooth, cushioning cartilage, known as articular cartilage, covers the moving surfaces inside the joint.  This serves as a shock absorber and lubrication for the bones.

Cartilage is subject to wear and tear.  If the stress on the joint is too high, articular cartilage degenerates and is worn away, leaving the bones to rub against each other, causing pain, swelling, stiffness, muscle weakness, and progressive loss of mobility.   The condition –  known as arthritis – affects a large percentage of people over the age of 50.

In advanced arthritis, the articular cartilage of the hip is completely worn away and the bones of the hip come into direct contact.  This condition, known as osteoarthritis, is a severe inflammation of the joints accompanied by chronic pain.  Another common type of arthritis that can affect the hip is rheumatoid arthritis.  This is caused by a dysfunction of the immune system.  Abnormal antibodies are produced that get deposited in the lining tissue of the joints, causing chronic inflammation and slow destruction of cartilage.  All joints may be affected by rheumatoid arthritis and both sides of the body are affected equally.

The hip joint is a ‘ball and socket’ joint that allows movement between the thigh bone (femur), and the hip bone (pelvis)

Whatever the type of arthritis, some cases can be successfully managed by conservative means such as:

– Medication
– Physiotherapy
– Weight Control
– Modification of leisure/sporting activities

Therapies at the Surrey Pain & Wellness Clinic that may be of interest for people with rheumatoid or osteoarthritis include:

Chiropractic care to help structurally realign the joint to reduce stress and slow down the damaging process.

Laser pain therapy to manage/eliminate cycles of pain and significantly reduce inflammation in the joint.  Laser therapy is completely safe for long term use in managing such severe, chronic conditions (and provides better results and longer term results than pain killers)

Customized foot orthotics can also prove valuable and are complementary to the above therapies in terms of pain relief, supporting alignment and function and therefore contributing to stability and functional motions such as walking and sports.

Managing arthritic pain can help you resume gentle activities and leisure pastimes, allowing patients at Surrey Pain & Wellness to become stronger and more mobile and an overall feeling of improved health and well being.