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Happy Summer! Hopefully you're outside enjoying the weather - if you have some downtime, check out this newsletter to learn new tips and tricks to keep you healthy and active! We're your one stop shop for injury prevention, treatment, improved performance in sport, and expert tips to help maintain your active lifestyle!
Summer
.
2018

In This Issue:

•  Summer Updates!
•  NEW: Norman Chow, RMT
•  The great flood that united our team
•  The downside of flip flops
•  Back Pain: What does science say?
 

Keeping You Active With:

-Osteopathy
-Physiotherapy
-Athletic Therapy
-Massage Therapy
-Kinesiology
-Running Performance Assessments
-Concussion Rehabilitation

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Summer!


What's new at OOST

> Norman Chow, RMT, has joined the OOST team! Read below to learn all about Norman.
 
> Shauna is currently on maternity leave (scroll down for her exciting news!)  She will be returning in the Spring of 2019.

> Richard will be going on parental leave in August and September, as he and Amanda are very excitedly expecting a baby girl!
 
 
If you were seeing Richard or Shauna and require treatment in their absence, please speak with us to arrange treatment with another therapist - we will be happy to help you choose a suitable alternative to meet your needs.
 


Welcome Norman Chow, RMT!

Norman has been working as a Registered Massage Therapist for over 13 years. Norman received his Honours Bachelor of Kinesiology degree in 2000 from York University.  He is a graduate of Sutherland-Chan in Toronto, receiving his Massage Therapy diploma in 2004.
 
In addition, he has furthered his studies in body work with graduate courses in myofascial release, craniosacral therapy, and muscle energy.  He is a certified NISA (Neuromuscular Integration and Structural Alignment) practitioner. In a series of sessions, Norman is able to correct poor posture through a systematic manipulation of muscular and connective tissue.
 
Norman has always had a desire to help others develop a better quality of life. He enjoys being able to take a more “hands-on” approach that significantly affects soft tissue in a manner that decreases pain and improves function.
 
Norman's Hours
Monday & Wednesday: 12:15pm - 6:15pm
Tuesday: 7:30am - 1:30pm
Friday & Saturday: 9:00am - 1:45pm
 
 
 
Norman is now accepting new patients.
 
Call us to book an appointment with Norman today!
(613) 521-3222


To coordinate an appointment by email, click here.
 


Congratulations to Shauna!


IslaWe're happy to announce that Shauna, Andrew and big brothers Bennett and Hugh welcomed a baby GIRL on Wednesday May 2nd. ISLA was born a short five minutes after arriving at the Civic hospital, at 3:45am. She weighed 8lbs 6oz and has a full head of dark brown hair. Mum and baby are doing great, and the boys are settling well into life with a little sister. Shauna sends healthy well wishes to all of her patients!

Congratulations and all the best to Shauna, Andrew, Bennett, Hugh, and little Isla!
 

 
 
The Great Flood of 2017
 
Sometimes a disaster makes you realize: it's the people that count.
 
On Monday October 30th, 2017, Ottawa received 56mm of rain, most of it falling within a 6-hour time period. The City of Ottawa's water management system was overloaded, and our parking lot became a fish bowl. The Pebb Building we work in quickly became inundated with water, which instantly shut down the elevator, phones, internet and electricity. Tragically, this event also completely derailed our hotly contested 9th annual pumpkin carving contest.
 
Unfortunately, there were some patients who we couldn't advise of the flood as we had neither phones, files nor computers! However, within 24 hours, Emily and Richard set up headquarters in Emily's living room and began the search for a suitable temporary OOST 2.0 location. 48 hours after the flood began, we had signed a temporary lease on the other side of Bank Street, and were mobilizing the team. Our entire staff pitched in packing boxes and moving everything into a truck. Aristotle said "The whole is greater than the sum of its parts". This was evident as the whole team donned head lamps and work gloves to bring our clinic back to life, one box at a time.
 
By Friday March 1st, just 4 days after the flood, we were open for business in our new location with phones ringing, emails being answered, and most importantly, our staff were servicing our patients and clients. We spent just over 4 months operating out of our temporary location (OOST 2.0) and moved back to our original location of 2197 Riverside Drive, Suite 601 on March 5th, 2018.
 
Our entire team is grateful to all of you who stuck with us during this whole ordeal. Whether you missed an appointment, had an email go unanswered, or even just read about the disaster, we're happy you've kept relying on us as part of your health care team.
 
 
To prevent this from ever happening again, the Pebb Building has gone to great lengths to make upgrades and changes. Faulty pipes outside have been replaced and the basement windows which let the water in have been cemented over. Garden boxes with summer flowers now line the perimeter of the building and the front lobby has been totally renovated.
 
Every day, both new and familiar faces continue to walk through our door to consult our trusted staff. It's events like this that make you truly appreciate both the people you serve and the people you work with.
 
A huge shout-out to those who went the extra mile to help us out: our whole OOST team for jumping in without any hesitation to help us move (up and down 6 flights of stairs..) and bearing with us during the 4 months we were displaced. Kinemedics for providing extra equipment. Zev, Dora, and the team at 20Vic for getting us into OOST 2.0 as quick as possible. Mel for helping us assemble IKEA furniture (on a Saturday, at that!). And Amanda, Asher, and Max for their help, patience, and understanding during this chaotic time. Thank you!
 
 

Physiotherapy in Real life

The downside of flip flops

 
The consequence of living in a Northern country is that one becomes so sick of the lengthy winters that boots are thrown into storage with the hint of warmer weather. As temperatures rise comes the appearance of the bane of all foot therapists: flip flops. They are cute and easy, yet frequent use during the warm months can lead to an unpleasant issue: plantar fasciitis.
 
Since flip flops have no support whatsoever around the ankle, as you walk, the underside of the foot (known as the plantar aspect) is constantly gripping the sandal so that it stays on. This can lead to tension forming in the plantar fascia and, if irritated enough, inflammation and pain.
 
Signs that this could be developing are:
- pain under the foot with the first few steps in the morning
- pain when walking shoeless
- tenderness to touch (usually under the heel or arch)
 
If this arises, a physiotherapist can be consulted to help curb the issue quickly with manual therapy and exercise programming. Strengthening the small muscles that support the arch as well as the muscles on the sides of the ankle help prevent this condition from occurring. Stretching tight tissues in the arch and calf can also be beneficial. Plantar fasciitis left untreated can linger and be very unpleasant.
 
Other sandals can be slightly better if they have straps but in general, it is recommended that this kind of footwear should not be used for distance walking. Going out to the backyard is alright but leave flip flops home when you run errands all morning. Your feet will thank you for it!
 
-SR 
 
 
Sara Roy, PT
Registered Physiotherapist
 
To learn more about how Physiotherapy can help you be your best self, visit our website, or send an email to Sara directly: Sara@Ottawaosteopath.com.
 


 
Back Pain: Science says exercise is better than pills.

By Neil Price, M.Ost, BCs Hons, Dip. FTST

 
Low back pain is estimated to affect 60-70% of people in industrialized countries at some stage, and most of these go on to have recurrent episodes. It can be difficult to know what’s best for your painful back, or even to understand what is causing it. There is an endless supply of back braces, different types of therapy, ultrasound, electrical stimulation and painkillers on offer, so how does one know what is best to use?
 
For decades, clinical research has helped identify very specific physical testing protocols that help therapists understand whether the problem is a muscle, a disc, a joint or something else, and most importantly, what to do about it. Using this research in a clinical setting is called evidence-based practice, and it is the gold standard for getting people better.
 
Over-the-counter painkillers and anti-inflammatories have been shown to have limited effects and are not without side effects. For example, a large and well conducted recent study determined that Acetominophen (Tylenol) was “ineffective in the treatment of low back pain” and people using it demonstrate a fourfold increase in abnormal liver function compared to placebo (BMJ 2015;350:h1225).
 
Other painkillers or anti-inflammatories may reduce pain of recent onset in the short term, but back pain often returns since the underlying pain mechanisms have often not been addressed.
 
In most cases, there is a mechanical trigger to the onset of pain, or to put it another way, it is very unlikely that your back began to hurt for no reason. Unless this mechanical cause is identified and reduced or removed, the cycle of recurrent back pain episodes is likely to continue.
 
Movement and exercise prescription has been shown to be more effective than passive therapies such as ultrasound. Back and neck pain are not homogenous problems and the pain can come from a variety of different tissues and be caused by different loads. Each person will have their individual pain triggers, which is why a one-size-fits-all approach does not work and there is no single “best exercise”.
 
Successful rehabilitation relies on developing a comprehensive understanding of these triggers, so that they can be reduced or avoided which allows the tissues to calm down. Then, progressive loading and creating pain free movement patterns slowly improve the resilience of the back, allowing successful return to daily activities and sports.
 
At Ottawa Osteopathy & Sports Therapy, we use established, evidence-based protocols to guide our clinical impression and treatment plans. Our therapists have completed post graduate studies in advanced back care approaches such as the McKenzie and McGill methods, to help identify and reduce mechanical pain triggers and provide pain-free movement alternatives. We also present the most up to date research on back pain assessment and treatment protocols to sports medicine physicians as part of a continuing education program. This, combined with gentle manual therapy, is the key to our success in treating back and neck pain where other approaches have failed.
 
 
Tips to try if you have back pain:
 

Do you get pain when turning over in bed?
Try bracing your tummy muscles – imagine being tickled by 5 people at once, but you’re not allowed to wriggle or move. You’ll probably squeeze your tummy super tight. Another description would be to “lock” your torso to your pelvis. Then try to roll over without losing this muscle squeeze. We call this the log roll. If you can do this, and your pain is reduced, congratulations – you have found a strategy for reducing your pain.
 
How about pain when rising from sitting?
Try maintaining a small inward curve in your lower back whilst sitting (it’s the concave curve in your low back that should be visible when you stand up tall). If you can maintain that curve by using a lumbar support or rolled up piece of clothing whilst sitting, you should have less pain when you stand up. Try to take regular breaks from sitting as well. 4 sets of 15 minutes sitting with good posture may be much better tolerated than 60 minutes of sustained sitting.
 
Do you have more pain in the morning when you first wake up?
This may be a disc injury in your back. Try to avoid too much lifting or bending forward in the first 30-45 minutes in the morning. Simple things like walking around, showering, and standing to eat will give your back time to ease into the day before doing more difficult things like laundry, snow shovelling, or struggling with winter socks and boots.
 
Want to understand more, or have a question about your achy back or neck?
Call or email Ottawa Osteopathy & Sports Therapy and we will be pleased to answer any questions you may have. (613) 521-3222 neil@ottawaosteopath.com
 
- Neil
 
Neil Price (M.Ost, BSc. Hons, Dip. FTST) is a UK trained Osteopathic Manual Practitioner at Ottawa Osteopathy & Sports Therapy.
 

Have your say!

Is there something you'd love to learn more about? A topic you were hoping to see in our next newsletter?! Let us know! Send us an email with your article or topic suggestions, and you may end up seeing it in our next newsletter!
Ottawa Osteopathy & Sports Therapy offers:
- Osteopathy
- Athletic Therapy
- Physiotherapy
- Massage Therapy
- Strength & Conditioning
- Running Performance Assessments
- Concussion Rehabilitation

Email us at info@ottawaosteopath.com

Visit our website at www.ottawaosteopath.com

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Ottawa Osteopathy & Sports Therapy · 2197 Riverside Drive, Suite 601 · Ottawa, ON K1H 7X3 · Canada

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