Phone: 613-732-3333  | www.integratedhealthcentre.ca  |  570 Nelson Street, Pembroke
Employee of the Month!
Dr. Nik Bair-Patel
Chiropractor
Acupuncture
Dr Nik is my  nominee for employ of the month. There are several reasons for this choice, one being that he’s not only my boss but he also is a teacher in my eyes because he’s never afraid to share new knowledge and advice with everyone to help with future encounters . Since moving on to school next year personally it’s helped me a lot with figuring out what i want to do. Second reason is he never stops working at his 110 percent level and is always trying to find new ways to benefit the people of Pembroke and his fellow employees at integrated.  Last but not least, he’s put up with all my injuries in the past year even though he told me a hundred time’s to take it easy.

                                                              -Bryce Davidson, Fitness Associate

Chiropractic and Sports Injuries 
Dr. Shane Foy
Chiropractor
Acupuncture
Here at the Integrated Health Centre we treat sports injuries, amongst many other things.  We cover you from head-to-toe including sprains/strains, joint instabilities, low back pain, neck pain and concussions. We have the correct tools to manage your acute and chronic injuries including laser therapy, orthopaedic braces, chiropractic, acupuncture, massage and supplementation as needed.

We provide a thorough assessment for each condition and will prepare an individualized treatment plan that will help you to return safely to your sport that will reduce the occurrence of reinjury. 

It is very important to take care of your body!  Sports injuries such as ankle sprains tend to heal over time but can lead to dysfunction elsewhere in the body.  This can predispose you to things like mechanical low back pain or other areas of abnormal movement. 

An interesting study changed my perspective on these simple injuries where they looked at a group of patients several years after suffering from an ankle sprain (Bullock-Saxton, 1994). Each patient reported that the ankle had healed properly and they did not suffer any consequences from the original injury. The researchers tested muscles in their leg to reveal that muscles all the way in their hip reacted more slowly compared to healthy individuals. The muscle affected the most was the gluteus maximus, which is the large buttock muscle. A dysfunctional gluteus maximus is a common cause of low back and hip pain.  Even though they thought they had healed, without the proper treatment, they actually had other impairments which they did not even know about.

Correctly treating these injuries as they arise will reduce problems in the future.  So get out there and play hard, but remember to listen to your body and don't ignore the small stuff!  It may come back  to haunt you when you least expect it!

Fitness
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Sitting is the New Smoking

Claire Ullrich
MedEx and Rehab Specialist

Over the past decade or two, smoking cigarettes has become less and less popular.  Researchers have made us aware of the health concerns that smoking leads to; not only in regards to cancer development, but also the toll it takes on the cardiovascular system as a whole.  However, this shift in perspective on smoking did not happen over night.  Many skeptics found it difficult to believe that something that was part of their every day regime could cause such staggering health issues.  Which is why the following sentence will result in disbelief as well, however, sitting for long periods of time may actually be just as detrimental to the human body than chronic cigarette smoke inhalation. 

How could sitting be SO harmful?
This is a question one might ask his or her self.  Well, it turns out that our bodies were not actually built to sit for longer than 60-minute increments.  If we think back about 66 million years ago, to a time when individuals hunted their next meal, and built their own shelters, it becomes easier to understand why we were afforded the luxury of the upright position as opposed to being hunched over on all four like our ancestors.  We were built for moving!
So what is sitting actually doing to our bodies?
            For one thing, being seated nearly eight hours a day, five days a week will inevitably cause muscle degeneration.  While we are seated in a desk chair, for example, our hip flexors, glutes and abdominal muscles are completely inactive.  Over time, these muscles only weaken more, and can contribute to terrible upright posture.
            Much like standing in one place for too long, being seated for hours on end also results in poor circulation.  Reduced blood flow or pooling of the blood in the lower extremities can cause issues anywhere from swollen ankles, to varicose veins, to dangerous blood clots known as deep vein thrombosis (DVT).
            Finally, foggy brain syndrome is another side effect of sitting for too long.  When we move our muscles, oxygen is circulated throughout the body via the cardiovascular system.  One of the organs that requires a regular dosage of fresh oxygen delivery is of course, the brain.  Starved of oxygen, brain function tends to slow down, which can affect not only productivity, but also our mood.
  So how can I reduce the amount of time I spend sitting in a day?
            In the work place, replacing a normal desk chair with a backless seat or BOSU ball will engage the abdominal muscles in order to stabilize the core and remain in the upright position.  Alternating between sitting and standing is also highly recommended, as it increases blood flow and oxygen delivery to the brain.  So, every hour, stand up and do a lap around the office, or go get a drink of water and return to your desk feeling refreshed and ready to continue working.  And lastly, although after a long shift plopping down on the couch and cracking a beer may be appealing, just fifteen minutes of high intensity physical activity can ramp up the cardiovascular system enough to withstand longer periods of sitting than if we were to participate in no physical activity whatsoever. 
            So, all we have to do is just MOVE, a little bit more in every day!                
Client Story
Diabetic Neuropathy: A case study with a twist
Sherri O'Shaughnessy
Laser Therapist
A 72 year old male patient presented to the clinic with diabetic neuropathy (nerve disease causing numbness), effecting both feet.  During the initial visit the examination indicated degenerative disc disease of the lumbar spine as well as classic skin discolouration of both feet, ranging  from dark purple to brown.  There was also callus formation on the lateral aspect of both feet, as well as a non-healing ulcer on the left foot. The ulcer appeared red around the area of open tissue and had the beginning signs of infection. Slightly above the ulcer was noted a dark purple area that appeared to be a blood filled blister.  The patient indicated a Pain score of 10+/10 on the Visual Analog Scale (VAS) and listed sensations included stinging, burning and tingling. He also suffered balance difficulties while walking, however it was unclear if the ulcer or the neuropathy was a factor.

The recommended plan of care was 12 laser therapy treatments to be administered over the course of five weeks.  During therapy in the clinic, the patient was instructed to keep the left foot open to the air and to keep the foot elevated as much as possible.

As treatment began the patient noticed visual change with the ulcer but no change in the neuropathy sensations.  At treatment #4 the patient was able to walk into the clinic without reaching for walls and surfaces for support.  Skin colouration began to return to a more normal shade.  Daily discomfort was noted as reducing.  The blood blister had completely resolved with fresh pink skin in its place.  The ulcer had no signs of infection and had scabbed over.
  At treatment #9, the scab size had reduced moderately leaving fresh pink skin behind.  Neuropathic pain had improved by 70% in the right foot and by 80% in the left foot.  

At treatment #13, the ulcer had completely resolved.  Normal colouration of the skin had completely returned.  The VAS pain score was reported to be 2-3/10 at the worst.

To date the patient continues to receive regular bimonthly maintenance care for the neuropathy and has had no indications of reoccurrence of the ulcer.

Nutrition and Footwear
Supportive Alternatives to Flip-Flops

Caroline Clouthier
Nutrition and Footwear  Associate 

The warmer months are something every Canadian looks forward too!  People can’t wait to wear fewer articles of clothing and put on their flip-flops!  Unfortunately, flip-flops are notoriously lacking in support.  Here at the Integrated Health Centre we carry shoes that are not only cool and fashion forward but provide support for your feet all summer long!  Vionics, (previously known as Orthaheel) are our summer sandals that offer built in arch support.  Vionic sandals are designed to help reduce over-pronation, which helps relieve many common foot problems and associated pain. The Vionic sandals have a high built-in inner arch as well as a metatarsal pad in select styles to reduce pain associated with plantar fasciitis and fallen arches.  Birkenstocks also provide a good supportive foot-bed for a cool summer sandal, although the arch support is lower than in the Vionics for different foot needs.  
Suffer from back pain, heel pain, knee or hip pain but love the relief offered by your custom orthotics?  Romika’s are our comfortable shoe that allows you the option to remove the foot bed and put in your custom orthotics!  So whether you’re looking for a new dress shoe or summer sandals but have restrictions due to custom orthotics, you no longer have to ditch style for comfort.  Stop by today to see one of our associates and find your perfect summer sandal!
What is Collagen?

Kayla Audette
Health Coach
Nutrition and Footwear Associate 

Collagen is the “glue” that helps hold the body together, giving our hair and skin it’s strength and elasticity and helping to replace dead skin cells while providing connective tissue with the ability to hold everything in place.  It is a long-chain amino acid and the most abundant protein in the body. It is composed of the individual amino acids Glycine, Proline, Hydroxyproline and Arginine and in nature is found exclusively in animal tissue, especially bones and connective tissue. 
Our body’s natural collagen production begins to slow down as we age (you can thank this process for wrinkles, sagging skin and weaker cartilage in your joints) and many modern lifestyle factors like stress, smoking, poor diet, gut health imbalances can also decrease the body’s ability to make it.

Gelatin vs. Collagen
These terms are often used interchangeably, but there is a difference.
Collagen is the basic form of the protein found in the body, and gelatin is produced when collagen is boiled or otherwise heated. The two have very similar compositions and are almost interchangeable, but the difference gets confusing when it comes to supplements. In general:
Collagen Peptides (the Hydrolyzed form of Gelatin) contains these proteins broken down into individual peptide chains. This form is typically easier to digest and is often suggested for people with digestive issues. One advantage to this particular form of collagen is that it easily mixes into most hot and cold drinks and is tasteless, making it easy to add to foods and drinks for consumption, however, it will not gel and is not good in recipes that require gelatin.
Collagen Protein (also called Gelatin Powder) is the pure form that is often recommended on diets like GAPS and SCD for its ability to coat the digestive tract. From a cooking perspective, it is the form that “gels”. This form is naturally found in bone broth , as the heat breaks down the natural collagen found in the bones, -making the reason bone broth tend to thicken and gel in the fridge.

In past generations, people often consumed much larger amounts of collagen/gelatin from food, as our grandparents and great-grandparents prepared many meals at home and made things like broths, gravies, and bone-in meats that naturally contained these amino acids.

Where To Find Collagen
There are several good sources of high-quality gelatin and collagen powders. When sourcing, it is important to make sure that it is obtained from grass-fed and pastured humanely raised sources from a reputable company and is packaged in a BPA-free container.
 
Staff Picks for July

Collagenics 

Kayla Audette
Health Coach
Nutrition and Footwear  Associate 

The connective tissues throughout your body are important to your ability to move freely and are crucial to optimal joint health as well. The aging process, as well as normal, everyday wear and tear can have negative effects on the state of your joints, bones, and connective tissues. Those negative effects impact your everyday life and activities which result in limited flexibility and decreased range of motion. As a nutraceutical, Collagenics® is formulated to complement dietary recommendations. Containing a unique combination of free form amino acids, key minerals including magnesium bis-glycinate, horsetail herb (containing silica), and other natural nutritional components involved in the biochemical processes that support healthy connective tissue present in the skin, tendons, ligaments, cartilage, joints and bones.
Make the choice to keep yourself flexible, pain-free, and healthy. When you choose Collagenics from Metagenics, you're choosing an all-natural formula that helps keep your connective tissues at optimal health so you can enjoy life. Give it a try today and see the difference it can make! 

10% off until July 15th!

Super EFA Liquid Fish Oil

Joanne Haskin
Patient Coordinator

Do you, or someone you know suffer from:

  • Inflammation?
  • Brain fog
  • Lack of cognitive function?
  • ADD/ADHD 
  • Issues with cholesterol/triglycerides?
  • Cardio/respiratory conditions?

If so, we have the perfect product for you!!  Super EFA liquid has it all. Not only will it help with the above-mentioned issues, it comes in 2 great flavors, Natural Orange and Strawberry. 

With an easy to tolerate -1 teaspoon a day dose - and great flavour, everyone can benefit…even children as young as age 1.  The added benefits for children under the age of 12 include its ability to support development of the brain, eyes and nerves.  The Super EFA liquid comes free of added wheat, yeast, gluten, dairy, artificial flavors and colors.
 
So what are you waiting for…get yours today at 10% off July 16-31!!
 
Integrated Health Centre
570 Nelson Street, Pembroke
Along the Ottawa River in East End Pembroke
Phone:  613-732-3333