Compression Garments 101

Compression socks. compression garments, compressions, medical compression socks,

A great article from our compression garment company Juzo;
Lymphedema Compression Garments 101
Author: Cindy Anderson, Return/Product Training Manager
September 2018

Has a medical professional recently told you that you need compression therapy? You likely have tons of questions, but no worries! Here are the basics you should know about the various lymphedema compression garments available and some key benefits – with the help of your medical team you can find the best medical compression garment for you.

Lymphedema compression garments help to manage re-accumulation of fluid by providing external pressure to tissue where lymphatic failure (or swelling due to fluid build up) has occurred. For best results, you should start wearing a compression garment as soon as possible after completing decongestive phase of treatment.

Not sure which compression garment is best for you? That’s okay. A trained or certified compression fitter can evaluate your condition and help you decide what is the best therapeutic compression garment to help manage your lymphedema. In addition to measuring and providing the best fit possible for your compression garment, they also will explain how certain variables will influence which product you should wear, such as the shape and size of your limb, your mobility, age and volume of swelling.

Types of Compression Garments
You’re probably wondering what different types of garments are available and even why there are different types. We’ll explain.

Circular knit garments are seamless and not as dense and stiff as flat knit. They come in standard sizes or Juzo can custom make them for you. The elasticity of the circular knit material is great for early to mild stages of lymphedema, when swelling is moderate. Other features include:

  • Comfort
  • Moderate containment
  • Maximum aesthetics – available in a variety of colors and prints
  • Not made with natural rubber (Latex free)

Juzo Lymphedema products with circular knit include Juzo Soft or Juzo Dynamic in the following styles arm sleevesgauntlets/gloves and lower extremity.

Flat knit garments have a seam and offer excellent therapeutic results. Only available as custom-made, they can accommodate a variety of shapes and sizes. The fabric is stiffer and certain fabrics have a micro massage weave, which is preferred for areas with severe swelling. Combined with an optimal level of compression, flat knit garments offer the maximum containment in an elastic compression garment. Other features include:

  • Improved aesthetics – now available in a variety of colors
  • The density of the knit remains consistent throughout the garment (even at areas of larger circumferences, which is important for managing swelling)
  • Durable for extreme wear and use
  • Not made with natural rubber (Latex free)

Juzo products with flat knit include Juzo Expert and Juzo Strong garments which are custom to any body part with swelling issues. Most areas of lymphatic failure are arm sleevesgauntlets/gloves and lower extremity..

Inelastic wraps are the most stiff and help reduce swelling or provide maintenance. These garments are Can be used as alternative to short stretch bandaging or for anyone who may have issues putting the garment on and taking it off. Features include:

  • Reversible –can be worn beige or black
  • Special notches and minimal overlying straps resist gapping and bulk
  • Provides increase in pressure during activity and reduced pressure during resting
  • Adjustable to increase pressure during the day

Juzo’s inelastic garment is the Juzo Compression Wrap and is available for lower and upper extremity.

Please remember to work with a trained compression professional at an authorized Juzo dealer to help select the best product, provide the best fit and give you proper instructions. We hope this helps answer some of your questions. Be sure to read other blog posts to learn more, including how to care for your garment and Juzo full product line of Lymphedema aids. Also, visit juzousa.com and register for our quarterly newsletter for more information.

 

Tavia Wilson RMT, Combined Decongestive Therapist, Certified Fitter.

http://themassageclinic.ca/book-now/

Concussions PART 4: The Importance of a Team

The Importance of a Team

health care team, concussion, recovery, physiotherapy, chiropractic care

 

In all cases it is important to have a healthcare team working together to get you back on the field safely with an eye on your long-term health.

A physician can provide a concussion diagnosis and manage and evaluate your condition in order to provide medical clearance.

Health care practitioners such as chiropractors can help you manage headaches or back and muscle pain you may have as a result of your concussion. It’s important to remember that your injury may have also injured your neck, shoulder or back. While you’re resting and recovering, these injuries might resolve on their own. If not, a chiropractor or a physiotherapist can help you recover and return to play. A full evaluation of your strength and physical function will help you know when your body is ready to get back into sports.

Concussion symptoms can vary widely from person to person: while one person might suffer from pain, another may have depression and trouble sleeping. Education, encouragement, and a commitment to getting you back to your daily activities as soon as it is safe and appropriate are some of the best known strategies to help overcome many of the negative outcomes of concussion. That takes a committed approach from the right health care team alongside family and friends.

Dr. Alexandra Tarkowski

http://themassageclinic.ca/services/chiropractic-care-chiropractic-oakville/

CONCUSSION PART 3: RETURNING TO PLAY

Concussion, return to play, concussion management, headaches, therapy, chiropractic

 

Most people recover within a few days to three months. The Zurich Consensus statement on concussion recovery recommends the following five stages of rehabilitation:

  1. No activity: Focus on recovery. Rest your body and your mind.
  2. Light aerobic exercise: Get your heart rate up with light activities like walking and swimming, but don’t go past 70% of your maximum heart rate. Your goal is to increase your heart rate without risk of re-injury. Do not do any resistance training yet.
  3. Sport-specific exercise: Add movement by re-introducing sport-specific movement like skating or running drills. Do not do anything that might risk a head impact.
  4. Non-contact training drills: Add more complex forms of training to improve your exercise, coordination and cognitive load. This could include passing drills in football and hockey. You may start resistance training again.
  5. Full-contact practice: Once your doctor says it’s okay, you can participate in normal training again. This will build your confidence and skills before returning to play.

At any stage, if you experience any recurring symptoms, restart the process and remain inactive until the symptoms stop.

Returning to play after concussion should occur only with medical clearance from a licensed health care provider trained in the evaluation and management of concussions.

 

Dr. Alexandra Tarkowski

http://themassageclinic.ca/book-now/

Introducing Elapromed Dermatology Treatments

Introducing Elapromed Dermatology Treatments

Your Natural Answer to Beautiful Skin

 

 

Acne, scars & oily skin Rosacea, redness & irritated skin Hyperpigmentation, dark spots, sun damage & melasma Stretch marks Fine lines & wrinkles, lack of firmness & elasticity Cellulite Hair thinning Dehydrated skin

 

What is an Elapromed Treatment?

Elapromed treatments use pulses of low current to transiently open the skin’s pores, called electroporation.  This allows the application and absorption of skin condition specific natural products at the cellular level.

There are many other benefits apart from just treating specific skin conditions, the cumulative benefits of electroporation include:

  • penetration of the delivered compounds is above 90%
  • decreased puffiness, increased collagen and elastin production, firming/lifting and regenerating effect.
  • restoring water balance in the skin.

 

What conditions can be treated?

Elapromed treatments have successfully treated:

  • Acne, scars & oily skin
  • Rosacea, redness & irritated skin
  • Hyperpigmentation, dark spots, sun damage & melasma
  • Stretch marks
  • Fine lines & wrinkles, lack of firmness & elasticity
  • Cellulite
  • Hair thinning
  • Dehydrated skin

 

How many sessions do I need?

Some individuals will notice the appearance of their skin improves after just one treatment.  However, significant lasting results usually occur after 3-6 weekly treatments.  The effects can be maintained with regular maintenance treatments or as needed depending on the skin condition being treated.

Why Elapromed?

 

Short treatment time: Dramatic results in a comfortable 30 – 45 minutes, possibly over lunch, for active women and men.

 

No downtime: Skin looks greatly improved immediately after the treatment, and you can go back to your normal activities.

 

Proven Results: Research conclusively proves Elapromed’s stated skin rejuvenation benefits.

 

High Absorption: Up to 70 ml of active compounds are absorbed deep into the skin during one treatment.

 

No parabens, artificial colours, or fragrances: Elapromed compounds are intelligent….no unnecessary ingredients. Only powerful natural actives necessary to obtain results.

 

Natural active ingredients: Botanical stem-cells and vital actives combined in the most advanced proprietary formulations that address the face, body, and scalp concerns.

 

Non-invasive procedure: Low voltage stimulates the skin to open the dermal water channels and allow for high actives absorption with no to little discomfort.

 

No risk of scarring: Because the skin is never broken in the procedure, scarring and other abrasive effects are not possible.

 

Are there any contraindications?

Yes, because we are using electric current there are a few contraindications you need to be aware of.

  • Pregnancy
  • Infections, skin diseases in an area where a given body part is to be treated
  • Pacemaker
  • Conductive metal implants (in an area where a given body part is to be treated)
  • Recent surgery (especially if the patient has not consulted his doctor about the treatment)
  • Malignant diseases
  • Heart problems
  • Very low or very high blood pressure
  • Epilepsy
  • Inflammation of veins in the acute phase
  • Aesthetic medicine treatments (e.g. gold threads, permanent fillers in area to be treated)

 

This is the natural skin care you have been searching for!

 

 

In health,

Dr. Lisa Vecchi

Naturopathic Doctor

Registered Acupuncturist

 

http://themassageclinic.ca/book-now/

Concussion Part 2: Dealing With A Concussion

DEALING WITH A CONCUSSION

If you’ve had a concussion, the first 10 days are crucial. During this time you are at the greatest risk for another concussion. Not only that, your risk of getting another concussion rises every time you have one. If you can protect yourself in those first few days, you’ll have much better odds of a full recovery.

dealing with concussion, concussion, head trauma, headaches,

But first, you need to know that you have a concussion. Effective concussion management starts with recognizing the signs and symptoms, some of which may show up hours or days after your injury. It is important for parents, coaches, trainers and athletes to recognize these early signs. They typically include:

  • Difficulty thinking clearly, concentrating or remembering new information.
  • Headache, blurry vision, queasiness or vomiting, dizziness, balance problems or sensitivity to noise or light.
  • Irritability, moodiness, sadness or nervousness.
  • Extreme sleepiness or difficulty falling asleep or remaining asleep.

Any athlete with potential concussion warning signs should see a physician as quickly as possible for a diagnosis. Remember, there is no simple test for a concussion. Many concussions can be missed if you rely only on a simple five-minute assessment done on the sidelines.

Athletes, coaches, parents and health care providers should all be up to date on concussions. If you are not comfortable dealing with a concussion yourself, have a concussion plan in place so you know exactly who to ask for help if someone shows warning signs.

Do you have a concussion? Not sure or haven’t been diagnosed? Please consult a medical practitioner. Dr. Alexandra Tarkowski, for consultation, diagnosis and treatment of concussions. Please call or email us for more information.

Dr. Alexandra Tarkowski D.C.

http://themassageclinic.ca/services/chiropractic-care-chiropractic-oakville/

Concussion Part 1: What is a Concussion??

Concussions are called an ‘invisible injury’ because its symptoms aren’t always easy to recognize and even MRI imaging isn’t perfect at identifying a concussion. But with this kind of brain trauma, the effects are all too real. According to Scientific American, one blow to the head may increase your risk of a mental health disorder. We’ll cover some steps you can take to reduce your chances of suffering long term effects after a hard hit.

Concussion, Brain Injury

What is a Concussion?

concussion is traumatic brain injury caused when the brain is shaken inside the skull, which can cause damage to blood vessels in the brain or even injury to the brain tissue itself.

All it takes is a hard tumble on the basketball court or a blow to the head or the body. Yes, that’s right — you don’t necessarily have to hit your head. For example, when your body stops suddenly due to a hard tackle or a strong pick, it can cause whiplash and a concussion.

Some people think concussions only happen if you black out. But nine out of ten concussions don’t make you lose consciousness, and some only cause a brief interruption in mental alertness. Studies find that most high school and college athletes don’t report concussions while playing football. They might not realise that a concussion can happen even if you don’t black out.

In the past, athletes in many sports returned to play too soon after a concussion, sometimes even on the same day. But sports and health organizations are starting to take these injuries much more seriously. Trainers, health care professionals and athletes themselves are watching more closely for concussions and taking a more conservative approach to rehabilitation and return to play. This is an important change for the health of athletes everywhere.

Dr. Alexandra Tarkowski

 

Why helmets don’t prevent concussions

As this is Brain Injury Awareness Month, we wanted to share this incredible video on concussions from David Camarillo.

Please watch and share.

 

Here is an excellent post from the Ontario Brain Injury Association;

Unmasking Brain Injury Project

Pulling back the curtain on brain injuries

On June 1, 2018, over 20 communities across Ontario will be unveiling the Unmasking Brain Injury (UBI) Project in celebration of Brain Injury Awareness Month.

Brain injuries are invisible disabilities. They are unseen, hidden and non-visible to most of the population. So are the cognitive, emotional and psychological impacts which can be life altering. The UBI Project aims to increase understanding of what it is like to live with a brain injury, using masks survivors create to represent their personal experiences.

The UBI Project is an international movement. Started and coordinated by Hinds’ Feet Farm in Huntsville, North Carolina, USA, UBI was inspired by work being done with military veterans using masks. To date, more than 847 masks have been created in 3 countries.

OBIA and our partners joined the UBI movement to support the mission to:

  • PROMOTE awareness of the prevalence of brain injury;
  • GIVE survivors a voice and the means to educate others of what it’s like to live with a brain injury;
  • SHOW others that persons living with a disability due to their brain injury are like anyone else, deserving of dignity, respect, compassion and the opportunity to prove their value as citizens in their respective communities.

In Ontario, OBIA is coordinating the launch of UBI to coincide with the start of Brain Injury Awareness Month (BIAM) 2018. Together with local Brain Injury Associations and community partners (see links below), events will be held across the province on June 1, 2018 and throughout the month. Contact your local association and join in the celebration.

We hope you will join us in this visually powerful and emotional project to raise awareness of ABI and the unique experiences of survivors.

To view:

  • a list of participating Brain Injury Associations/community partners,
  • a copy of the Media Release,
  • and to see samples of the masks,

follow the link to the Brain Injury Awareness Month page:

Brain Injury Awareness Month

For more information from the Ontario Brain Injury Association, please go to;

http://obia.ca/

We will be following up with more information on different therapies that we offer that can aid in the recovery of concussions.

 

How to care for your compression garments?

How to care for compression garments?

 

One of our most frequently asked questions is, “How do I care for my compression garment to keep it fitting properly?”

Juzo’s product team shares the best settings to wash and dry your garment and tips for preventing snags.

http://www.juzousa.com/Steps-To-Better-Health/Article/Show-Your-Compression-Garment-Some-Love

 

Have more questions about the care for your compression garments? Klara Ric and Tavia Wilson are more than happy to help!

http://themassageclinic.ca/book-now/

 

 

How to Stay Healthy While Travelling

With winter in full swing now is the time our minds wander to warmer climates – and the opportunity to travel to them isn’t far behind! Unfortunately, some aspects of travel can cause a pause in the fun. While we look forward to being whisked away to somewhere new, we often forget that drastic shifts in climate can open us up to attacks on our immune systems, new environments hold a variety of unexpected flora and fauna, and experimenting with local cuisines can play roulette with our digestive systems.

In spite of all of this, I love to travel too! That’s why I’ve developed a list of the most important precautions to take prior to taking off for your next exotic destination so you can get the most out of your upcoming vacations!

Pre-Travel Prep

Taking a daily multivitamin to ensure you’re getting the vitamins and minerals you need for optimal health is always a good idea, but it’s extra important when you’re preparing for a trip that could include flying and staying in various accommodations. Be sure to include Zinc, B-complex, Vitamin C, and Vitamin D3 to strengthen your immune system before and after your trip.

Hydration

Making sure you’re well hydrated is critical preparation for trips as dehydration is a major factor in travel. Since travel generally includes conditions such as travelling in un-humidified airplanes, being in hot or arid climates, or exerting more energy than usual; we need to ensure that our hydration levels are optimized to support changes in bodily functions. When the airline attendant asks for your beverage order take it as a signal to have a glass of water and avoid those cups of coffee or glasses of wine. And – never be shy to ask for refills. If anyone knows in-flight dehydration, it’s the cabin crew!

 

Travel Supplements

It’s not just fun to experience new places, travel can be so exciting that it can send your body into high gear. Think for a moment about your last vacation. How many new situations, thrilling moments, and unexpected occurrences did you experience? While you worked through each of them, your body’s coping mechanisms were in full effect, helping you to experience joy, exhilaration, and stress – all heightened by brand new circumstances. When you consider it that way, it’s clear that everything including your digestive system, immunity, circadian rhythm, and even your adrenal glands are on active duty. Help your body to manage these ups and downs with natural supplements:

Adaptogens

Adaptogens like reishi, ashwagandha, and holy basil can help fight stress, anxiety, and fatigue. Begin taking your preferred adaptogen at least a week before you travel. Natural supplements take time to build to reach peak efficacy.

Antimicrobials

Antimicrobioals are proven pathogen killers that can assist your digestive and immune systems in warding off new strains of bacteria to which your body might not be accustomed. Sometimes our best efforts to avoid foods like washed salads and raw vegetables that cause common stomach bugs still don’t keep us safe. In that case it’s good to know you can start early and ward off traveler’s tummy and diarrhea with antimicrobials like oil of oregano, grapefruit seed extract and colloidal silver.

Melatonin 

Melatonin helps your body rebalance its circadian rhythm or find homeostasis in its wake and sleep cycle. This is the supplement of choice for fighting jet lag! Most melatonin supplements suggest taking the dose before going to bed in your new destination, and to do for a couple of days until you feel you’ve adapted.

 

Probiotics

We talk about the benefits of these good bacteria often – and for good reasons! Keeping your gut flora nice and strong is of extra importance when travelling since there are many instances when you could encounter new or different foods and beverages. Even a seemingly innocent salad could harbour a surprise when eaten in a foreign land, since bacteria in water differ greatly around the world, as do food care standards! Help your gut to be as healthy as possible prior to and during your trip by supplementing with a great probiotic.

Ginger 

Ginger is world renown for easing nausea, stomach upset, indigestion, and even motion sickness. Sometimes there’s no need to try over-the-counter medications when a good natural supplement can also do an effective job. Keep some natural ginger chews with you at all times for when those unforeseen moments strike.

First Aid Kit

A classic first aid kit is always welcome when going away. You can purchase a travel sized one at any pharmacy or make your own. I always include:

  • Adhesive bandages (multiple sizes)

  • Adhesive tape

  • Hand sanitizer

  • Antiseptic wound cleanser (like alcohol or iodine pads)

  • Blister pads or moleskin

  • Gauze

  • Safety pins and scissors

Sun Care

Whether you’re going surfing or snowboarding or something in between, you always need to protect your skin from sun exposure. The reflective glare from sea and snow can make your skin more prone to burns which not only make your trip less enjoyable but it can also be dangerous in the long run. Look for natural ingredients such as zinc oxide which is a mineral used to create a physical block from the sun. Additional ingredients such as vitamin E or C are also nice ways of giving your skin a nice boost of topical antioxidants.  My favourite sunscreen is the Garden Goddess brand.  We carry it at the clinic.

Prescriptions

If you’re taking any prescription medication, please be sure to have enough for the duration of your trip, plus a couple of extra doses, in case of unanticipated travel changes. Always make sure that your prescriptions are in labelled bottles and that you also have a doctor’s note if necessary, as some medications might not be universally understood or accepted in different countries.

Travel is exciting and has so many benefits from providing a well-deserved break from routine to exploring history and learning about different cultures to taking on new challenges and building new skills. We want you to get the very most out of your adventures, no matter how relaxed or extreme they might be.

If you’re travelling soon and want to review how to best prepare you and your family before heading away, please book an appointment here. Together we can make sure that you’re ready for all the excitement that lies ahead in good health!

Here’s to your next adventure!

Dr. Lisa Vecchi, ND

 

 

Therapeutic Massage and Breast Cancer

Massage and Breast Cancer

The Effects of Therapeutic Massage and Breast Cancer

The Registered Massage Therapists’ Association of Ontario, has a great research article on Effects of therapeutic massage on the quality of life among patients with breast cancer during treatment.

As an Oncology Massage Therapist, the one statement that is commonly made by my Oncology clients is that the massage, the room, the environment..this is the one place that, during treatment treatment, they don’t feel like a ‘test subject’, ‘cancer patient’.. they get to feel like themselves again. Added to this is a decrease in their anxiety, depression, nausea and other side effects of their chemo or radiation.

Here is a brief overview of the research article, taken from The Registered Massage Therapists’ Association of Ontario.

OBJECTIVE: Therapeutic massage has demonstrated positive physical and emotional benefits to offset the effects of treatments associated with breast cancer. The goal of this study was to assess the impact of therapeutic massage on the quality of life of patients undergoing treatment for breast cancer.

DESIGN: Using a pre/post intervention assessment design, this prospective, convenience sample pilot study measured anxiety, pain, nausea, sleep quality, and quality of life. Treatment consisted of one 30-minute treatment per week for 3 consecutive weeks.

OUTCOME MEASURES: Instruments selected for this study were used in previous massage therapy studies to measure quality of life/health status and have documented validity and reliability.

RESULTS: Participants experienced a reduction in several quality of life symptom concerns after only 3 weeks of massage therapy. Respondents’ cumulative pre- and post-massage mean for state anxiety, sleep quality, and quality of life/functioning showed significant improvement. Among study participants, there was variability in reported episodes of nausea, vomiting, and retching; although participants reported decreased pain and distress, changes were non-significant.

CONCLUSIONS: Therapeutic massage shows potential benefits for ameliorating the effects of breast cancer treatment by reducing side affects of chemotherapy and radiation and improving perceived quality of life and overall functioning.

Sturgeon, M., Wetta-Hall, R., Hart, T., Good, M., & Dakhil, S. (April 2009). Effects of therapeutic massage on the quality of life among patients with breast cancer during treatment. Journal Of Alternative & Complementary Medicine, 15(4), 373-380. 

 

 

 

Tavia Wilson

Registered Massage Therapist

Combined Decongestive Therapist

Oncology Massage Therapist