UPPER CROSSED SYNDROME

By Dr. Matt Rhynold, DC

What is it?

Before you begin reading this post, take a look at how your body is positioned.

  • Are you slouched?
  • Is your head bent forward looking down at your phone?
  • Are your shoulders rounded?

If so, you’re not alone. Cell phone use is just one of many factors that can contribute to neck pain, as well as a condition I am highlighting today. Upper Crossed Syndrome is a very common condition experienced by many individuals. It is characterized by:

  • a head forward posture
  • rounded shoulders
  • and a specific pattern of weak and strong muscles that can contribute to stiffness and pain in the neck and upper back.

Think about a teeter totter – the more weight you put on one side, the more weight you need to add to the other side to keep the bar level. The same is the case with your neck.

The average human head weight anywhere from 20-30lbs. Head forward posture adds that weight to the front of the body, causing the muscles in the back of the neck and upper back to work on overdrive to keep your head level and your neck stable. Can you imagine holding a 20-30lbs weight for minutes, sometimes hours, on end? It’s no wonder that in Upper Crossed Syndrome, these muscles holding onto your head are overused and can become injured. Moreover, muscles critical for the normal maintenance of neck posture are underused and not properly recruited.

What factors can lead to Upper Crossed Syndrome?

  • Increased cell phone use
  • Increased laptop/computer use
  • Improper work ergonomics (especially while working from home)
  • Prolonged time sitting and slouching
  • Improper breathing techniques

Am I stuck like this forever?

No! In fact, corrective exercises have been shown to restore normal functioning of the neck muscles and improve posture. Exercises targeting underused muscles of the neck and lower trapezius can improve head forward posture, rounding of shoulders, and shoulder blade positioning.

Manual therapists like myself are able to identify which structures need to be addressed and create a treatment plan that incorporates hands-on care with exercises that can not only correct your problems now, but prevent them from returning.

If you are having neck pain and want it assessed and treated, please book an appointment with me.

My treating hours at Clarkson Sport & Physiotherapy are:

Tu 11:30am – 7:30pm
Th 10am – 3:30pm Fri 10am – 3:00pm Sat 10am – 3pm

https://clarksonphysio.ca/

Dr. Matthew Rhynold, D.C., B.Sc Kin (Hons)

Welcome to Dr. Matt Rhynold, DC

Chiropractor

Dr. Matthew Rhynold was born and raised in Toronto, Ontario. As an avid baseball and hockey player growing up, Matt utilized chiropractic care to overcome various injuries to his shoulder, neck, and back. Seeing the positive impact Chiropractors could make in people’s lives, he knew from age 13 that he wanted to be a Chiropractor. Matt received his Bachelor of Science (Honours) in Kinesiology from McMaster University, and a Graduate Certificate in Exercise Science & Lifestyle Management from Humber College. Matt then received his Doctor of Chiropractic degree from the Canadian Memorial Chiropractic College (CMCC). Dr. Rhynold is passionate about providing a safe space for all people to feel comfortable being whoever they are while receiving the best possible care. Dr. Rhynold has received specialized training in the GLA:D and PEAK protocols for treating knee osteoarthritis, treating spinal stenosis, as well as a host of other common and sports-related injuries. Dr. Rhynold is also a certified Functional Range Release (FR® Release) Provider for the Spine.

Dr. Rhynold uses a combination of hands-on manual therapy and rehabilitation exercises In his treatments such as:

  • Adjustments
  • Soft tissue release
  • Muscle Release Therapy (MRT)
  • Joint mobilizations
  • Vibration Therapy
  • Active Rehabilitation

Dr. Rhynold is a member of the Ontario Chiropractic Association, Canadian Chiropractic Association and the College of Chiropractors of Ontario.

Outside of clinic, Matthew spends his time exploring new culinary experiences, and staying committed to a healthy and active lifestyle.

What is Virtual Care/Telerehab and How Can It Help Me With My Pain?


What is Virtual Chiropractic Care and Physiotherapy and How Does it Work?

Virtual care uses secure, encrypted audio and/or video conference technology to provide health care services to patients who are unable to attend the clinic.

Before your appointment, you will receive an email link for the session.

You will need to consent to the video session, and complete an intake form prior to your appointment.

Which services are available via virtual care?

  • Physiotherapy
  • Chiropractic care

What device(s) do I need to access my appointment? Do I need to install any special software?

Any laptop, smartphone or tablet with a camera and microphone.

Testing your camera beforehand can be very helpful.

You will need to use an internet browser other than Internet Explorer. Acceptable browsers include Firefox, Chrome and Safari.

Is virtual care for covered by my insurance/health benefits?

Most extended health insurance companies provide coverage for virtual care! Please reach out to your benefits provider to inquire about your coverage limits.

How do I book a virtual care appointment?

Simply go to clarksonphysio.janeapp.com 

You may select your practitioner and a suitable time. If you would like to request a time outside of what you see online, we are happy to accommodate that if you email or call the clinic.

What can I expect from my first virtual care appointment?

At the beginning of a Virtual Care session your clinician will review your intake form. 

They will also obtain consent from you to participate in the session via the electronic communication platform. 

Once that is complete, they will proceed with the assessment or treatment in a similar manner as for an in-person appointment. 

This includes discussing your goals, medical history, concerns and current status. Any questions or concerns you may have about Virtual Care, such as privacy or follow-up sessions, can be addressed during the session.

What are some key differences between virtual care and an in-person appointment?

The services are largely the same for education, diagnosis and exercise prescription.

Our clinicians are required to meet the same regulatory and legislative requirements and adhere to their respective Standards of Practice and Code of Conduct, just as they are for in-person services. 

Clarkson Sports and Physiotherapy has strict privacy and information security policies and procedures in place regarding the management of information when using electronic communication technologies.

Virtual Care services offer several advantages for our patients, such as:

  • Keeps both parties safe during covid
  • Removes accessibility and/or mobility barriers
  • Connects you with service providers regardless of location
  • Protects your privacy through safeguards and robust policies
  • Reduces travel time while still ensuring you receive quality care
  • Allows your therapist to see your work or home environment
  • Allows you to care for your children, attend your appointment, and avoid paying for a babysitter

How much does virtual care cost?

Is it more than an in-person appointment?

We are offering a free 15 min consultation to help you decide if this is a good fit for you. 

The next session will be approximately 60 minutes for a detailed assessment. Rates are posted when you book online or call us.

https://clarksonphysio.janeapp.com/

Will I be able to see my usual Physiotherapist or Chiropractor for a virtual care appointment?

Yes!

Is virtual care secure and private?

Yes. Patient privacy is of the utmost concern to all levels of staff at Clarkson Sports and Physiotherapy.

All virtual care sessions are provided through a secure, encrypted connection, and only your therapist will be present on their end of the connection for the duration of your appointment.

What if my practitioner records my virtual care session? Will I be informed?

Clarkson Sports and Physiotherapy does not record the audio or video of any virtual care physiotherapy sessions. 

The software we use to provide virtual care is private, secure and HIPAA and PIPEDA compliant.

The software only takes note of, and archive, session start times, end times, and any chat messages sent between you and your practitioner.

What happens if my therapist and I experience technical difficulties or get disconnected during my session?

No worries if this happens! Our practitioners will initiate the session again.

Clarkson Sports and Physiotherapy will have your phone number on file in order to reach you in the event that you are disconnected.

Should any technical issues persist and prevent you from carrying out your session as planned, we will work with you to reschedule your virtual care session as soon as possible.

PLEASE HAVE YOUR POWER CORD NEARBY!

Are there any limitations or risks to participating in a virtual care session compared to an in-person service?

There are some limitations like the inability to apply hands-on evaluation and treatment, but this would not be necessary as part of the virtual care service you are receiving.

There are inherent risks to participant information when using electronic communication technologies (ECT); however, Clarkson Sports and Physiotherapy has strict privacy and information security policies and procedures in place to evaluate and address these risks; and our virtual care providers are expected to meet the same regulatory and legislative requirements and adhere to their respective Standards of Practice and Code of Conduct, just as they are for in-person services.

Introducing Betty!

Hi, my name is Betty Da Silva and I am a grade 11 co-op student from Port Credit Secondary School. I have had an incredible opportunity to be able to do my co-op placement at Clarkson Sports and Physiotherapy and to be able to work in an environment that is so welcoming and friendly, thanks to all of the staff.

I have always been interested in going into medicine, specifically nursing, and not only has this experience shown me more options that I have but it has also allowed me to gain and improve the skills I need for nursing such as communication, initiative, and being more observant.

I have also been lucky enough to see some of the stuff that is involved in running a small business. Being able to watch the health practitioners help the patients get the care they need and knowing that they feel pain relief from doing simple exercises, stretches, and treatments is very rewarding.   

Please Welcome Zachary Moll, Physiotherapy Resident!

We are pleased to announce the addition of the fantastic Zachary Moll, PT Resident!

Zack grew up in Oakville, attending French Immersion at Sunningdale PS, and then King’s Christian Collegiate. He attended McMaster for his undergrad in Kinesiology, and then Western University for his Masters in Physiotherapy.

Zachary is a good listener, with compassionate skills and a keen sense of humour. Besides running and cycling he has had experience with many competitive sports.

His career interests lean towards concussion management, vertigo, chronic pain and headache management. He has a personal understanding of concussion rehab as he has been a patient himself.

Please join us in welcoming Zachary to our team! He will be a great asset, and we expect him to be very busy.

The Pain of Working from Home

We have all modified our activities since the COVID-19 quarantine started back in March.

Our team has been looking after many patients who have injured themselves from poor home office ergonomics, unsupportive chairs, prolonged bad postures and changed exercise habits (mostly less exercise).

If you feel that you have new symptoms that are not recovering over a week or two, or if you have an old injury that has flared up, we would love to help you stop suffering.

We’re here to help you achieve your personal goals, and live your best life!

Guess What? We’re Reopening Our Doors on June 1!

Here’s some information on what to expect since you last saw us. As always, safety is our top priority!

CoVid-19 and Clinic Offerings

As many of you are aware, we had to make the difficult, but critical decision to close our doors, starting on Tuesday morning. We did this out of an abundance of caution, and based on what our colleges and associations were starting to recommend at that time.

We realize that this is having a profound impact on your pain, range of motion, stress levels and progress.

With that in mind, we are offering critical/urgent care for those in need!

You will need to email the clinic at clarksonphysio@gmail.com or leave a voicemail 905-855-8372. When we contact you our staff will screen you for any exposure to, or symptoms of the novel corona virus.

If you have travelled outside of Canada in the past few weeks, you should be quarantining for 14 days, and then practicing social distancing afterwards.

If you suspect that you have been exposed to the virus, remember that this isn’t about your individual immunity. You will most likely survive this and recover quickly. Your elderly grandmother, or immunocompromised neighbour who has had cancer treatments might not!

We can do this together, and flatten the curve!

ALSO: Our practitioners are happy to email or call you in response to your questions and concerns

STAY TUNED FOR A VIRTUAL PHYSIOTHERAPY SERVICE OFFERING NEXT WEEK!

Here is something to distract you from the news:

SUFFERING WITH SPINAL STENOSIS?

Imagine lifting your grandchild or walking to the store without debilitating pain!

Dr Sheila Hubscher, one of our Chiropractors, and our Co-Owner is excited to announce that she has become a trained practitioner with SpineMobility!

Spinal stenosis can be one of the most challenging conditions we see in our patients.

However, with this treatment program that is research-based, it can provide hope to those who have been suffering from the pain and disability associated with progressive stenosis.

Dr Hubscher will guide you to restoring your quality of life, maintaining your independence and returning to the activities you love.

https://www.spinemobility.com/

Chiro, Physio or Massage? Who Should I See?

This is one of our most frequently asked questions, both by new patients to the clinic, and by our repeat patients.

It can even be more confusing if you have seen your Family Doctor and they have recommended coming to see us for all three services.

Because this is very individualized, based on your preferences and symptoms, the best way to decide is to call and ask to speak with one of our Physiotherapists or Chiropractors. The Registered Massage Therapists are equally able to answer any questions, but are not as available, due to the nature of their treatments.

You are also welcome to drop by and have a few minutes in a private consultation with any of us!

Our mission is to help you get better, enjoy your life, live life’s adventure, regain/retain your independence, and to maximize your performance!

To that end, we will help you decide, based on your symptoms and concerns, which practitioner to start with. We can even help guide you to the person who has the skillset for your particular problems or goals.

And if we feel that you would benefit from seeing someone else, we will refer you to that practitioner, with your consent.

In general, if you have any numbness or tingling start with Physio or Chiro. If you have really tight muscles, and are stressed, start with Massage. The majority of our patients see two types of practitioners because they find the complementary treatments maximize their recovery.

We look forward to helping you!

There are other clinics, such as Pillars of Wellness in Burlington that can help you if you do not live locally.