PRENATAL Chiropractic Care
Pregnant bodies have special needs. Obviously! As a community, we tend to make extra efforts to accommodate. We open doors, give extra food, and tidy up so that they can have just a little more rest. It comes naturally and it is for a good reason; their bodies are doing something amazing and it is taxing. The special treatment should not stop giving up the good seat on the bus!
Pregnancy-specific chiropractic care is a fantastic tool to help you make it through pregnancy with the least amount of discomfort possible so you can stay active as you prepare for the big day.
A pregnant body is undergoing tremendous and wonderful changes, but these changes aren’t without consequence. The increase of weight in the front alters their centre of gravity and changes the biomechanical forces in her joints as she walks and moves. As she nears the end of her nine-month adventure, the ligaments that hold the joints together start to loosen in preparation for the main event. If the joints don’t feel stable anymore because of the lax ligaments, then the muscles may become tense and brace around them to provide additional support.
A woman’s body spends a lot of energy building a baby (or babies). That body deserves special treatment. Chiropractic care is a safe and effective way to help your body adapt to the changing biomechanical demands and forces on your tissues. The more "gracefully" you can adapt to these body changes, the better you will load your tissues, meaning less aches and pains.
The primary goal of chiropractic care during pregnancy is to keep you feeling great so you can maintain exercise and keep up with your activities of daily living.
What will my initial exam look like? - Pregnancy Edition
Congratulations! You are expecting. Your body is going through some really cool changes as you prepare to welcome a baby into the world. This may be a “graceful” process … or it may include some “bumps” along the road. Pain in the low back, pelvis, and hips is common during pregnancy and may vary from mild-and-manageable to a major disruption in your life. Other discomforts, like rib pain, tend to present as your progress through later stages of pregnancy. No matter what, pregnancy is an eventful time for your body and birth is a physical process that places unique demands on our musculoskeletal system.
Musculoskeletal care can be provided safely through all stages of pregnancy. It can be a great support tool to keep you feeling comfortable enough to get a good night's sleep and stay physically active. If you can do those two things, then EVERYTHING is better. 🙂
When you book in for your initial visit with one of our chiropractors, you will be emailed an online intake questionnaire. This will ask you lots of questions so we can get to know you and your unique health situation.
Our initial exam is 60-minutes long. We will review the intake form you completed online and ask additional questions to gather more “data”. The history portion of an exam is important and guides which procedures we will choose to do during the exam portion.
The purpose of a physical exam is to rule out anything that is better suited to be cared for elsewhere (i.e. medical issue) and to narrow our diagnosis (cause of your discomfort) to provide a more targeted treatment plan.
A physical exam during pregnancy is likely to include:
- Checking your vitals (like blood pressure)
- Watching you move (gait analysis, movement screen such as the SFMA)
- Neurological exam tests (like reflexes, cranial nerves, and muscle testing)
- Orthopedic Tests (which help narrow a physical diagnosis)
- Spinal, pelvic, and extremity assessment (depending on your complaint)
Based on the information gathering during the history portion and the physical exam, we should be able to give you an explanation as to what is causing your discomfort and what treatment options are available to help you achieve your goals.
If manual therapy is included as part of that treatment plan, it will likely be provided during the initial visit.
Treatment options that may be included in your treatment plan are:
- Soft tissue therapies
- Joint manipulations/adjustments
- Exercise rehab
- Kinesiology taping
- Recommendations around belts and braces
- Ergonomic, lifestyle, or stress modifications
All treatment options will be discussed prior to them being provided. There will be no surprises and you are always in charge of what happens to your body.
During your first visit (or first couple visits), we will discuss your goals and what is important to you. Then we will create a plan with you to help you reach those goals. This plan usually includes both active care (stuff YOU do, like exercise) and passive care (stuff WE do for you, like manual therapy). Each person and each pregnancy is unique, so there are no cookie-cutter approaches. Your care will be catered to you, during your initial exam and every visit thereafter.
Resources & References
American Pregnancy - Article on chiropractic care during pregnancy.
Canadian Chiropractic - Article on chiropractic care during pregnancy.
Borggren CL. Pregnancy and chiropractic: a narrative review of the literature. J of Chiro Med. 2007;6:70-74.
Diakow, PRP, Gadsby, TA, Gadsby JB et al. Back pain during pregnancy and labor. J Manipulative Physiol Ther. 1991; 14(2).
Haavik H, Murphy BA, Kruger J. Effect of spinal manipulation on pelvic floor functional changes in pregnant and nonpregnant women: a preliminary study. J Manipulative Physiol Ther.2016; 39(5):339-47.
Peterson CK, Muhlemann D, Humphreys BK. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropractic & Manual Therapies. 2014; 22:15.
Commonly Asked Questions About Prenatal Chiropractic
YES. All our amazing chiropractors have training and experience in helping woman before, during and after pregnancy."
Yes, chiropractic care is safe during pregnancy, including for those carrying multiples. If you are concerned or concidered high risk, please check in with your maternity provider first. In the vast majority of cases, manual therapy and exercise rehab are appropriate (and encouraged) throughout all stages of pregnancy. Both manual therapy techniques and exercise rehab instructions will be modified to support your comfort and health needs during your unique pregnancy.
You can start at any time; you are never too early or too late. Our care is appropriate for all stages and will be modified to meet your health situation. Checking in earlier will allow us to instruct more exercises and get you set up with a home care plan to help you prepare for the physical changes to come as your progress through pregnancy. At any stage, our goal is to reduce your discomfort to help you stay physically active, maintain your daily activities, and get a good night's sleep. You can come in anytime.
That completely depends on what you are coming in for and your specific situation. There is no cookie cutter approach to care or treatment plans at our office. That being said, many pregnant parents find it helpful to check in about once a month for the first two trimesters. Care may increase as physical demands and discomforts increase in the third trimester, but that depends on what is going on for you and your body. If you are in pain, you may be seen more frequently at the start of your care to resolve the issue. We want to see you feeling physically comfortable, strong, and rested as you prepare for your big day.
At no point will any of our chiropractors manually maneuver your baby. That would be us practicing obstetrics without a licence and we have NO intention of doing so. There are some studies out there looking at the impact of chiropractic care and physical adjustments on pregnancy outcomes, but there is not enough high quality research to make any health claims to this effect. We want to remove any physical barriers to your goals. The intention of our treatment is to encourage your body to feel its best and to move well as you carry your child and prepare for delivery, no matter what type of birth that may be.
First of all, spinal manipulation at no point ever includes "cracking your bones". The popping noise that is heard during certain types of adjustments is caused by a release of suction at the joint and is completely benign, similar to when you "crack" your knuckles. Most people like manual adjusting and enjoy the "instant gratification" that comes with the immediate pressure release in that style of treatment. That being said, there are many different treatment techniques available under the umbrella of manual therapy. If popping noises make you uncomfortable but manipulation techniques are deemed appropriate, then we can offer non-popping options, like drop table or instrument adjusting or manual mobilizations.
During pregnancy, we use special pillows to allow you to stay in comfortable positions during treatment. We also preferentially choose "drop" adjusting techniques for the pelvis during pregnancy; these include a fancy table that moves up and down but does not produce a popping noise in your joints or any twisting.
We will never do anything to your body that you do not want to happen. Prior to any treatments, your options are reviewed and we will go over any questions and preferences that you have. You choose if there are areas of your body that you do not want assessed or treated or treated in a specific way. If you do not want yor neck adjusted, it will not be adjusted. Period.
BOOK HERE for a free quick chat with our Chiropractic Doctor
POSTNATAL Chiropractic Care
Congratulations, you had a baby!
Life with a new baby can quickly shift from the most magical experience of your life to a time of insurmountable physical and emotional stress. Your body has just performed miracles. It has put up with the biomechanical burdens of increasing weight, shifting centre of gravity, and ligament laxity. It has survived the extreme sporting event of child birth. In some cases, you may have even undergone major surgery. And now, as your body is trying to put itself back together, you are carrying around a squirmy little sack of potatoes roughly 20 hours a day, hunching over to feed it, and not sleeping. Being a mom is magical, but it’s not easy!
At AltaVie Health, our postnatal care and rehabilitation program is designed to help you stay healthy, feel good, get strong, and avoid injury while meeting (and exceeding) the unique demands of motherhood. Whether your goal is to be able to lower baby gently into her crib without excruciating pain or to run your first half marathon since your motherly transformation, we can help you get back to your activities and to feeling good, safely. Postpartum Chiropractic Care can mean different things to different people.
Postpartum Chiropractic Treatments
Common postpartum conditions:
Pain after having a baby is common, and doesn't make life any easier. A postpartum chiropractor can help. Some of the conditions that we see in the office postpartum include:
- Neck pain often related to infant feeding positions and posture
- Low back pain
- Pelvic pain
- Tailbone pain
- Carpal Tunnel Syndrome
- De Quervain’s Tenosynovitis (aka "mommy thumb” or "mommy wrist")
- Plantar Fasciitis (pain on the bottom of your feet)
- Diastasis Recti recovery
Postpartum treatments may include:
- Soft tissue work to ease tension and hypersensitivity
- Joint adjustments/manipulations (we have a VARIETY of techniques to choose from and will find the right fit for you)
- Clearance for return to exercise
- Specific exercise prescription for your particular situation and goals
- A referral to a pelvic floor physiotherapist, if needed
- We have great RMTs on staff too! Registered massage therapy (RMT) sessions can encourage relaxation and healing
- Accessories for support at home
- Kinesiology taping
Common questions about Postpartum Chiropractic
There is such a variety of conditions and presentations during the postpartum period. The most common chief complaints that show up in our office are upper back and neck pain (often related to feeding and carrying postures), headaches, low back and pelvic girdle pain, and wrist and thumb issues. We also see new parents with no major pain complaints but who are motivated to feel strong or reach certain physical goals during their birth recovery period.
We recommend that every mom and baby be checked by a experienced practitioner after birth. Each case is unique, however, if you have had an uncomplicated vaginal delivery, it is safe to begin gentle, low impact exercise as soon as you feel ready. Our programs begin with gentle exercise and low impact activities that are designed for your individual goals and needs. It is never too early or too late to come in for you first assessment.
It really depends on your goals and your unique situation. Some of our patients come in barely able to walk because they’re in so much pain. In that case, we might need to see them a bit more often to get them moving before we discharge them. Some of our patients like come in once a month or a few times a year for a “tune-up”, as they know that if they receive regular or semi-regular care, they feel better. We will work with you to figure out what works best for you, both for your pain management and lifestyle improvement but also for your own personal schedule.
#birddogeverymom (& probably some dads too...) Anyone who has grown another human being in their belly and given birth can benefit from a specific program of exercises and manual care designed to regain strength and stability. Each program is tailored to the unique needs of the individual - whether you gave birth vaginally or via a C-section, whether you just had your first or are on baby number 5.
The AltaVie Health Postnatal Program uses a customized blend of chiropractic care, soft tissue techniques, kinesiology taping, and exercise rehab. It is safe and effective. We understand the challenges (time, access to equipment, toddlers and pets underfoot, etc.) that come with having a new baby and we will work with you to find solutions that are realistic and achievable in your personal situation.
First of all, spinal manipulation at no point ever includes "cracking your bones". The popping noise that is heard during certain types of adjustments is caused by a release of suction at the joint and is completely benign, similar to when you "crack" your knuckles. Most people like manual adjusting and enjoy the "instant gratification" that comes with the immediate pressure release in that style of treatment. That being said, there are many different treatment techniques available under the umbrella of manual therapy. If popping noises make you uncomfortable but manipulation techqniues are deemed appropriate, then we can offer non-popping options, like drop table or instrustument adjusting or manual mobilizations. During pregnancy, we use special pillows to allow you to stay in comfortable positions during treatment. We also preferentially choose "drop" adjusting techniques for the pelvis during pregnancy; these include a fancy table that moves up and down but does not produce a popping noise in your joints or any twisting.
We will never do anything to your body that you do not want to happen. Prior to any treatments, your options are reviewed and we will go over any questions and preferences that you have. You choose if there are areas of your body that you do not want assessed or treated or treated in a specific way. If you do not want yor neck adjusted, it will not be adjusted. Period.
BOOK HERE for a free quick chat with one of our Doctors of Chiropractic
PEDIATRIC Chiropractic care
(infants and children - from birth and beyond)
Chiropractic care is a safe treatment option for all ages.
There have been several large review studies verifying the safety of chiropractic care for children of all ages6,7,8,9. All manual therapy techniques and home care recommendations for children are modified to appropriately meet the physical needs of the developmental stage that little body is in. For example, the amount of force used to adjust an infant is often compared to the amount of pressure you would use to test a ripe tomato at the grocery store10. (Those of you with kids know that they are certainly able to withstand a lot more of a squish than that!) Catering care in this way requires a working understanding of the anatomy as it grows and changes over time. This is one reason why choosing a chiropractor who focuses on or has completed additional training in pediatric care is often recommended.
Chiropractors have been helping care for kids for over 100 years. At AltaVie, all of our DCs have taken extensive course work to advance their understanding and application of NMSK care for infants and children. We do our best to stay up to date and evidence-based as we strive to address the specific physical needs of this special population.
We are honoured that you trust us to care for your most precious little ones. We will do our best to explain absolutely everything that we are doing in a way that you understand. Always feel free to bring up any concerns and questions; we want you to have 100% confidence that we are providing the utmost of care for your kids. If our office is not the best fit for your specific care, we will be quick to connect you where you need to be. We have very good working relationships with a multitude of incredible professionals in the Okanagan and we play well with others.
Chiropractic care for kids is different… because kids are different!
Although the basic premise for chiropractic care is the same whether the patient is 80-years-old or 8-minutes-old, the ever-growing and ever-changing active little bodies of children have distinct needs. Although our care is essentially applied understanding of anatomy at any time of life, chiropractic care for infants and children looks very different than that for adults, both in treatment techniques and responses. Generally, we find that children respond much faster and more profoundly to chiropractic care than adults do.
Another major difference is that pain is often not a primary complaint. This can make it more difficult for parents to know when their child may benefit from a visit with their chiropractor. There are certain “clues” that parents can watch for to gain more understanding in this area, such as postural changes, only wanting to breastfeed from one side, being off-balance or suddenly clumsy, always tilting their head to one side, refusing to roll one direction, or running with a limp. Remember, chiropractors are healthcare professionals trained in assessment, diagnosis, and treatment of the neuromusculoskeletal system. That means we support the health of the bones, joints, muscles, and nerves of the whole body, whether it is full-size or still growing. We are here to help, whether for headaches and pain complaints, trauma checks, gross motor development, early feeding struggles related to biomechanics, or something more subtle.
As mentioned above, the amount of force used and the specific techniques utilized will vary depending on the unique needs of an individual kid and what stage of development they are currently in. There is no one-size-fits-all approach to chiropractic care of infants and children! Depending on the presenting patient and their goals, chiropractic care at AltaVie may include a blend manual therapy (adjustments, soft tissue treatments), craniosacral therapy (CST), kinesiology taping, lifestyle modifications, home care recommendations, exercise rehab, clinical nutrition, and health education. One aspect of care that is the same for children and adults is that you are going to be involved!
Commonly Asked Questions About Pediatric Chiropractic
Our bodies (and bones, in particular) model in response to outside physical stresses placed upon them (a concept known as Wolff’s Law). Proper joint motion and coordination are needed to distribute these forces for optimal bone development. There are periods of time when skeletal growth is accelerated (commonly referred to as Growth Spurts) during which balance and proper function in the muscles and joints are especially important.
Just like the bones of the skeleton, your child’s nervous system is also developing at a rapid rate. The nervous system includes the brain, the spinal cord, and all the millions of nerves that serve every inch of your body and control most of its functions. Just like the bones need proper joint movement for optimal development, so do the nerves in order to develop optimal communication and control. Communication and proprioceptive feedback are especially important during the growing years.
BOOK HERE to schedule a free 15-minute chat with a Doctor of Chiropractic if you are unsure if we are a good fit for your child."
References for Chiropractic Care of Children & Infants
- J Manipulative Physiol Ther 2018;41:725-733.
- Chiropr Man Therap 2017;25(35).
- J Alt Comp Med 2010;16(6).
- PLoS ONE 2017;12(5).
- BMJ Open 2019;9.
- Chiropr Man Therap 2020;28(12)
- J Manipulative Physiol Ther 2014;xx:1-14.
- BMC Complementary and Alternative Medicine 2019;19:60.
- PLoS ONE 2019;14(6).
- J Manipulative Physiol Ther 2016;39:401-410.
Chiropractic Care for
PERIMENOPAUSAL Women
→ Are you starting to experience menopause or menopausal symptoms?
→ Are you noticing more lower back or pelvic pain?
→ Are you experiencing incontinence or leaking with activity that you have never had before?
→ Do you have nagging aches and pains that just won’t go away?
Menopause is a major life event that creates changes to our body that many of us don’t even know about. The shift in hormones slows our tissue healing times, reduces the integrity and elasticity of our connective tissues and decreases our muscle mass and bone density. For these reasons, it is very important to maintain an active lifestyle to keep the body strong for this stage of life. But for many, they begin to experience nagging aches and pains and especially pelvic issues that they never had as a younger adult when trying to be active during menopause.
All of these things could, in part, be due to menopause causing the connective tissues in the pelvic floor to loose their elasticity. Without this elasticity, our core and pelvic floor can’t function properly to support our organs and the rest of the body. Chiropractic and proper pelvic floor rehabilitation can help improve these symptoms to help get you back to doing the things you love without the pain and dysfunction!
Chiropractic helps all people from all walks of life but can be very beneficial for special populations such as those experiencing or about to experience perimenopause. Since this is a time for drastic change in metabolism, bone growth and collagen formation many aches and pains as well as weaknesses can expose themselves.
Chiropractic can assess and improve muscle imbalances, joint stiffness as well as prevent tendon injuries with soft tissue techniques, joint mobilizations and exercises. We also want to support great body mechanics to keep you exercising through these years to prevent bone density loss.
Common Body Symptoms During Perimenopause
- shoulder pain/injuries,
- urinary incontinence,
- plantar fasciosis or foot pain,
- headaches and
- recurrent low back injuries.
Commonly Asked Questions About Perimenopause Chiropractic
A typical visit would involve a detailed medical history that will include birth history, previous traumas or health concerns. We will also discuss your goals for treatment to make sure we are the perfect fit for you! We will then do a thorough physical examination that will look at how your joints are moving, certain functional movements such as squatting, hingeing etc. which are important movements to maintain as we age. In my opinion, the report of findings is the most important part of our assessment so that you have a greater understanding of your body and what our plan is moving forward. We end with the treatment which can include education, myofascial release, joint mobilizations and exercises specific to your body and goals.
Chiropractic is important in all stages in life from infancy and beyond but I think the biggest benefit of chiropractic later in life is the positive impact on quality of life by keeping you doing the things you love.
BOOK HERE for a free quick chat with our Perimenopausal Doctor of Chiropractic