Dr. Eve Choe - Toronto Chiropractor + Posture Expert
info@drevechoe.com l 416.297.8599
1730 Bloor Street West, Toronto, ON M6P 1B3 
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Spinal Health Awareness - World Spine Day

10/14/2022

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October is Spine Health Awareness Month, with World Spine Day on October 16th. It serves as a reminder of how important your spine is, highlighting the burden of spinal pain and disability worldwide, as well as the importance of proper spinal health and how it impacts Ontarians, Canadians, and the rest of the world.

Health Canada reports that 11 million Canadians experience musculoskeletal conditions each year, which is more than cancer, stroke, heart disease, diabetes, and Alzheimer’s Disease combined. Further, the Canadian Pain Task Force estimates that about nine million Canadians will suffer from chronic pain by 2030.

This year’s World Spine Day encourages people to take steps to be kind to their spines. As you know, back pain is one of the main causes of emergency department visits, and one of the leading causes of initial opioid prescriptions. It also affects many marginalized communities, including people living in poverty and veterans. Left untreated, back pain can significantly impact one’s quality of life and lead to chronic pain, but not everyone is aware of these facts.

Here are Some Tips to Improve Your Spinal Health

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Set Posture Breaks
Did you know that sitting in one position for longer than 30 minutes can cause problems in your low back? Avoid this by changing positions and stretching frequently. Set a reminder to take regular posture breaks on your phone or computer, or add a note or sticker as a visible cue. 
 

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Maintain Good Posture
Poor posture can cause neck and back pain. It can also lead to other health problems, such as headaches, shoulder pain, and even nerve damage. When poor posture becomes chronic, it can cause irreversible damage to the spine. Explore our blog for lots of tips on posture!   

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Drink Water
Water is the most important thing to drink for a healthy back. It allows nutrients to travel to the major organs, remove waste, and maintain function in the joints, organs, and most importantly, the spine! The main part of your spine is made up of 24 bones, or vertebrae. Wedged between your vertebrae are little jelly-like discs that protect the spine by acting as shock absorbers as you move. They prevent your vertebrae from rubbing together, but in order to do this, these discs rely heavily on fluids. Water is continuously lost and reabsorbed and when your discs don’t rehydrate enough, they shrink. This forces the outer layer to take on more stress, which eventually leads to swelling and pain.

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Get Moving
Stretch, go for a walk, incorporate a weight training routine, strengthen your core.

Your back and abdominal muscles are both part of your core which is essential for stability, mobility, and flexibility. When your core is weak, it can produce pain that extends beyond just your lower back up into your shoulders and neck, and down into your hips and legs. Strengthening these muscles can improve posture and relieve pressure off your back. A strong core reduces your risk of injury. 


Here are some fun fall activities that will get you active:
  • Visit a pumpkin patch
  • Explore a corn maze
  • Go apple picking
  • Take a scenic hike and admire the changing leaves
  • Take your kiddos to a playground and join them!

When To Seek Help
If you are experiencing chronic pain that worsens over time or becomes debilitating, or if you would like a spinal check up to maintain a healthy spine, call our office at 416-297-8599 or book an appointment online. ​
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Sleeping Posture

5/5/2020

6 Comments

 
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I often find poor sleeping habits contribute to chronic neck or back issues. A question I commonly get asked is: what is the best way to sleep for good posture? Read on to find out.

✅Sleeping on your back or side keeps your spine in the most neutral position, If you choose to sleep on your side, make sure to support your pelvis with a pillow between your knees.

✅Take a look at the type of pillow that you use. If you sleep on your back, you need a lower pillow. Remember that the neck is what really needs to be supported vs. your head. If you sleep on your side. there’s a bigger negative space between your head and shoulder, so you need a firmer and higher pillow.


✅Tuck the bottom of the pillow above the shoulders. The pillow should support your neck, not your shoulders. 

✅Medium-firm mattress is best. A mattress that is too soft will cause the heaviest parts of your body to sink, while a too firm mattress will not support the curves of the spine. 

A good sleeping posture will improve the quality of your sleep, improving your overall energy and mood. Sweet dreams! 


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Hello May! Happy Posture Month

5/5/2020

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Happy Posture Month! In honour of posture month, I will be posting posture tips on my Instagram page @drevechoe as well as some on the blog throughout the month of May.
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When Bad Posture Happens to Good People

3/6/2020

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​How to fix the habits causing your bad posture so it doesn't ruin your look — or your back

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Written by: Andrea Kerr for The Werk
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If you work from a couch, or even from a desk, you've probably made peace with hunched shoulders and a mildly achy neck — but did you know that slouched posture has serious consequences for your image and your health? “If you have bad posture, people assume that you’re not confident,” says Eve Choe, a Toronto-based chiropractor who offers a 12-week posture workshop at her clinic. “You appear shorter and people assume you’re tired.” Poor posture also has negative health consequences like “chronic fatigue, muscle fatigue, headaches and back pain. You can have sleep and digestive problems, difficulty concentrating. It causes so many issues,” Choe says.
 
But contrary to popular belief, super-straight military posture is not the ultimate goal. Instead, “good posture maintains three natural curves in the spine at the neck, mid-back, and low back,” says Choe. When you look in the mirror, your eyes should be level, as should your shoulders, hips, knees, and ankles. From the side, your ears, shoulders, hips, knees, and ankles should create a straight line that, again, maintains the natural curves in the spine.
 
If you frequently notice that you appear slouched in photos or videos — or that your grandma’s always bugging you to sit up straight — try these tips for correcting the habits that cause bad posture in the first place.

1. Check your smartphone.
Lately, the most common form of bad posture that Choe sees at her clinic is the forward head tilt — and one of the main causes is smartphone use. Many people spend hours on their phones each day texting, answering emails, and posting on social media, and they hold their phones in their laps, which causes neck strain. The correction? “Bring your smartphone to eye level instead of bringing your head down to it,” says Choe.

2. Adapt your workspace.
“Laptops are built for portability,” Choe notes. “They’re not built for our bodies. Often, we will hunch forward so we can have our eyes level with the monitor of the laptop.” To correct this posture, consider purchasing an external keyboard or monitor so that you can space them to work for your body when your posture is at its best. Also, try to avoid sitting on soft couches or armchairs to work because they will likely raise your knees above your hips, which then rounds out your lower back. Instead, choose a chair that allows you to sit directly on your sit bones (not on your tailbone) with your knees at 90 degrees to your hips.

3. Take frequent breaks.
It’s time to curb your habit of staring at your computer screen for three, four or five hours straight — even if you have the perfect office set-up. “A good tip is 20-20-20,” says Choe. “So every 20 minutes, try to get up for 20 seconds and look 20 feet away. It also gives your eyes a break.” If you can’t break every 20 minutes, aim for every hour.

4. Think long.
Don’t think “straight” when you’re trying to correct your posture, because a healthy spine isn’t straight. Instead, imagine a string attached to the top of your head and pulling you upwards. Your shoulders should be back, yet relaxed, and you should maintain the natural curves in your spine.

5. Work it out.
When working to correct bad posture, Choe gives her clients plenty of exercises to do at home. She loves head retraction and scapula retraction exercises, in particular. “For head retractions, you bring your head in toward the body with your chin tucked,” she says. “You don’t look down. You don’t look up. You bring your head straight back. With a scapula retraction, you squeeze your shoulder blades together.” Choe also likes to strengthen the muscles that stabilize her clients’ shoulder blades by recommending wall angels, which are snow angels performed up against a wall.

6. Change your sleep habits.
How you sleep each night can have an effect on your posture throughout the day. “Sleeping on your back keeps your spine in the most neutral position, but side sleeping is also good,” says Choe. If you choose to sleep on your side, make sure you support your pelvis with a pillow between your knees. Also, take a look at the type of pillow that you use to support your head. If you sleep on your back, you need a low pillow. If you sleep on your side, “there’s a bigger negative space between your head and shoulder, so you need a firmer and higher pillow.”

7. Book an appointment with a chiropractor.
A chiropractor can make adjustments that “restore mobility and movement back into the joints in the spine,” says Choe. These adjustments can also relieve stress that’s placed on the body when there’s a locked or restricted joint. After your adjustments, ask your chiropractor for additional at-home exercises to correct your specific posture concerns.
 
Bad posture is a habit that you’ve developed over several years. Give yourself the time to correct it (Choe says it will likely take at least 12 weeks) and you’ll see improvements in your health and the image that you project to your colleagues, employers and future clients.
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New Year, Better Posture Checklist

1/4/2018

1 Comment

 
Good posture is associated with better health and human function. Proper postural alignment protects the integrity of your internal organs and supports your body upright against the ever present force of gravity. Upright posture, with your head up and chest forward is associated with a higher level of self-perceived leadership and confidence.

There are many preventable health consequences of poor posture. This checklist will help you look thinner in an instant, reduce stress, and increase your level of confidence.

Yes, all those positive health affects are associated with your POSTURE. Let’s get to work.
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Original Author: Dr. Krista Burns
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The 5 Worst Foam Rolling Mistakes People Make

11/29/2017

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Foam rolling when used correctly, can make a chiropractor’s job all the more simple. Accelerated blood flow, repairing muscle adhesions, speeding up recovery time, and improving overall physical performance are just some of the health benefits you can expect from this simple tool.

Unfortunately, incorrect use of your foam roller can actually cause tissue damage, which is why you need to be wary of the five following rolling mistakes people commonly make, as well as how to avoid them yourself.

Rolling with Bad Posture
Contorting the spine is one of the most unsafe errors that people tend to overlook during their foam rolling routine. In many of these positions, you are holding up your frame using your arms alone, and by ignoring your posture and core support during these actions, you could be setting up an injury rather than reaping any health improvements.

Open communication with a chiropractor or personal trainer should help you refine your technique of a neutral spine alignment. Alternatively, you could set up a camera or ask a friend to film you whilst you complete a session, and then analyze your approach afterwards, keeping a watchful eye on sagging hips or an unnaturally curved back.

Rolling Your Lower Back
No matter how pleasant it feels, there is never any reason to foam roll your lower back. This specific area is designed to provide a steady core, and the placement of unnecessary pressure upon the region will cause your muscles to contract as a defense mechanism to protect the spine.

Instead, use the foam roller freely on your upper back (down to the end of your ribcage), as this area has plenty of muscle which surrounds the spine, and that keeps it safe and cared for. You can also try targeting locations around your lower back (such as the glutes or quads) as a much safer release to any stiffness in this general region. The most important part of rolling is to figure out exactly what it is you’re trying to achieve, and then researching how to do it properly, rather than haphazardly acting towards any vague objective.

Rolling Too Fast or for Too Long
Very often, people skip all the benefits of massage rollers by favoring the sensations, rolling at high speeds or for a far lengthier amount time than recommended. It takes a while for your brain to send the relaxation signal to your muscles, so don’t hurry your movements. However, on that note, if you’re rolling for longer than 20 minutes just to access any relief, you may have a more serious underlying problem, and should seek medical attention.

Your best bet is to slow down, locating the more sensitive areas, and concentrating on short, drawn out rolls over those specific points. You should also limit each muscle group to a maximum of 90 seconds per cycle, stretch in between the rolls, and then repeat up to three times. As always, rather underwork than overwork, and speak to your chiropractor if you have any doubts.

Rolling Directly on Painful Areas or Injuries
The compulsion to fixate on a painful area is a natural reaction, but many experts agree that this is not the way to go about it. As a rule, always remember that rolling on inflammation can cause further inflammation. This advice applies even more critically to any recent injuries, as you can exaggerate the already aggravated tissue and hamper the body’s ability to repair itself.

A painful spot is a warning cry to stay away, and so keep those rollers a few inches distance from any sensitive muscles, working on the surrounding connected groups instead. And never rely on your foamy friend to be the exclusive hero of your recovery, as more severe injuries will necessitate additional care, often by a professional.

Using the Incorrect Foam Roller
Finally, it is worth noting that your foam roller itself can be cause problems. A big mistake many newcomers to the rolling world make, is selecting an unreasonably hard and textured product to loosen their tissue, when it could actually have the complete opposite result. The firmer the foam, the more compression on your muscles, and if you’re not used to it, this can lead to pain and even bruising.

If you’re just starting out, a more cushioned, even-surfaced foam roller will be a much safer choice, and you can gradually work your way up the firmness scale without any worries or stress.
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Author:
Nurse Susan has  always been passionate about helping people heal. After she retired from a lifelong career as a nurse, that passion didn’t go away. She loves to use her expertise to write about the best ways to keep you and your family healthy, active, and happy.


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The Link Between Texting and Back Pain

11/16/2017

4 Comments

 
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This isn’t another article about modern phone habits. We know we’re all working hard (right?). But you might want to watch your posture to avoid health issues.

Dr. Kenneth Hansraj, one of the top spinal surgeons in the United States, conducted a study on “text neck” and concluded that loss of the natural curve of the cervical spine can lead to early degeneration of the spine. His study showed that an adult head weighs an average of 10-12 lbs. in a neutral position. However, when you bend your head forward about 60 degrees to look down (like on your phone), your head is now the equivalent of 60 lbs to your body.

Modern strains

Because of modern-day hand-held technology, according to Dr. Scott Bautch, from the American Chiropractic Association, “When children have poor posture it tremendously speeds up the gaping of the spine. What we are seeing is degeneration of the spine at younger and younger ages.”

But smart phones aren’t the only culprit in poor posture. Spending hours at a time at a desk, or watching TV, without moving can also be detrimental to your posture. Even with ergonomically designed furniture and standing desks, it’s important to break your posture, or move, every 15 minutes.

“You develop imbalances and you are more likely to hurt yourself in any activity you do.”

It’s all about balance

By sitting in the same position for hours at a time, poor posture overworks one set of muscles while the other set of muscles are underworked. “You develop imbalances and you are more likely to hurt yourself in any activity you do,” concludes Dr. Bautch.

There are things you can do to alleviate some of the modern-day stresses on your body and spine. For starters, always make sure your screen, whether computer screen or smartphone, is at eye-level so you aren’t hunching over. Dictate your texts — that’s what Siri is for. And of course, take a break every 15 to 30 minutes. Your body and mind will thank you for it.

Source:
Media Planet
4 Comments

Back to School Posture Tips

8/31/2017

12 Comments

 
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It's that time of the year again! Parents - when you're packing your child's school bag, make sure its weight doesn't exceed 10% of your child's body weight. Also, remember to adjust the straps so the bag sits snug against their back and doesn't hang too low. 

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Posture Tip - Correct posture ergonomics for Handbags

6/5/2017

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​Some women carry the whole world in their handbag, but a heavy bag or purse can cause pain and injury to your back, neck and shoulders. Overstuffed bags also cause poor posture by encouraging the carrier to lean to one side. The good news is pain and injury can be easily avoided by following a few simple tips. Here are some provided by the Ontario Chiropractic Association:

​Choosing a handbag
1. Choose a handbag that is proportionate to your body size and no larger than what is needed. Your handbag should not weigh more than 10 per cent of your body weight.
2. Choose a handbag that has several individual pockets, instead of one large compartment. This will help to distribute the weight of the contents more evenly and keep them from shifting.

Packing a handbag
1. Change the size and weight of your wallet once in a while. You may also consider one wallet for your work and a different one for when you go out, as you may need different objects for both.
2. Ensure the weight is evenly distributed in the purse by using all the pockets.

Carrying a handbag
1. Use both hands to check the weight of the handbag.
2. Instead of always carrying your handbag on the same shoulder, switch sides often so each shoulder gets a rest.
3. Square your shoulders — many women have a habit of lifting the shoulder on which the purse is carried to keep the straps from slipping.

More tips
1. Try to maintain good posture. When standing, your head, shoulders, hips and ankles should line-up, one comfortably above the other.
​2. If you can walk to lunch or a meeting, lock your purse in your desk or locker and carry only your cash and/ or credit cards in a pocket. By following these simple strategies, it’s easy to lighten your load.

If you have any questions about posture and ergonomics, please contact Dr. Eve.
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    Author

    Dr. Eve Choe is a Toronto-based chiropractor, and certified posture expert, acupuncture & orthotics provider. 

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​​COPYRIGHT DR. EVE CHOE 2023 l ecdesigns l 1730 Bloor Street West Unit 3, Toronto, ON, M6P 1B3 l 416.297.8599 l info@drevechoe.com
Chiropractor, Acupuncture, Massage, Orthotics, Posture Correction, Cosmetic Acupuncture, Pregnancy & Webster Technique, 
MVA, WSIB