Physician, Medical Pain Management Position Available, Vaughan

By admin on January 2, 2017 ~ Comments (0)

Medical Physician, Pain Management

SPINEgroup offers a unique and rewarding clinical experience for physicians.

We are seeking (1) Family physician or Physiatrist with an interest/skills with medical pain and spine pain management to join our clinical team at our “executive style” health clinic .

Vaughan is an expanding community with a mixed demographic. There is currently a shortage of family practice and no genuine “executive style” comprehensive Med/Rehab clinic in Vaughan. The physician(s) must be committed to quality care and recorded patient outcomes, evidence-based practices and working in an integrated, collaborative practice. with a variety of clinical professionals including a clinical psychologist, physiotherapy and other rehabilitation professionals.

A medical practice in the area of pain management, specifically for spine conditions presents a very unique opportunity to build a large/busy practice in the Vaughan/Woodbridge area. Qualifications: Medical degree with registration with CPSO and CCFP required.

Incentives include:

Turn key operation, with waiting area, full reception/office assistant
Located in a ideal mixed residential and business area and near several Toronto neighbourhoods
Located in mixed demographic with young families and aging population
Very close to major highways, i.e. Highway 400 and Highway 407
Drug stores, diagnostic labs close by (directly across the road)
Opportunity for some in-house diagnostics
Open 6 days a week with flexible scheduling options
Clinic located on Ground floor
Permanent full-time or part-time position, depending on physician schedule.
Registered nurse RN is provided onsite for intake and assistance
Very busy practice with large physician referral for pain management
Flexible hours, as defined by physician
EMR: Abelmed with fully digital and electronic, full billing support
Pharmacy and diagnostic labs in very close proximity
Wage: salaried or fee for service with competitive split with guaranteed minimum hours
Professional upscale clinic with large and fully furnished/equipped medical office(s)
New Grads welcome- great opportunity to grow in Vaughan
Free parking
Please submit CV to drdastolfo@spinegroup.ca or contact our clinic at 905-850-7746

Radial Shockwave Therapy

By admin on October 15, 2014 ~ Comments Off on Radial Shockwave Therapy

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Radial Shockwave Therapy

Therapeutic Radial Shockwaves are simply controlled pressure waves that are created when a ballistic projectile is accelerated and then impacted against a stop-plate inside a specially-designed hand-piece.

The primary effect of these shockwaves is a direct mechanical force that occurs at a cellular level as the wave’s energy passes through tissue. These waves cause a controlled impact on the tissue being treated.  The result is a biological reaction within the cells of that tissue which causes an increase in blood circulation through the injured site, and triggers the body to accelerate its natural healing processes. Radial shockwave treatments increase the metabolic activity around the site of pain or discomfort. It stimulates the re-absorption of irritating calcium deposits in tendons, accelerates the body’s natural healing process, and reduces pain.

Research indicates that the mechanical stimulation produced by Shockwaves is capable of inducing positive reactive processes in the cellular structure of injured tissue. The most commonly observed
reactions in tissue treated with Shockwave Therapy are;
• Increased Metabolism
• Expression of Substance P (a growth & pain mediator hormone)
• Improvement of cellular tensile stability
• Altered cell membrane permeability
• Increased cell activity by Gene Expression
• Overall improvement of cellular structure
• Re-absorption of calcium deposits in tendons

 Is Radial Shockwave Therapy Effective?

Yes. Clinical research has been ongoing for decades and the published data clearly shows that Radial Shockwave Therapy is a highly effective treatment option for many musculoskeletal conditions and injuries.

Radial Shockwave Therapy works without the need for drugs, stimulates the body’s natural ability to heal itself, and in some cases can even help eliminate the need for invasive surgery.

Treatable Conditions

Radial Shockwave Therapy can be used to effectively treat;
• Tendonopathy
• Heel Spurs / Fasciitis Plantaris
• Epicondylopathy radialis /Ulnaris
• Patellofemoral Syndrome /Achillodynia
• Myofascial Pain Syndromes
• Tibialis anterior Syndrome
• Impingement Syndrome
• Trigger Point Therapy
• Bursitis
• Osteoarthritis ( spine and joints)
• Shoulder Tendinitis
• Tendon calcifications

Radial Shockwave Therapy has proven to be an effective treatment option for these conditions. It is unique in it’s ability to treat conditions which have become chronic, where other more traditional therapies or modalities have not proven effective.

Patients treated with Radial Shockwave Therapy frequently report immediate response to their treatment. Most report a significant reduction in pain and a noticeable improvement in mobility after their very first treatment.

How Long Does a Radial Shockwave Therapy Treatment Take?

Individual Shockwave Therapy treatments usually involve delivering about 2,000 Shockwave pulses or “shots” per treatment area. This takes about 5 minutes. Most conditions require between 3 and 6 treatments in total. Normally the treatment protocol recommends between 1 and 3 treatments per week. The patient’s body requires “rest & repair” time between treatments in order to allow for natural, accelerated healing.

How Long Before the Patient Reports any Improvement?

Unlike many other forms of therapy, Shockwave Therapy generates
virtually immediate positive results. Even after just one treatment,
patients usually report;
• A significant reduction in pain.
• Improved Mobility (range of motion).
• More normalized muscle tone.
• Muscle “knots” or tightness are usually gone or noticeably reduced & relaxed.

Research References for Shockwave Therapy

1. L. Gerdesmeyer, H. Gollwitzer, P. Diehl, K. Radial Extracorporeal Shockwave Therapy (rESWT) in
Orthopaedics Journal für Mineralstoffwechsel, Zeitschrift für Knochen- und Gelenkerkrankungen 11/2004

  1. Haake M, Deike B, Thon A, Schmitt J. Importance of Accurately Focussing Extracorporeal Shock Waves in the Treatment of Calcifying Tendinitis. Fachverlag Schiele Und Schon , Berlin. 2001;46:69-74.
  2. BÖddeker IR, Schäfer H, Haake M. Extracorporeal Shockwave Therapy (ESWT) in the Treatment of Plantar Fasciitis – A Biometrical Review. Clinical Rheumatology. Acta Medica Belgica, Brussels. 2001;20:324-330.
  3. A. Cacchio, L. Giordano, O. Colafarina, et al Extracorporeal Shock-Wave Therapy Compared with Surgery for Hypertrophic Long-Bone Nonunions  J Bone Joint Surg Am, 2009 Nov 01;91(11):2589-2597. doi: 10.2106/JBJS.H.00841
  4. A. Cacchio, M. Paoloni, A. Barile, et al Effectiveness of Radial Shock-Wave Therapy for Calcific Tendinitis of the Shoulder: Single-Blind, Randomized Clinical Study Physical Therapy May 2006 vol. 86 no. 5 672-682
  5. J Furia, J Rompe, A Cacchio, N Maffulli Shock wave therapy as a treatment of nonunions, avascular necrosis, and delayed healing of stress fractures Foot and ankle clinics, 2010 – Elsevier
  6. Jan D. Rompe, Carsten Schoellner and Bernhard Nafe Evaluation of Low-Energy Extracorporeal Shock-Wave Application for Treatment of Chrinic Plantar Fasciitis J Bone Joint Surg Am. 2002;84:335-341.
  7. G. Spcca, S. Necozione, A. Cacchio Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled single-blind study Eur. Med Phy 2005, 41:17-25
  8. Ludger Gerdesmeyer, Carol Frey et al Recalcitrant Plantar Fasciitis Radial Extracorporeal Shock Wave Therapy Is Safe and Effective in the Treatment of Chronic Am J Sports Med 2008 36: 2100
  9. Jan D. Rompe, John Furia and Nicola Maffulli Eccentric Loading Compared with Shock Wave Treatment for Chronic Insertional Achilles Tendinopathy. A Randomized, Controlled Trial J Bone Joint Surg Am. 2008;90:52-61.
  10. Charrin Jeanne Elisabeth, Noěl Eric Robert. Shockwave Therapy Under Ultrasonographic Guidance in Rotator Cuff Calcific Tendinitis. Joint Bone Spine 2001 May;68:241-4.
  11. Chen Han-Shiang, Chen Liang-Mei, Huang Ting-Wen. Treatment of Painful Heel Syndrome With Shock Waves. Clinical Orthopaedics and Related Research. 2001 June;387:41-46.
  12. Crowther MA, Banniester GC, Huma H et al. A prospective randomized study to compare extracorporeal shock wave therapy and injection of steroid for the treatment of tennis elbow. Journal of Bone and Joint Surgery. Jul 2002; 84(5): 678-679.
  13. Daecke W, Kusniercsak D, Loew M. Long-term effect of extracorporeal shock wave therapy in chronic calcific tendinitis of the shoulder. Journal of Shoulder and Elbow Surgery. Sept-Oct 2002; 11(5): 476-480.

– See more at: http://spinegroup.ca/why-choose-spinegroup/state-of-the-art-technology/#sthash.4FltEl8l.dpuf

SPINEgroup Community Appreciation Day 2014

By admin on August 3, 2014 ~ Comments Off on SPINEgroup Community Appreciation Day 2014

Photo of Community Appreciation Event 2014

 

 

Tylenol not Effective for Back Pain, Research Study

By admin on July 28, 2014 ~ Comments Off on Tylenol not Effective for Back Pain, Research Study
Acetaminophen may have no effect on back pain relief: study
Written by Maria Cheng, The Associated Press
July 24, 2014 – Acetaminophen isn’t any better at relieving back pain than a fake pill, despite almost universal recommendations to take the drug, according to results from the first big trial to test it.

Acetaminophen, sold as Tylenol and Paracetamol, among other names, is recommended in numerous guidelines for back pain, mainly because it has few side effects; past studies have shown it works for other types of pain. But there is no proof it is effective for lower back pain in particular.

In a new study, Australian researchers assigned more than 1,600 people with acute lower back pain to either acetaminophen – to a maximum dose of 4,000 mg per day – or a placebo. Scientists found no major difference in the time it took people to recover: Those on acetaminophen got better after 17 days while those who took dummy pills recovered after 16 days. The study focused on the kind of back pain most people experience, resulting from lack of exercise, bad posture or a strain.

The research was paid for by the Australian government and GlaxoSmithKline Australia. It was published online Wednesday in the journal, The Lancet.

“Most people would have thought (acetaminophen) would have some effect, so this was a surprise,” said Bart Koes of Erasmus MC University Center in the Netherlands, who co-authored an accompanying commentary. He said doctors should monitor people taking acetaminophen to see if the drug actually works.

Lower back pain is the leading cause of disability worldwide and doctors usually recommend treatments including painkillers, exercise, stretching, physical therapy and old-fashioned remedies like hot and cold packs.

“The mechanisms of back pain are likely to be different from other pain conditions and this is an area that we need to study more,” said Chris Williams of the University of Sydney in Australia, the study’s lead author, in an email.

“We know exercise helps so people should stay as active as possible,” said Chris Mercer, a physical therapist specializing in back pain and spokesman for Britain’s Chartered Society of Physiotherapy. “Don’t just take to your bed.”

Some doctors said it was too early to give up on acetaminophen and said most people would get better within a week or two whatever treatment they tried.

“Different strategies will work for different patients,” said Dr. Nigel Mathers, honorary secretary of Britain’s Royal College of General Practitioners. “If (acetaminophen) works for you, then continue to take it.”

Large Tylenol Study: Ineffective for back pain

OHIP Funded Physiotherapy, Vaughan, Woodbridge

By admin on April 3, 2014 ~ Comments Off on OHIP Funded Physiotherapy, Vaughan, Woodbridge

SPINEgroup is now offering OHIP funded Physiotherapy Services. Please call for information.