State of the Art Technology & EMR System

 

 

 

 

 

 

 

 

 

 

SPINEgroup, utilizes only Health Canada approved, evidenced based medical devices and information technology  to support your treatment plans.

Medical devices including ultrasound, laser therapy, vibration exercise platform,  radial shock wave, electrotherapy and spinal decompression therapy are integrated into our clinical programs. Note: All technology and devices used at SPINEgroup are approved by Health Canada.

SPINEgroup has recently implemented one of the most advanced electronic records systems for healthcare, ABELmed Software System. This system enables us to access your information quickly and consult with your other health care providers in a timely manner.  

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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.

Non Surgical Spinal Decompression Therapy: 

In selected patients, spinal decompression has the capability to safely decompress spinal segments; stretching ligaments, muscles and joint tissues. The intermittent de-compressive action of the table also recreates a process known as “imbibition” the natural method for disc diffusion. Your spinal discs have the potential to rehydrate under the mechanical forces of the spinal decompression unit. Over time and over the course of many successive treatments, there is some clinical evidence (excluding randomized controlled clinical research trials) to indicate that this form of treatment contributes to reduced pain from irritated nerve tissue and/or damaged disc material.

Spinal decompression can be used for the following problems:

  • Disc Herniations and Bulges
  • Radiculopathy
  • Degenerative Disc Disease and Joint Degeneration
  • Nerve Root Irritation and Sciatica
  • Spinal Stenosis
  • Chronic Facet Syndrome

Low Level Laser Therapy

The acronym “LASER” stands for Light (photons) Amplification by Stimulated Emission of  Radiation. Low level laser therapy (LLLT) is the best and most widely accepted descriptor of the type of lasers used in rehabilitation. The instrument itself is considered a “therapeutic laser”. LLLT has historically been classified as a non-thermal modality.  Non-thermal modalities are those physical agents that do not raise the subcutaneous tissue temperature greater than 36.5ºC. Therefore the therapeutic effects of LLLT are not associated with a heating response, but rather a photochemical response. When light (photons) enters the cell, certain molecules called chromophores react to it, and trigger a photochemical reaction that leads to desirable physiologic effects. LLLT is simply another form of energy (physical agent) that can be used to create physiological changes in tissue.

The effects of Laser therapy are photochemical, not thermal. Photons enter the tissue and are absorbed in the mitochondria and at the cell membrane. The photonic energy is converted to chemical energy within the cell, in the form of ATP. Cell membrane permeability alters, then physiological changes occur. These physiological changes affect macrophages, fibroblasts, endothelial cells, mast cells, bradykinin and nerve conduction rates.

Reported benefits include:Laser-photosynthesis
• Rapid cell growth. Laser accelerates cellular reproduction and growth.
• Faster wound healing. Laser stimulates fibroblast development in damaged tissue, reducing recovery time.
• Increases metabolic activity through higher outputs of specific enzymes, greater oxygen and food particle loads on blood cells. Improves immune responses.
• Reduces fibrous tissue, reducing the formation of scar tissue following injury or surgery.
• Anti-inflammatory action for improved joint mobility.
• Increases vascular activity.  Laser stimulates lymph and blood circulation.
• Lasers stimulate the process of nerve cell reconnection to bring numb areas back to life. Laser also increases the amplitude of action potentials to optimize muscle action.

Some common applications for Laser therapy are:

• Wound Management
• Soft Tissue Injuries
• Inflammation
• Joint Conditions
• Arthritis
• Chronic Pain
• Dermatological Conditions
• Myofascial Trigger Point Therapy
• Acupuncture

Benefits of Electronic Medical Records (EMRs)

1. Ann S. O’Malley, MD, MPG, Joy Grossman, PhD, Genna R. Cohen, BS, Nicole M. Kemper, MPH and Hoangmai H. Pham, MD. MPH (2010). Are Electronic Medical Records Helpful for Care Coordination? Experience of Physician Practices? J Gen Intern Med Mar 2010
Article or Abstract Found: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839331/
Key Finding(s): “EMRs facilitate within-office care coordination, chiefly by providing access to data during patient encounters and through electronic messaging.”