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February 14, 2020 ClinicalNiseko life0

Are we safer in the Niseko

backcountry now  ?

Hokkaido and seems to have a spike in the number of backcountry incidents over the 2020 season recently that has sadly resulted in some pretty tragic outcomes.

An interesting article was recently published in the International Journal of Environmental Research
and Public Health regarding backcountry accidents. Admittedly it was Switzerland and the stats for Niseko would likely be different due to different relative risks of the terrain but perhaps there is something we can learn from it.

They asked an interesting question.

Given that there has been a big improvement in the quality of backcountry safety gear such as better beacons, airbag systems are we seeing a decrease in the frequency of backcountry accidents.

You only need to play around with one of the first generation beacons compared to the most recent ones of the market to appreciate just how much easier is it find somebody buried under snow with far less in depth training and practice.

We can now access pretty accurate weather and avalanche forecast information on the internet. Surely this should be sending our accident rate down ?


And the answer ?

Surprisingly accidents in Switzerland are increasing or steady despite the quality and safety of gear increasing although we do seem to be loosing our way a little less. Perhaps phone GPS ?

The findings from a swiss study from 2009 to 2018 looking at 3044 accidents found that on average accident rates are not falling and are probably about steady or even increasing slightly for some categories.

But Why ?

The study did not specifically address this question but the authors hypothesized that whilst the gear is indeed getting better the increase in the number of inexperienced skiiers going into the backcountry is causing the accident rate to stay the same.

It certainly does appear that backcountry skiing is getting more popular each year in Niseko so perhaps there are some lessons to be learned here.

I also think it worth noting the accident percentages.  Falls counted for 44.6% of injuries and avalanche counted for 18.3%. So you are twice as likely to get in trouble with a fall than avalanche. They did however find that younger skiers are more prone to avalanche risk than older skiers so perhaps the salty old snow dogs experience helps the sniff out trouble early or they are just less likely to try dumb stuff.


I think the take message from this Swiss study to bring to Niseko is

  • Better gear does not trump experience or getting the right training. ( although you should have good gear too ).
  • Always go backcountry with friends that can keep you safe.
  • Re-assess your risk of falling. Are you skiing within your skill limits in the backcountry and are you carrying the gear to manage a fall properly.




January 20, 2020 Clinical0

Try our 2 hour bodywork treatments in Niseko.

Niseko’s Chiropractic’s mobile 2 hour session is really designed to have the time to go deep into long standing issues and also relieve tension throughout the body that can build up when you hit the ski slops again after a long break.

We can come to you and treat you in the comfort of your Niseko based accommodation.

2 hour extended chiro sessions in niseko

Prior to studying Chiropractic Brent spent years working as certified massage therapists in Australia and if you like your bodywork on the sports side of things that can really address old long standing injuries then our 2 hour session is for you.

Niseko Chiropractic takes the time to properly assess your bodies tension,movement patterns and then start to zoom in individual spinal segments specific joints and then tailor a treatment to best address your individual issues and problems.

If you are looking not just for a relaxation massage but a top end tailored bodywork treatment that targets your problem areas by an experienced practitioner then our extended sessions are you for.

You can see what others have to say about this treatment on our google business review page

To check the availability of Niseko Chiropractic and to book your appointment online go to the link below and select

Extended Mobile Body Work Session








January 8, 2020 Clinical0

If you were like me before I moved to Niseko there was always the issue of weather to transport your own gear or rent.

Obviously it’s better and often cheaper over the long term to ride your own gear and you can tune it to just your specifications but one big drag is getting trying to drag it through international airports often with family dangling off the other arm. I know for me the thought and cost of dragging all my gear around often lead me to rental decision on several trips.

There is a better way !

Recently a service has opened in Niseko where they can store your own gear right here in Niseko and delivery it your accommodation when you arrive.

This is not just for convenience. At least a few times a year Niseko Chiropractic is called upon to treat injuries created by snow gear before it even gets to the slopes. Carrying awkward heavy bags  can be a sure way to ruin a good Niseko ski trip before it’s even began.

You can learn more about the  Japan ski gear valet services based right here in Kutchan by going to




November 7, 2019 ClinicalNiseko life0

So what exercises work ?

A very interesting article was recently published in the British Medical Jounal.

They examined the important question of which type of exercises work best for chronic lower back pain ?

Should we be doing yoga, pilates strength training or Mckenzie extension exercises to help our lower back pain. We don’t have time for everything so what works the best ?

Lower back pain that last more than 12 weeks ( Chronic lower back pain ) is a huge burden to society. Although chronic lower back pain only makes up 20% of cases that present to us practitioners it makes up over 80% of the costs for the direct costs of low back pain and if you have chronic lower pain you know you would be happy to try anything for meaningful result.

Each week there seems to be a new ” miracle cure ” or celebrity exercise program that is going to cure all and make all our flabby bits go way. Should we be doing kettle bells squats or swiss ball situps ? what is really going to help ?

And The Answer ?

Well according to authors the good news is that almost all exercise programs that you can choose from tend to make a significant improvement but not 1 thing seems to be so much better than anything else (1) .

So if you already drawn to pilates and yoga and enjoy the social aspect of these programs then pick one of those and stick to it. Niseko has some great yoga and pilates programs running such as Powder Yoga and Yoga with Marika.

If doing some lower back exercises at the gym is more your thing then some good news there. They also seem to help so again there are some great options at the local Kutchan gynamisium or also I believe we know have a Niseko Crossfit opening in Kutchan.

Stretching by itself seemed to have very little improvement so if you are trying to treat your back pain just with stretches you watched from youtube you may have work cut out trying to get a good result.

The Mckenzie method which seemed to be darling child of rehab for few years got poo pooed in the study (1) My thoughts on this is that the Mckenzie method really seems to shine when you are dealing with a disc issue and much of non specific lower back does not really have a firm diagnosis so perhaps we may be making the sample size a little to general here. (1)

And The Winner ?

This study seemed to indicate that the pilates method seemed to yield the highest results but only by small margain against the others. The authors also sound significant improvements for mental health so if we can get off just looking at pain for a moment there are far higher reaching benefits to choosing an exercise activity that works for you.

Just my hunch but one reason I think the mat classes do so well is the social interaction and support you get from them. There is a big plus to exercising where you have friends waiting your attendance and have somebody to share a coffee with afterwards.

Even simple old arerobics seemed to get some positive results so even joining a fitness class or taking up light jogging my useful.

Us manual therapists also received a kick up the bum. It’s hard when research does not always agree with your clinical experience but if you are going to have some faith in the science then we are going to have to eat humble pie sometimes. As therapists we must try harder to incorporate exercise therapy into our treatments and also help hold the patients accountable for commitment to their chosen exercise program.

We must be a little cautious here. the beauty of the meta-analysis is that it allows a bit more power in finding what really works but the downside is that by throwing so many studies everything can get so generic that it can loose relevance to the actually condition.

This study only looked at ” non specific lower back “. If your therapist is confident of a structural diagnosis for your symptoms then some of the conclusions here may not be relevant for you. I’m thinking disc herniation or chronic SI ligament problems etc.

So the take home message for those in Niseko experiencing chronic lower back is that what is important is to pick an exercises intervention that works for you and stick to it.

In conjunction with a trial of manual therapy you will be well positioned to give yourself every chance of an active and enjoyable recovery.

If you would like to make an appointment with an English in speaking chiropractor in Niseko Japan you can do so on the link below








November 5, 2019 ClinicalNiseko life0

It’s long been established that snowboarding carries a slightly greater risk of injury that alpine skiing. A recent study found snowboarding carrying a risk of around 345 days of injury free days over season compared to 400 days for skiing (1).

You can see what injuries are more likely from each sport on a previous article here. But in a nutshell its wrist and upper extremity injuries that you are most likely to experience on the Niseko slopes.

The good news is that helmet use is now well over 60% with no significant difference between skiers and snowboarders and skiers and surprisingly the study found that both skiers and snowboarders were taking about the same level of risky lines and challenges.

But there still seems to be a difference in their injury rates !


But why ?

Some recently published from Austria ( it figures ) has shown there may be a more interesting reason snowboarders are more prone to injuries.

Some of them may be ” on the turps ” as us Australians may say. Snowboarders reported that 45% of them had been on the booze at least once over the previous 5 skiing days ( only 25% for skiers reported to be drinking ) (2).

This is kind of important as research from the Dolomite mountain seasons in 2009 showed that of 200 snowboarding accidents that presented to the local hospital for snowsports injuries a whopping 43% had high blood alcohol levels. So getting on the booze increases your risk of a snowsport injury substantially ( 3).

It’s so tempting to booze up here in Niseko where some of the sweetest tasting beer in the world is available icy cold and cheap from every vending machine all over the slops but with the added risk of dehydration you are really much better off leaving your drinking and partying down below.

There are no good easy or cheap accidents on the snow and an off piste injury can leave you in world of physical and financial pain, even if you have travel insurance.

So stay safe and do your partying in Hirafu or Kutchan. And do some for me too.





2. Int. J. Environ. Res. Public Health 201916(20), 3807;

3. Gaudio, R. M., Barbieri, S., Feltracco, P., Spaziani, F., Alberti, M., Delantone, M., … Avato, F. M. (2010). Impact of alcohol consumption on winter sports-related injuries. Medicine, Science and the Law, 50(3), 122–125. doi:10.1258/msl.2010.010007


November 5, 2019 Clinical0

New Research On Knee Pain


If you are struggling with Patelo-femoral pain ( runners knee ) if your lead up to the Niseko Ski season you are not alone. It’s a very common condition that can shorten your time and enjoyment on the ski slopes.

Get to work on those hips

Some interesting research has just been published on the importance of exercising the entire kinematic chain. The authors did a study of many other studies ( a meta-analysis) and found that your knee pain is likely to resolve better when you work strengthening the hip muscles ( specically the abductors that pull your legs sideways )  as well as just the flexors and extensors of the knee in your pre Niseko workouts.

The take home message here is ( and we have said it before ) that you should not only focus on addressing the joints that are pain but look making sure your entire bio mechanics are doing the right thing by you. One of my mentors used to say ” the knees are the punching bags of the body ” so if you have problems somewhere else they are often the place that you feel the blows.

You can see a link to the full study on the link below


In the meantime here so some suggested abductor strengthening exercises that may be beneficial to incorporate into your knee conditioning routines








September 28, 2019 Clinical0

Some interesting research has just come out from the Netherlands.

They did a 1 year follow up with patients that presented with severe lower back pain with nerve impingement often known as ” Sciatica “.

What the researchers found that was after a 1 year follow up there was no correlation between the ongoing presence of a disc herniation and the persons pain level.

The implication here for us humble clinicians is that the physical presence of a disc herniation 1 year after incident is not really a good way of determining in itself whether that disc herniation is actually causing the patients pain and discomfort.

More and more research is now coming in that pours cold water on the notion that we can rely on imaging findings alone to make recommendations and predictions about the best treatment and chances of impairment.

Pain and disfunction are really complex things with many variable coming into play and it’s clear that us practitioners for too long have been giving too much weight to the structural and imaging side of the coin. But let’s through any babies out with the bathwater just yet. MRI imaging has been a great tool in the mix of understanding and helping our patients problems. It’s just not the be all and end all.

You can read the full study here if you are interested


Just a reminder that Niseko Chiropractic is still open over the shoulder season for evening and weekend appointments.


To book online please go to



June 17, 2019 Clinical0

There has been a been a lot of talk about the risks of sitting lately. Some commentators have coined the term ” Sitting is the new smoking ” and certainly the research does support the large health risk of sitting too much correlates with poorer health outcomes (1).

But the plot thickens when we start to look further.

How much of the health risk is due to the sitting itself and how much is just because people that sit more tend to exercise less ? What about to standing workstations ? Do they actually help reduce our risk or are they just a fad ? Once again we need to turn to the research to cut the wheat from the chaff.

The dangers of sitting too much

In 1953 Morris (2)  published a paper in the prestigious medical journal ” The lancet “.

Morris noted that bus drivers in the 1950’s had far more heart disease than bus conductors. This was interesting. They both worked identical hours and shared almost identical work environments and backgrounds. The main difference seem to be that one group was sitting and one group was standing. Was sitting causing their heart disease ?

Fast forward to 2016 and several papers did some large meta analysis and it seems yes that too much sitting was associated with a range of problems from Heart disease, to type 2 diabetics and obesity (3).

But the interesting question still remained. Is it the sitting itself that causes the problem or is it the lack of physical activity associated with the sitting that causes that leads to poor health ?

Maybe both ?

Well the research at this point is divided with some experts claiming that doing exercises does not offset the dangers of sitting whilst others claiming daily exercise can mitigate a lot of the the dangers of sitting.

Dr. Alter and colleagues conducted a meta-analysis ( where they study other studies ) of 47 studies that tracked groups of people who reported data on how often they spent sitting and on how much exercise they took.

They found that people who were the most sedentary were more likely to be diagnosed with type 2 diabetes, cardiovascular disease and various cancers, including breast, colon and ovarian cancers. The most sedentary people were also 24% more likely to die during the studies than participants who spent the least amount of time sitting.

Although this association was much stronger among people who spent little time exercising, the study also found that too much sitting time was associated with poor health outcomes, regardless of physical activity (4)

Alter was of the opinion that exercise alone does not reduce the health risks of sitting. He believes we actually need to sit less.

In 2016 a much larger study was published by Owen et al (5) in the reputable journal The Lancet that found that moderate activity ( about 60 to 75 minutes a day ) does seem to offset the health risk of sitting in regards to death rates. They did find however that if you watched more than 3 hours of TV a day then even moderate to heavy exercise did not offset the health risks of the sitting.

So they researchers are still a little divided about whether sitting itself is the issue or if is sitting is a co-founding variable associated with the real culprit, lack of enough activity.

I think it’s safe to say that we should all be aiming to try to get an hours walking in more days than not and also minimizing or at least having breaks with the amount of sitting we need to do over the day. A short walk to the water fountain to bitch about a c0-worker may be healthy.

What about standing workstations

It seems like an obvious solution. If sitting is causing the problem then why not just stand ? The sitting/ standing workstation became an overnight sensation in the corporate world with some pretty hefty price tags too.

The interesting thing here is the jury is still out on weather standing workstations make much of a difference. Surprisingly little research has been done to date on whether a standing workstation is really a viable alternative to combat the risks of sitting.

A Harvard study found that when you sit you burn about 80 calories an hour and when you use a standing workstation you use about 88. Over a 3 hour period this relates to about the same energy difference from eating a carrot ( 6). The authors concluded you would be far better off doing a short walk in your lunch break.

And just to make things even more spicy…….

Maybe standing still all day at a workstation is not that good for your either ! One study find that finding that occupations involving predominantly standing were associated with an approximately 2-fold risk of heart disease compared with occupations involving predominantly sitting (7). With all the media attention on the dangers of sitting some authors noted a gap in the research knowledge on looking at the risks of standing.

Again it seems like gentle daily exercise may be worth impliementing first before you worry about rushing out to purchase a standing workstation.

In conclusion it’s probably safe to say that an doing a job where you sit all day is a risk to your health and this becomes far more serious when you are not doing enough exercises.

So get out there and move more !



  2. Morris JN, Heady JA, Raffl e PA, Roberts CG, Parks JW. Coronary heart
    disease and physical activity of work. Lancet 1953; 265: 1053–57.
  3. Ekelund, U., Steene-Johannessen, J., Brown, W. J., Fagerland, M. W., Owen, N., Powell, K. E., … Lee, I.-M. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 388(10051), 1302–1310.doi:10.1016/s0140-6736(16)30370-1


June 17, 2019 Clinical0

With the DIY revolution now in full swing many people are now getting familiar with power tools previously left in the hands of licensed professions. Whilst doing some jobs yourself can save you a lot of money and also be very rewarding there are some risks.

A recent study (1) examined the use of power tool injuries causing hospital admissions from 2005 to 2015 and examined what the risk factors are in injuries leading from accidents around power tools.

So what are they ?

Firstly having a penis seems to be a massive problem. Males accounted for 96% of power tool injuries compared to only 4% for females.

So if you do happen to have penis be aware that you are are far more likely to have a power tool injury. The idea that just being male allows you to use power tools safely is unfortunately a dangerous myth.


“The wise rest at least as hard as they work.”
― Mokokoma Mokhonoana


Something interesting happened on the 28th of May 2019.

The World Health Organisation (WHO) officially recognized and classified workplace burnout as a Occupational phenomena but they did stop short of classifying it as full disease (2).

For those interested ” Burnout ” is now officially defined as by the WHO as

Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions:

  • feelings of energy depletion or exhaustion;
  • increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job; and
  • reduced professional efficacy

If you are suffering from 3 of the above criteria it’s possible you may actually be suffering from burnout.

It’s important to note that burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life.” (1) This is important to note as there is a lot of overlap between burnout and other conditions such as depression so i think the WHO got this right in seeking to limit the definition of burnout to just the workplace.

This is still a significant step forward as clearer terminology leads to better studies and hence better solutions to this perplexing problem. It’s likely as this important topic gets more attention we can better manage burnout and its implications.

Let’s talk more about Burnout

Having experienced a burnout last year I now have more than academic interest in the topic.

The movies like to depict a sudden snap where all of sudden you are wearing your pajamas to work and making goodbye speeches standing on your desk.  The reality is far more boring. And depressing.

You find yourself tired all the time, growing increasingly disconnected from you work and meaning that you attributed to it. Your coping mechanics such as a quick holiday or a few cheeky bevies on the weekend that used to see you through no-longer seem to be effective and in some cases just make the problem worse.

In his classic “The E-Myth Revisited: Why Most Small Businesses Don’t Work and What to Do About ItMichael Gerber talks about another peak in business failure rates around 5 years. It’s not because the the business was unsound, it was financially viable and had found a niche to service and generate income. It had survived the dreaded start up phase. But it failed for another reason. The owner simply burned out from exhaustion.


May 28, 2019 Clinical0

The Rise of Chronic disease and what to do about it

Do you have any Nastie Oudours in your life ?

I don’t mean to ask a blunt personal question but this is important. We as a species have a little of bit of a problem here.

For the the time in human history we are getting sicker than previous generations.

Life expectancy in the US is now falling with life expectancy now down to 78.6 and falling each year its measured from 2016 ( 1). And even here in Japan, a country that is used to pride itself on how its population seemed to live forever is seeing a decline in its longevity with the average male now living 83.98 years (3) but this is no longer the worlds leading figures (2).

This is even more perplexing when you consider just how amazing some of the recent medical advances in the last few decades have been. We have seen the rise of HIV managed very well with antiretroviral drugs, artificial hearts, Hep C can be cured in some cases. Keyhole surgery and increased sophistication of some anti cancer drugs.

Yet even these can’t quite manage to keep us living any longer.


So what does this have to do with Nasty odours ?

Well the reason we are getting sicker is the change from people dying from Acute diseases such as infections, Workplace accidents, Tuberculosis etc to people dying from Chronic disease such as Diabetes, Obesity and Cancers.

The ” sweet spot ” between decreasing Acute and increasing Chronic Disease.


Australia has some of the worlds leading researchers into this problem such as Professor Gary Egger and what they are have brought up is the concept of ” Anthropogens“.

Most of of our theories about why we get sick are based on middle ages discovery and 19th century concept of Germ Theory ( 4). This basically states that a pathogen like a virus or bacteria gets into our systems and makes us sick.The founders of lifestyle medicine propose a new term ” Anthropogens ” which can be defined as ” man made environments that can be detrimental to human health ” (5)

That’s right.Humans themselves are making our environment around us unhealthy.

How are we doing this ?

If you add together all things we are doing as a species to make ourselves chronically ill you come up with the acronym Nasty Malodours.

See the graph below


This is really important work.

What modern researchers are finding is that things like relationship problems and poor sleep can be just as bad for your health as viruses and bacteria. In fact the components of Chronic diseases are now winning the battle for making our lives shorter and less enjoyable.


So what can we do ?

It’s worth having a think about your own situation and the Nasty odours in your life.

What factors have chosen to that you think may be contributing to own chronic disease risk ? Take the time once a month to give yourself and honest self audit of your situation.

  • Is your weight an issue ? That’s a very important area and one that affects many aspects of your life
  • Are you getting enough sleep  ?
  • Are you living work or working to live, does your life give you a sense of purpose ?
  • Do you spend too much time on your mobile phone ?
  • Are you eating poorly ?
  • Are you getting enough sunlight ? This can be challenge for those of us working in Niseko over the winter months.


If you take the time to address the Nasty odours in your life you stand a much better chance of not just living longer but living better for longer as well.






May 20, 2019 Clinical0


To stretch or not to stretch ?

Dotted all over the slopes of Niseko during peak season are ski schools packed with eager students going through a stretch routine before they eagerly start their lessons and start carving up Niseko, arguably the worlds most consistent powder snow.

The motivation is good and at first glance, it kind of makes sense. After all we care about our students and hopefully the stretches will help them avoid a ski injury and help them enjoy their time in Niseko and their snowboarding or skiing lesson.

But there is a small problem. It probably doesn’t work.


May 7, 2019 Clinical0

A great article was recently published in the British Medical Journal about how practitioners and patients should view osteoarthritis.

Certainly when I went through colleague we were taught that osteoarthritis is degeneration of the cartilage, it was irreversible and leads to pain and dysfunction. In short many medical, physiotherapy and chiropractic schools taught us that osteoarthritis was disease of cartilage.

But there a few problems with model. Firstly more and more studies are coming out that show that the correlation between the decree of tissue damage shown in your joint cartilage correlates very poorly ( if at all sometimes ! ) with the amount of pain and dysfunction a patient has.


May 1, 2019 Clinical0

What is Sacroiliac pain and why is it overlooked ?

Lower back pain is one of the most reasons a patient may present to a Niseko Chiropractor, physiotherapist or Osteopath for treatment. About 20-30% of the population will experience some episodes of lower back pain that just doesn’t go away so you are in good company (1).

What gets more interesting is what causes the pain. A most common folk diagnosis is to complain of ” Sciatica ” where the pain originates in the lower back and then refers into the hip and leg. But from a practitioners point of view sciatica has a more specific meaning. We would refer to sciatica when there a some pressure or irritation of the sciatic nerve, most commonly a disc herniation or protrusion. This commonly radiates right down the very back on the leg and can also often be associated with numbness and parenthesis and often severe pain.


May 1, 2019 Clinical0

Manual manipulative therapy may reduce fear avoidance in Chronic lower back pain.

Some very interesting research was just published in the ” Journal of Pain “. The authors looked at the effect of fear avoidance patterns in patients suffering chronic lower back pain.

If you do happen to suffer chronic lower back pain you understand that it’s not just the pain that gets you down but also the fact that you can become fearful to do movements that used to cause you no problems at all .In short you can can become scared to move.

April 25, 2019 Clinical0


There is a really easy way to increase your health dramatically that does not cost any money, does not require any sit ups or resisting chocolate. Do I have your attention now ?

Its sleep. It’s likely you are not getting enough both in quantity and quality.

Niseko Chiropractic recently made some simple changes by cutting out caffeine after 2pm, reducing alcohol in the evenings and tying to be in bed by 9pm and I feel a whole better for it. The results were obvious within a week or 2.

So why does sleep matter ?


April 13, 2019 Clinical0


One of the more exciting things to come along in the last few years is the new discipline of lifestyle medicine. This approach seeks to make changes in our lifestyle as ways to treat illnesses and improve health.

A recent study has found that just 20 minutes a day in nature can have a good effect of reducing cortisol and improving our well being. Yes there is benefits to more but the effect size is less. So based on this if you are a busy person try to aim for 20 minutes a day doing something in the outdoors that finds you peace.

You can read more on the link below




February 27, 2019 Clinical0

Well it’s now late February and the opinion from most old timers here is that the powder snow is now behind us for this season and we are probably in for an early spring.

That means some fast icy hard conditions for Niseko which also increases the chance of an injury.

Yes you need to practise falling in Niseko

What seems to be particularly vulnerable is injuries to the wrist and upper arm in snowboarding injuries.

A recent study in the literature found that nn a study evaluating 7,430 upper-extremity injuries  just under half of all snowboarding-related injuries involved the upper extremities, with male riders accounting for 74% of all injuries ( 1).

Fractures and injuries to wrist make up 21% of all snowboarding injuries ( 2) and often top the list as the most common snowboard fracture. So it pays to protect the wrist. Wrist guards can certainly play a role but the best thing snowboard instructors can do is teach there clients how to fall.


February 18, 2019 Clinical0

Does it really help to get ” Tune up ” treatments ?


Mmmmmm here is a can of worms.

It’s not uncommon for many chiropractors to advocate the idea of Maintenance care.

At first glance it seems a perfectly plausible idea, much like getting maintenance on a car maintenance on your body should catch problems problems before they present and symptoms and lead to better movement and less pain and suffering.

But does it ?

To quote probably the world’s leading spinal pain research Stuart Mcgill ” It depends ” .

Contact us

Please do not hesitate to contact Niseko Chiropractic if you have any questions.We apologize in advance if there is some delay in our response during peak periods. You can contact Niseko Chiropractic at


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