Niseko Chiropractic Updates

NEWS AND ANNOUNCEMENTS

Stay in the loop with information about whats happening at Niseko Chiropractic


Subscribe to news from Niseko Chiropractic

067A0065-copia.jpg

July 2, 2020 Niseko life0

Short Massage Course In Niseko

リラクゼーションマッサージワークショップ開催のお知らせ

パウダーヨガでは7月18日(土)、19日(日)の午後6時から9時にかけてリラクゼーションマッサージワークショップを開催します。
このコースはイントロダクションコースです。一連の流れを学ぶというよりもそのコンセプトを知り、いくつかのテクニックを学ぶものとなります。コース期間中は様々な体型に対してたっぷりと練習を行い応用技術を学びます。マッサージの経験や解剖学の知識は必要ありません。

日程:2020年7月18日(土)19(日)午後6時から9時 全6時間
※コースは英語で進められます

講師:ブレント ヴァーコ(ニセコカイロプラクティック)
オーストラリア公認カイロプラクター。
リミディアルマッサージ(治療を目的としたマッサージ)と解剖学を12年間教える。

持ち物:マッサージテーブルはこちらでご用意しますが、大判バスタオルと枕および枕カンバーは各自ご持参ください。ご希望の方にはワークショップの最後にマッサージテーブルを割引価格でご提供します。

参加人数:10名のみの少人数クラス(残席6となりました)
料金:12,000円

お申し込みご希望の方は以下のリンクから詳細をご覧ください。
また、コースに関するご質問はブレント ヴァーコ info@nisekochiropractic.comまでどうぞ。

場所を予約する: https://instabook.io/s2/powderyoga?Cla=1593556827184×950665236782252000

Niseko Chiropractic in conjunction with Powder Yoga is excited to launch our first introduction to relaxation massage workshop. This short course will give you the practical info you need to give a high-quality massage to friend or partner. The powder yoga massage 6-hour workshop will run on Saturday and Sunday the 18th and 19th of July form 6pm-9pm.

The course will run over 2 evenings with 3 hours per session. No previous massage or anatomy knowledge is needed but you will get more out of the experience is you have had some previous related training. The focus will be on concepts and applying specific techniques rather than running through a set routine.

You will have the chance to work on various body types and there will be plenty of time to allow for practice and refinement of techniques in the sessions. The workshop will be facilitated by Brent Verco from Niseko Chiropractic who has a 12-year background in teaching remedial massage in Australia as well as anatomy at a university level. Massage tables will be provided but please bring your own sheets and pillows.

There will also be an opportunity to purchase some tables at a discounted price at the end of the workshop.

This workshop is strictly limited to the first 10 participants. To register your interest please click on the link below. If you have any specific questions about the workshop content please contact Brent directly on info@nisekochiropractic.com

We currently have 6 spaces remaining and you can book on the link below. Please note that due to system limitations it only shows the course running on the Saturday evening but rest assured it will be running from Saturday and Sunday from 6-9 pm.

 

特定のコースの目的
この短いコースでは、安全にテーブルをセットアップし、友人やパートナーに全身リラクゼーションマッサージを提供するのに適したタイミングとタイミングを判断するための入門的な基本スキルを習得します。

基本的なマッサージテクニックを身につけ、身体の最も良い場所を確認して使用します。また、脆弱な解剖学的構造が存在するため、マッサージしてはいけない場所もカバーされています。セラピストへの関節の損傷を最小限に抑え、より効果的な圧力の伝達をもたらす正しい技術の利用に重点が置かれます。
ワークショップの詳細な説明

1日目:午後6時〜午後6時30分簡単なハウスキーピングとワークショップのルール、簡単なガイド付き瞑想と紹介。
1日目6:30-7:30pm背中と首のマッサージの概要。
1日目7:30-8:30pm後脚と腰をマッサージします。短い休憩とレビュー。
1日目8:00-8:30pm練習、質問時間、いくつかの「取引の秘訣」
2日目:午後6時〜午後6時30分クイックハウスキーピングとワークショップのルール、簡単なガイド付き瞑想と紹介。
2日目6:00-6:30pm足と腰の前のマッサージ
2日目7:30-8:30p頭、首、腕、手。
2日目8:30-9:00pm足の紹介とその後のフリープラクティスの時間。もちろん、今後のワークショップで利用可能ないくつかのオプションについてフィードバックを受け取ります。

three-person-lifting-barbels-thumbnail.jpg

June 26, 2020 ClinicalNiseko life0

How important is training to failure ?

I have a confession to make first.

I have not been back to the gym since the Corona Virus shutdown my favourite little weights room at the Kutchan gym. You can see updated status on the Kutchan public gymnasium on the link below

https://www.town.kutchan.hokkaido.jp/culture-sports/sports-shisetsu/kucchan-taiikukan/

Sure there are plenty of other options here in Niseko and Hirafu, but I am still a bit lazy and enjoying a good excuse to delay rehabbing my dodgy knee conditioning my joints for the stresses of doing Chiropractic and bodywork all day.

When I was training last summer season there was a school of thought going round the gym and probably every gym that you really need to keep pushing your reps until you fail, until you are not able to squeeze out even one more press. That was the point that you had a short rest, then repeated the movement. It was based on the idea that by pushing to failure you are more likely to cause the micro-damages necessary to cause muscle hypertrophy and also help train your nervous system to better at muscle recruitment.

Here is the interesting thing. that theory has not been tested by science as much as you think it would have by now. A brilliant study was just published by Lacerda et al ( 2020) that looked at the effect of weight training to failure verses just doing an equal amount of reps overall but not pushing up to the point that you simply can’t perform one more press.

And what did they find ?

The good news is they both work.

If you start training regularly you will get stronger. This is also suits the findings or other research looking at number of reps verses amount of weight etc. Whatever you end up doing. If you do resistance training regularly you will stronger and the difference between various methods may not be as much as we think.

What Lacerda’s study did was divide the group of 10 untrained me in to 2 groups. Over 35 training sessions one group pushed right to failure the other just did the same amount of reps but with a little more rest. Interesting for about 50% there was no difference whilst some individuals found a small difference with some getting better results with going to failure, others getting better results just doing the volume.

But the take of the home message of this study has to be that it’s really the volume and number of training sessions that seems to be more important that if you go to failure or not. This is certainly new news to some gym folk law that is still passed around. The caveat here is still need to be putting in a hard effort however, please don’t misinterpret this message as ” working hard doesn’t matter ” it’s just we are trying to tease out just how important it is if go right to point that we simply can’t perform the last rep.

The findings of this study may be particularly interesting to you if you rehabing an injury. Obviously by pushing to failure there is much high chance of loosing good form in our lifts and also becoming unstable and risking further injury.

So if you are comfortable training to failure and can maintain your good lift form even at failure you are probably just fine to keep on going the way you are, but if you are new to weights, nursing through an injury or worried you may slip and fall then you can pull back from this brink and know you are still getting a great workout.

Niseko Chiropractic can provide quality chiropractic and rehab and consultations are now available at The Studio in Kutchan where Powder yoga runs from.

To make booking go to

www.nisekochiropractic.com/appointments

References

Lacerda LT, Marra-Lopes RO, Diniz RCR, et al. Is Performing Repetitions to Failure Less Important Than Volume for Muscle Hypertrophy and Strength?. J Strength Cond Res. 2020;34(5):1237-1248. doi:10.1519/JSC.0000000000003438

Pubmed link: https://pubmed.ncbi.nlm.nih.gov/31809457/

 

 

 


screen-shot-2015-08-28-at-11-08-33-am1.png

June 24, 2020 ClinicalNiseko life0

Are compression stockings worth the money ?

 

Ok I am going to say it again.

I’m sorry its like some sort of Niseko Chiropractic tourette’s syndrome.

Do they work ? Sorta.

A recent meta-analsysis was recently published in the Dove Open access Journal of sports medicine that reviewed 21 studies on the usefulness of below knee compression stockings in athletes. If compression stockings are going to be useful they are going to have 2 benefits

  1. Increased performance in competition
  2. Decreased recovery time

What the authors found in a nutshell was that 3 studies out of the 21 showed some performance improvement and others showed mixed or neutral results.

However many more studies found that there was better evidence to support the idea that compression stockings may reduce the number of hours needed for recovery and also decrease the pain from delayed onset muscle soreness associated with high level competition.

So if you are comfortable wearing them in competition and find them helpful then it may be worth considering them but it seems the current evidence casts doubt that this action alone is going to send you to the front of the pack.

On the recovery side of things there is stronger evidence to support their use after competition to improve lymphatic flow and aid circulation.

You can find the link to full study below

https://www.dovepress.com/effects-of-wearing-compression-stockings-on-exercise-performance-and-a-peer-reviewed-fulltext-article-OAJSM

 

If you would like to schedule an appointment with an english speaking Chiropractor in Niseko, Annupuri or Kutchan you can do so on the link below

 

www.nisekochiropractic.com/appointments


covid-1200x675.jpg

March 25, 2020 ClinicalNiseko life0

What does Coronavirus mean for Niseko ?

 

Nobody really knows where the Covid-19 pandemic is heading for Niseko. Let alone me.

A worldwide pandemic of this nature has not been seen since the Spanish flu of 1918 which was still holds the unbeaten record of killing the most humans in one sweep with 50 million lives being taken (1) . Thankfully Covid-19 is far more mild but still a serious concern.

But some of us here in Niseko do not have the luxury of throwing up are hands and saying “well we will just see what happens”

Businesses here must plan for the future and that means having some sort of model or thoughts ( even if they change quickly ) on how this will likely pan out.

I must also add the caveat that I am not suitably qualified to write on this topic and this is my non expert opinion. I’m just trying to get my head around it all like everybody else.

It’s entirely possible that by the you reading this some of the content may be out of date and superseded with better knowledge. However I do have some background in health research and in the absence of somebody more qualified (who I hope turns up soon ) perhaps this little article may at least get us asking the right questions.

It’s also been a very emotional journey for all of us Niseko locals.

If feels like our little hedonistic Niseko bubble where we could just hide from the cruel world, discover our inner child again, let out a yippee !! and slide down the pow then party after has been burst.

An entire seasonal staff crew was laid of early and there is now sadly some downsizing already of some valued year round staff identities as the Niseko comes to grips with a cessation of international tourism for the time being.

What was already a season of marginal snow quality ended sharply in a way we could never have imagined. Stories from our friends and family back around the world regarding job looses and economic hardships also weigh on our minds. And it’s only just began.

Getting to the meat and potatoes.

What is Covid-19 and what does it mean for Niseko ?

I think this question is best split into 2 parts

  1. The Health implications for the Niseko region and Japan in general
  2. The economic impact of Covid-19 on Niseko and it’s implications for next season

1. Covid-19 health implications on Niseko and Japan

coronavirus 2 (covid-19 ) was first identified in Wuhan in Dec 2019 spreading quickly through China resulting in the world health organisation declaring it a pandemic on the 30th of January 2020 (2)

But firstly what makes Covid-19 a nasty little critter are 3 things

  1. For most it’s just a nasty flue but In a very small minority of cases Covid-19 can result in a viral pneumonia which essentially means your drown in your own lung fluid if you can’t get access to an ventilator. Covid-19 is deadlier than the seasonal flu so forget those bloggers trying to play it down but It’s nowhere near as deadly as ebola and would not be usually such a big problem if was not for point 2. Which brings us to…….point 2
  2. Covid-19 is relatively easily transmittable. Epidemiologists have used the term R0 to describe how easily transmittable a virus is. It’s essentially how many people you are likely to affect once you have it. For covid-19 that number is estimated to be somewhere between 1.5 and 3.5 people depending on your source ( 3 )

So if you have Covid-19 it’s likely on average that you pass it to 1 to 3 of your friends. That’s actually not as high measles (12 to 18 people ) which is really contagious before vaccination started but it’s still pretty high (3).

And that brings us to the topic of exponential growth. There is an old myth that the inventor of the game of cheese requested his payment from the king be a single grain of rice placed on a chess board. So on sqaure one would be one single grain, sqaure 2 would contain 2 grains, square 4 would have four grain. By the end of the chesboard the king was unable to pay as the rice would cover the entire continent of India deeply and be greater than the worlds rice production by several thousands of times.

A great video about exponential growth and it’s implication for viruses can be found here

3. Last point 3. Covid-19 has another secret weapon compared to other viruses doing the rounds.

It has fairly short serial interval (4)  This is the time it takes for one person to start to get symptoms before the next person gets symptoms. Say you contracted Covid-19 on Sunday. By about friday you are developing symptoms. But you already gave it your friend Jake on Wednesday before you developed symptoms. Jake starts to feel crappy by the following Tuesday but has already passed it Sally on the weekend.

So the serial interval of Covid-19 is about 4 days.(4) from the time you got symptoms on Friday to the time that Jake got symptoms on Tuesday. The implications of the short serial interval is that means Covid-19 is sometimes transmitted by individuals that do not have symptoms at the time.

A recent study from the Diamond Princess that made the perfect controlled environment for study estimated that the asymptomatic transmission rate of Covid-19 is about 20% (6) so there is a 1/5 you will catch or give the virus to somebody else before either of you know it.

This has implications for Niseko employers and accommodation providers too. Screening for symptoms is still going to miss 20% of possible transmissions of your guests and staff. We still need to be cleaning like crazy to minimize transmission risk.

So now we have a virus that is relatively nasty particularly for elderly, is transmitted up to 3 people on average and is hard to detect because you get it from people that are not displaying symptoms yet. Oh goodie.

So where are we now  ? By the time you read this graph it will be well out of date but it does demonstrate just how quickly this have grown around the world since Dec 2019.

Source: https://www.worldometers.info/coronavirus/coronavirus-cases/

It’s also very interesting to see the different rates between vary countries. Researchers are scrambling to try and explain the differences and probably making some mistakes along the way but it’s going to a be complex interplay between geography, population density, climate,culture etc.

The good news that must viruses tend to mutate and burn out long before we are able to come up with vaccine. There is some pleasing news from China and South Korea that peak infection rates may have already occurred. The jury seems out on how long new hotspots will keep emerging there as public freedoms increase again.

So how does this effect Niseko and Japan ?

There is some good news here. Japan has not seen the crazy growth of Italy Iran or the US and in fact has not even seen the moderate growth of Australia. As of the 13th of March Japan has 1307 cases (7)

Source: https://www.statista.com/statistics/1096478/japan-confirmed-cases-of-coronavirus-by-state-of-health/?fbclid=IwAR2BF-BgCwjHPbjwmCt5XY6rcUgXX0VzLR3LBRC915g871906S3e6pIHr5A

For Hokkaido we seem to be steady over the last week or 2 as of the 26th of March at 163 cases but only 2nd to Tokyo as being the highest in Japan (7). Japan seems to be doing a pretty good job of ” flattening the curve” with the culture of cleanliness, social distancing and adhering to government advice far better than other countries.

Perhaps the culture of not shaking hands and not socializing as much has helped. As the husband of a Japanese wife I can tell you how hard it is to get somebody around for a dinner party !

It’s too early say for sure but It’s entirely possible and maybe even likely that Japan may be able to quell the rate and dodge an economic bullet that smashed europe and now the US.

Niseko has been all but shut down to international visitors and with domestic tourism not due to pick up until July anyway we have a nice little window of quiet and less humans moving through here so that should aid containment a lot.

Should Japan see an exponential rise in cases they are also better placed to handle it than many countries with a good track record of handling disasters and one of the highest rates of hospital beds of 13 per thousand in the western world (9)

Some bad news: Japan was slow to start test and still does not have a high testing rate. South Korea over the last month was testing at rate 10 times higher than Japan (10). Japan also has not taken the kind of action as Australia and New Zealand such as limiting public gatherings etc.

Tokyo’s population density is one of the highest in the world and I think those will be the figures to watch closely to see if Japan can bring this back under control.

Should Japan see a rapid rise it also has larger problem than many other counties. It has a very high percentage of elderly and high risk patients. over 28% of Japan’s population are over 65 and 14% are over 75 (11). Should Covid-19 take hold in japan the death rate would far higher than average than purely based on the age distribution.

Japan in my mind does not have the option of the ” herd immunity ” strategy that was briefly discussed by the UK and now seems to be considered by Trump as a possible strategy for the US.  They must stamp this out at any costs.

In Kutchan the main town services Niseko the number of people over 65 makes up 60% of our 15,000 odd population( 11)  and the effect of outbreak would be a little ugly.

Japan can’t afford to be complacent and although the rate is far lower than other countries cases are still growing daily and I think we can expect pretty draconian action from the government such as limited travel over prefecture borders etc should number of cases build over a few thousand in the next few weeks.

So in summary my current read on the health implications for Niseko is we have a good chance here in Hokkaido of bringing this under control by the end of summer (13) but if we see sharp rise in the mainland I think we should prepare for a similar journey that western countries are now starting to live through with tight restrictions on public gathering and hospitality to come under lockdown too.

So that concludes my thoughts on the health situation and risk but what about the econcomic impact to a small Ski town that depends greatly on international tourism ?

 

The economic effect of Covid-19 on Niseko

 

Without yet knowing how this is going to pan out in Japan and Hokkaido it’s really hard to say but I think we can start to draw some conclusions for the implications for next season.

I think it’s fair to say that distantly viewed in the scheme of human health threats Covid-19 is getting an unfair amount of coverage.

In 2018, there were an estimated 228 million cases of Malaria worldwide and the estimated number of malaria deaths stood at 405 000 in 2018 (15) but the economic hardships will be very real and very pressing and I think still not fully appreciated.

The UN is anticipating the effect of Coronavirus on the world economy of 1 Trillion dollars (18) with global production . I don’t even know how much a trillion is so I had to write it down.
1,000,000,000,000. You could give ( or perhaps more accurately take ! 1 million dollars from one million people !

I think the 3 key questions are

  1. Can people even get to Niseko ?
  2. Will they want to ?
  3. Can they afford too ?

Can our international guests even get to Niseko ?

1. Many international airlines will collapse. Qantas in Australia just laid off 20,000 flight staff and grounded it’s entire international fleet (12). The larger airlines are seeking government bailouts of up to 50 billion of taxpayers dollars and may likely get them but many smaller operators that our guests use for those affordable direct Niseko flights will sadly probably collapse.

Government travel bans on hotspots such as China and Italy seem likely for many months yet and as of the 26th of March about half of the international flights scheduled out of New chitose are cancelled and the recent boom of options for international flights into Niseko is going to be over for probably a few years.

It seems likely that travel bans will start to be lifted after Japan’s peak infection rate tipped to be around late April and last until August (13)  but the worldwide trend towards maintaining self isolation after international travel may be with us for 6 months or more so I think it’s likely that we can dismiss any chance of much summer international tourism in Niseko purely based on the physical logistics of getting here.

Winter should be possible if the rest of the world also peaks around May but again I think we need to see the removal of the 14  day self isolation rule that many countries have imposed for some time before we see chance of a viable winter season again. I can’t imagine punters wanting to sit around their hotel rooms for 14 days before they hit the pow.

By June we should see what the trend is here in regards to government policies on travel over our precious booking window but the chances of any bookings coming in early for next season seems greatly reduced. Needless to say heavy restrictions still in place by December on international travel would catastrophic for Niseko and it’s economy.

Do they want too ?

It’s no doubt the world has changed.

The effect of Covid-19 is probably the most significant event in consumer behavior since the great depression. I think we will see a lot less buying on credit for nice things like holidays and much less buying in advance and people may feel that travel now has risks in both personal and economic security that will be with us for some years yet.

Many consumers will have lost money on overseas holidays and will rightly be asking themselves ” What’s the real advantage of booking ahead at the moment ” and is travel going to increase my chances of acquiring an infection. You can bet our bastard insurances companies are busy changing policy wording to make getting healthcare from Covid-19 whilst traveling that little bit trickier too.

Given that most businesses are looking at reduced occupancy rates perhaps it worth reviewing cancellation policies to allow a full refund for anything but very last minute cancellation if there is any chance of getting forward bookings for the next season ?

It seems going to be a bumpy ride with a lot of uncertainty and last minute bookings and this is going to make planning for staff numbers very tricky indeed.

But let’s remember too. People have short memories and us humans are not very good at panicking for that long.

The pow in Niseko is not going anyway and many astute snow lovers may realise that next season may be a very good chance of seeing a significant improvement in the crowd factor that quickly chops up Strawberry fields !

Can they afford too ?

By now it’s becoming apparent just how bad the effects of some of the some of the government polices on controlling the outbreak have had on economies. Australia’s unemployment rate is forecast to go from 5 to 11% and the amount of disposable income is going to drop to a trickle (14). The effect of restaurant closures and the hospitality and tourism sector is going to be brutal.

There is also the effect of exchange rates to consider. In times of global uncertainty the Japanese Yen grows strongly in value and this will make the average ski holiday a few thousand dollars more expensive that it was last season. In March 2019 the rate was 80 yen per dollar but that has now dropped to around 60 and this may be a factor in the affordability of Niseko.

I think it’s fair to say for the average Aussie family that did the odd Niseko holiday that next season just got a little trickier.

But Niseko has been changing. The “average ” Australian ski family now makes up a smaller proportion of our international guests as interest from the top end of town from China and South East Asia and I  there will still be no shortage of demand from the wealthy for a trip to Niseko even in times of economic uncertainty and job losses.

Perhaps it’s also time Niseko concentrated on an unfairly neglected part of it’s success.

Japanese domestic tourism.

In all our interest to bath in our new found glory as the Swiss alps of Asia have we treated the Japanese tourist as well as we should have ? I remember one of my wife’s friends being upset that no staff in her hotel she checked into spoke the language that should be used here. Even now I still have not got around to making a Japanese version of my website.

Can we lift our game to cater better to the people that allowed Niseko to get established as the worlds best powder resort ?

Anyway more questions than answers perhaps on all of this and I would to wish everybody the best of luck in getting through this together and also remind you and me and that as long as the slopes stay steep, the powder stays deep and mount Yotei humbles us we will get though this.

Oh and Kutchan has it’s own toilet paper factory !

 

References

  1. https://en.wikipedia.org/wiki/Spanish_flu
  2. https://en.wikipedia.org/wiki/Coronavirus_disease_2019
  3. https://labblog.uofmhealth.org/rounds/how-scientists-quantify-intensity-of-an-outbreak-like-covid-19
  4. https://www.medicalnewstoday.com/articles/covid-19-study-estimates-rate-of-silent-transmission#Silent-transmission
  5. https://www.worldometers.info/coronavirus/coronavirus-cases/
  6. https://www.ncbi.nlm.nih.gov/pubmed/32183930
  7. https://www.worldometers.info/coronavirus/#countries
  8. https://www.nippon.com/en/japan-data/h00657/coronavirus-cases-in-japan-by-prefecture.html
  9. https://www.japantimes.co.jp/news/2020/03/20/national/coronavirus-explosion-expected-japan/#.XnvREYgzY2w
  10. https://japantoday.com/category/national/japan-testing-for-coronavirus-at-fraction-of-capacity
  11. http://www.stat.go.jp/english/data/jinsui/tsuki/index.html
  12. https://www.news.com.au/travel/travel-updates/health-safety/qantas-cancels-all-international-flights/news-story/14d299feb2609c9e13d45033a278f93d
  13. https://mainichi.jp/english/articles/20200306/p2a/00m/0na/029000c
  14. https://www.bloomberg.com/news/articles/2020-03-24/australia-unemployment-to-soar-to-11-1-by-june-westpac-s-evans

 


021512_Airbag_Gear_ABS.jpg

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.

References

 


Miyoshi-Shrine-sapporo-japan_800.jpg

January 9, 2020 Niseko life0

Just a courtesy note to let current and future clients of Niseko Chiropractic that we are unavailable to provide consultations until the 12th of Jan as we are on a family visit to the amazing Sapporo city.

 

We will resume usual hours from Monday the 12th of Jan.

Wishing you all a happy 2020 and for those that are skiing niseko we hope some more of that famous Niseko powder falls soon.

 


images-1.jpg

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

www.nisekochiropractic/appointments

 

 

References

  1. https://bjsm.bmj.com/content/early/2019/10/28/bjsports-2019-100886

 


images-2.jpg

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.

 

 

References

  1. https://journals.sagepub.com/doi/10.1177/0363546511433279

2. Int. J. Environ. Res. Public Health 201916(20), 3807; https://doi.org/10.3390/ijerph16203807

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


burnout-stress-pexels-1280x720-1200x675.jpg

“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.


niseko-Massage-water-park-1200x900.jpg

Five things not to miss in Niseko

I can’t help feeling a little proud of where I have chose to call home. It’s hard not to want to play tour guide sometimes but thankfully I do get asked what people should try and and see whilst they are here.

This is only a start but if you do visit Niseko here are 5 things in no particular order that I would try and see whilst you are this beautiful part of the world. All these places can be accessed in both winter and summer.


nisekotown-1200x800.jpg

January 28, 2019 ClinicalNiseko life0

Staying in safe whilst out and about in Niseko

Recently I have been treating a number of injuries that occurred not on ski slopes but either on the way to ski slopes or more likely from the way home from the bar !

This brings us to an important and overlooked topic.

How to walk safely on ice and snow.

Ice falls in Niseko can be nasty.

It’s very easy to fracture a wrist or collarbone as you instinctively brace yourself from going over. Ice is an incredibly hard and unforgiving substance and with temperatures often sitting well below zero here in Niseko for most of the winter you are going to see a lot of it. Lower Hirafu can be particularly treacherous.

Sure you think you can walk. You probably a great walker and been doing it without thinking since you were a baby.  But millions of years of evolution has led to humans having a truly remarkable gait that is not well suited to snow and ice.

What do I mean by this ?

Walking is essentially falling forward and catching yourself each time. To do this safely we rely on the friction generated from the back foot to drive all the the front foot to launch forward and catch us before we fall flat on our face.  This gait is very efficient and one of the reasons it allowed our ancestors to move and spread to all continents of the globe using far less energy than our four legged friends.

When we are dealing with the ice and snow the rules should change.


kei-1200x900.jpg

January 23, 2019 Niseko life0

Niseko Chiropractic just had the pleasure of meeting Kei Takeyachi head of the Japanese chiropractors association here in Niseko.

Kei has been instrumental in driving registration and self regulation of the chiropractic profession in Japan and worked tirelessly to lobby government for higher standards.

Whilst Chiropractic in Japan is currently not a protected term Kei is driving reform to introduce a regulated profession that will bring standards up to international level for properly registered and insured Japanese Chiropractors.

Hopefully this may lead to better collaboration between health professionals in Japan and better access to diagnostic imaging and medical reports for Japanese Chiropractors.

Well done Kei !

 


20181130_113302-e1543557132514-1200x1600.jpg

November 30, 2018 Niseko life0

More good snow falls in Niseko

Our family awoke to another 20cm overnight at the Country Resort but really showed up straight away was the sub-zero temperatures that make Niseko snow some of the best powder snow on earth.

With chilly -10 at the top of the mountain this was not a good day not to be able to locate my balaclava. We have more cold days forecasts so rug up and drive safe on the icy roads.

Niseko chiropractic cold start

It was great to dust of the the gear, strap on a brand new board and hit the slopes for the first time this year. Harifu is still only operating the number Ace number 3 lift both for those that got amongst it today there was still some great powder to to be had, particularly on the first runs.

Fingers cross for more lift openings over the next few days but I as I type this it’s absolutely bucketing down snow right now.

Get out there, and if you find my balaclava please let me know 🙂

 

 


IMG_1932-1200x800.jpg

November 21, 2018 Niseko life0

Snow begins to dump in Niseko

Niseko Chiropractic is very excited to finally see a good dump of snow for the 2018 season. It came it late afternoon on the 20th of November and moderate snowfalls fell all night ensuring that there is some cover on most of the Ski runs. We did originally hope that lifts would open this friday and according to Niseko 360 that is still a good possibility.

With cold temperatures and moderate snow forecast all weekend I am sure many ski businesses will be breathing a sigh of relief as they gear up for the 2018/19 season.

Stay safe on the roads and there is still  lot of ice just hiding under the small dusting of snow on the roads and daytime temperatures are still causing the old melt/freeze oscillation that makes driving in Niseko a little more challenging. Just a few Km’s less makes all the difference.

Onwards and upwards and wishing all Ski operators a fun start to the season.

IMG_1956
IMG_1932
IMG_1951
IMG_1938

 



November 14, 2018 Niseko life0

Where is the best coffee in Niseko ?

Living in Japan used to mean giving up some of the great things about western life and great coffee had to be in the sad panda mix. That is now well and truly in the past. Many boutique roasters and great cafes are now popping up in the Niseko area.

Sprout Niseko

The best coffee in Niseko Chiropractic’s opinion has to be Sprout located just a minutes walk up Kutchan main street towards route 5 from Kutchan Station.

Sprout mixes a variety of tropical sourced beans with the darker Bolivia roast being my personal favourite and being the closed match to a good old fashioned Aussie flat white.


20181030_084609-1200x900.jpg

October 30, 2018 Niseko life0

Niseko Chiropractic wakes up to snow this morning

Harifu village woke up with a reasonable snow fall this morning on the upper levels so this marks the start of the snow accumulation for the 2018 season. Better start booking your accommodation and getting those legs ready for some more time on the Niseko Pow.

Word from inside the industry is that we are on target for a November 23rd ski lift opening.

https://www.snowpak.com/japan/niseko/opening-dates

Niseko Chiropractic is wishing all visitors to Niseko a great 2018 and safe ski season.


1200px-Goshiki_spa_roten-1200x900.jpg

October 24, 2018 Niseko life0

The debate about which country has the best ski slopes will continue to rage around alpine fireplaces well after the Moscow Mules run dry ( It’s Japan by the way) but one thing not up for debate even from the Canadians is who rules the after slope hot-tub experience.  That is safely in Japan’s and also probably Niseko’s hands.

Thanks to sitting on one of the world’s largest fault lines Japan is blessed with an endless supply of mineral rich volcanic water and they make the most of with their very rich onsen culture. The history of onsens dates back to at least 712 AD with the first recorded use being on the small island of Shikoku down near Osaka. Word spread quickly of their health benefits and onsens maintain their rightful place as an important aspect of Japanese culture.

The average 40 degree temperatures and rich mineral content are the perfect combination to relieve tired stressed and sometimes cold bodies and and I’m sure you will agree any story told in an onsen becomes infinitely more interesting.

If your new to onsens to worth taking the time to get to know some of the etique around their use and remember to be a little quiet in your conversation and manner once inside. The website below has some great tips on how to get the most out of the onsen experience.

http://www.tb-kumano.jp/en/onsen/how-to-take-a-japanese-bath/

So here is Niseko Chiropractic’s Top 5  onsens around Niseko selected for their amazing views, value for money and likeness to a true Japanese onsen experience.

You will need a car for most of these and winter conditions can make some journeys are little challenging so check the local weather often and seek advice from your hotel reception before heading out.

The following are in no particular order.


yoetisnow-1200x900.jpg

October 16, 2018 Niseko life0

For those waiting for the pow they may be pleased to know that Mount Yotei received it’s first dusting of snow today. Things get cold pretty quickly from here in Niseko and an unusually long and summer has meant that we are probably in for short Autumn.

Winter is coming.

 


IMG_1859-1200x800.jpg

October 5, 2018 Niseko life0

If you are looking for a great english speaking yoga teacher right in the heart of Niseko look no further than the Asthanga classes lead by Niseko’s own Marika.

Marika’s classes run out of many locations but the highlight has to be trying to get down your downward dog as mount yoeti towers above you and urges you to try to breath into that stretch that little bit more.






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 info@nisekochiropracic.com


EMERGENCY CONTACT

International number
+818081527136



MOBILE VISITS AVAILABLE



Our Activity

Feel free to follow Niseko Chiropractic on our social media pages



Copyright by Niseko Chiropractic 2018. All rights reserved.

Open chat
Chat with us on whats app