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March 2, 2021 Uncategorized

Should we be using anti-depressants for lower back pain ?

An interesting meta-review was just published in the journal of Systematic reviews.

They were trying to answer the question of weather physicians should be be prescribing anti-depressants as a means to assist with the pain and disability caused by lower back pain ?

Certainly I seeing a lot more patients on anti-depressants since working with a more American population in Okinawa and I guess the stress of the covid-19 pandemic has only increased the this.

The authors concluded that in a review of 23 quality randomized controlled trials the best evidence available does support the prescription or efficacy of anti-depressants to address low back pain. In there words ” Taken together, these data indicate treatment of LBP symptoms with antidepressants has no important benefit; is less acceptable, less safe and less tolerable; and may be harmful, compared to treatment with a placebo medicine “.

That’s not so say that antidepressants  don’t have legitimate reasons for their prescription. Simply that they should be prescribed as a modality to treat lower back pain or perhaps even the depression that can be directly linked to the chronic pain.

What does seem to offer better results are exercise therapy, physical therapy or when that fails  other medications commonly used to treat chronic pain such as  pain medications and anti-inflammatorys and muscle relaxations.

Remember too you should never decide to alter your medication by yourself and in some cases this may be dangerous . Always talk to your primary health care practitioner that prescribed your medication and discuss with them.

If you would like to read the article it is below.

References

  1. Ferraro, M.C., Bagg, M.K., Wewege, M.A. et al. Efficacy, acceptability, and safety of antidepressants for low back pain: a systematic review and meta-analysis. Syst Rev 10, 62 (2021). https://doi.org/10.1186/s13643-021-01599-4

    https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-021-01599-4?fbclid=IwAR3LSMT10GSsi5W2lYfsfiiae623-_FHQ32bWz2Tu-3PcNBe4MBkamvGuK4#citeas

 

 


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February 10, 2021 Uncategorized
Just a reminder that I will be available in Niseko for 4 more days before returning to Okinawa from the 17th-25th Feb.

Please note I will not be in the same purple house by the Sea Wall in Sunabe but rather a house just around the corner ( by strange co-indicine also purple ! ). I have updated the confirmation email with you new directions so for anybody booked it might pay to give the it a quick read once you make a booking in Okinawa.

Covid cases continue to fall in Hokkaido

From a peak in late November 2020 it’s great to see the sharp drop in Covid-19 cases in Hokkaido. To be honest I have no idea why the number of cases continues to fall but very happy to see it.


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February 3, 2021 Uncategorized

Research Update

Interesting study from the Journal of manipulative and physiological therapies on the effect of dry needling for muscle pain. 

They were looking at the effects of dry needling ( acupuncture without meridian theory ) on the women that had upper trapezius pain.

What they found that was the effect was of greatest benefits when the needles were inserted away from the trigger point ( tight knot located in the muscle belly ) rather than trying to needle directly in the middle of the knot.

This makes sense as often when a needle is inserted directly into a ” hot ” are sometimes the body just reacts more once it’s alarm bells have been activated.

I had quite a few neck torticolis to deal with last time in Okinawa and that was often the same lessons. Sometimes a gentle indirect approach is best. The rule of thumb is if so something is hot go in indirect and if something is chronic then sometimes a bit of caveman soft tissue work can be indicated.

If you would like to make an appointment with Brent Verco either in Niseko or now in Sunabe Okinawa you can do so on the link below

www.nisekochiropractic.com/appointments

References

Dry Needling and Photobiomodulation Decreases Myofascial Pain in Trapezius of Women: Randomized Blind Clinical Trial
Dalpiaz Et al
Published:November 26, 2020DOI:https://doi.org/10.1016/j.jmpt.2020.07.00

https://www.jmptonline.org/article/S0161-4754(20)30149-4/fulltext


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January 22, 2021 Uncategorized

Niseko Chiropractic research review:

A surprising result

 

A few years ago the research began to show that strength training also leads to gains in range of motion.

This is not new news for those following sports research but what’s really interesting is a recent high quality meta review examining 11 published articles in the research literature asking the question ” Does strength training lead to the same increase in flexibility as stretching “.

Here is the interesting thing.

The researchers found that there was no significant statistical difference between the flexibility gains from weight training and those coming from a stretching program. This is certainly news to me and really puts a rocket up the idea that you should not start the a gym program if you are worried about loosing flexibility.

The study did not specifically examine the question of just how much exercises is needed to get the job done however it’s thought that most of the studies suggested about 2 times a week for 5 weeks straight was sufficent to see some improvements (1).

What can we take from this ?

Well firstly it’s a false dichotomy to assume it’s one or the other.

There are no reasons why you can’t include strength and flexibility in your weekly training regiment. If you are however short on time or motivation and already have some underlying strength issues then this may tip the balance for you to move towards more strength training.

The golden rule of Niseko Chiropractic is that you have to find something you actually enjoy doing. If that’s yoga then carry on with that and yoga also builds get strength at the same time.

It does also tell us that we should probably not be afraid of the effect that our strength training may have on our joint flexibility, its probably good news !

Like all things there are limits and caveats.

I worked with a lot of “Gym junkies ” back in Australia and even a few now in Okinawa and it’s pretty obvious that they have trained to such a level that there flexibility is starting to go down but these are extreme cases from people to willing to push there bodies far further than the average person.

Studies like this are also great for determining what’s good for population but less good for determining what may be in your best unique interest. That’s why research is always only one arm of evidence based medicine.

 

Above all, get out there, move and do something you enjoy.

If you would like to discuss these findings further or schedule an appointment with an english speaking chiropractor in Okinawa or Niseko you can do so on the link below

www.nisekochiropractic.com/appointments

References

  1. Strength training is as effective as stretching for improving range of motion: A systematic review and meta-analysis. 2020 Afonso et.al
  2. https://osf.io/preprints/metaarxiv/2tdfm/?fbclid=IwAR3_bPysWdFc0bdj9ChvHFe0e9xdxFQA8fm3VshpyyE2gtcu0Rab1QiGVxY

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December 21, 2020 Uncategorized
New Chiropractic clinic in Okinawa
Thanks to my new clients in my unexpected new 2nd home of Sunabe for again making me feel so welcome and proving all the hot tips on what do see. Flying out today but will be back in Okinawa from the 14-28th of Jan 2021 in the same ” Purple house “
As for my Niseko clients I will be closed xmas day (25th dec ) but open for appointments all other days right up to the 9th of Jan although I am taking this Tuesday the 22nd off for some much needed snowboarding. Apologies to my Niseko clients that I could not see the last 2 weeks but the international flight closures have been tough of my Niseko visit numbers and for some reason they seem to like me down there.
It’s been torture watching all the pow dump whilst stranded in a tropical paradise.
If anybody in Niseko or Okinawa does wish to book ahead online you can do so on the link below.

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December 14, 2020 Uncategorized

Cutting your risk of sitting yourself to an early death

Brilliant research just in from the British Journal of sports medicine

They did a review of previous studies with a combined sample size of around 44,000 people and looked at the risk of sitting causing an early death and how much ( or actually little ) exercise is needed to combat this effect.

Hard to find data from Japan but Americans spend on average 55% of their day sitting or 7.7 hours sitting ( 2) and we are starting to learn that this is associated with shorter lifespan, increased risk of cancer and type 2 diabetes. This result was not linear either. In other words your risk increases greatly once you go past the 8 hour mark. Even a few extra hours rapidly increases your risk.

 

So that’s not really new news.

What makes this study interesting is they examined just how much exercise you need to do mediate the damaging effects of sitting.

And it’s not much !

Just about 30-40 minutes a day was the amount needed to mitigate the increased risk caused by sitting but even as little as 11 minutes a day still was found to significantly helpful and reduced the risk of all but the most prolonged sitting.  Previous studies on this topic concluded that at least an hour a day was needed but this new better designed study actually reduces the amount needed.

The new guidelines from the UK, the USA and WHO recommend that adults should participate in physical activity for 150–300 minutes of at least moderate intensity every week (1)

Even better news is that there seems to be no difference if you break this up. So if you don’t have time for a 40 minute walk break it up into 2 2o minute walks. Even if the smallest things can really help. Always try and take the stairs instead of the elevator.

This is not say you should exercise less of course. There are still many other benefits to more than 40 minutes such as weight loss, improvement in mood and better sleep as well.

So get out there and get moving !

If you would like to make an appointment with an english speaking Japanese registered Chiropractor in Sunabe Okinawa or Niseko Japan please go to

www.nisekochiropractic.com/appointments

References

1.https://bjsm.bmj.com/content/54/24/1499

 

2.https://link.springer.com/article/10.1007/s10654-018-0380-1


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November 10, 2020 Uncategorized

Niseko Chiropractic is now back in Okinawa and accepting consultations until the 18th of November.

 

If you would like to make an appointment with an Australian trained and Japanese registered and insured  English speaking Chiropractor you can do so on the link below.

Niseko Chiropractic is currently operating from just near the sea wall in Sunabe. For those that can’t make it this visit we will be back from the 10th of December.

You can book online at

www.Nisekochiropractic.com/okinawa

 


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October 12, 2020 Uncategorized

Is Niseko open for tourism this season ?

Niseko Chiropractic hike to the crater on Mount Yotei (1898 metres ).

 

Well we finally have some degree of certainty for Niseko’s 2020/21 ski Season.

Sadly the word from the Japanese government is that Japan will be closed for international tourism until April 2021. Source: https://www.japan-guide.com/news/alerts.html

There is some opening of borders under the ” Business track system ” for business travel from limited countries such as South Korea and Singapore but you will still have to undergo a mandatory 14 days quarantine and 2 rounds of Covid testing so getting here is going to no easy feat even for those with a vaild business reason to travel.

I think we can be be fairly certain on the April timeframe too.

Japan has expressed an iron clad determination to see the rescheduled  July 2021 Olympic games take place and they will need open borders weeks to months before this event if it is going to be success.

If you are yet to see Niseko in Spring and Summer I urge you to consider making here up here in the green season during the 2021 warmer months.

For those that can manage to get to Niseko this Winter it will no doubt be unforgettable. For those that can’t us local riders are committed to shredding the Pow in your absence (its the least we can do )  and will do our best to find pick off the fresh lines.

Some more info on resorts is below.

Niseko Resort announce lift operations

 

We also now have some certainly regarding lift operations.

Annupuri resort will be open from the 28th of November and Honazono and Grand Hirafu wil be open from the 5th of December.

Lifts at Honazono will be operating as normal and I suspect Annupuri. Grand Hirafu has some cancelations to minor lift status and you can see more information on the link below

https://www.grand-hirafu.jp/winter/en/

There has also been some changes in the shuttle this year so anybody looking at booking lower Hirafu should check that they are happy walking up the ski lifts.

Crazy deal on Moiwa season passes

There is also a great deal on all mountain passes for Moiwa for just 35,000 Yen for a full seasons unlimited pass. The deadline for these is the 31st of October

https://shop.niseko-moiwa.jp/ja/lift-pass.html

Update to Business hours this week

If any locals wish to book in with Niseko Chiropractic this week I have Some options business hours this week.

If you would like to book a session click on the button below


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August 3, 2020 Uncategorized

Where do we stiffen up ?

 

It’s no surprise to you dear reader that our flexibility and range of motion decreased in our spine as we age but there is not as much published research as you would think as to where this occurs within the spine, particularly in the normal population.

 

In a great new study published in Springer Nature the authors looked at 600 people that did not report significant neck pain and they examined what individual segments we actually loose range of motion in our necks as we age.

What they found was pretty interesting. The older you get the more range of motion you loose in the lower part of your neck but the upper part where the spine joins the base of the skull remains pretty mobile your entire life. This is reassuring both for patients and therapists that the range of motion in our upper joints stays pretty good.

You an see the differences clearly in the graphs below

 

The other thing that surprised me was how linear the loss was up until about age 70 where after that it actually slows down a bit. I would have guessed that the most marked loss of range of motion would have been in the last decade of the graph.

Just a reminder that Niseko Chiropractic will be available for mobile locals consultations over the summer and also at the  ” Studio ” powder yoga’s newest premises.

To make an appointment with Brent Verco please click on the link below

www.nisekochiropractic.com/appointments

 

If you would like to read the full study you can do so on the link below

https://pubmed.ncbi.nlm.nih.gov/32694318/

 

 


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July 28, 2020 Uncategorized

Consulting from Powder Yoga every Tuesday

Niseko Chiropractic is now consulting from ” The studio ” a great little space in Kutchan located just 4 doors up from the sprout cafe.

If you would prefer your treatments not to be mobile based this is a great chance to get a relaxing treatment in the heart of Kutchan.

Brent will be consulting all day tuesdays and other times by prior arrangement. Please be mindful of the Powder Yoga teaching schedule which is subject to change.

If you would like to make an appointment with an Australian university trained English speaking chiropractor you can do so on the link below

www.nisekochiropractic.com/appointments

 

 


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January 18, 2020 Uncategorized0

Amazing conditions today

It’s great to be busy in business. But one of the downsides of living and working in Niseko is whilst you  watch these amazing conditions from the work window is you can look but not touch.

But not today. Today Niseko Chiropractic was able to get some great slides with bluebird conditions on the back of the mega dump that came on the 17th of January.

To be fair it was not so much a powder day but the snow quality at the moment is just superb for getting out there and throwing down some nice carve turns. Beginners were also enjoying the nice conditions and it is certainly a lot easier to learn when the snow grips so well under your feet.

With moderate snow forecast again on Monday and Tuesday we should see some classic Niseko conditions return after what has been a slower season that previous years.

If you need a mid season tune up or wish to book one of our mobile sports massages right here in Niseko, Annupuri or  Rusutsu  we would love to be able to help.

You can book online for Niseko Chiropractic and we can come to you at

www.nisekochiropractic.com/appointments


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January 17, 2020 Uncategorized0

Rusutsu Chiropractic now open for business

Just a reminder that Niseko Chiropractic is now available for consultations within the Rusutsu resort area. As this is an increased distance from our usual treatment area there is an additional 2,000 Yen charge for extra travel but this can be waived if 2 or more consultations are booked.

If you would like to book an English speaking Chiropractor during your stay in the Rusutsu resort complex please go to

www.nisekochiropractic.com/appointments


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January 2, 2020 Uncategorized0

Niseko Chiropractic now open longer 7 days a week.

Just a courtesy message to let all our previous and future clients know that Niseko Chiropractic is now open full time to assist you with quality mobile Chiropracic and sports massage over the 2019/2020 season.

We are open 7 days a week and due to an interest in later evening appointments have now increased our opening hours to 10pm. Actually it suits us better this way and has allowed us to enjoy a few more checky early morning slides on this great new year powder.

To book online go to

www.nisekochiropractic.com/appointments

 


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January 1, 2020 Uncategorized0

A blizzardy start to 2020

Well the snow drought has finally broken for 2019 and Niseko was greeted by a huge snow storm to break in 2020.

Whilst the snow is here so is the wind so it’s likely that some lift operations will be slowed or even suspended for the new year.

If you are looking for something to do of the slopes don’t forget to check out

www.imnotskiingniseko.com

 

Wishing all past and future clients of Niseko Chiropractic a safe and prosperous 2020

 

 



July 19, 2019 Uncategorized0

Strider cup 2019 in Niseko

With the Niseko classic cycling race now well behind us Niseko was treated to the true sporting highlight of our 2019 summer. The Niseko strider cup or perhaps as it’s coming to be known the Strider international.

Whilst training our 4 year old consisted of mainly toilet training, teaching him not to get his tongue stuck in the electric window and wearing pants in public places it’s clear that some parents are well ahead of the curve, busy sculpting the minds and bodies of their finely honed racing toddlers.

Some of these kids are quick. Real quick and it looks like the training throughout the winter with special Strider snow tires made a difference in those crucial few seconds that separates winners and losers.

Others are just getting started in their competitive careers choosing to do the circuit in reverse but either way a great day was by all and it was an honor to be part of a true community event like this to just get out there and have some old fashioned fun.

Nothing brings the world closer like hurling kids on bikes without brakes down a ski slope in matching active wear. Niseko delivered again with a great injury free day on the slopes for all with plenty of Japanese food tents and some added dancing and entertainment for the kids.

In the end of there can only be one winner and the 5-6 year old category proved just how good some of these kids are, whizzing by the traffic cones with millimeters to spare as they judged each corners entry and exit like a formula one driver.

Even you have not experienced a Strider cup add it to your 2020 events dairy. You will not be disappointed.

If anybody would like to book an appointment this week during evening hours you can do so on the link below

https://nisekochiropractic.com/appointments/


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May 28, 2019 Uncategorized0

 

Change in Summer trading hours for Niseko Chiropractic

Brent will be assisting a friend with some house maintenance work over the next few quieter summer months.

As a result Niseko Chiropractic will be now be extending opening hours over both Saturday and Sundays and into the evenings on all week and closing availability over Monday to Friday over the 9am to 3pm time slots.

Apologies to anybody that this temporary change puts out but most of our clients seem to prefer the weekend and evening slots anyway so hoping this temporary change does not cause any inconvenience.

You can see and book Niseko Chiropractic online in real time on the link below


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April 19, 2019 Uncategorized0

New research shows positive benefit for yoga in the ageing population

Yoga has been practised for centuries as a way to maximise our function and increase our health but western research is finally beginning to catch up with ancient art.

A recent met-analysis published in the  International Journal of Behavioral Nutrition and Physical Activity Showed great benefits across 22 randomised controlled studies looking into the possible health benefits of yoga. This paper is significant as it was the first review that looked at yoga as a practise in health populations rather than just for significant conditions.

What was really interesting is that yoga was shown to be of significant benefit not just to compared to doing nothing ( well dah ! ) but also to other exercise forms and meditative exercises such as gentle walking or aerobics etc.

Benefits were found not just for things like balance but also mild depression and increasing lower limb strength and guarding against falls and also things like sleep quality (often a problem in older individuals) and other mental health variables.

So you are considering doing yoga this summer in Niseko into your senior years now would be a great time to consider it. Marika from Niseko Ashtanga yoga would be a place for getting started in your yoga game in Niseko. Powder yoga with Kanami also runs at the Aya hotel over the winter season.

You can see her timetable on her facebook page below

https://www.facebook.com/marikaashtangayoga/

https://www.facebook.com/powderyoganiseko/

 

You can see the full study published below

https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-019-0789-2

 

 

 

 

 


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April 18, 2019 Uncategorized0

Niseko Chiropractic is very excited to learn that Qantas will launch new direct seasonal flights between Sydney and Sapporo next season. This will make getting to Niseko from Australia that much easier for families that wish to experience some of the worlds best powder.

No excuses not to ski Niseko

To coincide with the peak ski season, Qantas will fly three times per week to Sapporo’s New Chitose Airport between 16 December 2019 and 28 March 2020. The flights will be operated with Qantas’ upgraded Airbus A330 aircraft, offering more than 10,000 seats on the route over this period.

This is great news and will be a significant boost to the Niseko economy.

Hope to see you here later this year. If you do need an english speaking Chiropractor for Chiropractic or sports massage here in Niseko I hope you can keep Niseko Chiropractic in your mind.

https://www.qantasnewsroom.com.au/media-releases/qantas-to-launch-seasonal-flights-to-sapporo/


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April 15, 2019 Uncategorized0

An important meta-analysis was just published in the British Medical association sports jornal. The authors addressed the important question of when one should start rehab after surgery.

Just how early should one start rehab exercises after repair of tear ?

Like all themes on Niseko Chiropractics blog. It depends.

Age is going to play after as well as wear the tear is located. Because much of the meniscus has a poor supply it may take a little longer before it’s safer to move. Generally speaking the deeper the tear within the meniscus  the longer you may wish to wait to allow more healing.

All meniscus tears are not created equal. Here is a run down of the type of tears that can occur and be corrected surgically.

 

The longitudinal tears on the outside in a young athlete are going to be able to be rehabed fairly quickly whilst a deep bucket handle tear in an older inactive person is going to need longer.

The take home message from the study that looked at 17 other studies is that the traditional approach of a conservative window may not be backed by evidence of risk and some studies showed more favourable results by getting moving early with some studies prescribing weighted range of motion exercises within 3 days of your surgery.

The implications from the study is that getting moving earlier than previously thought may be the better approach although at some point there is going to be a risk/ benefit playoff and that is going to vary based on a your own personal circumstances.

Ff you are going to have surgery make sure you discuss and understand what type of tear you have and how it will be repaired. Ideally get this in writing from the surgeon. Then ask them for their guidance with your unique situation.

Lastly find a good rehab provider that is going to be able to assist you in getting active as soon as possible.

You can find a link to the full article below

https://bmjopensem.bmj.com/content/4/1/e000212

If you would like to make a year round appointment with an English speaking chiropractor in Niseko you can book online on the link below

 

 

 






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


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