Things that are a pain in the neck

1. The pain between your shoulder blades. You may think you have been stabbed in the back, but unless your name is Caesar, that sharp pain is probably due to a 'pinched' nerve in your neck (and not your best friend!). It is called cervicogenic dorsalgia, fancy for 'back pain originating in the neck', and it is very common. Et tu, Brute?

2. Tailgaters. Especially when you have to keep checking your blind spot, because some jerk is attempting to drive into your trunk.

3. The pain in my neck. Really, it hurts! Fortunately I was able to get an adjustment of my own today. Someone needs to treat the chiropractor!

4. Your flat pillow. Your really fluffy pillow. Your 4 pillows stacked one on top of the other. Find a pillow, one pillow, that gives you sweet dreams and neck support. I like a cervical pillow with memory foam.

5. Necking. Actually, I have yet to see a patient injure their neck while necking. So consider making out a chiropractically safe activity!

6. Headaches. Neck tension and misaligned vertebra in the cervical spine are a major cause of headaches.

7. The albatross around your neck.

8. Rubbernecking. It causes 16% of distraction-related traffic accidents, and whiplash is another major cause of neck pain.

9. Younger sisters. (Hi Pam!)

10. Trying to think of a 10th witty and relevant item to complete this list. Yeesh...

Lunch is on me...

Pregnancy is said to be a beautiful and wondrous time in a woman's life. And it is. But in retrospect, it is also a bloated and hormotional time in a woman's life, and let's face it... a totally surreal and bizarre time in said woman's life. You not only double in size, but in number of people.

As my pregnancy crept ever so slowly to an end, I thought a lot about whether I would miss the experience of nourishing this other, of being able to provide everything it (he) needed to survive. Then I started having contractions, and 3 short weeks later Oliver was born. We got off to a great start breast-feeding, and while nursing him before dawn it dawned on me - aside from baby Gap, I was still the sole provider of everything he needed. Just the method of delivery changed.

I love nursing. I love that my son's chubby thighs are from me (my milk and my genes!), I am privileged to spend every few hours (a little less privileged in the middle of the night) cuddled up, bonding, nourishing... it is lovely. I didn't know I'd enjoy it this much - it surprises me still. It is sort of like discovering that what was previously only decorative is suddenly functional - like your favourite bracelet is also a GPS unit. Breasts - pretty and useful! Who knew?

I realize how fortunate we are, Oliver and I, to have navigated nursing with only a few minor injuries*. This 'natural' process is not so natural or easy for some, and I urge those mamas who have trouble nursing but want to forge ahead to seek out a lactation consultant. Irrespective of how you feed your baby, from the bottle or the breast, poor posture at mealtime will cause discomfort in the upper back; do this every two hours and it can become agonizing. Add in a lack of sleep and bending over a change table... and you get the picture. I'll leave the technicalities of nursing to Janice, my favourite doula, prenatal educator and breast-feeding instructor, but allow me to draw on my dual qualifications as a nursing mother and a chiropractor to offer a little help and some relief for nursing pain and discomfort unrelated to the chestal region.

• Breast-feeding moms, nature and the laws of engorgement are on your side, since they dictate that you hold the baby on alternating sides with each feed. Bottle feeding moms (and dads!), on the other hand will usually pick a preferred side, leading to asymmetry and more pain. Another downside to single-sided feedings is that the baby may develop neck muscles asymmetrically from turning their head in one direction. Consider switching sides, even if holding the bottle in the other hand feels odd at first.

• The most useful prop is a nursing pillow - especially in the early weeks when the baby is tiny. It helps bring the baby closer to the breast, to prevent hunching over. There are a variety of different types, so find the one that works for you. Mine was polka-dotted, that worked best for me. Really any pillow will do, you don't need a cleverly-named one (really - breast friends?) to support things (the baby, arms, low back). Stack pillows under and around yourself and the baby until you are comfortable. It's not rocket science.

• Put a pillow or other support in the small of the low back - maintaining this curve is key. When you collapse through the low back, your shoulders are thrust forward and the neck must compensate to stay upright. Keep the lumbar curve supported, and your upper back and neck will fall into a better position.

• Get a massage! Have someone watch the baby, or ask if you can bring the baby along (they sleep so much in those early days, and many therapists will be happy to accommodate you, especially during slower periods in the middle of the day). At the very least, have your partner attempt a shoulder rub. If anyone deserves a massage, it is a new mom. 'nuff said.

• Get an adjustment! Really... just do it. Your posture has experienced so many changes throughout pregnancy, hormonal changes have relaxed and tensed your ligaments, you now carry around an ever growing load of baby... the stress on your spine is significant. A chiropractor can restore mobility, reduce pain, get things back to normal, whatever that is! The relief from that first adjustment after baby arrives is enormous. Moms... get your back adjusted. Aaah.

• Relax the shoulders. There is a tendency to raise the shoulders when we don't need to! This shoulder hiking happens when feeding the baby, holding her, rocking her... but your shoulders are not needed! Relax them. You can hold the baby just as well with them down, away from your ears.

• Get comfortable at the start of a feeding, so that 10 (or 45!) minutes later you aren't going numb or in pain from holding the baby in an awkward position. In a cradle hold, soften the shoulders and rest your elbow on a pillow, not against a hard arm rest. A food stool is great too, for taking pressure off the legs and low back. In a side lying breastfeeding position, put a pillow under the neck and another between the knees. If Mama's not comfortable, NO ONE is.
  

• Experiment with different feeding positions. Bottle feeders, switch sides, or have someone else take over a feeding or two to give yourself a break. Breast feeders, there are many positions to try, and even though you may have a favourite, mixing it up may prevent muscle overuse. And be creative - you don't need to use the positions listed on a website or breastfeeding pamphlet. Whatever gets the baby to the breast comfortably is good. Lying across your chest, sitting on your lap... really, whatever works, works. Oliver will quite literally latch in any position possible. I once fed him suspended from the ceiling by a series of bungee cords.

Hopefully meal time is an enjoyable one, for all parties involved. Luckily, my young son has a sophisticated palate and really enjoys eating; indeed I am consumed with joy.

*don't let the baby latch onto your chin. It may seem funny at the time, but you will regret it.

I love food...

When I met Devon Strachan, a holistic nutritionist who ALSO loves food... well, it was like a match made in heaven... or a kitchen... or a restaurant. The point is, I love food, she loves food, ergo, I love Devon. She and I will sit down and start to chat about food, real food versus the fake food we tend to eat, how to cook food, how to use food to be more healthy... food, glorious food, and whad'ya know, it is 2 hours later, and boy am I hungry.

So I did the only thing I could - I made her a part of the team at RHCC.

And the best part? Each week, she brings a snack for everyone to try. A healthful snack. An easy-to-make snack. A delicious snack. But most importantly, SHE BRINGS A SNACK.

Today Devon treated the patients of RHCC to the following concoction. If you weren't in the clinic to sample Devon's version, feel free to make it yourself at home!

Olive Tapanade
How to make it:
Blend 1 can black olives, 2 cloves raw garlic, 2 tablespoons caper juice in food processor .
Remove goat cheese from fridge to soften.
Spread thin of layer goat cheese on the bottom of the bowl,all of the olive spread, a second think layer of goat cheese, top generously with capers.
Serve with whole grain bread or crackers!

Why to make it:
Olives: good source of vitamin E
Capers: powerful antioxidant
Goat cheese: promotes good bacteria in digestive tract
Garlic: naturally anti-bacterial

Unfortunately we were too hungry to take the picture before diving in... enjoy!

Post-partum recession

There comes a time when every new mother must accept that maternity pants are not meant to be eternity pants. When the 'maternity' part of the equation no longer applies, lets face it, they are now just pants; elasticized pants, large pants. In truth, they are buffet pants.

We are in a recession, it seems, and I'm ready to do some receding of my own. Time to get in shape, or rather out of my current pear shape and into something more angular. Muscles are the new black.

I admit to indulging over the last few weeks - the last 52 weeks, to be exact. A year ago I peed on a stick and saw a + sign. Since then, the '+' has come to refer to '+ sized' - portions, garments, waistline. It is getting harder and harder to convince myself that my gaining weight is good for the baby.

And so, back to the gym I go. Salads and grilled chicken for me please, maybe a little guidance from Devon the holistic nutritionist. A little hard work for a new pair of jeans. Spring cleaning for this body.

I have many motivations to get in shape. I want to be healthy for my family, for myself. I want to have the energy to keep up with my son, and be strong enough to carry him in my arms, always. And I want to go shopping for a new pair of jeans... ones without an elasticized waist band!

Is that so wrong?

Hi Ho, Hi Ho...

Back to work I go!

My maternity leave is over. Though I much enjoyed the time with Oliver, I am excited to return to work, happy to have conversations with people who converse back and who don't drool on me. During these early days I will often have my young son with me at the office, which is convenient for feedings, cuddles and getting an early start on his chiropractic training. It also allows me to use him as a tax deduction - an 11 week old can be considered an 'assistant', no?

There is a lot going on at the clinic now; I am excited to start working with Devon Strachan, a wonderful registered holistic nutritionist who has joined the practice. She is a real foodie who understands that healthy can and should be delicious, and that simple is usually best. Monday night yoga classes are ongoing, and our monthly baby massage classes are a hit. There is nothing cuter than a roomful of nearly naked babies. NOTHING. Of course we also offer acupuncture treatments and qi gong classes and massage therapy, and of course... chiropractic.

Spring is a wonderful time, for renewal, returning to work, getting in shape, getting back into health. Let us know how we can help you fully express yourself this spring.

Welcome to the last resort, enjoy your stay

There is a time and place for everything.  That's what they say.  Actually, Barclay said 'there is tyme and place for euery thynge', but that's the kind of spelling you'd expect from someone who travels on a ship of fools.  The point is I haven't slept in a couple of months... oh, I've already used that excuse, excuse me.  

Ah right.  The point is, there is a time and a place for everything.  Of course, this assumes that I am referring to the observable universe and not the possibility of multiverse, in which case there would be more than one time and place for everything.  But dopplegangers and Hilbert Space are beyond the scope of this blog, so I'll leave the parallel dimensions to the less sleep deprived, to people whose conversations don't regularly include such poetics as "did someone make a poopy diaper?" and "who's mommy's little puppy bear?  yes you are!  yes you are my puppy bear!!". 

The point, for real now, is that there is a time and place for everything.  Of course, this relates to chiropractic, as do all things chiroscope.  See, chiropractic is remarkably effective.  It is safe, efficient and great at fixing a lot of ouches and twinges and whatnot.  But sometimes, it can't. Medicine and surgery, on the other hand, are also great.  Sometimes.  You see?  A tyme and a place for euery thynge.  

Take me, for example (well, I don't see any other volunteers...).  Chiropractic helped me manage my lower back issues for many years.  It still does.  But when the situation became unmanageable, despite my most dogged attempts at all things conservative, surgery was recommended to prevent permanent nerve damage.  It was time to visit the last resort.   And though I was drug-free and as natural as could be during my pregnancy, when my son's heart rate decelerated enough to make my own heart stop, a cesarean section was recommended. Again, I visited the last resort.  

It is not a place you go to easily, the last resort.  It is not a choice destination, but rather a choice we make when it seems we are out of choices.  Both times I have resorted to the last resort, I've been lucky and grateful to have the option.  I'd exhausted all other avenues, and it was the right place at the right time.  

For people who pride themselves on being healthy or able to resist pain, on choosing the natural path or being able to self-heal (uh... me?) it can be difficult to succumb to more drastic measures and interventions, hard to acknowledge that the simple solution isn't going to work this time.  For people whose identity lies in these factors, say practitioners of natural healing arts (me again?), it can be hard to admit 'defeat', that we couldn't fix this problem, that the philosophies and techniques that we espouse weren't helpful, this time.  

I've stayed at better places, but I'm glad to know that there is always an vacancy at the last resort.   

Fight The Good Fight

I am a pacifist. Actually, lately I suspect that I'm also a pacifier, though I try to encourage the baby to not loiter too long after eating. The point is... what was the point? Oh, the point is that I haven't slept in a long time and can no longer hold a train of thought.

Oh! No. The point is, I generally avoid confrontation. If you are going to yell at me, I'll probably just give you what you want to save my eardrums. Please don't tell my child this, though he likely suspects my weakness for shreekiness. Take last night, for example, when I felt that 3 hours seemed like an appropriate amount of time to swing a person. My 10 lb 14 oz opponent disagreed. We compromised, concluding that I'll just swing him in my arms until he starts high school, and he'll never cry again. And it's fine, really it is!

There are some times though, when I cannot walk away from a fight, when standing up for myself becomes not just a matter of principle, but my well-being and possibly my survival. This is when the discussion turns to my health. There are no people more worth fighting for than myself and my family, nothing more important than our health, and no doctor or facility that will ever back me into a corner. Which is not to say that I go around looking to fight endocrinologists or to imply that I enjoy going head to head with psychiatrists. I have deep respect for those in the health professions, especially in Canada where the vast majority are overworked and underpaid for their efforts. Actually, Canada is a big part of the problem. Canadians are the rest of the problem. Oh, Canada.

Because of our FREE! and wonderful health care system, we wait in long lines to see a doctor and are just grateful to be seen. We are less inclined to realize our rights, since we aren't paying for the service (directly) and, well, the doctor knows, right?

But what about when the doctor isn't right, or the treatment just isn't right for you? What if the wait time is too long? Maybe the specialist you were so lucky to get into didn't listen to you or rubbed you the wrong way? Well, then you remind yourself that your tax dollars pay for these services, and you speak up. I realize this is easier to do when you have the vocabulary and training behind you, certainly hospital staff are less likely to think you are just a pain in the butt when tell them you have an acute gluteal antalgia, but even the less eloquent have rights. You are entitled to a detailed and thorough examination and explanation of your problem. You deserve to know your treatment options, including what happens if you don't accept a proposed treatment. You are entitled to seek a second and even a third opinion. You should be free to ask as many questions as you have, even the stupid ones. You deserve to be treated with respect and empathy. We need to understand that when we visit a doctor, we are hiring him to do a job, paying with our tax dollars instead of our wallet. We have rights.

I recently exercised my right to fight the system. A day after checking out of the hospital with my new son, I had to return. The baby was fine, but I was only a few degrees away from having cat scratch fever. The doctor recommended antibiotics, which after confirming that they were compatible with breast-feeding, I agreed to take. It was further recommended that I stay the night, and since I had no plans except to hallucinate my fever away, I also agreed. Then I was told that while I was welcome to stay chez Women's College, for FREE! natch, my 4-day-old son was not welcome, since he had already checked out. The hospital claimed that there was nothing they could do, it was impossible, their hands were tied. This was the best option they could come up with.

And just like Dee Snider, I wasn't going to take it.

To separate a newborn from his mother, his comfort, and his food source because of administrative 'impossibilities' was unacceptable. So much so, that I was prepared to take my medication, go home with my infant and return the next day for my next dose and follow-up, a plan the hospital did not like. After negotiations and help from my husband and midwife, we came up with an acceptable solution, one that satisfied my medical and personal needs. But I wonder what a more timid or 'compliant' patient would have done, and I feel for the patient who doesn't know that they can say no or request a different plan of action.

Fighting for your rights doesn't mean being belligerent or demanding, but rather it means tactfully insisting on getting the care you need. In my health history, this has meant 'hiring' a neurosurgeon, a midwife and an obstetrician, a family doctor, and many, many chiropractors. These experts have helped me to manage different concerns, but always it is me who is ultimately responsible for my health decisions and outcomes. I have declined some medications and taken others. I have refused some tests and demanded others. I have asked for help getting earlier specialist appointments when my body told me not to wait and been a patient patient at other times. I do my best to make my doctors aware of my expectations, my needs, and my preferences, and this way I have been best able to look out for myself, and know that I will always be OK. I hope that you can say the same.

As the Beastie Boys teach, "you've got to fight for your rights"...to party... but it still applies. Give a new mother a break, this was the best closer I could come up with on 3 hours sleep, besides, I'm busy swinging my son.