What is Chiropractic 
Chiropractic today is one of the largest primary-contact health care professions in Canada.  Approximately four and a half million Canadians use the services of a chiropractor each year.

Chiropractors practice a drug-free, manual approach to health care that includes patient assessment, diagnosis and treatment. In particular, chiropractors assess patients for disorders related to the spine, pelvis, extremity joints, and their surrounding structures including muscles, ligaments, and nerves. As a result of taking a detailed patient history and conducting a physical examination, chiropractors are able to provide a differential diagnosis for the patient’s presenting condition(s) and develop a comprehensive treatment/management plan. Chiropractors are also trained to recommend therapeutic exercise, to utilize other non-invasive therapies, as well as to provide nutritional, dietary and lifestyle counselling.

Advanced Practice Clinician, Spine, Halton Healthcare Services Lower Back Pain Program:    Low Back Pain (LBP) is a prevalent condition: in one year, it is anticipated that approximately 18% of the population will have LBP, with 40% seeking care.  LBP will affect 84% of the population at some point in their lives.  It is second only to the common cold as a cause of lost work time, and is second only to cardiovascular disease in terms of chronic health problems and long-term disability.  In 2012, it was ranked 6th among the top 10 leading causes of disability worldwide, and 3rd only to ischemic heart disease and chronic obstructive pulmonary disease as the leading cause of disability in North America.  LBP is considered a major cause of health expenditure with direct and indirect costs amounting to $1.2 billion per year in Ontario alone.

Low Back Pain  Program LBP Mechanical LBP affects approximately 85% of the population. The good news is that this condition is not life threatening, it is not dangerous, and often times, can be managed with a little help and guidance from our trained Advanced Practice Clinician (APC).

LBP What Are The Common Symptoms?                   • Back related leg pain with numbness, tingling/weakness• Back or leg pain with coughing or sneezing • Difficulty standing after sitting for a period of time due to LBP • Back related morning stiffness • Back related pain in your hip, buttock, thigh, knee, or foot • Inability to turn or bend to each side • Lower Back Pain which prevents you from sleeping well • Lower Back Pain that persists or worsens after 48 hours

Many of us spend our days driving or hunched over in front of our computers, often without any postural support. Studies show that sitting significantly adds more pressure on the joints and discs of the spine than standing or walking.

Lumber Spinal Stenosis

Lumbar spinal stenosis is a leading cause of pain, disability and loss of independence in older adults. It is usually caused by age-related arthritic narrowing of the spinal canals where nerves exit the spine traveling to the lower back and legs. This narrowing can cause compression of the spinal nerves leading to the low back and leg pain, numbness, weakness, and reduced ability to stand and walk.

Research                                                                                                                                                                                  Dr. Ammendolia is actively engaged in clinical research studies of non-operative treatments for degenerative lumbar spinal stenosis, ankylosing spondylitis and mechanical neck and back pain. He is the author of more than 35 peer-review papers, reviews and book chapters and has been the recipient of the Researcher of the Year Award from the Ontario Chiropractic Association.  

  The Study

Chiropractic 1

LSS 2    LSS 1

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