Knee Osteoarthritis Pain Relief Dimensions
- At February 22, 2021
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When you receive treatment for pain, there is no way to accurately measure the percentage and duration of your pain relief. Wilderman Medical Clinic has developed the Integral of Pain Relief (IPR) that measures both percentage and duration of pain relief to better treat chronic pain patients.
We are conducting an IPR study to collect data to validate this new measurement tool. This study will focus on patients who suffer from osteoarthritis of the knee and we will be measuring the effectiveness of corticosteroid injections.
This study will go a long way in improving pain relief interventions and treatment plans for any patients suffering from chronic pain. If you or someone you know is suffering from osteoarthritis of the knee and is interested in our study please contact us by phone: (905) 886-1212 ext: 204 or by email: [email protected]
For more information about the IPR study, please visit us at Wilderman Medical Clinic trials
Watch our BeYOUtiful: Inside & Out event video!
- At July 08, 2019
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It’s been one month since our fantastic BeYOUtiful: Inside & Out event!
This year, Wilderman Medical Clinic joined forces with Wilderman Medical Cosmetic Clinic, Accurate Imaging Diagnostics, and Bloomth Female Wellness to educate, celebrate, and learn about women’s health.
Our hearts are full of joy and happiness whenever we think of this terrific weekend.
We can’t wait for the next event and the chance to see you all again!
If you attended this event, please remember to make use of your gift bag coupons prior to August 31, 2019!
Tuberculosis: Disparities in Indigenous populations
- At August 30, 2018
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Tuberculosis appears on the list of the world’s top 10 causes of death. Although the global incidence of tuberculosis is decreasing by 2% per year, this disease is still common in some Indigenous populations.
Tuberculosis is a bacterial infection that generally affects the lungs. Individuals can be infected with tuberculosis but show no signs of disease, a situation termed latent tuberculosis. Symptoms of tuberculosis are more likely to manifest in those who are in poor health or from low socioeconomic backgrounds – those who are least able to afford the healthcare costs associated with this disease.
The incidence of tuberculosis is higher in Indigenous populations
Tuberculosis has greatly impacted Indigenous populations throughout North America and Greenland. In the 1950s, notification rates ranged from 1500-2500 per 100,000 individuals. The advent of population-based intervention trials saw the annual notification rates drop by 15-20%. Yet, notification rates began to increase in the late 1980s in some Indigenous populations.
There is, therefore, some debate as to whether the original decline in notification rates was due to effective intervention strategies, or if overall improvements in health and socioeconomic backgrounds contributed to this, or both.
A Canadian team investigated this issue in six Indigenous populations: First Nations in Alberta, Alaska Native population, Cree population of Eeyou Istchee or Cree Territory of James Bay in Quebec, and the Inuits of Nunavut, the Inuits of Nunavik in North Quebec, and the Inuits of Greenland.
The team looked at 54-years worth of tuberculosis notification rates (1960-2014) for the six populations. They then examined whether three intervention strategies—the bacillus Calmette-Guerin (BCG) vaccination given to infants, chest radiography screening for active symptoms of tuberculosis, and latent tuberculosis testing and treatment—influenced these rates.
Intervention decreases the incidence of tuberculosis
The team’s findings, published in Lancet Public Health, showed that the incidence of tuberculosis decreased dramatically from 310-536 cases per 100,000 individuals to 62-90 per 100,000 in all six populations between 1960 and 1980.
Although several health and socioeconomic factors were considered, the team believe that this decrease was attributed to two of the three interventions – the BCG vaccination decreased the tuberculosis incidence by 11%, and latent tuberculosis testing and treatment decreased it by 10%. These interventions also helped to increase the overall life expectancy and decrease infant mortality in these populations.
A disparity in the incidence of tuberculosis
This trend continued in three Indigenous populations – the First Nations, Alaska Native, and Cree populations – with the incidence of tuberculosis plummeting to 18 per 100,000 individuals in 2014. This mirrored the trend observed in the general Canadian population, although the numbers were much lower. Yet, despite overall improvements in general health and socioeconomic factors for all six populations during this time period, there was a resurgence of tuberculosis in the three Inuit populations, with the incidence increasing to 157 per 100,000 individuals by 2014.
The team believe that significant disparities between the six Indigenous populations contributed to this finding. The three populations in which tuberculosis continually decreased were less likely to be smokers, had higher education levels and were more likely to have diabetes and obesity.
Tuberculosis interventions discontinued prematurely
The intervention strategies were readily accepted by a large proportion of the Indigenous populations, hence the rapid decrease in notification rates. It is likely that these interventions were discontinued based on the successful decrease in notification rates, although there were no records behind these decisions. The authors speculate that the resurgence of tuberculosis in the Inuit populations may be associated with the premature discontinuation of these programs.
Effective and Acceptable Programs are required
This study was subject to inconsistencies in data collection and diagnosis of tuberculosis over the 54-year period. Despite these limitations, the team clearly demonstrated that intervention strategies to prevent tuberculosis worked in the six Indigenous populations studied. However, the resurgence of tuberculosis in a subset of these populations indicates that longer-running intervention strategies must be re-implemented. These must be cost efficient, effective, and readily accepted by the target population if they are to contribute to the World Health Organization’s aim to eliminate tuberculosis by 2035.
Written by Natasha Tetlow, PhD
References:
- Dehghani K, et al. Determinants of tuberculosis trends in six Indigenous populations of the USA, Canada, and Greenland from 1960 to 2014: a population-based study. Lancet Public Health. 2018. 3: e0133-42. http://dx.doi.org/10.1016/ S2468-2667(18)30002-1.
- World Health Organization. Tuberculosis Fact Sheet. Published 16 February 2018. Available at: www.who.int/news-room/fact-sheets/detail/tuberculosis
Introducing Vlad Tupeika, our new acupuncturist!
- At July 05, 2018
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Vlad believes in treating the patient as a whole, and facilitating the body’s capacity to heal itself. Vlad has 20 years of experience as a Medical Doctor in Europe. During his career, he realized that a person cannot be healthy by relying on medication. He gained his postgraduate MD in Acupuncture at the Belarus Academy. He continued to study Acupuncture at the Canadian Academy to become a Registered Acupuncturist. Vlad combines his background in medicine and acupuncture to create unique treatment plans for his patients. He helps manage pain, treat chronic diseases, and cosmetics.
Yoga for seniors with lower back pain – study
- At May 15, 2018
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Do you suffer from lower back pain? Wilderman Medical Clinic is offering free yoga session for seniors with lower back pain. This is part of a study that we are conducting to see whether yoga can help reduce chronic lower back pain in our patients. Based on previous studies, yoga can help reduce back pain, improve back function, reduce stress, and improve their overall quality of life.
The classes will be run by a professional yoga instructor, and will be offered on a weekly basis for 11 consecutive weeks, starting June 4th.
How do I sign up?
There are two ways to sign up. If you have an appointment with Dr Wilderman this month, simply let him know that you would like to sign up for the yoga study.
You can also stop by the clinic and see Luke in room 202, or reach him by telephone at 905-886-1212 extension 202.
Where do the yoga classes take place?
The classes will take place at the Elgin West Community Centre and Pool, 11099 Bathurst St., Richmond Hill.
It is about 15 minutes away from the clinic, north of Bathurst St. and Elgin Mills Rd. The community centre is fully accessible.
What benefits can I gain from participating in this study?
Previous studies have shown that yoga can decrease back pain, increase back function and , and relieve stress by relaxing the body and mind. Due to these improvements, some people are able to increase their overall quality of life as a result of participating in yoga class.