COSMETIC SERVICE & DAY SPA MAGAZINE

C A N A D A ’ S L E A D I N G H E A LT H W E L L N E S S & E D U C A T I O N M A G A Z I N E

MAY 2017 EDITION

FEATURING: Herongate Dental

INVISALIGN, CLEAR ALIGNER THERAPY, the alternative to conventional braces. A close-up interview with Dr. Fong and his Invisalign practice. Pg. 10

• Turn to page 2 to learn more about laser hair removal from Advanced Laser Clinic

• Treatment of urinary incontinence, concussions, and neurological disorders on page 16

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7447027859

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Dr. Ben Fong and his Invisalign Staff

COSMETIC SERVICE & DAY SPA MAGAZINE

Anjalia Vaid, owner of Advanced Laser Clinic, worked in the IT field as a successful Computer Engineer before leaving her profession in 2001 to open her own business in medical aesthetics. Her passion and desire to help women look and feel better through permanent hair removal led Anjalia to follow her dream of opening her own business. She started her journey by taking several specialized laser aesthetics and business courses offered in Calgary and the US.

Anjalia completed her training and gained her formal certification in laser medicine; she is a member in good standing with the American Society of Laser Medicine and Surgery. In late 2003, Anjalia finally fulfilled her dream when she opened Advanced Laser Clinic.

Initially, Advanced Laser Clinic was a modest, two treatment room facility located on Montreal Road. Even during the first years, Anjalia has always prided herself on providing the best, and most up-to-date treatments to her clients. Being of East Indian descent, Anjalia knows how problematic unwanted hair can be and how much it can affect a woman both physically and emotionally. She wanted to give her customers the most superior service and treatments available to eliminate the unwanted body and facial hair. Permanent hair removal is not only convenient and emotionally empowering, but it’s also cost and time effective.

From the beginning, Anjalia has worked to create a warm, welcoming haven for her clientele. Every client that comes to her clinic is treated with the utmost respect, care, and compassion. Exceptional customer service has been her top priority and is one of the primary reasons for the rapid growth that her clinic experienced in the early years. Word of mouth continues to be one of the clinic’s greatest promotional assets.

As the business flourished, Advanced Laser Clinic quickly outgrew its original location. In 2012, Anjalia relocated her business to St Laurent Boulevard. Knowing what worked and what did not, Anjalia planned every detail of her newer, ultra modern facility. She wanted her new clinic to be as functional and comfortable as possible for her clientele and staff.

Changing Lives:Anjalia Vaid, Owner of Advanced Laser Clinic

With vibrant colours and contemporary furnishings, clients have described the high-end clinic as having a “California spa” atmosphere. Anjalia’s own artwork adorns the walls, blending perfectly with the other furnishings in the center. The clinic is a welcoming and luxurious place that now provides many services and treatments to its clients. A staff member greets customers when they first enter the inviting atmosphere. Clients are given in-house footwear before going into a consultation room.

Advanced Laser Clinic started as a laser hair removal clinic. The Syneron-Candela Alexandrite & YAG Pro laser systems are used by highly-trained technicians to remove unwanted hair anywhere on the face or body. Using the proper lasers for various skin types, paired with the years of experience the technicians have, lead to the high-quality results that ALC has been providing. This procedure is just as popular with men as it is with women.

While laser hair removal remains one of the clinics primary treatments, Advanced Laser Clinic also provides other laser treatments to its clients including:

Laser Tattoo Removal

The highly trained technicians at Advanced Laser Clinic use the PicoWay Laser, the most advanced laser technology to shatter the ink particles to safely remove tattoos without damaging the skin. Advanced Laser Clinic was the first Clinic is Eastern Canada to use the PicoWay Laser. The clinic first started using this

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state-of-the-art laser to remove tattoos in 2015. It is the safest and least painless procedure that shows instant results. Clients considering removing their new tattoos should wait 4-6 weeks after getting a fresh tattoo before proceeding to remove it.

HydraFacial MD

HydraFacial MD is a painless, non-invasive skin care treatment that is used to eliminate fine lines, wrinkles, skin discolouration caused by hyperpigmentation, rosacea, and sun damage. The highly sophisticated, vortex-fusion system delivers serum to the skin in a multi-step procedure that includes: Vortex exfoliation, Vortex peel, Vortex extraction, Vortex fusion, and extend and protect phases. Dead skin cells and other impurities are removed before the skin is replenished with vital nutrients and antioxidants. The procedure also reduces the look of large pores, while giving the skin a toned and tightened appearance. The results can be seen immediately and there is no down time after the procedure. The HydraFacial MD is one of the most popular treatments in Hollywood and has been performed on some of the most famous celebrity faces.

Laser Fat Loss

This non surgical procedure uses the most technologically advanced laser system, the Z-6 Zerona, to contour the body by removing fat and inches. It works by removing the fat tissue under the skin so the body can safely flush the fat out. Advanced Laser Clinic is the one of the only facilities in Canada to have this technology and it was the first clinic in Canada to own the Z-6 Zerona laser with six heads. The Z-6 Zerona is the most researched and safest laser in the world. The treatment is designed to meet the unique needs of each patient, helping each person lose inches without the need for drastic dieting, surgery, or extreme workout routines.

Laser Skin Treatments

The PicoWay is the most state-of-the art laser for removing tattoos, but it is also used for other skin concerns. Advanced Laser Clinic will be the first in Canada to offer the PicoWay® Resolve Treatment, which is a hallographic pico-second, fraxel laser, which is highly effective in treating fine lines & wrinkles, birthmarks, stretch marks, acne scars, loose skin, skin irregularities, sun damage and pigmented leisions.

Botox and Dermal Fillers

Botox and dermal fillers are injectable treatments used to reduce the look of wrinkles, fine lines, crows feet and other lines on the face that come with age. The treatments are provided at Advanced Laser Clinic by a medical doctor.

Ideal Protein Weight Loss

The Ideal Protein Weight loss program used weight loss and education on healthy lifestyle choices to help clients successfully loose weight. Advanced Laser Clinic is an approved center for the program. The Ideal weight loss program has a starting point, middle and end. The program was developed over twenty years ago, by Dr. Tran Tien Chanh.

Skin Care Products

Advanced Laser Clinic offers Dermalogica skin care. Dermalogica has been on the market for over 25 years. It does not contain any chemicals that are commonly used in other products and irritate the skin. Dermalogica prides itself on never taking part in animal testing of their products.

Aside from her own advanced training, the technicians working at Advanced Laser Clinic are also highly trained professionals. Everyone at the clinic is trained and up-to-date with the latest techniques and equipment used for laser therapy treatments.

Dr Fersada B. Bajramovic administers all Botox and Dermal fillers. She has received extensive training in the medical field in Canada, the United States and Europe. She has studied vein sclerosing techniques in Paris, France and has received extensive training of non surgical treatments for aging and scarring related skin conditions. Dr. Bajramovic worked in family medicine at the Ottawa Civic Hospital and is an active member of the Canadian and North American Society of Phlebology.

Roxanne Simon, a renown Laser Hair Specialist, has been an integral member of Advanced Laser Clinic since 2004. Aside from her expertise in hair removal, Roxanne oversees the laser fat loss treatments and Ideal Protein weight loss programs. She possesses vast knowledge of the skin, extensive experience in Laser Hair Removal for all skin types. She goes the extra mile to ensure clients have the knowledge and tools to maintain their results, to live a healthier life mentally and physically. Roxanne makes every client feel welcome and respected when they come to the clinic.

Katelynne Saunders has been with Advanced Laser Clinic since 2015. She is a Medical Esthetician, HydraFacial MD Specialist. She has been an outstanding member of the team; providing superior facial treatments to the Clinic’s clientelle. Aside from providing exceptional treatments, Katelynne has also designs a unique and effective home skin care regiment for each client. Ph

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Invest in yourself because it’s going to pay off for a very long time . After using the services at Advanced Laser Clinic I just love the skin I’m in.... Always professional service, amazing staff - providing impeccable results!”

– Joudel Stacey JanoskaOttawa Model & Lifestyle Blogger

Anjalia continually attends training sessions and seminars to stay up-to-date on the latest skin care and laser therapy techniques. She continually travels to places like Los Angeles and San Francisco to learn the newest treatments. In 2015, Anjalia travelled to India where she attended several Ayurveda seminars. She hopes to eventually merge her eastern culture with her western culture by bringing the training she received in India to her Ottawa clinic. Although she is owner and director, Anjalia also works directly with clients. She specializes in laser tattoo removal, laser hair removal, pigmentation removal, and skin rejuvenation treatments.

Advanced Laser Clinic has won several awards since it opened 14 years ago, including the Consumers Choice Award and the Whatclinic Award.

While her clinic continually receives praise for its products and services, Anjalia finds the most gratifying part of her business to be the impact her services has on her clients. Women who were once so self conscious of their facial hair that they would hide their face or never make eye contact with other people are now walking proudly in public with their heads held high. For other clients, their vacation goals can now be fulfilled because they do not have to hide unwanted hair. These testimonials and more are her greatest rewards.

Within the next five years, this business owner, wife, and mother of two will continue to strive towards bringing the latest, most sophisticated treatments and services to the Ottawa area. Currently, she is working with a top Endocrinologist to bring an exciting and specialized service to the Ottawa area.

2310 St Laurent Blvd #102Ottawa, Ontario, K1G 5H9

Phone: (613) 749-4000Email: [email protected]

www.advancedlaser.ca4 | OTTAWA COSMETIC SERVICE & DAY SPA MAGAZINE OTTAWA COSMETIC SERVICE & DAY SPA MAGAZINE | 5


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C O N T E N T S

Advanced Laser Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Oueis Dentistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Innovative Skincare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Herongate Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Diabetes Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Physiocare Physiotherapy & Rehab Centre . . . . . . 16

Skin Vitality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Renu U Aesthetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

“But I don’t like fruit or vegetables . . .” . . . . . . . . . . . . 23

Diabetes & Dental Care . . . . . . . . . . . . . . . . . . . . . . . . . 24

Sante Restaurant / Holtz Spa . . . . . . . . . . . . . . . . . . 29

Research finds ways to help you love exercise . . 30

Laserderm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Herongate Dental AD . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Publisher Provincial Media Group Winnipeg, MB

1-204-292-6784

www .provincialmediagroup .com

provincialmedia@hotmail .ca

President Tyson Williams

Design Provincial Media Design Team

Editor in Chief Daphne Clemons

WritersTrish Purse

Distribution Chris Horn

Photography Provincial Media Group’s sub-contracted photographers

C A N A D A ’ S L E A D I N G H E A LT H W E L L N E S S & E D U C A T I O N M A G A Z I N E

MAY 2017 EDITION

FEATURING: Herongate Dental

INVISALIGN, CLEAR ALIGNER THERAPY, the alternative to conventional braces. A close-up interview with Dr. Fong and his Invisalign practice. Pg. 10

• Turn to page 2 to learn more about laser hair removal from Advanced Laser Clinic

• Treatment of urinary incontinence, concussions, and neurological disorders on page 16

07

7447027859

17

V04

SASK

www.provincialmediagroup.com

Dr. Ben Fong and his Invisalign Staff

COSMETIC SERVICE & DAY SPA MAGAZINE

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Dr. Ben Fong, a 1983 graduate of the University of Toronto

Dental School opened Herongate Dental Clinic as a family

and cosmetic dental clinic in the south of Ottawa south.

In 1996 he realized orthodontics was a crucial part the

cosmetic dentistry, and he started to use conventional

braces for the orthodontic treatment he provided. In

2003, Dr. Fong decided to implement Invisalign, a new

alternative method of orthodontics to his practice. It

was well received by patients as compared to traditional

braces as Invisalign is virtually “invisible”, is comfortable,

easy to maintain, less visits to the office, and because it is

removable, the patient could eat whatever they wanted.

The demand for orthodontics in Dr. Fong’s practice

increased as more adults chose the Invisalign treatment

option to straighten their teeth. Most recently, Dr. Fong

has surpassed the one thousand mark of the number of

Invisalign patients he has seen in his practice. In a candid

interview, Dr. will explain a little bit about his clinic and

how Invisalign became an integral part of his practice.

Question and Answer

Question: Why did you choose orthodontics as your major interest in your practice?

Dr. Fong: Ever since I was a teenager, I was fascinated by people’s

smile and what a difference it could make on a first impression. For

that reason, I choose dentistry as my career when I was finishing high

school. During my dental school years, I was quite captured by cosmetic

dentistry and the technical aspect of the profession. I practice general

dentistry and provide every aspect of dentistry to the community. I

maintain my interest in cosmetics and eventually came to realize that

orthodontics plays a major part in helping to orchestrate a perfect

smile. Crowns and veneers can certainly improve the appearance of

a damaged tooth but orthodontics will create the symmetry and the

perfect alignment of a beautiful smile.

Question: How has your Orthodontic portion of practice grown?

Answer: The majority of my patients come to my practice through

referrals from other patients who are happy and satisfied with my

service. I also get referrals from fellow dentists; for those patients, I

strictly provide orthodontic treatment and refer them back to their

dentist for their routine treatment.

Question: Why do patients prefer Invisalign?

Answer: The most common reason is its inconspicuous presence.

Beside it being comfortable, less office visits, less emergency

appointments, the ease of maintenance is also an important factor as

the patients basically continue with their usual oral hygiene routine;

since they are removable, patients can eat without concern.

Question: What type of information do you provide in your Orthodontic consultation;

Answer: My orthodontic consultations are free of charge. I review the

patient’s main concerns, goals and their expectations. With the patient’s

permission, necessary X-rays (at a fee) are taken. I also explain to the

patient why they have their problems, the cause of it and what they can

expect as a final outcome. I then decide which orthodontic treatment

is best for them with regard to Invisalign or conventional braces. I

also provide an approximate fee and how long it would take for the

treatment to be completed. I show them sample cases from one of

the 1000 plus treatments that I have done over the past 13 years. I also

show some before and after results of cases similar to theirs from the

websites InvisalignResults.ca and BracesResults.ca which contain 800+

before and after treatment of my patients.

Question: How common is it for teeth that have been straightened to move out of alignment?

Answer: Relapse may occur regardless of what method is used to

align the teeth, Invisalign or conventional braces. To avoid relapse, the

continual use of retainer is essential.

Question: Can you go over what the patient can expect from their first appointment to the last appointment?

Answer: Yes, I am more than happy to explain what a patient can expect

at each and every appointment that my Invisalign patients attend to.

Appointment one; the patient comes in for their record and scanning.

All general dentistry, including fillings and cleaning, has to be done

prior to this appointment. The scanning is done with an Itero scanner

which eliminates the need for impressions. The information obtained

is in a digital format and instantly produces a simulated final outcome

of what the patient’s smile will look like. The goals are determined with

the patient and my instructions along with the scan is sent through the

Internet to Invisalign headquarters. The patient specific treatment plan is

then created with an approximate estimate of treatment time.

Second appointment; a week later, I will review with the patient their

Invisalign’s proposed treatment plan, the length of their treatment and

the final outcome of their perfect smile.

Third appointment; two weeks later, the patient will get their first two

to four Invisalign trays. All the instructions are given to the patient with

a handout plus a YouTube video link that describes this appointment in

greater detail. Generally, the patient will wear the trays for one week.

Fourth appointment; two to four weeks later, attachments (small tooth

color structures) are bonded on selected teeth and tooth size reduction

are done accordingly. They will receive the next 6 to 8 Invisalign trays.

The patient will come back for more trays once they have finished the

trays that have been given to them.

During each visit, the patient’s progress is monitored and compared

with what the movements should have been. The number of total visits

will be based on how many total trays the patient have and in general

they are seen every 6 to 8 weeks. On their last treatment visit, specially

formulated retainer trays will be given to the patient with proper

instructions to maintain their long lasting beautiful smile. Two weeks

later, a final inspection is done to ensure the patient’s satisfaction and to

answer any additional questions.


Patient M.Diagnosis;

* Presented with multiple problems

* previously extracted front tooth due to deformity

* impacted, ectopic eruption of left deformed cuspid

into a different position.

* severe enamel defect due to excess fluoride

* Limited financial resources

Treatment:

* Braces to erupt cuspid

* Invisalign

* Cantilever bridge

* Cosmetic composite bonding onremaining anterior teeth.

Question; What are your biggest challenges?

Answer; I am very careful with my case selection to avoid

unnecessary challenges. My challenges with Invisalign are

compliance, complexity and patient expectation. Patient compliance

is very important with Invisalign, because of the fact that the patient

has complete control over their treatment. Patients that don’t follow

our rules and do not wear their trays accordingly are certainly one

of Invisalign’s biggest hurdles. Sometimes the patient’s type of work,

their social activities and their carelessness keeps them from their

expected commitment. Complexity of the case is also important

which is why case selection is crucial during the initial consultation.

Expectation is also an issue when it comes to completing the case.

That happens regardless of the method of treatment. I have the

odd case that takes longer than we first anticipated. In rare cases,

when Invisalign treatment does not meet our initial goals, switching

to conventional braces is our final option. Even then, a patient’s

compliance is crucial in obtaining satisfactory results.

Please do not hesitate to email Dr. Ben Fong at Herongatedental@

rogers.com with regard to any question you may have regarding

your smile and Invisalign. You may also submit photos of your smile

for a quick online analysis.

To view Dr. Fong’s 700 plus cases with before and after images, go to www.InvisalignResults.ca and www.BracesResults.ca

Before Treatment

After Invisalign

After Cosmetic Crowns and Bonding

Before

After

Dr. Ben Fong was featured in the May Issue.

To view this article, go to www.drbenfong.com

or scan the following QR code.

1-1739 Walkley Rd., Ottawa On K1V 2P6

www.OttawaInvisalignDentist.ca

Dr. Fong and Staff


HOW TO CHOOSE A GOOD PEDOMETER

Three things to look for: 1 Accuracy Poor-quality pedometers are often too sensitive or not sensitive enough. Do these two quick tests: i) Reset your pedometer to zero, and take 20 steps. An accurate pedometer will record 19 to 21 steps. ii) Stand still and wave your arms, as if you’re conducting an orchestra. An accurate pedometer will not record any steps.

2 Cover and safety strap A hard cover protects the face of the device if it falls off. The safety strap keeps it from falling if it becomes unclipped.

3 Talking feature If you find it difficult to read or manage your pedometer, consider one with an audio feature that will announce your step count at 1,000-step milestones or at the touch of a button.

How to choose a good pedometer app If you have a cellphone, look at the free pedometer apps available. Do the 20-step test (see above) to check them for accuracy, and explore their features. Some will map your route as you move about town, and track distance, elevation and speed. Also, determine if the app counts steps when your phone is in sleep mode, if it requires GPS and how much battery power it draws.

Every step counts, indoors and outdoors Consciously adding extra bits of exercise—by taking the stairs instead of the elevator, walking over to a colleague’s desk instead of emailing, and pacing during phone calls and television commercials—can significantly boost your day’s step total. And, of course, remember that the indoor steps you take while vacuuming, climbing stairs, and moving about the kitchen as you cook all count as well.

“Wearing a pedometer for the first time was a real eye-opener,” says Mike Mather. He was introduced to the handy step-counting device, which clips to your waistband, two years ago at his diabetes education exercise class.

“Many people in the class didn’t realize how few steps they took in a day, especially if they had desk jobs,” says the 65-year-old travel agency owner from Deep Brook, N.S., who was diagnosed with diabetes seven years ago.

As part of the exercise program, his class took on the challenge of travelling all the way around Nova Scotia—on paper, that is! They combined their daily step totals, and were thrilled to successfully complete the 2,500-kilometre journey over the eight-week program.

Mr. Mather and his wife, Diane, challenged themselves to walk an impressive 10,000 steps per day during the program. “If at the end of the day one of us was 3,000 steps short, it motivated us to go for a walk that evening. I hate to lose!” he says.

Monitoring his steps became part of Mr. Mather’s daily routine, and even after the program was completed, he continued wearing his pedometer each morning.

The benefits of pedometers “They work so well because they give instantaneous feedback, the same way video games do,” says Dr. James Mandigo, associate professor of physical education and kinesiology at Brock University in St. Catharines, Ont. “You always know how you’re doing, and this builds your confidence.”

While experts often cite 10,000 steps per day as an ideal target, this may be too ambitious a goal for people who are just getting started with activity, says Joanne Lewis, healthy eating and nutrition programming director for Diabetes Canada. (The average Canadian walks an estimated 3,000 to 4,000 steps per day.) Instead, she suggests that you determine your current walking activity level and then gradually increase it over time.

“Start by monitoring how many steps you take on an average day, then if you’re able to, add 500 per day until you eventually reach 10,000,” she says. “It may take a while, but in the meantime you’ll be more physically active than you were in the past!”

More good news When it comes to the benefits of walking, it’s unanimous. “Research shows that walking can improve fitness levels, blood sugar control, A1C levels, cholesterol values and body weight,” says Dr. Paul Oh, a scientist and medical director of the Cardiac Rehabilitation and Secondary Prevention Program at the Toronto Rehabilitation Institute. He notes that a collection of studies have shown that, on average, people who wear pedometers take 2,000 more steps per day than people who don’t. Additional studies show that pedometer-wearers walk faster and more frequently, and are more likely to stick with a walking program, than those who don’t use one.

Give your walking power and your health a boost with the help

of a pedometer

EVERY STEP COUNTS

By Barb Gormley

Research shows that walking can improve fitness levels, blood sugar control, A1C levels, cholesterol values and body weight.”

Dr. Paul Oh, scientist and medical director

DID

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U

KNO

W? Regular physical activity helps you better manage

your blood glucose and diabetes. During physical activity, active muscles allow your body to use glucose more efficiently, and this effect lasts for one to two days. For more information, read “Planning for Regular Physical Activity” at diabetes.ca/planactivity.

Take a Walk sample program

Use this four-week beginners’ program to gradually and safely increase the amount of walking you do each day. Each week, increase your target by 500 steps over the previous week’s target. And don’t give up if you don’t meet your target!

Week 1: Use your pedometer to determine a baseline.

Total weekly steps = ________ ÷ 7 = ________ = Week 1 daily step average

Week 2: Increase your steps.

Week 2 target = ____








Mon. Tues. Wed. Thurs. Fri. Sat. Sun.




For more information about Diabetes Canada, please visit diabetes.ca


Gunjan Vermani is a Registered Physiotherapist who specializes in treatment of urinary incontinence, concussions, and neurological disorders. She opened

the Physiocare Physiotherapy & Rehab Centre in June 2016 as a family oriented business providing physiotherapy, massage therapy, and clinical counselling.

The clinic is located in Nepean and offers extended evening hours and Saturday service along with free parking and easy transit access for the patient’s convenience. Patients will find a complete range of physiotherapy services in one location, with services designed for people dealing with physical injury or mobility problems or those with more specialized needs. Patients on any given day might include babies with club feet or wry neck, people of any age with sports injuries or repetitive strain injuries, car accident victims, new mothers, rheumatoid arthritis sufferers, and Parkinson’s disease patients among others. In addition to physiotherapy treatments the clinic hosts information seminars that take place around the community to bring awareness to the public of matters relating to their health and physical care.

The clinic provides a complete service from examinations to providing education about the condition and options for treatment. New patients begin with a thorough examination to study the problem in detail and to answer any questions. The patient and therapist work together to ensure the treatment is effective, either in manual therapy in the clinic or in instructions about exercises to be done at home. As Gunjan explains, “Patients are educated on how they can help themselves to heal. They are responsible for their own health, and they feel the success in their own treatment.” Those with multiple issues are treated holistically so that all their concerns are dealt with together.

Arthritis patients can benefit from physiotherapy to improve mobility and restore use of the affected joints by increasing strength and support. Physiotherapists can advise about proper posture and movement to reduce pain and increase function, and strategies for maintaining daily activities. Sometimes assistive devices may be required, or modifications to the environment such as ergonomic furniture. The treatment plan often includes exercises that can be done at home to gradually improve strength and coordination.

The loss of urine during exertion, such as when coughing, jumping, or laughing, is symptomatic of female urinary incontinence and can affect both men and women. Physiotherapy can help to strengthen the pelvic muscles and calm the bladder, and teach the patient to manage incontinence if lifestyle changes are needed. Physiocare Physiotherapy & Rehab Centre also provides therapy for low back or pelvic pain, prolapse, and pelvic floor muscle weakness.

Patients are educated on how they can help themselves to heal. They are responsible for their own health, and they feel the success in their own treatment.

Muscle and joint injuries can occur to anyone, and are especially common in athletes. Injuries can happen due to trauma or to overuse. Physiotherapy treats the injury either manually or through devices such as braces or splints. The patient is educated about the injury and how to prevent it from recurring. Deep Oscillation Therapy is one treatment option for muscle and joint pain. Deep Oscillation uses electrostatic waves that penetrate deeper than manual therapy to reduce swelling and restore circulation and flexibility for quicker healing.

Vestibular (inner ear) Rehabilitation is available for vestibular problems that can include dizziness or balance problems. Vestibular disorders can impact a person’s life and cause them to avoid movements or situations that might bring on the problem. A proper diagnosis is important before determining the type of therapy that will be needed.


Concussions can occur at any time and are common in accidents or sports injuries, and can cause lasting damage to the tissue or the chemical balance of the brain. Physiocare Physiotherapy & Rehab Centre has therapists that are certified in concussion rehabilitation to assess the extent of injury and help treat the symptoms. Treatment needs to be personalized to the individual as concussions differ in symptoms among patients. Sometimes treatment is centred on the vestibular system; or if head or neck pain is present then treatment will focus on pain relief.

Pain in the face or neck that is caused by TMJ (temporomandibular joint) disorder can be treated either manually or through IMS (intramuscular stimulation). TMJ is caused by problems in the jaw and surrounding muscles that control chewing and jaw movement. Treatments involve relaxing the jaw muscles to relieve pain and allow for normal function.

Parkinson’s disease, multiple sclerosis, stroke, head injuries, and spinal cord injuries are a few of the conditions that can cause damage to the central nervous system with the result of reduced movement and coordination, weakness, and tremors. Neurological Rehabilitation by a physiotherapist involves exercises designed to improve the symptoms and give the patient better function.

Phototherapy is available for certain skin conditions like psoriasis, Atopic Dermatitis (eczema), Vitilago and psychological counselling is offered either on its own or together with physiotherapy if it will help the treatment regimen. The clinic also provides custom braces, custom orthotics, and compression socks. Assessments can be done for those who require assistive devices for seating and mobility such as walkers, wheelchairs, power scooters, etc. Physiocare Physiotherapy and Rehab Centre also works closely with other healthcare professionals including podiatrists and an orthotics company to provide a more complete service.

The team at Physiocare Physiotherapy & Rehab Centre are all highly qualified and experienced in their fields of physiotherapy, massage therapy, clinical counselling, kinesiology, certified vestibular treatments, and exercise prescription. The staff members continue to upgrade their training in order to offer the most professional level of care and the newest advances in treatments, and the clinic itself is kept up-to-date with the latest technology.

The friendly office manager greets patients at the front desk and provides information about the operation of the clinic.

Gunjan Vermani has extensive experience in management of neurological conditions such as Parkinson’s disease or multiple sclerosis. She also provides prenatal and postnatal care, and treatment for urinary incontinence, concussion rehabilitation, and central pain management, and is an ADP (Assistive Devices Program) Authorizer for walkers, wheelchairs, orthotics, compression socks, and custom bracing. Additionally, Gunjan is trained in acupuncture and dry needling that can be used as an alternative to medication, either on its own or together with other physiotherapy treatments, to help heal, relieve pain, or improve function of the body.

Registered Physiotherapist Vijay Sharma has experience in sports injuries, orthopaedic injuries, arthritis related conditions such as osteoarthritis and rheumatoid arthritis, fibromyalgia, autoimmune disorders, and neurological conditions including Parkinson’s disease or brain and spinal cord injuries. He is certified in ACPAC (Advanced Clinical Practitioner in Arthritis Care) from the University of Toronto, and has certification in TMJ pain treatment, manual therapy, concussion rehabilitation, and vestibular rehabilitation. He is qualified in the Graston technique, acupuncture and dry needling, Chinese traditional cupping, M2T Blade, and Kinesiology Taping, and is ADP authorized for assistive devices.

Physiotherapist Mehul Patel earned his degree in physiotherapy with honours, and is certified in concussion rehabilitation, TMJ and jaw pain management, Kinesio Taping, M2T blade, and Mulligan mobilization. He also practices acupuncture and dry needling.

Svetlana Lopez Vargas is a Registered Massage Therapist with experience in a variety of treatments including for chronic strain, postural imbalance, sports injury, postsurgical treatment, and pregnancy. People with conditions such as multiple sclerosis and Parkinson’s can also often benefit by massage therapy.

Certified Canadian and National Counsellor Balmeet Toor graduated with her psychology degree and finished her Master of Science Degree in Counselling Psychology. In her counselling practice she teaches strategies to help people reach their potential. Her clients range from teenagers to the elderly who are dealing with anxiety, maintaining motivation, stress, body image or confidence issues, enhancing performance, and pain or injury.

In the future Physiocare Physiotherapy & Rehab Centre plans to expand the clinic to bring a complete range of services to more people. For example, some people are unable to travel to the clinic for their appointment and plans are in place to establish a new clinic to provide them with the services they need.

Physiocare Physiotherapy & Rehab Centre289 Greenbank Road, Nepean, ON K2H 8K9

Phone 613-714-9495 Email [email protected]

www.physiocarephysiotherapy.com

Home visits can be arranged for people who have difficulty visiting the clinic due to injury or poor health.

Patients provide positive feedback about the value of the services they receive from Physiocare Physiotherapy & Rehab Centre. Physiotherapy helps them to overcome many obstacles both physically and emotionally to lead a healthier and more satisfying life. As Gunjan notes, “The most gratifying part of our work is to witness the patient improving, with the therapist’s and patient’s collaborative efforts and hard work, towards their recovery. Every time a patient is discharged, we feel even more proud of our team. It makes us more content and provides a sense of fulfillment. The satisfaction exhibited by our clients is a great reward for us.”

We extend our warm welcome to the people across Canada who are in need of specialized physiotherapy services. Please visit us to experience the professionalism with warmth during your visit to Ottawa.



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RENU U Aesthetics140 Burton Ave, Barriewww.renuuaesthetics.com(705)725-8558

Let Us Pamper You!More often than not our lives are taken over by all of our day-to-day priorities, causing us to neglect what our bodies need most: a chance to heal, relax and revitalize.

RENU U Aesthetics is a modern, upscale spa near Barrie’s downtown with luxurious products and a tranquil atmosphere to allow you to indulge! So come in relax, lay back and allow us to pamper you!

RENU U Aesthetics is committed to providing all guests with a spa experience that is fi lled with relaxation in every way possible. In addition, each guest will be provided with an opportunity of renewed well-being and restored sense of self through products and knowledge.

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Nicole is an ambitious aesthetician who specializes in skin care. Her interest in making others feel good lead to the founding of RENU U Aesthetics in 2007.

Nicole takes pride in being able to perform trendy treatments that offer results that benefi t not only your beauty, but overall well-being as well. She strives to

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Nicole Pilger

If you’re not overjoyed by oranges or elated by eggplant, you’re not alone. According to Statistics Canada, just 40 percent of Canadians consume at least five servings of fruit and vegetables daily (the recommended minimum for adults is seven servings!).

Relatively low in calories, vegetables and fruit are filling and high in fibre, vitamins and minerals. Plus, a diet that’s rich in vegetables and fruits may help reduce your risk of heart disease and stroke.

For optimal health, your goal is to fill half your plate with vegetables or fruit at each meal. But let’s start small and look at the barriers that may be keeping you from enjoying all the benefits of vegetables and fruit.

If you just don’t like ‘em?

Sometimes an aversion may be due to childhood memories of being forced to eat vegetables you disliked. In other cases, people are turned off because they’ve only eaten overcooked or mushy veg. A properly prepared vegetable can be a game changer!

About 25 per cent of people are “supertasters,” which means that they have strong taste receptors for bitter flavours,

so mild foods like broccoli taste unpleasant. Here are some suggestions to boost your vegetable intake, even for the harshest critics:

• Pair with foods you already like: Start by adding a slice of tomato to a beloved hamburger or mushrooms into an omelette.

• Play with texture: If you hate mushy vegetables, try raw, shredded, roasted or stir-fried versions instead. Love crunchy foods? Try baked kale or beet “chips.”

• Enjoy more soups: If the texture of both raw AND cooked vegetables is not your thing, puree them instead. Prepare blended soups or smoothies to increase vegetable and fruit consumption.

• Add spectacular flavor: A little olive oil and garlic, a drizzle of balsamic vinegar, a squeeze of lemon, or a handful of fresh herbs can add excitement to veggies.

And if you have no time?

If lack of time or inconvenience is keeping you from eating more vegetables and fruit, try these strategies:

• Add to breakfast: Start the day off right with avocado on toast, berries on cereal, or broccoli in an omelette.

• Enjoy more salads: If you’re dining out, salads are on almost every menu. When eating in, use pre-washed greens so convenience is not a barrier. Easy win.

• Plan in advance: Spare an hour each week to cut carrots, celery and sweet peppers and store them in the fridge for easy snacking and meal prep.

• Double up: Cooked vegetables last three or four days in the fridge, so cook extra and enjoy the leftovers for lunch.

• Grab and go: Cherry tomatoes and snap peas make great snacks, as do apples, bananas or oranges.

• Use the freezer: Frozen vegetables are as nutritious as fresh ones, and don’t wilt in the produce bin! Keep a supply of frozen broccoli, peas, leafy greens and stir-fry mixes on-hand for simple meals.

With an abundance of vegetables and fruits to choose from and many ways to prepare them, you’re bound to find something you love!

You know they’re good for you. And you want to eat more of them, really. Try these tips to feel more love for healthy produce.

“But I don’t like fruit or vegetables…”

© 2017 Heart and Stroke Foundation of Canada Reproduced with the permission of Heart and Stroke Foundation of Canada. www.heartandstroke.ca


2 9DIABETES DIALOGUE • SPRING 2015 • CANADIAN DIABETES ASSOCIATION

dental careWant to keep your gums and teeth healthy? Here’s what you can do

Diabetes &

You have probably heard a lot about the effect diabetes can have on your eyes and feet if it is left untreated or not managed properly. Did you know the disease can also affect your teeth, gums, and other parts of

your mouth? Here is what you need to know and do in order to preserve your teeth and the structures that support them.

HOW DOES DIABETES AFFECT MY ORAL HEALTH?“The mouth contains an abundance of small blood vessels, which can be affected by diabetes,” says Dr. Gerald Smith, president of the Ontario Dental Association. It is no surprise, says Smith, that “poorly controlled diabetes can cause several oral health problems.” These include:

Tooth decay (cavities) The sticky substance that forms on your teeth, called plaque, contains many bacteria. They combine with sugars and starches in your mouth to form acids that gradually destroy your teeth and result in cavities. The higher your blood glucose (sugar) levels, the greater the supply of sugars—and the greater the risk of tooth decay. High glucose levels in your saliva may also help bacteria thrive.

Gingivitis (inflammation of the gums) If plaque builds up over time, it hardens into calcium deposits that can cause your gums to become inflamed, or swollen.

By Gabrielle Bauer

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DIABETES DIALOGUE • SPRING 2015 • CANADIAN DIABETES ASSOCIATION3 0

“ The mouth isn’t a separate part of the body.

Your oral health and overall health are connected.” – Dr. Gerald Smith, dentist and president

of the Ontario Dental Association

oral health

WHAT ARE THE SIGNS OF DENTAL DISEASE?Sore, swollen, and red gums that bleed when you brush your teeth are signs of gingivitis. If your gums have shrunk or pulled away from your teeth, you could have periodontitis. Report any suspicious signs—such as bleeding, sore or swollen gums, mouth pain, or loose teeth—to a dental professional.

WHAT CAN I DO TO PRESERVE MY ORAL HEALTH?Work with your health-care team to get your blood glucose under control. At the same time, Smith recommends maintaining a consistent oral hygiene routine that includes:

• brushing your teeth at least twice a day • using a toothpaste that contains fluoride • flossing at least once a day• following a healthy diet

While limiting sweets is always a good idea, it will not necessarily prevent cavities: “Food particles left between your teeth will break down and become acidic, even if they’re not sugary,” says Carolyn Gall Casey, education director for the Canadian Diabetes Association (CDA).

Periodontitis (gum disease) Left untreated, gingivitis can spread to the underlying bone and cause gum disease. Because diabetes lowers a person’s ability to fight infection and slows down healing, gum disease tends to be more severe in people with the disease. In fact, “the sudden unexplained appearance of gum disease, or gum disease that doesn’t respond well to treatment, may offer the first clue that a person has diabetes,” says Smith, who practises dentistry in Thunder Bay, Ont.

Dry mouth High blood glucose levels can decrease the flow of saliva in your mouth, which increases the risk of tooth decay and gum disease. Improving your blood glucose control can lead to an improvement in salivary flow.

Yeast infection (thrush) and other oral infections “People with diabetes have a lower resistance to infection and a longer healing process, so they’re prone to a lot of infections,” says Smith. Excess sugar in the saliva— a result of poorly controlled diabetes—can lead to a buildup of a fungus called Candida albicans and cause

thrush. Watch for creamy white patches on your tongue or inner cheeks. The infection may also spread to other parts of your mouth or throat.

CAN DIABETES MEDICATIONS AFFECT MY ORAL HEALTH?In general, diabetes medications do not cause problems with your teeth or gums. A possible exception is the class of glucose-lowering medications called thiazolidinediones, which includes pioglitazone (Actos) and rosiglitazone (Avandia). In a small minority of patients, these drugs may cause tooth pain or discomfort.

DOES DENTAL DISEASE AFFECT MY BLOOD SUGAR?“Infections in general can affect blood glucose levels,” says Smith. Gum disease causes your immune system to release molecules that trigger swelling. This makes blood glucose more difficult to control.

Dr. Gerald Smith

“ Food particles left between your teeth will break down and become acidic, even if they’re not sugary. That’s why brushing and flossing regularly are important.” – Carolyn Gall Casey, education director, Canadian Diabetes Association

“That’s why brushing and flossing your teeth regularly are so important.” Regular dental checkups, including plaque removal, are a must. “Your dentist can tell you how often you need to visit,” says Smith, adding that “I have some patients with diabetes whose oral health is managed very well with visits twice a year, while others may require visits every three months.” If you already have gum disease, you will need to visit your dentist more often. If you smoke, here is one more reason to quit: The risk of developing thrush and gum disease is higher in smokers with diabetes than in non-smokers. Smoking also seems to affect blood flow to the gums, which may slow down wound healing in this area.

What’s the solution?

PROBLEM TREATMENT

Dry mouth Chew sugarless gum, suck on sugarless mints, or use a mouth moisturizer available over the counter at the pharmacy

Yeast infection Medication or mouthwash

Gingivitis Good oral hygiene (brushing, flossing, diet, plaque removal)

Periodontitis Professional dental treatment, which may include plaque removal, smoothing the surfaces of your dental roots, antibiotics, and/or surgery

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3 2 DIABETES DIALOGUE • SPRING 2015 • CANADIAN DIABETES ASSOCIATION

LILLY/BRANDHEALTH

WHAT IF I HAVE DENTURES?Ensure your dentures fit well, and clean them daily. (Thrush is more likely to form under poorly fitting dentures.) If you suspect your dentures do not fit properly or if your gums feel sore, contact a dental professional.

DO I NEED TO DO ANYTHING SPECIAL TO PREPARE FOR VISITS TO THE DENTIST?“No. Most people with diabetes will have dental cleanings and checkups on the same schedule as people who don’t have diabetes,” says Gall Casey.

The CDA has created an online tool to help you find out whether you are checking your blood glucose as often as you need to. Just answer a few simple questions and the tool will tell you how often you need to test. You can also use the CDA’s blood glucose log to record your blood glucose levels, medications, vitamins, and other supplements. For more information, visit “Taking Charge of My Diabetes” at diabetes.ca/takecharge.

Did you know?

SUCCESSFUL IMPLANTS

“ Brushing your teeth twice a day is a minimum— after every meal or snack is ideal.” – Carolyn Gall Casey, education director,

Canadian Diabetes Association

It was once believed that people with diabetes, who face an increased risk of infection and slower wound healing, were poor candidates for dental implants.

As implant techniques and diabetes management strategies have evolved, however, this oral therapy has become increasingly common—and successful—for people with the disease. A recent study tracking people with type 2 diabetes a year after they had received dental implants provides further reassurance: The implants were still successful in just about all study participants, regardless of how well their diabetes was controlled. Ph

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3 2 DIABETES DIALOGUE • SPRING 2015 • CANADIAN DIABETES ASSOCIATION

LILLY/BRANDHEALTH

WHAT IF I HAVE DENTURES?Ensure your dentures fit well, and clean them daily. (Thrush is more likely to form under poorly fitting dentures.) If you suspect your dentures do not fit properly or if your gums feel sore, contact a dental professional.

DO I NEED TO DO ANYTHING SPECIAL TO PREPARE FOR VISITS TO THE DENTIST?“No. Most people with diabetes will have dental cleanings and checkups on the same schedule as people who don’t have diabetes,” says Gall Casey.

The CDA has created an online tool to help you find out whether you are checking your blood glucose as often as you need to. Just answer a few simple questions and the tool will tell you how often you need to test. You can also use the CDA’s blood glucose log to record your blood glucose levels, medications, vitamins, and other supplements. For more information, visit “Taking Charge of My Diabetes” at diabetes.ca/takecharge.

Did you know?

SUCCESSFUL IMPLANTS

“ Brushing your teeth twice a day is a minimum— after every meal or snack is ideal.” – Carolyn Gall Casey, education director,

Canadian Diabetes Association

It was once believed that people with diabetes, who face an increased risk of infection and slower wound healing, were poor candidates for dental implants.

As implant techniques and diabetes management strategies have evolved, however, this oral therapy has become increasingly common—and successful—for people with the disease. A recent study tracking people with type 2 diabetes a year after they had received dental implants provides further reassurance: The implants were still successful in just about all study participants, regardless of how well their diabetes was controlled. Pho

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This article by Gabrielle Bauer originally appeared in the Spring 2015 issue of Diabetes Dialogue. It is reprinted with permission of the Canadian Diabetes Association. For more information, visit www.diabetes.ca/dialogue.

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Avoiding exercise? It’s likely not for lack of discipline, science suggests. In fact, you might want to cut yourself some slack.

One of the most common mistakes people make, when they’re first getting active, is thinking of exercise in rigid terms. It has to happen in a gym. A treadmill might be involved. You should break a sweat. Repeat.

But it’s that rigidity that can set us up for disappointment, says Dr. Todd Duhamel, Heart & Stroke researcher and principal investigator at the Institute of Cardiovascular Sciences at St. Boniface Hospital in Winnipeg.

Dr. Duhamel has spent part of his career studying behaviour change and what keeps us from getting the physical activity we need to reduce our risk of heart disease, stroke and other diseases. His most recent study looks for strategies that can help employees sit less and move more. Nearly all of the employees recruited to participate in the ENCOURAGE project saw an uptick in their physical activity, with more than half (54%) logging 150 minutes a week.

That’s a lot more than the average Canadian, who accumulates 25 minutes (rather than the recommended 150 minutes) of moderate to vigorous physical activity a week.

Surprisingly, getting people to add physical activity into their daily routines didn’t require them to make a big lifestyle change.

“It’s about really identifying why people connect to physical activity,” Dr. Duhamel stresses. If it’s important to you, if you can schedule it into your day; it’s easier to stick with it.

Changing minds, changing habits

A big part of the ENCOURAGE project focused on shifting people’s idea of what it means to be physically active. For sedentary employees, that meant finding small ways to build activity into their day, like taking the stairs and setting reminders to get up from their desk.

“Sedentary time is not opposite of exercise; it’s actually its own risk factor,” says Dr. Duhamel. “And there’s emerging evidence that standing up every hour will make you healthier. If you can get that higher intensity exercise, that’s a bonus and where we need to aspire to.” But, he says, it’s important to start with the most sedentary people, getting them to add even a little movement to their days.

Study participants received guidance from a kinesiologist to identify the types of activities they enjoyed, as well as referrals to local community programs near their home or workplace that offered a program at the right intensity.

The next phase of the ENCOURAGE project will use technology to help more Canadians find ways to get active when they have no time. The app Dr. Duhamel and his team are planning to release in early 2017 will encourage you to pick an action, like standing up from your chair, and complete it within the hour.

What if you don’t like to exercise at all? Perfectly normal, says Dr. Duhamel.

“Myself, I hate exercising. But I really like doing something for a purpose. I’ll go outside and work for eight hours a day working at my cottage because I like doing that. There’s a purpose to it. But I won’t go run on a treadmill.”

He stresses that gyms and structured exercise programs aren’t the only ways to add physical activity to your day. For example, in Indigenous cultures, there are plenty of land-based activities that increase physical activity. You just move because you’re out in the environment. It’s natural.

So, if spending time with your family is important, can you look for ways to build activity, like a trip to the park, into your time together? It’s an improvement over sitting on a couch watching TV together. “The reality is it’s more risky to sit on the couch than it is to go to any exercise program, generally.”

Before you start

Think about why you want to be active, Dr. Duhamel recommends. Then, think about why you enjoy it. Write that down on a piece of paper and keep coming back to it.

It’s easy to lose sight of why we’re doing something. We tend to focus on the activity way more than why we’re actually doing it.

If your purpose is to have fun or be healthier so you can spend time with your kids, just stopping and thinking about that for a moment is proven to have some effect on our physical behaviour. It reminds you what’s important. From there, you have a clearer path to the activity that’s right for you.

Study participants increased physical activity by making a few small changes.

Research finds ways to help you love exercise

© 2017 Heart and Stroke Foundation of Canada Reproduced with the permission of Heart and Stroke Foundation of Canada. www.heartandstroke.ca

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