When To Choose Physiotherapy or Chiropractic

Deciding between physiotherapy and chiropractic care depends on your specific condition, and the recommendations of healthcare professionals. Here’s a general guideline:

  1. Physiotherapy (Physical Therapy):
    • Ideal for a wide range of musculoskeletal conditions, sports injuries, and post-surgery rehabilitation.
    • One situation when you should choose physiotherapy over chiropractic is post-surgical rehab. Most physiotherapy clinics have the necessary equipment that most chiropractic clinics do not to properly rehabilitate you. Physiotherapist are generally better trained to handle post-surgical rehabilitation.
    • Focuses on improving mobility, function, and quality of life through exercises, manual therapy, and modalities like ultrasound, laser or electrical stimulation. Most physiotherapists do not adjust the spine or other joints of the body, so if you need this chiropractic is a must.
    • Physiotherapists often work on strengthening muscles, improving flexibility, and correcting movement patterns to prevent future injuries.
  2. Chiropractic Care:
    • Suitable for conditions related to the spine, joints, and nervous system, such as back pain, neck pain, headaches, and sciatica. In my practice I also help conditions involving the joints of the extremities, such as shoulder, elbow, wrist and hand injuries. I also help with hip, knee, ankle and foot problems.
    • Primarily involves manual adjustments or manipulations to restore alignment and mobility in the spine and other joints in order to restore optimal nervous system function and relieve pain.  In my office I also use electrical stimulation, Accu-o-matic, moist heat and ice when helpful.
    • Chiropractors also use exercise when useful to help you recover and prevent future injuries.
    • Chiropractors often focus on the relationship between the spine and the nervous system, since spinal dysfunctions (subluxations) can cause various health issues and pain.

Here are some considerations to help you choose:

  • Diagnosis: You can see a chiropractor right from the start as they are able to diagnose your condition. The chiropractor will then recommend the best course of action.
  • Condition Severity: For severe or acute conditions, such as fractures or severe sprains, you might initially require medical attention before starting physiotherapy or chiropractic care.  Other severe or acute conditions such as sever back pain or a disc herniation can be seen right away by either a physiotherapist or a chiropractor.
  • Cost and Insurance Coverage: Check your insurance coverage and consider the cost of treatment. Physiotherapy is about twice the cost of chiropractic care per visit. Usually there is better coverage for physiotherapy in most plans. You usually require a prescription from your medical doctor to be covered for physiotherapy. Most plans also cover chiropractic care up to $500.00 per year in 2024 (without a prescription). It is best to check your plan to know what you can afford. Only you can decide what your health is worth.
  • Collaborative Approach: In some cases, a combination of physiotherapy and chiropractic care, along with other treatments like massage therapy or acupuncture, may provide the best results. Discussing this possibility with healthcare providers can help create a comprehensive treatment plan.

Ultimately, the choice between physiotherapy and chiropractic care should be made based on your specific needs, and the advice of healthcare professionals.

Healthy Pregnancy Exercise Tips for Mom-to-Be

Pregnancy is a beautiful and trans-formative time in a woman’s life, and maintaining a healthy lifestyle is crucial for both the mother and the developing baby. Regular exercise during pregnancy has numerous benefits, such as improved mood, reduced discomfort, and better overall health. However, it’s essential to approach exercise with caution and make modifications based on individual health and the stage of pregnancy. Here are some helpful pregnancy exercise tips to ensure a safe and enjoyable experience:

1. Consult with your healthcare provider: Before starting any exercise routine during pregnancy, it’s crucial to consult with your healthcare provider. They can provide personalized advice based on your medical history and the specific needs of your pregnancy.

2. First trimester: During the first trimester normally no modifications are necessary. A woman’s body hasn’t changed that much yet.

3During the second trimester and beyond choose low-impact activities: Opt for low-impact exercises to minimize stress on your joints and reduce the risk of injury. Swimming, walking, stationary cycling, and prenatal yoga are excellent choices. These activities provide cardiovascular benefits without putting excessive strain on your body.

4. Listen to your body: Pay close attention to your body’s signals and modify or stop any activity that causes discomfort, pain, or shortness of breath. Be mindful of your energy levels, and don’t push yourself too hard. Pregnancy is not the time to set personal records or engage in intense workouts.

5. Warm-up and cool down: Start each exercise session with a gentle warm-up to prepare your body for activity. This could include five to ten minutes of light aerobic exercise. Similarly, finish your workout with a cool-down routine to help your heart rate and breathing return to normal gradually.

6. Stay hydrated: Proper hydration is essential during pregnancy, especially when exercising. Drink water before, during, and after your workout to prevent dehydration. Dehydration can lead to overheating, which can be harmful to both you and your baby.

7. Focus on core and pelvic floor exercises: Strengthening your core and pelvic floor muscles can help support your growing belly and reduce the risk of back pain. Gentle exercises such as Kegels and pelvic tilts can be incorporated into your routine. Dr. Robichaud can provide you with safe exercises.

8. Avoid lying on your back after the first trimester: After the first trimester, it’s advisable to avoid exercises that involve lying flat on your back for an extended period. This position can reduce blood flow to the uterus and may cause dizziness or discomfort. Opt for side-lying positions or exercises in an inclined position instead. Very short periods like when doing abdominal exercises are OK.

9. Wear good shoes: Invest in comfortable and supportive athletic shoes, as your feet may experience changes during pregnancy. Wear a supportive bra to minimize breast discomfort, and choose loose, breathable clothing to regulate body temperature. If advised you may need to wear a pelvic belt to help stabilize your pelvis and prevent pain.

10. Incorporate strength training: Include light to moderate strength training in your routine to maintain muscle tone and strength. Focus on exercises that target major muscle groups, using proper form.

11. Modify as needed: As your pregnancy progresses, your body will undergo various changes. Be prepared to modify your exercise routine accordingly. This might involve adjusting the intensity, duration, or type of exercise to accommodate your changing needs.

Staying active during pregnancy is beneficial for both physical and mental well-being. By following these exercise tips and maintaining open communication with your healthcare provider, you can enjoy a healthy and fit pregnancy journey. Remember, every pregnancy is unique, so tailor your exercise routine to suit your individual circumstances. For more exercise tips speak to Dr. Robichaud at your next appointment.


The Ultimate Guide to Choosing the Perfect Mattress for a Good Night’s Sleep


A good night’s sleep is essential for overall well-being, and the key to achieving that lies in the mattress you choose. With countless options available in the market, finding the perfect mattress can be overwhelming. This comprehensive guide will walk you through everything you need to know to make an informed decision and invest in a mattress that suits your unique needs.

Types of Mattresses:

Innerspring Mattresses: Known for their traditional coil support system, these mattresses offer a bouncy feel and excellent airflow. Offered as a full spring base or pocket coil.

Memory Foam Mattresses: Contouring to the shape of your body, memory foam mattresses provide exceptional support and can be ideal for those with joint pain.

Latex Mattresses: Made from natural or synthetic latex, these mattresses are known for their durability and hypoallergenic properties.

Hybrid Mattresses: Combining features of innerspring and memory foam mattresses, hybrids aim to offer the best of both worlds.

Firmness Level:

Soft: Ideal for side sleepers as they provide cushioning for shoulders and hips.

Medium: Research shows that this is the best mattress for most people, offering a balance of support and comfort.

Firm: Recommended for stomach and back sleepers, providing a more stable surface.

Temperature Regualtion:

Gel-infused Memory Foam: Designed to dissipate body heat, keeping you cool throughout the night.

Breathable Materials: Look for mattresses with breathable covers and materials that promote airflow.

Separate heater/air conditioners: Not part of a mattress, but available to keep you warm or cool you off.

Motion Isolation:

If you share your bed, consider a mattress with excellent motion isolation to minimize disruptions when your partner moves during the night. A sleep number bed with each side having its own firmness. It is two separate mattresses, so you won’t have any motion transfer.

Durability and Longevity:

Pay attention to the mattress’s construction and materials to ensure it withstands the test of time. Keep in mind that most mattresses last seven to 10 years, even with a 25 year warranty.

Trial Periods and Warranties:

Many mattress brands offer trial periods allowing you to test the mattress at home. Also, check the warranty terms to understand the coverage and duration. Online companies are often offering a one year trial period.

budget Considerations:

While quality mattresses can be an investment, consider your budget and explore options that offer the best value for your money.


Choosing the right mattress is a personal decision that requires careful consideration of various factors. By understanding your sleep needs, exploring different mattress types, and considering features like firmness, temperature regulation, and durability, you can make an informed choice that contributes to better sleep and overall well-being. Sweet dreams await with the perfect mattress tailored to your preferences.


“X-rays: When Are They Necessary for Chiropractic Care?”

As a chiropractor, I understand the importance of using natural and holistic methods to promote overall health and wellness. This includes avoiding unnecessary medical procedures, such as x-rays. While x-rays can be helpful in certain situations, they are not always needed and should not be used as a routine practice. In fact, many doctors x-ray every patient, which is not necessary. In this blog post, I will discuss when x-rays may be necessary for chiropractic care, and how you can determine if they are needed for your specific situation.

Understanding When X-rays May Be Necessary

The majority of chiropractic patients will not need x-rays. However, there are certain circumstances in which they may be necessary. These include:

– Severe pain after trauma: If you have been involved in a car accident or experienced a significant injury, x-rays may be necessary to assess the extent of damage to your spine or joints.
– Lack of response to treatment: If you have been receiving chiropractic care for a specific issue, but are not seeing improvements, x-rays may be needed to identify any underlying issues that may be hindering your progress.
– Suspected scoliosis: If you or your child have symptoms of scoliosis, such as uneven shoulders or hips, x-rays may be necessary to confirm the diagnosis and guide treatment.
– Unusual symptoms: If you are experiencing uncommon symptoms, such as numbness or tingling, x-rays may be needed to rule out any serious conditions.

The Importance of Informed Decision Making

While x-rays can be helpful in certain situations, they also come with potential risks, such as exposure to radiation. Therefore, it is important to make an informed decision before undergoing any x-ray procedures. As a chiropractor, I always discuss the potential benefits and risks with my patients before recommending x-rays. This allows them to make an informed decision based on their individual needs and concerns.

Alternative Diagnostic Techniques

In some cases, x-rays may not be necessary at all. Chiropractors are trained to use a variety of diagnostic techniques, such as physical exams and medical history evaluations, to assess your condition and develop a treatment plan. These methods are non-invasive and do not involve exposure to radiation, making them a safer option.

Trust Your Chiropractor

As a professional chiropractor, I am committed to providing the best care for my patients. If I recommend x-rays, it is because I believe they are necessary for your specific situation. However, if you have any concerns or questions, do not hesitate to discuss them with me. Your trust and comfort are important to me, and I am always happy to address any concerns you may have.

In conclusion, x-rays are not always needed for chiropractic care. They should only be used in specific circumstances where they can provide valuable information to guide treatment. As a chiropractor, I am dedicated to using natural and holistic methods to promote your overall health and wellness, and will always make informed decisions with your best interests in mind. Trust your chiropractor and make informed decisions about your health.

Four Factors to Consider When Choosing a Pillow

When selecting a pillow, there are a few key factors to keep in mind to ensure you get the best one for your needs.

1. Sleeping Position
Back Sleepers: Look for a medium thickness pillow that supports the natural curve of your neck.

Side Sleepers: Opt for a thick firm pillow to keep your neck and spine aligned.

Stomach Sleepers: Choose a soft, flat pillow to prevent strain on your neck.

2. Material
Memory Foam: Conforms to your shape and offers great support. Be sure to get firm memory foam that doesn’t soften too much from body heat, as if it does you will lose its support.

Down: Soft and mould-able, perfect for those who like a plush feel.

Micro-beads: Soft and Mould-able like down, but without the allergens.

Water Bag: These pillows come with a fill-able bladder so you can adjust the firmness and thickness of the pillow.

3. Allergies
If you suffer from allergies, consider hypoallergenic pillows to prevent any reactions during the night.

4. Spend What Is Necessary
Pillows come in a wide range of prices. Cheaper pillows don’t support you properly. Considering that you are going to spend hundreds of hours lying on your pillow be prepared to spend between $70.00 and $250.00 for a good pillow.

Signs You Need a New Pillow
It’s crucial to know when it’s time to replace your pillow to ensure you’re getting the best quality sleep possible. If you are waking up with neck or upper back pain, you probably need a new pillow. Most low-end pillows last one to two years. High-end pillows last up to five years.

Choosing the right pillow is crucial for a good night’s sleep and overall health. By considering factors like your sleeping position and material preferences, you can find the perfect pillow to suit your needs and ensure you wake up feeling refreshed and rejuvenated.

If you have more questions about the right pillow, and/or if you are still waking up with pain after getting a new pillow contact our office for an evaluation.

How to Choose the Perfect Shoes

Are you looking for a perfect pair of shoes? One of the most crucial factors to consider is choosing the right pair of shoes that not only provide comfort but also support your feet while wearing them. When looking for the ideal pair shoes, there are several essential factors to take into consideration.

Factors to Consider When Choosing Shoes:
Support: The foremost consideration when selecting shoes is support. In particular look for three things. 1. That when you try to press against the back of the shoe it is hard to press it down; 2. when you bend the shoe at the toe box, it bends where the toes bend and not in the middle of the shoe; 3. when you try to twist the shoe it is difficult to twist. An example of a poorly supportive shoe is the classic Converse shoe. A good shoe would be a high-end running shoe by New Balance.

Comfort: One consideration when selecting shoes is comfort. Your shoes should feel good from the moment you try them on, with enough room in the toe box and a snug fit around the heel.

Cushioning: Look for shoes with ample cushioning to absorb the impact of each step and reduce the strain on your joints.

Fit: It’s essential to ensure that your shoes fit correctly. Visit a store with knowledgeable staff who can help you find the perfect fit.

Breath-ability: Opt for shoes with breathable materials to keep your feet cool and dry, reducing the risk of blisters and discomfort.

Durability: Invest in quality shoes that are built to last, especially if you’re a regular runner or walker or will be on your feet in these shoes many hours a day.

If you aren’t sure if you have selected the right pair of shoes, feel free to stop by our office and we will do a free evaluation. If your shoes don’t support you enough and you are still getting foot, knee, hip or lower back pain consider a gait analysis by Dr. Robichaud. He will let you know if orthotics are needed. Feel free to contact us at 905-571-0821 or by email at info@docadrian.com.

Five Common Networking Mistakes

1. Failing to plan for an event. If you fail to plan, then you plan to fail. When getting ready for a networking event consider your goal(s), what type of business people you want to meet, how many and so on. Going in without a plan may result in a poor outcome. Consider what business people are likely to be able to help you and vice-versa.

2. Following up too aggressively. Networking is like building any relationship. If you follow up too aggressively by say emailing someone every day for a week after meeting them (to exaggerate) you will likely scare them away.

3. Failing to follow up. While you don’t want to be too aggressive, don’t forget to follow up. If you discussed meeting with someone, for example, follow up. People are busy and have multiple things to remember, so send the person a reminder email of your meeting and perhaps what you plan to discuss (like a mini-agenda). Your meeting is more likely to occur and be more productive.

4. Thinking only of yourself. This will come across in how you speak to someone and focusing only on yourself can lead to disappointment and unrealistic expectations of a networking relationship. I see this often when someone joins a networking group only to quit after a couple of months because they weren’t getting enough business quickly enough and fail to consider that the relationship is not just about what they get, but is also about what they give.

5. Thinking only of others. It’s great to be all out for others and seek to help and build others’ businesses, but don’t forget to consider that you are in business and need to consider your return on investment from any marketing initiative and networking is a marketing initiative. If you have given a networking relationship sufficient time and effort and it’s not working out, put that effort somewhere else. Your time, energy and money are finite.