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# Grande Family Chiropractic

## Sitemaps
[XML Sitemap](https://grandechiro.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [Photobiomodulation Therapy: How It Works, Benefits, and Key Uses](https://grandechiro.com/photobiomodulation-therapy-how-it-works-benefits-and-key-uses/): Photobiomodulation therapy (PBMT), also known as low-level laser therapy (LLLT), is an innovative, non-invasive treatment that uses specific wavelengths of light to stimulate cellular function, reduce inflammation, and promote healing. Once reserved for elite athletes or advanced clinical practices, PBMT is gaining mainstream popularity for its broad range of applications and minimal side effects.
- [Temporomandibular Joint Disorders (TMJ & TMD)](https://grandechiro.com/temporomandibular-joint-disorders-tmj-tmd/): Temporomandibular disorders (TMD) refer to problems that affect the jaw joint—also known as the temporomandibular joint (TMJ). These joints are located just in front of each ear and allow your lower jaw to move up and down, side to side, and forward and back. The TMJs are among the most complex joints in the body, responsible for movements involved in speaking, chewing, yawning, and more.
- [Carpal Tunnel Syndrome](https://grandechiro.com/about-carpal-tunnel-syndrome/): If you’re feeling numbness, tingling, pain, or weakness in your hand or wrist, you might be dealing with a condition known as Carpal Tunnel Syndrome (CTS). This is the most common type of nerve entrapment and affects millions of people worldwide. In fact, women are three times more likely than men to develop CTS, with the condition most often affecting people between the ages of 36 and 60.
- [What is Plantar Fasciitis? – Diagnosis & Treatment](https://grandechiro.com/what-is-plantar-fasciitis-diagnosis-treatment/): Patients with plantar fasciitis may report:
- [Spinal Stenosis](https://grandechiro.com/spinal-stenosis/): Various conditions can lead to spinal Stenosis, such as degeneration (osteoarthritis), congenital conditions (like achondroplasia), inflammatory or metabolic disorders, or even tumors. The most common cause is osteoarthritis—a gradual “wear and tear” process affecting your joints over time. Most people over the age of 50 begin to experience some level of spinal joint changes due to OA, placing them at greater risk for Stenosis.
- [Cervical Joint (Facet) Dysfunciton](https://grandechiro.com/cervical-joint-facet-dysfunciton/): Facet joint disease/dysfunction is a common source of cervical (neck) pain. The facet joints (also termed zygapophyseal joints) form from the superior and inferior articular processes of two adjacent vertebrae. In each spinal motion segment, there are two facet joints. Each facet joint is surrounded by a fibrous capsule, lined by a synovial membrane, and contains articular cartilage and menisci. Various studies suggest facet joint capsules may directly be involved as a pain generator in the cervical spine.
- [The Relationship of the Hip, the Low Back, and Knee](https://grandechiro.com/the-relationship-of-the-hip-the-low-back-and-knee/): The Hip’s Connection to the Entire Body
The hip is a very unique joint. The depth of the socket, the strength of the muscles and ligaments surrounding it, and the way it functions in weight-bearing activities is unlike any other joint in the body. The focus this month is on the relationship between the hip and the rest of the body.
The hip joint is a synovial joint, meaning it moves freely. It is a ball-and-socket joint that is made up of the femoral head (the “ball”) and the acetabulum (the “socket”). The ball is largely contained within the cup or socket, though there are genetic and cultural differences with regard to the depth and shape of the hip joint in any one individual.
The Kinetic Chain: How the Foot Affects the Hip
The relationship between the hip and the surrounding joints is intimate in that each joint affects the next. For instance, ankle pronation—or the inward rolling of the foot and ankle—results in a knocked knee, which can then shift the hip outwards. The pelvis then drops down on that side, the tailbone or sacrum becomes unleveled or sloped, and the lower spine curves to compensate with the ultimate goal of keeping your eyes level.
Hence, when your hip hurts, your doctor of chiropractic will examine and treat the ENTIRE lower kinetic chain—the foot, ankle, knee, hip, pelvis, and spine—as ALL are so closely related to each other. When it comes to managing you and your hip pain, be prepared for management of any of the following:
Common Issues Related to Hip Dysfunction
Ankle Pronation: This is the inward rolling of the ankle often associated with a flat foot. When viewing someone with ankle pronation from behind, the angle from the Achilles tendon to the ground will lean inward when it normally should be perpendicular. A valgus correction in a “rear foot post”—a heel wedge thicker on the inside—of a foot orthotic (customized arch support) is needed to correct this.
Knocked-Knees: Ankle pronation can result in “knocked-knees” (genu valgus), which overloads or jams the outer knee joint, over-stretching the inner knee joint and ligaments. The kneecap (patella) then rides excessively hard on the outer surface of the femoral groove in which it glides as one bends and straightens their knee, causing knee cap pain.
Hip Inward Angulation (Coxa Vera): As the knee shifts inward or knocks, the head of the femur moves outward, leaving the joint less stable. Leg length deficiency (LLD)—or a short leg—occurs when the pelvis drops on that side, further destabilizing the lower kinetic chain.
Restoring Balance and Function
Once ankle pronation is properly corrected with a rear foot post and the hind foot is repositioned back to neutral (if LLD persists), a heel lift can be placed under the foot orthotic to correct this imbalance. ONLY then will the pelvis become level and stable so it can properly serve as a strong foundation for the spine and the rest of the body to rest on!
We haven’t touched the subject of muscle imbalance, strengthening of commonly weak hip extensor muscles, or stretching of overly tight hip flexors and adductor muscles—topics for another day! The good news—doctors of chiropractic can help you with this common problem!
Chiro-Trust.org
- [Neck Pain – Chiropractic and the Older Patient](https://grandechiro.com/neck-pain-chiropractic-and-the-older-patient/): People of all ages suffer from neck pain, and many frequently turn to chiropractors for care because it’s been found to be one of the most effective and efficient forms of treatment available, and it carries minimal side effects! It has been projected that by 2030, nearly one in five residents in the United States will be 65 or older. Currently, approximately 14% of the patients treated by chiropractors are 65 or older, making it one of the most frequently utilized forms of complementary and alternative care used by older adults. What kind of care can a senior citizen expect when seeking treatment from a chiropractor? Let’s take a look…
- [Balance and Brain Health](https://grandechiro.com/balance-and-brain-health/): During the course of the history and examination with new patients, it’s quite common to encounter seemingly unrelated complaints that may benefit from chiropractic care. For example, last month we looked at alternative nutritional approaches to treating high cholesterol rather than jumping at the use of statin medications. We’ve also discussed the association between balance and the neck and how important chiropractic adjustments are to the upper cervical spine in managing balance-related complaints such as Benign Paroxysmal Positional Vertigo (or BPPV). This month, let’s investigate the relationship of balance and how it relates to the health of the brain!
- [Neck Function and Balance](https://grandechiro.com/neck-function-and-balance/): In the nervous system, there are three primary areas that regulate our balance: the cerebellum (located in the back of the brain), the dorsal columns (located in the back of the spinal cord), and the inner ear (the “vestibular” part of our cranial nerve VIII). There are also small, microscopic “proprioceptors” or mechanical receptors located in our joint capsules, muscles, and tendons that relay information to the brain and work hard to keep us upright when we walk, run, and play!
- [What’s This Tingling in My Leg?](https://grandechiro.com/whats-this-tingling-in-my-leg/): When you think of low back pain, you may visualize a person half-bent over with their hand on the sore spot of their back. Since many of us have experienced low back pain during our lifetime, we can usually relate to a personal experience and recall how limited we were during the acute phase of our last LBP episode. However, when the symptoms associated with LBP are different, such as tingling or a shooting pain down one leg, it can be both confusing and worrisome – hence the content of this month’s article!
- [Chiropractic and Obesity](https://grandechiro.com/chiropractic-and-obesity/): Granted, the main focus is usually given to the primary or chief complaint, but we must look at all the reasons as to why the low back hurts, especially since in MOST cases, the cause of low back pain (LBP) is multimodal (there is more than one single cause). The LAST activity prior to the back “…going out” typically gets the blame. Also, most of us who have had LBP have had it more than once. In fact, most studies report that if you’ve had LBP in the past, you can EXPECT to have it again. That is why your doctor must examine and identify ALL the possible reasons as to why the back was injured and manage everything they can.
- [Back Pain and Posture](https://grandechiro.com/is-it-my-low-back-or-my-hip-2/): Low back pain can have many causes, and posture is often an overlooked factor. When the curve of the lumbar spine changes, whether from degenerative disk disease or other factors, it can have a significant impact on pain levels and movement. It’s essential to understand how changes in posture and spinal alignment affect the overall function of the spine.Chiropractors are specially trained to assess and treat postural issues that contribute to low back pain. By restoring proper alignment and flexibility, chiropractic adjustments can help alleviate pain and improve mobility. If you’re dealing with low back pain and posture issues, consulting a chiropractor could be the first step toward a more comfortable and functional life.As always, if you’re experiencing chronic low back pain or have concerns about posture-related issues, don’t hesitate to reach out to a chiropractor for an evaluation. The sooner you address these concerns, the better the outcome for your overall spinal health!
- [Is It My Low Back Or My Hip?](https://grandechiro.com/is-it-my-low-back-or-my-hip/): Low back pain can often be accompanied by hip pain, and the two can sometimes be difficult to distinguish from each other. The overlapping pain pathways between the lumbar spine and the hip make it challenging to pinpoint the exact source of discomfort. However, understanding the different pain patterns and knowing how to differentiate between the two can help guide treatment decisions.Chiropractors are well-equipped to assess and treat both hip and low back pain. With the right diagnosis and treatment plan, patients can find relief from both conditions and improve their overall function. Whether the pain is coming from the low back, the hip, or both, chiropractic care can offer effective, non-invasive solutions to help restore movement, reduce pain, and improve quality of life.As always, if you’re experiencing low back or hip pain, don’t hesitate to reach out to a chiropractor who can help you find the right treatment for your condition.
- [Low Back Pain: An Ice Pack or the Hot Tub?](https://grandechiro.com/what-are-cervicogenic-headaches-2/): In some cases, a combination of ice and heat can be effective. For instance, during the first few days of acute low back pain, you might start with ice to control swelling. After a few days, once the inflammation has settled, you could introduce heat to help loosen tight muscles. Some people even use both in a single session—starting with heat to relax the area and then applying ice afterward to calm down any post-activity inflammation.
- [What Are Cervicogenic Headaches?](https://grandechiro.com/what-are-cervicogenic-headaches/): The main distinction between the symptoms associated with cervicogenic headaches and those associated with migraine headaches are a lack of nausea, vomiting, aura (a pre-headache warning that a headache is about to strike), light and noise sensitivity, increased tearing with red eyes, one-sided head, neck, shoulder, and/or arm pain, and dizziness. The items listed above are primarily found in migraine headache sufferers. The following is a list of clinical characteristics common in those struggling with cervicogenic headaches:
- [Chiropractic Adjustments vs. Acupuncture vs. NSAIDs](https://grandechiro.com/chiropractic-adjustments-vs-acupuncture-vs-nsaids/): Source: Chiro-Trust.org
- [How Does Chiropractic Work?](https://grandechiro.com/how-does-chiropractic-work/): Source: Chiro-Trust.org
- [Balance & Dizziness](https://grandechiro.com/balance-dizziness/): Source: Chiro-Trust.org
- [Chiropractic and Leg Length](https://grandechiro.com/chiropractic-and-leg-length/): Source: Chiro-Trust.org
- [North Vancouver Chiropractor – How Posture Influences Your Physical & Mental Health](https://grandechiro.com/north-vancouver-chiropractor-how-posture-influences-your-physical-mental-health/): Keep your thoughts positive and your posture strong, and you can make a healthy impact on both your mind and your body.
- [North Vancouver Chiropractor, Dr. Akhavan discusses Meditation as a form of Pain Relief](https://grandechiro.com/10-surprising-benefits-of-chiropractic-care/): North Vancouver Chiropractor, Dr. Akhavan discusses Meditation as a form of Pain Relief

## Pages
- [Blog](https://grandechiro.com/blog/)
- [Low Back Exercises Videos](https://grandechiro.com/low-back-exercises-videos/): The Canadian Chiropractic Guideline Initiative has created an exercise video series based on the recommendations from the Clinical Practice Guideline for the Treatment of Low Back Pain. Below, please find a series of videos for low back pain that progress from mobility to stabilization. They are organized as follows:
- [Neck exercise videos](https://grandechiro.com/neck-exercise-videos/): The CCGI exercise video series for neck pain is based on the recommendations from the Clinical Practice Guideline for the Treatment of Neck Pain Associated and Whiplash Associated Disorders (2016). These videos are grouped in the following categories:
- [New Patients](https://grandechiro.com/new-patients/): Grande Family Chiropractic is dedicated to placing patients first. We maintain a manageable patient volume with an emphasis on providing the highest quality care. We strive to improve quality-of-life and enjoy enabling patients to return to their prior level of activity. Our clinic is proud to offer several varied treatment techniques using the most advanced technology.
- [Conditions Treated](https://grandechiro.com/conditions-treated/): We treat a full range of injuries, from minor discomforts to more complex conditions. Our clinic utilizes a variety of the most advanced technology and chiropractic techniques, ensuring that each patient receives the most effective and personalized treatment.
- [Our Services](https://grandechiro.com/our-services/): Depending on the nature of your health challenges, we utilize a variety of chiropractic services, modalities, and techniques to get you back to being healthy!
- [Meet the doctor](https://grandechiro.com/meet-the-doctor/): Meet The Doctor Dr. Ali Akhavan, North Vancouver Chiropractor Dr. Ali Akhavan is a dedicated and passionate Doctor of Chiropractic, committed to improving the health and well-being of his patients through natural and holistic approaches. With 28 years of professional experience serving the community of the North Shore, He has become a trusted expert in spinal health and wellness. He attained his kinesiology degree at Simon Fraser University and became a personal trainer.
During his undergraduate years, Dr. Akhavan discovered the philosophy of chiropractic care, which resonated deeply with his belief in addressing the root causes of health issues rather than merely alleviating symptoms. This revelation led him to pursue a Doctor of Chiropractic (D.C.) degree at the Western States Chiropractic University in Portland, Oregon. He has continued to expand his knowledge and skills through ongoing education and training in the latest chiropractic techniques and advancements in healthcare.
His philosophy is centred around the belief that the body has an innate ability to heal itself when properly aligned and balanced. Known for his patient-centered approach, Dr. Ali Akhavan emphasizes the importance of collaborative decision-making in the healing process. His practice integrates evidence-based chiropractic techniques with a focus on educating patients about proactive health measures, empowering them to take an active role in their well-being. He emphasizes the importance of spinal health in promoting overall well-being. As a chiropractor, He is committed to helping my patients achieve their health goals and live their best lives. TESTIMONIALS What Our Client Says Dr. Ali Akhavan and his staff are very courteous and professional. I had been living with a chronic pain for years in both my shoulder and hip. After receiving Shockwave Therapy from Dr. Akhavan, I wake up and I'm pain free all day. I wish I had known of this treatment years earlier. I would highly recommend the treatment, as well as Dr. Akhavan. Patricia G. I’ve visited Dr. Ali Akhavan for various issues, and each time he has impressed me with his patience, professionalism, and exceptional care. He takes the time to thoroughly understand the problem and provides effective solutions. I highly recommend him to anyone seeking a skilled and compassionate chiropractor Roozbeh A. I can’t speak more highly of Doctor Ali Akhavan. When I first visited I was suffering from chronic pain for over a year, seeing everyone I could to try solve the issue. In a very short time with Doctor Ali, I was able to get a diagnosis and treatment plan. After only a month of treatment, my pain had reduced by more than 80%. At the end of my treatment, I was pain free and slowly building up what I could do through movement. Anyone with a herniated disk or spinal issues should see Dr. Ali Akhavan Amanda B.
- [About Us](https://grandechiro.com/about-us/): At Grande Family Chiropractic removing stress from your spine and nervous system while bringing everything into balance is the core focus of Dr. Akhavan, North Vancouver Chiropractor. He can assist you recover from an injury, relieve pain, and maintain a healthy body. Through his deep understanding of the human body, he takes the time to show or explain in detail what is causing your health problems and how to correct those challenges so you can get back to enjoying you life. With 21 years of experience in looking after children, adults and seniors, Dr. Akhavan welcomes all individuals looking to enhance their health and quality of life. At Grande Family Chiropractic, every patient receives a through examination, including an orthopedic, neurological and chiropractic assessment. Based on your results and health goals, a unique and fully customized treatment plan will be designed to help you get better fast and stay healthy. By explaining everything to our patients in advance, our focus shifts to correcting the problem as quickly as possible.
- [Home](https://grandechiro.com/): We use a variety of services and techniques and spend more one on one time with you so that you can get back to being healthy, faster!
- [Contact Us](https://grandechiro.com/contact/): Grande Family Chiropractic Clinic is conveniently located just one block east of Lonsdale Avenue in North Vancouver, on the second floor of the Grande building, across the street from Lions Gate Hospital. Underground visitor parking is available.

## Chiroheal Services
- [Custom Made Orthotics](https://grandechiro.com/services/custom-made-orthotics/): Custom made orthotics help our feet create a better foundation and distribute body weight correctly, resulting in a healthier body. Our feet are what move us throughout the day! We stand, walk, and run on them. If our feet don’t function at peak efficiency, the rest of our body can’t either.
- [Spinal Decompression Therapy](https://grandechiro.com/services/spinal-decompression-therapy/): At Grande Family Chiropractic, we use the advanced DRX9000 Spinal Decompression System to provide a safe, non-surgical solution for chronic back and neck pain. This computer-controlled spinal decompression therapy gently stretches the spine to reduce pressure on the discs, allowing herniated or bulging discs to retract and promote natural healing.Spinal Decompression is effective for treating:
- [Bioflex Photobiomodulation therapy](https://grandechiro.com/services/bioflex-photobiomodulation-therapy/): At Grande Family Chiropractic, we are proud to offer BIOFLEX Laser Therapy, a treatment supported by over 4,000 scientific papers and 500 clinical studies.Laser Therapy, also known as Low-Intensity Laser Therapy (LILT), Photobiomodulation, or Cold Laser, is a proven light-based technology effective in treating musculoskeletal problems, aiding wound healing, and providing numerous other health benefits.
- [Torque Release Technique](https://grandechiro.com/services/torque-release-technique/): At Grande Family Chiropractic in North Vancouver, we proudly offer the Torque Release Technique (TRT), one of the most advanced and research-based methods in modern chiropractic care. Developed through scientific studies to enhance the precision and effectiveness of spinal adjustments, TRT integrates the best systems of chiropractic assessment and treatment. This gentle, non-invasive technique helps restore proper nervous system function, reduce tension, and promote long-term wellness for patients seeking reliable chiropractic care in North Vancouver.
- [Motor Vehicle Collision injuries](https://grandechiro.com/services/motor-vehicle-collision-injuries/): Have you been in a motor vehicle accident? We spend extra one on one time with you and offer a variety of services and techniques so that you can get better, quicker!After a motor vehicle collision (MVC) many people experience whiplash, headaches, neck, back, extremity and recurrent pain. If you have been involved in an MVC and have reported the incident to ICBC, you qualify for care at our clinic.
- [Active Release Therapy](https://grandechiro.com/services/active-release-therapy/): We are constantly pushing our bodies to the limit. Whether we are working long hours, exercising avidly, partaking in sports, or simply trying to keep up with everyday life, we are harder on our bodies than ever before. Many daily activities cause repetitive stress and the formation of scar tissue, which restricts the movement and function of soft tissues. This results in pain, stiffness, decreased range of motion, numbness, and weakness. At Grande Family Chiropractic, we provide Active Release Therapy (A.R.T.®), a modern approach to treating muscle, tendon, nerve, and soft tissue injuries.
- [Shockwave therapy](https://grandechiro.com/services/shockwave-therapy/): At Grande Family Chiropractic, we take pride in providing the newest, most up-to-date, evidence-based shockwave therapy available anywhere. We have had the pleasure of treating thousands of chronic cases with our technology. Our vision is to provide a fast, comfortable, and safe way of pain relief.Additional Info:
- [Chiropractic Care](https://grandechiro.com/services/chiropractic-care/): Sports, work, or simple daily activities can lead to a misaligned spine and other problems throughout your body. At Grande Family Chiropractic, our chiropractic care gently and carefully adjusts your spine into the proper position to alleviate pain and unnecessary stress on your muscles and joints. Our process allows us to not only treat the symptoms but also find the root cause of your pain.

## Categories
- [Balance Issues](https://grandechiro.com/category/balance-issues/)
- [Chiropractic Care](https://grandechiro.com/category/chiropractic-care/)
- [Extremity Conditions](https://grandechiro.com/category/extremity-conditions/)
- [Jaw Disorders](https://grandechiro.com/category/jaw-disorders/)
- [Joint Function](https://grandechiro.com/category/joint-function/)
- [Lifestyle Health](https://grandechiro.com/category/lifestyle-health/)
- [Neck pain](https://grandechiro.com/category/neck-pain/)
- [Pain Management](https://grandechiro.com/category/pain-management/)
- [Posture Correction](https://grandechiro.com/category/posture-correction/)
- [Spinal Health](https://grandechiro.com/category/spinal-health/)
- [Uncategorized](https://grandechiro.com/category/uncategorized/)

## Categories
- [Services](https://grandechiro.com/services-category/services/)