Dr. David Koivuranta, Toronto Chiropractor

01/21/2026

Chronic hamstring strains are more difficult to diagnose because the pain (in the hip region and deep in the buttocks and upper thigh) comes on gradually and is aggravated by repetitive activities like running, rowing, or biking and worsens with prolonged sitting. Hamstring injuries become chronic when a damaged or torn tendon fails to properly heal, often caused by returning to the sport too quickly and/or from mismanagement. Chronic tendonitis can lead to degenerative changes resulting in a weaker tendon, which can lead to long-term pain and disability.

https://dkchiroblog.com/1701/managing-chronic-hamstring-strains/

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

Chronic hamstring strains are more difficult to diagnose because the pain (in the hip region and deep in the buttocks and upper thigh) comes on gradually and is aggravated by repetitive activities like running, rowing, or biking and worsens with prolonged sitting. Hamstring injuries become chroni

01/21/2026

DAILY HEALTH UPDATE
Wednesday, January 21st, 2026

Health Alert: Lower Blood Sugar May Be Key for Preventing Cardiovascular Disease.

Researchers from King’s College London report that individuals with prediabetes—long-term elevated blood sugar levels that do not yet meet the
criteria for type 2 diabetes—who return their blood sugar to normal can reduce risk of adverse cardiovascular outcomes
by up to 58%. Lead researcher Dr. Andreas Birkenfeld adds, “These findings suggest that prediabetes remission could
establish itself—alongside lowering blood pressure, reducing cholesterol, and stopping smoking—as a fourth major
primary prevention strategy that truly prevents heart attacks and deaths.”
The Lancet Diabetes & Endocrinology, December 2025

Diet: Diet Factors and Blood Sugar Linked to Sleep Quality.

Using National Health and Nutrition Examination Survey
data, researchers report that high-fat, low-protein diets are associated with poor quality sleep while high-fat, low-
carbohydrate diets are linked to short sleep duration. Additionally, individuals with prediabetes or type 2 diabetes are at
elevated risk of sleep disorders. Frontiers in Nutrition, October 2025

Exercise: Physical Ability Peaks Around Age 35.

Following an analysis of data from the Swedish Physical Activity and
Fitness study, researchers report that overall physical capacity—including fitness, strength, and muscle endurance—peaks
around age 35 and then diminishes at an accelerating rate with age. However, adults who remain physically active
experience a slower loss of age-related physical ability. Journal of Cachexia, Sarcopenia and Muscle, November 2025

Chiropractic: Spinal Instability May Slow Low Back Pain Recovery.

New research suggests that weakness of the
lumbar multifidus—a deep spinal muscle essential for spinal stabilization—is associated with slower recovery in older
adults with chronic low back pain. These findings highlight the importance of incorporating core stabilization exercises
into a multimodal approach to managing chronic low back pain, as well as maintaining a strong core to help reduce the
risk of recurrence. Physical Therapy, November 2025

Mental Attitude: Visual Training Boosts Cognitive Recovery After Concussion.

Perceptual Attention Therapy (PATH) is a structured, neuroscience-guided visual rehabilitation protocol designed to restore visual timing, a function
commonly disrupted after brain injury. In a recent study, researchers from the University of California, San Diego found
that PATH outperformed standard cognitive and visual therapies in improving attention, memory, reading, and executive
function following concussion, suggesting improved outcomes for individuals with brain injury.
Frontiers in Human Neuroscience, December 2025

Wellness/Prevention: What Is Remnant Cholesterol?

Remnant cholesterol refers to the cholesterol contained in
leftover lipoprotein particles that remain in the bloodstream after triglycerides have been removed for energy or storage. A
recent study suggests that higher remnant cholesterol levels may be a more important indicator of cardiovascular disease
risk than traditional lipid measures such as low-density lipoprotein (LDL, often called “bad” cholesterol). These findings
indicate that including remnant cholesterol alongside standard lipid markers may provide a more complete and accurate
assessment of cardiovascular risk than relying on LDL cholesterol alone. Scientific Reports, December 2025

Quote: “Good things happen to those who hustle.” ~ Chuck Noll

For More Information on Back Pain, Neck Pain, Headaches,
Carpal Tunnel Syndrome, Joint Pain, and Whiplash, Go To: www.dkchiroblog.com

This information should not be substituted for medical or chiropractic advice. Any and all health care concerns, decisions, and actions
must be done through the advice and counsel of a health care professional who is familiar with your updated medical history.

The Evidence Map of Low Back Pain Treatment Options Low back pain is extremely common and remains one of the leading causes of disability worldwide, resulting in substantial healthcare utilization and cost. Because of this broad impact, identifying and implementing effective, safe, and cost-efficien...

01/21/2026

Factors Linked to Central Sensitization.

Central sensitization is a state in which the nervous system becomes overly reactive, amplifying pain signals and lowering the threshold at which pain is perceived—an effect that can hinder recovery from chronic low back pain and other musculoskeletal disorders. A recent study found that central sensitization was not directly associated with psychological distress or pain intensity, but it showed mild associations with higher body mass index and low vitamin D status. These findings suggest that poor metabolic health may contribute to central sensitization and should be considered when patients fail to respond to conservative treatment approaches, such as chiropractic care.

Indian Journal of Anesthesia, October 2025

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

01/20/2026

In addition to manual therapies and specific exercises to relieve pressure along the course of the median nerve as it passes through the wrist and elsewhere, doctors of chiropractic may utilize other high- and low-tech tools to manage the condition:

https://dkchiroblog.com/1700/tools-for-managing-carpal-tunnel-syndrome/

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

In addition to manual therapies and specific exercises to relieve pressure along the course of the median nerve as it passes through the wrist and elsewhere, doctors of chiropractic may utilize other high- and low-tech tools to manage the condition: Electric stimulation (e-stim) di

01/20/2026

DAILY HEALTH UPDATE
Tuesday, January 20th, 2026

Health Alert: Stillbirth Rate Down Slightly in 2024.

The Centers for Disease Control and Prevention (CDC) reports
that stillbirths in the United States (US) fell 2% between 2023 and 2024, to 5.4 stillbirths per 1,000 pregnancies of 20
weeks gestation or longer. Experts note that although the US stillbirth rate has been cut roughly in half over the past 40
years, up to 40% of the approximately 20,000 stillbirths that occur each year may be preventable by addressing risk
factors such as diabetes, high blood pressure, obesity, stress, substance use, and environmental exposures.
CNN, December 2025

Diet: Nutritional Considerations for Plant-Based Diets for Kids.

According to a meta-analysis of data concerning
more than 48,000 children, well-planned vegetarian and vegan diets can support healthy growth and improve
cardiovascular health. However, nutrient deficiencies are possible for vitamin B12, calcium, iodine, and zinc, as well as
protein and fat. It’s advised that parents considering a plant-based eating pattern for their child should consult with a
pediatrician or dietician to ensure ample intake of these key nutrients.
Critical Reviews in Food Science and Nutrition, December 2025

Exercise: Short, Light Exercise Boosts Kids’ Focus and Mood.

Waseda University researchers report that a quick bout
of light-intensity exercise of just 3.5 minutes can improve executive function and elevate mood in children aged 10–14
years. Scientific Reports, December 2025

Chiropractic: Postural Stability and Fall Risk in Older Adults with Chronic Low Back Pain.

Past research has shown that chronic low back pain is associated with impaired balance and postural control, increasing the risk of falls in
older adults. In this study, researchers found that seniors with chronic low back pain rely more heavily on sensory input to
maintain balance, and that deficits—such as reduced visual or tactile feedback—can further compromise postural stability.
For many older patients, chiropractic care may include therapies and exercises designed to address spinal stabilization
weaknesses and proprioceptive deficits. European Spine Journal, October 2025

Mental Attitude: How Mood Disorders May Influence Heart Disease Risk.

Brain imaging of more than 85,000 adults
showed that emotional stress linked to anxiety and depression is associated with heightened amygdala activity, which in
turn is linked to increased inflammation and reduced heart rate variability—both markers of elevated cardiovascular risk.
The study also found that individuals with both anxiety and depression face a 32% higher risk of heart attack, stroke, or
heart failure compared with those who have only one of the conditions.
Circulation: Cardiovascular Imaging, December 2025

Wellness/Prevention: Managing Hypertension May Reduce Dementia Risk.

Using data from the Atherosclerosis Risk
in Communities and UK Biobank studies, researchers found that white matter hyperintensity (WMH) lesions are an
independent risk factor for dementia. Because WMHs are closely linked to small-vessel damage caused by chronic high
blood pressure, the findings suggest that effective management of hypertension may help reduce dementia risk.
Annals of Neurology, November 2025

Quote: “Worry is a down payment on a problem you may never have.” ~ Joyce Meyer

For More Information on Back Pain, Neck Pain, Headaches,
Carpal Tunnel Syndrome, Joint Pain, and Whiplash, Go To: www.dkchiroblog.com

This information should not be substituted for medical or chiropractic advice. Any and all health care concerns, decisions, and actions
must be done through the advice and counsel of a health care professional who is familiar with your updated medical history.

The Evidence Map of Low Back Pain Treatment Options Low back pain is extremely common and remains one of the leading causes of disability worldwide, resulting in substantial healthcare utilization and cost. Because of this broad impact, identifying and implementing effective, safe, and cost-efficien...

01/20/2026

"Men stumble over pebbles, never over mountains." - Marilyn French

Enjoy the best Marilyn French Quotes at BrainyQuote. Quotations by Marilyn French, American Author, Born November 21, 1929. Share with your friends.

01/20/2026

Dementia Increasing Worldwide.

Using data from the Global Burden of Disease study, researchers report that the global age-standardized rate of Alzheimer’s disease and other dementias increased from 1990 to 2021. Because burden growth was highest in richer nations, the authors suggest that declines in metabolic health may be a contributing factor to the increased incidence of dementia, highlighting the importance of maintaining good metabolic health through regular exercise, a high-quality diet, healthy body weight, adequate sleep, and effective management of stress and inflammation.

Medicine (Baltimore), November 2025

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

01/19/2026

Doctors of chiropractic often approach neck pain with manual therapy as the primary form of treatment. However, there are several types of manual therapy, including high velocity, low amplitude (HVLA) thrust manipulation; mobilization; and/or soft tissue techniques. Is one type of manual therapy superior when it comes to managing neck pain? What does the research show? A 2017 systematic review of 23 randomized controlled trials compared various manual therapy techniques on their own (or combined), with or without the addition of specific exercise recommendations.

https://dkchiroblog.com/1699/manual-therapy-for-neck-pain/

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

Doctors of chiropractic often approach neck pain with manual therapy as the primary form of treatment. However, there are several types of manual therapy, including high velocity, low amplitude (HVLA) thrust manipulation; mobilization; and/or soft tissue techniques. Is one type of manual therapy

01/19/2026

DAILY HEALTH UPDATE
Monday, January 19th, 2026

Health Alert: Heat Waves Place Seniors with Cardiometabolic Disease at Higher Risk of Death.

Using the Veterans Administration Corporate Data Warehouse, researchers found that older adults with hypertension, type 2 diabetes, and
other indicators of poor cardiometabolic health had a 10-14% higher risk of death on extreme heat days—days with
temperatures above the 95th percentile of historical average temperatures. JAMA Network Open, November 2025

Diet: Daily Orange Juice May Influence Heart Health.

In a recent experiment, researchers observed that drinking two
cups of 100% orange juice a day stimulated expression of genes that help regulate inflammation, blood pressure, and fat
metabolism—all of which benefit heart health. Molecular Nutrition & Food Research, October 2025

Exercise: Does Exercise Redirects Energy Away from Tumors?

According to a recent animal study, exercise diverts
glucose and oxygen toward muscles at the expense of tumors, slowing tumor growth by 60% in mice models during a
four-week time frame. Interestingly, rodents that exercised before tumor introduction experienced similar findings. If such
benefits extend to humans, it will add to a growing body of evidence supporting the role of exercise in both the prevention
and treatment of cancer. Proceedings of the National Academy of Sciences, December 2025

Chiropractic: Treatment for Forward Head Posture.

Forward head posture is a postural misalignment in which the
head protrudes forward in front of the body’s center of gravity, increasing strain on the neck and upper back muscles. A
recent study involving 46 young adult women with symptomatic forward head posture found that adding diaphragm
myofascial release—a manual technique used to reduce tension, stiffness, and fascial restriction of the diaphragm—
resulted in greater improvements in cervical spine posture and chest expansion than neck exercises alone. Doctors of
chiropractic commonly use a combination of manual therapies and targeted exercises to address postural faults, including
forward head posture. Journal of Bodywork and Movement Therapies, December 2025

Mental Attitude: The Brain Changes in Stages with Age.

An analysis of brain imaging data from nearly 3,900
individuals ranging in age from newborn to 90 years revealed major transitions in brain connectivity occur around ages 9,
32, 66, and 83. Specifically, early childhood is characterized by rapid growth; young adulthood by extensive neural
rewiring and increased vulnerability to mental health disorders; midlife by relative stability; and older age by increasing
independence among brain regions (reduced interregional connectivity), followed by a sharper decline.
Nature Communications, November 2025

Wellness/Prevention: New Female Crash Test Dummy to Make Cars Safer for Women.

To better assess car safety systems, the United States Department of Transportation has approved a new female crash test dummy featuring more
accurate anatomical representation of the female neck, pelvis, collarbone, and legs. Current research suggests that women
are significantly more likely than men to be seriously injured or killed in automobile crashes, in part because safety testing
has long relied on models based on an average-size man from the 1970s. New York Times, November 2025

Quote: “It is easy to condemn, it is better to pity.” ~ Lyman Abbott

For More Information on Back Pain, Neck Pain, Headaches,
Carpal Tunnel Syndrome, Joint Pain, and Whiplash, Go To: www.dkchiroblog.com

This information should not be substituted for medical or chiropractic advice. Any and all health care concerns, decisions, and actions
must be done through the advice and counsel of a health care professional who is familiar with your updated medical history.

The Evidence Map of Low Back Pain Treatment Options Low back pain is extremely common and remains one of the leading causes of disability worldwide, resulting in substantial healthcare utilization and cost. Because of this broad impact, identifying and implementing effective, safe, and cost-efficien...

01/19/2026

"That which is not good for the bee-hive cannot be good for the bees." - Marcus Aurelius

Enjoy the best Marcus Aurelius Quotes at BrainyQuote. Quotations by Marcus Aurelius, Roman Leader, Born 121. Share with your friends.

01/19/2026

“Success consists of getting up just one more time than you fall.”

~ Oliver Goldsmith

Our office is a member of ChiroTrust and has taken The ChiroTrust Pledge:
"To the best of my ability, I agree to provide my patients convenient, affordable, and mainstream Chiropractic care. I will not use unnecessary long-term treatment plans and/or therapies.”
Toronto Neck and Back Pain Clinic
1849 Yonge Street Suite 412 Toronto ON M4S1Y2
www.DKChiroBlog.com
www.torontoneckandbackpain.com
Open:
Mon 9 - 1, 3 - 6
Tue 8 - 1, 3 - 6
Wed 9 - 1, 3 - 6
Thu 9 - 1, 3 - 6
Walk-Ins Welcome or To Make an Appointment,
Call 416-960-9355
Or visit www.torontoneckandbackpain.com

01/18/2026

"The flower in the vase smiles, but no longer laughs." - Malcolm de Chazal

Enjoy the best Malcolm de Chazal Quotes at BrainyQuote. Quotations by Malcolm de Chazal, French Writer, Born September 12, 1902. Share with your friends.