Tag Archives: foot pain

Heat therapy

Heat and Cold therapy

How it works

When we apply Heat therapy, it improves circulation and blood flow to  that area due to increased temperature. Heat therapy can relax and soothe muscles and heal damaged tissue.

Heat therapy


  • Dry Heat therapy includes sources like heating pads, dry heating packs, and even saunas. This heat is easy to apply.
  • Moist Heat therapy includes sources like steamed towels, moist heating packs, Theratherm heating pads that take moisture from the air, or hot baths. Moist heat may be slightly more effective as well as require less application time for the same results.


  • diabetes
  • dermatitis
  • vascular diseases
  • deep vein thrombosis
  • multiple sclerosis (MS)

 Heat is useful for relieving:

  • osteoarthritis
  • strains and sprains
  • tendonitis, or chronic irritation and stiffness in the tendons
  • warming up stiff muscles or tissue before activity
  • relieving pain or spasms relating to neck or back injury, including the lower back

Cold therapy

How it works

Cold therapy is also known as cryotherapy. It works by Louis- hunting reaction theory. When we apply Ice to an injured site, it reduces the blood flow by vasoconstriction. After some time, it causes vasodilatation and increases the blood flow to the area. This process goes on continuously. This reduces inflammation and swelling that causes pain, especially around a joint or a tendon. It can temporarily reduce nerve activity, which can also relieve pain.

Types of Cold Therapy

There are a number of different ways to apply cold therapy to an affected area. Treatment options include:

  • ice packs or frozen gel packs
  • coolant sprays
  • ice massage
  • ice baths

Cold treatment can help in cases of:

  • osteoarthritis
  • a recent injury
  • gout
  • strains
  • tendinitis, or irritation in the tendons following activity


  • people with sensory disorders
  • uncontrolled diabetes
  • You should not use cold therapy on stiff muscles or joints.
  • Cold therapy should not be used if you have poor circulation.

Here’s a general guide that helps you to decide which to use heat or ice : https://www.healthline.com/health/chronic-pain/treating-pain-with-heat-and-cold#cold-therapy

In General,  use ice for the first few days after an injury.  Beyond that, heat usually does the trick.  There is some evidence that suggests that using ice beyond the first few days can actually slow down injury healing.  It pushes away the healing agents that help you to get better.

If you have been injured and need advice or treatment, please call PhysioNow today.  We are always happy to help!

Peroneal tendinopathy

Peroneal tendinopathyPeroneal tendinopathy

Peroneal tendinopathy or peroneal tendonitis is characterized by an aching pain and swelling in the perineal tendons. These are located in the lower, outside portion of the ankle. A tendon is soft-tissue that attaches a muscle to a bone. The muscles involved in this condition are the 2 peroneal muscles in the lower leg, called the peroneus longus and the peroneus brevis.

¬ Anatomy

​There are two peroneal tendons that run along the back of the fibula. The first is called the peroneus brevis. The term “brevis” implies short.  It is called this because it has a shorter muscle and starts lower in the leg. It then runs down around the back of the bone called the fibula on the outside of the leg and connects to the side of the foot.  The peroneus longus takes its name because it has a longer course. It starts higher on the leg and runs all the way underneath the foot to connect on the other side of the foot. Both tendons, however, share the major job of turning the ankle to the outside. The tendons are held in a groove behind the back of the fibula bone.

¬ Causes of Peroneal Tendonitis

♣ A sudden increase in weight bearing activities, particularly walking, running or jumping
♣ Inadequate or unsupportive footwear
♣ Muscle imbalances of the lower limb
♣ Poor lower limb biomechanics
♣ Incomplete rehabilitation following an acute ankle injury, such as an ankle sprain

¬ Symptoms of Peroneal Tendinopathy

♣ Gradual worsening pain over the outside of the ankle
♣ Pain during and/or after weight bearing activities
♣ Pain with turning the foot in and/or out
♣ Instability around the ankle when weight bearing

¬ Diagnosis

• A full examination from a physiotherapist can be all thats needed to diagnose peroneal tendonitis
• Patients with this condition usually experience pain behind the outside ankle during activities putting stress on the perineal tendons. Pain can also be noticed following these activities or following a rest period. This may be noticed especially upon waking in the morning. There may be swelling when the injury first happens. There will also be pain when testing resisted foot movements.  Stretches into various positions of the foot inversion, and resisted movements can cause pain behind the outside ankle.
• Diagnosis may be confirmed with an MRI scan or ultrasound investigation
• a diagnostic Ultrasound may be used for detecting all types of peroneal injuries.

ϖ What else could it be?:

Symptoms of peroneal tendinopathy mimic various other conditions of the ankle joint. So, before diagnosing peroneal tendinopathy we should rule out other possible injuries by doing the following tests:
• Ankle Sprain: ligament testing by the Physiotherapist
• Ankle fractures: special tests by the Physiotherapist
• Os trigonum syndrome: MRI, physiotherapy testing
• Chronical lateral ankle pain with other cause: MRI
• Longitudinal peroneal tendon tear: MRI
• Peroneal subluxation: ultrasonography, CT, MRI or peroneal tenography
• Flexor Hallucis longus tendon injury

¬ Physiotherapy rehabilitation

• Treatment for peroneal tendonitis includes a program of stretching, strengthening, mobilisation and manipulation. It also includes proprioceptive exercises, icing, ankle bracing or k-taping during contact sports. If symptoms are severe, a cast or ROM boot immobilization may be worn for 10-20 days. After symptoms resolve, you will begin a progressive rehabilitation programme along with a gradual increase to full activity.

• The use of a biomechanical ankle platform (BAPS), deep tissue friction massage, ultrasound electric stimulation can also be included in the physiotherapy
• Also, shock wave therapy (ESWT), acupuncture is used to treat tendinopathy. But there is only limited evidence from studies for these treatments.
• There is evidence for using manual therapy, specifically the lateral calcaneal glide.

If you have any further queries please call PhysioNow. Our experienced physiotherapists would be happy to help you. Call Today to get started 289-724-0448.!

Foot Pain Treatment Mississauga

strong>Foot Pain Treatment Mississauga
Trending Now: Blue Jays’ Jose Batista on 15 day disabled list

Foot Pain Treatment Mississauga

Blue Jays’ Jose Batista hurt his big toe during a June 16 game against Philadelphia. After running into the outfield wall, Bautista had to leave the game early because of pain. An MRI showed that he had suffered a sprain of his left big toe. He had to be in a walking boot for the time being. It may seem like it’s an excessive treatment plan for just a simple sprain. In reality sprains can sometimes be more complicated than a fracture.

What is a Ligament?

A ligament is a soft tissue structure that connects two bones together. Ligaments do not receive a good blood supply like muscles or tendons and as a result, they cannot heal as well.

Types of Sprains

A sprain is defined as a stretch or tear of a ligament.
Furthermore, sprains can be classified into three groups based on the severity of injury. A grade I sprain means that there is mild damage to the ligament and the joint is stable. A grade II sprain means that there is a partial tear in the ligament and the joint is overall less stable or loose. The most severe type of sprain is classified as grade III and it means that the ligament has completely torn or ruptured and the joint has lost stability.

How can a Registered Physiotherapist help with Foot Pain treatment Mississauga?

A Registered Physiotherapist helps with all three types of sprains. The treatment for sprains starts with rest and reducing inflammation. Depending on the type of sprain, it may be necessary for immobilization in order for this to occur. For example a grade II sprain you can get a removable walking boot. A grade III sprain you can get a cast. Once inflammation is reduced and pain is better, treatment seeks to improve range of motion and strength and a return to activity or sport.

Since Jose Batista has been wearing a walking boot, it seems that his injury is at least a grade II. Considering the poor blood supply of ligaments and the severity of his particular sprain it is definitely best for him to be out of the game for at least 2 weeks. Proper foot pain treatment Mississauga in the early phase of injury is very important so that the ligament is well protected and given the best chance for healing. Once the walking boot comes off, his injury will be re-evaluated and the Blue Jays’ medical team will decide on his further treatment plan and eventual return to play.

Jose Bautista’s toe injury improving

If you have been injured, call PhysioNow today! They can help with Foot Pain treatment Mississauga!

Registered Physiotherapy Mississauga

Registered Physiotherapy Mississauga
Foot Pain Management Mississauga
Pain in the foot can result from a sprain of a ligament. It can come from inflammation of a tendon or bony changes from arthritis. It can also come from dropped arches or irritation of the plantar fascia. These are just some of the reasons that a person can develop foot pain.
The anatomy of the foot can make this body part a difficult one to treat well. The key lies in diagnosing the source of the pain correctly. A Registered Physiotherapist Mississauga has the knowledge and expertise to get this information from the assessment.

Foot pain Management Mississauga: Registered Physiotherapy Mississauga of course depends on the injury. It usually consists of modalities for pain. It can include hands on Physiotherapy treatment to treat the pain and stiffness. This is followed by an exercise program that includes a stretching and strengthening program to improve flexibility. Another important component of Foot pain Management Mississauga is education. The Registered Physiotherapist provides education regarding the injury. They will also give you the expected outcome for the injury. Having this knowledge is very important since it allows you to understand what is happening.

One other possibility with Registered Physiotherapy Mississauga is that it helps you to prevent it from getting worse and/or coming back again in the future. For example, if your dropped arches are potentially causing your ongoing pain, the Registered Physiotherapist will suggest that you get orthotics. This will help to correct the positioning of your foot. PhysioNow can make custom foot orthotics for you if you need them.

Foot pain can be very painful if left untreated. It is important to seek treatment as soon as symptoms arise. Like with any other injury, pain can become chronic the longer that it is left untreated. There is also the possibility that secondary injuries can arise. This is mostly from the fact that the longer a person is in pain, the longer they are walking differently. This can cause additional strain on other joints, such as the knees and hips. This will make the overall injury even more complicated. Therefore, getting treatment at the earlier stages of the injury will result in a quicker and more effective outcome.

Registered Physiotherapy Mississauga is a great option to treat Foot pain. PhysioNow has many well trained Registered Physiotherapists in Mississauga at several convenient locations to serve you. Check us out. Take care of your Foot pain today!

Plantar Fasciitis

Plantar fasciitis

Plantar Fasciitis

The plantar fascia is the band of tissue (ligament) that connects your heel bone to your toes. The main function of this Fascia is to support the arch of your foot. Any strain to the plantar fascia will make it weak, swollen, and irritated. This results in the bottom of your foot hurting when you stand or walk. Some of the causes of plantar fasciitis are: high arches or flat feet, prolonged walking, standing, or running for long periods of time, especially on hard surfaces. Plantar fasciitis can also be caused by shoes that don’t fit well, tight calf muscles or being overweight. Plantar fasciitis is also common with athletes.

Treatment recommended:

In order to decrease these symptoms, try to give the feet adequate rest by reducing the activities that cause your foot to hurt. Walking on hard surfaces should be avoided. Talk to your physiotherapist today. They can help you with various treatment approaches.

To reduce pain and swelling, try putting ice on your heel especially when you first get up in the morning. Get a new pair of shoes. Pick shoes with good arch support and a cushioned sole. Plantar fasciitis most often occurs because of injuries that have happened over time. It may take time for the pain to go away completely.

Stay with your treatment. There may be constant pain when you stand or walk. The sooner you start treatment,the better. Physiotherapy treatment will prevent the injury from being aggravated further.

PhysioNow treatment

Here at PhysioNow we can help you to treat Plantar fasciitis with modalities like Laser, ultrasound and manual physiotherapy. Physiotherapy treatment would include stretches and strengthening exercises. We have a special tool called a “HAWK” that we love to use for Plantar fasciitis to strip out the scar tissue. It speeds up the healing of plantar fasciitis immensely. Custom orthotics may also be useful to support flat feet.
Give us a call today to start feeling better! We can help!