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HIP REPLACEMENT TREATMENT

HIP REPLACEMENT TREATMENT

HIP REPLACEMENT TREATMENT will help speed up the recovery process. Healing and recovery time varies between patients. Proper management is important after hip replacement surgery to minimize complications. Supervised Hip Replacement Treatment will help to restore strength and range of motion.

This guide can help you better understand your exercise and activity program. At PhysioNow, our Registered Physiotherapists will help you return to your daily activities. To ensure your safe recovery, be sure to check with your physiotherapist at PhysioNow or surgeon before performing any of the exercises shown.

SAFETY PRECAUTIONS AFTER TOTAL HIP REPLACEMENT UP TO 12 WEEKS MINIMUM:
After hip replacement surgery precautions must be taken to allow proper healing. It is important that you must follow the safety precaution at all times in the first 12 weeks after your surgery.

– Avoid extremes range of motion at all times
– When seated, ensure your knees should always be lower than your hips
– Use a raised toilet seat
– Use a cushion when sitting in a vehicle
– Sit on a high, firm chair at the level of your knees or higher.
– Do NOT lean forward from a sitting position to reach for items or put on shoes
– Use a long-handled shoe horn or reacher instead
– Do NOT twist your leg or turn your hip or knee
– Do NOT twist your trunk. Move your feet to turn when you are standing
– Do NOT sit cross-legged
– Do NOT cross your ankles when lying on back

DECIDING HOW MUCH WEIGHT TO PUT ON YOUR NEW HIP?
Your surgeon will decide your weight bearing status based upon the following:
-The type of surgery and prostheses used
-The condition of the your natural bone
-How the prostheses was fixated to the natural bone

Follow instructions from your surgeon at the hospital and at home upon discharge. Initially you will be advised to put a small percentage of weight on the affected leg. With proper exercise and keeping safety precautions in mind, you should be able to restore strength to your new hip over time.

TOTAL HIP REPLACEMENT TREATMENT GUIDE FOR WEEK 1 TO 4

1) ANKLE PUMPS:
Slowly point the toes as far as possible then pull them back toward you as far as possible.
Repeat this exercise several times a day, as often as every 10 to 15 minutes.

Ankle Pumps #1

2) ANKLE ROTATIONS:
Move your ankle inward toward your other foot and then outward away from your other foot.
Repeat 5 times in each direction.
Perform 3 to 4 sessions a day.

3) BUTTOCK CONTRACTIONS
Tighten your buttock muscles.
Hold for 5 second. Repeat 10 times.
Perform 3 or 4 sessions a day


4) HIP ABDUCTION
Slide your leg out to the side as far as you can and then back.
Repeat 10 times.
Perform 3 or 4 sessions a day

5) QUADRACIPS SET
Tighten your thigh muscle. Try to straighten your knee. Hold for 5 to 10 seconds, repeat 10 times.

6) STRAIGHT LEG RAISES
Tighten your thigh muscle with your knee fully straightened on the bed. Lift your leg several inches off of floor. Hold for 5 to 10 seconds. Slowly return, repeat 10 times.

7) STANDING EXERCISES
Make sure you are holding on to a firm surface such as a bar attached to your bed or a wall when performing standing exercises.

8) STANDING KNEE RAISES
Lift your operated leg only few inches off the floor, below your waist.
Hold for 2 to 3 seconds, and put your leg down. Repeat 10 times both legs.
Perform 3 or 4 sessions a day.

9) STANDING HIP ABDUCTION
While standing, raise your leg out to the side. Keep your knee straight and maintain your toes pointed forward the entire time. Slowly lower your leg so your foot is back on the floor.
Repeat 10 times on each leg.
Perform 3 or 4 sessions a day.

10) STANDING HIP EXTENSIONS
Standing tall and keeping knee straight, extend one leg back without leaning forward or arching your back. Return to the starting position.
Repeat 10 times for each leg.
Perform 3 or 4 sessions a day.

Always attempt any exercises within your pain tolerance. Hip replacement surgery can be a rewarding experience, as it will allow you to return to your daily living activities. Please contact our Registered Physiotherapist at PhysioNow to help you assist with your safe recovery.

Registered Massage Therapy is another excellent treatment after having had a Total Hip Replacement. The muscles in the low back and hip area tend to get quite tight after surgery and Registered Massage Therapists are very skilled at releasing this muscle tension. This speeds up recovery time! We have Registered Massage Therapists available daily Monday to Saturday.

If you are considering having hip replacement surgery, check out this link to the Mayo Clinic with some information that may be useful .

Osgood-Schlatter disease

Osgood-Schlatter disease

Osgood-Schlatter disease can cause a painful lump below the kneecap in children and adolescents experiencing growth spurts during puberty.
Osgood-Schlatter disease occurs most often in children who participate in sports that involve running, jumping and swift changes of direction — such as soccer, basketball, figure skating and ballet.
Age ranges differ by sex because girls experience puberty earlier than do boys. Osgood-Schlatter disease typically occurs in boys ages 13 to 14 and girls ages 11 to 12. The condition usually resolves on its own, once the child’s bones stop growing.

Osgood-Schlatter Disease

SYMPTOMS
Most parents call the doctor after their child complains of intermittent pain over several months. The pain may be anywhere from mild and felt only during activity to severe and constant.
Other symptoms may include:
• pain that worsens with exercise
• relief from pain with rest
• swelling or tenderness under the knee and over the shinbone
• limping after exercise
• tightness of the muscles surrounding the knee (the hamstring and quadriceps muscles)

Osgood-Schlatter Disease

Causes
• During activities that involve a lot of running, jumping and bending — such as soccer, basketball, volleyball and ballet —child’s thigh muscles (quadriceps) pull on the tendon that connects the kneecap to the shinbone.
• This repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling associated with Osgood-Schlatter disease. In some cases, your child’s body may try to close that gap with new bone growth, which can result in a bony lump at that spot.

DIAGNOSIS
• A doctor will perform a physical exam and check your child’s knee for swelling, pain, and redness. This will usually provide the doctor with enough information to make an Osgood-Schlatter disease diagnosis.
• In some cases, the doctor may want to perform a bone X-ray to rule out other potential causes of knee pain.

TREATMENT
Treatment typically involves:
• icing the affected area two to four times a day, or after doing physical activity
• taking over-the-counter pain relievers, such as ibuprofen or acetaminophen
• resting the knee or reducing physical activity
• wrapping the knee or wearing a knee brace
• stretching
physiotherapy

FREQUENTLY ASKED QUESTIONS

1.What about playing sports and other activities?

Sport or physical activity is not likely to cause any permanent damage, but may make the pain worse. However, it is often sporty teenagers who develop Osgood-Schlatter disease. If the pain is affecting your ability to do your sport, difficult decisions may have to be made about training schedules and sporting commitments.

2.Is it possible to prevent Osgood-Schlatter disease?

Yes, it’s possible to prevent Osgood-Schlatter disease by limiting stress activities involving the knees. Such sports would include basketball, volleyball, ballet, gymnastics, and high jump. All of these sports require sudden explosive activation of the quadriceps muscles. A proper stretching routine involving the quadriceps and hamstring muscle groups may be helpful to arrest the onset of Osgood-Schlatter disease.

3.Is this disease permanent?

Osgood-Schlatter disease usually resolves on its own once a growth spurt ends. Until then, treatment is focused on relieving symptoms, such as knee pain and swelling.

• Overall Osgood-Schlatter disease could be a debilitating condition if it remains untreated. PhysioNow Mississauga has excellent Registered Physiotherapists who can help your child and get him or her back to their sports career. Call Today 289-724-0448.

Sciatica Treatment Mississauga

Sciatica Treatment Mississauga

Sciatica

Sciatica Treatment Mississauga
Sciatica Treatment Mississauga is available at all of our PhysioNow Clinics!
Sciatica refers to back pain caused by an inflammation with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something irritates or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. Sciatica Treatment Mississauga can help!
Symptoms

The most common symptoms of sciatica are

• lower back pain that extends through the hip and buttock and down one leg.
• The pain usually affects only one leg and may get worse when you sit, cough, or sneeze.
• The leg may also feel numb, weak, or tingly at times.
• The symptoms of sciatica tend to appear suddenly and can last for days or weeks

Causes

• Sciatica is caused by irritation of the root(s) of the lower lumbar and lumbosacral spine.
• Lumbar spinal stenosis (narrowing of the spinal canal in the lower back)
• Degenerative disc disease (breakdown of discs, which act as cushions between the vertebrae)
• Spondylolisthesis (a condition in which one vertebra slips forward over another one)
• Pregnancy
• Muscle spasm in the back or buttocks

Physiotherapy treatment of Sciatica

Sciatica Treatment Missisauga involves treatments that focus on prevention and management of injuries or disabilities.Sciatica Treatment Mississauga helps to relieve pain, promote healing, and restore function and movement.
A Physiotherapist may focus on decreasing pain with either passive or active therapy.
Passive Physiotherapy may include:

• Manual therapies
• Heat/ice packs
• Electrical stimulation, including TENS units or IFC (Interferential Therapy)
• Ultrasound
• Acupuncture
. Registered Massage Therapy

Active Physiotherapy may include:

• Movement based activities, including stretching and range of motion exercises
• Specific strengthening exercises
• Very Specific Pain relief exercises

Overall, Sciatica is a very debilitating condition which can affect your activities of daily living. PhysioNow Mississauga has excellent Registered Physiotherapists who can help you to overcome your sciatica problem and improve your quality of life. Call today! 289-724-0448

Total hip replacement surgery

Total hip replacement surgery
In total hip replacement surgery (also called total hip arthroplasty), the affected hip joint is removed and replaced with a metallic implant. Total hip replacement surgery is usually performed in people who have severe arthritic changes. Normally they have a lot of pain in their hip and find difficulty walking or walk with a limp. Its an extensive surgical procedure that involves slitting open the muscles around the hip and buttock. Muscles that are usually cut are those that are required for walking and using the stairs. These are some of the functional activities that can be affected with hip arthritis.

You don’t have to wait until your hip surgery to come and see a Registered Physiotherapist Mississauga. In fact, seeing a Registered Physiotherapist right after your decision to undergo a replacement surgery can get you back on your feet quicker after your surgery. You can set up a pre surgical appointment with PhysioNow to get you ready for your surgery. One appointment before the surgery can save you recovery time after the surgery. We can go over all of the things you need to know for after the surgery.

What to expect
Before the surgery
– Physiotherapists at PhysioNow Mississauga will closely work with you to get you back on your feet early after surgery. Check out this video if you want to see a bit more of what to expect with Total Hip replacement surgery. It is from the University of California, but it gives a comprehensive overview of the procedure and explains it quite well.

Physiotherapy Treatment will consist of:

– Assisting you to get the right size walker/cane to offload excessive stress during the initial phases of recovery
– Managing your pain and swelling during the initial phases of recovery by providing compression to the area using a compression stocking and applying ice around your hip joint
– Electrical modalities such as interferential therapy to decrease post-surgical hip pain
– Registered Massage Therapy to relax the muscles around the surgical area and your low back
– Using different exercise equipment such as theraband , weights and exercise machines
– Strengthening of the muscles around your hip to help you walk without a limp
– Various exercises to strengthen and maintain adequate flexibility in your hip/leg muscles
– Education on home modifications (elevated toilet seat, use of grabber) to facilitate your mobility in the house
– Simple foot/ankle exercises to prevent pooling of blood around your calf

Registered Physiotherapy Mississauga will help with functional recovery after your total hip replacement surgery. Total recovery from Total Hip replacement surgery takes an average of three months. The surgeon should send you home with a list of instructions to follow immediately after surgery. It is very important to follow the precautions that the surgeon gives you to avoid serious complications. Your physiotherapist can review these precautions with you!

After Total Hip replacement surgery, you will be ready to see a physiotherapist for further treatment outside of the hospital within 5- 7 days after discharge from the hospital.
You should expect to see your physiotherapist 1-2 times per week depending on your progress for up to 3 months after surgery.
Total Hip Replacement Surgery
The goals of physiotherapy are:
– to have no limp when walking
– ability to climb stairs with normal alternating gait
– ability to walk as far as you want to walk without developing a limp from fatigue or weakness
– able to get out of a chair easily
– excellent balance while standing on one foot: up to 60 seconds without losing balance

Good Luck with your Surgery! Please call us to get started on recovery or to prepare you for your surgery! Call today! 289-724-0448.

Female & Male Pelvic Pain

Female & Male Pelvic Pain Female & Male pelvic pain

There are various conditions which are treatable under male and female pelvic pain.

Vulvodynia

Pain that affects the entire vulva
Symptoms
• Burning
• Stabbing
• Stinging
• Itching
• Sensitive to touch and pressure
• Functional limitation (Sex/ tampon/clothes)

Vestibulodynia

The vestibule is where the vulva (area of the skin on the outside) meets with the vagina. It is an extremely sensitive part of your body.
Symptoms:
Hypersensitivity on light touch, such as during intercourse and on insertion of tampons.Some women have pain but are able to tolerate penetrative sex. They may have soreness and tenderness. This may include soreness with tight clothes and even light touch to the area.

Dyspareunia, Vaginismus, Dysmenorrhea, Irritable Bowel Syndrome (IBS) and Endometriosis

Endometriosis

Vaginismus: Inability to penetrate due to spasm of the muscles
Dyspareunia: Painful vaginal penetration in the absence of disease
Dysmenorrhea:
Irritable Bowel Syndrome (IBS): Abdominal Pain or discomfort, At least 3 days per month in the last 3 months.

Irritable Bowel Syndromes

Pain is associated with 2 or more symptoms:
– Improvement with defecation
– Onset associated with a change in stool frequency
– Onset associated with a change in stool form

Anal Disorders

Men have pelvic pain!

• Chronic Pelvic Pain Syndrome
• Interstitial Cysts
• Bladder Pain Syndrome
• Levator Ani Syndrome
• Urethral Syndrome
• Coccydynia
• Pudendal Neuralgia
• Anal fissures

Physiotherapy Treatments for Female & Male Pelvic Pain

Kegel Exercise

Connective tissue massage

Dermoneuromodulation or non?nociceptive input
Improve mobility of affected areas
Down regulate the sympathetic nervous system (nervous system restore and relax)
Nutrition
Behavioural techniques (manage stress)
Movement Therapies
Kegel exercises depending on the type of muscle tone and condition.
Contract relax and Reciprocal inhibition techniques
Add mobilizations–? massage with movement

As you can see, there are many things that can be done to help with Female & Male Pelvic Pain. PhysioNow can Help! We have fully trained Pelvic Health Physiotherapists to help with all of these conditions. Call today to book an appointment!