Tag Archives: physiotherapy

TMJ syndrome

TMJ syndrome

TMJ syndrome is broadly classified into 2 syndromes.
The temporo- mandibular joint (TMJ) is the synovial joint that connects the jaw to the skull. These joints are located just in front of each ear.

TMJ syndrome

Classification of TMJ syndrome

TMD is broadly classified into 2 syndromes:
• Muscle-related TMD (myogenous TMD), sometimes called TMD secondary to myofascial pain and dysfunction
• Joint-related TMD, or TMD secondary to true articular disease

Causes of TMJ syndrome

• trauma
• disease,
• wear and tear due to aging
• oral habits, such as chewing gum, tobacco, candy or ice

  • grinding your teeth or clenching your jaw

 

Signs and Symptoms of TMJ syndrome

• Pain in the jaw
• Clicking and popping sound in the ear
• Pain while chewing the food
• Stiff and sore jaw muscles
• headaches

Treatment for TMJ syndrome

general

  • • including heat to the joint,
    • nonsteroidal anti-inflammatory drugs (NSAIDs)
    • avoiding chewing gum, candy, ice, or tobacco
    • stress reduction.

    • wear a mouth guard at night
    • avoid activities that require you to keep your mouth open such as fellatio
    • avoid eating food that is hard to chew such as steak

If you are interested in knowing a bit more about this syndrome, check out this link .

 

Physical therapy techniques for TMJ syndrome may include:

• Jaw exercises to strengthen muscles and improve flexibility and range of motion.
• Heat therapy to improve blood circulation in the jaw.
• Ice therapy to reduce swelling and relieve pain.
• Massage to relieve overall muscle tension.
• Transcutaneous electrical nerve stimulation (TENS),
• Movement of the temporomandibular (TM) joint to release scar tissue that restricts muscle movement and to improve range of motion.
• Ultrasound therapy- to reduce pain and swelling and improve circulation.

If you have any further queries please call PhysioNow. Our experienced Registered Physiotherapists would be happy to help you recover from TMJ syndrome.  There are Registered Physiotherapists at each of our locations that are trained specifically to assess and treat this injury.  Assessment takes about 40-50 minutes and each treatment typically takes about 30-40 mins.  Resolution of TMJ syndrome can be quite rapid with some patients only requiring a few visits for the pain the stop.

Call today!

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

Types

  • 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.

Contraindications

  • 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

Contraindications

  • 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!

Labyrinthitis

Labyrinthitis is an inner ear disorder. The two vestibular nerves in your inner ear send your brain information about your spatial navigation and balance control. When one of these nerves becomes inflamed, it creates a condition known as labyrinthitis.

Labyrinthitis
Symptoms:

  • dizziness
  • vertigo
  • loss of balance
  • nausea and vomiting
  • tinnitus, which is characterized by a ringing or buzzing in your ear
  • loss of hearing in the high-frequency range in one ear
  • difficulty focusing your eyes

Causes

  • respiratory illnesses, such as bronchitis
  • viral infections of the inner ear
  • stomach viruses
  • herpes viruses
  • bacterial infections, including bacterial middle ear infections
  • infectious organisms, such as the organism that causes Lyme disease

If you would like to learn more about Labyrinthitis, please check out this link.

Diagnosis
Tests to check for the condition may include:

  • hearing tests
  • blood tests
  • a CT or MRI scan of your head to record images of your cranial structures
  • electroencephalogram (EEG), which is a brain wave test
  • electronystagmography (ENG), which is an eye movement test

Treatment

Most of the time, labyrinthitis and vestibular neuritis go away on their own. This normally takes several weeks. If the cause is a bacterial infection, your doctor will give you antibiotics. But most cases are caused by viral infections, which can’t be cured with antibiotics. In those situations, your doctor may prescribe steroid medicines, which may help you get better sooner.

  • Avoid television, computer screens, and bright or flashing lights during a vertigo attack.
  • If vertigo occurs while you’re in bed, try sitting up in a chair and keeping your head still.

Low lighting is better for your symptoms than darkness or bright lights.

If your vertigo continues for a long time, physical therapists can teach you exercises to help improve your symptoms

If you have any further queries please call PhysioNow. Our experienced physiotherapists would be happy to clear your doubts.

Concussion

Concussion

The topic of concussion has been in the media quite frequently in the last several years. Top athletes, like Sidney Crosby, have definitely put concussion in the spotlight.

Crosby was unable to return to his game for almost a whole year because of persistent symptoms related to concussion. Furthermore, research has shown that 96% of deceased ex-NFL players have a form of brain damage called Chronic Traumatic Encephelaphathy (CTE), which may be related to repeated head traumas like concussions.

Safety Of Athletes Involved In Contact Sports

Concussion

This calls into question the safety of athletes involved in contact sports. In contact sports, there seems to be a higher incidence of these injuries.

However, concussions do not just happen to the famous pro-athlete. They can happen to athletes playing at any level or any age. They can do more than take away playing time.

Rowan Stringer, a high school rugby player, sadly made headlines in the media in 2013 after she lost her life to Second Impact Syndrome (SIS). This occurs when multiple concussions occur in rapid succession. SIS specifically affects the peadiatric and adolescent populations.

Concussions can also happen to anyone who is involved in an accident involving some form of head trauma. This includes falls and motor vehicle accidents. It is important to understand, that concussion is a serious injury.

If not managed appropriately, it can lead to persistent symptoms. Concussion can prevent you from returning to your beloved sport and/or regular life activities including work and family.

What Exactly Is Concussion?

So, what exactly is concussion and why does it have such a major impact? The changes that happen with concussion happen at a deep cellular level of the brain.

The injury starts with some form of trauma to the head, which creates stretching of the cells in the brain. These changes are microscopic and most often not picked up on imaging exams. As a result, concussion is often labelled as an invisible injury process.

Symptoms of Concussion

These chemical processes produce symptoms such as headache, nausea, dizziness and fogginess that are classic to concussion injuries.

Another major hallmark symptom of concussion is fatigue. This feeling of persistent tiredness is due to the energy crisis in the brain that results from the initial cellular stretching. These symptoms can wreak havoc on a person’s life and take them out of their sport or work.

How long do Concussion symptoms last?

Although the chemical reactions from the initial trauma take about 7 to 10 days to stabilize, the symptoms that are experienced by the patient can last for several weeks and months or even years. The lasting symptoms happen as a result of the changes that have been made to the different processing systems of the brain.

These changes produce an inability to make sense of either the visual or vestibular information in our environment. This overwhelms the brain and further aggravates the symptoms. It is vitally important, that appropriate management strategies have to be in place to treat these symptoms in an effective and timely manner so that an individual can return to their life.

How Do You Treat Concussion?

So how do you treat concussion if it is an invisible injury? The mechanism may be invisible but the symptoms are definitely not. Therefore, it is important to do a thorough assessment. This helps to understand what the exact symptoms are and which brain systems are at fault.

imPACT Testing

During the initial assessment, the patient will most likely be starting the appointment with a computerized test called imPACT, which is a heavily researched and validated neurocognitive test. This test looks at a variety of categories including verbal memory, visual memory, speed and reaction time. At completion it provides important information on a patient’s performance.

The test can be repeated over time and it can be used to check if there has been any meaningful change in performance. Once the imPACT test is completed, the patient will be assessed by the physiotherapist.

The Physiotherapist will go through a detailed history of the injury and symptoms to get an understanding of what the patient is going through and which brain systems are affected. The Physiotherapist will then go through a series of physical tests that test the visual and vestibular systems.

The therapist will be looking at how the patient is performing on the test and what symptoms are produced with the tests. If there are any other injuries present, such as neck pain, the physiotherapist will assess these issues as well.

Concussion Treatment

With the information gained from the assessment, the therapist will start providing the appropriate treatment to start reducing the symptoms of concussion. The treatment provided will vary from person to person because each case of concussion is unique.

Therefore, there cannot be a cookie-cutter approach to treating this complex injury. A large component of the initial treatment plan will involve education to rest and reset the brain and modify work/home/sport activities to allow for appropriate healing.

FOLLOW UP VISITS

On follow up visits, the therapist will prescribe specific exercises to start healing the affected systems in the brain. These exercises are important to be continued at home. Consistent and regular practice of these exercises will ensure improvement in the symptoms. It is important to understand that these exercises will produce some of the symptoms of concussion but they are meant to do so.

It is in this manner, that the visual and/or vestibular systems are retrained. Once the exercises are mastered at one level, the physiotherapist will continue to progress them to be more and more challenging until the patient is able to perform them without any symptoms. It is through these progressions that the therapist will be able to help the patient return to work and/or play and just life in general.

SUMMARY

Concussion symptoms can be very debilitating and can go on for a long time. It is important to seek out a qualified Physiotherapist trained in concussion management as soon as possible so that these symptoms are not affecting a person’s quality of life and taking them away from the things that they love.

At PhysioNow, we have highly trained Registered Physiotherapists ready to assess and treat Concussions.  Call today to get started on your recovery!

ACL REHAB

ACL REHAB
Knee Injuries

ACL REHAB

ACL REHAB is very important for you to get back to your normal life! injuries lead to pain, inflammation, internal bleeding and instability.

Mechanism of Injury

The mechanism of injury is a sudden rotational force that occurs when the foot is planted on the ground.

Symptoms of ACL tear

During certain movements you may feel instability and pain such as when walking and coming down stairs.

Muscles may get weak because they respond to stress put on them during weight bearing activities.

After injuring the ACL, people tend to to avoid pain.

This can lead to decreased balance, strength and control in the muscles.

It may further lead to locking of other structures that are also involved with an ACL tear. This includes meniscus and medial collateral ligament injuries.

Is Surgical Repair required?

Surgical repair may be needed for a fully torn ACL depending on the level of physical activities you want to return to. It is possible to avoid surgery completely if proper physiotherapy is done with a skilled Registered Physiotherapist.

Custom Knee Braces for ACL REHAB

ACL REHAB
Custom Knee Brace

In addition, wearing a custom knee brace can allow you to fully support your knee without having to do surgery. Custom knee braces can be very helpful once the swelling goes down. They can allow you to return to all or most of your previous activities without surgery. A Custom Knee Brace provide the support for the torn ACL ligament. There are several types of Custom Knee braces available in the market. The most popular brands are DonJoy, Bledsoe and Ossur. At PhysioNow, we carry off the shelf knee braces and Custom Knee braces from all of the major suppliers.

Check out this link for a few of the braces we currently offer at PhysioNow in Mississauga.

How can Physiotherapy Help after an ACL tear?

Role of a physiotherapist after an ACL tear is:

– to control pain,

-increase/maintain ROM,

– stretching tight structures,

and strengthen the weak muscles

How is Pain controlled?

Pain is controlled by using different modalities such as ultrasound and interferential therapy. A graduated exercise program will help you to improve your movement.
Here is another interesting article about ACL REHAB.

Exercises will focus mainly on:

– strengthening quadriceps and gluteal muscles,

– proprioception techniques (you will likely lose some of your natural ability to balance after an ACL tear),

-and stretching of the hamstring muscles.

ACL REHAB
Possible ACL REHAB Exercises

Please do not attempt these exercises at home without the advice of your doctor or a skilled Registered Physiotherapist!

If you or someone you know has had an ACL tear, we at PhysioNow would be happy to help! If you want to discuss Physiotherapy Treatment or to see if a Custom Knee brace might be helpful for you, please call and ask to speak with Sharon. Call today!