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…

Pelvic Floor: Posture PELVIC FLOOR: POSTURE is a very important area if you have issues with urinary incontinence, pelvic pain, etc.  The muscles of the pelvic floor support the abdominal and pelvic viscera.  These muscles are active in standing and sitting. Furthermore, because the abdomen is a fluid-filled cavity, intra-abdominal pressure  is distributed in all directions.  The Pelvic Floor muscles, which form the floor of the abdominal cavity, contribute to its muscle control. As a result of this contribution to control of intra-abdominal pressure, the muscles of the pelvic floor are likely to contribute to control of the spine and pelvis. The slouched posture places a lot of pressure on our internal organs and pelvic floor. This can cause a worsening of: urinary incontinence, pelvic pain,  symptoms related to prolapse, and rectus diastasis. Pelvic Floor: Posture, sitting slumped Research has shown that when we sit in a slumped posture, our pelvic…

A Baker’s Cyst, also known as a popliteal cyst, is a fluid-filled swelling that causes a lump at the back of the knee. This leads to tightness and restricted movement. The Baker’s Cyst can be painful when you bend or straighten your knee. ? Causes of a Baker’s Cyst Synovial fluid is a clear liquid that normally circulates through the spaces in your knee joint. Sometimes the knee produces too much of this fluid. The increasing pressure forces the fluid to the back of the knee via a one-way valve. This creates a bulge. This  swelling of the knee causes a Baker’s Cyst to form. The most common causes of a Baker’s Cyst are: damage to the knee’s cartilage (meniscus) arthritis of the knee rheumatoid arthritis other knee conditions that cause joint inflammation ? Symptoms of a Baker’s Cyst Some patients may have no pain and may not even notice the…

Peroneal 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…

De Quervain’s Disease/ Texting thumb. De Quervain’s Disease De Quervain’s Disease or nowadays known as texting thumb is a painful inflammation of tendons in the thumb that extend to the wrist. The rubbing of the inflamed tendon against the canal it passes through causes pain at the base of the thumb and into the lower arm. It is commonly seen in females over 40 years of age. Causes of De Quervain’s Disease 1. Simple strain injury to the tendon. 2. Repetitive motion injury. Workers who perform rapid repetitive activities involving pinching, grasping, pulling or pushing are at increased risk. Specific activities including intensive mousing, trackball use, and typing. Other activities including bowling, golf, fly-fishing, piano-playing, sewing, and knitting can also cause De Quervain’s Disease. 3. Frequent causes of De Quervain’s Disease include stresses such as lifting young children into car seats, lifting heavy grocery bags by…

A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is based on the bones and soft tissues affected or on the level of the fracture. Older people are at a higher risk of hip fracture because bones tend to weaken with age (osteoporosis). Multiple medications, poor vision and balance problems also make older people more likely to trip and fall — one of the most common causes of hip fracture. ? Signs and symptoms of a hip fracture include: • Inability to move immediately after a fall • Severe pain in your hip or groin • Inability to put weight on your leg on the side of your injured hip • Stiffness, bruising and swelling in and around your hip area •…

Trochanteric bursitis   The Trochanteric Bursa is a fluid filled sac near the hip joint. It cushions between the bones and the muscle and acts as a shock absorber. Trochanteric bursitis is the inflammation of the bursa which is at the outside of the hip. When this bursa is irritated it causes pain on the outside of the hip and thigh.  Sometimes you may feel the pain down to the knee on the same side.  Another symptom is pain which will stop you from lying on your painful side.  It will be painful when you press on a specific spot on the outside of the hip.  The pain gets worse when climbing stairs, getting up from a low chair getting out of a car.  Sitting with crossed legs hurts.  Both  walking and running may also cause increased pain. Causes of Trochanteric Bursitis Any direct Injury to the outside of the hip…

Why is baseline testing Concussions important? There are no  special tests to diagnose and gauge the severity of concussions.  Athletes are recommended to undergo baseline testing before the beginning of the sports season. Baseline test results are helpful  for most healthcare professionals  involved in an athlete’s concussion care. This includes Physiotherapists, Physicians, Concussion Specialists, and Vision Therapists.  Baseline tests let the Physiotherapist compare the before injury  function to the results of post concussion baseline testing. It’s a great tool  to measure the severity of concussions.  It helps therapists to make  treatment goals.  Safe return to sports following concussions can be determined with this tool.   Components of Baseline testing  Concussions   Impact Test, This is the gold standard test.  It  looks at different functions of your brain before and after concussion. It is a computer based test. It usually takes about 30 minutes. The test assesses your ability to process information, and remember…

Golfers elbow Golfers elbow is the overuse injury to the wrist flexor muscles. The muscles travel from the inside of the elbow leading to pain with resisted wrist flexion and resisted pronation of the forearm. The cause of the Golfers elbow is repeated wrist bending, improper lifting, throwing and swinging movements. People involved in racquet sports, using tools as screwdrivers and working on computers are usually affected. Symptoms Symptoms include pain and tenderness around the inside of the elbow. They often also include pain with making a fist, stiffness of the elbow, and a weakened grip with downward movement of the forearm. Pain typically gets worse with a tight fist and picking things up with the wrist in a bent position. Check out this article for more information about Golfers elbow. Diagnosis The condition is usually diagnosed through special tests such as wrist flexion against resistance. Differential diagnosis from other…

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