The custom knee braces are useful for many reasons.  The most common reasons are to correct alignment or stability of the knee.  Therefore, the brace allows people to continue to be mobile and active despite their knee injury or pain.  At PhysioNow, we have custom knee braces available from DonJoy, Breg and Ossur.  A Registered Physiotherapist with training in knee braces  will recommend and measure the brace that’s the most appropriate for the needs of the patient. Types of Custom Knee Braces There are different types of braces for different types of knee conditions.  The custom knee brace needs to be specific to the condition for it to be effective.  Some examples of the types of custom knee braces include: Brace for ligament instabilities The main ligaments of the knee that give the knee stability are the ACL, PCL, MCL and LCL.  These injuries occur during sports or recreational activities…

2021 is definitely an interesting year to reflect on.  The Covid-19 pandemic certainly creates a new and different challenge for physiotherapy.  Let’s have a look at the most popular reasons why people came in for treatment at PhysioNow in 2021! Reason #1:  Neck & Back Pain Neck and back pain are definitely the most common symptom that led people to PhysioNow in 2021.  This was due to several different factors.   The most important being that majority of office staff shifted to working from home.  This means that they are working in home offices that are not always ergonomically correct.  Additionally, most people who work from home end up spending more time sitting in front of their screens without getting up and moving around.  As a result, stiffness in the back is produced and continues to progress and become painful. Reason #2: Shoulder Pain Shoulder pain is another popular reason for…

What is a total knee replacement? A total knee replacement is a surgery where the damaged portions for your knee joint are replaced with metal prosthesis.  The damage to the knee joint is usually as a result of arthritis.  These changes to the joint have likely accumulated over several years.   A total knee replacement is considered if pain is no longer manageable or if function is severely restricted. How do I get the best outcome after a knee replacement surgery? There are many factors that can influence the surgery results and make it more likely that you have a successful outcome. Surgery without complications Firstly, the surgery itself has to be successful in replacing the damaged joint without resulting in any surgical complications.  The most common complications that can happen after any surgery include infection and blood clots. Pain management Next, it is important to have good pain management after…

What causes knee pain? Managing knee pain is a common concern for many people.   It can feel too difficult and there is always a fear of making the pain worse. Especially, when knee pain can be caused by several different reasons.  For example: Muscle and tendon strains Ligament sprains Bursitis Osteoarthritis Meniscus tears Patellar-femoral pain Dislocations Post-Surgery What can I do to help manage my knee pain? There are several things that you can try to help reduce or solve your knee pain on your own.  Apply heat or ice An easy home remedy for managing knee pain at home is applying either heat or ice to the area.  However, there is always some confusion about whether heat or ice is the better option.  As a general rule of thumb we say:  If there was a sudden trauma and the area is showing signs of inflammation, such as swelling and…

What is Massage Therapy?   Massage therapy offers many benefits for recovery.  This type of treatment involves the hands-on manipulation of the soft tissues of the body.  These tissues include:  Muscles Tendons Connective tissues Ligaments What is the purpose of massage therapy? The purpose of massage therapy is to help improve the physical condition of the body.  This is achieved through by improving: Tissue flexibility Joint movement Circulation Stress Are there different types of massage therapy? Swedish Massage Most common type of massage therapy It involves soft, long and kneading strokes of the muscles This type of treatment may also include joint movement and stretches The focus of Swedish massage is the relaxation of the muscles Deep tissue Massage This type of massage aims to get into deeper layers of the soft tissues It uses deeper pressure and may be more painful than a Swedish massage but can be helpful…

What is arthritis? The medical and rehabilitation world uses the term ‘arthritis’ all the time.  However, what exactly does it mean to have this condition?  Simply put, arthritis refers to painful joints or joint disease.  However, this is a very simplistic definition of the term.  More specifically, there are over 100 different types of this condition.  Arthritis affects millions of people around the world, including men and women and people of all ages and ethnicities.  Additionally, because it affects the joints of the body, it is a leading cause of disability and affects a lot of the most basic day to day tasks.  Individuals who have severe forms of the disease have a significant loss in their quality of life. What are some important statistics? A good resource for information on arthritis is the Arthritis Society website.  According to their website, about 6 million people across Canada have arthritis.  That…

What is a Total Hip Replacement?   A Total Hip Replacement (THR) is a type of surgery where a damaged hip joint is replaced with an artificial hip joint.  Doctors can use metal, ceramic or plastic replacement parts for the surgery. When is a Total Hip Replacement necessary? A Total Hip Replacement surgery is done when there is so much damage in the hip joint.  These joint changes cause severe pain and interference with daily living.  The damage in the hip may be as a result of osteoarthritis, rheumatoid arthritis or post-traumatic arthritis.  Total hip replacement is recommended when: Walking, going up stairs, and bending to get in and out of chairs is difficult Pain is moderate to severe even while resting and disrupts sleep Joint degeneration has caused stiffness that severely affects the range of motion and function of the hip Conservative treatments such as medication, physiotherapy or using…

Accident rehabilitation refers to the treatment that is provided to treat the injuries from a car accident.  A motor vehicle accident (MVA) can be a scary experience.  There is so much stress that happens during the whole process, including dealing with the insurance company and damages to the car.  However, the most important aspect of getting into a motor vehicle accident is your health.  More specifically, a car accident can result in a whole host of different injuries.  Ensuring that you are safe and getting the care that you need to recover is so important. What are the common factors that influence a motor vehicle accident? A motor vehicle accident can result in a whole host of different injuries depending on the nature of the accident.  There are a number of different factors that can influence the impact of an accident on your body.  For example: Speed of the vehicles…

What is osteoporosis? Osteoporosis is a disease that affects the bones of the body.  It involves processes where the body is losing too much bone or is making too little bone.  Additionally, it can also be a combination of both.  As a result, the affected bones become weakened.  Physiotherapy for osteoporosis is an important treatment tool to prevent fractures and improve a person’s quality of life. How can osteoporosis impact a person’s life? Normal and healthy bones can withstand a lot of stressors.  However, osteoporotic bones, on the other hand, may break with just minor incidents.  For example, a person with osteoporosis may fracture a bone from a simple fall or a minor bump.  Furthermore, in very severe cases, just a sneeze may be enough to cause fractures to a bone. The term osteoporosis means “porous bone”, which refers to the look of the bone under a microscope.  Normal or…

What is sciatica? Sciatica is a term that gets used quite frequently in the physiotherapy world.  It refers to pain, tingling and/or numbness that goes down the back, hip or entire leg.  It can happen to both younger and older adults for many reasons.  For some, it starts after a traumatic event like a slip and fall or after a motor vehicle accident.  For others, however, it starts gradually then suddenly increases in intensity over time.  Despite the exact cause, sciatica can be a very difficult condition to go through. Where does the term sciatica come from? The term sciatica refers to irritation of the sciatic nerve, which is the largest nerve in our body.  This nerve has its roots at the lower levels of the lumbar spine and runs through the gluteal area down the back of the thigh.  Around the the knee, the sciatic nerve splits up into…