PELVIC PAIN AND PELVIC FLOOR DYSFUNCTION What is pelvic pain and pelvic floor dysfunction? There are a number of conditions which cause pain and pelvic floor dysfunction. We have discussed a few of those conditions here today. Fortunately most of the conditions are treated with physiotherapy interventions. Pelvic pain and dysfunction Common conditions related with internal pelvic structures: Provoked vestibulodynia: In this your pelvic area is very sensitive to touch or pressure. You will feel pain with light touch, pressure, inserting tampons, wearing tight pants or intercourse. urinary urgency Vaginismus: You feel difficulty and/or pain with vaginal penetration. This will lead to avoidance of sexual activity or internal pelvic examination. Bladder pain syndrome: You feel pain and pressure with urge to urinate at any time. You will get an increased urge to urinate. Symptoms usually starts with bladder infection. Dysmenorrhea: You will feel painful cramps with…

Falls prevention programs play an important role in the health of the elderly population.  Falls and the complications associated with them are a huge issue.  It affects many aspects of society including health care spending and caregiver stress.  Furthermore, the resulting injuries and effects from a fall can be very serious, both for the patient and the family involved.  At PhysioNow, our Registered Physiotherapists can help protect your loved ones from falls.   Causes of Weakness & Frailty in the Elderly The reasons for weakness, loss of function/mobility and frailty in the elderly may include: Genetics Some physical characteristics or conditions may have a strong genetic component For example, osteoarthritis may be influenced by genetics and can significantly affect a person’s ability to be mobile and active Disease/Conditions Any disease that affects the strength and/or mobility of a patient will place the individual at risk of falling as the condition…

Elderly Falls Prevention Elderly Falls prevention is a huge societal issue.  It affects many aspects of society including health care spending and caregiver stress.  As a result injuries and effects from a fall can be very serious, both for the patient and the family involved. Characteristics of the elderly Population There are some who have been able to maintain their mobility and strength and continue to stay healthy and active. Then there are those who are struggling with their day to day activities due to weakness and frailty.   There are also those who fall somewhere in between.  Those individuals…

Acute Ankle Sprains Acute Ankle Sprains How do Acute Ankle Sprains happen? Acute Ankle sprains are common injuries in people of all ages. They can happen in many different circumstances. However, they always involve some type of fall or twisting movement to the ankle. For example: Going downstairs and missing the last step resulting in twisting the ankle Landing on the ankle in a twisted position after coming down from a lay-up in basketball or in a Sports Injury Slipping on an icy street while walking In all of these situations, the ankle gets a sudden movement and/or trauma that causes it to twist more than its normal range of movement allows. Acute Ankle Sprains What structure gets injured with an acute ankle sprain? The structures that are injured with acute ankle sprains are the ligaments around the ankle joint. Ligaments are…

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. 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, •…

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. 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…

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. 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…

There are many Benefits of massage therapy.  Below you will find some of the injuries that benefit most from massage therapy. Whiplash Injury A common injury from a motor vehicle accident, whiplash is a neck sprain resulting from the sudden forces typical of a car crash. Symptoms Neck stiffness Headache Dizziness Paresthesia Shoulder, back or arm pain Benefits of massage therapy Massage therapy can be used for the treatment of both acute and chronic conditions. RMTs can work with a wide variety of patients, of all ages, in the treatment of illness, injury rehabilitation and disability. Fibromyalgia Fibromyalgia is associated with widespread chronic pain, fatigue, memory problems and mood changes. It occurs more often in women than in men. It is not a disease, but rather a syndrome that can be managed. Benefits of massage therapy The first will be relaxation to improve sleep. The second benefit is improved muscle…

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…

Vaginismus and Physiotherapy Vaginismus is a painful feeling of discomfort or inability when inserting a tampon, finger, penis or during a doctor’s internal pelvic exam. It occurs when there are involuntary contractions of the muscles in the outer third of the vagina. Primary Vaginismus: when a woman has never been able to have pain free intercourse due to pelvic floor muscle spasm. Secondary Vaginismus: pain that develops sometimes later in life after a traumatic event such as childbirth, surgery, or a medical condition. With Vaginismus, there is usually significant Connective Tissue Dysfunction that needs to be addressed first before any internal work. It is suggested that you follow up the self-help treatment for connective tissue dysfunction before embarking on the stretching exercises with the dilators. Pelvic floor exercises and Desensitisation techniques A physiotherapist may be able to teach you pelvic floor exercises, such as squeezing and releasing your pelvic floor…