Tag Archives: Custom Knee Brace

Custom Knee Brace

Custom Knee Braces: Do I need one?

Custom Knee Brace

Custom Knee Braces are a helpful tool in many knee injuries and degenerative conditions. If you’ve been dealing with knee pain, then you know how frustrating and life altering it can be. You want to play sports, you want to take the stairs, you need to go get groceries, but all of these things are difficult because of your knees. In this blog, we’ll discuss who benefits from custom knee braces and how they differ from off the shelf braces (pre-made).

What is unique about a custom knee brace?

Unlike a standard brace which is made to predetermined measurements, a custom brace is made especially for you. One of our Physiotherapist will take precise measurements of different parts of your knee to fit it perfectly to your shape, providing support where you need it the most. There are also different types of custom braces, and your health care provider can help you determine which one suits you best, depending on your current situation.

Who uses custom knee braces?

Brace for ACL Injury
An example of an ACL brace by DonJoy, that can be made custom to fit each knee

These braces are extremely sturdy and provide lots of stability, support, and can restore function. They are used in several different areas mainly:

  • Post-surgery such as meniscal repairs
  • Relieving pain from osteoarthritis (OA)
  • Extra support during sports or physical tasks
  • Protection while awaiting surgery
  • Stabilizing the knee after a ligament tear (ACL, MCL, PCL, LCL)
  • Delay a total knee replacement surgery

For example, in OA there is often one sided pain from the joint surface wear. A special brace type called an unloader is specifically designed to shift pressure away from the affected side of the joint. In some cases, surgery may be inappropriate or more risky than desired for a patient, a brace can help them return to their activities, even sports, after a severe injury.

How do I know if I need a custom knee brace?

Most minor strains do not need custom bracing and can benefit from off the shelf versions. Working with a health care expert like a Physiotherapist during your injury can help you determine what is right for you. Some clinical signs that they may look for include:

  1. Instability: Including buckling, giving way or feeling like the joint can’t support you
  2. Have been diagnosed with knee OA, especially if severe
  3. Ligamentous laxity
  4. Limited by pain, weakness in activities of daily life or sport
  5. Awaiting a knee replacement, or want an alternative
  6. Recent surgery that needs protection

These are just a few of many things they will look at. Our Physiotherapists are trained to assess and take each individual’s unique factors into account.

Will my insurance cover it? What is the process

In Ontario, some extended health care (EHC) plans will provide coverage for medical equipment including custom knee braces. Since each plan is different, you will have to contact your provider to ask for the coverage available, oftentimes they will be given in a % amount. Additionally, most insurances will also request a physician prescription.

On the clinic side, we will arrange an assessment with a trained Physiotherapist provider to assess how you’re moving, your symptoms, your fitness level, and goals to determine which type of brace would suit you best. Then, they will take specific measurements of your leg which they will submit to the brace manufacturers. After your brace has been made, they will ship it to the clinic and we will call you to let you know. Your physiotherapist will then have you wear it in clinic and perform some movements to ensure it fits well and comfortably. Any brace adjustments needed in the future can be done free of charge for you!

Our clinic will provide you with an invoice with all information necessary needed to submit to the insurers and receive reimbursement. While we are unable to do direct billing for medical equipment, rest assured that your Physiotherapy and Massage Therapy appointments can be!

Looking for more information about braces or knee pain?

Look for PhysioNow! We are one of the west GTA’s most trusted Physiotherapists, serving the area for over 20 years. We are happy to answer any inquiries and help you get started in the process. You can find us at 10 locations across Burlington, Oakville, Mississagua and Etobicoke! Don’t let your knee pain stop you anymore, book your first assessment and treatment with PhysioNow today!

Symptoms of ACL tear

Symptoms of ACL tear

Signs and Symptoms of ACL tear

This blog will talk about signs and symptoms of ACL tear. The Anterior Cruciate Ligament, or ACL, is a very important structure of the knee joint. Its main function is to stop the shin bone from moving too far forward when the knee is straightened. The ACL also prevents the knee from rotating too far inward. As a result, a tear to this ligament can have very negative effects on knee function and stability.

A potential injury to the ACL has fairly easily recognizable signs and symptoms.

Mechanism of injury of ACL Tear

    • The mechanism of injury is very important in identifying an ACL injury. The ACL ligament is often injured when the leg is pivoted with the foot planted. It can also result from a direct blow to the outside of the knee. It is common to see ACL injuries in soccer and basketball because these types of movements happen quite often with these sports.

Signs and Symptoms of ACL tear

  • A key sign of an ACL injury is the distinct “popping” or snapping sound that is heard at the time of the injury.
  • The presence of intense pain near the top of the shin bone also relates to the ACL.
  • The immediate presence of a lot of swelling within 2 hours of the injury is another important symptom of ACL tear.
  • With some other common knee injuries, swelling is very minimal or occurs much later.
  • The inability to weight bear on your knee is another clue that it might be an ACL injury.

Symptoms of ACL tear

How to know for sure if it is an ACL tear

The degree of ACL injury can vary from a partial tear to a full rupture. There are special tests that can be done to confirm the presence of an ACL injury and test the extent of the tear. However an MRI will provide the most detailed information about this type of injury.

Treatment for symptoms of an ACL tear

Surgery may be recommended if it is a full ACL tear. However, some individuals will opt to not proceed with surgical intervention. Instead, they proceed with conservative treatments such as Physiotherapy and Custom Knee Bracing. Patients with partial ACL tears will definitely require Physiotherapy treatment. This will promote healing, regain strength and optimal function.

Symptoms of ACL tear
Custom Knee Brace

Check out this link for further information regarding symptoms of ACL tear.

A fully trained Registered Physiotherapist will be able to guide you through an appropriate rehabilitation program so that strength and stability is restored in the knee. The goal is to return you to play and competition as quickly as possible!

If you or someone you know has suffered from symptoms of ACL tear, please call PhysioNow today. We have fully trained, Registered Physiotherapists ready to help! We also have fully trained staff able to guide you in your decision if you decide that you would like a knee brace. Both off the shelf and Custom Knee Bracing is available at all of the PhysioNow offices. 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!