Tag Archives: Erin Mills Physiotherapy Ltd.

Sciatica? 10 warning signs

What is Sciatica?

Sciatica is a pain in the back, neck, or buttock that radiates to the leg or arm. Sciatica is also quite common and affects almost 40% of adults. It travels through the sciatic nerve, which starts in your lower back and extends to run down your leg.  A proper diagnosis that confirms and best sciatica treatment is all that you need to lead a pain-free life.

Sciatica

Sciatica pain

10 signs which confirm the diagnosis

Before knowing about sciatica treatment, one needs to understand the nature of pain. The symptoms of sciatica are as follows: –
  1. Calf pain – pain that stretches down the lower leg and back of the knee.
  2. Lower back pain running down the leg.  A pull sensation from your lower back to buttocks and thigh, that further extends from calf to the foot.
  3. A pain in your butt or leg that worsens while prolonged sitting.
  4. Numbness in your leg or foot.
  5. Tingling sensation in your extremity (lower body).
  6. Persistent pain on one side of your butt.
  7. Muscle weakness in the distressful leg or foot.
  8. Shooting pain down the leg which makes it tough to stand up or extend the knee.
  9. Pain in one part of the leg while numbness in another part.
  10.  Lastly, a sensation of pins and needles only in the toes or feet

Early Symptoms Of Sciatica

 Apart from the 10 signs above, sciatica pain often starts in the back. However, occasionally, pain may start at the hip or knee; which may not look like sciatica. Although, you may feel isolated symptoms like feet numbness, knee pain, buttock pain, tingling, etc.

What contributes to Sciatica?

There are many factors that can lead to sciatic pain but the most common ones are listed below,
 • Strain and Occupational Stress: People in more physically demanding jobs as a result affect your nerve.
 • Obesity and genetic factors: The excess weight in the body put prolonged pressure on the backbone, leading to a slipped disc.
 • Accidents and Injuries: Unexpected physical damage from accidents can crack the vertebrae and irritate the nerve.
 • Gender: Studies have shown that men are more prone to slipped discs than women.
Treatment options available
Moreover, depending on the severity of the case, sciatica pain can be treated in the following ways:
 • First, medication and pain management: Pain can be controlled with various pain relief treatments including medication.
 • Second, surgery: In rare cases, the pain doesn’t subside for a prolonged period (6 weeks or more), and surgery can help relieve the pressure on the sciatic nerve endings caused by Sciatica.

 • Third, spine rehabilitation:

Sciatica

Effective exercises for Sciatica

There are multiple approaches to physical therapy in spine care and they can stabilize the spine and help patients with disability or restricted physical movement. This helps improve the mechanical functioning of the spine, manages pain, promotes regeneration of the affected tissue and disc, and with functional training, improves strength and flexibility.

 • Lastly, even in the case of surgery, follow-up rehabilitation helps sustain and improve the results.
If you are experiencing any such symptoms, our team of qualified physiotherapists at Physio Now will help you diagnose and guide you through your treatment. Book your appointment now!

5 reasons you might need walking aids

Why do you need a walking aid?

Quality of life

Elderly man independent in walking

Restricted and reduced ability to walk and perform your daily chores can impact your quality of life. Walking aids are devices designed to help people walk and can be used by individuals of any age. As a result, this improves your quality of life by making you independent and confident. Here are some reasons that will indicate you need walking aids.

  1. difficulties walking whether it’s due to pain.
  2. frequent falls or fear of falling.
  3. tiring quickly.
  4. decreased balance.
  5. difficulty putting weight on a body part, post-surgery, or any other reason.

What types of walking aids are available?

The categories of walking aids include crutches, canes, and walkers, and has their own pros and cons. Below are general overviews of the most common types of walking aids.

  1. crutches, often prescribed to individuals following an injury or surgery to the lower body. They are usually used on both sides of the body but can be used on just one side. The benefits of crutches include complete non-weight bearing on the injured leg, can be used on stairs, and lastly near to normal walking speed can be achieved.  However, it needs good upper body strength, cannot use for longer distances and must have a higher level of balance.

    Walking Aids

    Different types of crutches

  2. Canes are used on a single side. Helpful for individuals with minor balance issues or weakness in the legs or body. You can either get a single-point cane or 4 points which provides additional stability. But, on another side, it gives an unstable base of support.

    Types of Canes

  3. Walkers are the most stable type of walking aid. The most common are 2-wheeled walkers and rollator or 4-wheeled walkers. They are good for longer distances and more stable but cannot be used on stairs or smaller occupancies. 
  4.  

    Types of Walkers 

How to choose a walking aid?

If you think you need a walking aid but are unsure which one is best for you, a physiotherapist can help assess your needs and recommend the right one. An unfitted walking aid or improper use of one can be a safety hazard and increase the risk of a fall.

At PhysioNow, we are a qualified team of Physiotherapists that would love to help you! We do a full assessment which will include your balance, strength, and the way you walk to determine whether need of a gait aid and which one is suitable. Also, provide resources on how to acquire one. Lastly, we will also teach you how to use it in your everyday life including sitting and standing up, walking, and navigating stairs and obstacles with your aid.

Book with us today for an initial assessment and treatment at PhysioNow! Improve your Quality of Life.

Few things to know about your heel pain

What is heel pain?

Heel pain

What causes your heel pain?

Heel pain could be from any reason either your inflamed plantar fascia causing plantar fasciitis or any abnormal bony growth causing heel spurs. To get in further details plantar fasciitis is an irritation and inflammation to the tissue that runs at the bottom of the foot extending from the heel to the toes, causing heel pain. It supports the arch of the foot which helps in shock absorption. On other side, heel spur is when a bony outgrowth forms on the heel, which causes heel pain while walking and standing.

What are the causes of heel pain?

Causes are not limited to high and low arches causing irritation to the plantar fascia with running, jogging, playing any sports, prolonged standing and walking. Also, any strain or tear to the fascia. As a result, if this condition is left untreated can lead to bony growth causing heel spurs.

5 Most common risk factors of pain

  • Improper foot wear: The foot wear without proper arch support or worn-out shoes.

    Causes of heel pain

    Improper footwears

  • Weight gain leads to changes in arches and support and affects the weight transmission and shock absorption.
  • Foot mechanics: flat feet or high arches, stiff mid foot and ankle.

    Risk factors for plantar faciitis

    Types of Arches

  • Age: commonly seen between 40 – 60 years old.
  • Occupation: commonly seen in clients with jobs that requires long standing.

What are the symptoms:

With plantar fasciitis it is like a stabbing pain felt at arch of foot and near the inner part of heel whereas pain with spurs is in the center of heel and also feels like a stabbing.

Heel spurs and plantar fascia

Location of pain

Pain is usually worse in the morning taking first few steps with plantar fasciitis. It usually gets better with walking but comes back with long hours of standing and sitting. On other hand pain with spurs gets worse as the day progresses with long hours of standing and walking. Sometimes, there could be swelling present over the heel area.

How will Physiotherapy help you with heel pain?

Your physiotherapist after a detail assessment would be able to identify the cause of the problem and give you advice on how to modify and handle the situation and life style which will help in the road to recovery. Advice would include,

Arch supports

Foot insoles for arch support

  • How to modify activities of daily living.
  • Advice on foot wear.
  • Suggestions on arch supports and custom-made orthotics, night splint.

Apart from this, treatment sessions will include:

  • Hands on techniques to release the tight plantar fascia, calf, mobilization of foot and ankle manually or with a tool.  Stretches for the tight surrounding structures.

    Techniques to release plantar fascia

    Hawk tool to release plantar fascia

  • Strengthening exercise for the supporting structures and muscles that maintain the arches and functional training
  • Kinesiotapping to relieve stress from the affected structures.

Don’t let your pain affect your quality of life and stop you from doing your activities. Book your assessment session now with qualified physiotherapists of PhysioNow. We have various locations to serve the communities in Mississauga, Oakville and Etobicoke. Contact us and get started today!

DIASTASIS RECTI

 

Diastasis Recti is a condition where there is a partial or complete separation due to overstretching of the Rectus abdominis muscles.

Rectus abdominis muscle or the six-pack muscle is a long muscle of the abdominal wall running from the lower rib cage to the pelvic bone, it runs vertically on both sides of the Linea alba.

The function of the muscle is to help in trunk flexion, expiration, and compression of abdominal viscera.

It is commonly seen in

  1. Pregnancy and post-delivery.
  2. Multiparous or multiple pregnancy.
  3. Obesity in male and female.
  4. New born mostly premature due to muscle being not fully developed or connected.

How to identify if you have one.

When you notice a bulge in your stomach while straining or contracting your abdominal muscles.

Lying on your back with knees and hip bend / crook lying, keep your fingers just above your belly button area, lift your head and shoulders up,  finger width or more separation between the two muscles does indicate Diastasis recti.

 

Diastasis recti can lead to

  1. low back pain.
  2. Alters your posture and stability of your trunk.
  3. Pelvic pain.
  4. Pelvic floor dysfunction.
  5. Hernia in extreme cases.

 

Activities to avoid:

  1. Strenuous exercises involving strong abdominal muscle contraction or loading like crunches, ab twists, planks, certain yoga stretches like arching backwards
  2. Lifting or carrying heavy loads.
  3. Carrying child on one hip.
  4. Coughing without abdominal bracing or support.
  5. Episodes of severe constipation.

 

A pelvic floor therapist can help you in educating and providing you with service that would help to overcome this situation.

Starting prenatal exercises will help to maintain and control the tone of the abdominal muscles reducing the pressure over the Linea alba.

 

Postnatally or clients with Diastasis recti have to target the deep abdominal muscles. This includes the transverse abdominis and pelvic floor muscles. Superficial abdominal muscles are not part of this.  To get an effective result in helping to tone up the muscle and to reduce the gapping between the muscles to get a better quality of life it is important to get a Physiotherapy Assessment and treatment.

After deep muscle recruitment, the superficial muscle recruitment can be initiated.

Breathing exercises,

postural awareness,

lifting technique, and

abdominal support

are other entities that the therapist can educate on and train you in. This will help to overcome the situation and help in the recovery process

Book with us today PhysioNow

For More information on the topic refer Cleveland Clinic

 

Work from home

Work from Home?

Work from Home? Be active from home too!

With changing times , continuing  to work from home  seems very appealing. But is it really safe for your body? Excessive sitting behaviour has increased more than ever since Covid times in the comfort of your home. This increases the risk of Low back and upper back pain, wrist pain, neck pain, shoulder pain, headaches and other overuse injuries.

How many breaks do you take from your chair? Are you using a chair while you work from home?

At Physio Now it’s our mission to help you get more active and also guide you with ergonomics for Work from home.

5 simple things you could do to stay more active and maintain a good posture during your work hours:

 

1- Opt for Sit to Stand desk– this helps you switch positions and doesn’t load your joints for too long.  In addition, it also improves alertness and productivity. You can consider asking your supervisor for investing in an ergonomic chair or adjustable table. We could help the process by writing a letter for the same after assessing your injuries.

2- Put timers to stretch every hour- this will help you stay on track even if you get very busy with work, again making sure to redistribute the load on your joints thus preventing injuries.

3- Learn some basic Postural exercises from your Physiotherapist at Physio Now. This will keep you in a good posture enabling reduced tightness in your muscles

4- Keep the documents/files required for your day’s meeting around the house so as and when you need it will keep you moving.

5- Opt for a separate keyboard if you use a laptop and an ergonomic mouse- these will help prevent neck, wrist and elbow injuries.

Work from home

Sitting posture

Work from home is so much more common now because of the pandemic.  We at Physio Now are focused on Postural Assessment and Treatment. This includes stretching and strengthening exercises, endurance training for postural muscles, Manual therapy for sore muscles and stiff joints, electrotherapy for pain relief, tapping, cupping and acupuncture.

Book a consultation at PhysioNOW

If you are interested in learning about more postural tips, check out this site: https://www.spineuniverse.com/wellness/body-mechanics/heads-posture-dont-slouch