Tag Archives: Erin Mills Physiotherapy Ltd.

Migraine Management

 

What is Migraine and how does it feel?

Migraine is type of headache which radiates to jaw, eyes, one of face and neck and shoulder sometimes. It can cause throbbing and severe sensations on your one side of face including jaw and eyes and forehead. Sometimes, it is accompanied by other symptoms like pressure in back of head, pulsating sensation on face, sensitive to noise, light, nausea and vomiting. Migraine management is of utmost important from the time you start experiencing it.

migraine

Symptoms:

Migraine attacks are long lasting depending on the patient. It can vary from hours to days. Sometimes, it is severe enough to interfere in your daily life and work life.

Sign and symptoms:

  • Pressure/tension in different area of head, usually in back of the head
  • Difficulty in Concentration
  • Nausea and sometimes accompanied by fever
  • Vomiting
  • Sensitive to noise
  • Sensitive to lights
  • Flashes on face
  • Visual disturbance like blind spot or flashes of lights
  • Usually chewing disturbance when jaw is involved
  • Tingling and numbness o face
  • Mood changes
  • Diarrhea

What is Aura?

Migraine starts from some basic symptoms slowly about 15-20 minutes and then lasts for days. However. it usually involves the nervous symptoms first and one after another involves other systems like vision, jaw and teeth, shoulder and neck. Also, starts having visual disturbance like sensitive to screen, wet eye, etc.
– Lock jaw means difficulty in opening jaw
– Sleep disturbance
– Reduce range of motion in neck
– Pressure on back of head
– Ringing in ears
– Feels heavy arms and shoulder

How it starts?

Migraine usually starts with aura and then gets symptoms more severe. It usually begins with dull pain and radiates to face or head and become severe. It gets worse with physical activities. Majority of people usually has nausea, vomiting, fever and mild headache. Migraine can last from 3-5 hours to 3-4 days. It is very common to get migraine stacks once every week or 2-3 times every month.

Migraine

Causes:

There is not any specific cause for migraine. Migraine headache is one of the symptoms. However,  there are some risk factors which could impact migraine like,
– Posture
– Stressful environment
– Sleep disorder
– Desk worker
– Sex: women tend to have more episodes of migraine than men
– Family history: person who has family history of migraine, they are more prone to have migraine attacks.
– Medical conditions such as anxiety, depression, sleep disorder
– Skipping meals
– Caffeine
– Hormonal changes like menopause, menstrual cycle
– after heavy and strenuous physical activities
– change in weather
– Cervical spine derangement

Types:

Following are some common types of migraine. Most of them starts with its Aura.
Tension migraine: Person who has stiff neck and cervical spine derangement could have tension migraine. Sometimes it radiates to neck or mid back.

Menstrual Migraine: It triggers when female is having her menstrual cycle.

Vestibular migraine: Patient has ringing in ear, loss of balance, dizziness while change in positions. Also, patient feels nausea, vomiting, lethargy.

Ophthalmic migraine: In this type of migraine, mostly, accompanied with temporary loss or disturbed vision, wet eyes, concentration disturbance and sensitive to screen.

To know in details about migraines and its type visit this link https://www.webmd.com/migraines-headaches/migraines-headaches-migraines

Migraine management?

There are some researches on migraine management as its cause varies patient to patient. However, based on patient’s symptoms, Physiotherapist will recommend line of treatment. Also, Physiotherapist help you to assess your posture thoroughly and provide relevant treatment. Following are some basic advice or line of treatment for migraine:

Exercises for migraine management:

  • Firstly, posture correction: Try to sit upright and avoid forward head posture. As a result,  your brain gets enough blood supply for its functions and gets less fatigue. Also, Work on your neck and thoracic spine muscles to keep your posture upright. However, strengthening and stretching exercises for back paraspinals will help maintain proper posture. Try to avoid forward head posture and keep your neck and neutral and straight position. Try to use back support and ergonomic chair to keep your posture straight.
  • Secondly, eye exercise: Working on desktop most of the time of the day makes our eye muscles weak. Contact your physiotherapist for better assessment and figure it out which exercise will make your eyes healthier.
  • Lastly, sleeping position: Most of the episode of migraine starts since patient wakes up in the morning. One of the causes would be neck position while sleeping.
    Therefore, contact your physiotherapist for better advice on your sleeping posture and sleeping pillow.

Home-education for migraine management:

  • Most importantly, manage your screening time. IT profession and one who work on desk mostly, they have to manage their screen time and break time. Try to take few minutes break every 3-4 hours to give relaxation to your eyes and brain. Also, Keep your work station ergonomically correct which will enhance your productivity for your work.
  • Moreover, try to take 7-8 hours deep sleep. It will provide relaxation to your brain and makes it ready next day to work again with best capacity.
  • Lastly, also avoid skipping your meal. Try to have your all meals on time. Because our body needs carbohydrates on regular time for better work. Our body has set up its biological cycle to have source of energy. If you skip meals, brain starts to get tired easily and begins sign and symptoms of migraine.

In conclusion, if you have a long history of migraines, seek help of highly skilled physiotherapist at PhysioNow. Book your appointment today.

Neck related dizziness

Neck related dizziness

Neck related or cervicogenic dizziness is one of the common causes of dizziness and affects 45-80% population. However, while treating the symptoms of being dizzy/light-headed, this diagnosis is commonly missed.

How can it come from the neck?

Nerves from the upper part of the neck connect with the vestibular system(area of the brain responsible for balance). As a result, any injury or impairment in the upper neck like car accident (whiplash), abnormal posture or any inflammatory condition could eventually lead to disturbance in the vestibular system. This, in turn, leads to dizziness.

How to know if your dizziness is related to your neck?

  • If you are experiencing lightheadedness, unsteadiness, feeling imbalanced and above all, feeling like your external environment is spinning
  • Moreover, if your symptoms comes with moving the head quickly in any direction, during sitting or standing up
  • Further, if you are experiencing headache and neck pain
  • In addition, you have a history of neck injury due to a car accident or neck pain due to abnormal posture

Diagnosis:

There is no specific test with good evidence for cervicogenic dizziness. However,  there are tests that will help you rule out other causes of dizziness. This, in turn will help in concluding that cervical spine is the cause for your symptoms.

How could physiotherapy help you with dizziness?

First of all, there will be a comprehensive assessment of your symptoms. Then, the physiotherapist designs a treatment plan incorporating manual therapy , exercises, education and other modalities like acupuncture. Consequently, it will help treat the neck as well as the vestibular system.

Physiotherapy Treatment Etobicoke

Neck related dizziness

Prognosis:

Cervicogenic dizziness usually has good prognosis. It usually resolves with the treatment of neck and the vestibular system. About 75% of patients have reported significant improvement in their symptoms.

Are you experiencing any of these symptoms? Our Vestibular physiotherapists specialize in treating this. Book an appointment today at one of our clinics! We will do an assessment and help you get better.

Physiotherapy Mississauga

Physiotherapy Mississauga

Why choose PhysioNow for Physiotherapy Mississauga?

• Over 16 years of providing top rated Physiotherapy Mississauga
There are 4 convenient locations- Erin Mills, Applewood, Lorne Park and Long Branch

• Awards/nominations? PhysioNow: nominated for a Top Choice Award in 2020.

• A team of highly qualified physiotherapists and massage therapists

All of our physiotherapists and massage therapists have several years of experience in their field and are registered in good standing with the College of Physiotherapy and Massage Therapy.

• Services we offer

Services are provided for all ages and for a variety of conditions. For instance,  our therapists are specialized in several areas including manual therapy, acupuncture, vestibular rehabilitation, concussion , sports injuries, pelvic health and soft tissue techniques.

Physiotherapy Mississauga

Lower Back Pain Treatments

Physiotherapy Mississauga

Donjoy Defiance ACL Repair Brace

Physiotherapy Mississauga

Return To Sport After ACL Ligament Repair

In addition, we  do custom orthotics and braces.  For your convenience, we are currently also offering our physiotherapy services virtually .

• Direct billing available

In addition, Direct billing is available to most of the insurance companies so it is convenient for you.  For instance, we also deal with third party insurers like MVA and WSIB.

• Flexible hours and free parking available

Above all, we are open for extended hours ( ) to help you at a time that is best for you.

What to expect at Physiotherapy Mississauga?

First, you have an assessment with our physiotherapist.  They will do a full check up of the problem area .

Next, the physiotherapist will then prescribe a treatment plan especially for you.

Further, they can also help you understand more about your condition.

We will answer your questions .

Lastly, changes may be made  in your daily routine.

As a result, this will  help you to get better faster.

COVID considerations: We take excellent precautions!

 

• Providing a face mask and use of 70% alcohol hand sanitizer for each patient upon arrival into the clinic

• Installation of sneeze guards at the front desk

• In addition, Sanitization of treatment beds after before each patient use

• Disinfecting commonly touched surfaces between every patient

• Switching out pillowcases with each patient use

• All staff will wear a gown and mask and wash hands between each patient contact

  • Social distancing throughout the clinic.
  • Lastly, no visitors are sitting in reception

If you are in need of Physiotherapy or Massage Therapy, Contact PhysioNow today.

Kevin Durant

Kevin Durant

What happened to Kevin Durant?

Kevin Durant originally injured his calf in early May during the second round of playoff games.  The injury had been labeled a ‘calf injury’ and Durant has not been able to play for over 30 days.  After doing a shoot around with the team, the Warriors made the decision to allow Durant to play for Game 5.  Durant came out strong, scoring 11 points in 12 minutes of play. But things changed as he tried to do a crossover move and had to fall to the floor on the sidelines.  He was grabbing onto his lower right calf, more towards his Achilles tendon. In conclusion, from the replays, it looked like he may have torn his Achilles tendon.

What is the difference between a calf strain and an Achilles tendon tear?

Calf Strain : Did Kevin Durant have this injury?

It is possible that Kevin Durant had a calf strain to start.

The bulk of the calf is made up of 9 different muscles.  Three muscles work together to produce a downward movement of the foot. These 3 muscles attach themselves into the heel bone:

  • Gastrocnemius
  • Soleus
  • Plantaris

Other Muscles of the calf/ foot

The other 6 muscles cause knee, toe and foot movements in different directions.  These muscles are located deeper in the calf area. However, these muscles travel around the sides of the ankle and attach to different parts of the foot and toes.  These muscles are:

  • Popliteus
  • Flexor digitorum longus
  • Flexor hallucis longus
  • Tibialis posterior
  • Peroneal longus
  • Peroneal brevis

Sometimes injuries are labelled incorrectly.  Pain in the calf region is attributed to the first three muscles.  However, a calf strain could involve any one of the 9 muscles mentioned above.  As a result, it is up to the health professional to correctly identify which of the muscles are involved in the strain.

Severity of Calf Strain: What Grade did Kevin Durant have?

In general, a calf strain is caused by overstretching or tearing of the calf muscles.  This type of injury can occur suddenly or over time. The severity of the strain is graded by the amount of muscle damage that has occurred:

  • Grade 1
    • Mild or partial stretch or tearing of a few muscle fibres
    • The muscle may be tender and painful
    • Strength and function are maintained
  • Grade 2
    • Moderate stretching or tearing of a greater percentage of muscle fibres
    • A snapping or pulling sensation may be felt at the time of the injury
    • More tenderness and pain
    • There may be some visible bruising
    • Loss of strength and function
  • Lastly, Grade 3
    • Severe tear of the muscle fibres, commonly a complete rupture
    • A ‘popping’ sound may be heard of felt at the time of the injury
    • There is definite bruising and sometimes there is a visible ‘dent’ in the muscle
    • Severe loss of strength and function

Signs and Symptoms of a Calf Strain

  • A snap, pull or “pop” felt or heard at the time of injury
  • Pain and weakness in the calf area
  • Swelling in the calf area
  • Tightness
  • Bruising
  • Weakness in the calf when doing any weight bearing activities
  • Limping when walking

What is the usual Physiotherapy treatment for a calf strain?

Treatment for a calf strain is like that of any other muscle in the body.  The goals of the treatment include:

  • Reducing pain
  • Improving range of motion of the knee and ankle
  • Improving the strength
  • Speeding up recovery time
  • Returning to activities
  • Preventing re-injury

How long does it take to recover from a calf strain?

The length of time for recovery from a calf strain injury depends on the severity of the injury.  On average:

  • Grade 1: 10-12 days
  • Grade 2: 4-6 weeks
  • Lastly, Grade 3: 6 months after surgery

Achilles Tendon Rupture : Kevin Durant’s final injury

The gastrocnemius, soleus and plantaris muscles unite to form the Achilles tendon.  The tendon is a tough band of tissue that connects these three calf muscles to the heel bone.  When the calf muscles contract, the Achilles tendon is tightened and pulls the heel. As a result, the action allows the foot to be pointed down.  A complete tear of this tendon is called an Achilles tendon rupture.

Signs and symptoms of Achilles Tendon Rupture

  • Sudden and severe pain at the back of the ankle or calf
  • Sound of a loud pop or snap
  • Immediate swelling and weakness
  • Visible bruising and possible denting in the tendon

Treatment options for Kevin Durant’s Achilles Tendon Rupture

  • Non-surgical treatment
    • Rest
    • Crutches
    • Ice
    • Pain medication
    • Immobilisation for the first few weeks with a walking boot and heel wedges
    • Recovery may take longer but risks of surgery are avoided
  • Surgical Treatment

The choice between surgical or non-surgical treatment depends on different factors. A patient’s age, activity level and severity of the injury all play a factor.  In general, younger and more active people, especially athletes, choose surgical repair. In contrast, older and more sedentary individuals usually choose the non-surgical pathway.  In either option, rehabilitation is a lengthy and difficult process to make sure full function is returned.

So, what happened to Kevin Durant?

The Kevin Durant was out for over a month with an initial calf strain.  Due to the amount of time that he was out of the game, it’s likely that he had a grade II strain of his calf.  As a result, his return to the game resulted in a complete Achilles tendon rupture. In review, it makes you wonder whether he was physically able to return to play.  Did he have enough time for recovery from his initial injury to withstand the demands of the game?

Basketball is a sport that has a lot of pivoting, stop and go movements and bursts of high intensity activity.  In conclusion, it is possible to say that judging from how soon into the game the injury happened, that Kevin Durant was likely not fully recovered.

Professional Sports: Decisions for return to play. Should Kevin Durant have returned to play in Game 5?

However, in professional sports, there is a lot of pressure from all fronts to get a star player back in the game.  The team was down 3-1 and having Durant back in the game boosted their confidence and morale. As a result, the fans wanted the Warriors to win.  The organization wanted the team to hold on to their title again. In addition, Kevin Durant himself probably felt terrible that he wasn’t able to play and support his team.  As a result, all of these pressures likely led to the decision for him to play.

Unfortunately, our bodies are not always able to function like we want them to. In Durant’s case, his return to the game led to an even more serious injury, which required surgery.  In conclusion, after surgery he will have to endure a lengthy process of physical therapy and will likely be out for the entire next season.

Return to Play Decisions

This is an excellent example of the importance of return to play decisions.  Regardless of the sport and regardless of the injury, it is vital that the health and well being of the athlete is the top priority.  In conclusion, returning to play too soon isn’t worth risking a more serious injury. Lastly, a more serious injury can affect the athlete’s future participation in the sport.

Physiotherapy Treatment options for Achilles Rupture

If you or someone you know has experienced calf pain or an achilles rupture, our Physiotherapists at PhysioNow are here to help! We have treated many patients with exactly these injuries. Call today to get started on your treatment and get back in the game!

Physiotherapy for Neck Pain

Physiotherapy for Neck Pain

Physiotherapy for Neck Pain
Neck Pain

Physiotherapy for Neck Pain

Neck pain is a common problem for a lot of people.  Physiotherapy for Neck Pain is one of the top 5 reasons why people go for physiotherapy treatment.  People can get neck pain after many different types of activities.  Some of the most reported examples are:

  • Getting a kink in the neck after a bad night’s sleep
  • Feeling pain in the neck and shoulder area after doing some heavy lifting at home or at the gym
  • Feeling pain in the neck when using the computer for long periods of time
  • Feeling pain in the neck after an accident, such as a fall or motor vehicle accident


Assessment for Neck Pain

Signs and Symptoms

There are many obvious signs and symptoms of a neck injury.  Some of these include:

  • Pain in the neck
  • Restricted movement of the neck
  • Sensations of tightness or stiffness in the neck

There are also some not so obvious signs and symptoms of a neck injury:

  • Pain in the arm
  • Headache
  • Pins & needles in the arm
  • Numbness in the arm
  • Weakness in the arm and/or hand

Patients who experience these symptoms may think that they have an injury to their arm.  They may get worried because of the unusual pins and needles or numbness they are feeling.  However, most of the time these symptoms are coming from the neck.  An experienced physiotherapist will be able to make the connection between a patient’s arm symptoms and their neck pain. 


Treatment for Neck Pain

 

The treatment for neck pain will vary depending on the nature of the injury.  Your Physiotherapist will first start with an assessment to figure out what the problem is.  During the assessment, they will ask some questions about how the pain started.  They will also get details on how the symptoms behave.  Some examples of these questions include:

  • How long have you been feeling your pain?
  • How intense is your pain on a scale from 0 to 10?
  • Was there an incident that started the pain?
  • Where exactly do you feel your symptoms?
  • What kind of symptoms do you feel?
  • What kind of activities make your pain feel worse or better?

In conclusion, answers to these questions will allow your Physiotherapist to understand the nature of your injury.  They will then perform a physical assessment.  Finally, certain physiotherapy tests that will help them further understand your injury. 

Physiotherapy Tests for Neck Pain

  • Movement of the neck and arm
  • Tenderness of the muscles around the neck
  • Sensation of the arm
  • Strength of different muscles in the arm
  • Reflexes of the arm

In conclusion, once your Physiotherapist is done gathering all the information, they can come up with a diagnosis for your neck pain.

Treatment for Neck Pain


Treatment for Neck Pain

Using the information from the assessment your Physiotherapist will develop a treatment plan for you.  The treatment plan will include different methods to reduce your pain and improve your function.  For example, some common Physiotherapy treatment tools at PhysioNow include:


Interferential Current (IFC)

  • This is electrical stimulation that helps with pain management
    • There are 4 pads that are placed around the painful areas of the neck
    • Moreover, the strength of the current is dependent on your comfort level – stronger does not mean better
    • We ask you to indicate when you feel a strong, but comfortable amount of sensation
    • In summary, IFC distracts the body’s pain signals to give relief of pain
    • Lastly, this electrical modality is usually applied for 15 minutes
    • If you are interested in knowing more about Interferential Current Treatment, please check out this article .


Heat therapy

  • Heat is used as another pain management tool
    • As a result, it is usually combined with the IFC so that you can have both at the same time
    • At PhysioNow, our therapists use moist heat packs for heat therapy
    • As a result, moist heat is the most effective form of heat because it allows the heat to get deeper into the tissues
    • In summary, Heat therapy increases circulation, relaxes soft tissues and reduces pain and stiffness
    • In conclusion, heat is usually applied for 15 minutes


Manual Therapy

  • Manual therapy involves “hands-on” treatment by the Physiotherapist
    • As an Example, the most common forms of manual therapy involve soft tissue work, mobilizations and passive stretching
    • Moreover, soft tissue work helps reduce tissue tension and improves circulation in the area
      • There are a lot of muscles around the neck and when there is injury or pain these muscles become tight and stiff
      • This Soft tissue work around the neck is gentle to generally loosen these tissues
      • In addition, soft tissue work can also be very deep to work out specific tissue knots
      • In conclusion, your Physiotherapist will always consider your comfort for these types of treatment

Mobilizations

  • Mobilizations help decrease the stiffness in the joint
    • In short, there are 7 vertebrae in the neck and stiffness can develop at any level
      • Your Physiotherapist can apply different levels of gentle pressure to get the joints of the neck moving

Passive Stretching

  • Passive Stretching helps lengthen tightened muscles
    • For example, some muscles that most often get tight in the neck include the scalenes, upper trapezius, sternocleidomastoid and levator scapula
      • Your Physiotherapist will be able to determine which muscles are tight
      • The stretches are usually held for about 20-30 seconds and repeated 2-3 times


Exercise prescription

  • Exercise prescription
    • In addition, Exercises are an important part of any Physiotherapy treatment
    • Special Exercises that will be given to you depending on your specific neck injury
    • The exercises can help get your joints moving, stretch the soft tissues and strengthen the muscles around the neck
    • Moreover, these exercises will allow you to keep treating yourself on a outside of your Physiotherapy appointments. This speeds up your recovery
    • As a result, we know that patients who perform their exercises on a regular and consistent basis will have the fastest results with their Physiotherapy treatment


Education

  • Education
    • In addition, Education is another important part of Physiotherapy treatment for neck pain
    • If you have a good understanding of your condition and treatment, you will have the best results with your recovery
    • Lastly, an experienced Physiotherapist should be a great teacher
    • For example, your Physiotherapist may suggest that you use a specific pillow for improved sleep, or suggest ways to maintain good posture during work hours

Massage Therapy for Neck Pain

We know that Registered Massage Therapy can also be a very effective treatment for Neck Pain. At PhysioNow, we have many excellent Registered Massage Therapists at all of our clinics.

In conclusion, using these Physiotherapy treatment options produces great results for neck pain.  Your Physiotherapist will work with you to help you achieve the best recovery possible and get back to doing the things you love.

If you or anyone you know is experiencing neck pain, please call today! At PhysioNow, we are ready to help!