Tag Archives: Exercise

Blood Flow Restriction Therapy: Benefits, Mechanism, and Guidelines

Blood flow restriction therapy
Blood Flow Restriction (BFR) therapy, also known as occlusion training or Kaatsu training, is a cutting-edge rehabilitation and fitness technique. For this reason, it has gained significant attention in recent years. This innovative method involves the application of specialized cuffs or bands to restrict blood flow to specific limbs during exercise. In this blog, we will explore what BFR therapy is, how it works, its effects, and the important indications and contraindications associated with it.

What is Blood Flow Restriction Therapy?

This therapeutic technique is a unique training method that partially restricts blood flow to the extremities, typically the arms or legs. It uses pneumatic cuffs or specially designed bands. The goal is to temporarily reduce the amount of oxygen reaching the working muscles without completely cutting off blood flow. This restriction creates a challenging environment for the muscles, leading to various physiological responses.

How Does BFR Therapy Work?

blood flow restriction therapy bands

A company, Kaatsu, creates these pressurized bands to be used during BFR therapy

  1. Pressure Application: The key to BFR therapy lies in the precise application of pressure to the limb using cuffs or bands. This pressure is carefully regulated. It is high enough to restrict venous return (blood flow back to the heart) but low enough to allow arterial inflow (blood flow from the heart).
  2. Exercise: Once the cuffs are in place, individuals perform low-load resistance exercises, such as bodyweight exercises, light weightlifting, or resistance band exercises. These exercises are typically done with higher repetitions and shorter rest intervals.

Effects of Blood Flow Restriction Therapy:

  1. Muscle Growth: BFR therapy can stimulate muscle hypertrophy (growth) comparable to heavy resistance training. However, it uses lighter weights which reduces the risk of injury.
  2. Strength Improvement: It enhances muscular strength and endurance, making it valuable for rehabilitation after injuries or surgeries.
  3. Cardiovascular Benefits: BFR therapy can improve cardiovascular fitness due to the increased demand on the heart and vascular system.
  4. Hormonal Responses: It triggers the release of growth hormone and other anabolic hormones, aiding in muscle recovery and growth.
  5. Pain Reduction: BFR therapy has been found effective in reducing pain in various conditions, such as osteoarthritis and chronic joint pain.

When is BFR Therapy used?

Blood flow restriction therapy can be used to treat muscle atrophy

Muscle atrophy is the loss of muscle mass and leads to muscle weakness

  1. Rehabilitation: Post-surgery or injury rehabilitation, especially for athletes.
  2. Muscle Atrophy: Treating muscle atrophy caused by disuse or aging.
  3. Performance Enhancement: Improving muscle strength and endurance in athletes.

When should BFR Therapy not be used?

  1. Blood Clotting Disorders: Individuals with clotting disorders should avoid BFR therapy due to the increased risk of clot formation.
  2. High Blood Pressure: Uncontrolled hypertension is a contraindication as BFR may raise blood pressure further.
  3. Recent Surgery: It is not recommended immediately after surgery until the surgical site is fully healed.
  4. Pregnancy: Pregnant individuals should avoid BFR therapy due to the potential risks.
  5. Peripheral Vascular Disease: People with severe vascular issues should not undergo BFR therapy.

In Conclusion…

Blood Flow Restriction therapy is a promising approach with a range of benefits, from muscle growth and strength improvement to rehabilitation and pain reduction. However, it must be applied with care and under supervision, following appropriate guidelines and considering contraindications. As with any therapeutic technique, individuals should consult with a healthcare professional or trained practitioner before embarking on a BFR regimen to ensure safety and effectiveness.

How Physiotherapy Affects Mental Well-Being

Beyond the Physical: How Physiotherapy Affects Mental Well-Being

Physiotherapy

When people are asked to imagine physiotherapy, they think of physical rehabilitation involving exercises, stretches, and manual therapy. While these are undoubtedly the defining aspects, engaging in physiotherapy can also lead to benefits in your psychological well-being and overall quality of life, leaving you feeling better both mentally and physically. In this blog, we will cover the lesser-known benefits of physiotherapy on your mental health.

1. Increased Self-confidence and empowerment

In physiotherapy, we aim to give patients the tools and knowledge to manage their injury or condition. Living with an impairment can have negative effects on one’s self-esteem, but progressing through rehabilitation and achieving milestones is an empowering journey. The ability to witness yourself making improvements and regaining your function and abilities is a huge boost to confidence and can lead to improvements in mental well-being.

2. Mindfulness and the mind body awareness

Physiotherapy

Physiotherapy encourages patients to connect with their bodies and understand the changes happening to it. Through exercises, individuals develop increased awareness of how their bodies feel and how to move their bodies. This awareness is a type of mindfulness, which means being present and acknowledging sensations, thoughts, and feelings.  The benefits of practicing mindfulness can extend beyond each physiotherapy session, and reduce improve your mental resilience.

3. Physiotherapy to help Manage Pain

Pain, especially if chronic, can have incredibly negative effects on our mental health. In fact, chronic pain and disability is highly associated with an increased risk of anxiety and mood disorders. Physiotherapy uses techniques such as therapeutic exercise, manual therapy, and other modalities to alleviate pain. Thus, through physiotherapy’s effect on pain relief and management and restoration of function it can help individuals achieve a greater quality of life and improved mental health.

4. Management of and decreased stress

Physiotherapy techniques can release tension and encourage relaxation and the development of a personalized exercise program can lead to many benefits.  Physical activity is known to be an effective stress reliever, and engaging in a regular program can create beneficial effects such as triggering the production of endorphins and providing a mood boost. Physiotherapists may also incorporate breathing techniques, meditation and mindfulness, and relaxation training into the program to further enhance stress management.

5. Physiotherapy improves cognitive functioning

Physiotherapy

Research has shown a link positive link between exercise and cognitive function such as attention, memory, and more. Thus, regular participation in physical therapy which includes a consistent exercise program can improve the brain’s abilities and lead to a positive impact on mental health and well-being.

 

Need some help?

In conclusion, the connection between the mind and body is a real and powerful tool to take advantage of during physiotherapy to create improvements in mental health, self-esteem, stress and pain management, and more. Physiotherapy aims to contribute to holistic healing and can impact multiple aspects of an individual’s life in an effort to create the best health outcomes possible.

If you are experiencing stress, pain or dysfunction from an injury or condition, rest assured that there is help book. We have many experienced Registered Physiotherapists at PhysioNow who would love to help you out. Book with us at PhysioNow today for your initial assessment and treatment.

Aquafit

Aquafit: Dive into a fun workout!

Aquafit: Dive Into a Fun Workout!

Aquafit

Aquafit

Trying to get in shape but joint pain is holding you back? Are you looking for a new and exciting way to start exercising? Look no further than aquafit! Aquafit, also known as hydrotherapy, or aqua therapy is a workout done in the water to increase fitness and strength. In this article, we will talk about the top 4 benefits of aquafit and how it can be used by our physiotherapy patients.

1. Low-impact, big results

The biggest benefit of that it is very gentle on the joints, minimizing the stress and impact on vulnerable tissues. You may find that higher-impact activities like step classes, running or jumping are hard on your knees, hips, back or ankles. Instead, the water unweights you during exercises and allows you to get the benefits of exercise without risking further injury or pain. This makes aquafit a very popular choice for people that have pain or difficulty holding themselves up including individuals with neurological disorders, arthritis, and other injuries.

2. Aquafit is suitable for all ages and fitness levels

Aquafit provides a full body workout that can be adapted to suit individual abilities very easily. Exercises in the pool can be modified by standing in shallower or deeper water. This will provide more or less resistance or support to a movement.  Most locations offer equipment such as water dumbbells which vary in weight to provide a suitable challenge no matter what. Some classes may be led by a capable instructor, while others may be open time and allow you to go at your own pace.

 

Aquafit

Aquafit

3. Cardiovascular conditioning

Most aquafit exercises are dynamic and involve constant movement and will get your heart pumping. The water provides resistance to these movements creating a great challenge for the muscles and the heart. Exercises include moving through the water in many different ways including walking, jogging, jumping, and bringing the arms and legs through different patterns. If you struggle with high impact activities but still want to stay active, aquafit may be the solution for you!

4. Social support and well-being through Aquafit

Aquafit Weights

Aquafit Weights

Aquafit classes and times offer a great, inclusive environment where individuals may be able to meet others with similar experiences. Additionally, participating in group sessions can be a huge motivator towards fitness and rehabilitation. Additionally they can increase your enjoyment of the exercises. Having the support of like-minded individuals and the positive effects of exercise have beneficial effects on mental health, resilience and stress.

Overall, aquafit is a fantastic alternative to traditional exercise that combines the therapeutic effects of with an exciting exercise routine. It’s beginner-friendly and low-impact nature makes it a great choice for individuals new to exercise. Also to those recovering from an injury or chronic issue. Before starting a new exercise program, it is always best to consult with a qualified health professional such as a physiotherapist, especially if you have any medical conditions or injures to ensure that this exercise is right for you.

Whether you are starting your fitness journey, managing a chronic condition, or need help with pain or recovering from an injury, please contact us at PhysioNow for a consultation with a Registered Physiotherapist. Our team is excited to help you on your journey!

PELVIC FLOOR: POSTURE

PELVIC FLOOR: POSTURE

Pelvic Floor: Posture

PELVIC FLOOR: POSTURE is a very important area if you have issues with urinary incontinence, pelvic pain, etc.  The muscles of the pelvic floor support the abdominal and pelvic viscera.  These muscles are active in standing and sitting. Furthermore, because the abdomen is a fluid-filled cavity, intra-abdominal pressure  is distributed in all directions.  The Pelvic Floor muscles, which form the floor of the abdominal cavity, contribute to its muscle control.

As a result of this contribution to control of intra-abdominal pressure, the muscles of the pelvic floor are likely to contribute to control of the spine and pelvis. The slouched posture places a lot of pressure on our internal organs and pelvic floor. This can cause a worsening of:

  • urinary incontinence,
  • pelvic pain,
  •  symptoms related to prolapse,
  • and rectus diastasis.

Pelvic Floor: Posture, sitting slumped

  • Research has shown that when we sit in a slumped posture, our pelvic floor muscle activity is much less than when we are sitting tall.
  • Pelvic Floor: Posture IS VERY IMPORTANT!
  • slouched sitting postures decrease the activity of your transverse abdominal muscles.
  • A Proper breathing pattern encourages the pelvic floor to move more dynamically.
  • Dysfunctional breathing patterns inhibit this dynamic movement of the pelvic floor.

Pelvic Floor: Posture,  

  • An assessment by a Pelvic Health Physiotherapist includes a thorough postural examination.
  • Your Pelvic Health Physiotherapist will be able to identify your unique postural compensations
  • They can help guide you on the road to improved body posture awareness.

CHECK OUT THIS LINK FOR FURTHER INFORMATION.

At PhysioNow, we have fully trained Pelvic Health Physiotherapists that can help to assess and treat pelvic issues like the following conditions:

  • Constipation
  • Dyspareunia
  • Endometriosis
  • leakage of urine
  • pain with intercourse
  • pelvic organ prolapse
  • pelvic pain
  • urinary incontinence
  • vaginismus
  • erectile dysfunction

If you or someone you know suffers from one of these conditions, give us a call today.  We would be happy to help!

  1. Sapsford, RR. et al (2006) Sitting posture affects pelvic floor muscle activity in parous women: an observation study. Aust L Physiother. 52(3):219-22
  2. Reeve, A., Dilley, A., (2009) Effects of posture on the thickness of Transverse Abdominal Muscle and Pelvic Floor Muscle Exercises for Stress Urinary Incontinence: A Randomized controlled Trial. J Phys Ther Sci. 26(8): 1161-1163.

De Quervain’s Disease

De Quervain’s Disease/ Texting thumb.

De Quervain's Disease

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 the loops, and lifting gardening pots .
4. De Quervain’s Disease often occurs during and after pregnancy. Factors may include hormonal changes, fluid retention and more lifting.
5. Rheumatoid arthritis.

De Quervain's Disease

De Quervain’s Disease/ Texting Thumb

Onset and Symptoms of De Quervain’s Disease

Onset can be gradual or sudden. Pain is felt along the back of the thumb. There can be Pain directly over the thumb tendons, and pain may travel into the thumb or up the forearm. The bottom of the thumb or the side of the wrist might also be sore or swollen.
It may be hard and painful. Symptoms may get worse when the thumb is moved, particularly when pinching or grasping things. Some people also have swelling and pain on the side of the wrist at the base of the thumb. The back of the thumb and index finger may also feel numb. People might experience a funny sound like a squeak, crackle, snap, or creak when they move the wrist or thumb.
If the condition is not well addressed, the pain can spread up your forearm or down into your thumb.

How is De Quervain’s Disease diagnosed?

De Quervain’s Disease is diagnosed based on history and physical examination. X-rays, or ultrasound may be used to rule out other causes of pain.The Physiotherapist may use special tests to help diagnose De Quervain’s. More information can be found here.

Physiotherapy Treatment

Your Physiotherapist will likely recommend that you wear a specific wrist splint with a thumb spica for 4 to 6 weeks . PhysioNow carries these wrist splints in stock. You’ll also need to stop doing activities that worsen the condition.

Wrist brace with thumb spica

De Quervain’s Disease

The physiotherapist after a thorough assessment could choose different therapy approaches to help with the swelling, pain, and function.
These treatments may include Ultrasound, K-taping, acupuncture, and manual therapy. Other Physiotherapy treatments may include specific exercises focusing on range of motion, strength, and flexibility. These would be given for a safe and effective return back to function.

Recovery times vary depending on your age, general health, and how long you’ve had the symptoms.
If your disease has developed gradually, it’s often tougher to treat. So, it may take you longer to get relief. Your doctor may give you anti-inflammatory medication, or may inject the area with steroids to curb pain and swelling.

In our experience at PhysioNow, more than 99% of people with De Quervain’s Disease get better with Physiotherapy treatment provided. If however, you are one of the outliers, your doctor may recommend surgery. The operation would release the tendon’s tight covering so that the tendon could move smoothly. It’s an outpatient procedure, which means you go home afterward. Your doctor will recommend physiotherapy after surgery which includes an exercise program to strengthen your thumb and wrist.

If you or someone you know suffers from De Quervain’s Disease, please call us today. Our skilled Physiotherapists can Help!