Tag Archives: Exercises

Why Your Sports Injury Isn’t Healing: Common Rehab Mistakes

Oftentimes, after a sports injury, especially if its minor, you might try for a couple days or weeks to see if it heals by itself. You may do some research online, try some exercises from a video, and take it easy for a while. Does this sound like you? Unfortunately, with this method, you may feel like you are not recovering, or your pain/injury is still stopping you from doing the activities you want. It’s frustrating, but in most of the cases, the issue is not what you’re doing but how you’re doing it. In physiotherapy, the ultimate goal is to give you the knowledge and skills to treat your own injury. After all, we can give you guidance, but you are the one who actually has to perform the exercises and make the changes in the end! With that being said, let’s break down some of the most common rehab mistakes that can stall your
recovery and how to fix them.

1. Rushing to advanced exercises or activities

In other words, don’t run before you can walk!

It’s tempting to rush into complex or advanced exercises, maybe because we have heard that they are more productive or just that we feel our body is capable of more. However, if we ignore basic exercise work which focus on improving your basic strength, mobility, neuromuscular control, and simple range-of-motion, it means your body does not have a strong enough foundation. While these simple exercises might seem too easy, or too boring, remember that you have to take your rehab in steps. Jumping right to the end too quickly can delay your recovery or even make it worse! Get a physiotherapist to make you a personalized plan to ensure your exercises are matching your current capabilities.

2. Doing the correct exercise but with poor form

In physiotherapy exercises are not just about movement, they’re about the quality of movement as well. Doing exercises with incorrect or poor form (ex. moving too quickly, compensating with other body parts, not engaging the mind muscle connection) can slow down your recovery. As a tip, you can record yourself or ask your physiotherapist for form checks regularly. Remember, quality over quantity!

3. Not addressing the source of the issue

A common example of referred pain is at the neck. A problem with the neck can manifest as pain in the shoulder, or anywhere down the arm to the fingertips.

It is important to recognize that pain can manifest in one area, while the actual cause of the pain can be from completely different area of the body. For example, somebody could be experiencing elbow pain when throwing as a result of a lack of mobility or strength at the shoulder. This is what we would call a compensatory pain, and these are hard to identify on your own. A physiotherapist will perform a screen of the injured/painful area and the areas around to ensure that they find the root of the cause, and not just address the symptoms.

4. Not resting enough

Importantly, rest plays a vital role in your recovery. Doing exercises or training without a rest or too often can led to fatigue. This can increase the inflammation and pain in the injured area and can plateau your recovery. In some cases, it can decrease your functional ability as well. More is not always better, so follow advise from your healthcare professionals and listen to your body! It will let you know when it has reached it’s limit, we don’t have to push through the pain always.

5. Not pushing hard enough

On the other side, depending on the type of injury you’ve had and the stage of recovery, some discomfort with the rehab exercises may be present. This is especially true if you are doing post-surgical rehab or dealing with condition like adhesive capsulitis and some tendinitis. Your physiotherapist will help you determine what an appropriate amount of pain is to progress your recovery. Generally, as long as the pain doesn’t last after the exercise and doesn’t affect your function after, it is okay to have some discomfort. This is why education from a professional is so important to a full recovery.

    6. Neglecting lifestyle factors

    A lot of important healing and recovery happens when we sleep. If you have a sports injury, sleep is a must!

    As much as physiotherapists love their exercises, it is by far not the only factor in rehabilitation. Other lifestyle factors like your sleep, stress levels, and nutrition play an important part in pain sensitivity, inflammation and tissue healing. In cases where your physiotherapist anticipate a challenge with one of these areas, they may help to refer you to an additional specialist to ensure a holistic recovery plan.

      Have a tricky injury?

      If you are experiencing a new or old injury that is particularly stubborn, we recommend coming in to PhysioNow! Our clinicians are all movement experts who can help with sports injuries and sports rehabilitation. With 10 clinics across the GTA from Burlington, Oakville, Mississauga, to Etobicoke, we are ready to serve you. Book with PhysioNow today for your first assessment and treatment!

      Rolled Your Ankle? 5 Exercises to Prepare it for Sports

      If you have had a sprained/rolled ankle recently, you may have felt like it isn’t quite the same anymore. Usually, after an injury, there is a loss in strength and coordination of the ankle. While this may not affect you as much in your day-to-day life just walking around, you can notice a difference when you play your sport. The following are a list of 5 potential exercises that may help your ankle get back in tip-top shape!

      1. Ankle Alphabets

      After an injury, the ankle loses some fibers called proprioceptors. These proprioceptors give us our sense of proprioception, which is our ability to determine where our ankle is in space. For example, whether it is facing up, down, in, out, and to what degree. As you may imagine, this proprioceptive ability is essential to sports in order for us to jump and land safely, change directions quickly, and run.

      Ankle alphabets are where you use your foot to draw the alphabet from A-Z. Imagine your big toe is the tip of a pencil, and you’re writing the letters in a space in front of you. To start, you may keep the eyes open so you can see what you’re doing. However, if you’re looking for a challenge, close your eyes and try to use just the sensation from your ankle to complete this exercise. It’s more challenging than it seems!

      2. Balance on an unstable surface/Bosu Ball

      Athlete balancing on bosu ball

      Athlete balancing on a bosu ball during their ankle rehabilitation

      When we’re playing sports or running, the ground is not always even footing. Subconsciously, your ankle is always making slight corrections for this. Unfortunately, after an injury your ankle may not be able to perform this as well. Ligaments are designed to prevent excessive movements of the ankle but with multiple injuries, they can become lax.  Thus, training on an unstable surface reteaches the ankle how to correct for the environment. Ultimately, this will reduce your risk of reinjury. Additionally, try adding in other challenges like catching and throwing a ball to really give yourself a workout.

      3. Star Excursion Balance Test

      The Star Excursion Balance Test is a rehab tool for ankle dynamic balance

      The athlete stands in the middle on the indicated limb, and must slide the other leg out while maintaining balance

      The Star Excursion Balance Test is one of the best exercises to use with athletes and physically active individuals. It is a challenging test that can also be used as a training tool afterwards. This exercise involves the balance, postural control, and proprioceptive systems.  First, the athlete begins by standing on one leg and trying to reach out with the other leg as far as possible in the pattern (see the image). Fortunately, this exercise requires minimal to no equipment which makes it a great choice to do at home.

      4. Hopping and multidirectional movements

      Once you return to your sport, your ankle will need to be able to withstand forceful movements in multiple directions. Some great examples of exercises might include skater lunges, fast lunges in multiple directions, step hops, running with pivoting, or quick starts and stops etc. Ultimately, there are many options to choose from.

      5. Sport specific movements!

      The best way to train for your sport is through practice of that sport! For example, if you have a sport on skates, you will need to practice being on those skates again in a controlled environment. Maybe your sport requires a lot of switching directions, or kicking a ball. Make sure you practice these things first! Don’t dive back into a competitive match right away but take the time to break up your sport into some smaller skills you can practice individually.

      Need help?

      If you are trying to recover from an ankle injury, it is always best to get assessed by a health care professional. Here at PhysioNow we have many knowledgeable Physiotherapists that can get you started on a rehabilitation program. Book with PhysioNow today for your first assessment and treatment.