Tag Archives: golfers elbow

Heat therapy

Heat and Cold therapy

How it works

When we apply Heat therapy, it improves circulation and blood flow to  that area due to increased temperature. Heat therapy can relax and soothe muscles and heal damaged tissue.

Heat therapy


  • Dry Heat therapy includes sources like heating pads, dry heating packs, and even saunas. This heat is easy to apply.
  • Moist Heat therapy includes sources like steamed towels, moist heating packs, Theratherm heating pads that take moisture from the air, or hot baths. Moist heat may be slightly more effective as well as require less application time for the same results.


  • diabetes
  • dermatitis
  • vascular diseases
  • deep vein thrombosis
  • multiple sclerosis (MS)

 Heat is useful for relieving:

  • osteoarthritis
  • strains and sprains
  • tendonitis, or chronic irritation and stiffness in the tendons
  • warming up stiff muscles or tissue before activity
  • relieving pain or spasms relating to neck or back injury, including the lower back

Cold therapy

How it works

Cold therapy is also known as cryotherapy. It works by Louis- hunting reaction theory. When we apply Ice to an injured site, it reduces the blood flow by vasoconstriction. After some time, it causes vasodilatation and increases the blood flow to the area. This process goes on continuously. This reduces inflammation and swelling that causes pain, especially around a joint or a tendon. It can temporarily reduce nerve activity, which can also relieve pain.

Types of Cold Therapy

There are a number of different ways to apply cold therapy to an affected area. Treatment options include:

  • ice packs or frozen gel packs
  • coolant sprays
  • ice massage
  • ice baths

Cold treatment can help in cases of:

  • osteoarthritis
  • a recent injury
  • gout
  • strains
  • tendinitis, or irritation in the tendons following activity


  • people with sensory disorders
  • uncontrolled diabetes
  • You should not use cold therapy on stiff muscles or joints.
  • Cold therapy should not be used if you have poor circulation.

Here’s a general guide that helps you to decide which to use heat or ice : https://www.healthline.com/health/chronic-pain/treating-pain-with-heat-and-cold#cold-therapy

In General,  use ice for the first few days after an injury.  Beyond that, heat usually does the trick.  There is some evidence that suggests that using ice beyond the first few days can actually slow down injury healing.  It pushes away the healing agents that help you to get better.

If you have been injured and need advice or treatment, please call PhysioNow today.  We are always happy to help!

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!

Golfers elbow

Golfers elbow

Golfers elbow

Golfers elbow is the overuse injury to the wrist flexor muscles. The muscles travel from the inside of the elbow leading to pain with resisted wrist flexion and resisted pronation of the forearm. The cause of the Golfers elbow is repeated wrist bending, improper lifting, throwing and swinging movements. People involved in racquet sports, using tools as screwdrivers and working on computers are usually affected.


Symptoms include pain and tenderness around the inside of the elbow. They often also include pain with making a fist, stiffness of the elbow, and a weakened grip with downward movement of the forearm. Pain typically gets worse with a tight fist and picking things up with the wrist in a bent position.

Check out this article for more information about Golfers elbow.

The condition is usually diagnosed through special tests such as wrist flexion against resistance. Differential diagnosis from other conditions such as cervical radiculopathy, ulnar neuritis, strain of flexor-pronator muscles is usually done by the physiotherapist.


Early management helps to prevent loss of grip strength and mobility of the elbow. Management includes physiotherapy treatment and in rare cases surgery depending upon the severity of the condition. Your Physiotherapist at PhysioNow will work to stretch the common flexors of the wrist, do deep friction massage to break the scar tissue, and mobilize your elbow joint or cervical spine if pain is referred from the neck. They will also plan grip strengthening exercises, do tapping and educate you regarding the precautions to help in quicker healing. This will help to prevent any recurrence of Golfer’s Elbow. In many instances, a golfer’s elbow brace is beneficial. We carry these braces at all PhysioNow locations. Lastly, Golfer's Elbow may also be beneficial as a treatment for Golfers elbow.

In addition, the use of Laser therapy,application of a ‘Hawk tool’ and cupping can be used to reduce pain and promote healing. Your physiotherapist will educate you regarding these physiotherapy treatment options. So, don’t wait, book your appointment at PhysioNow today to get started on your treatment!

Acupuncture – Physiotherapy

Acupuncture – Physiotherapy

Classical acupuncture originated ~2250 years ago. It has its history in Traditional Chinese Medicine.
Modern “western” acupuncture originated in the 1970s, Western acupuncture was based on modern anatomical knowledge.
Acupuncture – Physiotherapy involves the insertion of thin needles into the body at specific points.
Because the needles are so thin (1/100th the width of a hypodermic needle), there is very little feeling when they are put in. Many people barely feel it when the needles go into the skin. Most acupuncture points are located on or next to nerves and muscles.

Benefits of Acupuncture – Physiotherapy:

The introduction of acupuncture needles can reduce pain and inflammation. Acupuncture – physiotherapy can help to restore normal function. Acupuncture can also help reduce stress, anxiety and depression, as well as promote energy and relaxation.

Safety Concerns with Acupuncture – Physiotherapy

Acupuncture is very safe when performed correctly.
Before any acupuncture treatment, a registered physiotherapist will carry out a full safety assessment. This will make sure that you are medically suitable for acupuncture in Physiotherapy.
After cleaning their hands, the physiotherapist will clean your skin prior to needle insertion.
We always use pre-sterilized, single-use, disposable needles. WE NEVER RE-USE NEEDLES.
Needles are typically left in place for approximately twenty minutes.



Typical Injuries that Acupuncture may be used to Treat

In addition to acupuncture – Physiotherapy, other modalities or treatments may be chosen to help decrease your pain. Acupuncture – Physiotherapy can be used for Tennis Elbow, Golfer’s elbow, Low Back Pain, Neck Pain,any many other injuries. Exercises may also be given by the Physiotherapist to complete your treatment.

If you have any further questions regarding the use of acupuncture – Physiotherapy, please don’t hesitate to call your local PhysioNow clinic to speak to one of our specialists. We are happy to speak with you and answer your questions. If you want to find out if Acupuncture is right for you, give us a call today!
We look forward to meeting you soon!

Golfer’s Elbow

Golfer’s elbow

Golfer's Elbow Treatment

The muscles that help to bend the wrist and fingers are called flexor muscles. These muscles form tendons and get attached at the elbow level. When you develop Golfer’s elbow, it becomes painful and inflamed at the attachment point on the inner elbow. Golfer’s elbow tends to occur after a period of repeated overuse. The bone of your elbow is like a boney bump at the end of the bone where the muscles get attached. Golfer’s elbow may be acute or chronic. Generally when it is acute, there will be pain, swelling, redness and warmth. Some of the symptoms involve pain in the elbow that spreads up or down the forearm. You may also feel weakness in the forearm. Pain may start suddenly or develop gradually over time.

Treatment for Golfer’s elbow

Treatment varies depending on the stage of inflammation. The best way to reduce the problem is to treat the symptoms with Registered physiotherapy. A good physiotherapy treatment program should begin with pain reduction. This can include ultrasound, laser, interferential treatment, acupuncture, and/or registered massage therapy. Sports taping can be used as an option. Physiotherapy treatment should include briefly reducing the activities that caused the pain. Physiotherapy treatment for Golfer’s elbow should also include a proper brace such as the “Bandit” brace that takes the pressure off the injured tissues. The “HAWK” tool is another option. It can be used to break down any scar tissue that has developed. This speeds up the healing time! The final stage of physiotherapy treatment should include strengthening the forearm muscles, and showing you stretches to do prior to activities.

PhysioNow provides full physiotherapy programming to treat Golfer’s elbow at both Mississauga locations.

We can help! Give us a call if you would like to book an appointment today!Golfer’s elbow