Tag Archives: Long Branch PhysioNow

Male,Motorist,With,Whiplash,Injury,In,Car,Crash,Getting,Out

Accident Rehabilitation, Accident Rehabilitation Etobicoke, Accident Rehabilitation Long Branch, Accident Rehabilitation Lorne Park, Accident Rehabilitation Mississauga, Applewood Physionow, Back Pain, Burloak PhysioNow, Clarkson Village PhysioNow, Concussion, Erin Mills PhysioNow, Erin Mills Physionow, Fracture, Hurontario-Eglinton PhysioNow, Long Branch PhysioNow Ltd., Manual Therapy, Maple Grove PhysioNow, Motor Vehicle Accidents, neck pain, Neck strain, PhysioNow

Motor Vehicle Accident: Injuries and Insurance

July 26,2023 Sharon Tierney Leave a comment

Motor Vehicle Accidents / MVA and physiotherapy.

Motor Vehicle Accident

Injuries sustained from a motor vehicle accident affect your normal function in life differently. It depends on the extent of the impact. Thus, it is very important to address any pertaining issues from the accident to your doctor. Additionally, to start rehabilitation at the earliest to decrease the impact of injury and its effects.

MVA injuries can be as minor as sprains or strains or it can be extensive that might include concussion, fractures, neurological involvement, other musculoskeletal involvements, etc.

Once you are involved in an accident and you are discharged from your preliminary care, you would contact your auto insurance company for guidance on starting physiotherapy sessions.

Physiotherapy sessions for a motor vehicle accident:

Once you decide to attend a physiotherapy clinic, these are the few things to do and to expect on your first visit.

Book an appointment in a clinic which you decide to proceed with.
Once you arrive expect to fill a few Auto insurance forms and clinic specific forms to start your assessment at the clinic.
You would be seeing a physiotherapist who could be your primary care provider.
The therapist would do a detailed assessment on your situation and would also go over your treatment plan pertaining to your injury.
Your treatment session would be patient specific and progressive to get back to your normal functionality.

Facts about your treatment plan and coverage:

Once you are in a motor vehicle accident, you are mostly covered by the auto insurance company for treatment sessions.

Your treatment coverage depends on the category that you fall into.

Minor injury guideline/ MIG, where your injury falls into the category of sprains and strains and would need a shorter duration of recovery and treatment sessions. Your treatment sessions could extent up to 4 months or as needed. Reassessments are done as needed to see your progress and to plan further with your sessions.
Out of Minor injury guideline, where your injury is more extensive or catastrophic. Where the duration of recovery is longer and so the treatment allotment is longer when compared to MIG.
Any multidisciplinary approach needed would be advised and would be recommended to your insurance company for further proceedings.

Commonly seen injuries after a motor vehicle accident:

Motor Vehicle Accident Whiplash

Whiplash injury to the neck: which can include one or more of the symptoms ; pain, stiffness, swelling, muscle spasm, headaches, tingling /numbness into the hands, weakness, difficulty sleeping.
Low back Sprain/ strain or disc related symptoms which includes, pain, stiffness, tingling and numbness into the leg, disturbed sleep.
Shoulder, elbow, wrist, hip, knee, ankle sprain/ strain.
Seatbelt or airbag related pains in the chest area and abdominal area.
Fractures.
Concussion symptoms which might include dizziness, headaches, light and noise sensitivity, blurred vision, nausea, issues with concentration, imbalance, weakness, slurred speech, anxiety, depression, etc.
Vestibular symptoms with symptoms such as dizziness, nausea, vomiting, difficulty with positional changes, sense of imbalance, etc.

Treatment sessions:

These are patient specific.

Electrical modalities such as IFC, TENS, Ultrasound, LASER, heat or cold packs for pain relief and decreasing muscle spasm, and to improve circulation to the area.
Manual therapy which includes soft tissue techniques, joint mobilization, joint traction. Muscle energy techniques to reduce pain, improve function in the joint.
Exercises for improving mobility, strength, and also function.
Braces and splints for immobilization as needed.
Post concussion therapy focusing on your symptoms and additionally presentation, which is provided by a physiotherapist trained in concussion therapy.
Vestibular rehabilitation services provided by a physiotherapist specifically trained in vestibular rehab.

Need some help?

Your assessment session would ideally be an hour and treatment sessions would be 45 min to an hour in our clinic. Here at PhysioNow, we have many highly knowledgeable physiotherapists that can assist you with your injuries. If you think physiotherapy may help with an injury from an MVA, book with PhysioNow today for your first assessment and treatment!

Applewood Physionow, Back Pain, Burloak PhysioNow, Clarkson Village PhysioNow, Erin Mills PhysioNow, Hurontario-Eglinton PhysioNow, Long Branch Physiotherapy, Lorne Park PhysioNow, Low back Pain, Maple Grove PhysioNow, neck pain, PhysioNow

Scoliosis: Types, Symptoms and Treatments

July 24,2023 Sharon Tierney Leave a comment

Scoliosis

A side deviation or curvature in your spine is scoliosis. It could be in your neck, mid back and lower back. It can present in more than one area.

The most common area where it develops is mid-back. Cervical and lumber spine are very common when it comes to two curvatures.

Type of scoliosis:

C-shape: This is most common type, there is only one-sided curve. The most common area for C shape to develop is in the thoracic spine and also lumber spine. In this type, scoliosis side leg could be short compared to non-scoliotic side. Sometimes, there are changes in the scapular level. Scoliotic side scapula will be lower than non-scoliotic side.
S- shape: In this type, two curvatures are present in the spine. One curvature is the primary scoliosis and the other curvature develops in compensation of the primary curvature. In this type, the scoliotic sided leg is short and the scapular level is higher than the non-scoliotic side. S-shape will bring other complications such as respiratory issues, cardiovascular issues, etc.

‘S’ Shaped curve and ‘C’ Shaped Curve

Causes of scoliosis:

Usually, the cause of scoliosis is unknown. However, following are a few possible causes mentioned:

Poor Posture habits: People who have habits of not following ergonomics pattern of posture are at risk. One who has the habit of leaning and sitting mostly on their right or left, are also at risk.
Carrying heavy stuff on back: People who have to deal with the delivery of heavy packets and lifting heavy objects are at risk.
Family history: Sometimes, scoliosis runs in family. There are higher chances in these cases.
Congenital limb length discrepancy: Congenital limb length discrepancy needs immediate correction otherwise; it will lead to scoliosis.
Neurological disorder: Neurological disorders like cerebral palsy, multiple sclerosis, Down Syndrome which are progressive diseases have muscular imbalance.

Signs and symptoms:

Limb length discrepancy
Visible deviation of spine to one direction
Uneven shoulder and pelvis height
In anterior view, one sided rib is popping out.
Chronic neck and also lower back pain
Breathing difficulties in severe cases
Recurrent lung conditions like pneumonia, atelectasis, etc.
Pain and numbness
Fatigue due to muscle imbalance

Assessment of scoliosis:

Imaging: X-ray is the gold standard or MRI.

Physiotherapy Assessment: assess in posterior view which means back view with open back.

Therapist will look for visible prominent border of scapula.
with bending forward the scapular border will be seen as well as deviation .
When leaning backward , a visible S shape or C shape will be seen.

Risk factors of scoliosis:

Scoliosis is bony disorientation which is irreversible. The best management is prevention. However, if it not managed well enough , it can lead to many complications.

Lung disorders: Specially, thoracic spine scoliosis has a chance to affect the respiratory system as it disturbs the alignment of the rib cage. Deep breathing becomes limited or difficult and that is why the lower portion of the lungs get less air. As a result of this, atelectasis develops in some areas of the lung.
Limb length discrepancy: Lumber scoliosis has a major effect on pelvis alignment. As scoliosis is irreversible, it leads to permanent muscular imbalance. Thus, there is limb length discrepancy.
Scapular winging: Thoracic scoliosis has drastic effect on scapular orientation. The scapula takes part in shoulder movement. Indirectly, mid back, scapula and the shoulder joint are all affected because of spinal curvature.
Herniated disc in spine: Lumber spine scoliosis has a higher chance to develop a herniated disc. Therefore, you may develop pain in the lower back and down the leg into the thigh, knee or ankle. Please seek immediate attention in this case.

Management of scoliosis:

Scoliosis is a irreversible bony deformity.

Posture: Contact your physiotherapist for a better understanding for well maintained posture at work and home. Correction in pelvis alignment will help in preventing it from getting worse.
Deep breathing exercise: Deep breathing exercise will help in maintaining lung function. Additionally, with breathing exercises, chest mobility exercises will help in maintaining flexibility in the spine and avoid lung conditions like pneumonia, atelectasis, etc.
Spinal mobility exercises: Contact your physiotherapist for proper exercises. Your Physiotherapist can better assess scoliosis and based on that provide spinal mobility exercises to stop it from getting worse.
Orthotics: orthotics adjust leg length discrepancy from scoliosis.
Education: Finally, a physician or physiotherapist can help you to better assess and understand this condition.

Need some help?

Your concerns are best managed by a health care professional. Here at PhysioNow, we have many highly knowledgeable physiotherapists that can assist you with your issue. If you think you may have scoliosis or are diagnosed with it, book with PhysioNow today for your first assessment and treatment!

Acute Ankle Sprains, Ankle pain, Applewood Physionow, Burloak PhysioNow, Clarkson Village PhysioNow, Erin Mills Physionow, Foot Pain Management Mississauga, Foot Pain Treatment Mississauga, Lorne Park PhysioNow, Maple Grove PhysioNow, PhysioNow

Chronic Ankle Instability Could Cause Your Ankle Not To Heal

July 20,2023 Sharon Tierney Leave a comment

Chronic Ankle Instability

Ankle sprains are one of the most common injuries. Rest, ice, compression and elevation, or the RICE rule, are the go-tos for ankle sprains. In most cases, the ankle will heal between 4-12 weeks. Many people will allow the ankle to heal on its own but a failure to seek treatment and physical rehabilitation for the ankle after just one injury is enough to leave it weaker and more vulnerable to future sprains. Which in turn could result in chronic ankle instability.

What causes ankle instability?

After an ankle injury, there is damage to the ligaments, tendons, and potentially even the ankle joint itself. Ligaments function to limit the normal movement in the ankle, and once they are injured, they may get lax (stretched out). Resulting in the ankle being more unstable. Additionally, the injury results in a loss of strength in the muscles that control the ankle movement, further increasing the instability of the ankle. Finally, it also results in a loss of sensory receptors in the ankle that communicate to our brain where our ankle is in space. This decreased sensation makes it harder to balance and control the ankle which contributes to the ankle instability.

How do I know if I have chronic ankle instability?

Questions to ask yourself include:

Does my ankle ever give out?
Do I avoid walking on uneven surfaces out of fear of falling?
Do I feel like I can’t “trust” the ankle?
Do I try to avoid putting all my weight onto one ankle?

If you said yes to these questions and you have had a severe ankle injury or a history of multiple ankle sprains, you may have chronic ankle instability.

Is it permanent?

Chronic ankle instability is not permanent it can improve with the help of a physical therapist and individualize exercise plan. An untreated ankle injury may be chronic when it is not given sufficient time to heal and is constantly being reaggravated. Thus, the first step to treatment will be a proper rehabilitation program with a health professional.

Who treats ankle instability?

Physical therapists are the first step in conservative management of chronic ankle instability. Your physical therapist will perform an assessment on your ankle range of motion, strength, and balance and will assess for any laxity, or more movement than is normal, within the ankle and ankle ligaments.

After an ankle injury, there is a loss in strength and proprioception (awareness of the position of the body in space). So exercises are given to re-strengthen the muscles, increase ankle stability, balance, and retrain the body awareness of the ankle. Furthermore, a brace and/or taping is recommended to support the stabilization of the ankle, especially for individuals who engage in high-risk activities like sports.

Chronic Ankle Instability Brace and Tapping

Chronic Ankle Instability Exercises

However, not all injuries are capable of recovering with conservative management. Thus, in very severe cases, surgery may be an option to repair the injured ligaments and give the ankle stability.

What happens if its goes untreated?

Without treatment, an individual will continue to have difficulties balancing, walking on uneven terrain, and putting weight onto the ankle. Subsequently, the instability may worsen over time and will have a much greater risk of reoccurring injuries to the ankle. Thus making it more challenging to recover from these injuries. Additionally, it can result in damage to the bones and cartilage within the ankle joint as the muscles weaken and fail to support the joint. Therefore, to avoid severe injury it is highly recommended that individuals seek expert treatment.

If you are having stability problems with your ankle, book with PhysioNow today for an initial assessment and treatment. We have many capable physical therapists that will be able to help your ankle recover!

Applewood Physionow, Burloak PhysioNow, Clarkson Village PhysioNow, Hand Pain Treatment, Lorne Park PhysioNow, Maple Grove PhysioNow, Physiotherapy, Registered Physiotherapy Mississauga

Trigger Finger? What can you do about it?

July 20,2023 Sharon Tierney Leave a comment

Trigger finger? What to do

Trigger Finger

Lately you’ve noticed that your finger seems to be clicking, and maybe it also catches or locks into a bent position. Sometimes you may need to use your other hand to help you “unlock” your finger. What is this? We call this condition trigger finger.

Your finger locks in a flexed position. The position it locks in resembles the position of a finger when it is pulling a trigger.

If you have trigger finger, you may also have:

Stiffness and swelling, especially in the mornings.
Painful or painless clicking, catching, locking into the bent position then popping straight.
Loss of full range of motion of the fingers into flexion and extension (bent and straight).
Nodule is felt with other hand.
Pain that radiates to the tip of the finger and/or into the palm.

Why does Trigger Finger happen?

An exact cause is unknown, it develops spontaneously or consequently to another disease, repetitive hand movements during a job, or recent trauma to the hand.

The condition occurs due to inflammation and narrowing in the “pulley” system in the hand. As seen in the image below, the tendons of our muscles must pass through a band of tissue in order to control the fingers. The tendon normally glides through this tunnel without issue but the tissue of the tunnel can thicken and narrow, combined with enlargement of or nodules developing in the tendon itself, resulting in impaired movement and the tissues blocking each other.

Trigger Finger Nodule and Tendon

How to treat trigger finger?

The first line of recommended treatment for any condition is conservative care. A physiotherapist can help you recover your hand function and quality of movement. These treatments
may include:

Soft tissue techniques, joint mobilizations, and stretches to try and increase the mobility in the
area.
Modalities like ice, paraffin wax, and electrical stimulation to help with pain, inflammation, and swelling.
A home exercise program that focuses on increasing range of motion, strength, and gliding of the tendons
Education on wearing a splint (as shown below) which blocks the finger from moving excessively, allowing you to go about your daily life without aggravating the condition. Wear this between 6-10 weeks and your physiotherapist may ask you to wear them at night, during work, or as much as possible during the day.

What options do you have for treatment?

In some cases, this condition may be persistent and medical management with your primary provider. For example, options
may include corticosteroid injections to reduce inflammation and the frequency of the finger locking. Unfortunately, patients may require further intervention when conservative treatment fails, in which case a surgical release of the finger may be indicated. When combined with physical therapy after the surgery, there is usually a rapid and significant improvement in function at relatively low risk. However, there are always increased risks to surgical procedures compared to conservative treatment and where possible, trigger finger should always be treated with non-surgical strategies first and surgery as last resort.

Need some help?

Let us manage your trigger finger. Here at PhysioNow, we have many highly knowledgeable physiotherapists that can assist you with your issue. If you think you have trigger finger or have been diagnosed with it, book with PhysioNow today for your first assessment and treatment!

acupuncture, Applewood Physionow, Applewood Sports & Physiotherapy Ltd, Concussion, Erin Mills PhysioNow, Erin Mills Physionow, Erin Mills Physiotherapy Ltd., Etobicoke Physiotherapy, Exercise, Fibromyalgia, Headaches: Neck Pain, Health and Wellness, Hurontario-Eglinton PhysioNow, Long Branch PhysioNow Ltd., Long Branch Physiotherapy, Lorne Park PhysioNow, Lorne Park Sports & Physiotherapy Ltd., Manual Therapy, Massage Therapy, Massage Therapy at Erin Mills Physiotherapy Ltd., Massage Therapy Services Mississauga, neck pain, Neck pain Treatment Mississauga, Neck strain, PhysioNow, PhysioNow, Physiotherapist Etobicoke, Physiotherapist Mississauga, Physiotherapy, physiotherapy Etobicoke, Physiotherapy Etobicoke, Physiotherapy Mississauga, Posture, Registered Physiotherapy Etobicoke, Registered Physiotherapy Mississauga, TMJ Syndrome

Headaches? See how Physiotherapy can help you!

June 15,2023 Sharon Tierney Leave a comment

How do Headaches occur?

There are many different types of headaches with many different causes. Many people may blame it on the weather, stress, or work, and feel like it is out of their control and that nothing can help their headaches. If this sounds like you, there is treatment available and you do not have to live with your pain. Headaches that stem from your neck or jaw are treatable through physiotherapy and can result in a decreased intensity and frequency or even stop them completely. However, migraines can also be manageable with rehab.

What are headaches from the neck?

Cervicogenic Headache

Headaches that stem from the neck are known as cervicogenic headaches and are a type of referred pain. Referred pain means that the pain actually originates from another part of the body, and not the place where you actually feel the pain. Moreover, the head pain is actually coming from problems in the tissues and/or joints in the neck.

Common symptoms of cervicogenic headaches include:

Firstly, one-sided headaches
Second, neck stiffness
Decreased motion in the neck
Radiating pain to the eyes, shoulder, or arms
Lastly, they are triggered by certain neck positions or movements

What are headaches from the jaw?

Headaches stemming from the jaw result from dysfunction in the jaw joint, anatomically known as the temporomandibular joint (TMJ). This joint connects your lower jaw to the skull and is used in actions such as talking and chewing as it allows the opening and closing of the mouth. Therefore, headaches are one of the common symptoms of jaw dysfunction. Though they are lesser known, it is commonly missed as a source.

Common symptoms of TMJ dysfunction include:

Clicking on the jaw
Pain or tenderness with jaw movements (biting, talking, chewing, etc)
Headaches, especially in the morning (due to grinding and clenching of the jaw during the night)
Also, neck stiffness

How can physiotherapy help?

Your physiotherapist will provide a comprehensive assessment of your neck and jaw to determine a specific treatment plan for you. The evaluation may include observing your resting posture, and the way your jaw and neck move. Also, how much movement is available in your jaw and neck, and more.

Your treatment plan may include strengthening weak muscles, correcting posture and faulty movement patterns, stretching and mobility exercises, manual therapy techniques like soft tissue massage and joint mobilizations to reduce pain and increase range of motion. They may use modalities like heat, electrotherapy and acupuncture as well depending on your condition and goals of treatment. Your physiotherapist will work closely with you to develop an individualized plan of treatment including a home exercise program, and education on self-management of your condition at home. They can also inform you and help you get in contact with other healthcare practitioners that may need to be involved in your care.

If you are experiencing persistent headaches, book with PhysioNow today for your first assessment and treatment!

ACL REHAB, ACL Rehabilitation, ACL Tear, Applewood Physionow, Applewood Sports & Physiotherapy Ltd, Custom Knee Brace, Custom Knee Bracing, Custom orthotics, Erin Mills Physionow, Erin Mills PhysioNow, Erin Mills Physiotherapy Ltd., Etobicoke Physiotherapy, General Category, Hurontario-Eglinton PhysioNow, Knee Pain, Long Branch PhysioNow Ltd., Long Branch Physiotherapy, Lorne Park PhysioNow, Lorne Park Sports & Physiotherapy Ltd., PhysioNow, PhysioNow, Physiotherapist Etobicoke, Physiotherapist Mississauga, Physiotherapy, physiotherapy Etobicoke, Physiotherapy Etobicoke, Physiotherapy Mississauga, Registered Physiotherapist Mississauga, Registered Physiotherapy Etobicoke, Registered Physiotherapy Mississauga, Sports Injuries, Sports Physiotherapy

Say Goodbye to Knee Pain with Orthopedic Custom Knee Brace!

May 4,2023 Sharon Tierney Leave a comment

Say Goodbye and Beat knee pain with an Orthopedic Custom Knee Brace!

Here at PhysioNow, we can help you recover from your knee pain faster by providing you with a Custom Knee Brace. There are many types of knee braces available for purchase. Therefore, it can be overwhelming to know which brace is best for you so does the type of knee pain. In this article, we will give you an overview of custom knee braces. Also, provide instructions on how to start the process of ordering your custom knee brace.

Who can get a custom knee brace for knee pain?

Custom knee braces are most used for individuals with/after:

Post-operative recovery
Knee instability
Osteoarthritis
Ligament or meniscal injuries

Moreover, the brace is constructed using precise measurements taken from your leg. It is designed to only fit you.

Why get a custom knee brace? Is it worth it for knee pain?

Many patients have found that bracing has returned them to a level of function that they were previously thought to be unattainable after their injury. Some of the benefits of a custom knee brace include:

Firstly, get you back to doing the activities you love.
Second, reduce pain and increase the function of the knee.
Support and prevent further injury while you await imaging, surgery, or after surgery.
Individualized to your needs and level of activity ex. Lifestyle vs performance braces.
Ideal for long-term use.
Lastly, lightweight and can fit underpants for a subtle look.

What types of custom knee braces are there?

The most common type of custom-made knee brace is a rigid knee brace. They are usually made of metal, with a hinge to allow the knee to bend, and are the most supportive type of brace.

They are designed for individuals who need moderate-maximum support. The conditions that require a rigid custom knee brace include moderate to severe osteoarthritis, and athletes that need more support after an injury. Also, pre and post-surgical repair of ACL, MCL, PCL ligaments, or menisci.

Moreover, under the umbrella of rigid knee braces, there are unloader braces for osteoarthritis. These braces provide more support to the painful, arthritic side of the knee to offload it. This can preserve the joint space while reducing knee pain and increasing knee function.

Another category of rigid knee braces is ligament braces for ACL, MCL/LCL, and PCL injuries, including pre and post-surgical repair. These provide knee support to the sides of the knee to prevent any unnatural twisting or movements. However, our PhysioNow team of physiotherapists will be able to determine which brace is best suited to your goals and lifestyle.

How can I get a custom knee brace?

Follow these simple steps below to get one.

Contact us at PhysioNow to book an appointment time for a custom knee brace assessment.
On the day of your appointment, your PhysioNow Brace Specialist will perform a series of tests and ask you questions to determine which type of brace is right for you.
Make sure you tell your Physiotherapist what activities you are currently doing, and any activities that you would like to get back to doing (ex. Golf, running, walking)
Your PhysioNow Brace Specialist will measure and take recordings of your knee, and discuss any considerations like the desired weight of the brace, special features (ex. Straps and clips), materials, colors, etc
Lastly, we will be able to make inquiries to determine whether your custom knee brace can be covered by extended health care coverage. Care plans that include physiotherapy service coverage will usually have coverage for a custom knee brace as well. This process requires a physician’s note, but our clinic will be able to walk you through the process and provide you with the documentation needed to send to your insurance company for inquiry.

Once ordered, delivery will normally take around 7 business days but can be expedited upon request. We will ensure that the brace fits properly and can make adjustments if needed once delivered. So get your own customized brace NOW!

Applewood Physionow, Applewood Sports & Physiotherapy Ltd, Endometriosis Physiotherapy, Erin Mills PhysioNow, Erin Mills Physiotherapy Ltd., Etobicoke Physiotherapy, General Category, Health and Wellness, Hurontario-Eglinton PhysioNow, Leakage of urine, Long Branch PhysioNow Ltd., Long Branch Physiotherapy, Lorne Park PhysioNow, pain with intercourse, Pelvic Health, Pelvic Health Etobicoke, Pelvic Health Physiotherapists, Pelvic health physiotherapy, pelvic pain, PhysioNow, PhysioNow, Physiotherapist Etobicoke, Physiotherapist Mississauga, Physiotherapy, Physiotherapy Etobicoke, physiotherapy Etobicoke, Physiotherapy Mississauga, Registered Physiotherapist Mississauga, Registered Physiotherapy Mississauga

Endometriosis and Pelvic Physiotherapy

February 19,2023 Sharon Tierney Leave a comment

What is endometriosis?

Endometriosis is a condition where tissues which is similar to the inner lining of the uterus grows outside the uterus which can affect nearby organs including the bowel and bladder. The tissue thickens
and does shed with the monthly cycle. At times when tissues get trapped and does not exit the body it can progress to form cyst called endometriomas. At last, it results in irritation to surrounding tissues and organs forming scar tissue and adhesions.

What are the symptoms?

Symptoms includes,
Firstly, Pelvic pain.
Secondly, Heavy periods.
Infertility.
Abdominal bloating.
Urinary and bowel concerns.
lastly, Fatigue.
However, endometriosis can be mistaken for other conditions such as Irritable bowel syndrome, Inflammatory pelvic disease. Therefore, early diagnosis will help in managing the symptoms.

Treatment options available:

There is no cure for endometriosis currently. Although, treatments to manage the symptoms includes,
1. Hormone therapies.
2. Over the counter medication.
3. Pelvic physiotherapy.
4. Surgery.

Pelvic health physiotherapy in Endometriosis

Pelvic health physiotherapy can help to reduce the symptoms, improve the function, improve the flexibility and improve the strength of the pelvic floor muscles. The techniques help to relax the muscles which ultimately help to ease the symptoms. How does pelvic floor physiotherapy help in endometriosis,

Relieve endometrial pain: Approaches to down train the pelvic floor muscles and introducing bio-psychosocial approach to help in relaxing the pelvic floor muscles.
Reduce painful sex: Helping with stretches and breathing techniques, dilators, and hands on techniques to reduce the tension and resistance in the pelvic floor area.
Reduce abdominal bloating or endo belly by helping in assisting venous and lymphatic drainage
in our body.
Painful urination: by educating on proper water intake, and voiding techniques and by
maintaining a bladder diary to reduce the effects pressure causing pain when bladder fills up.
Painful bowel movements: Education and advices on diet and positions on easy bowel movements along exercises to manage the situation.

Also, pelvic floor therapy post endometriosis surgery would help to retrain pelvic floor muscles to relax and to coordinate contractions. This helps to reduce spasms during menstruation.

Lastly, Bio psychosocial component of pelvic floor physiotherapy helps in identifying and addressing the psycho social aspects and its influence on normal function of your body. Relaxation techniques and hands on techniques to calm down the senses that could be the trigger to pain can be managed to a great extent.

Take away message – If you are suffering from endometriosis and are finding difficulty to manage its symptoms, our team of qualified Pelvic PT will help you assess and guide through the whole treatment. Book your appointment today!

Acute Ankle Sprains, Applewood Physionow, Erin Mills PhysioNow, Exercise, General Category, Lorne Park PhysioNow, PhysioNow, Physiotherapy, Registered Physiotherapist Mississauga, Registered Physiotherapy Mississauga

Is your ankle sprain not healing? Know what’s wrong.

December 19,2022 Sharon Tierney Leave a comment

Why is your ankle sprain not healing?

An ankle sprain is one of the most common injuries. Rest, ice, compression, and elevation, or the RICE rule, will be the go-to’s for ankle sprains. In most cases, ankle sprains heal between 4-12 weeks depending on the severity of the injury. Though many people will have them to heal with time. However, a failure to seek treatment and physical rehabilitation for your ankle after just one injury is enough to leave it weak. This makes your ankle more vulnerable to future sprains or chronic instability.

What causes you chronic instability after an ankle sprain?

After an ankle injury, there is damage to the ligaments, tendons, and potentially even the ankle joint itself. Here, the function of the ligament is to limit abnormal movement in the joint. Because of the injury, they will get lax (stretched out), making the ankle more unstable. Additionally, this will also result in a loss of strength in the muscles, further increasing the instability of the ankle. Also, sensory receptors are impaired which communicate to our brain where your ankle is or where it is relative to the rest of our body. At last, this decreasing sensation makes it hard to balance and control the ankle which will have contributes to ankle instability.

How do you know if you have instability post ankle sprain?

Consider the questions below if you ever sprained your ankle and feel weak.

• Does your ankle ever give out?
• Avoid walking on uneven surfaces out of fear of falling?
• Feel like you can’t “trust” the ankle?
• Try to avoid putting all your weight onto one ankle?

If you said yes, to these questions and you may have chronic ankle instability.

Is it permanent?

Chronic ankle instability is not permanent. You can improve your ankle stability with the help of a physical therapist and an individualized exercise plan. But, If the injury is left treated it results in chronic instability and vulnerability to injuries. In this case, the first step to treatment will be a proper rehabilitation program with a health professional.

How to treat your unstable and weak ankles?

Physical therapists are the first step in the conservative management of chronic ankle instability. Due to loss of strength and proprioception, rehabilitation is very important. They perform a complete assessment of your ankle range of motion, strength, and balance assessing for any laxity, or any abnormalities, and guide you through the management.

Exercises re-strengthen the muscles, increase ankle stability, and balance, and retrain the body awareness of the ankle. Moreover, Brace and/or taping may be recommended to support the stabilization of the ankle, especially for individuals who are engaged in high-risk activities like sports.

Next, surgery may be an option to repair the injured ligaments if there is any tear or fracture is sustained.

What happens if your ankle sprain and injury are left untreated?

The instability may worsen over time and you will have a much greater risk of reoccurring injuries. In addition, it results in damage to the bones and cartilage within your ankle joint as the muscles weaken and fail to sufficiently support the joint. Therefore, it is highly recommended that you seek treatment from an expert to treat the issue before it results in a severe injury.

If you are having any instability or weakness with your ankle, which is stopping you from pursuing any hobbies book with PhysioNow today for an initial assessment and treatment. We have a team of highly qualified physical therapists that will be able to help your ankle recover!

Applewood Physionow, Applewood Sports & Physiotherapy Ltd, De Quervains Disease, Erin Mills Physionow, Erin Mills PhysioNow, Erin Mills Physiotherapy Ltd., Etobicoke Physiotherapy, Exercise, General Category, Hurontario-Eglinton PhysioNow, Long Branch PhysioNow Ltd., Long Branch Physiotherapy, Lorne Park PhysioNow, Lorne Park Sports & Physiotherapy Ltd., Manual Therapy, Mechanical Diagnosis and Therapy, PhysioNow, PhysioNow, Physiotherapist Etobicoke, Physiotherapist Mississauga, Physiotherapy, Physiotherapy Etobicoke, physiotherapy Etobicoke, Physiotherapy Mississauga, Posture, Pregnancy, Pregnancy Mississauga, Registered Physiotherapist Mississauga, Wrist pain

Thumb Pain? Is it DeQuervain’s Tendonitis?

December 5,2022 Sharon Tierney Leave a comment

Why do you have thumb pain?

Thumb Pain

DeQuervain’s Tendonitis or thumb pain? There could be several potential factors why you have thumb pain. For instance, arthritis, trigger thumb, or DeQuervain’s Tendonitis. Though, the location of pain and difficulties performing activities can determine what is causing your thumb pain. However, the most common reason for thumb pain could be DeQuervain’s Tendonitis. Let us know something more in detail whether you have DeQuervain’s Tendonitis.

What is DeQuervain’s Tendonitis and Thumb Pain?

De Quervain’s Pain

It is an inflammatory condition, where the sheath around the tendon gets constricted. As a result, it affects the tendons of the thumb and thumb side of the wrist causing pain. Therefore, it gives the inability to use the hand and wrist to their total functional capacity.

What do the symptoms of DeQuervain’s Tendonitisfeel like?

Firstly, there is severe pain with thumb movements like gripping, lifting, twisting, and even a simple handshake.

Second, there might be swelling at the thumb aspect of the wrist.

Third, catching or snapping feeling with the movement of the thumb.

Lastly, limited thumb and wrist movement especially lifting the thumb up and in.

What are the causes?

There could be several reasons which cause you to DeQuervain’s Synovitis.

Chronic repetitive strain to wrist and thumb in activities like typing, or doing hobbies like hammering, and gardening.
It is also commonly seen in clients with Rheumatoid arthritis, Overuse, or repetitive strain to the wrist and the thumb.
Pregnancy and post-partum are associated with breastfeeding and handling the baby.
In women 40 and over.

What are the treatment options available?

DeQuervain’s Tendonitis responds well to treatment. The treatment options include Nonsteroidal anti-inflammatory drugs used for pain relief and reducing the inflammation of the tendons. Although, in chronic cases of pain and disability, cortical steroid injections are the most commonly used.

Thumb Spica

Also, resting the wrist in a splint and doing exercises like stretching and strengthening help relieve pain and gain functions back. At last, surgical release of the tendons. This is done in cases where they do not respond to conservative management.

How to choose the best treatment for yourself?

Anytime you are suffering from any of the symptoms listed above, always get yourself a detailed physiotherapy assessment. It could be done after your thumb surgery as well. However, they will identify the cause of your pain and tailor the best treatment strategy customized to your needs. Treatment for a conservative approach will focus on the points mentioned below,

Education on the condition, what to expect throughout the rehab process, the normal healing period, and goals to achieve at various stages are provided.
Advised on movements and activities to avoid to help in the healing process.
Advise on using the correct splint or brace is given.
Modalities such as ICE, heat, Ultrasound, and Laser and their effect on pain management are provided.
Mobility exercises, which involve stretching and range of motion exercises are given to maintain the flexibility of the tendon.
Hands-on technique to improve pain, and flexibility, and improve mobility of the joint is introduced at the appropriate time.
Progressive Strengthening exercise which is client specific for the thumb and wrist is started once pain and mobility improve.
Functional training and activity modification is taught to avoid recurrence.

Physiotherapy after surgical intervention: After surgery, the following are practiced.

Methods and positions to control swelling or inflammation.
Usage of splints.
Exercises to improve ROM and flexibility in all joints in the hand, elbow, and shoulder.
Exercises and activities to rebuild strength and function in the hand and upper extremities.
Safe returns to previous activity levels are taught.

What will be the precautions to avoid the reoccurrence?

First, avoid overuse of hands.
Avoid excessive use of thumb and hand.
Avoid forceful use of the hand.
Lastly, taking frequent breaks from repetitive tasks.

To conclude, if you are suffering from the thumb, the wait is over. Our qualified team of Physiotherapists at PhysioNow will help you get better. Book your appointment today!

Applewood Physionow, Applewood Sports & Physiotherapy Ltd, Erin Mills PhysioNow, Erin Mills Physiotherapy Ltd., Etobicoke Physiotherapy, Exercise, General Category, Health and Wellness, Hurontario-Eglinton PhysioNow, Long Branch PhysioNow Ltd., Long Branch Physiotherapy, Lorne Park PhysioNow, Lorne Park Sports & Physiotherapy Ltd., Low back Pain, PhysioNow, PhysioNow, Physiotherapist Etobicoke, Physiotherapist Mississauga, Physiotherapy, Physiotherapy Etobicoke, physiotherapy Etobicoke, Physiotherapy Mississauga, Posture, Registered Physiotherapist Mississauga, Registered Physiotherapy Mississauga, Sciatica

Sciatica? 10 warning signs

November 28,2022 Sharon Tierney Leave a comment

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 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: –

Calf pain – pain that stretches down the lower leg and back of the knee.
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.
A pain in your butt or leg that worsens while prolonged sitting.
Numbness in your leg or foot.
Tingling sensation in your extremity (lower body).
Persistent pain on one side of your butt.
Muscle weakness in the distressful leg or foot.
Shooting pain down the leg which makes it tough to stand up or extend the knee.
Pain in one part of the leg while numbness in another part.
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:

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!