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Headaches? See how Physiotherapy can help you!

June 15,2023 Erin Mills Physiotherapy 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!

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Say Goodbye to Knee Pain with Orthopedic Custom Knee Brace!

May 4,2023 Erin Mills Physiotherapy 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!

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Endometriosis and Pelvic Physiotherapy

February 19,2023 Erin Mills Physiotherapy 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!

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

December 19,2022 Erin Mills Physiotherapy 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!

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5 reasons you might need walking aids

November 28,2022 Erin Mills Physiotherapy Leave a comment

Why do you need a walking aid?

Elderly man independent in walking

Restricted and reduced ability to walk and perform your daily chores can impact your quality of life. Walking aids are devices designed to help people walk and can be used by individuals of any age. As a result, this improves your quality of life by making you independent and confident. Here are some reasons that will indicate you need walking aids.

difficulties walking whether it’s due to pain.
frequent falls or fear of falling.
tiring quickly.
decreased balance.
difficulty putting weight on a body part, post-surgery, or any other reason.

What types of walking aids are available?

The categories of walking aids include crutches, canes, and walkers, and has their own pros and cons. Below are general overviews of the most common types of walking aids.

crutches, often prescribed to individuals following an injury or surgery to the lower body. They are usually used on both sides of the body but can be used on just one side. The benefits of crutches include complete non-weight bearing on the injured leg, can be used on stairs, and lastly near to normal walking speed can be achieved. However, it needs good upper body strength, cannot use for longer distances and must have a higher level of balance.
Different types of crutches
Canes are used on a single side. Helpful for individuals with minor balance issues or weakness in the legs or body. You can either get a single-point cane or 4 points which provides additional stability. But, on another side, it gives an unstable base of support.
Types of Canes
Walkers are the most stable type of walking aid. The most common are 2-wheeled walkers and rollator or 4-wheeled walkers. They are good for longer distances and more stable but cannot be used on stairs or smaller occupancies.
Types of Walkers

How to choose a walking aid?

If you think you need a walking aid but are unsure which one is best for you, a physiotherapist can help assess your needs and recommend the right one. An unfitted walking aid or improper use of one can be a safety hazard and increase the risk of a fall.

At PhysioNow, we are a qualified team of Physiotherapists that would love to help you! We do a full assessment which will include your balance, strength, and the way you walk to determine whether need of a gait aid and which one is suitable. Also, provide resources on how to acquire one. Lastly, we will also teach you how to use it in your everyday life including sitting and standing up, walking, and navigating stairs and obstacles with your aid.

Book with us today for an initial assessment and treatment at PhysioNow! Improve your Quality of Life.