Tag Archives: Lorne Park Sports & Physiotherapy Ltd.

Headaches? See how Physiotherapy can help you!

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?

TMJ Pain HeadacheHeadaches 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!

Say Goodbye to Knee Pain with Orthopedic Custom Knee Brace!

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.

  1. Contact us at PhysioNow to book an appointment time for a custom knee brace assessment.
  2. 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.
  3. 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)
  4. 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
  5. 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!

Endometriosis and Pelvic Physiotherapy

What is endometriosis?

 

Endometriosis DiseaseEndometriosis 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!

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

Why is your ankle sprain not healing?

ankle injuriesAn 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.

Balance exercisesExercises 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!

Thumb Pain? Is it DeQuervain’s Tendonitis?

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?

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 splint

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!

Sciatica? 10 warning signs

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

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: –
  1. Calf pain – pain that stretches down the lower leg and back of the knee.
  2. 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.
  3. A pain in your butt or leg that worsens while prolonged sitting.
  4. Numbness in your leg or foot.
  5. Tingling sensation in your extremity (lower body).
  6. Persistent pain on one side of your butt.
  7. Muscle weakness in the distressful leg or foot.
  8. Shooting pain down the leg which makes it tough to stand up or extend the knee.
  9. Pain in one part of the leg while numbness in another part.
  10.  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:

Sciatica

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!

5 reasons you might need walking aids

Why do you need a walking aid?

Quality of life

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.

  1. difficulties walking whether it’s due to pain.
  2. frequent falls or fear of falling.
  3. tiring quickly.
  4. decreased balance.
  5. 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.

  1. 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.

    Walking Aids

    Different types of crutches

  2. 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

  3. 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. 
  4.  

    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.

Few things to know about your heel pain

What is heel pain?

Heel pain

What causes your heel pain?

Heel pain could be from any reason either your inflamed plantar fascia causing plantar fasciitis or any abnormal bony growth causing heel spurs. To get in further details plantar fasciitis is an irritation and inflammation to the tissue that runs at the bottom of the foot extending from the heel to the toes, causing heel pain. It supports the arch of the foot which helps in shock absorption. On other side, heel spur is when a bony outgrowth forms on the heel, which causes heel pain while walking and standing.

What are the causes of heel pain?

Causes are not limited to high and low arches causing irritation to the plantar fascia with running, jogging, playing any sports, prolonged standing and walking. Also, any strain or tear to the fascia. As a result, if this condition is left untreated can lead to bony growth causing heel spurs.

5 Most common risk factors of pain

  • Improper foot wear: The foot wear without proper arch support or worn-out shoes.

    Causes of heel pain

    Improper footwears

  • Weight gain leads to changes in arches and support and affects the weight transmission and shock absorption.
  • Foot mechanics: flat feet or high arches, stiff mid foot and ankle.

    Risk factors for plantar faciitis

    Types of Arches

  • Age: commonly seen between 40 – 60 years old.
  • Occupation: commonly seen in clients with jobs that requires long standing.

What are the symptoms:

With plantar fasciitis it is like a stabbing pain felt at arch of foot and near the inner part of heel whereas pain with spurs is in the center of heel and also feels like a stabbing.

Heel spurs and plantar fascia

Location of pain

Pain is usually worse in the morning taking first few steps with plantar fasciitis. It usually gets better with walking but comes back with long hours of standing and sitting. On other hand pain with spurs gets worse as the day progresses with long hours of standing and walking. Sometimes, there could be swelling present over the heel area.

How will Physiotherapy help you with heel pain?

Your physiotherapist after a detail assessment would be able to identify the cause of the problem and give you advice on how to modify and handle the situation and life style which will help in the road to recovery. Advice would include,

Arch supports

Foot insoles for arch support

  • How to modify activities of daily living.
  • Advice on foot wear.
  • Suggestions on arch supports and custom-made orthotics, night splint.

Apart from this, treatment sessions will include:

  • Hands on techniques to release the tight plantar fascia, calf, mobilization of foot and ankle manually or with a tool.  Stretches for the tight surrounding structures.

    Techniques to release plantar fascia

    Hawk tool to release plantar fascia

  • Strengthening exercise for the supporting structures and muscles that maintain the arches and functional training
  • Kinesiotapping to relieve stress from the affected structures.

Don’t let your pain affect your quality of life and stop you from doing your activities. Book your assessment session now with qualified physiotherapists of PhysioNow. We have various locations to serve the communities in Mississauga, Oakville and Etobicoke. Contact us and get started today!

Migraine Management

 

What is Migraine and how does it feel?

Migraine is type of headache which radiates to jaw, eyes, one of face and neck and shoulder sometimes. It can cause throbbing and severe sensations on your one side of face including jaw and eyes and forehead. Sometimes, it is accompanied by other symptoms like pressure in back of head, pulsating sensation on face, sensitive to noise, light, nausea and vomiting. Migraine management is of utmost important from the time you start experiencing it.

migraine

Symptoms:

Migraine attacks are long lasting depending on the patient. It can vary from hours to days. Sometimes, it is severe enough to interfere in your daily life and work life.

Sign and symptoms:

  • Pressure/tension in different area of head, usually in back of the head
  • Difficulty in Concentration
  • Nausea and sometimes accompanied by fever
  • Vomiting
  • Sensitive to noise
  • Sensitive to lights
  • Flashes on face
  • Visual disturbance like blind spot or flashes of lights
  • Usually chewing disturbance when jaw is involved
  • Tingling and numbness o face
  • Mood changes
  • Diarrhea

What is Aura?

Migraine starts from some basic symptoms slowly about 15-20 minutes and then lasts for days. However. it usually involves the nervous symptoms first and one after another involves other systems like vision, jaw and teeth, shoulder and neck. Also, starts having visual disturbance like sensitive to screen, wet eye, etc.
– Lock jaw means difficulty in opening jaw
– Sleep disturbance
– Reduce range of motion in neck
– Pressure on back of head
– Ringing in ears
– Feels heavy arms and shoulder

How it starts?

Migraine usually starts with aura and then gets symptoms more severe. It usually begins with dull pain and radiates to face or head and become severe. It gets worse with physical activities. Majority of people usually has nausea, vomiting, fever and mild headache. Migraine can last from 3-5 hours to 3-4 days. It is very common to get migraine stacks once every week or 2-3 times every month.

Migraine

Causes:

There is not any specific cause for migraine. Migraine headache is one of the symptoms. However,  there are some risk factors which could impact migraine like,
– Posture
– Stressful environment
– Sleep disorder
– Desk worker
– Sex: women tend to have more episodes of migraine than men
– Family history: person who has family history of migraine, they are more prone to have migraine attacks.
– Medical conditions such as anxiety, depression, sleep disorder
– Skipping meals
– Caffeine
– Hormonal changes like menopause, menstrual cycle
– after heavy and strenuous physical activities
– change in weather
– Cervical spine derangement

Types:

Following are some common types of migraine. Most of them starts with its Aura.
Tension migraine: Person who has stiff neck and cervical spine derangement could have tension migraine. Sometimes it radiates to neck or mid back.

Menstrual Migraine: It triggers when female is having her menstrual cycle.

Vestibular migraine: Patient has ringing in ear, loss of balance, dizziness while change in positions. Also, patient feels nausea, vomiting, lethargy.

Ophthalmic migraine: In this type of migraine, mostly, accompanied with temporary loss or disturbed vision, wet eyes, concentration disturbance and sensitive to screen.

To know in details about migraines and its type visit this link https://www.webmd.com/migraines-headaches/migraines-headaches-migraines

Migraine management?

There are some researches on migraine management as its cause varies patient to patient. However, based on patient’s symptoms, Physiotherapist will recommend line of treatment. Also, Physiotherapist help you to assess your posture thoroughly and provide relevant treatment. Following are some basic advice or line of treatment for migraine:

Exercises for migraine management:

  • Firstly, posture correction: Try to sit upright and avoid forward head posture. As a result,  your brain gets enough blood supply for its functions and gets less fatigue. Also, Work on your neck and thoracic spine muscles to keep your posture upright. However, strengthening and stretching exercises for back paraspinals will help maintain proper posture. Try to avoid forward head posture and keep your neck and neutral and straight position. Try to use back support and ergonomic chair to keep your posture straight.
  • Secondly, eye exercise: Working on desktop most of the time of the day makes our eye muscles weak. Contact your physiotherapist for better assessment and figure it out which exercise will make your eyes healthier.
  • Lastly, sleeping position: Most of the episode of migraine starts since patient wakes up in the morning. One of the causes would be neck position while sleeping.
    Therefore, contact your physiotherapist for better advice on your sleeping posture and sleeping pillow.

Home-education for migraine management:

  • Most importantly, manage your screening time. IT profession and one who work on desk mostly, they have to manage their screen time and break time. Try to take few minutes break every 3-4 hours to give relaxation to your eyes and brain. Also, Keep your work station ergonomically correct which will enhance your productivity for your work.
  • Moreover, try to take 7-8 hours deep sleep. It will provide relaxation to your brain and makes it ready next day to work again with best capacity.
  • Lastly, also avoid skipping your meal. Try to have your all meals on time. Because our body needs carbohydrates on regular time for better work. Our body has set up its biological cycle to have source of energy. If you skip meals, brain starts to get tired easily and begins sign and symptoms of migraine.

In conclusion, if you have a long history of migraines, seek help of highly skilled physiotherapist at PhysioNow. Book your appointment today.

PELVIC PAIN AND PELVIC FLOOR DYSFUNCTION

PELVIC PAIN AND PELVIC FLOOR DYSFUNCTION

What is pelvic pain and pelvic floor dysfunction?

There are a number of conditions which cause pain and pelvic floor dysfunction. We have discussed a few of those conditions here today. Fortunately most of the conditions are treated with physiotherapy interventions.

Pelvic area

Pelvic pain and dysfunction

Common conditions related with internal pelvic structures:

Provoked vestibulodynia: In this your pelvic area is very sensitive to touch or pressure. You will feel pain with

  • light touch,
  • pressure,
  • inserting tampons,
  • wearing tight pants or
  • intercourse.
  • urinary urgency

Vaginismus: You feel difficulty and/or pain with vaginal penetration. This will lead to avoidance of sexual activity or internal pelvic examination.

Bladder pain syndrome: You feel pain and pressure with urge to urinate at any time. You will get an increased urge to urinate. Symptoms usually starts with bladder infection.

Dysmenorrhea: You will feel painful cramps with mensuration. It affects about 90% of the women. This could include pelvic adhesions, pelvic inflammatory disease and cervical stenosis.

pelvic pain

Pelvic pain

Conditions related to activities and damage to structures:

Dyspareunia: It is pain with sexual intercourse. Damage to the structures like:

  • episiotomy,
  • tears,
  • reduced mobility of cervix or soft tissues,
  • bladder pain,
  • overactive  muscles and
  • inflammation

Coccyx pain:  It is the pain in tail bone are with sitting, sit to stand, sexual activity, or with bowel movements. Usually caused by any trauma, inflammation or muscle imbalance.

Conditions involving neurological structures:

Pudendal Neuralgia: There is pain and numbness in the area supplied by nerve from anus to penis or clitoris. You will feel pain with sitting, fecal and urinary incontinence.  There are other underlying conditions that can restrict your pelvic mobility. This leads to compression of your pudendal nerve.

Male pelvic pain issues:

Certain conditions such as dysfunction of pelvic muscles, non-bacterial inflammation of prostate, Pudendal neuralgia, anal fissures, Coccydynia, bladder pain causes pelvic pain in male patients.

If you want more information about the conditions which cause pelvic pain visit this link https://www.onhealth.com/content/1/pelvic_pain_causes

Experiencing any of the above symptoms?

Pelvic floor therapist helps you with thorough assessment and  treatment based on the diagnosis. Educating you about the cause of the pain. Managing with home exercise program.

Pelvic health

Treatment techniques done by pelvic floor physiotherapists:

For vestibulodynia:

Physiotherapy is considered as the first line of treatment for you. Your physio will treat with tissue care, manual techniques for painful points, muscle imbalance,  relaxation techniques. You will learn to avoid wearing tight clothes and diet modification.

For Dyspareunia:

Relaxation techniques along with dilator insertion helps to relieve tension in the vaginal area. Pelvic therapist will  releases scar tissue in the vaginal area which reduces pain. Soft tissue techniques improves the mobility of the cervix and scar tissue.

Bladder pain syndrome:  Releasing the tension in pelvic floor muscles and posture correction helps to reduce your symptoms. Incontinence can be treated with pelvic floor muscle training, positioning and certain stretches of the muscles in the pelvic floor area.

Vaginismus: Treatment involves stretching of pelvic floor tissues with external and internal techniques, scar mobilization, muscle overactivity with dilators and relaxation techniques.

Dysmenorrhea: Techniques involve breaking the adhesions in the pelvic floor area and release the narrowing in the cervix.

Techniques to help to reduce your pain:

  • Relaxation techniques,
  • stretches,
  • soft tissue release

Injury with any activity:

Pudendal neuralgia: Your Physio will treat you with nerve release, stretches, and posture correction. Sensory re-education to reduce the numbness in the pudendal nerve supply.

Coccyx pain: Treatment involves pelvic floor relaxation techniques,  mobilization of coccyx. We will mobilize it internally and externally. Proper positioning with cushion, exercises to improve the mobility  helps to reduce the pain the coccyx.

Male pelvic pain: Treatment includes release of pelvic floor muscles to ease up the pain. We will treat you with stretches, positioning, mobilization, relaxation.

DON’T WAIT TO START PHYSIOTHERAPY  TREATMENT

If you notice any of the above symptoms, it’s important to consult your pelvic floor physiotherapist. You can reduce the risk of complications by taking early treatment.. Book a consultation at PhysioNOW with a Registered Physiotherapist today.