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Carpal tunnel syndrome

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Carpal tunnel syndrome

Carpal tunnel is the entrapment of median nerve at the wrist. Carpal tunnel syndrome leads to pain, numbness and tingling in first three fingers of the hand sparing the palm, weakness of thumb, loss of grip strength and dexterity.

Symptoms are usually worse at night and are eased by shaking the hand. Anything that irritates the median nerve at the wrist can lead to carpal tunnel syndrome. This can include a fracture around the wrist, swelling due to inflammatory conditions such as Rheumatoid arthritis, changes in the balance of body fluids as in pregnancy and menopause. It can also include workplace factors such as vibrating tools, poor position of the hand, obesity, diabetes mellitus or double crush syndrome.

Carpal Tunnel Syndrome needs to be differentiated from wrist tendonitis, cervical radiculopathy, cervical derangement and thoracic outlet syndrome leading to similar types of symptoms. If not treated at the right time, it can lead to varying degrees of functional loss.

Treatment for Carpal Tunnel Syndrome

There are two general approaches for treatment for carpal tunnel syndrome – conservative treatment and surgical treatment.
Your Registered Physiotherapist will address the following strategies to help you with your symptom management and treatment:

• Education: It is important to maintain healthy weight, exercise and manage any health problem such as diabetes.
• Proper body mechanics: Keeping your wrist neutral,
avoiding repetitive wrist flexion movements, tight pinching and gripping
An Ergonomic assessment of your workplace can help to prevent recurrence.
• Decompressing the nerve: Mobilisation of certain carpal bones such as the capitate helps to create more space for the median nerve and hence decompress the nerve.
Stretching the retinaculum and improving the flexibility of the muscles around the wrist will also help. Nerve and tendon gliding exercises will ensure the unrestricted motion of the nerve.
• Grip strengthening exercises, fine motor and hand dexterity exercises and postural correction.
• Treat the spine if your symptoms are related to double crush syndrome.
• Taping the wrist or using a Wrist splint.
Check out this link for more information.

The earlier the carpal tunnel syndrome is treated, the less likely are the chances for symptoms to return.Carpal tunnel syndrome Resolution of the symptoms after surgery can be more temporary if the symptoms originate from elsewhere. Our experienced Registered Physiotherapists at PhysioNow will assess you to find out the actual cause of your symptoms and will help you to get rid of your symptoms. Call today!

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Endometriosis Physiotherapy

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Endometriosis Physiotherapy

Endometriosis is the abnormal growth of cells (endometrial cells) similar to those that form the inside of the uterus, but in a location outside of the uterus. Endometriosis Physiotherapy: fortunately there is something that you can do about this!
Endometriosis Physiotherapy

Cause of Endometriosis

The cause of endometriosis is unknown. One theory is that the endometrial tissue is deposited in unusual locations by the retrograde flow of menstrual debris through the Fallopian tubes into the pelvic and abdominal cavities. The cause of this retrograde menstruation is not clearly understood. These lesions are most commonly found on the ovaries, the Fallopian tubes, the surface of the uterus, the bowel, and on the membrane lining of the pelvic cavity (i.e. the peritoneum).
It is also likely the direct transfer of endometrial tissues at the time of surgery may be responsible for the endometriosis implants occasionally found in surgical scars (for example, episiotomy or Cesarean section scars).
Finally, there is evidence that some women with endometriosis have an altered immune response. They are less commonly found to involve the vagina, cervix, and bladder.

Signs and symptoms of Endometriosis Physiotherapy

Some women experience mild symptoms, but others can have moderate to severe symptoms. Pelvic pain is the most common symptom of endometriosis. You may also have the following symptoms:
• painful periods
• pain in the lower abdomen before and during menstruation
• cramps one or two weeks around menstruation
• heavy menstrual bleeding or bleeding between periods
• infertility
• pain following sexual intercourse
• discomfort with bowel movements
• lower back pain that may occur at any time during your menstrual cycle
• bloating and distention

Endometriosis Physiotherapy Treatments

A Pelvic health Physiotherapist will evaluate the alignment, musculature, fascial systems, and movement patterns in the pelvis and body for issues that activate your pain and decrease your quality of life.
They develop a treatment programme according to your specific needs. Registered Physiotherapists can help to manage the symptoms of endometriosis such as painful menstrual cramping, abdominal discomfort, pelvic floor pain, and painful intercourse by:
• treating connective tissue dysfunction
• treating myofascial trigger points
• “Visceral manipulation therapy” mobilizing viscera (gentle manual therapy techniques aimed at releasing adhesions and restoring the proper mobility of the internal organs, such as the uterus, bladder, colon and small intestine)
• correcting postural and movement dysfunction (often when we are in pain not only does it change our muscle tone but it causes us to move and posture ourselves differently than we typically would.
• providing patients, the correct postural techniques.
Registered Massage Therapy may also be beneficial in the treatment of Endometriosis, especially if you are suffering from Low Back Pain. If you are interested in booking a massage, give us a call today!
Check out this link to the Mayo Clinic for a bit more information .

At PhysioNow, we have specially trained Pelvic Health Physiotherapists standing by to help Now! Call today to get started on your recovery from Endometriosis!

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Massage Therapy Services Mississauga

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Massage Therapy Services Mississauga

Massage therapy involves skilled manipulation of the soft tissues (skin, muscle, fascia, tendons, ligaments) and joints in your body. A variety of techniques can be used in Massage therapy services Mississauga to help reduce tension in stiff muscles. It can help to promote lymph and blood flow and speed up the healing of injured tissues. Massage therapy has a therapeutic effect on the body and helps you to recover from injuries to muscles, circulatory and the nervous system.

Massage Therapy Services Mississauga: Types

1) Relaxation/Swedish Massage– primarily used to enhance wellbeing and is generally offered in spas, resorts

2) Rehabilitative/Deep tissue/ Therapeutic Massage- Primarily aids in promoting healing of injured tissues. This facilitates early recovery. Registered Massage therapists who are skilled and trained in performing these maneuvers perform Rehabilitative Massage Therapy. This service is offered in medical clinics .

Massage Therapy Services Mississauga

Massage Therapy Services Mississauga

Benefits of Massage Therapy Services Mississauga:

1) To alleviate pain
2) To decrease muscle spasms
3) To decrease stiffness in joints
4) To decrease tightness in muscles
5) To promote relaxation
6) To decrease inflammation
7) To enhance circulation
8) To decrease stress
9) To decrease anxiety
10) To improve posture
11) To correct muscular imbalances

Conditions treated by Registered Massage Therapists:

1) Rotator cuff tear
2) Frozen shoulder
3) Tennis elbow
4) Golfers elbow
5) Carpal tunnel syndrome
6) Sciatica
7) Disc herniation
8) Arthritis- Hip/Knee
9) Stiff/sore low back
10) Hip bursitis
11) Knee Meniscal Injury
12) Ankle sprain
13) ACL injury to the Knee
14) Post surgical-Total Hip Replacement/ Total Knee Replacement
15) During pregnancy
16) Neck strain
17) Postural stress

Check out this website for more information.

At PhysioNow Mississauga, we have a number of highly skilled Registered Massage Therapists available at each of our offices to help you. We often find that the combination of Registered Physiotherapy and Registered Massage Therapy is quite powerful. Once a Physiotherapist has assessed your condition, they can help to guide the Registered Massage Therapist so that you get the maximal benefit from all of your treatments. We have Registered Massage Therapists available 6 days per week from Monday to Saturday. Please call 289-724-0448 today!

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HIP REPLACEMENT TREATMENT

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HIP REPLACEMENT TREATMENT

HIP REPLACEMENT TREATMENT will help speed up the recovery process. Healing and recovery time varies between patients. Proper management is important after hip replacement surgery to minimize complications. Supervised Hip Replacement Treatment will help to restore strength and range of motion.

This guide can help you better understand your exercise and activity program. At PhysioNow, our Registered Physiotherapists will help you return to your daily activities. To ensure your safe recovery, be sure to check with your physiotherapist at PhysioNow or surgeon before performing any of the exercises shown.

SAFETY PRECAUTIONS AFTER TOTAL HIP REPLACEMENT UP TO 12 WEEKS MINIMUM:
After hip replacement surgery precautions must be taken to allow proper healing. It is important that you must follow the safety precaution at all times in the first 12 weeks after your surgery.

– Avoid extremes range of motion at all times
– When seated, ensure your knees should always be lower than your hips
– Use a raised toilet seat
– Use a cushion when sitting in a vehicle
– Sit on a high, firm chair at the level of your knees or higher.
– Do NOT lean forward from a sitting position to reach for items or put on shoes
– Use a long-handled shoe horn or reacher instead
– Do NOT twist your leg or turn your hip or knee
– Do NOT twist your trunk. Move your feet to turn when you are standing
– Do NOT sit cross-legged
– Do NOT cross your ankles when lying on back

DECIDING HOW MUCH WEIGHT TO PUT ON YOUR NEW HIP?
Your surgeon will decide your weight bearing status based upon the following:
-The type of surgery and prostheses used
-The condition of the your natural bone
-How the prostheses was fixated to the natural bone

Follow instructions from your surgeon at the hospital and at home upon discharge. Initially you will be advised to put a small percentage of weight on the affected leg. With proper exercise and keeping safety precautions in mind, you should be able to restore strength to your new hip over time.

TOTAL HIP REPLACEMENT TREATMENT GUIDE FOR WEEK 1 TO 4

1) ANKLE PUMPS:
Slowly point the toes as far as possible then pull them back toward you as far as possible.
Repeat this exercise several times a day, as often as every 10 to 15 minutes.

Ankle Pumps #1

2) ANKLE ROTATIONS:
Move your ankle inward toward your other foot and then outward away from your other foot.
Repeat 5 times in each direction.
Perform 3 to 4 sessions a day.

3) BUTTOCK CONTRACTIONS
Tighten your buttock muscles.
Hold for 5 second. Repeat 10 times.
Perform 3 or 4 sessions a day


4) HIP ABDUCTION
Slide your leg out to the side as far as you can and then back.
Repeat 10 times.
Perform 3 or 4 sessions a day

5) QUADRACIPS SET
Tighten your thigh muscle. Try to straighten your knee. Hold for 5 to 10 seconds, repeat 10 times.

6) STRAIGHT LEG RAISES
Tighten your thigh muscle with your knee fully straightened on the bed. Lift your leg several inches off of floor. Hold for 5 to 10 seconds. Slowly return, repeat 10 times.

7) STANDING EXERCISES
Make sure you are holding on to a firm surface such as a bar attached to your bed or a wall when performing standing exercises.

8) STANDING KNEE RAISES
Lift your operated leg only few inches off the floor, below your waist.
Hold for 2 to 3 seconds, and put your leg down. Repeat 10 times both legs.
Perform 3 or 4 sessions a day.

9) STANDING HIP ABDUCTION
While standing, raise your leg out to the side. Keep your knee straight and maintain your toes pointed forward the entire time. Slowly lower your leg so your foot is back on the floor.
Repeat 10 times on each leg.
Perform 3 or 4 sessions a day.

10) STANDING HIP EXTENSIONS
Standing tall and keeping knee straight, extend one leg back without leaning forward or arching your back. Return to the starting position.
Repeat 10 times for each leg.
Perform 3 or 4 sessions a day.

Always attempt any exercises within your pain tolerance. Hip replacement surgery can be a rewarding experience, as it will allow you to return to your daily living activities. Please contact our Registered Physiotherapist at PhysioNow to help you assist with your safe recovery.

Registered Massage Therapy is another excellent treatment after having had a Total Hip Replacement. The muscles in the low back and hip area tend to get quite tight after surgery and Registered Massage Therapists are very skilled at releasing this muscle tension. This speeds up recovery time! We have Registered Massage Therapists available daily Monday to Saturday.

If you are considering having hip replacement surgery, check out this link to the Mayo Clinic with some information that may be useful .

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Osgood-Schlatter disease

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Osgood-Schlatter disease

Osgood-Schlatter disease can cause a painful lump below the kneecap in children and adolescents experiencing growth spurts during puberty.
Osgood-Schlatter disease occurs most often in children who participate in sports that involve running, jumping and swift changes of direction — such as soccer, basketball, figure skating and ballet.
Age ranges differ by sex because girls experience puberty earlier than do boys. Osgood-Schlatter disease typically occurs in boys ages 13 to 14 and girls ages 11 to 12. The condition usually resolves on its own, once the child’s bones stop growing.

Osgood-Schlatter Disease

SYMPTOMS
Most parents call the doctor after their child complains of intermittent pain over several months. The pain may be anywhere from mild and felt only during activity to severe and constant.
Other symptoms may include:
• pain that worsens with exercise
• relief from pain with rest
• swelling or tenderness under the knee and over the shinbone
• limping after exercise
• tightness of the muscles surrounding the knee (the hamstring and quadriceps muscles)

Osgood-Schlatter Disease

Causes
• During activities that involve a lot of running, jumping and bending — such as soccer, basketball, volleyball and ballet —child’s thigh muscles (quadriceps) pull on the tendon that connects the kneecap to the shinbone.
• This repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling associated with Osgood-Schlatter disease. In some cases, your child’s body may try to close that gap with new bone growth, which can result in a bony lump at that spot.

DIAGNOSIS
• A doctor will perform a physical exam and check your child’s knee for swelling, pain, and redness. This will usually provide the doctor with enough information to make an Osgood-Schlatter disease diagnosis.
• In some cases, the doctor may want to perform a bone X-ray to rule out other potential causes of knee pain.

TREATMENT
Treatment typically involves:
• icing the affected area two to four times a day, or after doing physical activity
• taking over-the-counter pain relievers, such as ibuprofen or acetaminophen
• resting the knee or reducing physical activity
• wrapping the knee or wearing a knee brace
• stretching
• physiotherapy

FREQUENTLY ASKED QUESTIONS

1.What about playing sports and other activities?

Sport or physical activity is not likely to cause any permanent damage, but may make the pain worse. However, it is often sporty teenagers who develop Osgood-Schlatter disease. If the pain is affecting your ability to do your sport, difficult decisions may have to be made about training schedules and sporting commitments.

2.Is it possible to prevent Osgood-Schlatter disease?

Yes, it’s possible to prevent Osgood-Schlatter disease by limiting stress activities involving the knees. Such sports would include basketball, volleyball, ballet, gymnastics, and high jump. All of these sports require sudden explosive activation of the quadriceps muscles. A proper stretching routine involving the quadriceps and hamstring muscle groups may be helpful to arrest the onset of Osgood-Schlatter disease.

3.Is this disease permanent?

Osgood-Schlatter disease usually resolves on its own once a growth spurt ends. Until then, treatment is focused on relieving symptoms, such as knee pain and swelling.

• Overall Osgood-Schlatter disease could be a debilitating condition if it remains untreated. PhysioNow Mississauga has excellent Registered Physiotherapists who can help your child and get him or her back to their sports career. Call Today 289-724-0448.