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Say Goodbye to Knee Pain with Orthopedic Custom Knee Brace!

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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!

General Category, Manual Therapy, Massage Therapy, Motor Vehicle Accidents, neck pain, Registered Physiotherapy Mississauga

Whiplash

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Whiplash

What is whiplash?

When your neck is suddenly and forcefully jolted forward or backward, there is a possibility that you had a whiplash. It typically causes an intense stretch on the soft tissues around your neck, beyond the normal range of motion. As a result, there is acute pain, stiffness or tightness around your neck.

Whiplash Injuries

Whiplash injury

There are different categories of whiplash. The Quebec Classification of Whiplash Associated Disorders (WAD) classifies it as-
• Grade 0: No complaints about the neck. No physical sign(s).
• Grade I: Neck complaint of pain, stiffness or tenderness only. No physical sign(s).
• Grade II: Neck complaint AND musculoskeletal sign(s).
• Grade III: Neck complaint AND neurological sign(s).
• Grade IV: Neck complaint AND fracture or dislocation.


What are the causes of whiplash?

Most commonly, whiplash is caused during car accidents. However, it can also be caused by other reasons like-
-Fall from a height leading to over extension of the neck
-While playing sports like soccer, basketball
-Physical abuse where the neck or head is shaken
-Trauma to the neck with a heavy object
-Accidents during adventure sports


What are the symptoms of whiplash?

The symptoms may or may not start immediately. They can start even after 24 hours and gradually worsen. Mostly, the symptoms settle down in a few days. However, sometimes the symptoms can last for a long time causing significant distress.  Common symptoms of whiplash can include:
-Pain and tenderness in the neck and upper back
-Neck stiffness
-Restricted range of motion of the neck
-Headache typically around the base of the skull
-Dizziness
-Pain, tingling or numbness radiating down to the arm, forearm or hand
-There may be other symptoms including ringing in the ears, anxiety or memory disturbances


How do you diagnose whiplash?

You will be taken to a hospital if you are involved in a serious accident. There, they will assess you and do further investigations, if required. Usually, they will perform an X-ray to check for any bony injuries or to rule out arthritis. They may also do an MRI or a CT-scan to evaluate for inflammation and soft tissue damage. If the symptoms start after 1-2 days of injury and are persistent, you can get in touch with your doctor who will guide you further.
As whiplash is sometimes associated with concussion, a few additional tests may be done to confirm the same. Although, the symptoms of concussion might be more severe than that of a whiplash.


How can you treat whiplash?

Rest and pacing your activities:


It is advisable to rest for the first 2 days. This does not mean you have to be on bed rest but just less activities and resting when possible. Ice pack can give some relief. Applying an ice pack around the neck helps reduce the swelling and pain.
After the first 2 days, you can gradually start being more active. You should also try to return to school or work if possible and not wait for 100% recovery. You can also apply a heat pack now instead of the ice pack.


Medications:

Over the counter medications can help in reducing pain in the earlier stages of whiplash. However, if you have seen your doctor already, they might prescribe some medications for you as well.


Maintaining good posture:

It is very important to maintain a good posture after whiplash.  Specifically, a slouched posture will stretch the neck muscles more, leading to more pain.  Therefore, try to take a break from a sustained position every 30-45 minutes.


Physiotherapy:

Post whiplash, physiotherapy can help with improving the flexibility and strength of your neck muscles.  In addition, physiotherapists can also help with different pain-relieving methods and postural modifications.

Massage therapy:

Massage therapy can help to relieve your muscle tension, improve blood circulation and thus help in pain relief.


How can we help at PhysioNow?

We have a team of experienced physiotherapists and massage therapists that can help you. The physiotherapist will do an assessment and formulate a treatment plan for you. Thus, if you have had whiplash recently or a while ago and are still having persistent symptoms, contact us today at PhysioNow!

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Physio for Car Accidents

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Treatment after Car Accidents

Physio for Car Accidents
Physio for Car Accidents

Car accidents are events that no one wants to be in.  Unfortunately, traffic, weather conditions and bad driving result in hundreds of car accidents. These accidents occur daily, such as in Mississauga, Etobicoke and Oakville.  These accidents can range from minor to horrible accidents. As a result, these terrible accidents can cause serious injuries. Thankfully, many of the accidents have few long lasting effects on your health.  However, any accident can really affect your life. Physio for car accidents can help restore your health.

Role of your Car Insurance

There many things you need to do after a car accident. Firstly, you will need to tell your car insurance about the accident. Secondly, you will need to deal with the damages of the vehicle.

Above all, you need to recover from your injuries.  It is important to report the accident as quickly as possible.  As a result, it makes dealing with the car insurance a lot easier. If there are injuries , you can use the car insurance benefits to get physio for car accidents.

You will be assigned an adjuster from your car insurance to help you with your claim. As a result of the injuries, your adjuster will suggest Physio for car accidents.

The adjuster has a list of preferred clinics that provide Physio for car accidents. Many of these clinics will be located in Mississauga, Etobicoke and Oakville.  PhysioNow is a preferred car insurance provider that will be included on the list from your adjuster. 

What to expect at your assessment?

PhysioNow has 4 locations across Mississauga, Etobicoke and Oakville. We receive many referrals from people involved in car accidents. Our front desk staff will call you to book your initial Physio appointment.  When you come in for the assessment, firstly we will get a bit of information about you and the accident.  The role of the clinic administrator is to simplify the process of booking and billing. 

Physio for Car Accidents Plan

Secondly, you will meet with the Registered Physiotherapist. The Physiotherapist will ask about the accident and assess your painful areas.  Once the Physiotherapist has all of the information, they will complete your treatment plan. We will submit this to the car insurance adjuster on your behalf.  This document will outline your injuries, and any medical history. It will also include the number and type of treatments that the Physiotherapist is recommending for you.

Car Accident Physio Options

Your Physiotherapist may also recommend massage therapy or other products to help you get better faster.  The exact timeline of the treatment plan and how many visits are allowed will be dependent on whether the injuries are considered “minor” or “major” by the car insurance company.  The Physiotherapist will be able to decide which treatment guideline that applies to you and they will discuss this with you.  Once the forms are completed, the Physiotherapist will review the contents of the plan with you.

Follow-up Car Accident Physio Appointments

Follow-up appointments will focus on treatment and helping you to get better.  The type of treatment received depends on the injuries. Normally, treatments will be as follows:

Firstly, you will get machines put on that reduce pain.

Secondly, hands on treatment techniques and lastly, exercises for home. 

Recovery from a car accident can take time. The body takes in a lot of stress from the accident. Therefore, these injuries take a long time to heal.  As a result, it is important to stay consistent with your treatment. In this way, the body can benefit the most.  The goal is to help you to return to all of the activities that you were able to do before the accident.


FEES for Physiotherapy/ Massage Therapy after a Car Accident

All fees should be covered for the treatment you receive after a car accident. By law, your Physiotherapy clinic is required to first bill any extended health insurance (EHC) that you may have. Anything that is not covered by your EHC insurance is then passed on to your car insurance. You should never be out of pocket for treatment received for Physio after Car Accidents.

Our Physio clinic administrators will try to take the work out of the billing and paperwork for you! If you or someone you know has been involved in a car accident, Please give us at 289-724-0528. At PhysioNow we are ready to help! Same day appointments are often available. We have highly trained Physiotherapists and Massage Therapists at all of our locations.

Physiotherapy & Sports Injuries
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Physiotherapy & Exercise

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Pain and injury can happen to anyone.  Most people have at least one injury or episode of pain in their lifetime. As a result, this leads them to seek professional help.  The most common types of injuries are related to muscle, bone and joints.  However, underlying diseases can also result in pain that leads people to seek Physiotherapy & Exercise.

What are the different types of
Physiotherapy & Exercise available?

  • Physiotherapy
    • Physiotherapists use their knowledge of the body to provide Physiotherapy & Exercise treatment. In addition, they assess, diagnose and treat symptoms from injuries.
  • Massage Therapy
    • Massage therapy is the manipulation of soft tissues. For example: muscles, connective tissues, tendons, ligaments and joints.
    • Massage therapy reduces pain associated with everyday stressors. For example, muscular over-use and chronic pain conditions.
  • Osteopathy
    • Osteopathy views the body as a unit. Above all, they believe that healthy tissues require proper circulation of our body’s fluids
    • Osteopaths use hands on treatments to assess and restore balance through our body’s systems. For example: musculoskeletal, cardiovascular and neurological,

Different Types of Physiotherapy & Exercise

There are many Physiotherapy & Exercise options to help with recovery from an injury. For example:

Electrical modalities
Electrical Modalities
  • Manual therapy
    • Soft tissue releases
    • Joint mobilizations
    • Joint manipulations
    • Passive stretching 
  • Electrical modalities
    • Ultrasound
    • Laser
    • Interferential Current
    • TENS
    • Shockwave
  • Decompression therapies
    • Mechanical lumbar traction
    • Mechanical cervical traction
    • Inversion tables
  • Alternative treatments
    • Acupuncture
    • Cupping
  • Supportive products
    • Braces
    • Taping
Meniscal Injuries
Custom Knee Unloader Brace for Meniscal Injuries


How do I know what treatment is right for me?

It is hard to choose what kind of treatment to try. In other words, deciding what would be most effective for treating your pain.  This is especially true if this is your first time experiencing an injury and/or pain. 

A lot of people end up trying what they are familiar with.  For example, if you have had previous injuries and had Physiotherapy & Exercise for those injuries, you would know what worked.  There is a personal preference regarding which Physiotherapy & Exercise treatments work best for us.

What Physiotherapy & Exercise provides the best overall results?

Physiotherapy & Exercise
Physiotherapy & Exercise

The one type of treatment that is the most beneficial is Physiotherapy & Exercise. This is mainly because our bodies are built to move.  There is truth in the saying, “If you don’t use it, you’ll lose it.” 

Exercise has positive results for almost all injuries .  The type of Physiotherapy & Exercise that is best will depend on the injury.  There is no universal approach to exercise that works for everyone.  This is because we are all built differently. However, what works for one person doesn’t mean it will work for another. 


What type of exercises are most beneficial?

  • Muscle and bone injuries will require some form of mobility. Most importantly, progressive strengthening exercises. 
  • Nervous system diseases such as strokes or Parkinson’s Disease will require more balance and functional exercises. 
  • Respiratory illnesses like COPD or emphysema will need exercises that improve and strengthen the muscles of breathing and posture
  • Concussion rehabilitation will need visual and vestibular re-training exercises. 
  • Conditions such as diabetes, cancer, cardiovascular disease, autoimmune conditions need a combination Physiotherapy & Exercise. Therefore, cardiovascular and strengthening exercises have been shown to be most effective in managing their condition. 


Which healthcare professional can prescribe Physiotherapy & Exercise?

It is up to the health care professional to assess your condition and prescribe the correct exercises for you.  Registered Physiotherapists are experts in the assessment of all types of injuries.  They will be able to give the most appropriate treatment for you. As a result, there is always a strong emphasis on exercise and promoting activity. 

A Physiotherapist will be able to develop a specific exercise program for you. They will factor in your age, fitness level and ability to do the exercises at home.  The physiotherapist will be able to guide you with adding exercises into your routine so that it becomes a habit.

Why is exercise therapy an important part of treatment?

A lot of times, people who are inactive think that exercise therapy refers to working out in a gym.  Exercise therapy can refer to any exercise that you enjoy doing. For example: stretching, riding a bike, swimming, yoga and lifting weights.

Pain or Fear of Injury

If pain or fear of injury is preventing you from exercise, seeing a Physiotherapist can help get the process started.  Firstly, a Physiotherapist can assess where the source of the pain or weakness is coming from. Secondly, they start giving the most appropriate exercises to overcome those restrictions. 

Subsequently, with effort, consistency and time, you can see the difference that exercise therapy can provide. As a result, this will lead you to include activity into your everyday life.  Feeling confident with your progress will help lead you to seek out similar active programs in your community.

In Conclusion

Exercise should always be a part of the treatment plan.  With an aging population, there needs to more emphasis placed on Physiotherapy & Exercise. As a result, this will prevent weakness related to ageing and frailty.  Strength and ongoing exercise will allow you to maintain your function and independence as you age. 

If you or someone you know would benefit from Physiotherapy & Exercise, please call today. At PhysioNow Mississauga and PhysioNow Etobicoke, we are ready to help!

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Accident Rehabilitation

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Accident Rehabilitation

Accident Rehabilitation

What is Accident Rehabilitation?

Motor vehicle accidents happen everyday in Ontario.  As a result, they produce a lot of pain, disability and stress for those involved. The impact can be quite debilitating. Accident rehabilitation is treatment that is given after being involved in a motor vehicle accident. It is important to seek out Registered Physiotherapists who are experienced in Accident Rehabilitation to ensure proper recovery. At PhysioNow we offer high quality Registered Physiotherapy and Registered Massage therapy treatments to help you recover from your injuries.

Accident Rehabilitation

Registered Massage Therapy

Who is entitled to receive Accident Rehabilitation?

Any person who has been involved in a motor vehicle accident in Ontario is entitled to receive Accident Rehabilitation benefits . This would include if you were a pedestrian hit by a vehicle.  It would also include coverage for treatment if you were involved in an accident outside of Ontario, but reside in Ontario.  However, if you are  injured and do not have your own insurance, you can still apply for accident benefits. The circumstances of the accident will determine which insurance company will pay for the benefits. For instance, you may be covered by the person that hit you or the Motor Vehicle Accident Fund.

How much accident benefit coverage is available?

The amount of the benefits that you are entitled to depends on the severity of your injuries. There are two categories of benefits available:

  • Minor Injury Guideline (MIG)

    • This plan is for people who have minor injuries including whiplash and sprains and strains.
    • The majority of motor vehicle accident injuries fall within this category
    • The MIG plan is standardized across all of Ontario in terms of its entitlement to Treatment benefits no matter where you receive treatment.
    • If you are under a MIG, the maximum benefit under the MIG is $3500

 

  • Major Injury Guideline (non-MIG)

    • This plan is  for people who have suffered serious injuries from an accident
    • Examples include fractures, surgeries, major neurological trauma and concussions
    • The maximum entitlement under this plan will vary depending on your injuries, but could be up to $65,000.

What is the process of receiving accident benefits?

Once the accident is reported to the insurance company, the  adjuster will ask if there are any injuries from the accident.  The adjuster will send you a package of forms that you have to complete and send back. The adjuster will also likely put you in touch with an approved physiotherapy clinic in the area closest to you. The clinic will then contact you to schedule an initial assessment.

1st visits with a Physiotherapist can take place within 1 day of the accident.  You are also able to go directly to your Approved Physiotherapy Clinic to initiate a claim and get started on your treatment.  The Approved Clinic can get the paperwork started for you.

PhysioNow is an approved company for the purposes of Motor vehicle accidents in Ontario.  PhysioNow is allowed to directly bill your treatment to your Auto Insurance company. They can provide all of the forms that you need to get started.

 

Accident Rehabilitation

Whiplash Pain

What are the most common injuries from a Motor Vehicle Accident?

Most car accidents tend to be minor in nature. The most common types of injuries are:

  • Whiplash

    • Happens when the force of the impact pushes your neck back and forth really fast
    • This causes a sprain/strain of the your muscles and ligaments of the neck
    • Symptoms range from pain, stiffness, numbness/tingling into the arms and hands, headache and loss of motion

  • Thoracic & Lumbar strains

    • The impact causes the joints and muscles of the spine to be over-stretched
    • The mechanism is similar to whiplash
    • Symptoms include pain, limited movement, numbness/tingling into the arms and/or legs, weakness

  • Shoulder strains

    • It is common for the shoulder to get injured in a car accident, especially for the driver – this is because their arms are usually holding on to the steering wheel

  • Concussion

    • Concussions are a form of a traumatic brain injury and can vary from mild to severe
    • It is possible for Concussions to occur as a result of either direct or indirect trauma to the brain
    • The most common symptoms of a concussion are dizziness, nausea, sensitivity to light and sound, headache, fatigue, difficulty concentrating and fogginess

    • Accident Rehabilitation

      Concussion

What can I expect from my first visit at the physiotherapy appointment?

During the initial visit, you will have to complete some forms.  These forms are essential to submitting a successful claim. The experienced administrators at PhysioNow can help you to fill them out to make the process easier for you. The good thing about the  paperwork is that you only need to complete it once! After the initial paperwork, you can focus just on your recovery.

What can I expect from my Initial Assessment with the Registered Physiotherapist at PhysioNow?

Your Registered Physiotherapist will meet with you.  We will start by asking some questions to get an understanding of your injuries. For example, some sample questions can include:

  • How did the accident happen?
  •  Questions that will screen you for more serious injuries that could require further medical attention
  • Locating all the painful areas and injuries that have occurred
  • Details about past medical and injury history

Once this information has been collected, your Registered Physiotherapist will do a full assessment. We will check all of your  affected areas for movement and strength. This will start to give us an idea of the severity of your symptoms. We will then use this information to decide whether you will be classified as either MIG or non-MIG.

After this, we will then  fill out the required treatment plan for you.  In conclusion, we will go over what the plan will look like with you. Lastly, they will discuss treatment timelines and treatment goals. At PhysioNow, there will also be  time allocated  to start some light treatment to give you pain relief.

What kind of treatment will be provided for Accident Rehabilitation?

The types of treatment provided after vehicle accidents  will depend on the nature of your injuries.  It will also depend on  what your Physiotherapist feels is most appropriate for  you, taking into account all of your injuries. As a result, your treatment plan may include a variety of different treatments such as:

  • Treatment will start slowly at first and focus first on pain control,
  • Modalities – Ultrasound, Laser, Interferential Current
  • TherapyManual therapy – gentle soft tissue work, mobilizations, assisted stretching
  • Exercises – range of motion, postural and strengthening exercises
  • Concussion Treatment if needed
  • Education – explanations of the injuries and do’s and don’ts to help the recovery process
  • After that, this will be followed by recovery of movement, and then strength.
  • Lastly, we will work on helping you get back to all of your normal activities both at home and work

  • Neck Pain Treatment

    Accident Rehabilitation

How long will the treatment  take to complete for Accident Rehabiliation?

The length of the treatment plan depends on whether you are on a MIG or non-MIG pathway.

  • MIG (Minor Injury Guidleline)
    • 2 phases
      • 1st phase: 12 weeks in length
      • 2nd phase (if required): additional 4-8 weeks
    • Non-MIG ( Non- Minor Injury Guideline)
      • Timeline is at the discretion of your physiotherapist and will vary depending on your injuries
      • For post-surgical cases or individuals with multiple serious injuries, the timeline can be well over 1 year

As a result, it is very important to seek out Accident Rehabilitation as soon as possible when you have been involved in a car accident. The pain and limitations that you experience after an accident can really affect your quality of life. Therefore, scar tissue from injuries starts to form quickly after an injury.

At PhysioNow we want to help you get back on your feet and back to doing things that are important to you!  Give us a call at 289-724-0448 to get started today!