Tag Archives: physiotherapy

Modalities, Physiotherapy, Shockwave Therapy

Stubborn Pain? Try Our New Shockwave Therapy!

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Shockwave therapy

What is shockwave therapy?

Shockwave therapy is also known as extracorporeal shockwave therapy. It is a treatment which uses low energy acoustic wave pulsations. The modalities can be directly applied to the area of injury using a gel as a medium. Lately, it is becoming one of the common treatment modalities seen in physiotherapy clinics.

Why is shockwave therapy used?

Importantly, shockwave can be beneficial in treating many musculoskeletal conditions, especially chronic ones. Firstly, it is used to stimulate the body’s natural healing process. Additionally, it can help you to decrease your pain levels by stimulating the nerves around an injured area. Also, the therapy increases blood circulation to the area and can also accelerate protein synthesis, cell growth, and break down stubborn calcium deposits in tissues.

How does shockwave therapy work?

The machine generates shockwaves, which is mechanical energy, throughout the tissue. Consequently, this stimulates a chain reaction or response in the cells which promotes tissue regeneration. The mechanism of action is quite complex as it happens at the cellular level but overall, results in a positive healing response and pain relief effect for the body. The shockwave therapy machine includes different interchangeable heads with different penetration capacity.

What type of injuries can be treated?

Shockwave therapy applied to a patient's heel

The foot is one of the most commonly treated areas with shockwave therapy

Shockwave was initially used to disintegrate renal stones in the 1980s. From there, it was discovered to be effective at treating bone spurs and calcified tissues. The following are a list of injuries that are most commonly treated by shockwave. Even if your injury is not on this list, shockwave may still be an option for you!

  • Planter fasciitis
  • Patellar tendinopathy
  • Upper extremities tendinopathy
  • Lower extremities tendinopathy
  • Tennis elbow
  • Golfers elbow
  • Hamstring injuries
  • Achilles tendinopathy
  • Rotator cuff injuries
  • Sports injuries

When to avoid it:

Shockwave therapy should not be used if you have the following conditions:

  • Active cancer
  • Pregnancy
  • Open wound
  • Infection
  • Pacemaker
  • Blood clotting disorders

Is it painful?

Usually, most patient do not find it painful, but they may feel some kind of discomfort during the application of it. Discomfort also tends to vary based on the area of treatment, with some being more sensitive than others. After the treatment, patient might feel some soreness and notice some redness around the treatment area. However, this is perfectly normal and will go away within a couple of days.

What does a treatment look like?

During your visit the physiotherapist will check your appropriateness for shockwave therapy. Firstly, they will conduct an assessment to rule out any contraindications and precautions for your injury and other overlapping conditions. The one session for therapy is usually between 10-15 mins, depending on the area and condition. Oftentimes, patient feels the difference in their symptoms with just a few sessions, some even immediately after treatment! Usually, your therapist will start with lower intensities and will gradually increase it with respect to your pain tolerance. Our goal is to ensure each patient is comfortable and knows what to expect with treatment. Additionally, shock wave therapy is used alongside other physiotherapy treatments like manual therapy and therapeutic exercises to get the best results.

Need help or more information?

If you are interested in receiving shockwave therapy or want to learn more about it, please contact us at PhysioNow. Fortunately, we have many experienced physiotherapists across Burlington, Oakville, Mississauga and Etobicoke who would love to answer your questions. Currently, shockwave therapy is available at our Applewood location located just off the QEW at the Cawthra exit!

General Category

Fractured Bone? 5 Things You Should Know

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Being diagnosed with a fracture can be a challenging experience, but proper care and attention to your recovery can significantly impact the healing process. Here are five important things to do after being diagnosed with a fracture:

1. Follow Medical and Surgical Advice:

fractured bone types

Types of fractured bones

Listen carefully to your healthcare provider’s recommendations and follow their prescribed treatment plan. This may include wearing a cast or brace for a set number of weeks, taking medications as prescribed, and attending scheduled follow-up appointments. Additionally, if you had a surgical repair, your surgeon may have additional instructions for you to follow. Compliance with this advice will ensure that there are minimal interruptions to the healing stage, and any issues can get caught and managed quickly.

2. Rest and Protect the Fractured Area:

Give your body the time it needs to heal by resting the affected limb or body part. For example, avoid putting excessive weight, movements, or stress on the fractured area. Follow any mobility restrictions to prevent further injury and support the healing process. The most common ways these instructions are communicated are as following:

    1. Non-weightbearing (NWB): No weight is allowed on the limb at all.
    2. Toe-touch weightbearing (TTWB): Only the lightest touch is allowed for balance.
    3. Partial weightbearing (PWB): Usually given as a percentage like 25, 50, or 75%.  This indicates how much of your full weight you can put on the area.
    4. Weightbearing as tolerated (WBAT): You can weight bear as much as it feels comfortable, your limitation will be based more on your pain and/or fatigue.
    5. Full weightbearing (FWB): You can use your full body weight, there are no restrictions.

3. Use Supportive Devices:

Crutches used after a fractured bone

Crutches used after a fractured bone

If your healthcare provider recommends assistive devices such as crutches, a sling, or a walking boot, use them as instructed. These devices are designed to help you move safely while minimizing stress on the fractured bone. Proper use can prevent complications and promote healing.

4. Monitor for Complications:

Keep an eye out for potential complications, such as signs of infection (increased redness, swelling, warmth, or discharge at the fracture site) or circulation problems (numbness, tingling, or changes in skin color). Report any concerns to your healthcare provider immediately.

5.Engage in Rehabilitation and Physical Therapy

Once your healthcare provider gives the go ahead, engage in rehabilitation and physical therapy. These activities are designed to improve joint mobility, strengthen muscles, and enhance overall function. Rehabilitation plays a crucial role in restoring normal movement and preventing long-term complications from your fractured bone.

Overall, it’s important to maintain open communication with your healthcare provider throughout the recovery process. Additionally, report any unusual symptoms, such as increased pain, swelling, or changes in sensation, promptly. Most of the time, follow-up appointments and imaging studies may be necessary to monitor the progress of your bone’s healing.

Recovering from a fracture takes time, and patience is key. It’s essential to prioritize the injury, adhere to medical guidance, and seek support from healthcare professionals to ensure the smoothest recovery. If you have recently experienced a fracture and are looking to start your rehabilitation, PhysioNow has many experienced clinicians to assit you. Book with PhysioNow today for your first assessment and treatment!

Exercise, Hip Pain, Knee Pain

Osteoarthritis: How Physiotherapy Can Stop Your Pain

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Osteoarthritis in the knee. Image by jcomp on Freepik

What is osteoarthritis (OA)?

Osteoarthritis (OA) is the most common form of arthritis. Alternatively, some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees.

With OA, the cartilage within a joint begins to break down and the underlying bone begins to change. These changes usually develop slowly and get worse over time. Eventually, it can cause pain, stiffness, and swelling. In more severe cases, it also causes reduced function and disability; some people are no longer able to do daily tasks or work. Osteoarthritis (OA) is the most prevalent joint disease and a leading cause of disability in older adults.

Signs and symptoms of osteoarthritis:

  • Pain or aching
  • Stiffness
    Decreased range of motion (or flexibility)
  • Swelling

Risk factors:

  • Joint injury or overuse—Injury or overuse, such as repetitive knee bending or stress, can cause damage and increase the risk of OA in that joint
  • Age—The risk of developing OA increases with age.
  • Gender—Women are more likely to develop OA than men, especially after age 50
  • Obesity—Extra weight puts more stress on joints, particularly weight-bearing joints like the hips and knees. Consequently, this extra stress increases the risk of OA in that joint. Obesity may also have metabolic effects that increase the risk of OA
  • Genetics—People who have family members with OA are more likely to develop it. Additionally, people who have hand OA are more likely to develop knee OA
  • Race— Some Asian populations have lower risk for OA.

How is it diagnosed?

A doctor diagnoses OA through a review of symptoms, physical examination, X-rays, and lab tests. Furthermore, a rheumatologist, a doctor who specializes in arthritis and other related conditions, can help if there are any questions about the diagnosis.

How is it treated?

There is no cure for OA, so doctors usually treat OA symptoms with a combination of treatments which may include the following:

  • Increasing physical activity
  • Physical therapy with muscle strengthening exercises
  • Weight loss
  • Medications, including over-the-counter pain relievers and prescription drugs
  • Supportive devices such as crutches or canes
  • Surgery (if other treatment options have not been effective)

Osteoarthritis and Physiotherapy:

Physical therapy for osteoarthritis rehabilitation

Physical therapist helping a patient perform exercises for OA. Image by Freepik

Unfortunately, pharmacological treatments are mostly related to relieving symptoms, and there is no drug that is a 100% cure for OA. However, compelling evidence suggests that regular practice of resistance exercises as part of a physiotherapy program may prevent and control the development of chronic diseases, including OA. As a result, physiotherapy-supported exercise may result in improved quality of life of those affected by this disease.

Additionally, anti-inflammatory treatment before physical therapy may also enhance the effects of exercise. Thus, a combination of pharmacologic and physical therapy modalities is recommended for the optimal management of OA. Physical therapy aims to relieve pain, improve joint function, and improve the daily quality of life of those with OA. It is the go-to conservative treatment option for OA due to its effectiveness convenience, and low risk of harmful side effects.

If you are experiencing any such symptoms, our team of qualified physiotherapists at PhysioNow will assist and guide you through your individualized treatment and exercise plan. Book your first appointment with PhysioNow today to start improving your quality of life.

Accident Rehabilitation, Exercise, Health and Wellness, PhysioNow, Physiotherapy

10 Ways a Physiotherapist Can Improve Your Health

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Our physiotherapy clinic PhysioNow has 9 locations to serve you across the GTA, from Burlington to Etobicoke

Physiotherapists can improve your health by being champions of fitness and wellness. They are experts in a wide variety of topics and can help in many different areas. The following is a list of ways your physiotherapist can improve your health!

1. Prevention

Physiotherapists work to prevent injuries and physical health issues through education and awareness. For example, they may provide guidance on proper ergonomics, posture, and exercise habits to reduce the risk of developing pain, injuries and chronic conditions.

2. Rehabilitation

Sometimes, accidents happen and injuries can’t be avoided. Physiotherapists help individuals recover from injuries, surgeries, and medical conditions. They use various techniques, therapeutic exercises, and treatments to restore physical function, mobility, and strength.

3. Pain Management

Physiotherapists help manage and alleviate pain, whether it’s caused by injuries, chronic conditions, or post-surgical discomfort. They use techniques such as manual therapy, massage, and modalities like heat/cold therapy or electrotherapy to reduce pain.

4. Functional Improvement

Physiotherapists work to improve a person’s physical abilities and functional capacity. This can include activities of daily living, sports performance, and/or mobility. For example, helping individuals regain the ability to get out of bed, climb stairs, or run. Enhancing these aspects can significantly contribute to an individual’s overall well-being.

5. Promoting Physical Activity

Physiotherapists encourage and prescribe physical activity tailored to an individual’s needs. Oftentimes, people may be scared to increase their activity levels out of fear of pain or an injury. Physiotherapists are fitness experts that can determine which exercises are safe for you to perform, and progressively increase your fitness levels. Regular exercise is essential for maintaining physical health, preventing chronic diseases, and promoting mental resilience.

6. Education

Physiotherapists educate patients about their conditions, treatment plans, and how to manage their health. They provide guidance on maintaining a healthy lifestyle and offer strategies for long-term wellness. As an example, this may include how to wear a brace properly, proper posture when lifting, safety concerns after a surgery, or using assistive devices like a cane or crutches.

There are many different types of assistive devices, a physiotherapist can help you choose one that fits your needs

7. Assisting with Chronic Conditions

Physiotherapists often work with individuals who have chronic conditions such as arthritis, diabetes, and heart disease. They help manage these conditions through advising exercise and lifestyle modifications.

8. Aging Well

Physiotherapists work with older adults to promote healthy aging. They help manage age-related physical changes like changes in bone density or muscle mass. They will help you maintain or regain your independence and mobility.

9. Sports and Fitness

Physiotherapists support athletes and active individuals in injury prevention, performance enhancement, and rehabilitation following sports-related injuries.

10.  Rehabilitation after Surgery:

Physiotherapists play a crucial role in the recovery process following surgeries. Common examples include fractures with surgical repairs, total and partial hip and knee replacements, and ACL/MCL repair. They will help you follow your surgical protocols and develop personalized rehabilitation programs to optimize healing and regain function.

Overall, the role of a physiotherapist is multifaceted and can make positive influences in many areas. With a combination of prevention, rehabilitation, education, and collaboration with other healthcare providers, your physiotherapist can help you improve your health. To get started, book with PhysioNow today for your first assessment with a Registered Physiotherapist.

 

Exercise, General Category, PhysioNow, Shoulder Injuries, Shoulder pain

How to Treat a Frozen Shoulder: Physio 101

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What is Frozen Shoulder?

Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. The shoulder joint is enclosed in a capsule of connective tissue. Then, frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement.

What does a typical case look like?

Often, signs and symptoms begin slowly, and start getting worse. Over a long period of time, symptoms get better, usually within 1 to 3 years. Additionally, having to keep a shoulder still for a long period increases the risk of developing frozen shoulder. For example, this might happen after having surgery or breaking an arm.

Treatment involves range-of-motion exercises. Sometimes, treatment involves corticosteroids and numbing medications injected into the joint. Rarely, arthroscopic surgery is needed to loosen the joint capsule so that it can move more freely.
It’s unusual for this condition r to reoccur in the same shoulder, but some people can develop it in the other shoulder, usually within five years.

What are the stages of a frozen shoulder?

Frozen shoulder typically develops slowly in three stages.

  • Freezing stage – Any movement of the shoulder causes pain, and the shoulder’s ability to move becomes limited. This stage lasts from 2 to 9 months.
  • Frozen stage – Pain might lessen during this stage. However, the shoulder becomes stiffer and using it becomes more difficult. This stage lasts from 4 to 12 months.
  • Thawing stage – The shoulder’s ability to move begins to improve. This stage lasts from 5 to 24 months. For some people, the pain worsens at night, and can disrupt sleep.

Who develops frozen shoulder?

Certain factors may increase the risk of developing frozen shoulder.

1. Age and sex: Firstly, people aged 40 years and older and women

2. Immobility or reduced mobility: Secondly, people who’ve had to keep a shoulder still (i.e in a sling, immobilized). This restricted movement can be the result of many factors, including:

  • Rotator cuff injury
  • Broken arm
  • Stroke
  • Recovery from surgery
Immobolization increases the risk of developing frozen shoulder

Periods of immobilization like above increase the risk of developing frozen shoulder. Sling is Rolyan Deluxe Shoulder Immobiliser Sling

3. Systemic diseases: Finally, people who have certain diseases appear more likely to develop frozen shoulder. As an example, this may include:

  • Diabetes
  • Overactive thyroid (hyperthyroidism)
  • Underactive thyroid (hypothyroidism)
  • Cardiovascular disease
  • Parkinson’s disease

Frozen Shoulder and Physiotherapy

Fortunately, most cases can be managed in the primary care setting. Clinicians are encouraged to start the treatment with patient education. Explaining the natural progression of the condition often helps to reduce frustration and fear.

Common conservative treatments include nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids given orally or as intra-articular injections, and/or physical therapy. Additionally, physical therapy has been shown to bring about pain relief and return of functional motion. Particularly, when used in combination with physical therapy, NSAIDs were proven to be more effective as compared to using NSAIDs alone.

Physiotherapy for each stage of frozen shoulder

Physical therapy and home exercises can be a first-line treatment, with consideration of the patient’s symptoms and stage of the condition.

  1. Freezing Stage: In the freezing (painful) stage, gentle stretching exercises can be done but should be kept within a short duration (1–5 seconds) and not go beyond the patient’s pain threshold.
  2. Frozen Stage: In the frozen (adhesive) stage, strengthening exercises can be added to the patient’s exercises for maintenance of muscle strength.
  3. Thawing Stage: In the thawing stage, the patient experiences a gradual return of range of motion; both stretching and strengthening exercises can increase in intensity, with a longer holding duration.

Assisted stretching and range of motion for the shoulder. Image by Freepik

What do I do if I have shoulder problems?

If you are experiencing any such above symptoms, our team of qualified physiotherapists at PhysioNow are ready to help! We will assist you and guide you through personalized treatment that will help you to improve mobility and quality of life. Book your first appointment with PhysioNow today!