Tag Archives: physiotherapy

Carpal tunnel syndrome

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!

Urinary Tract Infections

 

Urinary Tract Infections

Urinary tract infections

Urinary tract infections typically occur when bacteria enter the urinary tract through the urethra. Bacteria then begin to multiply in the bladder. The most common UTIs occur mainly in women and affect the bladder and urethra.
• Infection of the bladder (cystitis).
• Infection of the urethra (urethritis)

Symptoms

• A strong, persistent urge to urinate
• A burning sensation when urinating
• Passing frequent, small amounts of urine
• Urine that appears cloudy
• Urine that appears red, bright pink or cola-colored — a sign of blood in the urine
• Strong-smelling urine
• Pelvic pain, in women — especially in the center of the pelvis and around the area of the pubic bone

Check out this video for more information: http://www.webmd.com/women/guide/your-guide-urinary-tract-infections#1

Lifestyle changes:

Urinary tract infections can be painful. You can take steps to ease your discomfort until antibiotics treat the infection. Follow these tips:
• Drink plenty of water. Water helps to dilute your urine and flush out bacteria.
• Avoid drinks that may irritate your bladder. Avoid coffee, alcohol, and soft drinks containing citrus juices or caffeine until your infection has cleared. They can irritate your
bladder. These drinks tend to aggravate your frequent or urgent need to urinate.
• Use a heating pad. Apply a warm, but not hot, heating pad to your abdomen to minimize bladder pressure or discomfort.
• Wear cotton underwear on a daily basis. Cotton underwear allows more air movement to occur. This keeps the urethra dry.
• Do NOT wear thongs. They track bacteria from your anus forward to your vagina (to the underwear section).

Physiotherapy Treatment

Physiotherapists that are trained in pelvic floor dysfunction can greatly improve a UTI patient’s quality of life. A typical approach includes training pelvic floor musculature, manipulative techniques and local heat. It also includes breathing and relaxation techniques. Lastly, treatment includes postural education, muscle coordination reeducation, and behavioral therapy.

• Reverse Kegel Down training
• Dynamic ROM program including dynamic stretching and core exercises
• Pain education
• Internal pelvic muscle work including trigger point release techniques
• Connective tissue mobilization

If you suffer from urinary tract infections, consider getting a consultation from one of our pelvic health physiotherapists today. They can help! Please call Physionow to book an appointment and get back to living a comfortable life!

Pelvic organ Prolapse

Pelvic organ Prolapse

Pelvic Organ Prolapse

Pelvic organ prolapse is a very annoying problem. Pelvic organs, such as the uterus, cervix, bladder or bowel, may protrude into the vagina because of weakness in the tissues that normally support them. It is a disorder described as a protrusion at or near the vaginal opening. This may or may not cause perineal pressure. This condition is aggravated by standing and relieved by lying down.

Causes of Pelvic Organ Prolapse:

Vaginal child birth
Advancing age
Increased body weight
Hysterectomy
Chronic straining
Abnormalities of connective tissue
Connective tissue repair causes some women to have disruption, stretching, or dysfunction of the connective-tissue attachments of the vagina, or both. This can result in prolapse.

Symptoms of Pelvic Organ prolapse:

The symptoms can vary, depending on the type of prolapse. Generally, people have several complaints. These include bladder, bowel, and pelvic symptoms. Symptoms can include Urinary retention. They can also include changes in bowel function. Many women with pelvic organ prolapse have no symptoms, and do not need treatment. When pelvic organ prolapse causes symptoms, options include observation, conservative pelvic health physiotherapy treatment, and surgery. You can also use a pessary. A vaginal pessary is a removable device placed into the vagina. It is designed to support areas of pelvic organ prolapse.
http://www.webmd.com/urinary-incontinence-oab/placement-of-a-pessary

Treatment for pelvic organ prolapse:

NO effective prevention strategies for prolapse have been identified. However, options include weight loss, and reduction of heavy lifting. There are also various treatments used for constipation. These options can be discussed with your pelvic health physiotherapist. Other treatments include surgery, mechanical devices and pelvic floor exercises.

Conservative management approaches include giving lifestyle advice and delivering Kegel exercises. Kegel exercises are often used in cases of mild to moderate pelvic organ prolapse. Simple instructions are not considered adequate training for a Kegel exercise program (Bump et al 1991). The Society of Obstetricians and Gynecologists of Canada recommends that proper performance of Kegel exercises should be confirmed by digital vaginal examination or biofeedback. This can be done by a skilled Pelvic Health Physiotherapist. PhysioNow has the ability to do this type of treatment at all of our Physiotherapy clinics in Mississauga.
Electrical stimulation with sensor probes can also be used for pelvic floor muscle strengthening.
Kegel Exercises

Finally, it is IMPORTANT TO UNDERSTAND that pelvic organ prolapse is not a gynecological disease but a FUNCTIONAL problem. Pelvic health Physiotherapy can Help! Call PhysioNow today!

Shoulder Dislocation Treatment Mississauga

Shoulder Dislocation Treatment Mississauga

Shoulder Dislocation Treatment Mississauga

Shoulder Dislocation Treatment Mississauga

What leads to shoulder dislocation?Shoulder Dislocation Treatment Mississauga can help!

Many people who have had a dislocated shoulder often refer back to the incident as being so sudden. All that they remember is hearing a loud click and the feeling of excruciating pain immediately after the injury. Yes! they could actually feel the shoulder as it is wrenched out of the socket. It can be a very dreadful experience!!!

That’s when you need Shoulder Dislocation Treatment Mississauga!.
Depending on the severity of injury, Shoulder Dislocation Treatment Mississauga varies. Generally, your doctor orders an X-Ray and Ultrasound to determine the extent of the injury.

Shoulder dislocation classifications:

Shoulder dislocations are classified depending on your symptoms and X-Ray findings. This helps to decide which general guidelines to follow for treating your dislocated shoulder.

Usually, a shoulder sling is provided to maintain the shoulder in a neutral position and offload your shoulder muscles. Depending on your doctor’s advice, they may want you to wear the sling for three to four weeks. Check out this website for a bit more information: Orthoinfo.

How can a Registered Physiotherapist Mississauga help to rehabilitate your shoulder?

A Registered Physiotherapist Mississauga can aid in faster recovery of your dislocated shoulder. Shoulder dislocation treatment Mississauga can get you to start using your shoulder. It will help you to get back to dressing, combing, grooming, eating, lifting objects etc.

Right after injury, Shoulder Dislocation Treatment Mississauga uses modalities such as ultrasound and a muscle stimulator. These electrical modalities bring more blood to the area (fresh oxygen and nutrients. It also calms down the inflammation in the shoulder.

Once you immobilize your shoulder in a sling, it tends to get stiff. Your shoulder muscles develop a lot of spasm and tightness due to lack of motion.

A Registered Physiotherapist Mississauga will mobilize your shoulder joint. The goal is to prevent any complications . A Registered Physiotherapist Mississauga will educate you regarding the use of a sling.

Shoulder Dislocation Prevention

The Registered Physiotherapist will also show you certain positions/activities to be avoided. We want to help you to prevent another shoulder dislocation when the tissues are healing.

Shoulder Dislocation Treatment Mississauga incorporates strengthening exercises. Typically this would include using Theraband, weight cuffs or pulleys to increase the strength in your shoulder muscles. This will help to stabilize your shoulder.

Registered Massage Therapy after Shoulder Dislocation

Registered Massage Therapy is also very helpful to reduce muscle spasm in the neck and shoulder. It reduces pain, spasm and general overall shoulder tightness.

PhysioNow has excellent Registered Physiotherapists and Registered Massage Therapists at all of our locations in Mississauga. Check us out and book an appointment today! We can Help!

Registered Physiotherapy Mississauga

Registered Physiotherapy Mississauga
Foot Pain Management Mississauga
Pain in the foot can result from a sprain of a ligament. It can come from inflammation of a tendon or bony changes from arthritis. It can also come from dropped arches or irritation of the plantar fascia. These are just some of the reasons that a person can develop foot pain.
The anatomy of the foot can make this body part a difficult one to treat well. The key lies in diagnosing the source of the pain correctly. A Registered Physiotherapist Mississauga has the knowledge and expertise to get this information from the assessment.

Foot pain Management Mississauga: Registered Physiotherapy Mississauga of course depends on the injury. It usually consists of modalities for pain. It can include hands on Physiotherapy treatment to treat the pain and stiffness. This is followed by an exercise program that includes a stretching and strengthening program to improve flexibility. Another important component of Foot pain Management Mississauga is education. The Registered Physiotherapist provides education regarding the injury. They will also give you the expected outcome for the injury. Having this knowledge is very important since it allows you to understand what is happening.

One other possibility with Registered Physiotherapy Mississauga is that it helps you to prevent it from getting worse and/or coming back again in the future. For example, if your dropped arches are potentially causing your ongoing pain, the Registered Physiotherapist will suggest that you get orthotics. This will help to correct the positioning of your foot. PhysioNow can make custom foot orthotics for you if you need them.

Foot pain can be very painful if left untreated. It is important to seek treatment as soon as symptoms arise. Like with any other injury, pain can become chronic the longer that it is left untreated. There is also the possibility that secondary injuries can arise. This is mostly from the fact that the longer a person is in pain, the longer they are walking differently. This can cause additional strain on other joints, such as the knees and hips. This will make the overall injury even more complicated. Therefore, getting treatment at the earlier stages of the injury will result in a quicker and more effective outcome.

Registered Physiotherapy Mississauga is a great option to treat Foot pain. PhysioNow has many well trained Registered Physiotherapists in Mississauga at several convenient locations to serve you. Check us out. Take care of your Foot pain today!