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Headaches? See how Physiotherapy can help you!

June 15,2023 Sharon Tierney Leave a comment

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?

Headaches 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!

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Endometriosis and Pelvic Physiotherapy

February 19,2023 Sharon Tierney Leave a comment

What is endometriosis?

Endometriosis 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!

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

December 19,2022 Sharon Tierney Leave a comment

Why is your ankle sprain not healing?

An 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.

Exercises 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!

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Few things to know about your heel pain

November 3,2022 Sharon Tierney Leave a comment

What is 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.
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.
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.

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,

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.
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!

General Category

What is a Total Hip Replacement?

September 13,2021 Sharon Tierney Leave a comment

What is a Total Hip Replacement?

A Total Hip Replacement (THR) is a type of surgery where a damaged hip joint is replaced with an artificial hip joint. Doctors can use metal, ceramic or plastic replacement parts for the surgery.

When is a Total Hip Replacement necessary?

A Total Hip Replacement surgery is done when there is so much damage in the hip joint. These joint changes cause severe pain and interference with daily living. The damage in the hip may be as a result of osteoarthritis, rheumatoid arthritis or post-traumatic arthritis. Total hip replacement is recommended when:

Walking, going up stairs, and bending to get in and out of chairs is difficult
Pain is moderate to severe even while resting and disrupts sleep
Joint degeneration has caused stiffness that severely affects the range of motion and function of the hip
Conservative treatments such as medication, physiotherapy or using a cane or walker do not alleviate the symptoms

What part of the hip is involved in a Total Hip Replacement?

The hip joint is a ball and socket joint. The ball of the joint comes from the head of the femur, which is the long bone of the thigh. The ball is called the femoral head. The socket of the joint is made up of several bones of the pelvis and is called the acetabulum. Prostheses replace both the ball and socket in a total hip replacement.

What happens immediately after surgery?

After surgery, patients may spend several hours in a recovery room while the surgical anesthesia wears off. Then the patient will be taken to a hospital room where he or she will spend 1 to 2 days recovering before being discharged. The patient will be provided with specific post surgical instructions that will

Promote healing
Prevent dislocations of the hip
Help regain flexibility and strength through the limb
Reduce the chances of developing blood clots in the legs

What are hip precautions?

Depending on the surgical procedures, patients may be instructed on hip precautions they need to follow to minimize the chances of hip dislocations. These precautions include:

Avoiding crossing the legs
Bending the hip up past 90 degrees of flexion
Rotation of the hip

How long does it take to recover from a total hip replacement surgery?

Recovery times vary between patients. There are many different factors that influence the recovery time after hip replacement surgery. Some of these factors include:

Physical fitness prior surgery
Weight
Age
Presence of other medical conditions that affect healing times, such as diabetes
Smoking habits
Commitment and/or motivation towards rehabilitation

Most patients can get back to most of their light activities by 3 months after their surgery. For patients who participate in heavier activities, full recovery may take another 2-3 months. However, in rare cases recovery times will be extended if there are complications from the surgery.

What are some possible complications from THR surgery?

Blood clots
- Blood clots can form in your leg veins after the surgery
- This can be dangerous situations since a piece of the clot can break off and travel to your lung, heart or brain
- Blood-thinning medication is prescribed to most patients to help reduce this risk
Infection
- Infections can occur at the site of your incision and in the deeper tissue near the new hip
- Antibiotics are the first line of defense for infections
- A major infection near the new hardware may require surgery to remove and replace the prosthesis
Fracture
- During surgery, healthy portions of the hip joint may fracture
- Smaller fractures may heal on their own with time
- Larger fractures may need pins, wires or metal plates.
Dislocation
- Certain positions can cause the ball of the hip joint to become dislodged
- The surgeon will provide precautions for specific movements and/or positions during the first few months to help minimize this risk
- If the new hip does dislocate, the doctor may fit the patient with a brace to keep the hip in the correct position
- Surgery will be required to stabilize the joint if the hip joint keeps dislocating
Change in leg length
- It is possible that a new hip can make one leg longer or shorter than the other
- The surgeon tries to prevent this as much as possible, but it may be caused by a shortening of the muscles surrounding the hip
- It is important to do the appropriately stretch and strengthen the muscles involved

What is the role of physiotherapy in the recovery after a THR?

Physiotherapy is integral part of recovery after a total hip replacement from the beginning to the end of recovery. The surgery corrects the anatomical faults of the joint. However, the surgery on its own will not fix any range of motion or functional limitations. The body must adapt to a new joint and learn to move and use the new joint as the original. This change does not happen immediately. However, starting early with rehabilitation of the new joint will produce a better outcome. A physiotherapist guides the patient through this recovery.

When do you start physiotherapy after a THR?

Most patients will have their hip precautions in place for up to 6 weeks after surgery. One of the first things that a physiotherapist will do at the hospital is to go over the precautions with the patient so that they fully understand what they are and their purpose. More specifically, the physiotherapists will teach the patient how to move safely with these precautions in mind.
The patient will likely stay in the hospital for 1-2 days, depending on how they are recovering. The physiotherapist will visit the patient once a day during their stay and work on walking with a walker, going up and down stairs and start them on a program to regain their mobility and strength through their hip.
When the patient is more mobile and able to leave the home, they are encouraged to seek out physiotherapy in the community. The physiotherapist will re-assess the patient’s hip and design a treatment plan that furthers their recovery. They may add some manual stretches and mobilizations and progress the exercises.

What can I do to prepare for my THR surgery?

A lot of orthopaedic surgeons are now encouraging surgical candidates to see a physiotherapist several weeks prior to their surgery. More specifically, this helps to prepare the joint and surrounding muscles for the surgery. The research shows that going into the surgery with better range of motion and strength results in a better post-surgical outcome.

Overall, total hip replacement surgeries have positive outcomes and most patients do well. Following a prescribed rehabilitation program designed by a registered physiotherapist is vital in achieving the best results. The Registered Physiotherapists at our Mississauga, Etobicoke and Oakville locations are ready to help you with your recovery. Call PhysioNow today to book your appointment!

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Gardening Injuries

June 30,2021 Sharon Tierney Leave a comment

Gardening Injuries

What has led to the increased interest in gardening?

Interest in gardening and farming has increased in North America, especially during the pandemic. Lots of people have taken to gardening for several different reasons. For instance, for some it is to develop a green thumb. Meanwhile for others it is to reduce their stress level during these difficult times. However, because gardening can be very physically demanding, it can lead to gardening injuries.

Most commonly affected joints in gardening injuries

Back and Sacro-iliac (SI) joint
Hip and Knee joints
Wrist and hand
Neck and shoulder

Back and SI joint injuries

Examples include discogenic pain, sciatica, sprain, strain, and mechanical low back pain.

Sacro-iliac strains are commonly seen conditions. Prolonged bending or repetitive bending is a major trigger for back and SI pain. Pain and stiffness are usually felt at the end of the day or the next day. However, some people might feel an immediate sharp back pain while performing their gardening tasks.
Discogenic pain can occur in any area of the spine, from the neck to the lower back. More specifically, with this type of pain, the disc protrudes and irritates the surrounding structures that may lead to pain. These structures include the nerve roots, ligaments, muscles, and fascia. Furthermore, one can present with neck pain with or without referral into the arm if it involves the neck. Similarly, there can be referral into the legs if it involves the low back. Other common symptoms of discogenic pain include stiffness and muscle spasms.
Things can help you manage or recover from these types of injuries or pain include
- Back exercises
- proper positioning
- appropriate medication
- treatment and advice from a registered physiotherapist
- massage therapy

Hip and Knee Injuries

Commonly known terms include knee or hip sprain/strain, bursitis, and knee derangement.

Hip and knee pain is commonly seen if a person spends prolonged periods of time squatting or kneeling during their gardening activities. Pain can start several hours after gardening or the next day. However, sudden movements can produce immediate pain and injury as well.
Mechanical knee pain occurs when the joint is put into a constant or repetitively stressful position for a prolonged period of time. Specifically, with gardening injuries, prolonged squatting or kneeling are common triggers for pain. One presents with difficulty moving the joint or difficulty getting up after a prolonged period of rest. Furthermore, pain, stiffness, difficulty going up and down stairs, and walking are other common symptoms.
Sprains occur when there is an injury during a task and it involves the ligaments such as ACL, MCL, LCL, PCL, and the meniscus. Specifically, one presents with sudden pain, with or without swelling, difficulty walking, limited movement and function.
Hip and knee bursitis involves the inflammation of the bursa. The bursa is a fluid filled sac that sits between the bone and the tendon to protect the areas from constant irritation. One presents with constant pain which is worse with movement, restricted mobility and decreased function.

Elbow, Wrist and Hand injuries

Commonly injuries include Tennis elbow, Golfer’s elbow, sprains/strains, Tenosynovitis of wrist, tendonitis of wrist and fingers.

Elbow injuries are seen with repetitive usage of garden tools. Examples include pruning, digging, and hedging.
Wrist and hand injuries are mainly due to repetitive stress to the small joints. For instance, pulling out weeds which is time consuming, repetitive and puts a lot of stress to the joints and surrounding structures. Wrist and hand injuries are commonly triggered in people with an already existing inflammatory or a degenerative joint condition.
Symptoms usually include pain, swelling, decreased mobility, and loss of grip strength.

Neck and shoulder injuries

Common injuries include neck sprains/strains, mechanical neck pain, Rotator cuff injury, bursitis, and tendonitis.

Heavy lifting, pushing, and pulling can cause immediate pain and injury to shoulders and neck. Importantly, this is most commonly seen when a person tries to perform a task without knowing the capacity and the ability of the joints to handle the load.
Tendonitis is an inflammation to the tendon that attaches to the bone. Repetitive movements, muscular imbalances or improper techniques can lead to inflammation.
Bursitis is an inflammation of the bursa that sits in between the tendon and the bone. The function of the bursa is to reduce the friction between the two. Tight muscles and tendons or muscular imbalances, can cause irritation to the bursa causing limitation to the joint function.

Tips to reduce your risk of gardening injuries

Lifting: Avoid lifting heavy objects in one attempt – instead, use a wheelbarrow or garden cart. Empty half a bag of soil into smaller containers and transfer. Additionally, lift with your legs and avoid bending and twisting at the same time. Also, get heavier objects closer to your body while lifting.
Weeding: Try to always take frequent breaks and do stretches to avoid the effects of prolonged position and stress to your joints. Try to change positions such as being on all fours, kneeling with knee pads, sitting on a step stool, and using standing weeding tools to avoid injuries. If it is an option, try to use ground cover plants to avoid the effects of weeding.
Planting: To avoid injuries to the smaller joints, try using bigger handled garden tools. Plant in a kneeling position using a kneeling pad or cushion. Try container gardening, using raised beds or flower boxes.
Mowing the lawn: Try to use an electrical mower over a gas one. Use your abdominal muscles and shoulder muscles and avoid twisting your back while pulling the cord of the lawn mower.
Stretching! Talk to your physiotherapist about which stretches are most appropriate for you.

In conclusion, gardening injuries can be challenging but it’s always important to listen to your body. Being mindful of how you are feeling and keeping the following tips in mind will help prevent gardening injures. Firstly, take frequent breaks and change positions when your feel aches, fatigue, or cramps. Secondly, try to do a variety of work, rather than doing the same repetitive movements. Also, always stay hydrated and apply a sunscreen while gardening. Lastly, contact a Registered Physiotherapist to help you stay safe while working in your garden.

Call PhysioNow today to book your appointment with a Registered Physiotherapist and Massage Therapist!

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Fibromyalgia

January 14,2021 Sharon Tierney Leave a comment

FIBROMYALGIA

Fibromyalgia is a chronic condition. It is often associated with widespread symptoms including fatigue, pain and sleep disturbances.

Causes and Risk Factors

It is unclear as to what causes fibromyalgia. However, there are some causes which might be increasing your risk of getting fibromyalgia:

Genetics-

You could be ay a higher risk for fibromyalgia if it runs in your family

Stress-

Emotional or physical stresses have been known to aggravate or cause this condition

Age-

Women have been found to be at a higher risk

Symptoms of Fibromyalgia:

The symptoms may vary from individual to individual but, following are some of the commonest symptoms-

Fatigue-

One of the commonest symptom is fatigue

Pain-

Pain that lasts > 3 months and widespread pain at several sites in the body

Sleep disturbances-

You could have sleep disturbances or non restorative sleep (sleeping for long but not feeling rested)

Reduced exercise tolerance and morning stiffness.

Other symptoms include trouble with concentration/memory. It is also called ‘fibro fog’ or ‘brain fog’. Headaches and depression are also common. It is common to have fluctuations in the symptoms. You may experience pain that may range from a mild discomfort/ache to an unbearable pain.

Although it may mimic more like an arthritis/ bone related pain, it actually comes from the soft tissues. Fibromyalgia can start at any age. However, mostly it is by early to middle adulthood that people start feeling it.

Diagnosis:

Your doctor will take a detailed history to understand all of your symptoms. There is no definitive test to diagnose this condition. However, the doctors may prescribe you to do other tests like blood work or X-rays to rule out other conditions that show similar symptoms.

How do you treat it?

Drugs-

The treatment is usually focused on relieving the symptoms. For instance, your doctor may prescribe muscle relaxants, pain killers, anti-depressants or sleep medications,

Acupuncture-

To help relieve pain

Fibromyalgia. Acupuncture

Cognitive Behavior Therapy-

Cognitive Behavior Therapy can help to reduce stress. Can be individual or group therapy.

Nutrition-

A healthy balanced diet is good because it helps to keep your body healthy and keep the energy levels high.

Massage therapy-

Helps in relaxing the muscles and relieve pain

Activity pacing-

There may be good and bad days in this condition. Thus, it is important to make sure you prioritize your activities for the day. This is helpful in order to reduce excessive fatigue.

Physiotherapy-

Physiotherapy can help to firstly, reduce your pain. Secondly, they can give guidance on modifying activities and finally, prescribe exercises. In addition, aerobic fitness and strengthening exercises help in this condition.

Physiotherapy for fibromyalgia

How can we help?

Our physiotherapists will take a detailed history followed by a thorough evaluation of all your symptoms and problem areas. Then, they will formulate and discuss a treatment plan for you. Also, we have massage therapists and therapists who do acupuncture. Thus, if you are having fibromyalgia or know anyone who needs help with the same, contact us today at PhysioNow!

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Posture

December 22,2020 Sharon Tierney Leave a comment

IS POOR POSTURE THE CAUSE OF YOUR PAIN?

Did you know that current research suggests 80% individuals will experience back pain at some time in their lives? There are several causes that can lead to back pain-degenerative changes, herniated discs, poor posture, pulled/torn muscle /ligament around the spine, kidney stones or many other pathological causes. Of all these various causes, there is one thing that can be controlled and taken care of by you-POSTURE!

WHAT EXACTLY IS A POOR POSTURE?

Any position that places our spine in unnatural curves (most often a C shape) instead of the normal S shape curve is a poor posture (see picture below). S shaped curve allows for equal weight distribution as well as flexibility of the spine. Poor posture is known to affect not just the spine but also the surrounding ligaments and muscles. Prolonged poor postures lead to a lot of pressure on these surrounding tissues thus increasing the damage and pain.

Good-Posture-vs-Poor-Posture

FACTORS CONTRIBUTING TO POOR POSTURE:

Improper workstation design :

Could be a wrong chair, monitor height or distance of yourself and the monitor. Lack of enough breaks specially in a desk job also contribute to poor posture in the long run.

Repetitive movements/postures as a part of work/occupation:

Bending repeatedly and working.

Lifestyle:

Current technology has made people to bend down and look into their electronic devices for several hours every day. High heels, sitting with the wallet in the back pocket and heavy bags/purses also lead to malalignment of the spine.

Muscle imbalance:

Due to certain sports that we play or our basic posture leading to weakness in some groups and tightness in others thus affecting the curve.

Poor core stability and strength

Age:

As age advances, it leads to lesser flexibility and strength. If we keep thinking that doing exercises will cause more discomfort than what we currently have, the muscles become weaker and weaker and without enough muscle strength, the spine cannot stand erect

Habit:

The habit of poor posture is very difficult to change like sitting slouched on a couch for several hours or just slouch sitting or standing in day to day activities. Sure, everyone loves to sit in a relaxed position but, if you do not make the effort of trying to change it, it will keep creating more and more problems for the body.

EFFECTS OF BAD POSTURE:

Since childhood we have been asked to sit straight or stand tall and not slouch. Mostly everyone did that as a compulsion and rather grudgingly. However, it has many important reasons instead of it just being better for our appearance!

Back pain:

That is the most obvious one! Poor posture leads to stretching of the muscles of the back and the surrounding structures thus making them weak which in turn reduces the support it gives to the spine – taking us back to poor posture! As it becomes more of a chronic habit, you then have to take care of your posture and make your muscles stronger as well.

Neck pain, headaches and jaw pain:

Sometimes when there is no trauma or injury to your jaw and it starts clicking, popping, paining or going into spasm. There is a possibility it might be coming due to malalignment of the neck. A forward head posture has been known to cause jaw pain and headaches.

Hip, knee and foot pain:

Yes, the body is a closely connected structure. Any malalignment or change at one point like the foot or knee does affect the spine and leads to pain and vice versa.

Gastrointestinal system problems:

A slouched position/poor posture may compress the internal organs of the abdomen. It also affects the movement of the intestines thus leading to numerous gastrointestinal troubles like acid reflux or constipation. Over time it can also affect the metabolism and the way food is processed in the body.

Psychosocial impact:

In general, a person with a good upright posture seems more approachable and confident compared to the one who is slouching. This in turn leads to less motivation or mood issues in social situations. It has also been known to cause more fatigue and sleep problems as the body has to work harder and spend more energy to maintain itself when it is clearly not aligned well.

WHAT CAN YOU DO TO FIX A BAD POSTURE?

Avoid prolonged sustained positions. Make sure you take frequent breaks, if possible, try getting up from your chair after every 30-45 minutes .
Get into the habit of sitting well- always sit with your buttocks touching the back of the chair. This, in turn, will promote an erect posture and your back will get enough support
While you are standing try to distribute your weight evenly on both legs and do not lean on one side.
Use a backpack instead of a one sided bag if it is heavy so there is equal weight distribution on the shoulders. While sitting remove the wallet from the back pocket
Do a chin tuck- if you have a poking chin and rounded shoulders, straighten your upper back and do a chin tuck and repeat it 10 times. You should also stretch your chest muscles if you have rounded shoulders
If you have to use the phone for a long time, try holding it with your hand. You can also use a hands-free device instead of cradling it with your shoulder

HOW DOES PHYSIOTHERAPY HELP TO SOLVE POSTURE RELATED PROBLEMS?

Physiotherapists can help you by assessing exactly where your problem begins and then helping you to understand and modify habits that lead to bad posture. There are also various other treatments like manual therapy, taping and exercises that are aimed at stretching the tight muscles and strengthening the weaker muscles around the spine. They can also advice you regarding your work station modifications, if required.

PhysioNow

If you or anyone you know has posture related aches and pains or wants to get an assessment done to find out more about how you can improve your posture, call us today for an appointment!

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Physiotherapy Mississauga

November 12,2020 Sharon Tierney Leave a comment

Physiotherapy Mississauga

Why choose PhysioNow for Physiotherapy Mississauga?

• Over 16 years of providing top rated Physiotherapy Mississauga
There are 4 convenient locations- Erin Mills, Applewood, Lorne Park and Long Branch

• Awards/nominations? PhysioNow: nominated for a Top Choice Award in 2020.

• A team of highly qualified physiotherapists and massage therapists

All of our physiotherapists and massage therapists have several years of experience in their field and are registered in good standing with the College of Physiotherapy and Massage Therapy.

• Services we offer

Services are provided for all ages and for a variety of conditions. For instance, our therapists are specialized in several areas including manual therapy, acupuncture, vestibular rehabilitation, concussion , sports injuries, pelvic health and soft tissue techniques.

Lower Back Pain Treatments

Donjoy Defiance ACL Repair Brace

Return To Sport After ACL Ligament Repair

In addition, we do custom orthotics and braces. For your convenience, we are currently also offering our physiotherapy services virtually .

• Direct billing available

In addition, Direct billing is available to most of the insurance companies so it is convenient for you. For instance, we also deal with third party insurers like MVA and WSIB.

• Flexible hours and free parking available

Above all, we are open for extended hours ( ) to help you at a time that is best for you.

What to expect at Physiotherapy Mississauga?

First, you have an assessment with our physiotherapist. They will do a full check up of the problem area .

Next, the physiotherapist will then prescribe a treatment plan especially for you.

Further, they can also help you understand more about your condition.

We will answer your questions .

Lastly, changes may be made in your daily routine.

As a result, this will help you to get better faster.

COVID considerations: We take excellent precautions!

• Providing a face mask and use of 70% alcohol hand sanitizer for each patient upon arrival into the clinic

• Installation of sneeze guards at the front desk

• In addition, Sanitization of treatment beds after before each patient use

• Disinfecting commonly touched surfaces between every patient

• Switching out pillowcases with each patient use

• All staff will wear a gown and mask and wash hands between each patient contact

Social distancing throughout the clinic.
Lastly, no visitors are sitting in reception

If you are in need of Physiotherapy or Massage Therapy, Contact PhysioNow today.

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Physio for Car Accidents

May 14,2019 Sharon Tierney Leave a comment

Treatment after 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.