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Headaches? See how Physiotherapy can help you!

June 15,2023 Erin Mills Physiotherapy 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 Erin Mills Physiotherapy 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 Erin Mills Physiotherapy 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 Erin Mills Physiotherapy 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 Erin Mills Physiotherapy 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!