admin // Author

Author based archive
24 Sep

Did you know children can benefit from pelvic physiotherapy too?
Most children are dry at night by school age. Approximately, 30% of children wet the bed at 4 ½ years of  age. Fecal incontinence is also common in children. If a child has regular soiling or poo accidents after the age of 4 they should be assessed.
Pelvic Health issues can be resolved with the help of a trained pelvic health physiotherapist.
Common conditions experienced by children can include:
Constipation: infrequent bowel movements, frequent movements with pain or difficulty
Incontinence: inability to maintain bowel or bladder function. Could be inability to make it to the bathroom in time or leakage with giggles and coughing
Bed Wetting (Enuresis): leaking urine through the night while sleeping.
Voding issues (eg. Dysfunctional voiding & postponement): inappropriately engaging pelvic floor muscles during voiding or delaying going to the bathroom. Sometimes as a result of fear or pain.
Did you know 85% of children had bed wetting or fecal incontinence because of constipation?
If your child is 5 or older and experiencing any of the above symptoms pediatric Pelvic Floor Physical Therapy can help them get back to being kids, and relieve familial stress!
Our trained therapists create a personalized treatment plan with parents and children to better target your families concerns and improve overall quality of life. Treatment is always in a way that is fun and engaging for your young one.
What does a pelvic floor assessment entail?
Your physical therapist will start by taking a detailed child developmental and family history. They may ask you to complete a bladder diary to better track your child’s voiding patterns. A functional assessment of their breathing. Following this a visual inspection is performed, it can be performed with clothes on. Note: no internal assessment is done. Next the functioning of the pelvic floor muscles is assessed using externally placed censors.
What does the pelvic floor treatment entail?

  • Education dietary foods/irritants, habit training, digestion, pelvic floor anatomy
  • Biofeedback machines using Bluetooth to keep children engaged playing games with the aid of their pelvic floor muscles.
  • Electrical Stimulation
  • Toilet training
  • Massage

Which locations of Triangle Physiotherapy offer Pediatric Pelvic Health in Toronto?
Pediatric Pelvic Floor Physiotherapy is currently offered at Triangle Physiotherapy North York and Triangle Physiotherapy Lawrence Park.
Click here to book an appointment for your child.

24 Sep

What is Plantar Fasciitis?

Plantar Fasciitis is a painful condition resulting from inflammation of a band of connective tissue located on the bottom side of the foot known as the Plantar Fascia. This band of connective tissue runs from the heel of the foot, all the way to the base of each toe, and it functions to support the arch of the foot, especially during weight-bearing.
The pain associated with Plantar Fasciitis is located on the bottom of the foot, with it often manifesting around the heel and along the inside of the foot. It is common for this pain to be at its worst first thing in the morning, and it is usually accompanied by other symptoms, such as stiffness, weakness, swelling and decreased proprioception.

What is the Plantar Fascia?

The plantar fascia is a flat band of tissue that connects your heel bone (Calcaneus) to the base of the toes (Metatarsophalangeal joints). This ligament assists in supporting the arch of your foot.

What causes Plantar Foot Pain?

People experience this when they have strained the connective tissue from repetitive overloading to the area. Repetitive overloading causes little tears to occur, and over time this produces inflammation and other associated symptoms, as described above.
Plantar Fasciitis is more common in people who can relate to the following:

  • Have flat feet or high arches
  • Have tight calf muscles
  • Wear improper footwear
  • Engage in repetitive physical activity (overtraining)
  • Suddenly changed activity levels (increased frequency, duration or intensity)
  • Suddenly changed activity or training environment
  • Work in an environment that requires prolonged standing

Plantar Fasciitis is one of the most common reasons people experience foot pain and seek Physiotherapy treatment to solve it.

How can a physiotherapist at Triangle Physiotherapy help with plantar foot pain?

A Physiotherapist at Triangle Physiotherapy will do a thorough assessment of the fot to ensure a proper diagnosis is obtained. This will include getting a detailed history, observing the area and how you function, and running through a series of specific tests. From there, an individualized treatment plan will be made for you to help you achieve your goals and assist you on your road to recovery.
If you think you might have Plantar Foot Pain, contact us to book an appointment with one of our Physiotherapists today!

24 Sep

What are orthotics?

Orthotics are custom made inserts that are worn inside your shoe to control abnormal foot function.
Orthotics solve a number of biomechanically related problems, for example, ankle and knee pain, pelvis, hip, spinal pain. This is achieved by preventing misalignment of the foot, which significantly alters the way in which the bones move within their joints.
Orthotics work for the feet the same way prescription glasses work for the eyes.

Who can benefit from orthotics?

Custom orthotics can be used for all ages and for a variety of activities and can be made to fit any type of shoe.

Where can I get the best custom orthotics?

The best custom orthotics can be purchased from a clinic where a chiropodist or qualified health professional conducts an assessment and a 3D scan of your feet to determine the best orthotics for you. The 3D Scan is then sent to a lab where the scan is used to manufacture your orthotics.
Triangle Physiotherapy has qualified health practitioners that can assess you and recommend the best custom orthotics for you.

How can Orthotics correct foot conditions?

The best custom orthotics can:

  • Help balance pressure placed on the feet by redistributing the weight appropriately
  • Help stabilize the heel
  • Support the arch of the feet
  • Provide cushioning to delicate and inflamed areas of the feet that arise from too much walking, jogging, running, etc.

What is a knee brace and how can it help me?

A knee brace can help support and stabilize an unstable knee due to injury or osteoarthritis. The best knee brace will offer the support you need in order to balance and evenly distribute your weight in order to have a more comfortable walk or run.

What conditions can a knee brace help with?

Whether it’s a knee sprain, arthritis, torn ACL, runner’s knee, knee instabilities or knee discomfort, the best knee braces help support and manage pain.

When should I start wearing a knee brace?

Once you start experiencing knee pain or discomfort or find that the knee is unstable while walking or running or after you have had knee surgery , book an appointment with one of our health practitioners who can assess you and recommend the best knee brace for you.

13 Aug

What is Shockwave Therapy?
Shockwave Therapy is a non-invasive treatment procedure that essentially involves creating a series of short energy acoustic wave pulsations that are directly applied to an injury.  It uses a pneumatic generator to physically deliver the shock wave through the skin, into the body. The short-energy acoustic waves that are transmitted through the surface of the skin are spread spherically into the body and the body responds with increased metabolic activity around the pain area. It is a fast and alternative solution to surgery.
Shockwave Therapy was originally invented and is still used, for the treatment of kidney stones (to blast the rigid tissues into smaller pieces, making it easier to pass). After the effectiveness of that treatment was established, researchers began studying the effects of the machine at different settings and used it to treat calcific tissue and scar tissue in the body. Their findings indicate that this treatment is extremely effective for the treatment of most musculoskeletal conditions in the body.
Benefits Of Shockwave Therapy
Benefits of Shockwave Therapy
– Success rate up to 90% in the treatment of soft tissue disorders, including calcific tendinitis of the shoulder, plantar fasciitis, tennis elbow, and piriformis muscle.
– It is an excellent cost-effective treatment
– Helpful in the treatment of chronic pain including shoulder, back, heel, knee, or elbow
– No anesthesia or drugs are required
– Varied application in many fields including orthopedics, rehabilitation, and sport medicine
– Latest medical research shows that it can have a positive impact on acute pain
How does shockwave therapy work?
Shockwave Therapy also known as extracorporeal shock wave therapy [ESWT] is a method that is being used more commonly in physiotherapy. Using much lower energy compared to other medical applications, it is primarily used to treat connective tissues such as ligaments and tendons. To begin with, you will be assessed by the physiotherapist to identify that you are an appropriate candidate for the therapy. They will also ensure you are educated about your condition and suggest the activities you can do in conjunction with the treatment such as activity modification, tennis elbow exercises, acupuncture, massage, examining any other contributing factors such as posture, strength, or weakness of other muscle groups, etc.
Machine for you

  1. EMS+Shockwave Therapy Physiotherapy
    Used for ED treatment
  2. 7 transmitters acoustic shockwave
    Used to treat elbow, shoulder, hand/wrist, lumbar region, fat accumulation, knee, hip, foot/ankle, ED
  3. Professional ED Electromagnetic
    Used to treat shoulder pains
  4. New Physical Therapy Professional ED
    Used to treat back and spinal problems.
  5. Body Massage ED Electromagnetic Extracorporeal
    Used to treat head, neck, shoulder, elbow, vertebra, hips, hand, male health, knee, bone, and ankle.
06 Jul

If you met with a car accident and still are facing car accident injuries and other problems related to the mobility of your body or if it causes obstacles to function properly and efficiently, thinking what to do if you have a car accident? Then you should definitely go for Physical Therapy.
Physical therapists are musculoskeletal experts and may help cure the underlying musculoskeletal injuries that may have occurred after meeting with a car accident. At Triangle Physiotherapy, our Physical Therapists will assure a one-to-one session where they will conduct an extensive whole-body analysis with a target of developing a customized treatment and detailed physical therapy programs which suit best to your condition and individual needs.
The goal of physical therapy is to help you recover physically and strengthen damaged muscles and tissues.
Few physical therapy exercise programs would include:

  • Manual therapy to mobilize joints, decrease scar tissue, reduce inflammation and enhance healing of tissue.
  • Custom exercises to address types of pain like neck and shoulder pain, back pain, spine dysfunction, or weakness.
  • Postural training to resolve pain in the neck, shoulders, and back.
Joints Exercise


The list of injuries if you meet with a car accident is as follows:

  • Whiplash
  • Headaches
  • Back Pain
  • Neck Pain
  • Shoulder Pain
  • Knee Pain

Around 20 to 50 million people globally are injured or disabled due to car accidents in a year. If you search ‘car accidents report today you will be disappointed. Car accidents can be extremely stressful, painful, troublesome, and expensive. Mostly, people who have experienced a car crash don’t immediately feel signs and symptoms of pain or immobility. Moreover, symptoms won’t be felt until days or even weeks after the accident. Seeking treatment as soon as possible is important to ensure that these symptoms do not cause types of chronic pain.
Out of all common injuries, whiplash is the most frequent and regular after a traffic crash. There are multiple fluctuations involved that can help with severity, recovery time, and a universal impact on your life.
Common symptoms related to whiplash include:

  • Stiffness to neck, arms, upper back, and the face.
  • Numbness into arms, neck, and upper back.
  • Headache, dizziness, nausea.
  • Feelings of general weakness.
  • Altered and disturbed sleeping habits and patterns.
  • Difficulty with concentration.

It is important to get physical therapy as soon as possible after a car accident. Although you may feel the immediate onset of pain or symptoms of injury, these symptoms may bring forth pain and mobility problems over the long haul.
Suppose if you met with a car accident, one may wonder that why is it necessary to get treated with Physiotherapy after an accident? If you’re considering Physiotherapy after a car accident, there are many reasons that you may want to begin or continue with the treatment.
The doctor will recommend that you receive Physiotherapy and you will realize the benefit of rehabilitation after a car accident. You may realize on your own that you can benefit from rehabilitative treatment.
Physical Therapy For Car Accident Injury
Here’s why you should start Physical Therapy after a car accident:

  1. Physical Therapy After a Car Accident Can Help You Recover Faster

Going through Physical Therapy after a car accident can help you speed up your recovery time. It can help the body recover its lost strength so that you can reduce the amount of time it takes to improve and fully recover from the injuries caused by car accidents. Time and again patients don’t realize how bad their car accident injuries are until they return to their day-to-day activities. Common injuries typically include pain, stiffness, reduced range of motion, and chronic headaches or migraines. Our specially-designed Physical Therapy programs can help patients bounce back from their injuries faster and easier than staying in bed can, that’s for sure!
Looks like you are serious to undergo a Physical Therapy session, our rehabilitation facility is one of the best physiotherapy clinics:

  1. Physical Therapy Can Help You Recover Better and Prevent Long-term damage

In order to help you recover faster, Physical Therapy programs ensure a better outcome after taking good care and following Physical Therapy exercises. It can also help you or prevent the long-term effects of your injuries like chronic pain and migraines. Therapy or certain full recovery of your body to its maximum extent. It not only helps recover the immediate injuries by improving or increasing strength, flexibility, and mobility. Unfortunately, car crashes can cause nagging damage if the patient’s injuries are not addressed right away. If you begin physical therapy immediately after your car accident, it’s more expedient to live a pain-free life for years.

  1. Boosting Mental Health and Improving Quality of Life

Some issues can create a problem after years of being a victim of a call accident and this can seriously affect the quality of life of a person. Physical therapy relieves these issues before becoming a serious health concern for an individual. Hence, it can improve the diminishing quality of life and helps you take control of your life. It can also boost your mood and somehow feeling better emotionally as well as physically will help you speed up the recovery process.

  1. Avoiding Surgery

Every so often injuries caused by car accidents can even require surgery, most injuries or a type of wear and tear but a few injuries, if left rampant, can lead to surgery and costly hospital bills. It is always advised to immediately check-up with a professional for the treatment. This will help with any claims you may wish to make later on. A doctor will be able to recommend a Physiotherapist with the document to provide to an insurance company. Physical therapy treatment is a much more cost-effective solution to recovery.
There are multiple benefits of physiotherapy and that’s why people are opting for this line of treatment for recovery and overall well-being.
Advantages Of Physiotherapy
How Long Should I Go to Physical Therapy After a Car Accident?
 Steps to take after a car accident and a few advantages of Physiotherapy:

  1. The Type of Injury

Call accident injuries kind affect your recovery time and the time period that takes to complete your treatment. One of the most common car accident injuries is whiplash. A whiplash injury occurs when the force of the accident causes your head and neck to jerk violently forward and backward. This can cause the muscles and tendons in your neck to stretch outside their normal range of motion. Whiplash can also affect the spinal column in your neck and disc injuries can be serious. Depends on the intensity of the whiplash, it can take a few months to recover and get the accurate motion of the neck as it was before.
 2. The Severity of the Accident
It is more likely to sustain a moderate to severe injury in a more serious car accident, even the smallest of the injury. A more severe accident can cause consequential harm to your body even if you are taking all precautions of car safety like wearing the seatbelt and the airbag deploys. More serious injuries like a dislocated knee or a broken foot can impact your daily routines.
3.  Any Previous Injuries
A previous injury can leave behind scar tissue, that impacts how your body heals the new injury. Physiotherapy often takes longer if you have previous injuries, especially if they occur in the same area.
Few factors that effect are:

  • The severity of the injury
  • Location of the injury
  • Patient’s current state of health
  • Patient’s treatment goals
  • Rate of progress

Physical Activity After Injury
How can Physiotherapy help if you’ve met with a car accident?
Physiotherapy helps reduce the pain and discomfort usually felt after a car accident injury. A lack of physical activity when recovering from an injury can actually cause stiffness, which can lead to more discomfort when trying to return to your daily activities, so you should always try to keep your body in motion.

24 Jun

What Is Spondylolisthesis

What is Spondylolisthesis?

Derived from the Greek word spondylo means spine and listhsis stand for slipping down a slippery path. Spondylolisthesis is a disorder of the spine that results in a forward or backward slippage of one vertebra on an adjacent one. Spondylolisthesis usually happens in the lower back region, also known as the lumbar area. Spondylolisthesis has an adverse impact on the daily lifestyle and therefore it is suggested to visit a good physiotherapist in such a condition. You can visit our Physiotherapy clinics in GTA to reduce the pain and impact of Spondylolisthesis.

Types of Spondylolistheses

Spondylolisthesis can be categorized into five major types –
1. Isthmic Spondylolisthesis – This is caused by a defect in pars interarticularis – a part of the vertebra. This condition usually leads to the vertebrae slipping forward.
2. Degenerative Spondylolisthesis – This condition is usually caused when the joints lose their capacity to keep the spine alignment at the normal position. This may result in the vertebrae slipping forward.
3. Congenital Spondylolisthesis – Congenital health issues are the ones that are present in a person since birth. Sometimes there is an abnormal formation of spinal bones during pregnancy at the time of development of the baby. Here the spinal discs slip due to misalignment and malformation.
4. Traumatic Spondylolisthesis – This is caused as a result of any injury or trauma leading to slipping of the spinal discs. It is important to note that here the term traumatic indicates an injury causing damage to the spinal discs.
5. Pathologic Spondylolisthesis – This disorder is a result of a disease affecting the healthiness of the spinal bones thereby weakening the same. Diseases like osteoporosis can cause Pathological Spondylolisthesis.
Causes Of Spondylolisthesis

Causes of Spondylolisthesis

Spondylolisthesis affects children and adults differently. Let’s first understand Spondylolisthesis in children. It usually occurs between the fifth bone in the lumbar vertebra and the first bone in the sacrum, also known as the pelvis region. This is resulted either from acute trauma or a congenital disability in the spinal discs.
Spondylolisthesis in adults is caused by degenerative arthritis, which is abnormal wear on the cartilage and bone of the spine.
Spondylolisthesis is also caused by factors like accidents/fractures and bone diseases. Sports activities like gymnastics, weightlifting, and football add a lot of stress to the bones in the lower back. These sports require the athlete to continuously overstretch the spinal column. This can lead to a stress fracture of the spinal vertebra. A stress fracture can make the spinal bone weak and shift it out of place.
Symptoms Of Spondylolisthesis

Symptoms of Spondylolisthesis

The symptoms of Spondylolisthesis may vary from case to case and person to person. A patient might not experience any symptoms of Spondylolisthesis in the initial stage. However, in the case of chronic conditions, the patient may find trouble in performing daily activities. We are listing below some of the common symptoms of Spondylolisthesis.
• Continuous pain in the lower back
• Stiffness in lower back and legs
• Sciatica – Muscle weakness or tightness in the lower limbs
• Tenderness in the lower back
• Pain in thighs
• Tightness in buttock muscles and hamstring
These are some of the most commonly experienced symptoms of Spondylolisthesis which are usually aggravated by activities like walking, standing, etc. Taking rest at that time provides temporary relief. It is suggested to go for specific Spondylolisthesis exercises for a proper pain relief program. This would involve a dedicated physiotherapy plan. Herein a physiotherapist will provide a care-based program that will be based on your case and medical history.
Spondylolisthesis Exercises

Spondylolisthesis Exercises

Studies have shown that Spondylolisthesis exercises provide relief and ease the pain to people suffering from Spondylolisthesis. These exercises can include lumbar extension and flexion and strengthening the lower back and abdominal muscles. Spondylolisthesis exercises also help in strengthening the back and core muscles which will not only increase flexibility in the back but also prevent spine slippage.
Depending on your injury and medical history, some Spondylolisthesis exercises are not recommended. You should also check out with your physiotherapist for Spondylolisthesis exercises to avoid.
Let’s now take you through some easy and beneficial Spondylolisthesis exercises.
• Plank – Start this exercise by getting into a standard push-up position. Your hands should remain on your shoulders. Try to stabilize your body using your toes thereby tightening your abdomen. Your body should be firm in this position with your head aligned to your back. Make sure that your knees are firm, but not locked. Your face should be facing downwards towards the floor. Hold this position for 30 seconds.
• Knee to chest – Start with your back, bend your knees, and keep your feet flat on the floor. Lift one of your knees towards the chest. While you do this, make sure that your lower back and opposite footrest firmly against the floor. Hold the position for 15 – 30 seconds. Alternate with the other leg and repeat the steps two to four times.
• Dead bug – Lay on your back and extend your hands above you towards the ceiling and move your feet, knees, and hips up to form a 90-degree angle. Make sure that your back is flattened. Inhale and rotate your pelvis as you squeeze your glutes. Exhale and lower your left leg and right arm together until your back starts to pain a bit. After this, go back to the starting position and alternate sides 10 – 12 times.
• Hamstring stretch – Start this Spondylolisthesis exercise by sitting on the ground and stretching your legs in from of you. Lean forward and reach out to your toes. You will feel a stretch throughout the back of your legs. Try to hold this position for at least 30 seconds. You should do a set of five to stretch your hamstrings and decrease the spondylolisthesis pain.
• Trunk rotation – For this Spondylolisthesis exercise, lie on your back and bend your knees keeping the feet firm on the ground. Keep your arms by your side, slowly rotate your knees to the right as far as it can go. Repeat the same on the left side. Practice this trunk rotation exercise 10 times for each side.
• Gluteal stretch – This is a wonderful Spondylolisthesis exercise to provide an extra stretch for the leg and lower muscle. Begin on your back and with bent knees, slowly pull one leg close to the chest for 10 seconds. Alternate sides and repeat five times.
Spondylolisthesis Exercises 1
These are some of the basic Spondylolisthesis exercises. It is important to note that these exercises are not a substitute for medical advice. Those seeking specific medical advice should visit our physiotherapy clinics in GTA. At Triangle Physiotherapy, we provide a host of services, treatments, and procedures based on your injury and/or health condition. You can write to us and our team will get back to you to answer your specific queries or doubts.

21 Jun

Often, we get confused between Physiotherapy and Physiology both as both have many similarities, but they have a set of differences too.

What is Physiotherapy and what does a physical therapist do?

Physiotherapy or Physical Therapy is a medical treatment where patients face problems of mobility, function, and wellbeing; pain in specific locations of a body especially body parts that are in constant motion like bones, tissues, etc. it helps through physical rehabilitation, injury prevention. Tests are carried out to determine the limitations of the patient which further helps in formulating the set of exercises that will aid in restoring movement.
Physiotherapist duties are:

  • Detect patient’s medical issues in order to help the patient recover from illness, accident, or injury.
  • Provide a clear and well-organized exercise program with clearly defined goals and milestone targets.
  • Set objectives for patient progress and document it.
  • Set up an exercise session as a part of the treatment, maintain detailed reports of future exercise planning.
  • Prepare an evaluation document, instruct patients to use exercise equipment such as walkers.
  • Inform the patient about the benefits of exercise to mentally motivate them.
  • Follow the doctor’s directions to prescribe exercises meanwhile assisting doctors and nurses if required.

benefits of exercise

What is Physiology and what does a Physiologist do?

Physiology is a medical treatment and a detailed study of the anatomy of the body organs and their cells, this treatment aims at preventing chronic diseases and providing physical health benefits suffering from injuries. It treats diseases like obesity, cardiovascular diseases, and diabetes.

Physiologist responsibilities are:

  • Monitor and record patients’ health and medical performance while exercising and under medication, make thorough observations over time to deliver results to the physician.
  • Use medical equipment and machinery when going through the exercise of lungs and heart.
  • Performing tests to evaluate physical and mental stress levels.
  • Simultaneously work with physiotherapists to evaluate results.
  • Create a plan of types of exercises to be followed.
  • Assess the treatment’s effectiveness to fetch the right results.

Physiologist responsibilities

Differences between Physiologist and Physical Therapist

  1. Physiologists and exercise physiologist degree requirements both undertake 4 years of university training, both theoretical and practical, studying subjects such as anatomy, physiology, and biomechanics, etc. Both are recognized by Medicare, TAC, WorkCover, and private health funds, and require yearly professional development.

2. Physiologists provide prescription and teach trigger point therapy and self-massage techniques, using exercise equipment such as foam rollers and trigger point balls. Physiotherapists, on the other hand, can deliver soft tissue mobilization through massage, acupuncture, dry needling, and ultrasounds, guide you through self-massage techniques as well.
3. Physiotherapists evaluate the injury diagnosis and prognosis, whereas Physiologists receive the injury diagnosis and deliver the rehabilitation prognosis.
4. Physiologists specialize in providing lifestyle modification techniques to support those with a wide range of chronic health conditions to promote improved health and wellness and decrease risk. Physiotherapists will overall specialize in the acute phase of an injury, and can often also deliver long-term rehabilitation and health monitoring.
5. Exercise physiology accreditation and the conditions they work with:

  • Cancer treatment recovery
  • Chronic pain and fatigue
  • Managing osteoarthritis pain
  • Osteoporosis and arthritis
  • Diabetes
  • Metabolic Syndrome
  • Mental health
  • Musculoskeletal
  • Neurological (Parkinson’s disease, multiple sclerosis, cerebral palsy)
  • Obesity
  • Pulmonary
  • Cardiovascular

If you are facing difficulties, visit us for professional therapies from our certified experts:

    4. TORONTO

6. Conditions physical therapists work with:

  • Mobility and balance concerns/falls
  • Back or other spinal joint pain
  • Sports injuries
  • Chronic pain
  • Post-surgery rehabilitation
  • Cardiorespiratory issues
  • Neurological (injuries) conditions – for example stroke
  • Parkinson’s disease
  • Multiple Sclerosis
  • Arthritis- for example osteoarthritis/rheumatoid arthritis

Physiologist responsibilitiesInjury Cycle – Acute Phase

Immediately post-injury (this is often called the ‘acute phase’ of the injury), a medical patient should visit a Physiotherapist to control the inflammation of the joint and the pain caused by its movement and friction.
At this stage, Physiotherapists are able to provide a diagnosis of the types of injury, provide manual therapy, and if needed, provide temporary mobility aids such as a splint or crutch.

Injury Cycle – Recovery Phase

The next phase of rehabilitation that is 3 to 4 weeks post-injury, is when a Physical Therapist will come into the play and provide treatment in order to introduce exercises to regain range of movement, including mobilization of soft tissue structures, and restore joint mobility and strength to optimize function.
All exercises prescribed by the Exercise Physiologist are made to achieve each individual’s activities of daily living and rehabilitation or performance goals.
Exercises recommended by the Physical Therapists are made to achieve an individual’s daily life activities and rehabilitation or performance targets.

Physical therapist exercises

Difference between Physiology and Physiotherapy

Physiotherapy Physiology
Disorders concerning muscle and bones are treated by physiotherapy. This includes some medical conditions such as arthritis, joint aches, back pain, cardiorespiratory ailments like emphysema, asthma, neurological disorders like Parkinson’s disease, stroke, and post-surgery complications, etc. Physiology focuses on increasing metabolism and physical energy during the course of treatment along with rehabilitation. The diseases treated by physiological exercises are obesity, hypertension, diabetes, immunity complexities, arthritis, etc.
The techniques used by Physiotherapy are manipulation, electrotherapy, mobilization, therapeutic physiotherapy exercises, and gentle massage. These are performed by trained physiotherapists after evaluating the patient’s physical conditions. Physiological treatments are not rendered after identifying the problem. The treatment to lower any kind of discomfort before a proper diagnosis is a part of physiology exercises. In physiology, a proper plan is designed with the mainstream treatment and changes in lifestyle and behavior.
Physiotherapy can be studied at the Bachelors’s level (BPT) course. Physiology is a higher academic course at the Post Graduate level of medical science. One has to complete MBBS before opting for MD in Physiology.

Why do you need a Physical Therapist and how can it help you?

Using these checklists is a great way to decide which health professional is best for you.

  1. Do you have pain that is new, unexpected, or not yet diagnosed?
  2. Or you have a type of sports injury, or have you recently undergone orthopedic surgery?
  3. Do you require hands-on treatment for symptomatic relief such as acupuncture, manipulation or massage?

If you have answered yes to any of the above questions, then a Physical Therapist may be for you!
It’s well known that exercising for the proper duration and intensity may help improve the quality and length of life – it may decrease the incidence of obesity and chronic health conditions. Accredited Exercise Physiologists can work with such conditions through prescriptions and proper training.
Our Exercise Physiologists are university-qualified health professionals who provide safe, effective exercise programs, tailor-made to meet your health goals.

Do you need a physiologist and physical therapist and how can they help you?

Using these checklists is a great way to decide which health professional is best for you.

  1. Are you recovering from an injury, or have a prior injury that you do not want to worsen, however, wish to get fit and healthy?
  2. Do you have a chronic health condition (such as diabetes, hypertension, high cholesterol, asthma, obesity, osteoporosis, etc.) that exercise could assist with?
  3. If you have goals around losing weight or maintaining a healthy weight?
  4. Do you seek a specifically drafted and prescribed exercise program that will meet your health and wellness needs?

At the end of the day, there is a degree of overlap between both professions as they aid in treating many different conditions and aspects of health and wellbeing. The take-home message here is that if you are in the acute stages of rehabilitation then a Physiotherapist may be the right person to seek treatment from. However, if you are in the sub-acute and recovery or chronic stage of rehabilitation then receiving treatment from an expert physiologist for a specific and individually tailored exercise program is what you need.
For further information regarding how an Accredited Exercise Physiologist can help you contact us at different physiotherapy clinics in GTA.

21 Jun

Importance of Physiotherapy Exercises

Physiotherapy exercises have a major role to play in the recovery plan for any injury or accident. It is directed towards specific objectives like restoring muscular and skeletal function, increase circulation, reduce muscle spasms and improve overall strength and well-being. Gone are the days when a patient was told to just rest for two or three weeks, sometimes even long after an injury. Advanced physiotherapy exercises are now a part of the treatment plan and have in fact become an important modality in managing musculoskeletal conditions. These days, Physiotherapy exercises constitute a huge part of the recovery plan post any injury or trauma. You can consult our specialized Physiotherapy services in GTA.
There are various reasons why you should include Physiotherapy exercises in your recovery plan. Here are the reasons you should have to keep moving for better recovery and overall strength –

  • Reduces or eliminates pain – Physiotherapy exercises like joint or soft tissue mobilization helps in reducing pain and restoring joint and muscle function. It also helps in preventing the pain from returning.
  • Avoids surgery – There are instances when physiotherapy exercises can eliminate the pain and heal the injury, thereby avoiding the surgery and its associated risks.
  • Improves mobility – Irrespective of age or gender, mobility issues like standing, walking, or moving can hit anyone. Strengthening and stretching exercises in Physiotherapy helps in restoring the ability to move.
  • Recovery from a sports injury – A good physiotherapist understands how different sports can increase the chances of sports injury and therefore, they can lay out an appropriate recovery plan based on your injury and medical condition.
  • Improves balance and prevents fall – Physiotherapy assesses your vulnerability to falls and associated risks. Your physiotherapist will provide appropriate physiotherapy exercises to improve balance and coordination for safe walking.
  • Manages diabetes and vascular conditions – Physiotherapy exercises can be a part of the overall diabetes management program. People suffering from diabetes face troubling sensation in feet and legs. They can be benefitted from physiotherapy exercises in ensuring proper foot care.
  • Manages age-related issues – As a person ages, he/she may develop complications like arthritis, osteoporosis or joint replacement. Physiotherapy exercises can help patients recover from such age-related disorders.
  • Recovery from a stroke – Many people experience losing some degree of function and movement after stroke. Physiotherapy exercises help in strengthening the weakened body parts and improve strength and balance. Your physiotherapist will also work in improving your ability to move around so that you can be more independent at home and take care of yourself without being dependent on anyone.
  • Manages heart and lung diseases – After a heart attack, though the patient may complete cardiac rehabilitation, he/she may need physiotherapy if the daily functioning is affected. Physiotherapy exercises also help in improving lung capacity through breathing exercises, conditioning, strengthening, and clearing the fluids in the lungs.
  • Improves women’s health and other conditions – Women face specific health conditions like pregnancy and post-partum care. Physiotherapy exercises for women help in managing specialized issues related to women’s health. Physiotherapy also provides specific treatment for medical conditions like breast cancer, bowel incontinence, constipation, lymphedema, fibromyalgia, etc.

Physiotherapy exercise for women
Triangle Physiotherapy offers a host of services to help you recover from injury or medical conditions. You can visit our clinics in Physiotherapy clinics in GTA for your specific requirement. You can also consult our physiotherapists online through a secure video conference platform in the comfort of your home or office. Based on your condition, our physiotherapist will develop a detailed and personalized program targeted to your requirements. This will include various physiotherapy exercises aimed at the difficulties experienced by you.
Physiotherapy exercises have two main objectives –

  • Lubricate joint surfaces
  • Maintain and increase range of motion

types of physiotherapy exercises
There are various types of physiotherapy exercises that help in achieving both of these objectives.

  • Musculoskeletal physiotherapy – Also known as orthopedic physiotherapy, this treatment falls under the category that aims to restore the functioning of the musculoskeletal system, including muscles, joints, ligaments, tendons, and bones. Musculoskeletal physiotherapy focuses on –
  • Reducing pain
  • Correcting skeletal alignment
  • Treating damage in soft tissues
  • Improving mobilization
  • Geriatric physiotherapy – Focusing on older adults, this branch of physiotherapy exercise caters to specific needs that occur during old age. As people grow older, they experience disorders like arthritis, cancer, joint replacement, Alzheimer’s, osteoporosis, and balance disorders. The main goals of geriatric physiotherapy are –
  • Reducing pain
  • Restoring mobility impacted by old age
  • Improving overall wellbeing and physical fitness
  • Helping inactive aging
  • Sports physiotherapy – This niche branch of physiotherapy exercise includes management of athletic and sports injuries through –
  • Initial diagnosis and assessment of sports injury
  • Treatment of the injury through personalized advice and techniques to promote healing
  • Ensuring a quick return to the sport through rehabilitation and progressive injury management
  • Advice on preventive practices like movement assessment to identify and address the known precursors to the injury
  • Sharing specialized knowledge to sportsperson or athletes like taping technique to aid in the prevention of injury in future

Physiotherapy for women

  • Women’s Health – Physiotherapy for women is a very specific area and requires particular physiotherapy exercises to address health issues faced by women. These include childbirth, prenatal, postnatal care, fertility issues, etc. Physiotherapy exercises for women focus on –
  • Strengthening the core
  • Reducing lower back, hip, and pelvic pain experienced during and after pregnancy
  • Controlling urinary incontinence
  • Activating pelvic floor
  • Decreasing lymphatic swelling
  • Prenatal and postnatal care

Physiotherapy exercises for women

  • Rehabilitation and pain management – This can be divided into two categories –
  • If you are experiencing chronic pain and are planning to go for surgery then this physiotherapy exercise would help you in relieving pain.
  • Treatment before the surgery helps in strengthening the body and preparing it for post-operative rehabilitation.
  • Neurological physiotherapy – This range of physiotherapy exercises focuses on disorders affecting the nervous system like head injuries, stroke, damage in the spinal cord, sciatica, multiple sclerosis, Parkinson’s disease, and issues related to vertigo. Here the treatment focusses on –
  • Correcting neural pathways
  • Motor control
  • Balance and coordination

physiotherapy exercises
Your physiotherapist will suggest you the exercises depending upon the stage of your recovery. Range of Movement (ROM) exercises are commonly suggested forms of exercise in physiotherapy. These exercises are advised for a specific joint where there is a reduced amount of movement. There are three types of Range of Movement exercises.

  • Passive Range of Motion Exercise (PROME) – Here, the physiotherapist moves the limb along the joint range. It is mostly performed on patients who cannot move their limbs.
  • Active – Assistive Range of Motion Exercises (AAROME) – This Range of Motion Exercise is performed on patients who can move their limbs but need assistance to complete the joint range. Here the role of the physiotherapist is very important as he helps the patient to complete the movement and ensure that the pain is not worsened.
  • Active Range of Motion Exercise (AROME) – Here, the patient performs the physiotherapy exercises without any physical assistance from the physiotherapist. Though the physiotherapist suggests and instructs the proper execution of the exercise, the patient performs all the exercise by himself.

If you feel or experience any pain in the body, please contact us and speak to our skilled and experienced physiotherapists for an expert opinion.

19 Jun

When it comes to patient care, it is important to understand the different severities of injuries. This classification is important as it helps the medical practitioners to address and prioritize the efforts. Here, we are going to talk about the difference between injury and trauma and help you understand how does physiotherapy help in the treatment of both.
Unfortunately, the injuries caused due to trauma are very severe and require need complex medical treatment and longer recovery time. Therefore, anyone who undergoes a traumatic injury must consult the experts for their condition and avail the best physiotherapy treatment to ensure maximum and fastest recovery.

What is an injury?


What Is An Injury

In simple terms, any instance that causes harm to the body can be classified as an injury. Injuries can be divided into different ranges, depending upon the severity and impact on the body. Some injuries might require immediate medical attention while some can heal naturally with minimum or less care. Some examples of injuries are cuts, burns, scrapes, minor concussions, broken bones and sprains. What may look like a minor injury could require urgent and special medical care. Therefore, it is suggested to visit a trained and experienced physiotherapist or practitioner in case of an injury.

What is a trauma?


What Is A Trauma

Trauma can be explained as a more serious, possibly life-threatening injury, requiring urgent medical attention. A trauma is a critical injury and therefore most hospitals have a trauma center to attend and treat sensitive and urgent cases like these. Some of the examples of the trauma includes road accidents, severe cuts, burns, blunt-force trauma, serious falls, multiple broken bones, head injury, major concussions or stab wounds. Though the minor cuts or wounds can be handled by an effective first-aid kit or stitches, serious trauma like burns, bleeding artery or head injury may require extensive surgery followed by rehabilitation for a proper recovery.

Physiotherapy and Injury

Physiotherapy treatment for injury

Physiotherapy And Injury

When it comes to the recovery stage, physiotherapy is extremely beneficial. Many people believe that the road to recovery in injury passes through physiotherapy and the recovery can never be complete without physiotherapy. If a person has suffered from an injury from a broken bone or a sprained limb, he will face major challenges in routine activities. Simple tasks like walking or driving can be become arduous. This is where physiotherapy comes into picture. Physiotherapy provides the direction to exercise and mobilize specific muscles and tissues so that the body heals from the injury.
If a person suffers from an injury – major or minor, it is suggested that he should consult with the doctor about the recovery plan that must include physiotherapy. It is important to note that even a minimal physiotherapy helps in regaining strength and functionality post the injury. Injury recovery is not possible with a focused and dedicated physiotherapy program. For cases involving broken bones or sprains, physiotherapy is very useful to stretch and comfort the affected area and expedite the healing. Preventive physiotherapy is also beneficial for elderly patients and people at risk of injury. It helps in ensuring and maintaining balance, strength, agility and a complete range of motion while preventing injuries.

Physiotherapy and Trauma

Physiotherapy treatment for trauma

Physiotherapy In GTA

Trauma injuries usually require more extensive and immediate surgery to fix the damage. Traumatic cases have extensive long recovery process. Patients suffer mental and physical anguish in injuries involving surgery. Based on the extent and severity of the injury, the recovery process may be anywhere from a few days to several years. In some unfortunate cases, some patients are never able to recover despite optimal surgery.
The time immediately after the injury and the subsequent surgeries is the most crucial one for people who have suffered a big physical trauma. It is this period that plays one of the biggest deciding roles in the duration and pace of the recovery. Therefore, it is suggested to consult an experienced and trained medical practitioner for the injury. Based on the injury and medical history, the doctor/medical practitioner prepares a recovery plan which starts immediately and involves a comprehensive active recovery like physiotherapy. Physiotherapy can be a painful and difficult process, but helps in regaining strength and mobility post traumatic injuries. They are a part of the recovery process in complicated cases like brain injuries and physical trauma.

Physiotherapy in GTA

Physiotherapy and rehabilitation care services can come in various forms based on the severity of the injury and medical history of the patient. For example, someone suffering from Tennis Elbow or Stress Fracture may need Shockwave Therapy Treatment, while someone who gets a head injury might need Vestibular Rehabilitation to cure dizziness and provide stability and balance to the mind. It is important to know that every situation is unique in its own way and therefore needs a different recovery plan and timeline. That is why one should be patient and adhere to the recovery plan chartered by the physiotherapist to get optimal results. At Triangle Physiotherapy, we offer a host of services aimed to provide relief from the pain and ensure preventive care for overall strength and well-being. Some of our services include –

  • Pelvic Floor Physiotherapy – To encourage patients to successfully treat pelvic issues
  • Vestibular Rehabilitation – To improve balance and reduce problems related to dizziness
  • Shockwave Therapy – To reduce pain and promote healing shock waves are delivered to the injured soft tissues
  • Chiropody – To lower the pain in the lower limbs and feet and cure mobility issues and infections
  • Chiropractic – To treat the muscles, joints, bones and nerves through a non-invasive and conservative approach
  • Naturopathic Medicine – To treat the root cause rather than covering up the symptoms using non-pharmacological interventions
  • Massage Therapy – To promote deep relaxation, release tension and provide optimal well-being by working on the superficial and deep tissues
  • Custom Bracing – To increase joint stability, improve alignment and reduce excessive movements
  • Acupuncture – To help the body heal naturally by activating trigger points to relive muscle tightness
  • Fascial Stretch Therapy – To achieve optimal strength, flexibility, performance and pain relief using table-based assisted stretching exercises

At Triangle Physiotherapy, we our trained and experienced physiotherapists will work with you to provide a comprehensive recovery programme based on your conditions and medical history. Our services are tailor-made to provide relief and assistance to any type of injury or trauma and we ensure that you get the best recovery following our programme. Our patients are our topmost priority and all our efforts are directed at providing them care and relief.

17 Jun

Spondylolisthesis Exercises Spondylolisthesis is a condition that leads to back pain caused by the instability in the vertebrae. According to an article published in Spine, 6 to 11.5% of the adult population experiences Spondylolisthesis. People who are involved in football lor gymnastics are at a higher risk. While we understand that it’s a painful condition to be in, we don’t want you to stop doing what you love and therefore, we suggest you to book an appointment with our expert Physiotherapists at any of our nine rehabilitation clinics across the GTA (Etobicoke, North York, Mississauga, King West, Lawrence Park, Erin Mills, Queen Quay, Oakville, Liberty Village.

When it comes to spondylolisthesis, exercise plays a very important role in improving the condition. However, one must remember here that not all exercises are safe and can even further damage the spine. We are going to make you learn Spondylolisthesis exercises that must be avoided for an effective Spondylolisthesis treatment. Before we move to exercises to avoid in spondylolisthesis, we must first understand what is spondylolisthesis.

Spondylolisthesis Exercises
Spondylolisthesis Exercises

Spondylolisthesis – an overview

Usually caused by degeneration of the vertebrae or disc, due to trauma, injury or genetics. It makes a piece of the spinal bone, also known as vertebrae slips out of alignment and onto the bone below it. Spondylolisthesis usually occurs at the fifth lumbar vertebrae. As reported by the Cleveland Clinic, spondylolisthesis is one of the most common causes of back pain for teen athletes. Having said that, degenerative spondylolisthesis also results in low back pain in people older than 40 years.
Specific spondylolisthesis exercises are suggested to alleviate the pain and discomfort thereby improving the function and quality of life. Let’s now talk about the symptoms of spondylolisthesis.

Symtoms Of Spondylolisthesis
Symtoms Of Spondylolisthesis

Symptoms of Spondylolisthesis

Most of the spondylolisthesis symptoms include pain in the lower back that gets worse with standing and hyperextension. The pain may appear like a muscle strain. There are some other symptoms of spondylolisthesis that one must look out for –
• Tightness in hamstring
• Pain in posterior buttock
• Neurological changes including tingling down the legs and numbness
If you are experiencing any of these symptoms or have recently occurred an injury, consult our experienced physiotherapists at our rehabilitation clinics in different locations in GTA.
After a through examination, the physiotherapist suggests a personalised program to help reducing the pain and discomfort caused due to spondylolisthesis. Usually, the physiotherapists classify spondylolisthesis as low grade or high grade, depending on how much the vertebrae have slipped forward. Patients with lesser symptoms and low-grade slips respond well to conservative line of treatment, like exercise. However, patients who experience high grade slips witnessing numbness or tingling in the legs may require surgery.
Considering the potential risks, it is very important to know what exercises must be avoided in spondylolisthesis to prevent further damage or injury.

Spondylolisthesis Exercises To Avoid
Spondylolisthesis Exercises To Avoid

Spondylolisthesis Exercises to Avoid

If you are looking to rehabilitate a non-operative spondylolisthesis after consulting with the physiotherapist, expect it to take three to six months to heal, according to Sanford Orthopaedics Sports Medicine. It is suggested that the patient must take a break of at least three months from sports and athletics. The patients are also suggested to wear a brace for continuous stretch of time.
Other than rest and bracing, there are many other things to avoid in spondylolisthesis. We are now listing spondylolisthesis exercises to avoid to ensure proper and speedy recovery. These include lumbar extension movements that can take your spine past the neutral position. The lumbar extension movements may increase the pain and slow down the healing of the affected vertebrae.
Some other exercises to avoid in spondylolisthesis include –

  • Prone press-ups (Push-up while lying on the stomach)
  • Standing extensions
  • Prone leg raises (Lifting legs while lying on the stomach)
  • Back extension machine at the gym

It is also suggested that yoga aasanas must also be avoided in spondylolisthesis. Yoga includes various back extension postures, like cobra and swan pose, which may not be safe to practice in spondylolisthesis.
There are some other exercises that must be avoided in spondylolisthesis. These includes weightlifting, exercises that need you to twist or bend, high impact activities that put a lot of stress on the healing back, like jumping rope or box jumps.

spondylolisthesis exercise

Now that we have learnt what exercises should be avoided for spondylolisthesis, we must also understand are the best to treat spondylolisthesis. Just like all the other injuries, physiotherapy is beneficial in the treatment of spondylolisthesis. Mostly, the rehabilitation focuses on increasing the core muscles without going past neutral along with hamstring stretches. One should expect up three to six months of rehabilitation before returning back to normalcy.
We suggest the following spondylolisthesis exercises for a speedy and efficient recovery. We also suggest you to consult with your physiotherapist and not undertake any of these exercises without his approval.

  • Pelvic tilt exercises – These exercises help in reducing the discomfort by stabilising the lower spine in a flexed position. Depending upon the pain and your preference, pelvic tilt exercises can be done in various positions.
  • Crunches – Patients suffering from spondylolisthesis often face instability and pain caused by weak abdominal muscles. This can be strengthened with powerful crunch exercises. You must try to focus on proper form and moving slowly to engage the core muscles. Spondylolisthesis is a painful condition to be in and therefore we suggest not to force the body to move through full range of motion. This may increase the pain and slow down the recovery time.
  • Hamstring stretch – Spinal instability often causes tension in the hamstrings to those suffering from spondylolisthesis. Hamstrings are the large muscles that run down the back of the thigh. Stretching hamstrings sitting on the ground can help to relieve tension and tightness caused due to spondylolisthesis. It also reduces the lower back pain.
  • Multifidus activation – Multifidus muscles are the small but very important muscles lying next to the spine. These muscles help in bending and twisting movements thereby increasing the stability of the spinal joints. If suffering from spondylolisthesis, activating multifidi will ease the pain and provide the much-needed comfort.
  • Double knee to chest – This spondylolisthesis exercise is suggested to decrease the instability and improve the strength. It works on the core muscles of the torso and is thus beneficial in spondylolisthesis.

Check with your physiotherapist before starting any exercise program for spondylolisthesis while recovering from this injury. You can aim for a gradual return to physical and sports activities, depending on the severity of the injury and how string your core is. Post healing core strengthening is also suggested to prevent future injuries. We have tried to address spondylosis here in this blog. You can write to us if you have any more doubts on spondylolisthesis and our team will surely get back to you.

Book an Appointment