What is incontinence?
Incontinence can be a fairly sensitive or embarrassing subject to those who suffer from it. Incontinence is the involuntary loss of urine or feces from the bladder and bowel. But know this, incontinence is an ACCIDENT, it is something that is uncontrollable and can happen to any expecting mother.
Urinary incontinence affects around 10-13 million men and women, and it is twice as common in women as in men. Anthony Atala, MD, said, “I would say virtually all pregnant women experience some type of incontinence”. Incontinence should not rule your pregnancy or your life.
What does pregnancy have to do with incontinence?
Pregnancy can interfere with the normal way your urethra relaxes and contracts. You are able to urinate when the muscles around your urethra relax, allowing urine to pass through your bladder and out of your body. After urination, the muscles around your urethra contract, holding off urine flow until your body is ready to urinate again. Hormone changes during pregnancy and the additional pressure on the bladder from your uterus can cause stress incontinence. Mothers who are experiencing stress incontinence may urinate whilst sneezing, walking, coughing, laughing, running, and during exercise. Women who have a family history of incontinence, gain more weight than recommended during pregnancy, and are over the age of 35 are at higher risk of experiencing incontinence.
How do I avoid incontinence during pregnancy?
There are numerous ways to avoid pregnancy incontinence, along with visiting a pelvic health physiotherapist, to avoid leakage.
- Schedule your bathroom breaks. Try to make it to the toilet at least every two hours, as when pregnant, women urinate more frequently.
- If you think your bathroom visits are proper, try practicing kegel exercises. Kegels help strengthen the pelvic floor. Practicing a kegel is the same as stopping the flow of urine within your urethra. Contract your muscles to the count of ten and then release. Repeat exercises ten to twenty times in a row two to three times a day. The average time to see results is four to eight weeks of regular practice.
- Watching your weight while carrying has a significant effect on developing incontinence. Women who gain more weight during pregnancy are more likely to experience incontinence. Combining these factors with your pelvic physiotherapist will lower your risk of developing incontinence during your pregnancy, allowing your experience to be worry-free.
If you are still unsure or worried about the risk of incontinence during your pregnancy, contact a pelvic floor physiotherapist at Triangle Physiotherapy. Triangle Physiotherapy has eight convenient locations: Etobicoke, Oakville, Mississauga, North York, Toronto, and King West. At Triangle Physiotherapy, our team is compromised of professionals who love what they do. Triangle staff will ensure that you will have a safe and comfortable pregnancy while in their care, and will help get your pregnancy back on track and in your hands.
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Incontinence during pregnancy can be challenging, but physiotherapy can help manage symptoms and improve pelvic floor strength. If you’re looking for specialized physiotherapy services to support incontinence management, consider clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics offer expert care and personalized treatment plans to help you stay comfortable and healthy throughout your pregnancy journey.
Back pain? You are not alone. Over 80 % of Canadians will experience back pain atleast once in their life. However, about 90% of back pain is not caused by any serious injury or disease. That being said, it doesn’t make it any less painful or debilitating. For a lot of people, traditional physiotherapy and massage therapy works well, but if it doesn’t don’t be discouraged… there is still hope! As a physiotherapist myself that has suffered from back pain, yoga has changed my life! It has helped me increase my flexibility, core strength, improve my posture and overall enhance my life.
Why Yoga?
1. Stretching
The spine is meant to move in lots of different ways. If we don’t move or stretch it gets stiff and rusty. This can start to cause some aches and pains which can get worse over time if it is not addressed. It can also make you more susceptible to becoming that 10% of people that suffer from a more significant injury. “But it hurts to move,” you say… Yes, oftentimes it does cause some discomfort to move especially if you haven’t tried to move in certain directions for a long time but science now tells us that it is far better for your back to move in a controlled and safe way rather than not moving. This is where yoga can help…. Yoga is a very gentle and proven way to help loosen up your back and make sure it moves smoothly within all its normal ranges of motion.
2. Strengthening
All of us have heard that if you have back pain you should strengthen your core, right? Yoga creates a great way of functionally strengthening your core. What that means is instead of isolating certain muscles, the yoga poses (asanas) that you are taken through will help you learn how to use all the muscles of your core together (including your diaphragm and pelvic floor!). If you continue strengthening your core on the ground then your body doesn’t get stronger in the positions it needs for everyday activities. For example, vacuuming your house requires you to be slightly bent over and pushing/pulling. Yoga poses that can simulate will force you to strengthen your core muscles in the positions it is needed so that once you get stronger, vacuuming won’t be painful.
There are many other benefits of yoga that can help with pain from breathing techniques (if it works for women in labour then it can work for your back pain too!) Also, mind-body awareness and connection is developed to help you realize if there are postures or positions that you are doing out of habit that you don’t realize can be harming your body. Yoga can correct imbalances of your musculoskeletal system that you didn’t even know existed.
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Yoga can be a powerful tool for improving back health, enhancing flexibility, and reducing pain when combined with physiotherapy. For those seeking professional physiotherapy services to complement their yoga practice, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics offer expert care and personalized treatment plans to help you maintain a healthy back and overall well-being.
What is Carpal Tunnel Syndrome?
Carpal Tunnel Syndrome (CTS) is a wrist and hand condition that occurs when a nerve becomes pinched within a tunnel created by the bones of the wrist. The wrist is composed of 8 small bones called Carpals,which, along with ligaments, create a ‘Carpal Tunnel’ on the palmer side of the forearm. This tunnel creates a space for the passage of the Median nerve and theflexor tendons of the fingers. The Median nerve provides both sensory and motor function to the hand, and if it becomes compromised within this space, Carpal Tunnel Syndrome will occur.
Symptoms:
Symptoms of CTS are numbness, pain, and weakness in the affected wrist and hand. Numbness and pain occur along the sensory distribution of the Median nerve, which includes the palmer side of the thumb, index finger, third finger and lateral half of the ring finger. The progression of symptoms is typically gradual, beginning with itching, tingling or mild burning, and in chronic cases can progress to complete numbness, and involve radiating pain up the arm, decreased grip strength and muscle wasting in the thumb.
Common Causes:
CTS is often due to a combination of multiple factors that result in increased pressure on the Median nerve in the carpal tunnel. This condition is rarely due to an issue with the nerve itself. A common contributing factor to CTS is size of the carpal tunnel, as the smaller the passageway, the greater the likelihood of tendon and Median nerve compression. Women on average have smaller and narrower carpal tunnels then men, making them more prone to CTS. Another contributing factor is injury or trauma to the wrist, because the resultant swelling increases the amount of pressure and decreases the amount of space within the carpal tunnel. Repetitive strain injuries to the wrist can cause inflammation and swelling of the synovial fluid surrounding the flexor tendons, which also decreases the space within the carpal tunnel. These repetitive strain injuries can often occur in the workplace, due to use of vibrating tools and machinery, or repetitive typing and use of a mouse at a computer workstation.
Treatment:
Physiotherapy is often used to help treat Carpal Tunnel Syndrome. Therapy for this condition focuses on proper education about the condition and necessary activity modification, prescription of stretching and strengthening exercises and therapeutic modalities as appropriate. Additionally, bracing can be used to help provide wrist support and stability. Wrist bracing is most effective at night to prevent wrist flexion, and during the day while performing repetitive wrist activities. Occasionally, surgical intervention is required for the treatment of CTS, in which the connective tissue creating the roof of the carpal tunnel is cut to create more room for the Median nerve. Physiotherapy rehabilitation is recommended post-surgery to ensure an optimal outcome.
For more information about Carpal Tunnel Syndrome, ask your physiotherapist at Triangle Physiotherapy and Rehabilitation!
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Managing carpal tunnel syndrome effectively often requires physiotherapy to reduce pain, improve hand function, and prevent further injury. If you are seeking professional physiotherapy services for carpal tunnel syndrome, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations provide specialized care and customized treatment plans to help you regain hand strength and mobility.
What is Lateral Epicondylitis?
Lateral Epicondylitis also known as “Tennis Elbow” is the most common overuse injury in the elbow. This injury involves partial or complete tears in the extensor tendons of the forearm muscles causing pain on the lateral (outside) elbow on a region known as the lateral epicondyle.
Anatomy
The elbow joint is made up of three bones: the humerus (upper arm bone), the radius and ulna (two bones in the forearm). On the distal end of the humerus there are two epicondyles, one lateral (on the outside) and one medial (on the inside).
The muscles that extend our wrist are attached to the lateral epicondyle by tendons. These muscles include extensor carpi radialisbrevis (ECRB) extensor carpi radialislongus (ECRL), extensor digitorum and extensor carpi ulnaris. The tears, and subsequent pain, from lateral epicondylitis usually occurs along these tendons. Most commonly the extensor carpi radialisbrevis (ECRB) is injured, but this injury can occur in any of the other muscles mentioned.
Causes
Lateral epicondylitis usually occurs due to overuse or repetitive movements of the extensor muscles of the forearm. Such an issue can occur due to:
- An over reliance of the extensor muscles because of poor conditioning or injury in the shoulder or upper arm muscles.
- Occupations and nonathletic activities requiring repetitive upper extremity activities and particularly those involving computer use, heavy lifting, forceful forearm pronation (palm face down) and supination (palm face up), and repetitive vibration.
- Improper technique or positioning with equipment i.e. tennis racket.
Risk Factors
While aging is the strongest risk factor associated with lateral epicondylitis, numerous other risk factors have been identified:
-work/non-work related activities requiring repetitive movements,
-training errors,
-misalignments,
-flexibility problems,
-poor circulation,
-strength deficits or a muscle imbalance,
-psychological factors.
Symptoms
- Gradual increase in pain on the lateral aspect of the elbow.
- Weakness in grip strength.
- Worse pain with activities that involve extension of the wrist, e.g. backhand tennis stroke, repetitive use of a screwdriver, or lifting heavy objects.
- In more severe cases, pain can occur with such simple activities as holding a coffee cup or turning a door knob.
Physiotherapy Treatment
There are different types of therapies to treat lateral epicondylitis, all with the same aim: reduce pain, improve function and strengthen the affected muscle. Some of the ways a physiotherapist can help manage and treat your lateral epicondylitis includes:
-Joint Mobilization
– Deep Transverse Frictions
– Modalities – Ultrasound, Electrotherapy, Cyrotherapy, Laser, Extracorporeal Shockwave Therapy
– Orthoses (Bracing)
Exercise Therapy
Stretching – The research and literature shows that strengthening and STRETCHING exercises are the most important components of exercise programmes, for the reason that tendons should not only be strong but also flexible.
Eccentric Exercises
Research has also shown that lateral epicondyitis has shown improvement following treatment utilizing isokinetic eccentric exercise. A great exercise which utilizes this principle is the FlexBar eccentric exercise which has been clinically proven to be effective in providing in improving function with lateral epicondylitis.
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Physiotherapy is essential in treating tennis elbow by reducing pain, improving strength, and restoring arm function. If you’re looking for professional physiotherapy services for tennis elbow, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics offer expert care and personalized treatment plans to help you recover and regain full use of your arm.
A Diastasis Recti Abdominus is a separation in the 6-pack muscle, the rectus abdominis.
How does it occur?
It most often occurs during pregnancy. Sometimes it will spontaneously correct following birth, but it does not always.
It can also occur with overstretch of abdominal musculature.
Why is it a problem?
There is no pain with this condition.
However, the abdominal wall and the core will become weak. Your abdominals work with your pelvic floor, so a separation of your rectus abdominis muscles can make your pelvic floor less efficient and may result in prolapse and incontinence.Your abdominals also work with your lower back musculature, therefore it can lead to lower back pain.
How do I know if I have a Rectus Diastasis?
If you lift your head while lying on your back and the center of your belly protrudes out, you may have a rectus diastasis. It is measured by the number of fingers you can fit between the muscle when lying on your back and lifting your head. Normal is 1/2 a finger above and below the belly button, and one finger at the belly button.
How do I treat it?
If the abdominal separation is greater than 4 fingers, an abdominal binder is recommended. If you use an abdominal binder, it should be from your hip bones to your rib cage, you need to keep the binder on 24/7. You can only take the binder off when you do your correction exercise below, or when you take a shower. You should keep it on at bedtime.
To get your pelvic health assessed, schedule a consultation with a pelvic floor physiotherapist at Triangle Physiotherapy!
Written by: Kamand Zendeganidoost, Registered Physiotherapist
Managing rectus diastasis effectively often involves specialized physiotherapy to strengthen the core and improve abdominal function. If you are seeking professional physiotherapy services for abdominal separation, consider visiting clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics provide expert care and personalized treatment plans to help you restore core stability and strength.
What is Plantar Fasciitis?
Plantar fasciitis is the most common cause of heel pain. Plantar fasciitis is a repetitive strain injury to the plantar surface of the foot. Tiny micro tears can develop in the ligament with repetitive use.
This condition is most common in middle-aged populations however you can develop it at any age. It occurs in people who are on their feet a lot such as athletes and construction workers. You can develop plantar fasciitis in one or both feet.
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.
Symptoms of Plantar Fasciitis
Most people experience pain during the first few steps after they get out of bed in the morning. It can also cause irritation, inflammation, weakness and swelling to the bottom of the heel and foot. Symptoms may decrease throughout the day with increased activity but it typically worsens after prolonged sitting, standing, walking or at the end of the day.
Factors that predispose you to develop Plantar Fasciitis
There are many factors that can contribute to plantar fasciitis. The most common causes of plantar fasciitis are biomechanical imbalances within the body. This includes tight or weakened muscular structures, leg length discrepancies and excessive flat feet (pronation) or very high arches (supination) of the foot. It often develops with overtraining and repetitive overuse of the foot and ankle. More specifically, plantar fasciitis develops with training or working on unyielding surfaces such as concrete and occupation-related footwear such as steel-toed boots. It can also occur with prolonged standing and weight-bearing activities such as walking or running. As we age, tissue degeneration occurs weakening the supporting structures of the arch of the foot. In addition, during pregnancy, hormonal changes can cause weakening of ligaments such as the plantar fascia. Excessive weight gain also compromises the integrity of this ligament. It can also occur from wearing worn down or unsupportive footwear.
Treatment Options Available for Plantar Fasciitis
If this sounds familiar, contact your physiotherapist to set up an initial assessment. Physiotherapists offer a wide variety of treatment options to help decrease the pain associated with plantar fasciitis. Your physiotherapist will create an individualized treatment plan for you consisting of soft tissue techniques, manual therapy joint mobilizations, modalities and a targeted exercise program involving stretching and strengthening the muscles of the foot and ankle. They can also provide you with education regarding proper gait mechanics, running technique, orthotics and splinting options for day and night use.
Written by: Natalie Langstaff, Physiotherapy Resident
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Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Physiotherapy can be highly effective in managing plantar fasciitis by alleviating pain, improving foot mechanics, and preventing recurrence. If you are looking for professional physiotherapy services to treat plantar fasciitis, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics offer expert care and personalized treatment plans to help you get back on your feet pain-free.
One of the most common questions physiotherapists are asked on a daily basis is whether to apply ice or heat to an injury. The answer to this question is dependent on whether the injury is acute or chronic.
Acute Injury
An acute injury has a sudden onset and is typically caused by a significant or traumatic event. Examples of these conditions include ligament sprains, muscle or tendon tears, joint dislocations, and bone fractures. These injuries are accompanied by immediate symptoms including sharp localized pain, inflammation, swelling, and bruising.
Within the first 48-72 hours of acute symptom presentation, it is advised to use ice therapy. In addition to pain control, the effects of ice help reduce swelling and inflammation. Ice application causes a local decrease in body temperature, which reduces metabolic rate and leads to blood vessel constriction. These physiological responses result in less bleeding and fluid accumulation in the area of injury, reducing the amount of swelling and active inflammation. For best results, it is advised to combine ice therapy with rest, elevation, and compression (RICE) of the injured area.
Parameters for ice application:
For use on distal extremities (ex. hands and feet), ice should be applied for 15 minutes or less at a time. For more proximal areas (ex. the shoulder or the hip), ice can be applied for up to 20 minutes. It is important not to exceed this time period, as reverse effects such as blood vessel dilation will occur. Additionally, consecutive sessions of ice therapy should be at least 1 hour apart, to provide the skin time to return to normal temperature between treatments.
Chronic Injury
A chronic injury is gradual in onset and is most often caused by repetitive strain or overuse of a joint or muscle group. Examples of these conditions include tendon strains, muscle strains, and joint capsule adhesions. These injuries typically have no active inflammation due to their slow symptom development, and pain is often milder and more diffuse.
Heat therapy is indicated in the treatment of chronic injuries to help with pain reduction, to accelerate the healing process, and to restore range of motion, and reduce joint stiffness. Heat application causes blood vessel dilation and an increase in the metabolic rate, resulting in increased blood circulation, increased enzyme activity, and an increase in available oxygen to the tissues. These effects accelerate the rate of healing in the area of injury. The use of heat also causes an increase in the extensibility and elasticity of soft tissues (such as muscles, tendons, and ligaments) allowing for increased range of motion and joint flexibility.
Heat can also be applied to any of the above acute injuries after the first 72 hours have passed, or the swelling and inflammation have resolved. This is because at this stage of the injury, the goal of treatment changes from restricting acute inflammatory activity to tissue stretching and healing.
Parameters for heat application:
Heat may be applied to any injured area for 15-20 minutes at a time. In order to prevent burning, the temperature of the heat should be kept below 45 degrees Celsius.
Important Tips:
- Heat or ice should not be applied to an area where sensation is impaired
- Don’t apply heat over a region of a known or suspected blood clot
- Do not apply heat over the low back or abdomen of a pregnant woman
- Do not apply heat or ice directly over an open wound
- The positive effects of both heat and ice therapy are best observed when combined with physical therapy and exercise!
For information about what will work best for your injury, ask your physiotherapist at Triangle Physiotherapy and Rehabilitation!
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Choosing between ice and heat for injury management can depend on the type of injury and its stage of healing, and physiotherapy can provide guidance on the best approach. If you need professional physiotherapy services to help manage injuries and recovery, consider visiting clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations offer expert care and personalized treatment plans to support your healing process.
An ankle sprain refers to the tearing of the ligaments of the ankle. The most common ankle sprain occurs on the lateral or outside part of the ankle. This is an extremely common injury that affects many people during a wide variety of activities. It can happen in the setting of an ankle fracture (i.e. when the bones of the ankle also break). Most commonly, however, it occurs in isolation.
Causes of ankle sprain
Any movement that suddenly twists the foot beyond the natural range of motion can cause an ankle sprain such as:
- Landing wrong when jumping or running on to an uneven surface.
- Stepping off a curb wrong
- Slipping on ice
- Tripping on a hole in the ground
Consequences of ankle sprain
When an ankle is sprained, the ankle bone itself is uninjured. It is the ligaments surrounding the ankle bone that suffer. Ligaments are structures in every joint in the body that help control the joint’s movement. The ligament will become injured if it is stretched too far which could result in a partial or complete tear. There are two different types of ankle sprain.
- The inversion ankle sprain is the most common type of sprain and occurs when the foot falls inward and stretches the outer ligaments too far. Pain occurs on the outside of the ankle and not on the inside of the ankle.
- The eversion ankle sprain occurs when the foot is twisted outwards and the inner ligament is stretched too far. Pain will occur on the inside, and not the outside, of the ankle.
The Severity of an Ankle Sprain
First-degree symptoms – a first-degree ankle sprain is when the ligaments have been stretched but not torn. Symptoms include:
- Mild pain
- Some swelling
- Some joint instability
- Mild joint stiffness
- Difficulty jogging or jumping
Second-degree symptoms – a second-degree ankle sprain is the most common of ankle injuries and is a partial tearing of the ligament. Symptoms include:
- Significant swelling
- Bruising
- Moderate pain
- Some loss of motion or use of the ankle
- Trouble walking
Third-degree symptoms -– a third-degree ankle sprain is the most severe of ankle injuries. With this sprain, the ligament has been torn completely. Symptoms include:
- Severe swelling
- Severe pain
- Instability of the joint
- Extreme loss of motion
- Walking can be quite painful
Treatment for Ankle Sprains
Rest – especially in the first 24 to 48 hours
Ice – for the first 48 hours for 20 minutes at a time
Compression – wear a brace or a wrap that is snug, but not cutting off circulation
Elevate – above the heart as often as possible
Physical therapy is a mainstay. Patients should learn to strengthen the muscles around the ankle, particularly the peroneals. An ankle brace can be used in an athlete until a therapist believes that the ankle is strong enough to return to play without it. Surgery is rarely indicated but may be needed in a patient who has cartilage damage or other related injuries. Ligaments are only repaired or strengthened in cases of chronic instability in which the ligaments have healed but not in a strong fashion.
Frequently Asked Questions
What is a high ankle sprain and is that different from a regular ankle sprain?
A high ankle sprain refers to tearing of the ligaments that connect the tibia to the fibula (this connection is also called the syndesmosis). These are different and much less common than the standard lateral ankle sprains, meaning those that occur on the side of the ankle.
Do ankle sprains ever need to be repaired acutely?
Ankle sprains rarely, if ever, needed to be treated with surgery. The vast majority simply need to be treated with rest, ice, compression and elevation followed by physical therapy and temporary bracing.
I have sprained my ankle many times. Should I be concerned?
Yes. The more you sprain an ankle, the greater the chance that problems will develop. For example, turning the ankle can lead to damage to the cartilage inside the ankle joint. You should see your doctor if this is occurring.
To get your ankle assessed, schedule a consultation with a physiotherapist at Triangle Physiotherapy and Rehabilitation!
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Ankle sprains are common injuries that require proper physiotherapy to promote healing, restore strength, and prevent re-injury. If you’re looking for professional physiotherapy services to manage an ankle sprain, consider visiting clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These clinics provide expert care and personalized treatment plans to help you recover quickly and get back to your active lifestyle.
Low Back Pain/ Hip Dysfunction caused by poor posture
The average person’s work week consists approximately of 40 hours, for a lot of those the majority of that time can consist of them sitting at a desk on a phone or computer. That time doesn’t even factor in commute time as well as dinner and lounging at home. Experts say that the average person can spend more than half their waking hours in a sedentary state.
It is well known that sitting for long periods of time can cause a lot of negative effects such as strain on your cardiovascular system as well as an increase risk in colon cancer. But what a lot of people don’t know about it is the actual physical disorders that come with sitting for long periods of time, such as weaker/underused abdominal muscles, weak glutes whiles shortening your hip flexors making them tight and decreasing Range Of Motion in your hip. This muscular imbalance can begin to force other muscles that are not commonly used to become overworked and tired and furthermore contribute to a muscle imbalance, which can cause hyperlordosis, kyphosis, and scoliosis, as well as a twisted pelvis. Tight low back muscles can pull and twist your spine which could lead to degenerative disk disorder (DDD), or a subluxation of one or several vertebrae. When you decrease the activity of muscles you begin to decrease the electrical activity going to those muscles which begins to make them weak and underdeveloped which could lead to atonic muscles. The decreased angle in the hip while sitting for long periods can cause a decrease in blood flow to your legs decreasing the amount of blood, oxygen, and nutrients that can feed your muscles making for leg cramps and sometimes swelling in the feet due to lack of venous return.
Luckily Massage and Physiotherapy can be used as a preventative as well as therapy for the many conditions that sitting for long periods of time can cause. The main focus of both is too focus on the muscular imbalance and to bring you back to your norm as much as humanly possible. Some of the main areas of focus during treating is to loosen tight hip flexors, increase neurological function in the low back, glutes, and abdominals, loosen up Para spinal muscles which will decrease the risk of DDD and subluxation of the spine. During a massage the pressure and direction of stroke will help to increase blood flow to your low back and hip as well as into your legs providing oxygen and nutrients to areas that are being malnourished due to lack of blood flow.
The best was to prevent any disorders caused by sitting to long is simply to stand up and move around. Experts say you should stand up for at least 5 minutes every hour to get muscles working and blood flowing. Staying hydrating is very important during any point of the day for it helps keep muscles elastic (including your heart muscles), the spine works like a pump while moving bringing fresh water to your vertebral disks keeping them hydrated. Some offices have implemented standing desks or the use of exercise balls in place of regular chairs which can keep workers constantly moving, keeping blood flowing and muscles working. Stretching and strengthening exercises are very important to maintain healthy muscles, stretching out hip flexors to maintain full ROM in the hip, strengthening core either by doing push ups or the plank, stretching out your low back and abdominal area by doing both the cat and cow pose, and finally strengthen your back by doing rows and one arm rows.
Written by: Sean Cameron, RMT
Sources:
http://www.webmd.com/fitness-exercise/20140407/sitting-disease-faq
http://www.cbc.ca/news/business/sitting-for-too-long-can-kill-you-even-if-you-exercise-study-1.2918678
http://www.health.harvard.edu/blog/much-sitting-linked-heart-disease-diabetes-premature-death-201501227618
http://fitness.mercola.com/sites/fitness/archive/2015/05/08/sitting-too-long.aspx
Click HERE to book an appointment with a physiotherapist at one of our eight locations.
- Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Physiotherapy Clinic – Triangle Physiotherapy Oakville
- Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Physiotherapy Clinics – Triangle Physiotherapy Mississauga
- Downtown Physiotherapy Clinics – Triangle Physiotherapy King West
- Uptown Physiotherapy Clinics – Triangle Physiotherapy Lawrence Park
- Physiotherapy Clinic Downtown Toronto – Triangle Physiotherapy Queens Quay
- Physiotherapy Clinics Mississauga – Triangle Physiotherapy Erin Mills
Managing low back pain effectively requires a comprehensive physiotherapy approach to alleviate discomfort, improve mobility, and strengthen the back. If you’re looking for professional physiotherapy services to treat low back pain, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations offer expert care and customized treatment plans to help you manage pain and enhance your quality of life.
What is the Pelvic Floor?
The pelvic floor is a set of muscles that spread across the bottom of the pelvic cavity like a hammock. The pelvic floor has three openings that run through it, the urethra, the vagina, and the rectum. The functions of the pelvic floor include:
- Supporting the pelvic organs, specifically the uterus, the bladder, and the rectum
- To help provide sphincter control for the bladder and bowel
- Withstanding increases in pressure that occur in the abdomen such as coughing, sneezing, laughing, straining, and lifting
- To enhance the sexual response
What causes pelvic floor dysfunction?
The pelvic floor becomes dysfunctional in many women when there is an imbalance in the joints, muscles, and connective tissue integrity.
- Weak pelvic floor muscles: contributing to stress incontinence, urge incontinence, and pelvic organ prolapse.
- Tight pelvic floor muscles: contributing to Urinary and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatits.
One of the most commonly seen conditions by pelvic physiotherapists is stress incontinence in women.
What is Stress Urinary Incontinence?
Stress urinary incontinence is the involuntary release of urine during laughter, coughing, lifting of objects or any movement that increases pressure on your bladder. When the bladder is full, the muscles in the wall of your bladder contract forcing urine through the urethra and out of your body. Sphincter muscles and pelvic floor muscles keep the urethra closed to avoid leakage of urine. These muscles relax at the same time the bladder contracts in order to allow urine to exit your body.
Causes of stress incontinence:
Hormonal changes:
During the week before your menstrual cycle, estrogen levels fall, causing symptoms of stress urinary incontinence to worsen. Additionally, as a woman goes through menopause, estrogen levels also fall causing the pelvic floor muscles to weaken.
Pregnancy:
If you are pregnant, you may experience stress urinary incontinence due to hormonal changes and the enlarging size of the uterus. During pregnancy, estrogen levels are lower, leading to less muscular strength in the sphincter and pelvic floor muscles. Additionally, as the fetus grows extra weight is placed on your bladder.
Childbirth:
Vaginal delivery can damage your pelvic floor muscles making urine leakage more likely. The supporting tissues of your bladder can also be damaged during vaginal delivery causing a cystocele, or prolapse of your bladder, symptoms of which include urinary incontinence. You may not know you have suffered damage to your pelvic floor until after you have gone through menopause, when the pelvic floor muscles are further weakened due to a fall in estrogen levels.
Hysterectomy and other surgery:
The bladder and uterus are very close together and have common supporting ligaments and muscles. Surgery to, or removal of your uterus as in a hysterectomy, risks damage to the supporting structures of your bladder. If these supporting structures are damaged, a cystocele is likely to occur. Symptoms of a cystocele include urinary incontinence.
Illnesses:
When you are ill and suffering from severe coughing, the pelvic floor muscles may fatigue and allow temporary stress incontinence due to an increase in abdominal pressure experienced while coughing.
Obesity:
Obesity can increase the abdominal pressure on the bladder leading to urinary incontinence.
Neurological damage:
Any neurological disorder such as multiple sclerosis, Parkinson’s disease or stroke can cause urinary incontinence by interfering with the nerve signals that control your bladder. Additionally, if the nerves that supply your bladder or pelvic floor muscles are damaged, urinary incontinence may also result
How is Stress Urinary Incontinence treated?
Treatments of stress urinary incontinence are individual based. The following should be considered:
Pelvic floor muscle strengthening:
Strengthening the supporting muscles of your bladder is very effective inhelping stress urinary incontinence.
Bladder training
Bladder training involves learning to delay the urge to urinate. You areinstructed to breathe deeply, relax, and distract yourself with another activitywhen you feel the urge. The initial goal is to delay urination by increments and eventually once every2 to 4 hours.
Pessary
Pessaries can help when a cystocele or prolapsed bladder is the cause forurinary incontinence. A pessary is a device of various shapes and sizes that isplaced in the vagina to support the bladder and keep it in place.
Surgery
For severe cystoceles, or bladder prolapses, surgery is needed in order tocorrect the position of the bladder and help with urinary incontinence.
Important Tips
- Avoid constipation. Repeated straining can have a very damaging effect on the pelvic floor muscles.
- It’s important for women to be active. Regular exercise and recreational sporting activities play a key role in keeping women fit and healthy well into old age
- Drink plenty of water
- Learn to tighten your pelvic floor muscles before you cough, sneeze or lift heavy items.
To get your pelvic health assessed, schedule a consultation with a pelvic floor physiotherapist at Triangle Physiotherapy and Rehabilitation!
How do I find a pelvic health physiotherapist near me?
We have 8 locations with pelvic health physiotherapists to help you.
- Pelvic Health Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
- Pelvic Health Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga
- Downtown Pelvic Health – Triangle Physiotherapy King West
- Uptown Toronto Pelvic Health – Triangle Physiotherapy Lawrence Park
- Pelvic Physiotherapy Downtown Toronto – Triangle Physiotherapy Queens Quay
- Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills
Maintaining a strong pelvic floor is essential for overall health, especially in managing incontinence, pelvic pain, and postpartum recovery. For those seeking professional physiotherapy services to strengthen their pelvic floor, there are clinics in physiotherapy Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, and Liberty Village. These locations provide expert care and personalized treatment plans to help you achieve optimal pelvic health and well-being.