Elbow // Category

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29 Nov

Golfer’s elbow and Tennis Elbow are both tendonitis. The difference is Golfer’s elbow occurs on the inner side of the elbow while Tennis Elbow occurs on the outer side of the elbow. Tennis elbow, also known as lateral epicondylitis is the inflammation of the tendon that connects the forearm muscles to a bony prominence on the outside of the elbow known as the lateral epicondyle. Golfer’s elbow, on the other hand, is known as medial epicondylitis because the inflammation is on the tendons which are attached to the medial epicondyle.

How Is Tennis Elbow Diagnosed?

Your physiotherapist will evaluate tennis elbow by reviewing your medical history, performing and reviewing your medical history. A doctor may recommend a X-ray, EMG or MRI to assess the severity of the condition.
A physiotherapist can also conduct a detailed assessment of your elbow and the surrounding structures in order to create a personalized treatment plan for you. Special tests such as Cozen’s and Mills Test can also be used to diagnose Tennis elbow.

What are the complications of a Tennis Elbow?

Complications of Tennis elbow or lateral epicondylitis may include tendon rupture, recurrence of the injury, chronic pain, nerve entrapment in the forearm, and failure to improve despite both nonsurgical and no surgical treatment.

Cause of Tennis Elbow and Treatment

What causes a Tennis elbow and who might get a Tennis Elbow?

Some causes of Tennis elbow are:

  • weak wrist muscles,
  • use of tennis racquets that are too short,
  • weakened muscles of the shoulder and wrist,
  • repetitive hand motions,
  • poor tennis technique,
  • frequent use of hand tools,
  • lifting heavy objects, and
  • excessive gripping activities.

    Despite the name, Tennis elbow is not only for tennis players although they tend to often develop tennis elbow because of the repetitive muscle use and gripping activities the sport entails. People whose professions involve repetitive use of the wrist and forearm are more likely to develop lateral epicondylitis.

    Some professions, such as painters, dentists, plumbers, carpenters, musicians, and cooks, may develop Tennis elbow which can also be caused by the repetitive use of a keyboard and mouse.

What Is The Best Treatment For Tennis Elbows?

The majority of tennis elbow cases can be successfully treated without surgical intervention. How a tennis elbow is treated may vary depending on which medical professional you choose to see.
Research has shown that physiotherapy is the most effective treatment of the Tennis elbow.

Tennis Elbow Physiotherapy Treatment

  • Therapeutic Ultrasound
  • Acupuncture
  • Tennis elbow treatment exercises
  • Deep tissue massage
  • Shockwave therapy
  • Taping or brace
  • TENS
  • Modified activities
  • Hot and cold packs

How does massage help heal Tennis elbow?

Tennis Elbow Massage Treatment helps improve circulation, stimulate collagen production, and increases mobility in the affected area.

What Can I Do To Prevent Tennis Elbow?

There are many ways to prevent Tennis elbow such as:

  • Stretching regularly.
  • Strengthening of the forearm muscles.
  • Modifying activities that contribute to pain.
  • Warming up before playing tennis and other sports and ensuring the stability of the wrist.

What are some Tennis elbow exercises which can be done at home to help prevent recurrence?

Specific Tennis elbow exercises to strengthen as well as stretch the muscles that are attached to the injured tendon will certainly help speed up healing which then increases its resistance to repetitive stress… Some of these Tennis elbow treatment exercises are Stress ball squeeze, finger stretch, wrist extension, flexion stretch, forearm extension, flexion, supination, and pronation strengthening exercises.

Are there any natural Tennis elbow treatments I can do at home while I wait to see a physiotherapist?

Resting and avoiding activities that aggravate your pain can be beneficial. You may also try to apply an ice pack for 15 mins three times a day.

What is the best treatment for chronic Tennis elbow?

The most effective treatment for chronic tennis elbow has always been physiotherapy and exercise. If physiotherapy does not fully heal it, however, steroid injections, braces, and surgery may also help.

Our physiotherapists in Toronto, Midtown Toronto, Mississauga, North York and Oakville can help you with tennis elbow. Book your appointment here.

24 May

Yoga has been gaining immense popularity lately, due to the short-term as well as long-term benefits that it provides. Practicing yoga provides a strong spiritual element that offers fitness and flexibility. People suffering from various health disorders can find solutions through yoga, and they may reap the extra benefits yoga provides through living a more stress-free lifestyle as well as with increased fitness.

Yoga for a healthy life

Yoga is an ancient system of health that promotes ‘union’ and connects the body, mind, breath and spirit as one unit, therefore enhancing and promoting an overall balanced lifestyle of health and well-being.
Also read, Best Physiotherpist in Oakville

Physiotherapy Oakville

If practiced regularly the benefits of yoga are numerous. Physically and mentally, yoga may result in:

  • Improvement in muscular strength
  • Endurance
  • Flexibility
  • Body awareness
  • Circulation
  • Digestion
  • Hormonal balance
  • Normalizing blood pressure
  • Weight loss
  • Pain relief
  • Alertness
  • Concentration
  • Improvement in sleep
  • And much, much more!

It is believed that we only have a limited number of breaths in each life. Hence,yoga is believed to stretch our lives out a bit longer by taking slow and deep breaths.

Also read, Physiotherapy Treatment in Mississauga

Research has also suggested that yoga improves social and occupational functioning in schizophrenic patients.

Styles:

Some styles of yoga emphasize breathing and meditation, with limited activity; some styles emphasize form and alignment through postures, some are about a serious workout and flow, & some are all about relaxation.

Not a competition:

Don’t try a posture that you are uncomfortable with; don’t let someone else push you into something that you don’t want to do; and don’t think that you have to compete with yourself or others to achieve a posture.

Yoga is not about competition or feeling the burn.  However, a little discomfort is to be expected.  There is a huge difference between pain and discomfort, and most people mistake one for the other, especially when they are new to yoga practice.

Consult A Physiotherapist
At Triangle Physiotherapy, we work with the help of your medical history and assess how yoga may help guide your health in the right direction. All you need to do is overlook your anxieties related to your health, and feel free to contact any of our five locations for an in-depth consultation.

24 May

Massage therapy has a positive effect on a plethora of medical conditions. It rejuvenates both your mind and muscles. Everyone experiences pain, the only difference is some continue to suffer and some proactively seek pain relief through massage therapy.  Our skin is the largest organ in our body. The skin interfaces with the environment and is the first line of defense from external factors. Taking good care of your skin through massage therapy will help keep your skin healthy and muscles rejuvenated. Massage therapy is regarded as one of the oldest healthcare professions. Massage therapy is not just for the skin and muscles, it can also help to reduce high blood pressure, lower chances of depression and relieve headaches.

Massage Therapy Mississauga
Also read, Physiotherapy Etobicoke
Healing from a car accident injury through massage therapy
Car accidents can cause a variety of physical problems, and many people seek physiotherapy and/or massage therapy for relief from whiplash and other aches and pains. Massage therapy has the potential for facilitating health, wellness, and injury recovery from car accidents.

  • Massage therapy can relieve Whiplash

Whiplash injuries are common in car and sports accidents. People who get whiplash may experience pain, stiffness, and poor range of motion, among other symptoms. Some people may feel mental or emotional symptoms such as loss of memory or focus, insomnia, and depression. If you have whiplash, ask your physician about adding massage to your physical therapy regimen, as the combination could help speed up your recovery.

  • Massage Therapy for Knee Injuries

People in car accidents often injure their knees (though not as often as heads, necks, and spines). Statistics show car crash victims often injure their Anterior Cruciate Ligaments (ACLs), as do many athletes. Massage therapy has been shown to provide pain relief and healing for people with a wide variety of knee problems.
Also read, Physiotherapy Clinic in Oakville

  • Massage therapy helps to recover from Immediate emotional trauma
    If you’re in a car crash, you may suffer emotionally even if you do not sustain any physical injuries. Massage therapy, especially within several hours of an auto accident, can help people recover their emotional balance.
    We all suffer from adverse health effects both psychological and physical, and stress is one of the important factors to look after. A massage can help reduce everyday stress by helping muscles to relieve and relax through the pressure points manually worked on by one of our experienced massage therapists.
    Our registered massage therapists at Triangle Physiotherapy are happy to assist you with any questions pertaining to your health goals and guide you on the road to recovery. Adding massage therapy to your healthcare/recovery plan will provide natural relief without the aid of painkillers. Living pain-free naturally is our goal, and at Triangle Physiotherapy, we will guide you every step of the way.
12 Jan
There are many forms of fractures, each causing a dilemma in our lives and requiring the help of a physiotherapist in order to heal safely and adequately. One of the most common types of fractures seen in sports medicine today is called a “hairline” or “stress” fracture. Hairline fractures are caused by repetitive strain and excess training. Hairline fractures are minute cracks on the bones, which can become severe if not immediately treated.  The main causes of hairline fractures are:
  • Traumatic Incidents
  • Repetitive Stress
  • Pathological
Treatment for fractures Toronto Also read, Physiotherapy Clinic in Mississauga

Causes of Fractures

Basically, hairline fractures are caused by the depressed response of the bone with the ground reaction forces that are applied to the bones during certain activities such as: running, jumping, or walking. Symptoms may include pain and tenderness to the affected bone. Repetitive stress or a sudden fall or strike to the area can also cause hairline fractures.

Treatment of Fractures

The best way to treat a hairline fracture is to refrain from any activities that can aggravate the injury. Recovery time can span from two weeks to a month and a half. Once the bone is healed from its minute cracks, you can gradually resume normal activities. In extreme circumstances, the affected area must be put at rest and must be immobilized by casting or bracing. The stages of healing a fracture through physiotherapy are as follows:
  • Muscle Assessment
  • Joint Mobilisation
  • Massage Therapy
  • Heat and Electro Therapy
  • Gait Education
Also read, Physiotherapy Oakville Shoe inserts like supportive orthotics and walking crutches may also be recommended by your physiotherapist. Treatment through physiotherapy is advised through strengthening exercises that are non-weight bearing like swimming. Luckily, hairline fractures rarely need surgery because they can easily be mended with just two weeks of rest. However, the injury can worsen if not given the proper medical attention. If you happen to suffer from a hairline fracture and you are looking for a way to relieve pain, and recover from an injury, adding physiotherapy to a routine wellness plan can maximize recovery time and optimize your healing process. Our physiotherapists at Triangle Physiotherapy can be a powerful ally when combating daily stress, muscle pain, and general health issues regarding hairline fractures. Not only does physiotherapy relieve pain, increase energy levels, and improve overall physical and mental performance, it prevents further injuries.

The experienced, professional physiotherapists at Triangle Physiotherapy are available at eight convenient locations:

08 Dec

What is ALS?

Amyotrophic lateral sclerosis (ALS) is the most common type of adult-onset motor neuron disease.  Neurological disorders are characterized primarily by progressive degeneration and loss of motor neurons. ALS involves upper and lower motor neurons and presents as an idiopathic, progressive degeneration of anterior horn cells and their associated neurons, resulting in progressive muscle weakness, atrophy, and fasciculations.

What are the symptoms of ALS?

ALS is a gradual-onset disease. The first initial symptoms of ALS vary from person to person. One person may have trouble with their grip, such as holding a cup or pen, while another person may experience a change in pitch in their voice while speaking.  The rate at which ALS develops also varies from person to person, with the mean survival time ranging from three to five years. Although there are cases in which people have lived five, and ten or more years.  Onset symptoms can begin in the muscles that control speech and swallowing, or in the hands, arms, legs, or feet. Not all people who suffer from ALS experience the same symptoms as others or the same sequences or patterns of progression. Although, universally progressive muscle weakness and paralysis are experienced.

How is ALS diagnosed?

ALS is a somewhat difficult disease to diagnose. There is not one test or procedure to instantly establish the diagnosis of ALS. Through the use of clinical examination, and a series of diagnostic tests, often ruling out other diseases that mimic ALS, that a diagnosis can be established. A comprehensive diagnostic check-list includes most, if not all, of the following procedures:
  • Electrodiagnostic tests- Electromyography (EMG) and Nerve conduction velocity (NCV)
  • Blood & Urine studies
  • Spinal tap
  • X-rays including MRI
  • Myleogram of cervical spine
  • Muscle and/or nerve biopsy
  • A thorough neurological examination
These tests are done at the discretion of the physician, usually based on the results of other diagnostic tests and the physical examination. There are several diseases that have some of the same symptoms as ALS, and most of these conditions are treatable.

What are the treatments for ALS?

Treatment of ALS can be done with physiotherapy, focusing on stretching and daily range of motion (ROM) exercises. Our physiotherapists at Triangle will focus on the emphasis of energy conservation and teach patients and caregivers methods for performing safe, efficient transfers. They can also provide instruction for strengthening exercise programs. In one study, individualized, moderate-intensity, endurance-type exercises for the trunk and limbs performed 15 minutes twice daily were shown to significantly reduce spasticity as measured by the Ashworth scale. At Triangle, we may have to recommend wheelchairs to anticipate the patient’s future needs. Initially, a lightweight wheelchair should be rented, with future plans to purchase a heavier chair when the patient is no longer able to ambulate. Modifications will be recommended on the basis of the patient’s condition and tolerance for gadgets.

Click HERE to book an appointment with a physiotherapist at one of our eight locations.

21 Mar

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. Best Physiotherapy Clinic in Mississauga 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.