Physiotherapy // Category

Category based archive
29 Nov

People often ask us if physiotherapy is the same as physical therapy, and the answer is yes. In fact, the term physiotherapy and physical therapy can almost be used interchangeably.

Are there any differences and similarities between physical therapy and physiotherapy?

In general, there are no differences between physical therapy and physiotherapy. The term physiotherapy is used for those based in Australia, Canada, or Ireland while the term physical therapy is used by those based primarily in the United States.

Some believe that there is a slight difference when it comes to its approach. Some would say physiotherapy uses more hands on approach and manual therapy while physical therapy is more exercise based in its approach.

Ultimately, it shouldn’t matter which term is used as long as you see someone who is registered with the College of Physiotherapists of Ontario. Find a professional that will provide you with the proper treatment and care to help you with your condition and improve the quality of your life.

Similarities:

  1. Both Physiotherapy and Physical Therapy aim to help patients recover from injuries and conditions that affect their mobility and independence.
  2. Both professions use a variety of manual therapy techniques, exercises, and other treatments to help patients regain strength, flexibility, and range of motion.
  3. Both Physiotherapy and Physical Therapy are concerned with improving the quality of life for patients and helping them return to their daily activities as soon as possible.

Differences:

  1. Geographical Location: Physiotherapy is a term used primarily in the UK, Europe, and other parts of the world, while Physical Therapy is used primarily in the United States.
  2. Education: Generally, the education is no different for both titles.
  3. Scope of Practice: This may differ based on the country of practice but in North America the socpe remains the same.
  4. Specializations: Physiotherapists have the option to specialize in specific areas of practice. They can specialize in sports, women’s health, cancer rehab and pediatrics. Physical Therapists also have the option to specialize, but the options may differ depending on the country they practice in.

Book your appointment to see a physiotherapist here.

23 Nov
Definition/Layman’s terms for the conditionSacroiliac joint dysfunction is a term used to describe the pain derived from the joint. It can be caused in issues with movement and alignment. It usually presents as low back pain.
Cause/MOISI joint dysfunction can be present during pregnancy when there are many changes to the body (physically, hormonally, etc). It can also be present after trauma to the area by landing on your back or landing with a straight leg causing forces to travel up the leg.
Common symptomsPain is usually localized over the buttock area where the SIJ is located. It may be a sharp or shooting pain that can refer down the back of the leg, but usually not past the knee. Most people will complain of pain when sitting down, climbing stairs
How is it diagnosed clinically? DiagnosticallyClinical diagnosis is based on a combination of subjective history and clinical cluster of objective tests. 

Subjective history may include pregnancy, direct trauma to the area, landing on a straight leg, pain localized to the buttock area or referring down the leg but not past the knee.

Objective tests include a series of maneuvers that may provoke the pain or may show the clinician changes in motor control around the SIJ.
Treatment options?Treatment options usually are conservative in nature and thus physiotherapy is a mainstay in addressing SIJ dysfunction. 

Pain medications, corticosteroids, taping and braces may also be implemented to help with daily functioning.
How physiotherapy can help?Physiotherapy can help by reducing pain and inflammation, strengthening your core and mobilizing your SIJ.
Typical physiotherapy treatment approach-manual therapy, modalities, exercise, etcPhysiotherapy treatment may consist of manual therapy, exercises, education, and modalities. Manual therapy may consist of low back mobilisations, SIJ mobilisations and manipulations to help with pain relief.Exercises may consist of core strengthening and lower extremity strengthening, all in an effort to help provide stability to the area and increase pain free mobility.
Contact us to book an appointment for a physiotherapy assessment.
Other treatment optionsOther treatment options include braces, taping, corticosteroids.
PrognosisSIJ dysfunction has a good prognosis and pregnancy-related SIJ dysfunction will usually resolves within 12 months post-partum.
Consequences of not getting it treated/long term effectsOngoing pain, trouble with sitting, walking/running, trouble with daily activities that involve your lower extremities.
Braces that can helpPelvic belt, SI joint belt. We offer the Sacroloc.

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

14 Oct

What Is Bell’s Palsy?

Bell’s palsy, also known as idiopathic facial palsy, is a sudden weakness or paralysis on one side of the face. It is caused by inflammation on the facial nerve, which is usually temporary. 

What are the symptoms of Bell’s palsy?

  • The most common symptom of Bell’s palsy is the sudden weakness or paralysis on one side of your face causing it to droop. 
  • Drooling.
  • Eye issues such as excessive tearing or a dry eye.
  • Altered taste.
  • difficulty eating and drinking
  • Sensitivity to sound.
  • Pain in or behind your ear.
  • Numbness in the affected side of your face.
  • Dry mouth

What are the causes of Bell’s palsy and what Is the main cause of Bell’s palsy ?

Bell’s palsy is facial nerve paralysis of unknown cause but it’s often related to having a viral infection. Viruses that have been linked to Bell’s palsy include viruses that cause:

Some viruses which have been believed to be common Bell’s palsy causes are:

  • Cold sores and genital herpes (herpes simplex)
  • Chickenpox and shingles (herpes zoster)
  • Mumps 
  • Flu 
  • Infectious mononucleosis (Epstein-Barr)

Other conditions that may cause Bell palsy are:

  • HIV infection
  • Lyme disease
  • Middle ear infection
  • Sarcoidosis

What is the best cure for Bell’s palsy and what happens If Bell’s palsy Is untreated?  

Most people with Bell’s palsy fully recover even without treatment. But some medications or physiotherapy can help speed up Bell’s palsy recovery. Some studies showed that about one third of untreated Bell’s Palsy patients suffered from long term effects such as facial spasms and disfigurement, and chronic pain. 

The best Bell’s palsy treatment will vary between individuals but most will be prescribed corticosteroids to reduce the facial nerve inflammation of the facial nerves. Some patients may be prescribed antiviral drugs like acyclovir to speed up the recovery process.

What Is The Best Treatment For Bell’S Palsy?

Bell’s palsy improves without treatment. Still, your healthcare provider may recommend one or more of these therapies for symptom relief and a faster recovery:

Another effective Bell’s palsy treatment is eye care which is crucial in protecting the eyes from injuries and irritants. If your eye does not close completely, the use of glasses or goggles is beneficial.  An eye patch can be used at night. 

Decompression surgery to ease nerve pressure eases pressure but it is rarely done because it may cause permanent nerve damage and loss of hearing.

Another beneficial treatment for Bell’s Palsy is Physiotherapy.

A registered physiotherapist can assist with providing education and support during recovery in order to reduce secondary complications. 

  • Electrical muscle stimulation is used to stimulate the nerve fibers in order to help maintain some of the strength, which then promotes faster recovery,
  • Daily exercise regimen
  • Soft tissue massage can be applied to the head and face to help with aches and help stimulate repair of innervation for the facial muscles.

Recovery from Bell’s Palsy

In general, people whose paralysis is less severe tend to start to improve with or without treatment after a few weeks, with complete recovery of facial function within six months.  If symptoms start to improve within the first 21 days, chances are there will be complete recovery with no residual facial muscle weakness.

What are the complications Of Bell’s palsy?

Some of the complications of Bell’s palsy are:

  • Irregular regrowth of nerve fibers and irreversible damage to your facial nerve which can result in synkinesis.  Synkinesis is a condition in which moving one part of your face causes involuntary contraction of another.
  • Excessive eye dryness on your affected side, which can lead to eye infections or even vision loss.
  • Some people don’t fully recover and are left with long term facial paralysis and drooping.

Bell’s Palsy versus Stroke

Cause

The cause of Bell’s palsy is uncertain but some viruses like herpes zoster, herpes simplex, and mumps have been believed to be connected to Bell’s palsy.

Stroke is caused by high blood pressure, heart disease, high cholesterol, previous stroke.

Diagnosis

Bell’s palsy does not require any specific testing. Your doctor may ask you to perform specific facial movements such as eyebrow raising, frowning, smiling, and eyes closing. At times, EMG or MRI may be conducted to rule out stroke.

Diagnosing strokes is dependent on several factors. Some imaging scans are used to assess the brain and its blood supply.

Treatment

Treatment of Bell’s palsy are corticosteroids and antiviral medications, pain medications, and physiotherapy.

There is a more complex approach in treating stroke and its treatment is dependent on the type of stroke.

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

24 Sep

What is Plantar Fasciitis?

Plantar Fasciitis is a type of foot pain 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!

21 Jun

Physiotherapy and Physiology 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 well-being; 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 the 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, and maintain detailed reports of future exercise planning.
  • Prepare an evaluation document, and 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.

What is Physiology and what does a Physiologist do?

Physiology is a medical treatment and a detailed study of the anatomy of the body’s 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, and make thorough observations over time to deliver results to the physician.
  • Use medical equipment and machinery when going through the exercise of the 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.

Differences between Physiologist and Physiotherapist

  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 prescriptions 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, and 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
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 arthritInjury Cycle – Acute Phase

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 Physical Therapists are made to achieve an individual’s daily life activities and rehabilitation or performance targets.

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 Physiotherapist and how can they 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 a physiotherapist 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.

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

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.

Reasons to include exercises in your recovery

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.


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


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

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

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 focuses on –

  • Correcting neural pathways
  • Motor control
  • Balance and coordination

Your physiotherapist will suggest 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.

17 Jun

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 this condition. People who are involved in football or 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 – an overview

Low Back Pain

Is is 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.

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

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 asanas 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.

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.

Spondylolisthesis Exercises to Do

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.

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

12 May

Why Physiotherapy?

Physiotherapy is a highly beneficial niche treatment of injury, disorder and disease. Using specific physical methods, it aids in restoring the mobility, function and movement in the affected area. Physiotherapy uses experimented and researched information on how the body works and uses medically certified procedures for treatment.
Physiotherapy also comes extremely advantageous in preventing further injury or damage on the previously strained body part. It is widely popular as people of any age can receive its benefits by managing and maintaining great shape and health, thereby preventing injury or disease.
Physiotherapy is a degree-based occupation where well-trained, skilled and experienced professionals provide the best care and treatment. At Triangle Physiotherapy, our team of exceptionally qualified Physiotherapists do their best to provide you finest and world-class service.
Physiotherapists at Triangle Physiotherapy are well researched and use their extensive skills and experience to improve complicated situations like Respiratory, Neurological, Cardiovascular and Neuromusculoskeletal. If you have an injury or are facing a problem, consult our expert Physiotherapists at Triangle Physiotherapy at its various locations

Benefits of Physiotherapy

We are listing below some conditions where physiotherapy has helped in providing the best possible results.

  1. Eliminating or reducing pain

    Patients suffering from arthritis, muscle strain/sprain or tendonitis benefit from using therapeutic techniques and exercises such as Soft Tissue Mobilization or usage of modalities like TENS, IFC and Ultrasound. These therapies help in alleviating the pain thereby ensuring normalcy. You can check with our specialized and trained physiotherapists at Etobicoke centre for more information on this.

  2. Helps in avoiding surgery

    Let’s face this. We are all living in tough pandemic times and nobody wants to visit a hospital or undergo a surgery. However, there are some unavoidable situations where surgery is the last resort. Physiotherapy can help in avoiding this by managing and healing in the initial stages itself. It is also helpful in pre and post rehabilitation programs to mitigate the complications that can occur in the surgery. If you are residing in or around Toronto, we suggest you to consult our Physiotherapy experts in Toronto before planning a surgery. You can also discuss your case if you are recuperating from a surgery or treatment.

  3. Improving overall strength and coordination

    While physiotherapy is highly beneficial to reduce the pain during or after a surgery, it also aids in improving the overall strength and robustness of the body. Do you know that physiotherapy involves specific exercises and stretches that help in cumulative coordination of the body? So, if you are facing symptoms of vertigo or dizziness, we suggest you to get in touch with our Physiotherapists. Our expert physiotherapists in Oakville are highly qualified and provide specific program for your requirement.

  4. Reducing the dependency on medicines

    Every medicine that a patient consumes has a side effect at some point in life. Certain situations demand a patient to take medicines to control or treat his/her condition. However, there are cases like surgery, where a patient is dependent on the medicine for pain relief. We suggest physiotherapy as an alternative choice to address this concern and reduce the dependency and side effects caused by medicines.

  5. Boosting cardiovascular functioning and lung capacity

    Post- stroke surgery requires extreme care and recovery program. Physiotherapy offers post heart stroke patients in regaining their degree and sense of direction, movement and balance. Our experience physiotherapists at Triangle Physiotherapy helps the patients in readjusting to their daily healthy lifestyle. You can consult our seasoned and best physiotherapists at Lawrence Park for special programs on breathing exercises that helps in restoring the optimal lung capacity and blood flow in the body.

  6. Managing and preventing sports related injuries

    We understand that sports is all about agility and various sports can elevate the risk to specific types of conditions like ACL Tear, Golfers Elbow, Hamstring strain to name a few. Physiotherapy is extremely important and useful in such situations as it provides very specific treatment to improve the endurance and fix the symptomatic problem. Other than the injuries, sportsperson and athletes are benefitted with regular physiotherapy sessions. Our team of skilled physiotherapists at North York helps in improving the circulation and strengthening body muscles. This increases the flexibility which will improve whichever game you play.

  7. Staying fit at all ages and phases

    Old age is not always pleasant. It brings with it certain complications that hamper the daily lifestyle. These includes Rheumatoid Arthritis (RA), Osteoporosis, Sciatica, Dementia, Neck pain, Back pain, Knee replacement etc. All these ailments can be controlled and managed by physiotherapy. If you or any of your loved ones is facing old age problems like these, we suggest you to check our rehabilitation clinic across GTA. You can have a look at Triangle Physiotherapy Mississauga or any other clinic close to your location.

  8. Managing heart and diabetic conditions

    It has been often observed that the diabetes patient suffer from discomforts like knee, shoulder and back pain. This is often resulted because of the unbalanced sugar levels in the body. There are dedicated physiotherapy plans that help in pain management caused due to diabetes. These plans also aid in controlling the sugar levels. Our expert physiotherapists at Triangle Physiotherapy help in guiding the patients about Diabetic Neuropathy, Diabetic Foot etc.

  9. Easing pregnancy and postpartum care

    Pregnancy is a beautiful journey. However, many women face trouble in this journey as their bodies undergo fundamental changes impacting overall well being and health. Many women face issues like fluctuating hormones, difficulty in carrying out routine activities due to increased body weight, changing habits etc. We suggest checking with our brilliant physiotherapist in Queens Quay clinic to enjoy this wonderful experience

  10. Improving mental health

    Of all the amazing benefits of physiotherapy, mental health is the most important one. We are not saying this just in terms of ‘feeling happy and healthy’. We understand that Mental Health is a lot more than that. At Triangle Physiotherapy, we acknowledge and advocate the fact that feeling good in your body is important not just to do your daily chores, but also to elevate your confidence in whatever do and wherever you go. That’s why we are – to help you realize your true and full potential.

    With the help of a skilled and qualified physiotherapist from Triangle Physiotherapy, we can customize a program for you that will suit your specific need. Get in touch with us and we would be happy to answer all your queries.
12 May
Physiotherapy is the study of science of movements. It is a healthcare profession that includes different treatment modalities like massages, electrotherapy, heat therapy, exercises, patient awareness and advice for treating an ailment, deformity or injury.

When should I go to a Physiotherapist?

This is a very common yet important question. If you have suffered an injury or chronic pain which affects your daily chores then you must consult a good physiotherapist. You can also avail the benefits of Physiotherapy after a surgery, like knee replacement or stroke. At Triangle Physiotherapy, we have a team of dedicated and skilled physiotherapists at eight rehabilitation clinics across the GTA.

What will a Physiotherapist do?

Our experienced Physiotherapists provide case-based solution to your need. These are focused on preventive as well as rehabilitation. Some scenarios where a good Physiotherapist can help –
  • Back and neck pain caused due to sprain in the skeleton or muscles
  • Conditions like arthritis or after effects of amputation that results in discomfort in joints, muscles, knees and ligaments
  • Lung disorders like asthma or bronchitis
  • Disability resulting from heart problems
  • Troubles occurred during childbirth like pelvic issue, bladder and bowel problems
  • Parkinson’s disease and multiple sclerosis or loss of mobility due to trauma to the brain or spine
  • Pain, swelling, fatigue, loss of muscle strength and stiffness during palliative care or cancer treatment

What should I expect from my Physiotherapist?

Our trained Physiotherapists at Triangle Physiotherapy provide specific and concerned answers to your core problems. This is what you can expect from your Physiotherapist-
  • Your physiotherapist will understand your medical history
  • Based on the medical history and symptoms, the physiotherapist will assess and diagnose your condition
  • A treatment module will be set for you for your concern
  • Specific exercises and assistive devices would be suggested to you based on your module
To understand what all things are done in Physiotherapy, let’s try to learn the various types of treatment modalities used in Physiotherapy.
  • Manual Therapy – This technique is a very common one where the physiotherapists massage the affected joints to mobilise and manipulate using his hands. Our team of expert physiotherapists in Toronto are highly equipped and experienced in this therapy.Physiotherapy Clinic Etobicoke
  • Transcutaneous Electric Nerves Stimulation (TENS) Therapy – In this therapy, the physiotherapist uses a small device driven by a battery and place it on the skin surface of the patient. Low grade currents are sent through these electrodes to relive pain of the affected area.
  • Magnetic Therapy – This therapy uses electromagnets of different sizes and types. These are used to limit the pain of the affected body part.
  • Dry needling and acupuncture – In this therapy, the physiotherapist uses fine needles and insert them into specific body parts to alleviate the pain for a short time. You can consult with our physiotherapists at Etobicoke clinic for this specialized line of treatment.Physiotherapy Clinic North York
  • Taping – This physiotherapy technique is highly popular as it promotes body’s inherent natural healing mechanism. Here, the physiotherapist uses a tape which lifts the skin away from the connecting tissue, thereby increasing the space and allowing the lymphatic fluid to move more functionally to ease the pain.
Physiotherapy Clinic Oakville
  • Joint Mobilisation – This is a manual therapy technique where a physiotherapist mobilises the joint at different depths, speeds and amplitudes. It helps in restoring normal joint movement in the body. Our physiotherapists at Lawrence Park clinic are highly equipped and skilled in this technique.
Physiotherapy Clinic Mississauga
  • Stretches and exercises – This is a fairly common module where the physiotherapist teaches different exercises and techniques for body stretching which helps in restoring the joint movements.
  • Rehabilitation – This includes a broad range of corrective, preventive and stretching exercises to reduce the sprain or pain in the affected area.
  • Strengthening Program – This is one of the most important modalities in physiotherapy where the physiotherapist conducts specific program to make the patient understand about his personal responsibility towards his health and physical conditioning. This program is very useful as it helps the patient in improving overall heath, strength, balance, coordination and flexibility.Physiotherapy Clinic Downtown Toronto
  • Diathermy – In this technique, electrically induced heat or high-frequency electromagnetic currents are used to relive the pain and cure the condition. Our physiotherapists at North York clinic are efficient and skilled in this technique. If you are facing pain or recovering from a surgery, you can consult us.
  • Ultrasound and phonophoresis – A frequency range of 0.5 – 3 MHz is used in this therapeutic ultrasound. This technique induces a deep heat to the target area to treat muscle spasm, promote healing at cellular level and lower the inflammation. It also increases the metabolism and improve the flow of blood towards the damaged tissue. Phonophoresis uses ultrasonic waves for better absorption of drugs that are applied topically during the treatment. This is a very useful technique as it helps in reducing the pain by allowing maximum absorption of drugs like anti-inflammatory and analgesics.
  • Range of Motion exercises (RoM) exercises – A good physiotherapist would diagnose the patient and recommend Range of Motion exercises to improve the mobility of joints and reduce the stiffness in the muscles. There are various types of RoM exercises, like Passive Range of Motion (PROM) exercises, Active Assistive Range of Motion (AAROM) exercises and Active Range of Motion (AROM) exercises.
  • Soft tissue mobilization – This highly effective technique in physiotherapy helps in alleviating pain, reducing swelling and relaxing the tight muscles in the body.
To summarize, Physiotherapy is a special treatment to maintain, restore and make the most of a person’s function, mobility, strength and well-being. It helps through various techniques and aid in recovery as well as strengthen the body for w holistic living. Now that we have established what all is done and expected in Physiotherapy, we would like to hear from you. Please write to us if you have any questions regarding Physiotherapy. You can also check our services and locations for any line of treatment.

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

11 Mar

Imagine you have the power to control your pain, and stiffness.You will not have to spend months in therapy. You will not need to buy or use expensive equipment. You will not have to rely on needles, injections or surgery.You will use your own skills and resources when you gain knowledge and guidance from a Certified McKenzie Provider.

What is the McKenzie method?

The Mckenzie method utilizes repeated movements for assessment , diagnosis and treatment. It is a comprehensive and clinically reasoned evaluation of patients where the emphasis is on patient independence , avoidance of therapist dependency, and use of minimal intervention.
Also read, Best Physiotherapy Clinic in Etobicoke

What lower back problems can we treat with Mckenzie?

Developed by world-renowned expert physiotherapist Robin McKenzie in the 1950s, this well-researched MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back,  as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in feet. If you are suffering from any such issues, then a MDT assessment may be right for you!

How does it work?

Most musculoskeletal pain is “mechanical” in origin, which means it is not due to a serious pathology like cancer or infection but a result of abnormal forces or mechanics occurring in the tissue. Further, it means that a position, movement or activity caused the pain to start. If a mechanical force caused the problem then it is logical that a mechanical force may be part of the solution. The MDT system is designed to identify the mechanical problem and develop a plan to improve  it. In the simplest and most common instance, this may mean that moving in one direction may provoke and worsen the pain, and moving in the opposite direction may eliminate the pain and restore function.
Also Read, Best Clinic for Physiotherapy in Oakville

Assessment, treatment and prevention.

The McKenzie assessment process begins with the trained clinician taking a detailed history about your symptoms and how they behave. This enables the clinician to identify specific pain patterns, which then helps the clinician develop a treatment plan specific to your pattern of presentation. The clinician will prescribe specific exercises and advice regarding appropriate postures and ergonomics.If your problem has a more difficult mechanical presentation, a certified McKenzie clinician can provide advanced hands-on techniques to help manage the problem until you can self-manage.The aim is to be as effective as possible in the least number of treatment sessions. By learning how to self-treat your current problem, you gain hands-on knowledge to minimize the risk of recurrence and rapidly deal with symptoms if they recur putting you in control safely and effectively. The chances of problems persisting can more likely be prevented through self-maintenance.
Take control of your pain, empower yourself and get back to the life you love with the McKenzie Method of Mechanical Diagnosis and Therapy.

Book an appointment with our McKenzie Certified Physiotherapist, Ankit Doshi, BPT, MClSc (Adv Healthcare Practice), FCAMPT, CGIMS, Cert. MDT

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