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.
- 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 a crucial component in managing ALS, helping to maintain mobility, reduce discomfort, and improve quality of life. For those seeking specialized physiotherapy services to support ALS management, 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 tailored to the needs of individuals living with ALS.
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.