Shoulder Prehabilitation (prehab) involves the process of implementing a physical, psychological, nutritional intervention before an individual goes into surgery. The goal behind prehab programs is to maximize an individual’s physical and psychological fitness/health before surgery in order to reduce pain, increase physical function and allow you to return to your normal activities sooner following surgery.
Although there is limited evidence regarding shoulder prehab programs, there is promising and growing evidence that suggests prehab programs for hip, knee, and spinal surgery may improve pain, function and reduce the total cost of healthcare spending in the post-operative period.
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Types of Surgeries for Shoulder
- Reverse arthroplasty
- Total shoulder arthroplasty/replacement
- Rotator cuff repair
- SLAP repair
- Bicep tendon repair
What Prehab Programs look like:
Most prehab programs can be anywhere from 2-8 weeks leading up to surgery and could potentially involve:
1) Exercise training (2-3x/week)
- Strengthening and stabilization exercises for the rotator cuff and muscles supporting your shoulder blade
- Home exercise program tailored to your needs
- Exercise training 1 on 1 with a physical therapist
2) Education: information delivered regarding
- Shoulder anatomy and mechanics
- Pain science education
- The process of your operative procedure
- Patient-therapist expectations
- Post-operative protocol
- Detailed exercise program and technique
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3) Nutritional support
- Consultation with a registered dietician
- Detailed nutrition programs to optimize physical and mental health
- Nutritional supplements as indicated
4) Psychological support
- Consultation with psychologist/ psychotherapist
- Anxiety and stress reduction
- Cognitive-behavioral therapy
- Relaxation techniques
- Coping strategies for surgery
Shoulder Prehab is a set of exercises and movements designed to strengthen and condition the shoulder joint and surrounding muscles, helping to prevent injury or improve recovery from a previous injury. Prehabilitation may include:
- Shoulder rotator cuff strengthening exercises such as internal and external rotation with light weights.
- Scapular stability exercises to improve posture and reduce stress on the shoulder joint.
- Stretching to improve flexibility and range of motion.
- Plyometric exercises to improve power and explosiveness.
- Core stability exercises to improve overall body control and stability.
Prehabilitation should be performed regularly, especially if you have a history of shoulder injuries or plan to participate in overhead activities such as weightlifting or throwing. By taking care of your shoulder before it becomes a problem, you can help prevent injury and improve your performance.
One of the most common runners’ complaints is Shin splints (also known as Medial Tibial Stress Syndrome (MTSS)). The word shin splints describes pain/discomfort that gets worse during running or exercise around the front of the lower shin. Shin splints are usually developed by overuse, and a registered physiotherapist will do a detailed assessment to diagnose shin splints and develop a treatment plan to resolve them.
Shin splints are painful and uncomfortable but here are a few tips to effectively manage them.
Shin splints are considered an overuse injury. In the short term, rest will help the pain, and it is advised to rest for a period of time before beginning to run again. Start with shorter, slower distances instead of jumping right back into long distances when you start running again. Start running once a week and work up to twice a week if you usually run 3 days a week.
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Place ice packs on your shins for a few minutes at a time. Icing will not treat your shin splints but will help effectively manage your pain after running.
Change up your workout routine
Adding resistance training to your workout routine can help reduce your pain by helping your muscles & tendons increase their capacity. Incorporating other types of aerobic exercise into your routine, like cycling, rowing, or the elliptical in place of running, can also help. Shin splints commonly come from the impact from running on hard or uneven surfaces. Replacing running with a different type of exercise once a week can help.
Stretching, warm-ups and cool-downs
Stretch your calves and shins before running to increase the flexibility in your legs. Warm-up before your workout to prepare your muscles and cool down at the end of it to help your muscles recover.
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Footwear & Orthotics
Think about how long you have had your running shoes. Good shoes are important as they act as shock absorbers every time your foot hits the ground. If the sole of the shoe is worn, shoes lose their shock absorption. Try a new pair of shoes with more cushioning and see how you get on.
Also, consider seeing a chiropodist for a pair of orthotics. Custom orthotics can help align and stabilize your foot and ankle, taking stress off of your lower leg. They can also be beneficial if you have flat feet.
Our physiotherapists at Triangle Physiotherapy can help resolve your shin splints and get you back to running or any other sport that you may love! Call us to book your assessment or book online here.
Before the weather gets better and we start thinking about getting more active, it’s a good idea to keep some health tips in mind. Anything from a traumatic sports injury to even a minor fall can cause a big issue in our backs. If that happens, it is important to be aware of natural, non-medical remedies that may help. Chiropractors, using spinal adjustments and other forms of hands-on manual treatment, can help you heal without medicine. We have got your back at Triangle Physiotherapy with Chiropractors working out of our King Street West, Oakville, North York and Lawrence Park clinics.
Who is a Chiropractor?
A chiropractor is a trained health care professional who specializes in detecting and treating neuromuscular disorders through manual adjustments. They are skilled in hands-on healthcare to help you with postural restoration, spinal alignment, nervous system function and maintenance of health. Chiropractic care is considered an “alternative treatment” approach as it does not involve taking heavy pain-killing drugs or undergoing surgery.
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What does a Chiropractor Treat?
Nobody takes better care of your spine than a chiropractor. For many conditions, such as lower back ache, neck pain, sciatica and headache, going to chiropractor is frequently recommended as the primary method of treatment. However, that’s not all they treat. They also treat all other neuromusculoskeletal conditions in the body, ranging from frozen shoulder to a sprained ankle through a manual, rehabilitation-based approach.
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Here is some general advice from our Chiropractors:
- Increase your core strength: Build your core muscles by exercising daily and by eating healthy. It will increase your stamina and help you catch yourself to avoid a fall while you travel/hike.
- Stretch regularly: Keep your muscles flexible, it will help you to prevent any injury.
- Take regular breaks at work: Especially when you have a traditional 9-5 desk job, sitting constantly without any movement can get your back and neck in trouble. Get up every 30 minutes and take a 2 minute walk.
- Regularly visit a Chiropractor: Just like you would with your family Physician, inform your Chiropractor about any injury you might have sustained, regardless of how “minor” you think it to be. Even a small wreck can disturb the overall functioning of your body and can lead to long-term unwanted compensations.
- Change your mattress if you always wake up with a back pain: Do you wake up sore or with a backache? It’s time to change your bed mattress. If your mattress is older than 10 years then it might be losing its ability to stabilize your back while you sleep.
Our committed Chiropractors are based out of our Lawrence Park, King Street West, North York and Oakville clinics, all very accessible within Toronto and Oakville. Book an appointment today to begin your journey towards a healthier lifestyle!
Our feet are likely the most used body parts of all of our limbs. Be it sitting or standing, we are always using our legs in one way or the other. In fact, the use of our feet and legs usually begins the moment we wake up. So it is safe to say that our feet play a vital role in our day to day life and as such, it is important to take good care of them.
Our feet carry the entire weight of our body throughout the day. They undergo tremendous pressure with every step we take as they get compressed and endure repeated movement against our footwear. Over a period of time, pressure on certain parts of the foot can increase and the body compensates by adding extra layers of scar tissue and skin on parts of feet that undergo high pressure, such as the ball and heel & toes of the foot. This can cause there to be painful areas of pressure on the foot, or the formation of callouses on areas of higher pressure on the foot.
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Why schedule an appointment with a Chiropodist?
Walking, running, sitting – everything involves your legs. A minor injury or pain can cause huge discomfort in your everyday life and can escalate to become a serious issue. For example, an ingrown toenail or an infection can be very painful and uncomfortable. Seeing a Chiropodist at an earlier stage will help immensely in preventing and managing these kinds of foot related problems.
An appointment with a Chiropodist will involve a thorough assessment of your foot-related problem and treatment that will help alleviate the problem. Even without a significant ongoing foot issue, a visit to the Chiropodist can help you in preventing one from developing by gaining more insight into your walking pattern or providing education on correct foot care. They are trained to diagnose and treat a wide variety of foot-related conditions and are able to understand their patients’ needs in order to prevent and treat both acute and chronic conditions that involve the foot and lower limb functions.
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What do we treat at Triangle Physiotherapy?
Our Chiropodist is a highly skilled professional that is an expert in their field. At Triangle Physiotherapy, our registered Chiropodists diagnose, assess, and treat a wide range of foot related health issues and abnormalities including but not limited to:
- Alignment and support to prevent or correct abnormalities in the lower limbs
- Abnormal gait patterns
- Foot pain
- Sports injuries
- Diabetic foot care
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How to Contact Triangle Physiotherapy?
We have 6 clinics located across the GTA: Etobicoke, Oakville, Mississauga, North York, and Toronto (King Street West and Yonge Street. If you have any questions regarding what type of chiropody treatment may be appropriate for you, please call or email us and we will be happy to answer your questions. You can also Book an Appointment with a Chiropodist now.
While muscular pain is an inevitable part of life, some suffer from it for a long period of time and others proactively seek pain relief through massage therapy. Massage therapy is the scientific manipulation of the soft tissues of the body and it is used as a healing technique. Our skin is the largest organ of our body. While regular massage has tremendous health benefits, it is important to get it from a skilled therapist. Massage therapy has proven that it rids the body of physical discomfort and also improves a person’s mental & physical capacity without the use of prescription of medicines.
Some benefits of massage therapy are:
- Improved Joint mobility
- Reduced pain
- Enhanced blood circulation
- Reduced stress
- Reduced muscle tension
- Immediate health benefits
- Reduced intensity of headaches
- Relief from Insomnia
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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.
Various Types of Massage:
- Swedish massage (Relaxation, stress relief)
- Foot massage (Improves circulation, reduction of trigger points)
- Hand massage (Enhanced circulation, reduction of your trigger points)
- Deep tissue massage (repetitive strain, postural problems, recovery from injury)
- Sports massage (Preventing and treating injury and enhancing athletic performance)
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Stress is one of the most significant factors that impact psychological and physical health. Massage therapy can be used to treat both acute and chronic conditions.
Causes: According to the American Massage Therapy Association (AMTA) Consumer survey, 72% of individuals surveyed claim their primary reason for receiving a massage in the previous 12 months was for medical reasons (43%) or stress-related (29%).
A growing body of research supports the health benefits of massage therapy for conditions such as stress, low-back pain and more.
Effect: There are innumerable benefits to be achieved through regular massage therapy treatments from a Registered Massage Therapist. Whether your need is to have a moment of relaxation, reduce muscle tension or attain relief from chronic pain, a therapeutic massage can enhance your overall sense of emotional and physical well-being.
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How is it Important in today’s life?
Well, our brain and muscles need time to rest once in awhile if they are expected to move, think, and be productive forever. Seek help from a Massage Therapist to find relief from your symptoms. If you take care of your body today it will be there for you tomorrow! Adding massage therapy to your healthcare/recovery plan will provide natural relief without the aid of painkillers.
Don’t continue to suffer! Book an appointment with us to improve your health.
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