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.
- 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)
- Infectious mononucleosis (Epstein-Barr)
Other conditions that may cause Bell palsy are:
- HIV infection
- Lyme disease
- Middle ear infection
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
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.
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 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.
We’ve all heard how good running can be for you. Running helps to lose weight, prevent disease, lower stress, strengthen joints, manage blood pressure… the list goes on and on. But there’s a suprising problem you may be experiencing if you’re a long distance runner. It’s called leaky gut. I know, it sounds gross, but if you’re a runner then it’s something to keep in mind. How do you know if you have a leaky gut? Read on to find out common symptoms and how to treat it.
What is leaky gut, anyway?
Leaky gut, also known as intestinal permeability, is a dysfunction in the lining of our intestine. Our intestinal walls are only one cell layer thick. Their job is to absorb nutrients and prevent bacteria from getting into our bloodstream. When the cells of the gut lining start to separate and let bacteria enter the bloodstream, we get what we call leaky gut. This can lead to all kinds of health issues, including:
- autoimmune disease
- rheumatoid arthritis
- food sensitivities
- irritable bowel syndrome
- Crohn’s disease
- ulcerative colitis
- thyroid problems
- nutrient deficiencies
- depression and other mood disorders
Also read, Physiotherapy Treatment in Mississuaga
How does running lead to leaky gut?
It’s actually not just running that can lead to leaky gut. Powerlifters and people who do cross-fit are at risk, too. Same goes for anyone who does vigorous strength training or heavy exercise. The gut lining becomes more permeable due to the amount of stress put on your body by these types of activity. High physical stress leads to higher metabolic demands. Endurance sports do appear to have the most profound effect on leaky gut though, which is why you might be more concerned if you’re a marathon runner, cyclist, or triathlete.
When you exercise, plant-derived carbohydrates are digested and fermented by the gut. This can create some harmful byproducts that play a role in creating leaks in your gut. Once you have a leaky gut, toxins are more easily able to cross from your intestines into your bloodstream.
Also read, Physiotherapy Treatment in Oakville
Endurance exercise can also increase our secretion of pro-inflammatory cytokines. This means that more inflammation is happening in the gut, which can throw off the balance of good bacteria versus bad bacteria in the intestines.
If you know me, you know I don’t like talking about health issues without some scientific studies to back up what I’m saying. So let’s take a look at one. Researchers looked at LPS (lipopolysaccharide) levels in athletes. They chose to look at LPS because it is a toxin found in bacteria. They measured LPS from blood samples of 29 athletes before, immediately after, one hour after, two hours after, and 16 hours after a triathlon. What they found was that LPS in the blood increased immediately after the race. But guess what? LPS was even higher than that one hour later. This demonstrated that there was an increase in leaky gut both during and after intense exercise.
I think I might have a leaky gut… now what?
Don’t hang up your running shoes just yet, folks. There might be a solution to those leaks in your gut. Remember how I mentioned that the balance between good and bacteria in the gut can get thrown off? Well, one way to help restore that balance is by taking probiotics. Probiotics are known as the good, healthy bacteria that we want and need in our gut. There are many different strains of probiotics. The two that have been shown to be most helpful with leaky gut is called Lactobacillus and Bifidobacterium. These strains help cells of the intestinal wall to tighten up the gaps between them.
A study demonstrated that probiotic supplements reduced LPS levels in the blood. This led to less leaky gut as well as an increase in the amount of time it took to reach fatigue while exercising in hot temperatures. This means that probiotics could actually help to improve athlete performance, too!
If you are a runner and suspect you may have a leaky gut, don’t wait until deteriorating health issues come along. Act now by calling the clinic to book your appointment with Dr. Corina Kibsey, ND today.
Our knees support the weight of our bodies with each step we take. When we begin to experience knee pain, it can be very debilitating, especially if the pain is severe. Some common causes of knee pain are: joint strain or damage, patellar maltracking, obesity, poor foot biomechanics, and many others. In some cases, severe osteoarthritis (OA) can be the cause of the knee pain. While exercises are extremely beneficial in building muscular support and managing the effects of the OA, a knee brace can be a good intervention to provide support and delay any surgical intervention. It can help to reduce swelling and pressure on the joints and can shift weight away from the damaged and painful areas of the joint. This can significantly improve a person’s mobility by decreasing their pain.
What is Osteoarthritis?
Osteoarthritis (OA) is the most common joint condition. At its core, it is the deterioration of the cartilage which lines our joints and makes movement fluid and pain-free. While mild OA is a normal age-related change, severe OA involves a significant reduction in the amount of lubricating fluid (known as synovial fluid) within the joint. This can cause significant pain with movement, stiffness, and imbalance because of a more bone-on-bone type of feeling.
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Knee brace for Osteoarthritis
As mentioned above, a knee brace can be a good management option for dealing with the effects of OA. A good knee brace will offer the support you need in order to balance and evenly distribute your weight in order to have a more comfortable walk or run. Material used to make braces can be plastic, metal, or sometimes composite materials. In addition, synthetic rubber is used for positioning and padding. It’s made in way so that your skin can breathe while your knees are supported.
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Types of knee braces in osteoarthritis
There are three styles of braces: Basic, Compression and Unloader for three different levels of support.
- Basic braces are for those who suffer from mild pain that worsens with activity and motion. Most people wear them while exercising or walking/running for long periods of time.
- Compression sleeves/advanced braces provide support for moderate osteoarthritic pain. They are generally worn during exercise in order to keep the joints warm and hold the knees in proper alignment.
- Unloader braces are for severe osteoarthritis. They are worn when a person is suffering from severe pain due to their knee OA and will physically unload the joint, causing less pressure to go through it.
We at Triangle physiotherapy will assess you knee joints and develop a complete treatment plan for you. Our expert physiotherapists can help you choose the correct knee brace to manage your OA. Book your appointment now and feel some relief so you can get back to your normal life as soon as possible!
Visit Here: https://www.trianglephysiotherapy.com
- Bones and joints
- Ligaments and tendons
- Blood vessels
The ankle joint consists three bones: The ankle bone (Talus), shin bone (Tibia), which holds the Talus at the lower end along with a parallel thinner bone (Fibula) and the heel bone (calcaneus). The talus has a socket-like structure which allows it to work like a one-directional hinge.
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Ligaments and Tendons
Ligaments and Tendons serve similar functions but in slightly different ways. While they are both referred to as “soft tissue” structures, ligaments attach bones to bones while tendons attach muscles to bones. Both of them are made of collagen fibers.
Muscles work by stretching and contracting, which allows us to walk, run and jump. Below are some of the most prominent muscles of the lower leg:
- The peroneals (peroneus longus and peroneus brevis) are located on the outside edge of the ankle and are mainly responsible for bending the foot down and out.
- The calf muscles (gastrocnemius and soleus) connect to the calcaneus by the Achilles tendon. When the calf muscles tighten, they bend the ankle down.
- The tibialis posterior muscle supports the arch of the foot and helps turn the foot inward.
- The tibialis anterior pulls the ankle upward.
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The nerves on the outer edge and front part of the ankle control muscle movement and provide sensation to the top and outside edge of the foot.
There are many arteries which supply blood to the ankle such as the dorsalis pedis, tibial artery, etc. Without adequate blood supply, the muscles of the ankle would not be able to function and would cause significant impairments.
We have 6 clinics located across the GTA: Etobicoke, Oakville, Mississauga, North York, and Toronto (King Street West and Yonge Street. If you are suffering from foot or ankle problems you may benefit from treatment. Don’t suffer any longer! Call or email us today and we will be happy to answer all of your questions.
You can book an appointment for Ankle Anatomy: Click here to book an appointment
Some common winter sports injuries:
1) Separated shoulders
2) Knee Sprains
3) Torn ligaments
4) Pulled muscles
Also read, Etobicoke Physiotherapy Clinic
Exercising alone isn’t enough to achieve good health if you’ve already had an injury. It’s important to address injuries before they worsen and become more difficult to manage. At Triangle Physiotherapy, we promote active treatment programs that emphasize exercise to encourage client participation & independence.
Overcoming winter aches and pains:
Sometimes, a change in the weather could cause dormant aches to become more apparent. Joint pain can occur anytime throughout the year, but in the cold and wet months of the winter, you may find it harder to cope with.
A visit to a physiotherapist can help to keep you moving forward in a pain free manner.
1) Avoid excess twisting and forward bending. Bend the knees and keep the back as straight as possible when you are lifting.
2) Make sure that you are using proper techniques and good body mechanics to help you avoid shoulder and low back injuries can be avoided.
3) Don’t let the cold weather put you off – bundle up and be careful in wet or icy conditions.
4) Exercising regularly will help reduce pain within your joints and help prevent other health issues.
5) Also, ensure that you don’t overdo exercise if you are new in the sphere. Make sure you warm up with a brisk walk or gentle jogging.
Also read, Physiotherapy Treatment in Oakville
When our body is cold, it restricts the amount of blood it sends to our extremities, like our hands and feet, so that it can focus on supplying vital organs (like the heart and lungs) with blood. This means that we lose less heat from blood circulating near the surface of the skin, and also means that the joints get less blood. This can cause delayed healing and an increased insensitivity to pain.
To answer all of your queries in detail, we, at Triangle physiotherapy thoroughly assess you and create customized treatment programs that address each individuals’ needs. There are many people who feel depressed during the winter months, which can increase their sensitivity to pain. Don’t let your passion for living a pain-free life take a back seat during the winter season!
Triangle Physiotherapy is coming up with a new health campaign called #JoinTheMovement. By participating in this movement, you will notice a significant difference in your overall health awareness, and awareness of what a Physiotherapist can do for you.
So, what are you waiting for? For more information on #JoinTheMovement, visit our pages on facebook, twitter, instagram
What is a Podiatrist? A podiatrist deals with the assessment, diagnosis and treatment of the lower limbs and feet. What is a Chiropodist? A chiropodist deals with the assessment, diagnosis and treatment of the lower limbs and feet. Sound familiar? That is because these two professions are one and the same!
While there may be differences in terms of scope of practice in other areas of the world, in Canada, both podiatrists and chiropodists are qualified to treat patients with arthritis, diabetes, lower limb sports injuries, and various other ailments of the feet. They have received specialized training which allows them to work with patients of all ages and to help the elderly stay mobile and independent. The only practical difference between the two professions, in terms of their scope of practice in Canada, is simply their title.
Also read, Physiotherapy Treatment Etobicoke
Chiropodists can advise patients on how to look after their feet and what type of shoes or orthotics to wear. They can also treat, alleviate and benefit day-to-day foot conditions, such as:
- Thickened, fungal, or ingrown toenails
- Varicose veins
- Athlete’s foot
- Smelly feet
- Dry and cracked heels
- Flat feet
- Heel pain
- Ageing feet
- Sports Injuries
Also read, Oakville Physiotherapy Rehab Clinic
Seek help from a Chiropodist for advice or treatment if you have:
- Painful heels or arches
- Thickened or discoloured toenails
- Cracks, cuts, or hardened skin on your feet
- Growths, such as warts
- Scaling or peeling on the soles
- Any other foot condition
Don’t bury your head in the sand and ignore small foot problems! These small “problems” can quickly transform into major issues that can affect the quality of your life. As they say, “prevention is the best cure “. Patients who make regular check-up appointments can avoid many potential feet problems as Chiropodists are specialists at recognizing problems before they have occurred.
Don’t’ let your feet problems keep you from stepping into our clinic! Seek the help of our foot specialists at any of our locations in Etobicoke, Oakville, North York, Mississauga & Toronto and say goodbye to your foot dilemmas!
Are your worries all perched on a pillow? And we don’t mean figuratively, but literally, are your worries all about THE PILLOW? Well, you are not in as uncommon a dilemma as you may think. Physiotherapists frequently get queries about pillow related problems.
Sleeping on the wrong, or too worn out a pillow, not only leads to headaches, backaches and neck cramps, but also prevents you from getting a good night’s sleep. Lack of proper sleep can lead to many serious health issues, like obesity, heart disease, diabetes etc.
It is imperative that you choose the right pillow for yourself but the kind of pillow you should pick will depend on your own unique needs as well. A physiotherapist is the best person to tell you exactly what you need. However, here are a few things that you can keep in mind while making a choice –
- Your usual sleeping position
- The shape and size of your head, neck and back
- Desired softness/firmness of the pillow
- Any neck pain, or back ache you may have
- And your budget
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There are a plethora of pillows in the market – cotton, polyester, feather, down, memory foam etc. However, these don’t cater to specific support or pain needs. If you have been injured, or have a particular condition, you will need a pillow that caters best to not just your problem, but also the stage that you are in. There are three main stages –
For each of these three stages, you will need a specific kind of pillow.
Specialty pillows that are designed for the ‘Accommodation’ stage, are pillows that bring in comfort and ease by providing support and stabilizing the existing ailment or disorder. Such pillows are often called Displacement pillows and are often recommended by physiotherapists for short-term pain relief after an injury.
The next stage of an issue or injury is ‘Correction’. At this stage, a doctor or physiotherapist attempts to find a remedy for the cause of the problem, and thereby correct it. Pillows recommended in this stage are often designed to provide support, and sometimes to even change the sleeping position of the injured or ailing person. There are various ‘Supportive’ pillows to meet different support levels, firmness and neck lobe size needs of different patients. There are also specialized ‘Corrective’ pillows, which can reduce headaches, neck pain, joint pain, whiplash discomfort and can even improve nerve function. A physiotherapist can tell you what is the ideal Supportive or Corrective pillow you need, based on your health and body needs.
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Pillows for the last stage, ‘Maintenance’, help to promote good health by returning and keeping the body in its natural alignment. At this stage maintaining the normal curvature of the neck and spine is of utmost importance. While the normal curvature of one person’s neck and spine may differ from another, there are some general guidelines that a physiotherapist can jot down to help you understand your needs better. Comfort and support are the most important of these.
There are also Aqua pillows, which perform all the 3 functions of a pillow:
- Accommodation: Since water is fluid, a person gets customized accommodation that happens in real time, as individual changes their position on the pillow.
- Correction: The volume of water determines the firmness and density of the pillow, which means different amounts of water can be utilized to help correct the neck position of different people in different stages of healing.
- Maintenance: Since the volume of water remains constant until changed manually, it helps maintain the neck posture at all times while sleeping.
A lot of people buy a pillow, try it for a few nights, and then feel it isn’t right for them. Sometimes the pillows can be returned, but more often, people end up having a collection of pillows that they have hardly ever used. An Aqua pillow is a huge savior in this aspect, as it can be customized for each individual! The water levels can be modified to best suit the clinical condition, neck shape and size, and preferred sleeping position of the buyer.
There are also specially designed Orthopaedic pillows for specific conditions like arthritis, fractures and slip discs. A physiotherapist can enlighten you more about these.
Seek the help of our professionals at any of our locations in Etobicoke, Oakville, North York, Mississauga & Toronto, and say goodbye to your pillow problems!
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
If practiced regularly the benefits of yoga are numerous. Physically and mentally, yoga may result in:
- Improvement in muscular strength
- Body awareness
- Hormonal balance
- Normalizing blood pressure
- Weight loss
- Pain relief
- 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.
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.
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 on 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 health care 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.
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.
2) 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.
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3) 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 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 a natural relief without the aid of pain killers. Living pain free naturally is our goal, and at Triangle we will guide you every step of the way.
Pacifying the Pain – All about Patella Tendon Tears
Despite it being named a “Tendon”, the patella tendon is both a ligament and a tendon. It connects to two different bones, the patella and the tibia. The patella tendon works in unison with the quadricepmuscles and quadricep tendons allowing them to straighten the knee. The tear within the patella tendon is either partial or complete and can be a disabling injury:
- Partial tear- More frayed and not complete, (think of a rope that is not completely torn)
- Complete Tear- The tissue is torn into two complete pieces
There are numerous causes that can contribute to the tear of a patella tendon:
- Patellar tendonitis- inflammation of the patellar tendon thus weakening the tendon, causing small tears.
- Chronic disease – Chronic renal failure, rheumatoid arthritis, Diabetes mellitus & metabolic disease, etc.
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Most patients have stated that they had felt a popping or tearing sensation when the patella tendon has torn. Additional symptoms recorded were:
- Indentation at the spot where the patella tendon is located
- Shift of the kneecap to thigh, due to un-attachment
- Difficulty walking due to weakness in the knee
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Once the initial pain and swelling has subsided, physiotherapy treatments can be started. Physiotherapy can restore strength and range of motion. Depending on the intensity of the injury, a brace may need to be worn. While the brace is worn, straight leg exercises are often prescribed to strengthen the quadriceps muscles. As the patellar tendon heals, eventually the brace may be removed, allowing the patient to move freely with a greater range of motion, with more exercises being put into use as healing progresses.
Recovery from patellar tendon tears is possible, and most individuals are able to return to work and regular activities. Even though patients may feel stiffness in the region after recovery, most regain nearly equal motion compared to the uninjured leg. At Triangle Physiotherapy, we are able to dispense custom-fit braces to aid in the recovery of patellar tendon tears. For more information visit our custom braces page at: https://www.trianglephysiotherapy.com/services/custom-bracing