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19 Feb

Carpal tunnel syndrome is a painful disorder of the hand caused by the entrapment of the median nerve that passes through the carpal tunnel at the wrist.  The wrist bones (carpal bones) form the base of the tunnel and strong ligaments (flexor retinaculum) form the roof. The carpal tunnel contains the median nerve, blood vessels, and tendons that pass to and from your hand.  Carpal tunnel syndrome occurs when either the space in the tunnel decreases or when the contents enlarge.

What are the causes of carpal tunnel syndrome?

Some common causes and risk factors include:

  1. Repetitive hand and wrist movements: Performing repetitive motions with the hands and wrists, especially in awkward positions, can contribute to the compression of the median nerve. This is common in activities such as typing, using a computer mouse, or assembly line work.
  2. Prolonged wrist flexion: Keeping the wrist in a flexed or extended position for extended periods can increase pressure on the median nerve. This can happen during activities like using a computer keyboard or mouse, playing musical instruments, or using tools that vibrate.
  3. Anatomical factors: Certain anatomical characteristics, such as having a smaller carpal tunnel or a shape that predisposes to compression, can increase the likelihood of developing carpal tunnel syndrome.
  4. Trauma or injury: A wrist injury or trauma, such as a fracture or sprain, can lead to swelling and inflammation in the carpal tunnel, compressing the median nerve.
  5. Medical conditions: Certain medical conditions, such as rheumatoid arthritis, diabetes, and thyroid disorders, can increase the risk of carpal tunnel syndrome. Hormonal changes, such as those that occur during pregnancy or menopause, can also contribute.
  6. Genetics: There may be a genetic predisposition to carpal tunnel syndrome, as some individuals may have a family history of the condition.
  7. Obesity: Being overweight or obese may increase the risk of developing carpal tunnel syndrome, possibly due to increased pressure on the median nerve.
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Who is most at risk for carpal tunnel syndrome?

Women are more commonly affected by carpal tunnel syndrome than men, possibly due to differences in hand anatomy and hormonal factors.

CTS is more prevalent in individuals who are middle-aged or older. As people age, the risk of developing the condition increases.

What are the symptoms of carpal tunnel syndrome?

  • Gradual onset of pain, burning, tingling, or numbness in the median nerve pathway (the thumb, index finger, and middle finger)
  • Symptoms may be worse at night or early in the morning
  • Symptoms may be relieved by shaking or flicking of the hand
  • As the condition progresses, there may be numbness, weakness, and muscle wasting of the thumb muscles causing difficulty with pinching, gripping, and frequently dropping things

Can physiotherapy help with Carpal Tunnel Syndrome?

Physiotherapy treatment for carpal tunnel syndrome:

  • Education on rest, activity modification, and workplace ergonomics
  • Mobilization of the carpal bones and the median nerve
  • Therapeutic ultrasound therapy over the carpal tunnel to speed up healing
  • Splinting the wrist during sleep
  • Exercises to stretch and strengthen forearm and hand muscles, nerve gliding and correction exercises
  • Acupuncture

How do I book an appointment with a Physiotherapist near me?

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

12 Feb

What is the ACL?

The ACL, or Anterior Cruciate Ligament, is one of the four major ligaments in the knee joint. It is located in the center of the knee and runs diagonally, connecting the femur (thigh bone) to the tibia (shin bone). Its primary function is to prevent excessive forward movement of the tibia relative to the femur and control rotational movements of the knee.

What is an ACL Injury?

Injuries to the ACL are relatively common, often occurring during sports activities that involve sudden stops, changes in direction, or direct impact on the knee. ACL injuries can range from mild sprains to complete tears. When the ACL is torn, it can lead to instability in the knee, difficulty with weight-bearing, and a decreased ability to perform certain activities.

What are the symptoms of an ACL injury?

Common symptoms of an ACL injury include:

  1. Pain: Individuals with an ACL injury often experience pain in the knee. The intensity of the pain can vary based on the severity of the injury.
  2. Swelling: Swelling typically occurs within a few hours of the injury and may be accompanied by a feeling of tightness or fullness in the knee.
  3. Instability: A sense of instability or a feeling that the knee is “giving way” is a common symptom. This instability may be particularly noticeable during activities that involve cutting, pivoting, or sudden changes in direction.
  4. Loss of Range of Motion: The injured knee may have a reduced range of motion, and it may be challenging to fully straighten or bend the knee.
  5. Audible “Pop” Sound: Some people report hearing or feeling a “pop” at the time of the injury. However, not everyone experiences this sensation.
  6. Difficulty Weight-bearing: Walking or putting weight on the affected leg may be difficult, especially immediately after the injury.

Can Physiotherapy help with an ACL Injury?

Yes, physiotherapy is a crucial component of the rehabilitation process for individuals with an ACL (Anterior Cruciate Ligament) injury, particularly those who undergo surgical intervention such as ACL reconstruction. Physiotherapy aims to address pain, swelling, muscle weakness, and joint instability while helping individuals regain normal function and return to their usual activities.

Here are some ways in which physiotherapy can help with an ACL injury:

  1. Post-operative Rehabilitation: After ACL reconstruction surgery, physiotherapy plays a vital role in the postoperative rehabilitation process. The early phases focus on managing pain and swelling, restoring range of motion, and preventing muscle atrophy.
  2. Strengthening Exercises: Physiotherapists prescribe specific exercises to strengthen the muscles around the knee, including the quadriceps, hamstrings, and calf muscles. Strengthening these muscles helps provide stability to the knee joint.
  3. Balance and Proprioception Training: ACL injuries can affect balance and proprioception (awareness of joint position). Physiotherapy incorporates exercises to improve balance and proprioception, reducing the risk of future injuries and enhancing overall joint stability.
  4. Range of Motion Exercises: Physiotherapists guide patients through a series of exercises to regain and maintain a normal range of motion in the knee. This is important for preventing stiffness and improving functional mobility.
  5. Functional Training: As the rehabilitation progresses, physiotherapy includes functional activities and sport-specific exercises to help individuals return to their normal activities or sports safely.
  6. Education and Home Exercise Programs: Physiotherapists educate patients about their condition, recovery process, and strategies for preventing future injuries. They often provide home exercise programs to continue rehabilitation between sessions.
  7. Gradual Return to Sports: For individuals aiming to return to sports or high-demand activities, physiotherapy guides a gradual progression of exercises to ensure a safe and effective return, taking into account factors like strength, agility, and neuromuscular control.

How do I book an appointment with a Physiotherapist near me?

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

06 Feb

What is Plantar Fasciitis?

Plantar fasciitis is an overuse injury. Accumulation of micro-damage leads to the degradation of the collagen fibers that make up the origin point of the plantar aponeurosis. This prevalent condition is the most common cause of heel pain. It is a common condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of your foot. Managing plantar fasciitis involves a combination of lifestyle changes, exercises, and medical interventions.

Plantar Fasciitis Treatment

What are the risk factors for plantar fasciitis?

  • Overpronation
  • High-Arched Feet
  • Leg-length Discrepancy
  • Footwear

Here are five ways to manage plantar fasciitis:

  1. Stretching Exercises:
  • Perform gentle stretching exercises for the Achilles tendon, calf muscles, and plantar fascia. Regular stretching can help alleviate tension and improve flexibility.
  • Towel stretches, calf stretches, and wall stretches are beneficial for targeting the affected areas.

2. Night Splints:

  • Wear night splints to keep the foot in a dorsiflexed position while sleeping. This helps stretch the plantar fascia and Achilles tendon, promoting healing and reducing morning pain.

3. Custom Orthotics

  • For orthotics to successfully treat plantar fasciitis, they need to control overpronation and the motion of the first metatarsal head.

4. Supportive Footwear

  • Choose shoes with proper arch support and cushioning to reduce strain on the plantar fascia. Avoid high heels and worn-out shoes.
  • Consider orthotic inserts or custom-made insoles to provide additional support and stability.

5. Physiotherapy

  • Consult with a physiotherapist who can guide you through exercises and techniques to strengthen the muscles around the foot and improve overall foot mechanics.
  • Shockwave therapy has been known to show great results in the management of plantar fasciitis.

How do I book an appointment with a Physiotherapist near me?

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

31 Jan

Physiotherapy can certainly help with posture issues. Have you caught yourself slouching or seen a reflection of yourself in a window, shoulders hunched? If yes, you are not alone. The good news is that there are ways to improve your posture and health practitioners like physiotherapists and chiropractors can help.

Why does good posture matter?

Maintaining proper posture extends beyond merely standing upright; it entails positioning your body to reduce pressure and tension on your joints and muscles. This encompasses maintaining a straight spine, relaxed shoulders, a raised head in harmony with your body, and even hips, with knees directed forward. Good posture also involves ensuring that your chin is parallel to the floor and that your body weight is evenly distributed on both feet.

What are some common posture problems?

Some common posture problems are as below:

Forward Head Posture (FHP): This occurs when the head is positioned forward of the shoulders. It often results from prolonged periods of looking at screens or poor ergonomics.

Kyphosis (Round Shoulders): Kyphosis is an exaggerated rounding of the upper back. It can be caused by factors like slouching, muscle imbalances, or structural issues.

Lordosis (Swayback): Lordosis is an excessive inward curve of the lower back. It can be caused by factors such as poor sitting habits, weak core muscles, or pregnancy.

Flat Back Posture: This posture involves a reduction in the natural curve of the spine, particularly in the lower back. It may result from muscle imbalances or conditions like ankylosing spondylitis.

Scoliosis: Scoliosis is a lateral curvature of the spine, often appearing as an “S” or “C” shape. It can be congenital or develop during growth spurts in adolescence.

Physiotherapy Oakville

Rounded Shoulders: Rounded shoulders occur when the shoulders are pushed forward, and the chest collapses. This can be caused by muscle imbalances and poor habits like prolonged sitting.

Anterior Pelvic Tilt: This is when the front of the pelvis drops lower than the back, causing an exaggerated curve in the lower back. It can be caused by muscle imbalances, tight hip flexors, and weak abdominal muscles.

Posterior Pelvic Tilt: In this posture, the back of the pelvis drops lower than the front, flattening the lower back. It can be caused by weak hamstrings and glutes.

Crossed Syndrome: This is a pattern of muscle imbalances that can lead to poor posture. It typically involves a combination of tight and weak muscles, often seen in individuals with sedentary lifestyles.

Text Neck: This is a modern posture problem associated with the increased use of smartphones and devices. It involves a forward head position and increased strain on the neck and upper back.

How do I book an appointment with a Physiotherapist near me?

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

24 Jan

Winter weather can be challenging for individuals with arthritis, as cold temperatures and changes in atmospheric pressure can exacerbate joint pain and stiffness. Here are 10 tips to help manage arthritis during the winter months:

  1. Stay Warm:
    • Start your day by using a heating pad or a warm bath or shower to increase the mobility in your joints and reduce pain before you go about your day.
    • Dress in layers to trap heat and stay warm.
    • Use heated blankets or warm packs on achy joints.
  2. Protect Your Joints:
    • Wear gloves to keep your hands warm and protect your finger joints.
    • Use knee-high socks and warm footwear to keep your feet and ankles insulated.
  3. Stay Active:
    • Engage in gentle exercises to keep your joints flexible.
    • Consider indoor activities like swimming, which is easy on the joints.
  4. Maintain a Healthy Weight:
    • Excess weight can put more pressure on your joints, so try to maintain a healthy weight through a balanced diet and regular exercise.
  5. Stay Hydrated:
    • Cold weather can lead to dehydration, which may worsen arthritis symptoms. Drink plenty of water to stay hydrated.
  6. Use Assistive Devices:
    • Consider using assistive devices such as canes or braces to reduce the strain on affected joints.
  7. Manage Stress:
    • Stress can exacerbate arthritis symptoms. Practice stress-reducing techniques like deep breathing, meditation, or yoga.
  8. Warm Up Before Activities:
    • Before heading outdoors, warm up your body with gentle stretching exercises to prepare your joints for movement.
  9. Take Warm Baths:
    • Soaking in a warm bath can help soothe joint pain and relax your muscles.
  10. Consult Your Doctor:
    • Keep your healthcare provider informed about changes in your symptoms and discuss any concerns you have about managing arthritis in the winter.
Arthritis Physiotherapy Mississauga

Remember, it’s essential to tailor these tips to your specific situation, as arthritis can affect individuals differently. Always consult with your healthcare provider for personalized advice and treatment options.

How do I book an appointment with a Physiotherapist near me?

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

17 Jan

Running in the winter can be a great way to stay active, but it does require some adjustments to ensure safety and comfort in cold and potentially icy conditions.

Here are some tips for running in the winter:

1. Dress in Layers:

  • Base Layer: Moisture-wicking fabric to keep sweat away from your skin.
  • Insulating Layer: A warm layer to retain body heat. This can be fleece or a synthetic insulating material.
  • Outer Layer: A waterproof and windproof jacket to protect against the elements.

2. Protect Extremities:

  • Head: Wear a hat or headband to retain heat. A beanie that covers your ears can be especially helpful.
  • Hands: Use insulated, waterproof gloves or mittens.
  • Feet: Wear moisture-wicking socks and consider using gaiters to keep snow out of your shoes.

3. Choose the Right Footwear:

  • Opt for running shoes with good traction to prevent slipping on ice or snow.
  • You can also use traction devices that slip over your shoes for added grip.

4. Stay Visible:

  • Winter days are often darker, so wear reflective gear or bright colors to ensure you’re visible to drivers.

5. Warm-Up Inside:

  • Warm up your muscles indoors before heading out to minimize the shock of the cold on your body.

6. Plan Your Route:

  • Stick to well-lit, well-traveled paths to ensure your safety.
  • Avoid areas with heavy snow or ice accumulation.

7. Hydrate:

  • Even in cold weather, it’s important to stay hydrated. Cold air can be dry, and you can still lose fluids through sweat.

8. Adjust Your Pace:

  • Cold air can make breathing more challenging, so adjust your pace accordingly.

9. Listen to Your Body:

  • If conditions are extreme, consider shortening your run or opting for an indoor workout.

10. Post-Run Care:

  • Change out of wet clothes quickly to avoid getting chilled.
  • Warm up gradually, and consider a hot shower to raise your body temperature.

11. Be Cautious of Ice:

  • Watch for icy patches and adjust your stride to reduce the risk of slipping.
  • If conditions are icy, consider using traction devices for your shoes.

12. Stay Informed About the Weather:

  • Check the weather forecast before heading out, and be aware of changing conditions.

By following these tips, you can make your winter runs more enjoyable and safer. Always prioritize safety and listen to your body, adjusting your routine as needed based on the conditions.

Physiotherapy Toronto

How do I book an appointment for a Running Assessment near me?

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

10 Jan

Winter is here and the snow is around the corner. The season for skiing is upon us. Whether you are a novice skier or experienced in the sport, there is always a possibility of an injury. This article talks about common skiing injuries and how you can recover from them.

Skiing Injury treatment

What are some common snow sports injuries?

Some common injuries sustained during skiing are:


  • Concussion 
  • Traumatic brain injury 

Neck & Shoulders

  • Whiplash
  • Fracture
  • Torn rotator cuff
  • Shoulder dislocation

Back & Spine

  • Herniated disks 
  • Lower back pain


  • Skier’s thumb
  • Wrist sprain
  • Finger fracture

Knees & Legs

  • ACL/PCL rupture
  • Meniscus injury
  • Fracture

How can I protect my knees while skiing?

Using properly adjusted bindings, maintaining proper ski technique, and conditioning exercises to strengthen the muscles around the knee can help protect against knee injuries.

What is “snowboarder’s fracture”?

Snowboarder’s fracture refers to a fracture of the lateral process of the talus bone in the ankle, usually caused by an inversion injury when landing from a jump.

Are head injuries common in skiing?

Head injuries can occur in skiing, especially in the absence of helmets. Wearing a properly fitted helmet significantly reduces the risk of head injuries.

How do I know if I have a concussion from skiing?

Symptoms of a concussion may include headache, dizziness, nausea, confusion, sensitivity to light, and memory problems. If you suspect a concussion, it’s crucial to seek medical attention.

What do I do after I get injured while skiing?

No matter how minor the injury, it is advisable to seek a doctor or physiotherapist’s advice to make sure it does not get worse. A physiotherapist can assess the extent of your injury. Follow their advice and recommendations for treatment.

When should I seek medical help for a ski injury?

Seek medical help if you experience severe pain, swelling, inability to bear weight, persistent joint instability, or any symptoms of a head injury or concussion. It’s essential not to ignore potentially serious injuries.

How do I book an appointment with a physiotherapist near me?

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

15 Nov

Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive medical treatment that uses acoustic waves to stimulate healing in various musculoskeletal conditions, including plantar fasciitis. Plantar fasciitis is a common foot condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes.

Physiotherapy Mississauga

Here’s how shockwave therapy is typically used for plantar fasciitis:

  1. Mechanism of Action:
    • Shockwave therapy works by delivering high-energy shockwaves to the affected area. These shockwaves create microtrauma in the tissue, which triggers the body’s natural healing response.
    • The treatment is thought to stimulate blood flow, promote tissue regeneration, and reduce inflammation.
  2. Procedure:
    • During the procedure, a gel is applied to the skin of the affected foot to help transmit the shockwaves.
    • A handheld device is then used to deliver controlled shockwaves to the targeted area, typically the heel or the sole of the foot.
  3. Number of Sessions:
    • The number of shockwave therapy sessions required can vary.
    • Some individuals may experience relief after just one session, while others may require additional treatments.
  4. Post-Treatment:
    • After the procedure, patients may experience temporary soreness or discomfort, but this usually subsides within a few days.
    • It’s important to follow any post-treatment instructions provided by the healthcare provider, which may include rest, ice, and avoiding certain activities.
  5. Effectiveness: The use of shockwave therapy is often considered when conservative treatments, such as rest, stretching exercises, orthotics, and anti-inflammatory medications, have not provided sufficient relief.

It’s crucial to note that while shockwave therapy may be beneficial for some individuals, it may not be suitable for everyone. Patients should consult with their healthcare provider to determine the most appropriate treatment approach based on their specific condition and medical history.

Who can provide Shockwave Therapy at Triangle Physiotherapy?

Shockwave Therapy can be provided at our clinics by a physiotherapist, a chiropractor or a massage therapist.

Will Shockwave Therapy be covered by my insurance?

Yes, shockwave therapy will be covered depending on the healthcare practitioner providing the service. For example, if you are seeing a physiotherapist for shockwave therapy, it will be covered under your physiotherapy coverage.

How do I book an appointment with a physiotherapist or chiropractor near me?

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

13 Nov

Back pain is one of the most common ailments we see in our practice.

Physiotherapy Mississauga

Here are some self-care measures you can consider to manage or prevent recurrence:

  1. Rest: Give your back a break by avoiding activities that may exacerbate the pain. However, avoid prolonged bed rest, as it can lead to stiffness and muscle weakness. Gentle movement and stretching are usually better than complete immobility.
  2. Ice and Heat: Apply ice packs to the affected area for the first 48 hours to reduce inflammation, then switch to heat therapy (e.g., heating pads) to relax tight muscles. Use each for 15-20 minutes at a time.
  3. Over-the-Counter Pain Relief: Non-prescription pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol) can help alleviate pain and reduce inflammation. Follow the recommended dosage and consult a healthcare professional if you have concerns.
  4. Exercise: Gentle, low-impact exercises can help strengthen your back and improve flexibility. Activities like swimming, walking, or yoga can be beneficial. Consult a physical therapist for guidance on appropriate exercises.
  5. Posture: Maintain good posture when sitting and standing to reduce strain on your back. Use ergonomic chairs and accessories if needed, and avoid prolonged periods of sitting.
  6. Proper Lifting Technique: When lifting heavy objects, bend at your knees and hips instead of your waist, and use your legs to lift while keeping the object close to your body.
  7. Core Strengthening: Strengthening your core muscles (abdominals, obliques, and lower back) can provide better support for your spine. Pilates and specific core exercises can help with this.
  8. Sleep: Ensure you have a comfortable mattress and pillow that support your spine. Sleeping on your side with a pillow between your knees can help maintain proper alignment.
  9. Stress Reduction: Stress can contribute to muscle tension and pain. Techniques such as meditation, deep breathing exercises, and relaxation techniques may help manage stress.
  10. Weight Management: Maintaining a healthy weight can reduce the strain on your back and decrease the risk of back pain.
  11. Physiotherapy: A physical therapist can provide personalized exercises and techniques to address your specific back pain issues.
  12. Chiropractic Care or Massage Therapy: Some people find relief through chiropractic adjustments or therapeutic massages. Consult with professionals in these fields to see if it’s appropriate for your condition.
  13. Avoid Smoking: Smoking can impair blood flow to the spine and hinder the healing process.

If your back pain persists, worsens, or is accompanied by other concerning symptoms (such as numbness, tingling, weakness, or loss of bladder or bowel control), seek immediate medical attention. Always consult a healthcare provider before starting any new exercise or treatment regimen, especially if you have underlying health conditions or are taking medications. They can provide a more accurate diagnosis and recommend the best treatment options for your specific situation.

How do I book an appointment with a physiotherapist or chiropractor near me?

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

07 Nov

You should consider seeing a physiotherapist when you’re experiencing pain or discomfort, or have mobility issues that affect your daily activities and quality of life. Physiotherapists are healthcare professionals trained to diagnose and treat a wide range of musculoskeletal and movement-related conditions.

Physiotherapist Oakville

Here are some situations in which you might want to consult a physiotherapist:

  1. Pain and Discomfort: If you’re experiencing persistent pain, whether it’s in your joints, muscles, or any part of your body, a physiotherapist can help identify the root cause and provide treatment to alleviate the pain.
  2. Injury Recovery: If you’ve suffered an injury, such as a sprain, strain, fracture, or sports-related injury, a physiotherapist can guide you through a rehabilitation program to regain strength, flexibility, and function.
  3. Mobility Issues: If you’re having trouble moving, walking, or performing daily activities due to stiffness or limited range of motion in your joints, a physiotherapist can develop exercises and techniques to improve your mobility.
  4. Post-Surgery Rehabilitation: After surgeries, such as joint replacements or orthopedic procedures, a physiotherapist can help you recover faster and regain normal function through targeted exercises and therapies.
  5. Chronic Conditions: Physiotherapy can help manage chronic conditions like arthritis, fibromyalgia, or chronic back pain by improving muscle strength, joint flexibility, and overall functional capacity.
  6. Postural Problems: If you have poor posture that’s leading to discomfort or pain, a physiotherapist can assess your posture and provide guidance on how to improve it.
  7. Neurological Conditions: Physiotherapists also work with individuals who have neurological conditions such as stroke, multiple sclerosis, or Parkinson’s disease to improve movement, balance, and coordination.
  8. Preventive Care: Even if you’re not currently experiencing pain, a physiotherapist can provide guidance on exercises and habits that can help prevent future injuries and maintain overall musculoskeletal health.
  9. Sports Performance Enhancement: Athletes can benefit from physiotherapy to improve their performance, prevent injuries, and receive specialized training techniques.
  10. Pregnancy and Postpartum Care: Physiotherapists can assist pregnant individuals with managing pain and discomfort associated with pregnancy and can provide exercises to help with postpartum recovery.

It’s important to note that physiotherapists work closely with other healthcare professionals, and they will often collaborate to provide you with comprehensive care. If you’re unsure whether seeing a physiotherapist is appropriate for your situation, consider consulting your primary care physician or a medical professional for guidance.

How do I book an appointment with a physiotherapist near me?

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