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29 Nov

Golfer’s elbow and Tennis Elbow are both tendonitis. The difference is Golfer’s elbow occurs on the inner side of the elbow while Tennis Elbow occurs on the outer side of the elbow. Tennis elbow, also known as lateral epicondylitis is the inflammation of the tendon that connects the forearm muscles to a bony prominence on the outside of the elbow known as the lateral epicondyle. Golfer’s elbow, on the other hand, is known as medial epicondylitis because the inflammation is on the tendons which are attached to the medial epicondyle.

How Is Tennis Elbow Diagnosed?

Your physiotherapist will evaluate tennis elbow by reviewing your medical history, performing and reviewing your medical history. A doctor may recommend a X-ray, EMG or MRI to assess the severity of the condition.
A physiotherapist can also conduct a detailed assessment of your elbow and the surrounding structures in order to create a personalized treatment plan for you. Special tests such as Cozen’s and Mills Test can also be used to diagnose Tennis elbow.

What are the complications of a Tennis Elbow?

Complications of Tennis elbow or lateral epicondylitis may include tendon rupture, recurrence of the injury, chronic pain, nerve entrapment in the forearm, and failure to improve despite both nonsurgical and no surgical treatment.

Cause of Tennis Elbow and Treatment

What causes a Tennis elbow and who might get a Tennis Elbow?

Some causes of Tennis elbow are:

  • weak wrist muscles,
  • use of tennis racquets that are too short,
  • weakened muscles of the shoulder and wrist,
  • repetitive hand motions,
  • poor tennis technique,
  • frequent use of hand tools,
  • lifting heavy objects, and
  • excessive gripping activities.

    Despite the name, Tennis elbow is not only for tennis players although they tend to often develop tennis elbow because of the repetitive muscle use and gripping activities the sport entails. People whose professions involve repetitive use of the wrist and forearm are more likely to develop lateral epicondylitis.

    Some professions, such as painters, dentists, plumbers, carpenters, musicians, and cooks, may develop Tennis elbow which can also be caused by the repetitive use of a keyboard and mouse.

What Is The Best Treatment For Tennis Elbows?

The majority of tennis elbow cases can be successfully treated without surgical intervention. How a tennis elbow is treated may vary depending on which medical professional you choose to see.
Research has shown that physiotherapy is the most effective treatment of the Tennis elbow.

Tennis Elbow Physiotherapy Treatment

  • Therapeutic Ultrasound
  • Acupuncture
  • Tennis elbow treatment exercises
  • Deep tissue massage
  • Shockwave therapy
  • Taping or brace
  • TENS
  • Modified activities
  • Hot and cold packs

How does massage help heal Tennis elbow?

Tennis Elbow Massage Treatment helps improve circulation, stimulate collagen production, and increases mobility in the affected area.

What Can I Do To Prevent Tennis Elbow?

There are many ways to prevent Tennis elbow such as:

  • Stretching regularly.
  • Strengthening of the forearm muscles.
  • Modifying activities that contribute to pain.
  • Warming up before playing tennis and other sports and ensuring the stability of the wrist.

What are some Tennis elbow exercises which can be done at home to help prevent recurrence?

Specific Tennis elbow exercises to strengthen as well as stretch the muscles that are attached to the injured tendon will certainly help speed up healing which then increases its resistance to repetitive stress… Some of these Tennis elbow treatment exercises are Stress ball squeeze, finger stretch, wrist extension, flexion stretch, forearm extension, flexion, supination, and pronation strengthening exercises.

Are there any natural Tennis elbow treatments I can do at home while I wait to see a physiotherapist?

Resting and avoiding activities that aggravate your pain can be beneficial. You may also try to apply an ice pack for 15 mins three times a day.

What is the best treatment for chronic Tennis elbow?

The most effective treatment for chronic tennis elbow has always been physiotherapy and exercise. If physiotherapy does not fully heal it, however, steroid injections, braces, and surgery may also help.

Our physiotherapists in Toronto, Midtown Toronto, Mississauga, North York and Oakville can help you with tennis elbow. Book your appointment here.

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

Did you know children can benefit from pelvic physiotherapy too?

Most children are dry at night by school age. Approximately, 30% of children wet the bed at 4 ½ years of  age. Fecal incontinence is also common in children. If a child has regular soiling or poo accidents after the age of 4 they should be assessed.
There is no cause to worry. Pelvic Health issues in children can be resolved with the help of a trained pelvic health physiotherapist.

Common conditions experienced by children include:

Constipation: infrequent bowel movements, frequent movements with pain or difficulty
Incontinence: inability to maintain bowel or bladder function. Could be inability to make it to the bathroom in time or leakage with giggles and coughing
Bed Wetting (Enuresis): leaking urine through the night while sleeping.
Voiding issues (eg. Dysfunctional voiding & postponement): inappropriately engaging pelvic floor muscles during voiding or delaying going to the bathroom, sometimes as a result of fear or pain.

Did you know 85% of children have bed wetting or fecal incontinence because of constipation?

If your child is 5 or older and experiencing any of the above symptoms pediatric Pelvic Floor Physiotherapy can help them get back to being kids, and relieve familial stress!
Our trained therapists create a personalized treatment plan with parents and children to better target your concerns and furthermore improve your child’s overall quality of life. Treatment is always in a way that is fun and engaging for your young one.

What does a pelvic floor assessment entail?

Your physical therapist will start by taking a detailed child developmental and family history. We may also ask you to complete a bladder diary to better track your child’s voiding patterns and perform a functional assessment of their breathing. Thereafter, the physiotherapist will do a visual assessment for which the child need not undress. Sometimes, the physiotherapist will use externally placed sensors to assess the functioning of the pelvic floor muscles.

Note: An internal assessment is not performed.

What does the pelvic floor treatment entail?

  • Education dietary foods/irritants, habit training, digestion, pelvic floor anatomy
  • Biofeedback machines using Bluetooth to keep children engaged playing games with the aid of their pelvic floor muscles.
  • Electrical Stimulation
  • Toilet training
  • Massage

Which locations of Triangle Physiotherapy offer Pediatric Pelvic Health in Toronto?

Pediatric Pelvic Floor Physiotherapy is offered at Triangle Physiotherapy North York, Triangle Physiotherapy Mississauga and Triangle Physiotherapy Lawrence Park.

Click here to book an appointment for your child.

24 Sep

What are orthotics?

Orthotics are custom made inserts that are worn inside your shoe to control abnormal foot function.
Orthotics solve a number of biomechanically related problems, for example, ankle and knee pain, pelvis, hip, spinal pain. This is achieved by preventing misalignment of the foot, which significantly alters the way in which the bones move within their joints.
Orthotics work for the feet the same way prescription glasses work for the eyes.

Who can benefit from orthotics?

Custom orthotics can be used for all ages and for a variety of activities and can be made to fit any type of shoe.

Where can I get the best custom orthotics?

The best custom orthotics can be purchased from a clinic where a chiropodist or qualified health professional conducts an assessment and a 3D scan of your feet to determine the best orthotics for you. The 3D Scan is then sent to a lab where the scan is used to manufacture your orthotics.
Triangle Physiotherapy has qualified health practitioners that can assess you and recommend the best custom orthotics for you.

How can Orthotics correct foot conditions?

The best custom orthotics can:

  • Help balance pressure placed on the feet by redistributing the weight appropriately
  • Help stabilize the heel
  • Support the arch of the feet
  • Provide cushioning to delicate and inflamed areas of the feet that arise from too much walking, jogging, running, etc.

What is a knee brace and how can it help me?

A knee brace can help support and stabilize an unstable knee due to injury or osteoarthritis. The best 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.

What conditions can a knee brace help with?

Whether it’s a knee sprain, arthritis, torn ACL, runner’s knee, knee instabilities or knee discomfort, the best knee braces help support and manage pain.

When should I start wearing a knee brace?

Once you start experiencing knee pain or discomfort or find that the knee is unstable while walking or running or after you have had knee surgery , book an appointment with one of our health practitioners who can assess you and recommend the best knee brace for you.

06 Jul

Should I go to a physiotherapist after a car accident?

If you met with a car accident and having problems related to the mobility of your body or if it causes obstacles to function properly and efficiently then you should definitely go for Physical Therapy.
Physical therapists are musculoskeletal experts and may help cure the underlying musculoskeletal injuries that may have occurred after meeting with a car accident. At Triangle Physiotherapy, our Physical Therapists will assure a one-to-one session where they will conduct an extensive whole-body analysis with a target of developing a customized treatment and detailed physical therapy programs which suit best to your condition and individual needs.

What can a physiotherapist do to help after a car accident?

The goal of physical therapy is to help you recover physically and strengthen damaged muscles and tissues.
A Few physical therapy exercise programs would include:

  • Manual therapy to mobilize joints, decrease scar tissue, reduce inflammation and enhance healing of tissue.
  • Custom exercises to address types of pain like neck and shoulder pain, back pain, spine dysfunction, or weakness.
  • Postural training to resolve pain in the neck, shoulders, and back.

COMMON TYPES OF INJURIES

The list of injuries if you meet with a car accident are as follows:

  • Whiplash
  • Headaches
  • Back Pain
  • Neck Pain
  • Shoulder Pain
  • Knee Pain

What are the common symptoms related to WHIPLASH?

Common symptoms related to whiplash include:

  • Stiffness to neck, arms, upper back, and the face.
  • Numbness into arms, neck, and upper back.
  • Headache, dizziness, nausea.
  • Feelings of general weakness.
  • Altered and disturbed sleeping habits and patterns.
  • Difficulty with concentration.

Is it important to get physiotherapy as soon as possible after a car accident?

Although you may feel the immediate onset of pain or symptoms of injury, these symptoms may bring forth pain and mobility problems over the long haul.
Suppose if you met with a car accident, one may wonder that why is it necessary to get treated with Physiotherapy after an accident? If you’re considering Physiotherapy after a car accident, there are many reasons that you may want to begin or continue with the treatment.
The doctor will recommend that you receive Physiotherapy and you will realize the benefit of rehabilitation after a car accident. You may realize on your own that you can benefit from rehabilitative treatment.

Here’s why you should start Physical Therapy after a car accident:

  1. Physical Therapy After a Car Accident Can Help You Recover Faster

Going through Physical Therapy after a car accident can help you speed up your recovery time. It can help the body recover its lost strength so that you can reduce the amount of time it takes to improve and fully recover from the injuries caused by car accidents. Time and again patients don’t realize how bad their car accident injuries are until they return to their day-to-day activities.
If you are looking for a physiotherapist to help you with your injuries, our rehabilitation facility is one of the best physiotherapy clinics:

  1. Physical Therapy Can Help You Recover Better and Prevent Long-term damage

In order to help you recover faster, Physical Therapy programs ensure a better outcome after taking good care and following Physical Therapy exercises. It can also help you or prevent the long-term effects of your injuries like chronic pain and migraines. Unfortunately, car crashes can cause nagging damage if the patient’s injuries are not addressed right away. If you begin physical therapy immediately after your car accident, it’s more expedient to live a pain-free life for years.

  1. Boosting Mental Health and Improving Quality of Life

Some issues can create a problem after years of being a victim of a car accident and this can seriously affect the quality of life of a person. Physical therapy relieves these issues before becoming a serious health concern for an individual.

  1. Avoiding Surgery

Every so often injuries caused by car accidents can even require surgery, most injuries or a type of wear and tear but a few injuries, if left rampant, can lead to surgery and costly hospital bills. It is always advised to immediately check-up with a professional for the treatment. This will help with any claims you may wish to make later on. Physical therapy treatment is a much more cost-effective solution to recovery.
There are multiple benefits of physiotherapy and that’s why people are opting for this line of treatment for recovery and overall well-being. 

Steps to take after a car accident and a few advantages of Physiotherapy:

  1. The Type of Injury

Car accident injuries can affect your recovery time and the time period that takes to complete your treatment. One of the most common car accident injuries is whiplash. A whiplash injury occurs when the force of the accident causes your head and neck to jerk violently forward and backward. This can cause the muscles and tendons in your neck to stretch outside their normal range of motion. Whiplash can also affect the spinal column in your neck and disc injuries can be serious. Depends on the intensity of the whiplash, it can take a few months to recover and get the accurate motion of the neck as it was before.

 2. The Severity of the Accident
It is more likely to sustain a moderate to severe injury in a more serious car accident, even the smallest of the injury. A more severe accident can cause consequential harm to your body even if you are taking all precautions of car safety like wearing the seatbelt and the airbag deploys. More serious injuries like a dislocated knee or a broken foot can impact your daily routines.
3.  Any Previous Injuries
A previous injury can leave behind scar tissue, that impacts how your body heals the new injury. Physiotherapy often takes longer if you have previous injuries, especially if they occur in the same area.
Few factors that effect are:

  • The severity of the injury
  • Location of the injury
  • Patient’s current state of health
  • Patient’s treatment goals
  • Rate of progress

How can Physiotherapy help if you’ve met with a car accident?

Physiotherapy helps reduce the pain and discomfort usually felt after a car accident injury. A lack of physical activity when recovering from an injury can actually cause stiffness, which can lead to more discomfort when trying to return to your daily activities, so you should always try to keep your body in motion.

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.

19 Jun
When it comes to patient care, it is important to understand the different severities of injuries. This classification is important as it helps the medical practitioners to address and prioritize the efforts. Here, we are going to talk about the difference between injury and trauma and help you understand how does physiotherapy help in the treatment of both. Unfortunately, the injuries caused due to trauma are very severe and require need complex medical treatment and longer recovery time. Therefore, anyone who undergoes a traumatic injury must consult the experts for their condition and avail the best physiotherapy treatment to ensure maximum and fastest recovery.

What is an injury?

sven-mieke-unsplash What Is An InjuryIn simple terms, any instance that causes harm to the body can be classified as an injury. Injuries can be divided into different ranges, depending upon the severity and impact on the body. Some injuries might require immediate medical attention while some can heal naturally with minimum or less care. Some examples of injuries are cuts, burns, scrapes, minor concussions, broken bones and sprains. What may look like a minor injury could require urgent and special medical care. Therefore, it is suggested to visit a trained and experienced physiotherapist or practitioner in case of an injury.

What is a trauma?

Trauma can be explained as a more serious, possibly life-threatening injury, requiring urgent medical attention. A trauma is a critical injury and therefore most hospitals have a trauma center to attend and treat sensitive and urgent cases like these. Some of the examples of the trauma includes road accidents, severe cuts, burns, blunt-force trauma, serious falls, multiple broken bones, head injury, major concussions or stab wounds. Though the minor cuts or wounds can be handled by an effective first-aid kit or stitches, serious trauma like burns, bleeding artery or head injury may require extensive surgery followed by rehabilitation for a proper recovery.

Physiotherapy and Injury

When it comes to the recovery stage, physiotherapy is extremely beneficial. Many people believe that the road to recovery in injury passes through physiotherapy and the recovery can never be complete without physiotherapy. If a person has suffered from an injury from a broken bone or a sprained limb, he will face major challenges in routine activities. Simple tasks like walking or driving can be become arduous. This is where physiotherapy comes into picture. Physiotherapy provides the direction to exercise and mobilize specific muscles and tissues so that the body heals from the injury. If a person suffers from an injury – major or minor, it is suggested that he should consult with the doctor about the recovery plan that must include physiotherapy. It is important to note that even a minimal physiotherapy helps in regaining strength and functionality post the injury. Injury recovery is not possible with a focused and dedicated physiotherapy program. For cases involving broken bones or sprains, physiotherapy is very useful to stretch and comfort the affected area and expedite the healing. Preventive physiotherapy is also beneficial for elderly patients and people at risk of injury. It helps in ensuring and maintaining balance, strength, agility and a complete range of motion while preventing injuries.

Physiotherapy and Trauma

Trauma injuries usually require more extensive and immediate surgery to fix the damage. Traumatic cases have extensive long recovery process. Patients suffer mental and physical anguish in injuries involving surgery. Based on the extent and severity of the injury, the recovery process may be anywhere from a few days to several years. In some unfortunate cases, some patients are never able to recover despite optimal surgery. The time immediately after the injury and the subsequent surgeries is the most crucial one for people who have suffered a big physical trauma. It is this period that plays one of the biggest deciding roles in the duration and pace of the recovery. Therefore, it is suggested to consult an experienced and trained medical practitioner for the injury. Based on the injury and medical history, the doctor/medical practitioner prepares a recovery plan which starts immediately and involves a comprehensive active recovery like physiotherapy. Physiotherapy can be a painful and difficult process, but helps in regaining strength and mobility post traumatic injuries. They are a part of the recovery process in complicated cases like brain injuries and physical trauma.

Physiotherapy in GTA

Physiotherapy and rehabilitation care services can come in various forms based on the severity of the injury and medical history of the patient. For example, someone suffering from Tennis Elbow or Stress Fracture may need Shockwave Therapy Treatment, while someone who gets a head injury might need Vestibular Rehabilitation to cure dizziness and provide stability and balance to the mind. It is important to know that every situation is unique in its own way and therefore needs a different recovery plan and timeline. That is why one should be patient and adhere to the recovery plan chartered by the physiotherapist to get optimal results. At Triangle Physiotherapy, we offer a host of services aimed to provide relief from the pain and ensure preventive care for overall strength and well-being. Some of our services include –
  • Pelvic Floor Physiotherapy – To encourage patients to successfully treat pelvic issues
  • Vestibular Rehabilitation – To improve balance and reduce problems related to dizziness
  • Shockwave Therapy – To reduce pain and promote healing shock waves are delivered to the injured soft tissues
  • Chiropody – To lower the pain in the lower limbs and feet and cure mobility issues and infections
  • Chiropractic – To treat the muscles, joints, bones and nerves through a non-invasive and conservative approach
  • Naturopathic Medicine – To treat the root cause rather than covering up the symptoms using non-pharmacological interventions
  • Massage Therapy – To promote deep relaxation, release tension and provide optimal well-being by working on the superficial and deep tissues
  • Custom Bracing – To increase joint stability, improve alignment and reduce excessive movements
  • Acupuncture – To help the body heal naturally by activating trigger points to relive muscle tightness
  • Fascial Stretch Therapy – To achieve optimal strength, flexibility, performance and pain relief using table-based assisted stretching exercises
At Triangle Physiotherapy, we our trained and experienced physiotherapists will work with you to provide a comprehensive recovery program based on your conditions and medical history. Our services are tailor-made to provide relief and assistance to any type of injury or trauma and we ensure that you get the best recovery following our program. Our patients are our topmost priority and all our efforts are directed at providing them care and relief.

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

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.