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04 Aug

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 pillow, or one that is too worn out, 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 backache you may have
  • And your budget

Physiotherapy Downtown Toronto

Also read, Physiotherapy Clinic in Mississauga
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 –

  • Accommodation
  • Correction
  • Maintenance

For each of these three stages, you will need a specific kind of pillow.

Accommodation Stage:

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.

Correction Stage:

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, and 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.
 Also read, Physiotherapy Clinic Oakville

Maintenance Stage:

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:

  1. Accommodation: Since water is fluid, a person gets customized accommodation that happens in real time, as the individual changes their position on the pillow.
  1. 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.
  1. 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 & Downtown Toronto, and say goodbye to your pillow problems!

16 Mar

What exactly are shin splints? Are they treatable?

Shin splints are a condition characterized by damage and inflammation of the connective tissue joining muscles to the inner shin bone (tibia). Shin splints are known by many different names such as: Medial Tibial Tenoperiostitus, MTSS, Medial Tibial Stress Syndrome, Tenoperiostitus of the Shin, Inflammatory Shin Pain, Traction Periostitis, and Posterior Shin Splint Syndrome. Several muscles lie at the back of the lower leg, and are collectively known as the calf muscles. The tibialis posterior, flexor digitorum longus, flexor hallicus, and soleus are muscles that lie deep within the calf and attach to the inner border of the tibia. Connective tissues are responsible for attaching these muscles to the tibia known as the tenoperiosteum. Every time the calf contracts, it pulls on the tenoperiosteum. When the tension becomes forced too much or is repeated frequently, the damage is caused to the tenoperiosteum. The results are inflammation and pain. Shin splints can also occur in combination with other pathologies that cause shin pain such as compartment syndrome and tibial stress fractures. Patients who suffer from shin splints experience pain along the inner border of the shin. In other cases, the patient may experience an ache or stiffness along the inner aspect of the shin that increases with rest (typically and night or first thing in the morning). Areas of muscle tightness, thickening, or lumps may also be felt in the same area of pain. Physiotherapy Downtown Toronto

There are several factors that predispose patients to shin splints:

• Excessive training or exercise • Poor foot posture (especially in patients with flat feet) • Inappropriate footwear • Inadequate warm-up• Training on hard or inappropriate surfaces • Muscle weakness (especially in calve muscles) • Tightness in specific joints (such as ankle) • Tightness in specific muscles (calves especially) • Poor lower limb biomechanics • Poor training techniques or methods • Leg length differences • Poor balance • Being overweight • Deconditioning • Poor core stability Also read, Physiotherapy Clinic in Oakville Physiotherapy treatment for patients with shin splints is vital to speed up the healing process. Physiotherapy will ensure the most optimal outcome and reduce the likelihood of recurrence. Treatment may comprise of the following:
  • Deep tissue massage
  • Joint mobilization
  • Dry needling
  • Electrotherapy
  • PNF stretches
  • Arch support taping
  • The use of orthotics or shock-absorbing insoles
  • Crutches
  • Biomechanical correction
  • Ice or heat treatment
  • Exercises to improve flexibility, balance, strength, and core stability
  • Activity modification advice
  • Anti-inflammatory advice
  • Footwear advice
  • Weight loss advice where appropriate
Also read, Physiotherapy Clinic in Mississauga If you happen to suffer from shin splints and you are looking for a way to relieve pain, stress, and improve overall health, try adding physical therapy to a routine wellness plan. Our physiotherapists at Triangle Physiotherapy can be a powerful ally when combating daily stress, muscle pain, and general health issues when it comes to shin splints. Not only does physical therapy relieve pain, increase energy levels, and improve overall physical and mental performance, it prevents further injuries.

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