Year: 2024

Bursitis: Revitalizing Movement with Physiotherapy

Bursitis is a discomforting condition marked by the inflammation of bursae, the small fluid-filled sacs that cushion the bones, tendons, and muscles around joints. Its onset can lead to pain, swelling, and restricted movement, significantly impacting daily activities. In this article, we’ll explore the intricacies of bursitis, including its origins, symptoms, and the pivotal role that physiotherapy plays in its management and recovery.

Unraveling Bursitis

Bursitis arises when the bursae endure irritation or inflammation, often due to repetitive motions, prolonged pressure, or sudden trauma. Commonly affected areas include the shoulders, elbows, hips, knees, and heels. Individuals engaged in repetitive tasks or subjected to prolonged pressure on specific joints, such as athletes, gardeners, and laborers, are particularly susceptible to bursitis.

Causes and Vulnerabilities

1. Repetitive Strain: Continuous engagement in activities like typing, gardening, or sports that involve repeated movements heightens the risk of bursitis.

2. Prolonged Pressure: Extended periods in one position or frequent kneeling can aggravate the bursae, precipitating bursitis.

3. Injury or Trauma: Direct impact or injury to the affected joint can trigger inflammation of the bursae, leading to bursitis.

4. Underlying Conditions: Certain medical conditions, including rheumatoid arthritis, gout, or infection, may predispose individuals to bursitis.

Symptoms

Typical symptoms of bursitis encompass pain, tenderness, swelling, and restricted joint movement. The intensity of these symptoms varies, influenced by the severity of inflammation and the underlying cause.

Tips for Bursitis Management

1. Embrace Rest: Allowing the affected joint to rest and refraining from activities exacerbating symptoms aids in pain alleviation and facilitates healing.

2. Hot or Cold Therapy: Alternating between hot and cold compresses on the affected area helps reduce inflammation and provides relief from discomfort.

3. Supportive Aids: Utilizing braces, splints, or orthotic inserts supports the affected joint, alleviating pressure and promoting recovery.

4. Activity Modification: Adapting activities to avoid repetitive movements or prolonged pressure on the affected joint prevents symptom exacerbation.

Medication

Over-the-counter pain relievers and anti-inflammatory medications may offer temporary relief from bursitis symptoms. In severe cases, corticosteroid injections may be administered to reduce inflammation and pain. However, medication alone may not address the root causes or ensure long-term recovery.

The Essential Role of Physiotherapy

Physiotherapy stands as a cornerstone in bursitis management, aiming to alleviate pain, inflammation, and restore optimal joint function. Physiotherapists employ a diverse array of techniques, including:

1. Manual Therapy: Hands-on approaches like massage, joint mobilization, and soft tissue techniques alleviate pain, enhance joint mobility, and improve muscle flexibility.

2. Customized Exercise Regimens: Tailored exercise programs bolster the muscles surrounding the affected joint, fortify joint stability, and reinstate natural movement patterns.

3. Ultrasound and Transcutaneous Electrical Nerve Stimulation (TENS): Modalities such as ultrasound therapy and TENS aid in reducing inflammation, enhancing circulation, and accelerating tissue healing to provide pain relief.

4. Education and Self-Care: Providing guidance on proper body mechanics, ergonomic adjustments, and preventative measures empowers individuals to actively participate in their recovery journey.

Bursitis can disrupt daily life, but with diligent management and rehabilitative efforts, individuals can regain mobility and comfort. Physiotherapy emerges as a pivotal ally in bursitis treatment, offering targeted interventions to diminish pain, inflammation, and foster recovery. If you’re grappling with bursitis symptoms, consulting a healthcare professional and integrating physiotherapy into your treatment plan can pave the way towards a revitalized and pain-free lifestyle.

Balance & Gait Disorders

Balance and gait disorders can significantly impact daily life, affecting mobility, independence, and confidence. In this, we’ll explore the intricacies of balance and gait disorders, debunk common myths, and provide practical tips for improving balance and preventing falls with the expertise of physiotherapy.

Understanding Balance & Gait Disorders

Balance is a complex process involving the coordination of sensory input from the eyes, inner ear, and proprioceptive receptors in the muscles and joints. Gait refers to the manner of walking, including the rhythm, speed, and stride length. Balance and gait disorders can arise from various factors, including musculoskeletal conditions, neurological disorders, vestibular dysfunction, and aging.

Dispelling Myths About Balance & Gait Disorders

Myth 1: Balance and gait disorders only affect older adults.

Fact: While aging is a risk factor for balance and gait disorders, these conditions can affect individuals of all ages, including children and young adults.

Myth 2: Balance and gait problems are inevitable with age.

Fact: While age-related changes can increase the risk of balance and gait disorders, proactive measures such as exercise, proper nutrition, and regular vision and hearing checks can help maintain balance and mobility.

Myth 3: Balance exercises are only beneficial for people with existing balance problems.

Fact: Balance exercises can benefit individuals of all ages and fitness levels by improving stability, coordination, and proprioception, reducing the risk of falls and injury.

Practical Tips for Improving Balance & Preventing Falls

1. Stay Active: Engage in regular physical activity to improve strength, flexibility, and balance. Activities such as walking, swimming, yoga, and tai chi are particularly beneficial for promoting balance and mobility.

2. Focus on Core Strength: Strengthening the muscles of the core, hips, and legs can improve stability and balance. Incorporate exercises such as planks, squats, lunges, and balance drills into your routine.

3. Mind Your Medications: Some medications can cause dizziness or lightheadedness, increasing the risk of falls. Talk to your healthcare provider about potential side effects and strategies to minimize risk.

4. Check Your Vision & Hearing: Poor vision or hearing can affect balance and spatial awareness. Regular eye exams and hearing tests can identify potential issues and facilitate early intervention.

5. Create a Safe Environment: Remove hazards such as loose rugs, clutter, and uneven surfaces from your home to reduce the risk of trips and falls. Install handrails and grab bars in areas prone to slips or falls, such as bathrooms and stairwells.

6. Wear Appropriate Footwear: Choose supportive, non-slip footwear with good arch support and a firm grip to improve stability and reduce the risk of slips and falls.

The Role of Physiotherapy in Balance & Gait Rehabilitation

Physiotherapy plays a crucial role in the rehabilitation of balance and gait disorders by:

• Conducting comprehensive assessments to identify underlying impairments and risk factors.
• Designing personalized exercise programs to improve strength, flexibility, and balance.
• Providing hands-on techniques such as manual therapy and proprioceptive training to enhance sensory input and motor control.
• Implementing gait training programs to improve walking pattern, speed, and efficiency.
• Educating individuals on fall prevention strategies, home safety modifications, and adaptive equipment to promote independence and reduce the risk of falls.

Balance and gait disorders can pose significant challenges, but with the expertise of physiotherapy, you can take proactive steps to improve your balance, mobility, and overall quality of life. By incorporating physiotherapy interventions, staying active, and creating a safe environment, you can find your balance and enjoy life to the fullest. If you or someone you know is experiencing balance or gait problems, don’t hesitate to seek guidance from a physiotherapist or healthcare professional. Together, we can work towards finding your balance and maintaining independence for years to come.

Abdominal Separation (Diastasis recti)

Diastasis recti is a common condition characterized by the separation of the abdominal muscles, resulting in a visible bulge or “pooch” in the midsection. While diastasis recti is most commonly associated with pregnancy, it can also occur due to factors such as weightlifting, abdominal surgeries, or rapid weight gain. In this comprehensive guide, we’ll delve into the intricacies of diastasis recti, exploring its causes, symptoms, diagnosis, and evidence-based treatment options for effective recovery and rehabilitation. Diastasis recti occurs when the connective tissue between the left and right rectus abdominis muscles stretches and weakens, causing the muscles to separate along the midline of the abdomen. This separation can lead to a variety of symptoms, including a noticeable bulge or “doming” in the abdomen, lower back pain, poor posture, and core weakness.

Identifying the Causes and Risk Factors

1. Pregnancy: Diastasis recti commonly occurs during pregnancy due to the hormonal changes and increased intra-abdominal pressure associated with carrying a baby.

2. Abdominal Strain: Activities that place excessive strain on the abdominal muscles, such as heavy lifting, repetitive bending, or intense core exercises, can contribute to the development of diastasis recti.

3. Genetic Predisposition: Some individuals may have a genetic predisposition to developing diastasis recti, making them more susceptible to the condition.

4. Multiple Pregnancies: Women who have had multiple pregnancies are at a higher risk of developing diastasis recti, as the abdominal muscles may not fully recover between pregnancies.

Symptoms and Diagnosis

The primary symptom of diastasis recti is a visible bulge or “pooch” in the midsection, particularly when the individual engages their abdominal muscles. Other symptoms may include lower back pain, pelvic floor dysfunction, and poor core stability. Diagnosis is typically confirmed through a physical examination by a healthcare professional, we will assess the degree of abdominal muscle separation and determine the most appropriate course of treatment.

Treatment and Rehabilitation Options

1. Pelvic floor physiotherapy for Diastasis Recti:

• Pelvic Floor Assessment: A pelvic floor physiotherapy will conduct a comprehensive pelvic floor assessment to evaluate muscle tone, strength, flexibility, and coordination. Then  provide treatment for pelvic floor dysfunction, which often coexists with diastasis recti.
• Pelvic Floor Exercises: We prescribe exercises to individuals to strengthen and coordinate the pelvic floor muscles, improve pelvic floor support. This will address symptoms such as urinary incontinence or pelvic organ prolapse.
• Manual Therapy: Hands-on techniques such as myofascial release and soft tissue mobilization. These may be used to address muscle imbalances, release tension, and improve muscle function.

• Biofeedback Therapy: Biofeedback techniques provide real-time feedback on pelvic floor muscle activity, helping individuals develop awareness and control over muscle function.
• Education and Lifestyle Modifications: Pelvic floor therapists offer education on proper bladder and bowel habits, posture, and breathing techniques to optimize pelvic floor function and overall well-being.

2. Core Strengthening Exercises:

Targeted exercises focusing on the deep core muscles, such as the transverse abdominis and pelvic floor muscles. It can help close the gap between the separated abdominal muscles and restore abdominal strength and function.

3. Breathing Techniques: Learning proper breathing techniques, such as diaphragmatic breathing. This can help facilitate activation of the deep core muscles and promote optimal alignment and stability.

4. Bracing and Splinting: In some cases, an individual wearing an abdominal brace or splint may be recommended to provide support to the abdominal muscles. This will encourage proper alignment during daily activities.

5. Surgical Intervention:

Severe cases of diastasis recti that do not respond to conservative treatment options. These case get surgical care to repair the separated abdominal muscles and restore abdominal wall integrity.

Diastasis recti is a common condition that can significantly impact abdominal strength, posture, and overall quality of life. However, with early diagnosis and appropriate treatment, individuals with diastasis recti can achieve effective recovery and rehabilitation. If you suspect you may have diastasis recti or are experiencing symptoms associated with the condition. It’s essential to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan. With proper guidance and support, you can regain strength, stability. Also confidence in your abdominal muscles, paving the way for a healthier and more active lifestyle.

Interstitial Cystitis: Causes, Symptoms, and Treatment Options

Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pain, urinary urgency, and frequency. While the exact cause of IC remains unclear, it is believed to involve a combination of factors, including inflammation of the bladder lining, dysfunction of the bladder wall, and abnormalities in the nervous system. In this detailed guide, we’ll explore the nuances of interstitial cystitis, its impact on daily life, and how physiotherapy can play a pivotal role in its management and relief.

Symptoms you may see when you have Cystitis.

• Chronic pelvic pain or discomfort
• Urinary urgency and frequency
• Pain or discomfort during sexual intercourse
• Nocturia (waking up multiple times at night to urinate)
• Bladder pressure or fullness

Identifying Triggers and Risk Factors

While the exact cause of interstitial cystitis is unknown, several factors may contribute to its development or exacerbation, including:

 Bladder irritation: Certain foods and beverages, such as acidic foods, caffeine, alcohol, and artificial sweeteners, may irritate the bladder and worsen symptoms.

Pelvic floor dysfunction: Tight or hypertonic pelvic floor muscles can contribute to bladder pain and urinary symptoms in individuals with interstitial cystitis.

Stress and psychological factors: Stress and anxiety can exacerbate symptoms of IC and may contribute to flare-ups.

Genetic predisposition: Some individuals may have a genetic predisposition to developing interstitial cystitis.

Diagnosis and Treatment Options

Diagnosis of interstitial cystitis typically involves a thorough medical history, physical examination, and various diagnostic tests, including urine analysis, cystoscopy, and bladder biopsies. Once diagnosed, treatment options for IC aim to alleviate symptoms, reduce inflammation, and improve bladder function. These may include:

Dietary modifications: Avoiding bladder irritants and following a low-acid diet may help reduce symptoms of interstitial cystitis.

Medications: Oral medications, such as antispasmodics, pain relievers, or bladder instillations, may be prescribed to alleviate pain and discomfort associated with IC.

Bladder training: Techniques such as timed voiding and pelvic floor relaxation exercises can help improve bladder function and reduce urinary urgency and frequency.

Stress management: Stress-reduction techniques such as relaxation exercises, mindfulness, or cognitive-behavioral therapy may help alleviate symptoms of IC.

Physiotherapy for Interstitial Cystitis

Physiotherapy offers a holistic approach to managing interstitial cystitis, focusing on pelvic floor rehabilitation, bladder training, and pain management strategies to improve bladder function and quality of life. Key components of physiotherapy for IC may include:

1. Pelvic floor assessment: A pelvic floor physiotherapist will assess pelvic floor muscle, strength, and flexibility to identify any abnormalities or dysfunction contributing to IC symptoms.

2. Pelvic floor rehabilitation: Tailored exercise programs incorporating relaxation, stretching, and strengthening exercises for the pelvic floor muscles can help reduce muscle tension, alleviate pain, and improve bladder function.

3. Bladder training: A pelvic floor physiotherapists may implement bladder training techniques to improve bladder control, reduce urinary urgency, and increase the intervals between bathroom trips.

4. Manual therapy: Hands-on techniques such as myofascial release, trigger point therapy, and soft tissue mobilization can help release muscle tension, improve blood flow, and reduce pain in the pelvic region.

5. Education and self-management:A pelvic floor physiotherapists provide education on bladder health, dietary modifications, stress management techniques, and lifestyle modifications to empower individuals to take control of their symptoms and improve their quality of life.

Interstitial cystitis can significantly impact bladder function, pelvic health, and overall quality of life, but with proper management and support, individuals with IC can experience relief from symptoms and improved well-being. Pelvic Floor Physiotherapy offers a holistic approach to managing interstitial cystitis, addressing pelvic floor dysfunction, bladder training, and pain management strategies to improve bladder function and quality of life. If you’re experiencing symptoms of interstitial cystitis, consider consulting with a pelvic floor physiotherapist to develop a personalized treatment plan tailored to your specific needs. With dedication, support, and comprehensive care, it’s possible to find relief from the discomfort of IC and regain control over your bladder health and overall well-being.

Pregnancy Support Belt

Pregnancy is a beautiful and transformative journey, but it often comes with its fair share of physical discomfort. As a woman’s body undergoes significant changes to accommodate the growing baby, it’s not uncommon to experience back pain, pelvic pressure, and other discomforts. Fortunately, there are various tools and accessories available to help ease these discomforts, and one such invaluable aid is the Pregnancy Support Belt.

What is a Pregnancy Support Belt?

A pregnancy support belt is a specially designed wearable accessory that provides support to the lower back, abdomen, and pelvis during pregnancy. It is crafted with stretchable and breathable materials to accommodate the changing shape of the body, offering gentle compression and lift where it’s needed most.

Benefits of Pregnancy Support Belts

Alleviates Back Pain:  As the belly grows, it can lead to increased strain on the lower back. A pregnancy support belt helps distribute the weight evenly, reducing the pressure on the spine and providing relief from back pain. This can be particularly beneficial for women with pre-existing back issues or those carrying twins.

Supports Abdominal Muscles:  The expanding uterus puts a strain on the abdominal muscles, causing them to stretch and weaken. A support belt helps lift and support the abdomen, promoting better posture and reducing the risk of muscle separation (diastasis recti). 100% of women have abdominal separation in the 3rd trimester as the baby grows. So the belt helps reduce the degree of diastasis.

Pelvic Floor Support: Many pregnant women experience pelvic pain and instability due to hormonal changes and the pressure exerted by the growing baby. A pregnancy support belt aids in stabilizing the pelvic region, providing much-needed support and comfort, especially during pelvic floor physiotherapy sessions.

Enhances Mobility:  By reducing the physical strain on the body, pregnancy support belts can enhance mobility and allow expectant mothers to continue with their daily activities more comfortably. This can be especially helpful for those who have physically demanding jobs or active lifestyles.

Improved Circulation:  The gentle compression provided by the belt can help improve blood circulation, reducing swelling in the legs and ankles—a common concern during pregnancy.

How to Use a Pregnancy Support Belt

Using a pregnancy support belt is simple and generally involves the following steps:

Step 1: Positioning – Place the support belt around your lower back and position it just below your belly.

Step 2: Adjusting –   Ensure that the belt is snug but not too tight. You should be able to breathe comfortably and move without restrictions.

Step 3: Securing – Most pregnancy support belts come with adjustable straps or Velcro closures. Secure the belt according to your comfort level, making any necessary adjustments throughout the day.

Step 4: Daily wear – Wear the support belt throughout the day, especially during activities that may strain your back or pelvis. It can be worn discreetly under clothing.

In addition to its general benefits, a pregnancy support belt can play a crucial role during pelvic floor physiotherapy. The added support it provides to the pelvic region can enhance the effectiveness of physiotherapy exercises, aiding in the recovery and strengthening of the pelvic floor muscles.

Pregnancy support belts are a valuable tool for expectant mothers seeking relief from the physical strains associated with pregnancy, and their benefits extend to supporting pelvic floor physiotherapy efforts. While they don’t replace proper prenatal care and a healthy lifestyle, these belts can significantly contribute to a more comfortable and enjoyable pregnancy experience. As always, it’s advisable to consult with a healthcare professional before using any support devices to ensure they are suitable for individual needs and conditions. Embrace the support and comfort a pregnancy support belt can offer on your incredible journey to motherhood, including the vital role it plays in pelvic floor physiotherapy.

Pessaries for Pelvic Floor Support

At TheraTouch Physiotherapy, we understand the importance of pelvic floor health and that is why we bring you the best relief. Pessaries are a non-surgical option for managing pelvic organ prolapse and urinary incontinence. Here’s what you need to know about this method:

What is a Pessary?

A pessary is a medical device inserted into the vagina to support pelvic organs such as the bladder, uterus, or rectum. It helps alleviate symptoms of pelvic organ prolapse and urinary incontinence by providing structural support.

Types of Pessaries

1. Ring Pessary: Circular in shape with a central opening, suitable for mild to moderate prolapse.

2.  Gellhorn Pessary: Shaped like a donut with a knob, used for moderate to severe prolapse.

3. Cube Pessary: Square-shaped, ideal for stress urinary incontinence.

How Pessaries Work

• It provides support to pelvic organs, reducing prolapse symptoms.
• Also, it improves bladder control by supporting the urethra.
• It can be used temporarily or long-term, depending on the patient’s condition and preference.
• It allows for normal activities, including exercise and daily routines.

Benefits of Using a Pessary

• It is a non-surgical alternative.
• It can be customizable options to suit individual needs.
• It improves quality of life by reducing symptoms such as urinary leakage and pelvic pressure.
• It may prevent the need for surgery in some cases.
• It can be easily inserted and removed by a trained pelvic floor physiotherapist.
• The patient is taught how to safely insert, remove and care for the pessary.

Risks of Using Pessaries

It’s crucial to discuss any concerns or potential risks with your pelvic floor physiotherapist before starting pessary therapy. With proper guidance and monitoring, the benefits of using a pessary often outweigh the risks for many individuals.

Getting Started:

• Schedule an appointment with one of our experienced pelvic floor physiotherapists for a comprehensive assessment but remember we don’t fit them.
• Our team will determine the most suitable type and size of pessary for your condition and recommend you to a clinic to fit it for you.
• Follow-up appointments will be scheduled to monitor your progress and make any necessary adjustments.

Currently at TheraTouch Physiotherapy, we do not fit pessaries. We can however assess if you are an appropriate candidate to get a pessary and then we refer you to the appropriate facility and professional to get it fitted.

Contact Us:

For more information or to schedule an appointment, please contact TheraTouch Physiotherapy at 613-709-8001 or visit our clinic at 2249 Carling Ave Suite 201, Ottawa, ON K2B 7E9.

You can also send us a mail via Info@theratouchphysio.com.

We are available on all social media platforms as theratouchphysiotherapy.

Take control of your pelvic health with pessaries at TheraTouch Physiotherapy. Let us help you regain confidence and comfort in your daily life.

C-Section (Cesarean) Labor Recovery

Bringing a new life into the world is a miraculous experience, but it often comes with its own set of challenges. For mothers who undergo cesarean sections (C-sections), the recovery process can be both physically and emotionally demanding. While the focus is typically on the incision site, the importance of pelvic floor health is often overlooked. In this blog post, we will explore the significance of pelvic floor physiotherapy in aiding C-section recovery and how it can contribute to a smoother postpartum journey.

Understanding C-Section Recovery

C-sections, though common, are major abdominal surgeries that require careful rehabilitation. The incision site, typically located low on the abdomen, needs time to heal. During this recovery period, mothers may experience pain, stiffness, and weakness in the abdominal and pelvic regions. Additionally, scar tissue formation can contribute to discomfort and impact the overall functioning of the pelvic floor muscles.

The Pelvic Floor Connection

The pelvic floor is a complex network of muscles, ligaments, and connective tissues that provide support to the pelvic organs, including the uterus, bladder, and rectum. Pregnancy, delivery, and surgery can all affect the pelvic floor’s integrity, leading to issues such as incontinence, pelvic pain, and reduced sexual function. Addressing these concerns is crucial for comprehensive post-C-section recovery.

Role of Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is a specialized form of physiotherapy designed to assess and treat issues related to the pelvic region. In the context of C-section recovery, a pelvic floor physiotherapist plays a pivotal role in restoring strength, flexibility, and function to the pelvic floor muscles. Here’s how:

Scar Tissue Management: 

Pelvic floor physiotherapists employ techniques to address scar tissue formation around the C-section incision. Manual therapy, massage, and gentle stretching can help improve tissue mobility and reduce adhesions.

Core Strengthening: 

C-sections can weaken the abdominal muscles, impacting core strength. Pelvic floor physiotherapy includes targeted exercises to gradually strengthen the abdominal muscles, aiding in overall core stability.

Pelvic Floor Muscle Rehabilitation: 

Specific exercises and biofeedback techniques are utilized to rehabilitate the pelvic floor muscles. This not only addresses issues like incontinence but also promotes optimal pelvic health.

Posture and Body Mechanics:

Pelvic floor physiotherapists educate mothers on proper body mechanics and posture to prevent strain on the pelvic floor during daily activities. This is particularly crucial as new mothers engage in caring for their newborns.

Pain Management: 

Techniques such as manual therapy, heat therapy, and relaxation exercises are employed to manage pain and discomfort associated with the C-section incision and pelvic floor dysfunction.

Education and Empowerment: 

Pelvic floor physiotherapists provide valuable education on post-C-section recovery, empowering mothers to actively participate in their healing process. This includes guidance on safe return to exercise, lifting techniques, and self-care practices.

In the journey of C-section recovery, pelvic floor physiotherapy emerges as a key player in promoting holistic healing. By addressing the specific needs of the pelvic floor, this specialized form of therapy helps mothers regain control over their bodies, alleviate pain, and enhance overall well-being. As awareness grows regarding the importance of pelvic floor health, integrating pelvic floor physiotherapy into post-C-section care plans becomes a crucial step toward optimal recovery and a fulfilling postpartum experience.