tensTENS stands for Transcutaneous Electrical Nerve Stimulation. A TENS machine works by sending electrical pulses across the surface of the skin and along the nerve strands. It is a modality that can be safely used on multiple conditions.

TENS therapy can be used to treat muscle, joint, or bone problems.  Some of these conditions include:  bursitis, arthritis, tendonitis, carpal tunnel, sports injuries, neck pain, shoulder pain, and back pain.

When the body is injured, it responds to pain by “muscle guarding”. Muscle guarding is a protective response –  the bodies natural defense in attempting to immobilize the painful area by tightening the muscles. Muscle guarding impairs circulation in the injured and surrounding area; but can be treated through induced relaxation of the muscle.   TENS therapy can help break this pain cycle and aid in the normal healing process.

Transcutaneous electrical nerve stimulation uses low-voltage electrical current for pain relief.  The electricity from the electrodes stimulates the nerves in an affected area and sends signals to the brain that block the  normal pain signals. TENS unit aims to stimulate the sensory nerves, and by so doing, activate specific natural pain relief mechanisms.

When the TENS modality is switched on, the patient will experience a mild, pins and needles or tingling sensation where ever the TENS pad has been placed on the body. This electrical stimulation of the nerves may also help the body to produce natural painkillers called endorphins, which help block the perception of pain.

Transcutaneous electrical nerve stimulation sends a painless electrical current to specific nerves. The mild electrical current generates heat to relieve stiffness, improve mobility, and relieve pain.

The TENS modality is used by both Physiotherapist and Chiropractors and is usually used in a combination of treatments such as manual manipulation, cryo & thermal therapy and topical analgesic ointments.

If you should have any questions about TENS, please call our clinic at 250-382-0018 to discuss if this treatment is right for you.

iStock_000003913066Medium.jpg.1371742377.MVCACHE_LOREZIMAGE.0Why go to a physiotherapist? A physiotherapist is a health care professional that provides physical rehabilitation and pain relief to people with osteoarthritis, repetitive strain injury, whiplash and sports injuries. As primary health care professionals, physiotherapists combine knowledge of how the body works with clinical skills to diagnose and treat symptoms of illness, injury or disability.   A physiotherapist’s goal is to restore, maintain and maximize your strength, function, and movement.

Physiotherapists are university trained medical professionals and primary care practitioners. This means that you do not need a doctor’s referral to see s physiotherapist.

If you have ever suffered from back pain, knee pain, neck strains, wrist and elbow pain, ankle or foot injuries and have used over-the-counter anti inflammatory, ointments, or ice, remember; if your pain persists more than one or two days, or if the injury is serious and affects your ability to perform day-to-day actions, you need to see a physiotherapist.

On your first visit  to a physiotherapist, the initial visit will take approximately 45 minutes. During this time the physiotherapist will talk with you about your medical history, including any medical conditions, ask about past and current injuries. The physiotherapist will then do a physical assessment and bio- mechanical exam to assess your movement and problem areas.  All of this information will help to determine the cause of your pain and dysfunction, and will help treat the injury most effectively and efficiently.  Subsequent visits can be approximately 30 minutes.

Types of therapies that physiotherapist use:

  • Cold laser therapy – Laser light therapy works by penetrating the laser light deeply into the skin, which stimulates cellular activity, helps to reduce inflammation, repairs tissue and accelerate the healing process.
  • eToims – is a surface electrical stimulation device that targets deep muscles to relieve myofascial pain and discomfort.
  • Ultrasound –  high-frequency sound waves are used to treat deep tissue injuries by stimulating blood circulation and cell activity, with the aim of reducing pain and spasms, as well as speeding up healing.
  • Transcutaneous electrical nerve stimulation (TENS) – device is used to deliver an electric current to the affected area, with the aim of relieving pain.
  • Manual therapy is a technique where a physiotherapist uses their hands to manipulate, mobilize and massage the body tissues.
  • Shockwave therapy – These high-energy mechanical pulses stimulate the breakdown of scar tissue and fibroblasts in the targeted area thus improving blood circulation and triggers an inflammatory response that promotes and stimulates healing.
  • Trigger point dry needling, also referred to as intramuscular stimulation (IMS) and/or intramuscular therapy (IMT)and uses dry needles to stimulate trigger points, diagnose and treat neuromuscular pain and functional movement deficits.

Please contact us at 250-382-0018 to find out if physiotherapy is right for you.

sittingDid you know that workplace stretching can improve flexibility and stop sitting fatigue in it’s tracks? Daily workplace stretching reduces pain, increases your circulation and strengthens your muscles.  So, if you are stuck behind a desk for any length of time, try incorporating these quick and easy stretches and exercises into your daily work schedule to stop the fatigue that is caused by too much sitting.

Stretches for Legs and Feet:

  • Stand in front of your desk; raise your heels off the floor and slowly lower them back down to the floor. This  stretch will help strengthen and lengthen your calf muscles.
  • Rotate your ankles in both directions for five seconds. Do three sets of five reps in each direction.
  • While sitting in your chair, lift your foot about 8 – 10 centimeters off of the floor; keeping your knee bent at a 90 degree angle and hold the position for as long as you are comfortable. Then, bring your knee up – giving your knee a big hug by pulling it toward your chest and hold for a few moments to feel the stretch. Alternate sides. This stretch will help keep your hips flexible, and will help to alleviate back pain.
  •  While sitting in your chair, extend your leg until it is level with your hip. Hold for 10-30 seconds then relax. Alternate sides. Leg extensions will help strengthen your core and help increase circulation.
  • To get relief from tight hamstring muscles, push your chair away from your desk and place one leg up on the edge of the desk. Flex your foot (toes pointed to the ceiling) and hinge forward at the hips, keeping your back straight and grasp your toes or knees and hold for several seconds. Repeat 3-5 times.
  • Seated knee raises target the quadriceps (or upper leg) muscles. Sit in your chair with your feet flat and your back straight against the back of the chair. Using leg strength only, extend your right leg straight. Hold your leg straight for 5 seconds and then lower your foot back down so it’s flat on the floor. Alternate your legs for 5 to 8 repetitions on each side.

Stretches for Arms and Hands:

  • Pump both of your arms over your head for 20 – 30 seconds. This is a great way to improve your circulation and increase your heart rate.
  • Raise your shoulder to your ear; hold and then relax. Repeat, alternating shoulders. Shoulder raises are a great way to release tension.
  • Stretch your arm out in front with  your palm facing the ceiling; and with your other hand, grab your fingers and lightly pull them down to stretch your forearm.  This wrist stretch helps to prevent carpal tunnel syndrome.
  • To relax tense hand muscles, start by making a fist, then spreading and wiggling your fingers on each hand for about 30 seconds, several times a day.

Stretches for your Core:

  • Sit straight in your chair and place your left arm behind your left hip, then twist to the left and hold.  Alternate sides, and then try crossing your legs and alternate twists toward the back of the chair.
  • Sit on the edge of your chair, stretch your arms out in front of you; keeping your back straight and contract your abdominal muscles.  This is a great abdominal stretch. Repeat 4 to 5 times.
  • Try the seated bicycle pedal. Sit in your chair, scooting down to the edge of the seat and support your upper body on the chair’s armrests. Then pretend you’re riding a bicycle, bringing each knee near the chest, keeping the abdominal muscles contracted.

Stability/Exercise Ball:

One of the best and easiest  changes you can make to your work station is to incorporate a stability ball.

  • Exercise or stability balls will forces proper spine alignment.
  • A stability ball causes to you to change your position often to balance, which will improve your balance, as well as strengthen your core muscles.
  • Sitting on a stability ball will keep the blood flowing and will increase your circulation and give you more energy throughout the day.
Remember that active sitting will strengthen your abdominal and back muscles, improve your balance, and increases core stability.

Lower-Back-Pain-Treatment-NewmarketAccording to the Canadian Physiotherapy Association, four out of five Canadians experience at least one episode of low back pain at some point in their life.

Physiotherapists focus on exercise, mechanics and posture, through customized treatments that work to increase your flexibility, strength, and endurance. Physiotherapists are effective in  helping to reduce acute and chronic pain.  There are three main types of back pain.

Localized pain is felt in the lower back and is restricted to a particular area on the body.

Radiating pain occurs when there is pain in the back and pain down the leg or foot, and is a sign that the nerve or nerve root is under pressure from either an injury or inflammation.

Referred pain is felt not only at the injured site, but also on different body areas, which is due to the fact that nerve signals from several areas of the body share the same nerve pathway leading to the spinal cord and brain.

Physiotherapists are skilled in manual therapy using precise hands-on techniques to relieve stiffness and improve movement of the joints and muscles. They incorporate movement exercises (Active physical therapy)that help restore motion and decrease radiating or referred pain; as well as progressive strengthening exercises that focus on increasing muscle strength, and function, while helping to increase core stability and endurance.

The physiotherapist may also use Passive physical therapy (modalities) including heat, ultrasound, eToims, Shockwave therapy, spinal decompression, class IV K-Laser therapy and trigger point dry needling, also referred to as intramuscular stimulation (IMS).

Health Link BC offers some helpful information on the different types of exercises you should try, depending on your symptoms:

Exercises to try if your back pain is eased by standing or lying down:

 Alternate arm and leg / Backward bend / Hip flexor stretch / Press-up / Relax and rest

Exercises to try if your back pain is eased by sitting down:

 Double knee-to-chest / Piriformis stretch / Single knee-to-chest

Exercises to try when no position eases your back pain:

Cat-camel / Curl-ups /Front plank /Hamstring stretch / Pelvic tilt / Walking

As with any medical advise, please contact your health care practitioner before starting any treatment or exercise regime.

Choosing your New Year’s Health ResolutionThis is that time of year when, individuals make various resolutions with the objective of getting rid of a bad habit and replacing it with good/healthy habit.  However, it is also a fact that most of the time people are not able to follow through on their resolutions.

The main problem is in the practical implementation of the resolutions.  People generally are eager to make resolutions but as soon as the time comes to get started, they begin to think of justifications why they should not continue and ultimately give up and in some cases before they have even started.  (You know who you are!)

Remember that it will be easier to incorporate and keep a small change rather than 1 huge generic goal such as “I want to lose weight”.

Listed below are 9 tips to help you achieve a healthier lifestyle.  Pick one tip and work on that one for 6 weeks.  Every 6 weeks add another tip to your daily routine and work on that for 6 weeks… before the end of 2016 you will have incorporated all 9 tips and will be living a healthier lifestyle.

Eat at least 5 servings of fruits and vegetables per day.

A serving size is: half cup of cooked vegetables, one cup of raw leafy vegetables or one small whole fruit.

Increase your fluids and decrease your coffee intake. 

Aim for 6 to 8 glasses of fluids per day. Have plain or lemon water, unsweetened juice, skim milk, or herbal tea, and keep the coffee to 1 or 2 cups a day.

Exercise on a regular basis.

An ideal combination includes aerobic exercise, weight-training, yoga, stretching, and recreational activities, such as dancing and swimming. Get exercise during your regular daily activities by walking at lunch and taking the stairs instead of the elevator.

Reduce the “bad” fats.

Reduce the amount of saturated fats and trans fatty acids in your diet. Saturated fats are found in animal products such as meat and processed foods. Processed foods contain trans fatty acids and partially hydrogenated oils. So limit your processed foods and cook with olive and canola oils.

Chew your food!

Many digestive problems such as bloating, gas, and stomach discomfort can be alleviated by taking the time to carefully chew food.

Limit your intake of sugar.

Sugar increases triglycerides, cholesterol, and insulin, and can impair the immune system. Check food labels and look for hidden sugars (corn syrup, sucrose, glucose, and lactose).

Make relaxation a regular part of your life

Chronic stress can lead the way to a weak immune system, high blood pressure, and many other conditions. Proper breathing and meditation are effective ways of coping with stress.

 Make sleep a priority.

Restful sleep is essential for a fully functioning mind and body. This means avoiding caffeine and alcohol, which can disrupt sleep. In addition, sugary snacks before bed can affect blood sugar levels and disturb sleep.

Develop and nurture your support network.

Maintain meaningful and fulfilling relationships with family and friends. These relationships nourish our heart, body, and soul.

Remember it’s never too late to start again.  It’s your life, take charge and decide who you want to be.

marathon-runners-580x387With so many approaches to running and fitness, you want to be sure that you find just the right group: whether that’s 5K, running a 6 minute mile or training for a marathon. Running groups usually ask for a nominal annual fee which covers the cost of weekly coaching. Here are some ideas to get you started on finding a running group that’s right for you.

Location
Make sure that the location, time of day and day of the week work for you. If you have a long commute or it’s at an inconvenient time or day; there’s a good chance that you will sabotage yourself and stop going.  Most running groups have a weekly training session, and then a long run during the weekend.

Coaching Style
The coach’s training style will have a large influence over the runners and is an important step in determining if a particle running group is for you. Are you looking for strictly training, or are you looking for a social aspect? Does their training approach work with what your needs are? Is the trainer patient with beginners, and are they motivating the seasoned runners? Most running groups will let you do 1 or 2 classes with them before you join.

All Levels
Make sure your running group can work with everyone in the class.  You should be looking for flexibility in the group, as well as making sure that your specific needs will be met. Make sure your running group promotes other activities such as swimming or cycling:  cross-training is important to keep your body healthy and injury free.  If you have any medical limitations, or are recovering from an injury, make sure to ask if they can tailor the classes to include your healing time or physical restrictions.

Do You Race?
Pick a group that likes to race and that has many different race options. The range should include 5Ks, 8Ks, 10Ks, half marathons and marathons. It’s a great way to keep yourself motivated.

Access to Healthcare Practitioners
As with any sport, accidents and injuries happen. It helps if your running group is knowledgeable about healthcare practitioners that deal with running injuries; such as local Massage Therapists, Physiotherapists and Chiropractors, and can refer you to these professional if needed.

Check your local running store for information on running groups –  they’ll be able to direct you to a group that’s right for you.

Check out part two of our Choose to Move campaign, which highlights the difference physiotherapy can make, and the positive role it plays in helping people live fuller, more active lives.

 

ExteriorNearly one in three people view their lives moderately to severely stressful, and more than 50% feel that stress has a moderate to severe impact on their health problems. We’ve identified some symptoms of stress, and some ways to approach natural stress relief.

Symptoms of Stress

Stress has been linked with detrimental health effects including heart disease and even brain shrinkage. Below are just a few of the symptoms cased by stress.

  • Trouble sleeping
  • Feeling irritable and defensive
  • Headaches
  • Trouble concentrating or remembering
  • Tense, tight muscles
  • Anxious, jittery, or nervous feelings
  • Difficulty breathing
  • Upset stomach, diarrhea, or constipation
  • Having trouble making decisions
  • Frequent colds, viruses, or infection

Having stress is not necessarily bad, but you need to be aware of the sources of stress and have a way to cope. There is no “right” way to handle stress – you need to find out what works for you.

  • Eat well. Good nutrition can improve your mood and your ability to handle stress.
  • Get enough rest, but don’t stay in bed to avoid problems;
  • Avoid using caffeine, cigarettes, or alcohol
  • Simplify your life by setting priorities for yourself.
  • Exercise at least three times a week.

Massage

Studies of the benefits of massage demonstrate that it is an effective treatment for reducing stress.

  • Improved circulation – Having an increase in blood flow and circulation to areas of your body helps promote cell growth and organ function.
  • The feeling of well-being – Massage increases the available levels of dopamine and this explains the satisfaction experienced during and after a massage.

Acupuncture

The body secretes hormones into the bloodstream as a reaction to stress. Acupuncture can block the chronic, stress-induced elevations of these hormones leaving you with a sense of calm & relaxation.

Physiotherapy

Physiotherapy can assist decease stress levels through manual therapy. Manual therapy involves manipulation of muscles and tissues in the body. This technique is used to reduce muscle tension, improve circulation, and carry fresh oxygen to tissues in the body.

Chiropractic

One of the effects of chronic stress is prolonged muscle tension. This muscle tension can leads to mis-alignments of the spine and the other joints in the body. These mis-alignments can cause common conditions such as; back pain, neck pain, and headaches. Chiropractic adjustments correct these mis-alignments, reduce nerve irritation, improves circulation, and releases muscle tension.

iStock_000004274272MediumSitting in front of a computer monitor or laptop for long periods of time is associated with numerous health problems, ranging from weight gain, to cardiovascular disease to a shortening of your life expectancy. Other symptoms include fatigue, headaches, arthritis, increase in blood pressure, risk of fractures, and neck and back pain.

Below are some tips that will help you to stay injury free and energetic throughout your work day.

How to Avoid Aches and Pains at Your Desk:

Sit as close as possible to your desk, with your upper arms parallel to your spine and your hands and forearms rested on the work surface. If your arms are not supported, the muscles of your neck and shoulders will try to compensate and you will end up with shorten tight muscles.

Make sure your elbows are at a 90-degree angle, and your legs are bent at the knees at a 90 degree angle. Adjust your chair higher or lower to achieve the 90-degree angles. If you have to lift your feet off the ground because of a chair or a desk that is too high, use a footstool to prop and rest your feet at the 90 degree angle.

Chair depth refers to the length between the back edge and front edge of your chair. To check for proper chair depth, sit all the way back in your chair so that your back is fully supported by the backrest and check the room between the front edge of your chair and your calves by making a fist and bringing it to the edge of the chair and pushing it on the calf. If you can’t fit your fist between the front edge of the chair and your calf, your chair is likely too deep, which will decrease your circulation.

Moving the chair’s backrest forward or inserting a cushion to support your lower back, should solve this problem. Low back support is essential in preventing slouching and reducing back pain.

How to Avoid Typing Pain:

Poor typing posture, either from improper seating arrangements or tight muscles, can lead to sore hands, fingers and carpal tunnel syndrome. Remember to use minimum force when typing on the keyboard, and place the keyboard directly in front of the monitor.

Take each hand, one at a time and place all five finger tips together. Slip a wide rubber band ( the rubber bands that hold the broccoli stalks together in the grocery store are perfect) around all five fingers and draw them apart against the resistance of the band, this will help reduce and strengthen your hand and finger muscles.

Your hands have many muscle, and like with any muscle, deep massage will break up knots, reduce pain and improve function. Try rolling a hard ball into your palm halfway through the day, or see a massage therapist for a hand massage at least twice a month. Hand massages are normally 20 to 30 minutes in length, and are a great lunch time activity.

How to Avoid Shoulder Slumping:

Sitting, typing and focusing on a screen a few inches below and in front of you will create slumped shoulders, unstable shoulder joints, and tight “pecs”.

Naturally our shoulder blades are stable, retracted, and down. This protects our shoulders and allows full mobility. When we slump forward, our shoulder blades drift apart, jeopardizing our shoulder stability.

Try to fully protract your shoulder blades by pushing your arms as far forward as possible which will spread your shoulder blades; then lift your arms up directly over your head. If you can’t do that comfortably, your shoulders are out of place.

Slumping shoulders will pull the rest of your spine out of order, simply because you’ve got the combined weight of your head and upper trunk pulling down. To avoid the slump, make sure when you sit, your buttocks sits far back in the chair, and roll your shoulders one at a time back, and down.

Your monitor or laptop needs to be at eye level or slightly above eye level. This will keep your head in the correct position, above your should with no tilting. Watch your head position, and try to keep the weight of your head directly above its base of support – the neck. Maintain your thoracic spine, by keeping the shoulder blades retracted; which means back and down.

How to Avoid Computer Vision Syndrome:

Eyestrain is an issue that affects anyone who looks at a computer screen all day. It has plenty of short term symptoms like dry eyes, blurred vision, headaches, and more.

Adjust the monitor’s position so that is 50-80 centimeters away from your eyes, with the top of your monitor at eye level. For most of us, that means you will need to raise your monitor by using a riser, or a stack of books.

An work space with too much light can create monitor glare that quickly tires your eyes. Turn off the over-head fluorescent lights and make sure that your light source is never directed behind or in front of your screen. Use indirect lighting such as a floor or desk lamp.

Use the 20-20-20 rule: Every 20 minutes, find an object about 20 feet away, and stare at it for 20 seconds; this will exercise your eyes and give them a break from your monitor’s screen.

Remember that the best thing you can do for yourself at work is to keep moving throughout the day!

sore_0Runner’s knee or patellofemoral pain syndrome is a common biomechanical problem that can affect anyone who is involved in activities that requires on-going knee bending, such as walking, biking, or running.

Patellofemoral pain syndrome can result from:

  • Overuse. Repeated overstretching of the muscles and tendons of the knee
  • Trauma to the knee by a fall or blow
  • Misalignment. If any of the bones are slightly misaligned excessive stress is placed on the cartilage of the kneecap.
  • Worn cartilage in the knee joint
  • Leg length discrepancies
  • If you suffer from over pronation, fallen arches or high arches

Minor to moderate cases of runner’s knee should heal with minimum treatment and minimal down time.

  • Rest the knee. Try to avoid putting weight on your knee for a few days
  • Ice your knee to reduce pain and swelling. Do this for 20-30 minutes every 3-4 hours for 2-3 days
  • Compress your knee by using an elastic bandage, athletic tape, or a soft brace
  • Elevate your knee whenever you’re sitting or lying down
  • Use anti-inflammatory medication
  • Practice stretching and strengthening exercises
  • Use orthotics to support your arches

Chiropractic and Physiotherapy can treat runner’s knee with manual manipulations and modalities to get you back to your regular routine as quickly as possible.

  • Deep Tissue Laser Therapy – accelerates the body’s own natural healing process
  • Graston Technique – soft tissue treatment that breaks down scar tissue
  • Therapeutic Ultrasound – increases circulation to help the healing process and decreases pain.
  • K-Taping – designed for muscle, ligament and tendon pain relief and support
  • TENS Therapy – a non-invasive nerve stimulation intended to reduce both acute and chronic pain
  • Shockwave Therapy – a non-surgical treatment of soft tissue, bone, and joint pain

How to prevent runner’s knee:

  • Use custom orthotics in all your footwear
  • Wear runners with good shock absorption and quality construction, and replace them often
  • Avoid running on surfaces like concrete or asphalt
  • Stay in shape and maintain a healthy weight
  • Weak thigh muscles, tight hamstring and calf muscles can put extra stress on the knee; so stretch, stretch, stretch
  • Tape your knee while exercising, if you’ve had runner’s knee before.

As with any injury, contact your doctor or health care practitioner to be diagnosed and to create a treatment plan that’s right for you.