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Knee Pain

Knee pain is a common complaint that affects people of all ages. A few reasons one may be experiencing knee pain include: a sudden increase in one’s training or activity schedule, the commencement of a new sport or activity, a change in footwear, improper training technique, or muscle imbalances and/or alignment issues.

Understanding what is causing your knee pain is the first step in treating it, and there are many possible causes of mechanical knee pain which include:

patello-femoral syndrome, patellar fracture, bursitis, Ilio-tibial band friction syndrome, patellar or quadriceps tendinopathy, ligament injuries/sprains, Meniscal injuries/tears, Osteoarthritis, Osgood-Schlatter’s disease,  Loose Bodies, etc…

 Knee pain is one of the most common cycling injuries. The most common cause of knee pain in cyclists in ilio-tibial band (IT band) syndrome. The IT band is a thick band of fibrous tissue that runs down the outside of the upper leg from the hip area to the knee. Pain usually results when the IT band becomes too tight and therefore rubs over the bony prominences of the knee. The IT band has direct attachments to the tensor fascia latae (TFL) muscle, which runs down along the outer front of the thigh/hip area and acts to help flex and abduct the hip. This muscle, which is used consistently in cycling, often becomes shortened and/or tight, thereby increasing tension on the IT band and contributing to knee and/or hip pain.

 As injury can often be a problem of overuse, or misuse, it is important to avoid the temptation to do too much (especially if just starting out with a new sport/activity, or commencing a training season). To avoid misuse of muscles, and prevent injury, it is important to ensure appropriate training technique and equipment fit (ie: bike fit).  With cycling, it is important to add in a stretching program for your lower extremities to help maintain a healthy and appropriate muscle length while training.

 In order to determine the cause of one’s knee pain, a comprehensive examination of the knee is completed and the appropriate treatment plan is outlined.

Treatment for knee pain can include:

1)    Electrotherapy such as ultrasound to decrease swelling, pain, speed up cell turn over and thus enhance healing and recovery.

2)    Interferential current may be used to decrease swelling or joint effusion, decrease pain, and speed up recovery.

3)    Heat may be used to decrease pain and increase range of motion

4)    Ice may be used to decrease inflammation and pain

5)    Soft tissue work to improve circulation, break up adhesions, decrease muscle tightness or tension, decrease pain

6)    Joint mobilizations to increase range of motion, decrease stiffness, increase circulation, and decrease pain

7)    Passive stretching to increase muscle length

8)    Taping to improve muscle function or joint alignment and decrease pain

9)    Comprehensive exercise program to correct for muscle imbalances, increase flexibility, improve strength / stability / proprioception.

 Below are a few exercises to help prevent knee injuries:

  1. Glute med strengthening – use theraband or stretchy tubing tied around ankles. In standing with legs straight and core contracted, side step (with straight legs) to left against the resistance of the band around the ankles. Continue for a minimum of 15 steps or until fatigue and then return to the starting point by side stepping to the right as above.
  2. Double leg or single leg squat, either on a BOSU or on the ground with a stability ball against the wall (your back leaning against the stability ball).
  3. Hamstring, Hip flexor stretching, and IT band rolling on foam roller

Remember to follow the PRICE principle if you believe you’ve sustained an acute knee injury, until you’ve been assessed from your health care practitioner.

P – Protect: Avoid anything that could cause further harm/injury or increase pain

R – Rest: Discontinue any and all physical activity as much as possible

I – Ice: Apply ice, 15-20 min max, 3-4 times/day

C – Compression: Wrap the injured area with a tensor bandage etc applying pressure around the area (to help decrease swelling and inflammation)

E – Elevation: Sit or lie with the limb or injured area elevated

Written by Jessica McCartie M.P.T.

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Do I Have Bursitis or Something Else? | Bursitis Treatment Victoria

Bursitis Treatment Victoria – Bursitis is an inflammation of one of the body’s bursae (the fluid-filled sacs that cushion the joints). This painful condition can be caused by a mild injury, repeated use (such as prolonged kneeling on a hard surface), arthritis, or infection. Commonly affected joints are the shoulder, elbow, knee, and hip.

Bursitis is typically identified by localized pain or swelling. Bursitis occurs when the small sac (bursa) found inside joints becomes inflamed. The fluid-filled sac helps to lubricate and cushion the joint. When it is inflamed, movement can be painful. Usually bursitis occurs in larger joints such as shoulders and hips.

Without seeing your health care provider, you usually can’t tell the difference between bursitis and pain caused by a strain or arthritis.  Often just resting and elevating the joint can help.  Applying ice may help relieve pain and swelling. Once the joint is no longer painful, you can work to strengthen the muscles around the joint and prevent further flare-ups.  Symptoms of bursitis may include swelling, redness, a warm joint area, aching or stiffness in the joint that gets worse with movement.

Chiropractic  and Physiotherapy treatments can help most people with musculoskeletal disorders such as bursitis. Chiropractic treatments can include  manipulations,  or modalities such as cold lasers, ultrasound, decompression table, and  joint supplements  such as Glucosamine.

Contact Diversified Health and speak with one of our health care practitioners for more information on bursitis and what options would be right for you.

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Cold Laser Therapy used in Health Care Victoria

Cold Laser Therapy used in Health Care Victoria, uses laser light to speed the healing process, and is finding widespread use among pain management specialists, including the practitioners at Diversified Health Clinic.

The name LASER is made from an acronym. Light Amplification by Stimulated Emission of Radiation. It is a very pure form of light energy, of a single wavelength. 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.

The treatment involves the application of red and near infra-red light over injuries. Laser and LED beams of light are used to stimulate the cells in the body that repair tissue, reduce inflammation and reduce pain. It is a highly effective treatment for acute soft tissue injuries and chronic pain.

Laser therapy has been proven to be remarkably safe, painless and effective in treating both acute injuries and chronic pain of various kinds.  It has been particularly helpful in stubborn and persistent conditions, such as chronic neck and back pain, tendinitis, plantar fasciitis and other joint and muscle pains. The treatments are pain free, non invasive and there is no recovery time. The treatment time is any where from 10 – 20 minutes, with the majority of patients feeling nothing during the treatment; with a small percentage of our patients feeling a slight tingling or warmth.

The benefits of laser therapy include:

  • Decreased inflammation & decreased pain
  • Increased blood flow to the injured site
  • Minimized formation of scar tissue & growth of new, healthy tissues
  • Speeds up recovery time

The results will depend on the individual’s over all health and condition and the length of time that the condition has existed.  Please contact one of our knowledgeable practitioners to find out more information on Cold Laser Therapy used in Health Care Victoria.

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What Does a Physiotherapist Do? | physiotherapy victoria bc

What Does a Physiotherapist Do? | physiotherapy victoria bc – With more moving parts than any other machine, it is not surprising that our body occasionally feels pain.  There are hundreds of different muscles and joints that can go wrong.  Physiotherapy uses a variety of techniques to help your muscles and joints work to their full potential.  Physiotherapy is used to reduce pain with various methods to make it possible for the patient to lead a normal life again.

Many people first encounter a physiotherapist following orthopedic surgery. An exercise regime and other treatments can greatly assist following a fracture or joint replacement.

People suffering with other musculoskeletal disorders, sports injuries, spinal problems, joint or muscle pain, arthritis, etc. are treated with exercises, mobilizations, manipulation, acupuncture, ultrasound and numerous other modalities.

What Does a Physiotherapist Do? | physiotherapy victoria bc

Diversified Health Clinic - Rehab Gym

Can­adian researchers at the University of Western Ontario published a landmark study showing that physiotherapy combined with medication was just as effective as arthroscopic surgery in treating osteo-­arthritic knees. “Many arthritic joints are helped by work on flexibility and strength,” says study co-author Dr. Robert Litchfield, an orthopedic surgeon and the medical director of the university’s Fowler Kennedy Sport Medicine Clinic.

Particularly beneficial for sufferers of lower back pain, physiotherapy is used to release tension and so reduce pain in the back. Various tactics are used such as exercise, traction, massage, acupuncture and spinal decompression – The program of physiotherapy can ease chronic pain by strengthening the muscles that surround painful joints or muscles. Treatment will depend on the source of the problem, using a three-fold approach: weight management (to reduce stress on joints), muscle strengthening (to improve mobility and reduce recurrence) and “re-patterning” of muscles.

One fast-growing area of practice uses physiotherapy techniques to address pelvic floor disorders, which can occur when pelvic muscles tighten, shorten or fall into spasm after pregnancy, childbirth or abdominal surgery. The pelvic floor muscles help support the spine and abdominal organs.

Stretches and strengthening exercises done at home are crucial to treating most problems. It takes time and practice to stretch or retrain muscles that have a long-established bad habit.  For more information on What Does a Physiotherapist Do? | physiotherapy victoria bc – please contact our Physiotherapists and book a consultation.

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Find Relief from a Herniated Disc with A Natural Health Practitioner

Your spine is made up of vertebrae and discs, so finding relief from a herniated disc with a natural health practitioner like a doctor of chiropractic makes sense.

Discs are like soft cushions between the bones of the spine. The discs in the spine let you move your backbone. When a disc between two bones in the spine presses on the nerves around the backbone, it’s called a herniated disc. The word “herniate” means to bulge or to stick out. Sometimes this is called a ruptured or slipped disc.

Herniated discs are most common in the lower part of your spine referred to as the lumbar spine. This area is constantly absorbing the impact of bearing the weight of the upper body.  The lower back is also critically involved in our body’s movements throughout the day, as we twist the torso in rotating side to side and as we hinge the back in flexion and extension while bending or lifting.

When part of a disc presses on a nerve, it can cause pain in the back and the legs. How bad the pain is depends on how much of the disc is pressing on the nerve. In most people with herniated discs, the pain spreads over the buttocks and radiates down the back of one thigh and into the calf. This is known as sciatica because the pain travels along the path of the sciatic nerve. Some people have pain in both legs, and will feel numb or a tingly sensation in their the legs or feet.

Here are some signs  If you have a herniated disc, the painful symptoms will worsen:

  • After you have been sitting down or standing for a long period.
  • During the night.
  • When you laugh, cough or sneeze
  • When you walk, even a short distance.
  • When you bend over backward

Becoming active as soon as possible is very important. Exercises can be helpful. The goal of exercise is to make your back and stomach muscles stronger. This will ease the pressure on your disc and make you hurt less. Ask your practitioner about safe exercises for your back, and start these exercises after your back is a little stronger and doesn’t hurt as much.

Spinal Decompression is painless, drug-free, non-surgical  treatment. Research has shown it to be highly effective for disc-related injuries, and most people who have a herniated disc are better in about 4 – 6 weeks.

Spinal Decompression provides relief to severe back and neck pain sufferers by gently reducing the pressure within spinal discs. The bones of the spine are slowly and methodically separated and as the vertebrae are separated pressure is slowly reduced within the disc until a vacuum is formed. This vacuum “sucks” the gelatinous center of the disc back inside thereby reducing the disc bulge or disc herniation. Significant disc bulge reduction removes pressure off the spinal nerves and drastically reduces pain and disability. This “sucking” vacuum also pulls much-needed oxygen, nutrients and fluid into injured and degenerated discs allowing the healing to begin.

What can you do to help prevent a herniated disc?

Good posture (standing up straight, sitting straight, lifting with your back straight) can help your back by reducing the pressure on your discs.

  1. Bend your knees and hips when you lift something, and keep your back straight.
  2. Hold an object close to your body when you carry it.
  3. If you stand for a long time, put one foot on a small stool or box for a while.
  4. If you sit for a long time, put your feet on a small stool so your knees are higher than your hips.
  5. Don’t wear high-heeled shoes.
  6. Don’t sleep on your stomach.

If you or someone you know needs to find relief from a herniated disc with a natural health practitioner, please call Diversified Health Clinic for a free consultation.

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Hamstring Stretches Help with Low Back Pain | physiotherapy victoria bc

Hamstring Stretches Help with Low Back Pain | physiotherapy victoria bc:

One of the most important stretches someone with low back pain should be performing is a hamstring stretch. When your hamstrings are tight, it places a lot of stress on your low back, leading to more pain and can actually cause more difficulty for you.

One of the easiest ways to stretch your hamstrings is lying on your back. Bring your knee toward your chest and straighten out your knee and try to push the bottom of your foot up towards the ceiling.  The opposite leg should be flat. Then rest and repeat. This should be performed on each side.

Hamstring Stretches Help with Low Back Pain | physiotherapy victoria bc

Hamstring Stretches

An important aspect to stretching is being able to relax while you are doing the stretch. If you find yourself not relaxing with the first stretch, try lying near a door jam or a corner of a wall and place one leg up on the wall. Now drop the opposite leg and you’ll begin feeling the stretch in the back of the hamstring. This is a nice stretch because you can just relax and it doesn’t place as much stress on your low back. The object here is to work your leg up the wall to try to get a ninety degree angle. Now once your leg is straight, simply return to the starting position, slide your hips closer to the wall, and repeat.

Since hamstring stretching should be done at least twice a day, finding other positions which you can incorporate into your daily routine is crucial.  Another way to stretch your hamstring is sitting on the edge of a chair, so it can be done almost anywhere. Sitting in the chair, scoot to the edge of the chair, straighten out one leg, and point your toes toward the ceiling. Simply sit up straight and roll your pelvis forward and you should feel a light stretch up the back of your leg. This can be held for approximately thirty seconds, and repeated on each side.

 For more information on stretches that you can do at home or at the office please contact our physiotherapists.

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Natural Health Practitioner take a Close Look at Foot Problems

Natural health practitioner take a close look at foot problems, understanding that your feet are extremely complex structures composed of bones, joints, ligaments, muscles, tendons, nerves, blood vessels, and skin. They are subject to injuries and other problems caused by normal wear and tear over years of supporting the weight of your body and making it possible for you to stand, walk, run, and jump.

Natural Health Practitioner take a close look at foot problems

foot problems

The most obvious symptoms of foot trouble are pain and dysfunction (limping, favouring one foot or the other, inability to put weight on the heel and/or the toes). Foot pain can be due to ill-fitting, inappropriate footwear that cramps your feet; injuries that keep you from walking well–or at all; sprains which stretch or tear ligaments (which connect bones); and stress fractures of bones in the foot, which can result from accidents or overuse while engaging in sports or exercise.

Foot pain and dysfunction can force you to modify the way you walk and create significant stresses on the joints of your legs, hips, and lower spine. Your feet are the foundation for your entire body. Even without pain, foot dysfunction can cause your whole body to overcompensate, which can lead to back pain and even headaches.

No one is safe from foot problems. But older or overweight individuals, diabetics, and serious athletes and dancers who place great demands on their feet are more prone to foot disorders than others are.

The most common foot problem though is Pronation. In pronation, some of the bones of the foot drop to a less stable position because the foot arches are too weak to keep them in proper alignment. The arches themselves may be unnaturally stretched (“flat feet”), and stress on the entire foot increases. Another common problem — one that is often found along with pronation — is Plantar Fascitis, a stress irritation of the sheath of elastic tissues running nearly the entire length of the foot. If not treated, either condition can lead to progressive development of foot malfunction and discomfort.

Chiropractic or Physiotherapy can help overcome foot and ankle problems that can cause additional problems in other structures such as in your legs, hips, lower back. The practitioners can use a number of diagnostic tests, including examining your gait and foot function.  They will palpate (move) your feet and ankles to measure any limitations in range of motion to identify what is causing your pain, and determine the best course of treatment.

In addition, your practitioner may use Shockwave therapy, and recommend orthotics to help solve some of your foot problems. When your natural health practitioner take a close look at foot problems they can provide lifestyle counseling that can help reduce biological and psychological stresses on your body as a whole.

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Jumpers Knee Treatment

Jumpers knee treatment Jumpers knee treatment is just one of many knee injury treatments offered at Diversified Health. Anyone can be a victim of a knee injury; whether you are a professional athlete, a weekend warrior or  just doing your day-to-day activities. The knee joint is unique in that it carries body weight at the same time as it provides flexibility and mobility and this construction predisposes the joint to risk of injury from sudden movement and repeated wear and tear.

What can cause knee injuries:

• Ligament Sprains – Overstretching  ligaments are bands of strong tissue that stabilize the knee joint together.

• Cartilage Tears – Pressure from twisting and turning during weight-bearing exercise

• Tendon Strains – This is an overuse injury commonly caused by repeated jumping or “jumpers knee”

• Footwear –ill fitting footwear can affect the way you walk and can place stress on the muscles and tendons around the knee joint.

• Frequency/intensity of activity – Any change such as jogging or playing tennis on a different surface can affect the knee joint.

Treatments for knee pain:

A health care practitioner at Diversified Health Clinic will assess your knee to determine the source of the problem and to develop an individual treatment program.  Depending upon the type and degree of injury, the program may include practices such as Acupuncture, Massage Therapy, Chiropractic and Physiotherapy.

Treatments can include manual adjustments, and modalities such as cold laser, shockwave therapy, ultrasound, graston technique or neuro-mechanical adjusting tool.

Returning to activity:

At Diversified Health Clinic we can provide a program to help prevent re-injury as you return to normal activities, including stretching exercises to regain flexibility around the joint and strength training to build up the muscle in the Rehab Gym.

Another element of the rehabilitation program is to retrain balance and coordination. A knee injury involves more than just stress and strain to the soft tissue. It also affects the tiny receptors in the muscles, ligaments and tendons that ‘tell’ you where your knee is positioned. These receptors send signals to correct balance and shift weight.

Whether you require a jumpers knee treatment or a sprain/strain treatment, Diversified Health Clinic will provide you with numerous options that will include exercise programs that will help you strengthen your muscles and get you back participating in the activities you love.

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Physiotherapy can help to improve balance and prevent falls | physiotherapy victoria bc

Yes, Physiotherapy can help to improve balance and prevent falls.

It’s the time of the year in Victoria that brings challenges to those who have balance and mobility issues: there could be ice or snow or puddles on any particular day.  And with the shorter, colder days, many people’s overall fitness declines because they are not able or not motivated to get outside and move around.  All of these elements combine to increase the likelihood of sustaining an injury from a fall.  Of course a physiotherapist can help to treat any of these injuries, but a physiotherapist can also help to prevent falls from happening in the first place!

According to a recent study by Muir et al, over twenty risk factors for falling have been identified, but there are five major factors, with an increased number of these risk factors exponentially increasing the risk of falling:

  1. A history of recent falls
  2. Functional lower extremity strength: the ability to stand up from a seated position in a chair without using the chair arms
  3. An unsteady gait
  4. Impaired balance
  5. Taking four or more prescription medications

rehab clinic victoria bcThe physiotherapists at Diversified Health are trained to assess joint mobility, muscular strength, balance and gait patterns.  Part of their assessment is to identify deficits and come up with a program to improve such key issues as quadriceps and gluteus (thigh and buttock) strength. They will advise you on which specific strength, mobility and balance exercises would be most beneficial for you, and will make suggestions on functional ways to work on these exercises at home or at the gym, with safety being the top priority.

At Diversified Health, some specific exercises you might be shown include wall squats, bridging, or outer hip strengthening.  You might use tools such as balance boards, BOSU balls, the Vibe machine, and various other cardio or weight equipment.

If you are considering using a mobility aid such as a walker or a cane, we can help you decide which one is right for you and how to properly adjust it.   If you would like to stop by the clinic, the practitioners would be happy to give you a free assessment of the fit of your cane or walker.

Our physiotherapists also educate regarding footwear, posture and general activity / exercise, and help you come up with a plan to incorporate all three kinds of physical activity: strength and balance exercises; endurance exercises; and flexibility exercises.

Physiotherapy can help to improve balance and prevent falls | physiotherapy victoria bc, so please call Sandra Hardy at 250-382-0018 and book your free assessment.

Researched and written by Sandra Hardy M.P.T.

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