Elderly Falls Prevention Elderly Falls prevention is a huge societal issue.  It affects many aspects of society including health care spending and caregiver stress.  As a result injuries and effects from a fall can be very serious, both for the patient and the family involved. Characteristics of the elderly Population There are some who have been able to maintain their mobility and strength and continue to stay healthy and active. Then there are those who are struggling with their day to day activities due to weakness and frailty.   There are also those who fall somewhere in between.  Those individuals…

Accident Rehabilitation What is Accident Rehabilitation? Motor vehicle accidents happen everyday in Ontario.  As a result, they produce a lot of pain, disability and stress for those involved. The impact can be quite debilitating. Accident rehabilitation is treatment that is given after being involved in a motor vehicle accident. It is important to seek out Registered Physiotherapists who are experienced in Accident Rehabilitation to ensure proper recovery. At PhysioNow we offer high quality Registered Physiotherapy and Registered Massage therapy treatments to help you recover from your injuries. Registered Massage Therapy Who is entitled to receive Accident Rehabilitation? Any person who has been involved in a motor vehicle accident in Ontario is entitled to receive Accident Rehabilitation benefits . This would include if you were a pedestrian hit by a vehicle.  It would also include coverage for treatment if you were involved in…

TMJ syndrome TMJ syndrome is broadly classified into 2 syndromes. The temporo- mandibular joint (TMJ) is the synovial joint that connects the jaw to the skull. These joints are located just in front of each ear. Classification of TMJ syndrome TMD is broadly classified into 2 syndromes: • Muscle-related TMD (myogenous TMD), sometimes called TMD secondary to myofascial pain and dysfunction • Joint-related TMD, or TMD secondary to true articular disease Causes of TMJ syndrome • trauma • disease, • wear and tear due to aging • oral habits, such as chewing gum, tobacco, candy or ice grinding your teeth or clenching your jaw   Signs and Symptoms of TMJ syndrome • Pain in the jaw • Clicking and popping sound in the ear • Pain while chewing the food • Stiff and sore jaw muscles • headaches Treatment for TMJ syndrome ? general • including heat to the joint, •…

Heat and Cold therapy How it works When we apply Heat therapy, it improves circulation and blood flow to  that area due to increased temperature. Heat therapy can relax and soothe muscles and heal damaged tissue. Types Dry Heat therapy includes sources like heating pads, dry heating packs, and even saunas. This heat is easy to apply. Moist Heat therapy includes sources like steamed towels, moist heating packs, Theratherm heating pads that take moisture from the air, or hot baths. Moist heat may be slightly more effective as well as require less application time for the same results. Contraindications diabetes dermatitis vascular diseases deep vein thrombosis multiple sclerosis (MS)  Heat is useful for relieving: osteoarthritis strains and sprains tendonitis, or chronic irritation and stiffness in the tendons warming up stiff muscles or tissue before activity relieving pain or spasms relating to neck or back injury, including the lower back Cold…

The topic of concussion has been in the media quite frequently in the last several years. Top athletes, like Sidney Crosby, have definitely put concussion in the spotlight. Crosby was unable to return to his game for almost a whole year because of persistent symptoms related to concussion. Furthermore, research has shown that 96% of deceased ex-NFL players have a form of brain damage called Chronic Traumatic Encephelaphathy (CTE), which may be related to repeated head traumas like concussions. Safety Of Athletes Involved In Contact Sports This calls into question the safety of athletes involved in contact sports. In contact sports, there seems to be a higher incidence of these injuries. However, concussions do not just happen to the famous pro-athlete. They can happen to athletes playing at any level or any age. They can do more than take away playing time. Rowan Stringer, a high school rugby player, sadly…

Neck Pain Treatment Pain in your neck can happen for several different reason  . Neck Pain Treatment can help get you back on your feet quickly.  It can happen suddenly from an accident or fall.  Even sleeping in an awkward position can cause neck pain. Other times it can build up over several months or even years and gradually get worse. And sometimes, it may seem like there is no reason and you just wake up one day with neck pain. Neck Pain Treatment:  Possible symptoms you may feel The way you feel the pain can also vary depending on how the  injury happened. Some neck injuries will have just pain as the symptom. Other neck injuries will include pain but also have weakness and pins and needles as well. Sometimes you will have pain that is just in the neck itself. In other cases, pain is felt more in the…

Acupuncture: Neck pain Almost everyone will experience some sort of neck pain or stiffness during their lifetime. However, certain occupations appear to be predisposed to neck symptoms.  Acupuncture: Neck pain may be able to help. Manual laborers, for instance, have more symptoms than office workers.  The type of work seems to affect the risk. A person’s age and a history of twisting and bending during work can also contribute. Studies have shown acupuncture: Neck Pain to be effective in relieving certain types of neck pain.  This is especially true for neck pain  caused by whiplash. Some studies suggest acupuncture can treat degenerative neck disorders such as ankylosing spondylosis and cervical spondylosis.  In many cases, acupuncture: Neck pain has worked for patients whose conditions could not be solved using conventional approaches. ¬ Mechanism of action of Acupuncture: Neck pain Release of opioid peptides.Opioids are naturally occurring chemicals in the brain that…

A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is based on the bones and soft tissues affected or on the level of the fracture. Older people are at a higher risk of hip fracture because bones tend to weaken with age (osteoporosis). Multiple medications, poor vision and balance problems also make older people more likely to trip and fall — one of the most common causes of hip fracture. ? Signs and symptoms of a hip fracture include: • Inability to move immediately after a fall • Severe pain in your hip or groin • Inability to put weight on your leg on the side of your injured hip • Stiffness, bruising and swelling in and around your hip area •…

Benign paroxysmal positional vertigo(BPPV) Vestibular Systems • Comprises five sensory organs that provide your brain with information about head position and movements including head rotation, linear movements and static positions of the head relative to gravity • Five sensory organs including 3 semicircular canals and 2 otoliths   BPPV is a mechanical problem in the inner ear. It occurs when some of the  crystals that are normally embaded in gel in the ear become dislodged.  They then can move into one or more of the 3-fluid filled semicircular canals. Benign paroxysmal positional vertigo(BPPV) is  one  of the most common causes of vertigo. It creates a false sensation of spinning. • Benign: it is not life threatening • Paroxysmal: it comes in sudden, brief spells • Positional: it gets triggered by certain head positions or movements • Vertigo: a false sensation of rotational movement   Symptoms a)      Dizziness b)      Vertigo (sensation…

Why is baseline testing Concussions important? There are no  special tests to diagnose and gauge the severity of concussions.  Athletes are recommended to undergo baseline testing before the beginning of the sports season. Baseline test results are helpful  for most healthcare professionals  involved in an athlete’s concussion care. This includes Physiotherapists, Physicians, Concussion Specialists, and Vision Therapists.  Baseline tests let the Physiotherapist compare the before injury  function to the results of post concussion baseline testing. It’s a great tool  to measure the severity of concussions.  It helps therapists to make  treatment goals.  Safe return to sports following concussions can be determined with this tool.   Components of Baseline testing  Concussions   Impact Test, This is the gold standard test.  It  looks at different functions of your brain before and after concussion. It is a computer based test. It usually takes about 30 minutes. The test assesses your ability to process information, and remember…