The custom knee braces are useful for many reasons.  The most common reasons are to correct alignment or stability of the knee.  Therefore, the brace allows people to continue to be mobile and active despite their knee injury or pain.  At PhysioNow, we have custom knee braces available from DonJoy, Breg and Ossur.  A Registered Physiotherapist with training in knee braces  will recommend and measure the brace that’s the most appropriate for the needs of the patient. Types of Custom Knee Braces There are different types of braces for different types of knee conditions.  The custom knee brace needs to be specific to the condition for it to be effective.  Some examples of the types of custom knee braces include: Brace for ligament instabilities The main ligaments of the knee that give the knee stability are the ACL, PCL, MCL and LCL.  These injuries occur during sports or recreational activities…

2021 is definitely an interesting year to reflect on.  The Covid-19 pandemic certainly creates a new and different challenge for physiotherapy.  Let’s have a look at the most popular reasons why people came in for treatment at PhysioNow in 2021! Reason #1:  Neck & Back Pain Neck and back pain are definitely the most common symptom that led people to PhysioNow in 2021.  This was due to several different factors.   The most important being that majority of office staff shifted to working from home.  This means that they are working in home offices that are not always ergonomically correct.  Additionally, most people who work from home end up spending more time sitting in front of their screens without getting up and moving around.  As a result, stiffness in the back is produced and continues to progress and become painful. Reason #2: Shoulder Pain Shoulder pain is another popular reason for…

What is Low Back Pain? Low back pain physiotherapy is one of the most commonly sought out treatments.  More specifically, low back pain can be very debilitating.  Consequently, people want to find ways to help manage their symptoms so that they can return to their usual lifestyles. Research says several reasons have been identified as possible causes of low back pain.  For example: Sedentary life-style Industrial work Poor posture Depression High body mass index Poor ergonomics at work More specifically, 60-70% of people are suffering from mechanical low back pain. Importantly, it is important to realize that low back pain is a condition and not a disease.  Therefore, the exact cause of the pain is often difficult to chase.  However, despite this, physiotherapy treatment for mechanical low back pain is very effective. What is a low back sprain/strain? Low back strain/sprain can happen suddenly or with doing repetitive movements overtime. …

What is a concussion? Concussion management is important for the recovery of a concussion, which is a form of a traumatic brain injury.  A concussion results from getting either a direct or indirect trauma to the head.  The trauma to the brain produces changes in the brain chemistry that can result in a wide variety of symptoms.  These symptoms can clear up within a couple of weeks.  However, for some people the symptoms can last for several weeks and months. How do you know that you have a concussion? A concussion injury results in a unique set of symptoms and limitations.  The signs and symptoms of a concussion include: Headache Dizziness Nausea and/or vomiting Sensitivity to light Sensitivity to sound Sleep disturbance Excessive fatigue Poor concentration Feeling frustrated or impatient Visual disturbances Poor balance Taking longer to think Restlessness Fogginess These symptoms require some form of concussion management to improve…

Tendonitis is a common diagnosis for many people.  Tendonitis means that the tendon structure has been altered in some way resulting in weakness in the structure.  There are different degrees of severity of tendonitis. What are tendons? Tendons are found at the end of the muscle and act like a flexible cord.  Tendons connect muscles to other body parts, usually bones.  The function of the tendon is to pull on the structure that they are attached to when the muscle is working.  For example: When you do a biceps curl, the biceps tendon pulls the forearm bones up, bending your elbow. As you are walking, the Achilles tendon pulls the heel bone up which moves the foot downwards. When you raise your arm, the rotator cuff muscles pull on the shoulder bone and move your arm up Therefore, the main function of tendons is to carry load and produce movement.  As…

What is Carpal Tunnel Syndrome? Carpal tunnel syndrome can be a very debilitating condition that affects the use of your hand.  It is caused by pressure on the median nerve in the carpal tunnel of the wrist.  The carpal tunnel is a narrow passageway on the palm side of the hand.  The median nerve passes through this tunnel, along with tendons and blood vessels.  This small area allowed for the median nerve, makes this a prime location for nerve compression to happen. What are the symptoms of carpal tunnel syndrome? Carpal tunnel syndrome results in a characteristic set of signs and symptoms.  More specifically, these include: Pain, tingling, numbness or burning into the thumb, index, middle and ring fingers Pain on the palm side of the wrist and forearm Weakness into the hand, thumb and fingers Inability to grip strongly through the hand and a tendency to drop things Loss…

Falls prevention programs play an important role in the health of the elderly population.  Falls and the complications associated with them are a huge issue.  It affects many aspects of society including health care spending and caregiver stress.  Furthermore, the resulting injuries and effects from a fall can be very serious, both for the patient and the family involved.  At PhysioNow, our Registered Physiotherapists can help protect your loved ones from falls.   Causes of Weakness & Frailty in the Elderly The reasons for weakness, loss of function/mobility and frailty in the elderly may include: Genetics Some physical characteristics or conditions may have a strong genetic component For example, osteoarthritis may be influenced by genetics and can significantly affect a person’s ability to be mobile and active Disease/Conditions Any disease that affects the strength and/or mobility of a patient will place the individual at risk of falling as the condition…

Why do I have back pain? If you have had low back pain, you are not alone.  Back pain is one of the most common reasons people see a doctor or miss days at work.  Even school-age children can have back pain.  Having some tips for back pain will help people manage their symptoms on a regular basis. Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain.  It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Low back pain is caused by common causes like: Poor posture Sitting for long hours Awkward movements Excessive use of lower back muscles causing overuse injuries Inappropriate ways of lifting weights Trauma Frequent Bending Forward Degenerative conditions What are the types of back pain? There are two types of back…

  Physiotherapy for ankle sprains is an important part of recovery.  There are many different types of ankle injuries.   Ankle sprains are one of the most common injuries that lead people to seek out treatment at PhysioNow.  However, some people choose to let an ankle sprain recover on its own without the help of a Registered Physiotherapist.  Unfortunately, this can prevent full recovery of the injury and result in long term issues with the ankle. What is an ankle sprain? An ankle sprain happens when there is injury to one of the ligaments of the ankle.  More specifically, a ligament is a soft tissue structures that connects a bones to bones.  Ligaments provide stability to the ankle joint.  This means that they keep the ankle secure and able to react to a variety of movements and forces. There are 3 main sets of ligaments that help stabilize the ankle: Lateral ligaments…

What causes knee pain? Managing knee pain is a common concern for many people.   It can feel too difficult and there is always a fear of making the pain worse. Especially, when knee pain can be caused by several different reasons.  For example: Muscle and tendon strains Ligament sprains Bursitis Osteoarthritis Meniscus tears Patellar-femoral pain Dislocations Post-Surgery What can I do to help manage my knee pain? There are several things that you can try to help reduce or solve your knee pain on your own.  Apply heat or ice An easy home remedy for managing knee pain at home is applying either heat or ice to the area.  However, there is always some confusion about whether heat or ice is the better option.  As a general rule of thumb we say:  If there was a sudden trauma and the area is showing signs of inflammation, such as swelling and…