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Cupping Therapy

Cupping involves the use of a container or vessel that is suctioned onto the skin.  The suction is achieved by creating a vacuum via manual air pump or traditionally by fire (fire cupping).

Uses/Benefits:

    • Improves/speeds up recovery from muscle soreness
    • Mobilizes scar tissue
    • Loosens tight muscles and improves range of motion
    • Decreases pain
    • Improves local circulation

Cautions to cupping:

    • Due to the suction of the cups onto the skin, you may find local bruising where the cups are placed.  These bruises will typically resolve within one to two weeks depending and are harmless.
    • If you are on blood thinners or have any conditions that cause you to bruise easily, please consult your practitioner first.

If you would like to discuss if cupping is right for you, contacts us to book a free 15 minute meet & greet with any of our Registered Massage Therapists or Physiotherapists.

Jonathan Chang, RMT

Why strengthening the Gluteus muscles (buttocks muscles) is so important?

The glutes are an incredibly powerful and important muscle. There are three layers to the glute muscles: gluteus minimus, medius, and maximus. Today we are focusing on the gluteus medius.

The gluteus medius muscle is the gluteal muscle that sits just above the prominent bone at the side of the hip. The primary function of this muscle is to abduct the hip (bring the leg out), but perhaps its more important function is to stabilize the hip, laterally (from the outside). This muscle is especially active when standing on a single leg, which is important for movements including walking, running, and changing directions. Weakness in this muscle can result in pain, soreness, and injury to the hip itself, the IT band, and the knee. Try the following exercises to keep the gluteus medius strong and functional.

Gluteus medius strengthening Exercises: (See video below for demo!)

Clamshells: repetitions = 10, sets = 2, both sides

Hip hike: repetitions = 10, sets = 2, both sides

Side straight leg raise: repetitions = 10, sets = 2, both sides

Banded side steps: repetitions = 10, sets = 2

Let us know how these exercises are working for you, and if there are more ideas that are needed, or problem solving around your injuries or pain, do not hesitate to contact us!  Book your Free 15-minute meet & greet today!

By: Chris Dahiroc, Physiotherapist

What does the shoulder blade have to do with our shoulder moving?

Scapulohumeral rhythm: What is it?

Refers to the coordination between the shoulder blade (scapula – “scapulo”) and the humerus (the bone that runs between the shoulder and elbow – “humeral”) during shoulder movements. It represents the ratio of movement that is done by the shoulder blade relative to the amount of movement done by the humerus when lifting the arm.

What muscles are involved?

Movement of the scapula is aided by the serratus anterior, and the upper and lower fibres of the trapezius. Whereas, movement of the humerus is initiated by the rotator cuff muscles which includes the supraspinatus, infraspinatus, teres major, teres minor, and subscapularis.

Image 1: Muscles Rotator Cuff (ref below)

What’s normal?

The action of raising the arm up and to the side (abduction) involves a 2:1 ratio of movement from the humerus relative to the scapula. So on an average abduction of 180 degrees – 120 degrees comes from the movement of the humerus while the remaining 60 degrees is achieved from the scapula.

What happens when the ratio is abnormal?

Abnormalities in this ratio is called scapular dyskinesia – which means an impairment in the scapular movement. When the scapula is moving abnormally it can lead to pinching of various structures within the shoulder causing pain when moving the arm.

What can we do?

When shoulder pain is the result of scapular dyskinesia the goals of treatment may include strengthening, stretching, and ultimately promoting proper scapulohumeral rhythm. Your therapist may test to see which muscles may be weakened or tight, assess for incorrect postures, and create individualized exercise prescriptions that allow for the restoration of proper scapulohumeral rhythm.

Contact us today to discuss if physiotherapy is right for you! Book your Free 15 minute meet & greet today!

By: Calvin Lee, Physiotherapist

References:

Image 1: File: Muscles Rotator Cuff.jpg. (2011, August 29). Physiopedia, . Retrieved 18:18, January 28, 2019 from https://www.physio-pedia.com/index.php?title=File:Muscles_Rotator_Cuff.jpg&oldid=44396.

Ankle injury and testing it’s impact on your balance

What to do following an ankle injury? How do you know if your balance has been affected?

Following an ankle or foot injury, proprioception can be negatively impacted and potentially increase the chance for future reoccurrence of injury or falls. Proprioception (or kinesthesia) is the sense though which our body is aware of where are our joints are in space. Common ankle and foot injuries that benefit from physiotherapy focused on strength and proprioception training include ankle sprains, plantar fasciitis, post ankle/foot fractures and tendonitis.

A study (Willems 2002) published by the Journal of Athletic Training looked at the effect of proprioception and muscle strengthening exercises in individuals with chronic instability and suggested that emphasizing on proprioception and strength training in the rehab program can help prevent recurrent ankle sprains.

The video below shows 2 examples of how to test your ankle balance. Make sure to try those with a stable surface close by for you to hold on to if you lose your balance. If you are unsure please do not try them.

Physiotherapist assess your range, balance, strength and your gait. Based on the assessment we provide you with a treatment plan including the appropriate exercises to help manage your symptoms and avoid re-occurrence of injury.

Contact us today to discuss if physiotherapy is right for you! Book your Free 15 minute meet & greet today!

Reference: Willems, T, Witvrouw E, Verstuyft J, Vaes P & Clercq DD, Proprioception and Muscle Strength in Subjects With a History of Ankle Sprains and Chronic Instability, Journal of Athletic Training (2002) Oct-Dec; 37(4): 487–493

By: Jie (Janet) Yang, Physiotherapist

Torticollis and Plagiocephaly: What is it? How can it affect your baby?

Baby in White OnesieTorticollis is a turning and/or tilting of the neck causing restriction in the available range of motion. This can cause the neck to be turned or tilted away from midline and difficult to move the head to a particular side. For example, the neck at rest can be turned towards the right and tilted towards the left, giving the appearance of a “twisted” position. Torticollis with this alignment can make it difficult to move the head in the opposite directions: rotating left and tilting right. The causes of torticollis can be from pain, stiffness, head/neck injury, or muscle spasm.
Torticollis can occur across the lifespan from newborns to adulthood. The difference for newborns and infants is that their skulls are largely cartilaginous and can be shaped. This combination of malleable shaping of the head and torticollis can result in a progressive flattening of a particular side or portion of the head due to any constant turning to a side, away from midline at rest. This flattening is referred to as plagiocephaly. Flattening can be congenital, developed in utero, or can be related to head position (i.e. with toricollis); in the latter case, the flattening is termed positional plagiocephaly and is often linked with torticollis. It is important to note that although toricollis and plagiocephaly affect the shape of the head, there are no direct affects on brain development or function.
If there are concerns with the baby’s neck range of motion or positioning, physiotherapy can help guide stretches and exercises to restore full range of motion. There are additional concerns with plagiocephaly, physiotherapy can help with establishing exercises are strategies to counteract this shaping.
Questions or concerns regarding your child? Book your 15 minute free consultation today! 

Remember to take care of you!

Coughing, sneezing and back pain- OH MY!

Lumbar spinal stenosis is a chronic condition characterized by a compression of the neural and/or vascular structures, which may lead to one side or two-sided pain/discomfort in the back, buttocks, thigh, calf and/or foot. Etiology: The compression arises as a result of a narrowing within the central spinal canal (as shown in the picture). This can be a result of traumas, motor vehicle accident, thickening of the osteoarthritic facet joints or bulging of degenerative discs.
Sign & Symptoms:
Tingling and numbness on both sides of low back, buttocks, thighs, calves and feet may lead to weakness with walking and prolonged standing aggravated by coughing & sneezing alleviated by sitting, prolonged rest or postural changes If you have any questions and concerns, please come in to see our physiotherapy team. We provide hands on treatment with individualized exercises program to get your back better and stronger!
If you have any questions or concerns, please do not hesitate to contact us today! 

Piriformis Syndrome- A Pain in the Butt (LITERALLY!)

Have you experienced buttock pain? Have you being told that you have sciatica? Do you know that piriformis syndrome can also cause pain that resembles sciatica?

Piriformis muscle is located in the buttock region. When it spasms/swells/gets tightened, it can irritate the sciatic nerve that passes through the muscle. This leads to tenderness in the buttock, tingling/numbness along the back of the leg, and sometimes into the foot. You might have increased pain after prolonged sitting, reduced movement of the hip and pain with walking up stairs.

There is a quick 2 minute video that describes piriformis syndrome and sciatica. Please come in for a 15 minute free consultation if you have any questions.

 

By: Jie (Janet) Yang, PT.  

 

If you have any questions or concerns, please don’t hesitate to contact us today for you FREE 15 minute meet and greet!