Articles

Why does Aquatic Therapy Benefit Rehabilitation and Development?

In today’s age, the volume of physical therapy services available at our fingertips is unending. Because of this, finding one that fits your needs and allows you to effectively return to a healthy routine can be a challenge. We compare it to shoe shopping. With so many different styles and fits, finding the one shoe that’ll rocket you to the moon requires some effort. Likewise, finding your ideal therapy provider requires the same amount of energy.  In most cases, our primary physicians can be a great starting point, but without the right questions and insight, you may end up back where you began. For this reason, it’s important to go a step further and connect with a local physical therapy provider like PRI to see what options are available to you.

When arriving at the rehabilitation phase of your recovery, the ultimate goal is to choose a no-risk therapy that’ll lessen recovery times, while still getting you back to an uninterrupted lifestyle. Typically, your rehabilitation options will range from a menu of traditional flat land therapies, which are still extremely effective injury recovery solutions. However, many people aren’t aware that their options don’t have to stop there.

Thanks to advancements in technologies and accessibility, a lesser-publicized therapy, known as aquatic therapy, is steadily becoming a highly endorsed secondary option for a range of injury cases. Given the countless mental and physical benefits provided through H2O, everyone from elite-level athletes, to stroke survivors are benefitting from this low-impact, high-return therapy.

Due to the decreased weight-bearing conditions of the aquatic environment, aquatic therapy allows patients to move with less restriction and less stress on their body. Because of this, a patient with severe Osteoarthritis may not be able to walk the stairs in their home; however, since their body weight decreases in the water, they may be able to perform step-ups in an aquatic environment. Consequently, this allows for increased activation of the proper muscles needed to improve the step-up motion, which ultimately can help improve the patient’s ability to perform stair negotiation in the home.

Also, as we mentioned, post- or pre-surgical patients that would otherwise be restricted in their ability to perform land-based therapy, are able to begin therapy sooner in the water. In doing this, water therapy helps increase the patient’s ability to start proper muscle recruitment and increase range of motion without increased pain.

If you have sustained a sports injury, suffer from osteoarthritis and a slew of other musculoskeletal conditions, please see a specialist at the PRI clinic. This multi-disciplinary team is specifically trained to properly introduce their body to aquatic therapy, which will allow a remarkable improvement in their lifestyle. To book a consultation, please call or follow these links.

 

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

We look forward to helping you out!

How to deal with Depression in a State of Chronic Pain

Chronic pain is usually defined as any persistent or intermittent pain that lasts more than 3 months, which can be categorized along a variety of dimensions, including one of the most important divisions, neuropathic versus nociceptive pain. Neuropathic pain is induced by a lesion or disease involving the nervous system, and nociceptive pain occurs as a consequence of actual or threatened damage to nonneural tissue.

Chronic pain is a major public health problem, with epidemiological studies reporting that in the USA and Europe, approximately one fifth of the general population are affected. Additionally, as one of the most common and disabling mental disorders, depression has been reported to be the third leading contributor to the global disease burden. Clinical studies have revealed that chronic pain, as a stress state, often induced depression and that up to 85% of patients with chronic pain are affected by severe depression. Patients suffering from chronic pain-induced depression exhibit a poorer prognosis than those with chronic pain only; and chronic pain and depression are closely correlated in terms of occurrence and development and are able to mutually promote their own severity progress.

To date, neither the corresponding pathophysiological mechanisms of chronic pain and depression nor their mutual correlation has been identified, which poses a huge challenge for the treatment of pain accompanied by depression. However, in recent years, studies have revealed considerable overlaps between pain- and depression-induced neuroplasticity changes and neurobiological mechanism changes. Such overlaps are vital to facilitating the occurrence and development of chronic pain-induced depression. In particular, injury sensory pathways of body pains have been shown to share the same brain regions involved in mood management, including the insular cortex, prefrontal cortex, anterior cingulate, thalamus, hippocampus, and amygdala, which form a histological structural foundation for the coexistence of pain and depression.

A chiropractic doctor is an excellent person to consult when you are experiencing depression, especially if you are unsure what is causing your symptoms. The chiropractor will give a thorough examination and will hopefully find places within the spine that could benefit from manipulation. Adjustments to certain part of the body will allow blood to flow more freely and can relax the muscles. This stress relief can be quite therapeutic for those with depression.

Some people with depression may find that imbalances within their body were contributing to their symptoms. If spinal vertebrae are out of place, it can place pressure on the surrounding nerves. Since the nervous system circulates throughout our bodies, a blocked nerve in the lower back can actually affect all sorts of places in the body. Once a chiropractor has identified a problem area, symptoms can often be alleviated after one adjustment. The chiropractor will recommend a regimen that will more than likely include regular visits and perhaps other related treatments such as massage.

People who suffer from depression that are considering trying chiropractic should also consult their primary care physician and therapist if they have one. When approaching an illness such as depression, a multidisciplinary approach can often be the most effective. Studies have shown that certain people respond better to different treatments, so adding chiropractic into the list of options will allow more people than ever to find relief from depression-related symptoms, many of which can be severely debilitating.

Chiropractic care as part of the healthcare team can play an important role in the assessment and management of chronic pain related to depression condition. More and more studies are providing evidence of effective relief of chronic pain and depression through chiropractic treatment.

For more info on how to take control of your health, and tackle chronic pain in a smart way, please reach out to:

Phone: (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

 

Swimmer’s Shoulder: Signs, Symptoms, and Treatment

Your shoulder complex was made to accomplish the greatest range of motion while maintaining the most degrees of freedom of all the body’s joint systems. Approximately, 90 percent of all swimmer’s complaints they bring to their physiotherapist or doctor are related to problems with their shoulders, and one of the most notable is a condition known as swimmer’s shoulder.

At PRI, we are committed to helping you return to your active lifestyle if you’ve developed swimmer’s shoulder (or any other injury.) We are your go-to orthopedic specialists, and will work to get you back in the water as soon as possible.

What is Swimmer’s Shoulder?

Swimmer’s shoulder, also called shoulder impingement, is a condition where swimmers often aggravate their shoulders while they swim due to the constant joint rotation. If you’re an enthusiastic swimmer, it’s likely you’ve had or will have swimmer’s shoulder. You might even suffer from shoulder pain by swimming frequently during the summertime.

Your shoulder is an extremely mobile joint and because of this, it needs to be controlled well by the ligaments and muscles surrounding the joint. You can overwork your ligaments and muscles with things like:

 

Poor technique Tightness Over-training
Fatigue Hypermobility Previous shoulder injury
Use of too large hand paddles Rotator cuff tears If you continuing doing this, certain injuries can occur like:
Ligament and capsule damage Bursitis Tendonitis and rotator cuff impingement

 

You can rotate your shoulder many times (thousands) in just an hour by simply swimming freestyle. This repetitive movement tires out your rotator cuff muscles and being positioned improperly will cause your surrounding tissues and muscles to rub against one another.

The irritation and inflammation that occurs afterward can begin causing pain if you keep on swimming. And, your shoulder will keep on feeling this way unless you reduce the inflammation properly as well as retrain and stretch the rotator cuff muscles.

Swimmer’s Shoulder’s Treatment

Identifying the involved tendons or muscles, the severity or stage of the problem and receiving proper diagnosis will result in the most efficient treatment. A proper plan of treatment includes:

  1. Applying ice. Apply directly to the shoulder after training for around 20 minutes.
  2. Use anti-inflammatory medications. Use for a few days after the injury to reduce inflammation.
  3. Rest. This might mean total rest with no swimming for about 24 to 48 hours depending on the severity. Or, you may be able to swim, but decrease yardage while you avoid butterfly, backstroke or kicking only with your arms at your side. Wait a few days until you’re free of pain before you resume swim training.

4.. Get professional passive care. This might include things like:

 

Interferential current Cross friction tendon massage
Ultrasound Adjustments to your neck or shoulder
Trigger point work Post-isometric relaxation of the muscles involved

 

  1. Do rehabilitation exercises. These will strengthen your weak muscles (particularly your external shoulder rotators). You perform these exercises with minimal weights (three to five pounds) and perform them in an extremely controlled, specific manner. Perform these exercises a few time a week if you’ve ever had problems with your shoulders. Typically, it’s said that for each day you swim on a bad shoulder, you’ll require one day of rehab.

 

  1. Modify your swimming training. It’s often said hand paddles aren’t good for your shoulders. Certain types of fins keep your body elevated in the water; therefore, they might help if you begin experiencing small problems with your shoulders during your workout. Ask the coach or a friend to check your body and arm position. They may even want to videotape you so you can take a look and the coach can discuss the stroke mechanics with you.

Physiotherapy Treatment

To complement one or more of the above treatments, a physiotherapy program is often a beneficial and necessary treatment for recovering from swimmer’s shoulder.  The physical therapist or orthopedist can stretch and massage your rotator cuff muscles manually since they can be hard to reach. This releases tension and helps prevent further irritation.

 

The orthopedist likely have you perform custom exercises if you’ve healed enough, to target your rotator cuff muscles. By strengthening up these muscles, it can help provide shoulder joint support during activity, helping make it more resistant to injury in the future. Your shoulder orthopedist may additionally help you recondition your shoulder to prevent it from becoming a weak spot down the road.

Sports rehabilitation often benefits athletes and this can help you continue swimming while rehabilitating and implement different techniques to keep pressure off the joints of your shoulders. It’s also important to warm up and cool down your muscles before and after swimming.

What treatments does PRI offer for shoulder pain?

At PRI, we specialize in a variety of techniques aimed at alleviating nagging pains and increasing mobility to aching shoulders. After correctly identifying the source of the pain, they employ extensive mobility stretches and exercises aimed to release tension to the area and increase blood flow. If the issue stems from subluxations (spinal misalignment), a full spine and body approach will be taken over an isolation treatment. It is important to remember to practice proper technique with and without doctor supervision. Physical health is after all a full time endeavor. Taking home these exercises and executing them regularly will lead to a stronger and more resilient shoulder.

To find out how we can help you, please contact us at:

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

Benefits of Aquatic Therapy for Young Children with Autism

 

There are different treatments that can be used to help children with autism. When a child is diagnosed with this condition, medical experts come up with a therapy program that can be used in the treatment process. One of the most effective forms of therapy is aquatic therapy. This therapy involves the use of water and it plays an important role in enhancing the child’s quality of life and improving productivity. Therapists use specifically designed water activities to help in restoration, improvement, and enhancing quality functions of a child with Autism.

Physical benefits of the therapy

According to research, water is the ideal medium for body rehabilitation or exercise. The water provides an ideal environment, which helps to reduce body weight by up to 90%. The warm water decreases stress or affect the body while also reducing spasticity and relaxing muscles. By engaging in specific well-directed water activities, the child is able to gauge his or her own body boundaries much better. The child is able to regulate the force that the body exerts when performing tasks or playing and this helps to improve posture, balance, and coordination.

Dealing with sensory issues

Children who have autism often have significant sensory difficulties that are usually very distractible. The children often have strong reactions to different textures and they can over or under react to different stimuli in the environment. The therapist starts by evaluating the water temperature as well as noise and other distractions in the water. When all the factors are taken into consideration, the water helps to provide a safe environment that supports the child while also providing him or her with necessary hydrostatic pressure. Many children are able to tolerate touch better after aquatic therapy.

Improving the child’s social skills

Group therapy sessions can help children with autism to improve their social skills. The training includes sessions that target specific skills. During these group sessions, the children work with the therapist and other children. They learn how to engage with their group mates, while also sharing toys and equipment. By experiencing cooperative and competitive play, the children develop a mental attitude and increased self-confidence. Clinicians report a substantial improvement in initiating and maintaining eye contact during and after the therapy sessions.

Help with cognitive improvements

Pediatric aquatic therapy can help children with Autism to improve their concentration and attention span. The therapy focuses on play-based functional movement, facilitating neurodevelopmental growth and improving range of motion. The therapy improves body awareness, while also helping the children to have fun. The one-on-one session can help children with autism when it comes to impulse control, ability to follow instructions and frustration tolerance.

There are numerous benefits of aquatic therapy and specialists are able to teach the children about water safety. Despite the benefits, do note that children with Autism often present safety risks when they are in the pool and their distracted nature can be a real problem, so it is important to ensure intense supervision when these children are in the water.

If you have a child with Autism, please see a specialist at the PRI clinic. This multi-disciplinary team is specifically trained to properly introduce their body to aquatic therapy, which will allow a remarkable improvement in their lifestyle. To book a consultation, please call or follow these links.

 

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

We look forward to helping you out!

Chiropractic for Chronic Pain

Clinicians in all settings can teach their patients to use relaxation, meditation, hypnosis, guided imagery, and other techniques that utilize the mind-body connection to achieve relief from chronic pain conditions. The key for providers is to build a good rapport with their patients, be aware of the power of suggestion and the language that they use when creating expectations in patients, and to practice what they preach when it comes to these techniques. Another technique that was shown to be very effective for chronic chronic low-back pain and chronic neck pain is chiropractic care.

One such study recruited 125 chiropractic clinics from six U.S. cities Because of the vigorous participation and dedication of these clinics, survey data from over 2,000 chiropractic patients with chronic low back and/or neck pain was collected. The data included three-month longitudinal surveys as well as chiropractic chart data for the majority of respondents.

Preliminary study findings were presented to expert appropriateness panels on manipulation and mobilization for chronic low back pain and chronic neck pain. Results were shared at numerous academic conferences, including the International Congress for Integrative Medicine and Health, the American Public Health Association, and multiple chiropractic professional conferences.

Data were collected from chiropractic patients using multistage systematic stratified sampling with 4 sampling levels: regions and states, sites (ie, metropolitan areas), providers and clinics, and patients. The sites and regions were San Diego, California; Tampa, Florida; Minneapolis, Minnesota; Seneca Falls and Upstate New York; Portland, Oregon; and Dallas, Texas. Data were collected from patients through an iPad-based prescreening questionnaire in the clinic and emailed links to full screening and baseline online questionnaires. The goal was to focus on patients with Chronic Low-Back Pain (CLBP) and Chronic Neck Pain (CNP) from each clinic.

6342 patients at 125 clinics completed the prescreening questionnaire, 3333 patients started the full screening questionnaire, and 2024 eligible patients completed the baseline questionnaire: 518 with CLBP only, 347 with CNP only, and 1159 with both. In general, most of this sample were highly-educated, non-Hispanic, white females with at least partial insurance coverage for chiropractic care who have been in pain and using chiropractic care for years. Over 90% reported high satisfaction with their care, few used narcotics, and avoiding surgery was the most important reason they chose chiropractic care.

Chiropractic care as part of the healthcare team can play an important role in the assessment and management of chronic pain related to MSK conditions. More and more studies are providing evidence of effective relief of chronic pain through chiropractic treatment.

For more info on how to take control of your health, and tackle chronic pain in a smart way, please reach out to:

Phone: (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

Shoulder Pain Q & A

One of the most common forms of pain, shoulder pain, isn’t only an annoyance but it can have a huge detrimental effect on your quality of life. PRI in Toronto, Ontario has doctors well versed in tackling all forms of shoulder pain. See Dr. Bob Grossman, or Dr. Vlad Levitin for the pain relief you need today to improve your life tomorrow

 

What are the different forms of shoulder pain?

The primary sources of shoulder pain are:

Bursitis: Inflammation of the bursae, small fluid sacs that act as cushions between bones

Tendonitis: Acute or chronic inflammation of the shoulder tendon

Tendon and muscle tears: Damage to soft tissue that can go from acute to a chronic condition

Dislocation: Can stretch or loosen muscles and tendons creating shoulder instability

Impingement: When movement of the shoulder impinges on the tendons and bursa

Arthritis: Osteoarthritis, or wear and tear arthritis causing chronic pain with age

Fracture: Broken bones usually due to sports impacts or auto collisions

 

What are the causes of shoulder pain?

The primary causes of shoulder pain are:

Impact injuries: Most often sports related, or motor vehicle accident related

Age related wear and tear

Stress or inflammation of the joint and surrounding muscles and tendons

Repetitive motion injuries

You should never dismiss shoulder pain that occurs without physical trauma as normal. Other causes of shoulder pain include avascular necrosis, bone tissue deterioration due to low blood supply and a brachial plexus injury, a case of a stress or tear in the nerves that communicate between the spine and shoulder area.

 

What treatments does PRI offer for shoulder pain?

At PRI, we specialize in a variety of techniques aimed at alleviating nagging pains and increasing mobility to aching shoulders. After correctly identifying the source of the pain, they employ extensive mobility stretches and exercises aimed to release tension to the area and increase blood flow. If the issue stems from subluxations (spinal misalignment), a full spine and body approach will be taken over an isolation treatment. It is important to remember to practice proper technique with and without doctor supervision. Physical health is after all a full time endeavor. Taking home these exercises and executing them regularly will lead to a stronger and more resilient shoulder.

To find out how we can help you, please contact us at:

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

What is aquatic therapy?

Aquatic therapy (or water therapy) uses the natural buoyancy of water to facilitate exercise without the compressive loading forces present with routine land-based physical therapy programs.

What Is Aquatic Physical Therapy?

For patients who are in pain and are weakened due to an injury or disability, aquatic therapy offers the perfect solution to begin treatment. Water therapy sessions are conducted in PRI physiotherapy pool. The natural buoyancy of water reduces stress on the body and helps patients exercise easier with less pain. Plus, the natural pressure of water in therapy pools reduces joint and soft-tissue swelling and provides enough resistance to strengthen muscle.

 

PRI’S Aquatic Therapy Drives Results

 

Fully-equipped, state-of-the-art outpatient orthopedic facilities

Highly trained, licensed clinicians

Virtually all insurances accepted

Patients do not need to know how to swim

 

Aquatic therapy helps improve certain medical conditions

These conditions include:

Arthritis Arthroscopic surgery recovery Autism
Balance disorders Aquatic Video LibraryBursitis Cerebral palsy
Chronic pain Depression Idiopathic joint pain
Joint reconstruction surgery recovery Joint replacement surgery recovery Lower back pain
Osteoarthritis Orthopedic injuries Parkinson’s disease
Multiple sclerosis Rheumatoid arthritis Scoliosis
Stress Spinal cord injury Sprains and strains
Stroke Tendonitis Traumatic Brain Injury

 

If you have been affected by these chronic debilitating conditions, please see a specialist at the PRI clinic. This multi-disciplinary team is specifically trained to properly introduce your body to aquatic therapy, which will allow your body to achieve a remarkable improvement in your lifestyle. To book a consultation, please call or follow these links.

 

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

We look forward to helping you out!

Opioid Abuse With Chronic Pain and Management

More than 30% of North Americans have some form of acute or chronic pain. Among older adults, the prevalence of chronic pain is more than 40%.  Given the prevalence of chronic pain and its often disabling effects, it is not surprising that opioid analgesics are now the most commonly prescribed class of medications in the United States.  In 2014 alone, U.S. retail pharmacies dispensed 245 million prescriptions for opioid pain relievers. Of these prescriptions, 65% were for short-term therapy (<3 weeks), but 3 to 4% of the adult population (9.6 million to 11.5 million persons) were prescribed longer-term opioid therapy. Although opioid analgesics rapidly relieve many types of acute pain and improve function, the benefits of opioids when prescribed for chronic pain are much more questionable.

However, two major facts can no longer be questioned. First, opioid analgesics are widely diverted and improperly used, and the widespread use of the drugs has resulted in a national epidemic of opioid overdose deaths and addictions. More than a third (37%) of the 44,000 drug-overdose deaths that were reported in 2013 (the most recent year for which estimates are available) were attributable to pharmaceutical opioids; heroin accounted for an additional 19%. At the same time, there has been a parallel increase in the rate of opioid addiction, affecting approximately 2.5 million adults in 2014. Second, the major source of diverted opioids is physician prescriptions. For these reasons, physicians and medical associations have begun questioning prescribing practices for opioids, particularly as they relate to the management of chronic pain. Moreover, many physicians admit that they are not confident about how to prescribe opioids safely, how to detect abuse or emerging addiction, or even how to discuss these issues with their patients.

The good news for chronic pain sufferers is that there is care available. Conservative care, including chiropractic, can help to alleviate acute and chronic symptoms as well as correct underlying mechanical dysfunctions and recommend exercises to keep the body moving. One such program for chronic pain management was developed by Dr. Carlo Ammendolia, DC, PhD, at the University of Toronto and Mount Sinai Hospital. Dr. Ammendolia’s evidence-based boot camp program helps spinal stenosis patients by providing strategies for self-management, decreasing pain and increasing function through guided exercise and manual therapy. Patients who have attended the boot camp report increased mobility, reduced pain and a greater quality of life.

Such interventions are also valuable for other Musculo-Skeletal (MSK) pain sufferers. A 2012 U.S. study has revealed that patients receiving chiropractic treatment combined with exercise for chronic neck pain were twice as likely to become pain-free than those receiving medication.

The study followed 272 neck-pain patients for 12 weeks. The patients were randomly assigned to one of three groups: 91 to the spinal manipulation therapy group, 90 to the medication group and 91 to the home exercise group.

The results of the study are encouraging for chronic pain sufferers who prefer not to take medication to manage their pain:

32% of those receiving only chiropractic care became pain-free

30% of those exercising became pain-free

13% of those treated with medication for chronic pain became pain-free

Chiropractic care as part of the healthcare team can play an important role in the assessment and management of chronic pain related to MSK conditions. More and more studies are providing evidence of effective relief of chronic pain through chiropractic treatment.

For more info on how to take control of your health, and tackle chronic pain in a smart way, please reach out to:

Phone: (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

 

How to improve poor foot mobility

Dorsiflexion is the action of raising the foot upwards towards the shin. It means the flexion of the foot in the dorsal, or upward, direction.

People use dorsiflexion when they walk. During the middle stages of weight bearing and just before pushing off the ground, the foot will reach its end range of dorsiflexion.

If there are problems with dorsiflexion, then the body will compensate naturally, which in turn can cause issues elsewhere.

For a movement to be considered dorsiflexion, the foot should be raised upward between 10 and 30 degrees.

Dorsiflexion uses the muscles in the front part (anterior) of the foot.

The tendons of the muscles that pass through the front of the foot and into the ankle joint include:

tibialis anterior

extensor hallucis longus

extensor digitorum longus

These tendons are located on the front of the leg and are supplied by the deep peroneal nerve. Damage to this nerve can stop a person from being able to raise their foot.

Plantar flexion is the opposite of dorsiflexion and involves moving the foot in a downward direction, toward the ground.

Plantar flexion occurs when the foot is moved downward between 20 and 50 degrees.

The muscles whose tendons cause plantar flexion are located on the back (posterior) and inside of the leg, and pass into the back of the foot via the ankle joint. These include:

tibialis posterior

flexor digitorum longus

gastrocnemius

soleus

Possible injuries

Whenever a person is standing upright, their foot is the only part of their body in contact with the ground.

This means that any interaction between the foot and the ground goes through the ankle and then the rest of the body in a kinetic chain.

As a result, problems in the foot and ankle can affect every other part of the body. Often, it is the knees that are affected first, then the hips and back, and eventually the shoulders and neck.

If someone cannot raise their foot upward or the movement is limited, then they may have poor dorsiflexion.

Causes

The possible causes of poor dorsiflexion include:

Ankle joint restriction: This is when the ankle joint itself is restricted. This can result from scar tissue in the joint or a tight joint capsule. A joint capsule is connective tissue filled with fluid that serves as a type of natural ‘hinge’ in the body.

Flexibility deficit: Dorsiflexion problems can occur when the muscles in the calf, known as the Gastroc/Soleus complex, are tight and cause restriction.

Genetics: Poor dorsiflexion can be linked to a person’s genetics.

Ankle injury: If a sprain has not healed properly, a person may limit their movement to avoid pain. Doing this consistently will tighten the joint capsule and cause scar tissue, which limits dorsiflexion.

Other injuries: Damage to the lower body, and even the hip and back, can make a person modify the way they walk and affect their dorsiflexion.

Any dorsiflexion problems that occur can carry on up the body and cause injuries from the knee all the way to the shoulder. This domino effect can work in both directions.

Depending on the cause of limited ankle dorsiflexion, there are different exercises to help improve it.

Tight calves

A limited dorsiflexion caused by tight calves can be improved by stretching the calves. Helpful stretches include:

Gastrocnemius stretch: Keep the back leg straight with front knee forward until feeling a stretch. Hold for 20 seconds.

Soleus muscle stretch: Lean against a wall with the leg that needs stretching at the back. Bend the knee with heel on the ground until feeling a stretch. Hold for 20 seconds.

Stretching on a step: Place foot on a step and then lower heel down to the ground until a stretch is felt and hold for 20 seconds.

Joint restriction

Dorsiflexion problems caused by joint restriction can be reduced using exercises, including:

Squats and lunges: One of the easiest ways to improve dorsiflexion.

Training barefoot: Shoes can be restrictive, so if a person trains barefoot the ankle will dorsiflex naturally.

It is important to stretch properly as the wrong technique can make the exercise useless or could cause more problems.

Unless there is permanent damage to the ankle due to trauma, restriction and muscle tightness causing dorsiflexion problems can be improved over time through specific exercises.

Injuries

With any injury, it is important to ensure adequate recovery and rehabilitation time. Rushing back to activities too early can cause further problems.

Ankles are load bearing, so it is important to give them rest by minimizing walking and prolonged standing after an injury.

To find out how we can help you, please contact us at:

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

What is improved by aquatic therapy?

Did you know that certain conditions and injuries are best treated while you are in the water?

These conditions include:

Arthritis Arthroscopic surgery recovery Autism
Balance disorders Aquatic Video LibraryBursitis Cerebral palsy
Chronic pain Depression Idiopathic joint pain
Joint reconstruction surgery recovery Joint replacement surgery recovery Lower back pain
Osteoarthritis Orthopedic injuries Parkinson’s disease
Multiple sclerosis Rheumatoid arthritis Scoliosis
Stress Spinal cord injury Sprains and strains
Stroke Tendonitis Traumatic Brain Injury

 

After an initial evaluation, a licensed physical therapist may design an individualized comprehensive treatment plan for you that may include aquatic therapy. By conducting your care in water that is maintained at therapeutic temperatures, you will have greater control over your movement with less pain as your body is partially supported by the buoyancy of water.

This particular type of therapy is used to treat a variety of medical conditions and diseases such as arthritis, multiple sclerosis, strokes, Parkinson’s disease, obesity and muscular dystrophy. The use of water allows you to function at levels that are not possible outside of this environment, which affords positive physical gains. The ultimate goal of aquatic therapy is to progress you to a more functional, land-based program.

An aquatic therapy plan of care can help a patient achieve:

Less pain with normal, everyday activity

Improved endurance throughout the day

Greater ability to perform the activities that matter most to you

Improved balance and coordination

 

If you have been affected by these chronic debilitating conditions, please see a specialist at the PRI clinic. This multi-disciplinary team is specifically trained to properly introduce your body to aquatic therapy, which will allow your body to achieve a remarkable improvement in your lifestyle. To book a consultation, please call or follow these links.

 

Tel:      (416) 477-1101

E-mail: reception@priclinic.com

Web:   www.priclinic.com

We look forward to helping you out!