Chronic Pain Archives - Form & Function Physiotherapy, Chiropractor, Massage

Knee pain in Markham depicted by a person holding their knee in pain, illustrating potential sports injury or joint discomfort.

September 3, 2024

By Afshin Shams 0 Comments Chronic Pain, Health Talk, Health Tips, Learn, Markham, Physiotherapists, Team - Markham

Effective Knee Pain Treatment in Markham for Active Men and Women

Common Causes of Knee Pain in Active Adults

Knee pain is a common issue among active adults in our Markham community. Understanding the root causes is crucial for effective treatment and prevention. Let’s explore the main factors that contribute to knee pain in our community.

Osteoarthritis and Its Impact on Knee Health

Osteoarthritis is a common cause of knee pain among middle-aged to senior adults. This degenerative joint condition occurs when the protective cartilage that cushions the ends of your bones wears down over time. At Form & Function Markham, we frequently see patients dealing with the effects of osteoarthritis on their knee health.

The impact of osteoarthritis on knee health can be significant. Patients often experience pain, stiffness, and reduced range of motion in their knees. These symptoms can make daily activities like climbing stairs or getting up from a chair challenging. For our active patients in Markham, osteoarthritis can also interfere with sports and exercise routines.

While osteoarthritis is a progressive condition, there are many effective treatment options available. At our clinic, we develop personalized treatment plans that may include physical therapy, targeted exercises, and innovative therapies like cold laser treatment. Our goal is to manage pain, improve joint function, and help you maintain an active lifestyle despite osteoarthritis.

Sports-Related Knee Injuries in Markham

Our active community in Markham and Unionville often faces sports-related knee injuries. These can range from minor sprains to more severe ligament tears. Common injuries include meniscus tears, ACL (anterior cruciate ligament) injuries, and patellar tendinitis.

We’ve treated numerous patients who’ve injured their knees playing sports like soccer, basketball, or tennis. These injuries can occur due to sudden twisting movements, direct impacts, or overextension of the knee joint. Proper warm-up, conditioning, and using the right techniques can help prevent many of these injuries.

Overuse and Repetitive Strain Injuries

Overuse injuries are increasingly common among active adults in our area. These injuries develop gradually when we repeatedly stress our knees without adequate rest or proper conditioning. Patellofemoral pain syndrome (PFPS), also known as runner’s knee, is a prime example of an overuse injury I often see in my practice.

Muscular imbalances play a significant role in these injuries. Weakness or tightness in the muscles around the knee or hips can alter knee mechanics and contribute to pain. Additionally, biomechanical factors like flat feet or knocked knees can lead to altered loading of the knee and contribute to overuse injuries.

Diagnosing Knee Pain: Steps for Markham Residents

Accurate diagnosis is crucial for effective knee pain treatment. As a Markham resident experiencing knee discomfort, understanding when to seek professional help and what diagnostic techniques are available can significantly improve your treatment outcomes.

When to Seek Professional Help for Knee Pain

If you’re dealing with knee pain it’s important to know when it’s time to consult a specialist. Mild discomfort that goes away with rest or basic home care usually doesn’t require immediate medical attention. However, certain symptoms indicate a need for professional evaluation.

You should seek help if you experience persistent pain lasting more than a few days, significant swelling, inability to bear weight on the affected leg, or if the pain interferes with your daily activities or sleep. Additionally, any signs of infection like redness, warmth, or fever warrant immediate medical attention.

Diagnostic Techniques Used by Physiotherapists in Markham

When you visit a Physiotherapist in Markham, ensure that you find someone who predominantly works with knee injuries. They’ll use various diagnostic techniques to pinpoint the root cause of your pain. The process typically starts with a thorough history of the injuries followed by a detailed physical examination. This helps identify potential risk factors and the nature of your symptoms.

Functional activity assessments are a crucial part of diagnosis. These may include observing your gait, testing your range of motion, and evaluating how your knee responds to different movements. Such assessments provide valuable insights into how your knee pain affects your daily activities and can guide treatment planning. At Form & Function Markham we use Functional Movement Screens and Selective Functional Movement Analysis and various other techniques to find the movement limitations you may have.

In some cases, imaging tests may be necessary. X-rays can reveal bone problems or arthritis (joint inflammation and degeneration), while MRI scans provide detailed images of soft tissues like ligaments and cartilage. Sometimes, blood tests or joint fluid analysis might be recommended to rule out certain conditions. These diagnostic techniques help ensure you receive the most appropriate and effective treatment for your specific knee issue if conventional testing and treatments are not effective.

Non-Surgical Knee Pain Treatment Options in Markham

Physical Therapy and Rehabilitation Programs

At Form & Function Markham, we specialize in tailored physical therapy and rehabilitation programs for knee pain and knee injuries. Our approach combines hands-on techniques with targeted exercises to address the specific diagnosis

Our rehabilitation programs focus on strengthening the muscles around the knee joint, improving flexibility, and enhancing overall knee stability. We utilize a variety of techniques, including manual therapy, therapeutic exercises, and proprioceptive training inside our 20,000 sister gym Unionville Athletic Club. These methods are designed to reduce pain, improve range of motion, and restore proper knee function while building resilience to prevent future occurances.

For our patients dealing with conditions like osteoarthritis or recovering from knee injuries, or full knee replacement, we develop personalized treatment plans where we can support you remotely to ensure your are progressing well with your programs. These plans often include a combination of in-clinic sessions and home exercise programs using tools like Phyxable. Our goal is not just to alleviate current pain, but also to equip you with the tools and knowledge to maintain knee health long-term.

Innovative Therapies: Cold Laser and Shockwave Treatment

At Form & Function Markham, we offer cutting-edge therapies for knee pain that are covered by many insurance plans. Cold laser therapy and shockwave treatment are two innovative options that have shown promising results for our patients in Markham and Unionville.

Cold laser therapy, also known as low-level laser therapy, uses specific wavelengths of light to stimulate healing and reduce inflammation in the knee joint. This non-invasive treatment can be particularly effective for conditions like osteoarthritis and patellofemoral pain syndrome. Many of our middle-aged patients appreciate its painless application and the absence of side effects.

Shockwave therapy, on the other hand, uses acoustic waves to promote healing and pain relief. It’s especially beneficial for treating chronic knee conditions and can help stimulate blood flow and tissue regeneration for more chronic issues. Our Markham patients often report significant improvements in knee pain and function after a series of shockwave treatments.

These state-of-the-art therapies can be used alone or in combination with other treatment modalities to create a comprehensive knee pain management plan. We tailor each treatment to your specific needs, ensuring you receive the most effective care for your knee condition.

Regenerative Medicine: PRP and Stem Cell Therapies

At Form & Function Markham, we understand that some knee conditions may benefit from advanced regenerative medicine techniques. While we don’t offer these treatments directly, we have established strong relationships with trusted specialists in the Markham and Unionville area who provide Platelet-Rich Plasma (PRP) and stem cell therapies.

PRP therapy involves using a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles, and joints. For our middle-aged patients dealing with chronic knee pain or osteoarthritis, PRP can be a promising option. It’s particularly effective in stimulating tissue repair and reducing inflammation, potentially delaying or even avoiding the need for more invasive procedures.

Stem cell therapy, another cutting-edge treatment, uses the body’s own stem cells to promote healing and regeneration of damaged knee tissues. This can be especially beneficial for patients with cartilage damage or degenerative conditions. While these treatments are still evolving, many of our patients have reported significant improvements in pain levels and function after undergoing these procedures with our referred specialists.

Minimally Invasive Procedures for Knee Pain Relief

While our focus at Form & Function Markham is on non-surgical treatments, we recognize that some knee conditions may require minimally invasive procedures. These options can provide significant relief for our middle-aged who haven’t found success with conservative treatments.

Arthroscopy is a common minimally invasive procedure that allows orthopedic surgeons to diagnose and treat various knee problems. Using small incisions and a tiny camera, surgeons can repair meniscus tears, remove loose cartilage, or address ligament injuries. Many of our patients who’ve undergone arthroscopy report quicker recovery times and less post-operative pain compared to traditional open surgery.

For those dealing with chronic knee pain due to osteoarthritis, viscosupplementation injections can be an effective option. This procedure involves injecting a gel-like substance into the knee joint to improve lubrication and shock absorption. While not a permanent solution, many of our Markham patients find these injections provide significant pain relief and improved mobility for several months.

Remember, while these procedures can be beneficial, they’re typically considered after conservative treatments have been exhausted. At Form & Function Markham, we’ll work closely with you to determine the most appropriate treatment path for your specific knee condition and lifestyle needs.

Exercise Routines for Strengthening Knee Joints

At Form & Function Markham, we’ve developed effective exercise routines specifically designed for middle-aged adults dealing with knee pain. These exercises focus on strengthening the muscles around the knee joint, improving flexibility, and enhancing overall knee stability.

Our routines typically include low-impact exercises that are gentle on the knees. These may include stationary cycling, swimming, or using an elliptical machine. These activities help improve cardiovascular health while minimizing stress on the knee joints. For muscle strengthening, we often recommend exercises like leg presses, hamstring curls, and calf raises, which can be performed safely in our fully-equipped gym at Unionville Athletic Club.

We also emphasize the importance of core and hip strengthening exercises. A strong core and stable hips can significantly reduce the load on your knees during daily activities. Exercises like planks, bridges, and hip abductions are integral parts of our knee strengthening programs. Remember, it’s crucial to start slowly and gradually increase the intensity of your exercises under professional guidance to prevent further knee injuries.

Nutrition and Weight Management for Knee Health

At Form & Function Markham, we emphasize the importance of nutrition and weight management in maintaining knee health. For our middle-aged patients in Markham and Unionville, managing body weight is crucial in reducing stress on the knee joints, especially for those dealing with osteoarthritis or recovering from knee injuries.

A balanced diet rich in anti-inflammatory foods can significantly impact knee health. We recommend incorporating foods high in omega-3 fatty acids, such as salmon and walnuts, as well as colorful fruits and vegetables that are packed with antioxidants. These nutrients help combat inflammation in the body, potentially reducing knee pain and supporting overall joint health.

For our patients struggling with weight management, we often collaborate with local nutritionists to create personalized meal plans. Even a modest weight loss can dramatically reduce the load on your knees. For instance, losing just 10 pounds can decrease the force on your knees by 30-60 pounds with each step. This reduction in joint stress can lead to significant improvements in knee pain and function. We also work closely with personal trainer at Unionville Athletic Club in helping you achieve those goals.

Proper Techniques for Sports and Physical Activities

At Form & Function Markham, we emphasize the importance of proper techniques during sports and physical activities to protect your knees. For our middle-aged patients in Markham and Unionville, using the correct form can significantly reduce the risk of knee injuries and alleviate existing knee pain.

When engaging in activities like running or cycling, maintaining proper alignment is crucial. We teach our patients to keep their knees in line with their toes and avoid excessive inward or outward rotation. For runners, we recommend a midfoot strike rather than heel striking, which can reduce the impact on the knees.

For strength training exercises, we stress the importance of proper form. When performing squats or lunges, we guide our patients to keep their knees behind their toes and maintain a neutral spine. We also emphasize the need for gradual progression in intensity and weight to prevent overloading the knee joints. This is where the results of the Functional Movement Screens will help us personalize a program for our patients.

Remember, warming up before any physical activity and cooling down afterward are essential for knee health. We provide our patients with specific warm-up routines that prepare the knees for activity and cool-down stretches that help maintain flexibility and reduce post-exercise stiffness.

Ergonomic Considerations for Daily Activities

At Form & Function Markham, we understand that daily activities can significantly impact knee health. For our middle-aged patients in Markham and Unionville, we emphasize the importance of ergonomic considerations to reduce stress on the knees. This includes proper posture while sitting and standing, using supportive chairs, and avoiding prolonged periods of inactivity.

One effective solution we offer is custom-fitted knee braces. These braces provide targeted support and can be particularly beneficial for patients with osteoarthritis, ligament injuries, or general knee instability. Our team of experts performs thorough assessments to determine the most suitable brace for each individual’s needs and lifestyle.

We’re proud to offer a wide range of high-quality knee braces, with custom fitting services covered by most insurance plans. This means our Markham and Unionville patients can access top-tier knee support without significant out-of-pocket expenses. The right brace can make a substantial difference in managing knee pain, improving stability, and allowing for more comfortable participation in daily activities.

Remember, while knee braces can be highly effective, they’re often most beneficial when used as part of a comprehensive treatment plan. Our team at Form & Function Markham will work with you to integrate bracing with other treatments like physical therapy, exercise routines, and ergonomic adjustments to ensure optimal knee health and function.

Factors to Consider When Selecting a Treatment Plan

When selecting a knee pain treatment plan at Form & Function Markham, we consider several crucial factors to ensure the most effective approach for our middle-aged patients in Markham and Unionville. The severity and duration of your knee pain play a significant role in determining the appropriate treatment. Acute injuries may require different interventions compared to chronic conditions like osteoarthritis.

Your overall health status and any pre-existing medical conditions are also important considerations. For instance, if you have diabetes or heart disease, certain treatments may be more suitable than others. We also take into account your lifestyle and activity level. An avid tennis player will have different treatment needs compared to someone with a more sedentary lifestyle.

Finally, we consider your personal goals and preferences. Some patients may prefer non-invasive treatments like physical therapy and cold laser therapy, while others might be open to more advanced options like PRP therapy. At Form & Function Markham, we work closely with you to create a personalized treatment plan that aligns with your specific needs, lifestyle, and health objectives.

Top-Rated Knee Pain Specialists in Markham and Unionville

At Form & Function Markham, we pride ourselves on being one of the top physiotherapy and chiropractic teams in Markham and Unionville when it comes to knee pain treatment. Our specialized approach combines cutting-edge techniques with years of experience to provide effective solutions for middle-aged adults struggling with knee issues.

Our team of knee pain specialists includes highly trained physiotherapists and chiropractors who focus on personalized treatment plans. We understand that each patient’s knee pain is unique, which is why we tailor our approach to your specific needs, lifestyle, and health goals. Our expertise covers a wide range of knee conditions, from osteoarthritis to sports-related injuries.

We work closely with other top-rated specialists in the area, including orthopedic surgeons and sports medicine physicians, to ensure comprehensive care for our patients. This collaborative approach allows us to offer a full spectrum of treatment options, from conservative therapies to advanced regenerative medicine techniques when necessary.

About Physiotherapist Afshin Sham.

Afshin’s clinical practice involves a comprehensive approach, beginning with a thorough anatomical, biomechanical and neurophysiological assessment to identify sources of nociception (painful stimuli). Afshin’s treatments consist of manual techniques and neurofunctional electro-acupuncture in addition to prescribed home exercises for the rehabilitation and prevention of sports injuries and pain with movement disorders.

Afshin received his Bachelor of Science in Kinesiology from York University. He then went on to complete his Physiotherapy degree at the European School of Physiotherapy in Amsterdam, Netherlands with special interests in musculoskeletal/sports rehabilitation, injury prevention and performance enhancement.

Afshin has completed post-graduate courses in Contemporary Medical Acupuncture from McMaster University as well as the Advanced Integrated Musculoskeletal (AIM) program through the Orthopaedic Division of the Canadian Physiotherapy Association.

If you would like to book a session with Afshin, click below to schedule an appointment.

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Women receiving Thai Massage Therapy at Form and Function in Markham

July 11, 2024

By Patcharee Bergsma 0 Comments Chronic Pain, Health Talk, Health Tips, Learn, Markham, Team - Markham

Benefits of Thai Massage Therapy

What is Thai Massage Therapy?

Thai massage therapy is a hidden gem in the Markham and Richmond Hill area, offering a distinct method for pain relief and relaxation. With years of experience, I’ve witnessed how this ancient technique can alleviate pain, enhance mobility, and significantly reduce stress, benefiting both physical and mental health.

Differences Between Thai Massage and Traditional Massage Therapy

Unlike traditional massage therapy, Thai massage doesn’t require oils or lotions. You remain fully clothed during the session, typically wearing comfortable, loose-fitting attire. This aspect often appeals to those who might feel uncomfortable with the idea of disrobing for a massage.

Another key difference is the level of participation required. In a Thai massage session, I guide you through a series of stretches, almost like a partner yoga practice. This active involvement helps to deepen the effects of the massage, reaching areas that might be missed in a traditional massage therapy session.

The focus on energy work also sets Thai massage apart. By working along the Sen lines, I aim to clear energy blockages that may be contributing to your pain or discomfort. This holistic approach addresses not just the physical symptoms, but also the energetic imbalances that might be at the root of your issues. A good example of a video on this topic can be found here.

Benefits of Thai Massage for Pain Relief

Thai massage therapy offers significant pain relief benefits, especially for middle-aged men and women dealing with chronic discomfort. As a licensed massage therapist in the Markham and Unionville area for multiple years, I’ve witnessed remarkable improvements in my clients’ pain levels through this ancient healing practice.

Among my middle-aged clients, I apply gentle pressure along the Sen lines and use stretching techniques to release tension in the muscles. This approach not only provides immediate relief but also improves flexibility in the long term.

When targeting shoulder and neck pain, often resulting from desk jobs or stress, I incorporate acupressure and stretching movements. These techniques help to loosen tight muscles and improve blood circulation in the affected areas, leading to reduced pain and increased mobility.

Effectiveness of Thai Massage for Chronic Pain Conditions

Thai massage has proven particularly effective for chronic pain conditions. Many of my clients with arthritis or fibromyalgia have reported significant improvements after regular sessions. The gentle stretching and pressure applied during Thai massage help to reduce inflammation and increase joint mobility, providing relief that lasts longer than traditional pain management methods.

For those suffering from chronic headaches or migraines, Thai massage can be a game-changer. By focusing on the head, neck, and shoulder areas, I’ve helped many clients reduce the frequency and intensity of their headaches, improving their overall quality of life.

Combining Thai Massage With Other Pain Management Strategies

While Thai massage is powerful on its own, I often recommend combining it with other pain management strategies for optimal results. Many of my clients in Markham and Richmond Hill have found success by integrating Thai massage with physiotherapy or chiropractic care. This multi-faceted approach addresses pain from different angles, leading to more comprehensive and lasting relief.

I also encourage my clients to incorporate simple stretching exercises at home between sessions. These exercises, inspired by Thai massage techniques, help maintain the benefits of the massage and prevent pain from recurring. By combining professional Thai massage therapy with at-home care, you can create a robust pain management plan tailored to your specific needs.

Finding a Qualified Thai Massage Therapist in Markham, Unionville, Richmond Hill, and Scarborough

Finding a qualified Thai massage therapist in Markham, Unionville, Richmond Hill, and Scarborough is crucial for the best outcomes. As someone who’s been in the field for years, I can’t stress enough how important it is to choose the right practitioner for your needs.

Importance of Choosing a Licensed Massage Therapist (RMT)

When you’re dealing with chronic pain, you need a professional who understands the intricacies of the human body. That’s why I always recommend seeking out a licensed massage therapist (RMT) for Thai massage. RMTs have undergone rigorous training and are held to high standards of practice, ensuring you receive safe and effective treatment.

Licensed massage therapists are well-versed in anatomy, physiology, and various massage techniques. This knowledge allows them to tailor the Thai massage to your specific needs, whether you’re dealing with lower back pain, shoulder tension, or other issues common among middle-aged adults in our area.

Questions to ask When Selecting a Thai Massage Therapist

When you’re looking for a massage therapist, don’t be shy about asking questions. I encourage my clients to inquire about the therapist’s experience with Thai massage specifically. Ask about their training, how long they’ve been practicing, and their approach to treating your particular pain concerns.

It’s also wise to ask about the therapist’s familiarity with conditions common in middle-aged adults. For instance, if you’re dealing with arthritis or fibromyalgia, you’ll want a therapist who has experience in managing these conditions through Thai massage techniques.

Verifying Insurance Billing options for Massage Therapy

As someone who’s navigated the complexities of insurance billing, I know how important this aspect is for many clients. Before booking your massage session, verify that the therapist offers direct billing to your insurance provider. This can save you time and hassle, allowing you to focus on your treatment and recovery.

Don’t hesitate to ask about the specific insurance plans they accept and the process for submitting claims. A reputable Thai massage therapist in Markham, Unionville, Richmond Hill, or Scarborough should be able to guide you through this process and help you understand your coverage for massage therapy.

Preparing for Your Thai Massage Therapy Session

Preparing for your Thai massage therapy session is crucial for getting the most out of your treatment. As a therapist who’s worked with many middle-aged clients in Markham, Unionville, Richmond Hill, and Scarborough, I’ve seen how proper preparation can enhance the effectiveness of the massage and lead to better pain relief outcomes.

What to Wear and Bring to Your Appointment

For your Thai massage session, comfort is key. I recommend wearing loose, stretchy clothing that allows for easy movement. Think yoga pants, loose-fitting shirts, or comfortable workout attire. This type of clothing allows me to perform the necessary stretches and movements without restriction.

It’s also a good idea to bring a water bottle to stay hydrated after your session. If you have any specific areas of concern, consider bringing medical records or X-rays related to your condition. This information can help me tailor the massage to your specific needs and ensure we’re addressing your pain effectively.

Communicating Your Pain Concerns and Preferences to Your Therapist

Open communication is vital for a successful Thai massage therapy session. Before we begin, I’ll ask you about your pain concerns, medical history, and any specific areas you’d like me to focus on. Don’t hesitate to be detailed – the more I know, the better I can customize your treatment.

During the massage, feel free to let me know if the pressure is too much or not enough. Everyone’s pain tolerance is different, and what works for one person might not work for another. Your feedback helps me adjust the massage to ensure you’re comfortable and getting the most benefit from the session.

Setting Realistic Expectations for Pain Relief and Recovery

While Thai massage can provide significant pain relief, it’s important to have realistic expectations. For chronic pain conditions that many middle-aged adults in our area deal with, such as lower back pain or arthritis, you may need several sessions to see substantial improvements.

I typically recommend a series of treatments, spaced out over several weeks, to address long-standing pain issues. Remember, healing takes time, and consistency is key. By combining regular massage sessions with other pain management strategies, like gentle exercise or physiotherapy, you can work towards long-term pain relief and improved mobility.

Incorporating Thai Massage into Your Pain Management Plan

Recommended Frequency of Thai Massage Sessions for Optimal Results

For optimal results in managing chronic pain, I typically recommend an initial frequency of once a week for four weeks. This intensive start allows us to address your pain concerns effectively and begin the healing process. During these sessions, we’ll focus on releasing tension in problematic areas and improving your overall flexibility.

After the initial four-week period, we’ll reassess your progress and adjust the treatment plan accordingly. For most of my middle-aged clients in Markham, Unionville, Richmond Hill, and Scarborough, transitioning to a maintenance schedule of once a month works well. This frequency helps maintain the benefits achieved during the intensive phase and prevents pain from recurring.

Remember, consistency is key in Thai massage therapy. Regular sessions, even if less frequent, can significantly contribute to long-term pain management and improved quality of life. Of course, we can always adjust this schedule based on your individual needs and response to treatment.

Complementary Therapies to Enhance the Benefits of Thai Massage

While Thai massage offers significant benefits for pain relief, combining it with other therapies can amplify your results. At Form & Function Markham, you’ll find excellent physiotherapy services that work hand-in-hand with massage therapy. Physiotherapists can provide targeted exercises and manual techniques to complement your massage sessions, addressing specific pain points and improving overall function.

Chiropractic care is another valuable option available in Form & Function Markham. Chiropractors focus on spinal alignment and joint health, which can enhance the effects of Thai massage by ensuring your body is properly aligned. This combination can lead to more comprehensive pain management and improved mobility.

For those dealing with specific joint issues, bracing services in Markham can provide additional support. Custom-fitted braces can help stabilize problematic areas, allowing you to maintain the benefits of the massage for longer periods. By integrating these complementary therapies, you’re giving yourself the best chance at long-term pain relief and improved quality of life.

How to Book a Thai Massage Therapy in Markham & Richmond hill

Head over to the Form & Function booking site here and book with Patcharee.

About the Author

Patcharee graduated with honors from the Massage Therapy Program at Oxford College. Originally born in Thailand, Patcharee offers authentic expertise in Thai Massage. This traditional technique, known for its unique blend of stretching and deep pressure, provides profound benefits for both the body and mind. In addition to Thai massage, Patcharee is skilled in Swedish massage and advanced techniques such as trigger point therapy and myofascial release. This combination allows her to deliver comprehensive stress and pain relief tailored to each client’s needs. Patcharee’s diverse experience includes working with athletes, healthcare workers, and desk-bound professionals, ensuring each client receives personalized care. Whether you’re seeking relief from chronic pain or simply looking to unwind, Patcharee’s blend of techniques will help you relax and rejuvenate.

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treatment for Shoulder Impingement markham

July 9, 2024

By Alex Chan 0 Comments Chronic Pain, Health Talk, Health Tips, Learn, Markham, Team - Markham

Shoulder Impingement in Markham: Causes and Treatment

If you’re dealing with persistent shoulder pain and discomfort, you might be facing a condition known as shoulder impingement. This article provides an in-depth look at shoulder impingement, its causes, symptoms, diagnosis, treatment options, and prevention strategies to help you manage and overcome this condition.

What is Shoulder Impingement?

Shoulder impingement, also known as impingement syndrome, occurs when the rotator cuff tendons in the shoulder are intermittently trapped and compressed during certain movements. This condition can lead to pain, inflammation, and a reduced range of motion. Understanding the intricacies of shoulder impingement can help you take proactive steps towards prevention and treatment. Here’s a detailed overview of this condition:

Causes

Shoulder impingement can result from various factors, including:

Repetitive Overhead Activities:Activities like swimming, tennis, painting, and even certain types of weightlifting can irritate the tendons and bursa in the shoulder. Repetitive movements cause microtrauma, which over time, can lead to inflammation and impingement.
Anatomical Variations: Structural abnormalities, such as a hooked acromion, can limit space for the rotator cuff.
Age-Related Wear and Tear: As we age, the rotator cuff tendons can degenerate, losing their elasticity and strength. This wear and tear can make the tendons more susceptible to impingement, especially in individuals over 40.
Previous Shoulder Injuries: Past injuries such as fractures or dislocations can alter shoulder biomechanics.

Symptoms

Common symptoms of shoulder impingement include:

Pain: Pain is often felt on the front or side of the shoulder, especially when lifting the arm overhead, reaching behind, or lying on the affected side. This pain can range from a dull ache to sharp, intense discomfort.
Weakness: Individuals with shoulder impingement may experience difficulty and discomfort when lifting or rotating the arm. This weakness can affect daily activities such as dressing, carrying groceries, or participating in sports.
Reduced Range of Motion: Stiffness and a limited ability to move the shoulder are common. This can make it challenging to perform tasks that require arm elevation or reaching behind the back.
Tenderness: The shoulder joint area may be tender to touch. Pressing on the front or side of the shoulder can elicit pain, indicating inflammation or irritation of the tendons.

The Importance of Early Intervention

Addressing shoulder impingement early is crucial to prevent further damage and maintain your active lifestyle. Ignoring symptoms or pushing through the pain can lead to more severe complications, such as rotator cuff tears or chronic shoulder pain.

Diagnosis

Diagnosis typically involves:

Physical Examination: Healthcare providers assess pain, range of motion, and strength.
Imaging: X-rays, ultrasound, or MRI scans can visualize structural issues, inflammation, and tendon tears.

Treatment for Shoulder Impingement

Treatment options for shoulder impingement include:

Rest and Activity Modification: Avoiding activities that worsen symptoms is crucial. Resting the shoulder allows inflammation to subside and tissues to heal. Modifying how activities are performed can prevent further irritation.
Physical Therapy: A tailored physical therapy program focuses on exercises to enhance flexibility, strength, and posture. Stretching exercises improve range of motion, while strengthening exercises target the rotator cuff and scapular muscles for better shoulder stability.
Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation.
Corticosteroid Injections: Temporary relief by reducing inflammation.
Surgery: In severe cases, procedures like arthroscopic subacromial decompression may be necessary to create more space for the rotator cuff.

Preventing

To prevent shoulder impingement:

Proper Warm-Up: Before engaging in physical activities, ensure a proper warm-up to prepare the shoulder muscles and tendons. Gentle stretches and range-of-motion exercises can increase blood flow and flexibility.
Strengthening Exercises: Focus on strengthening the rotator cuff and shoulder blade muscles. Exercises like shoulder presses, rows, and rotator cuff strengthening with resistance bands can improve stability and prevent impingement.
Good Posture: Maintain proper posture during daily activities. Avoid slouching and keep your shoulders back and down to reduce strain on the shoulder joint.
Ergonomic Adjustments: Ensure workstations and sports techniques are shoulder-friendly. Adjust desk heights, chair positions, and computer screens to reduce shoulder strain. In sports, seek guidance from coaches or trainers to ensure proper techniques are used.

Choosing the Right Treatment Plan for You

Shoulder impingement is a common condition that can significantly impact daily activities and athletic performance. Early diagnosis and a mix of conservative treatments can effectively manage symptoms and prevent progression. If symptoms persist, seeking advice from a healthcare professional is recommended.

Your age, lifestyle, and the severity of your shoulder impingement all play a significant role in determining the most appropriate treatment plan. A healthcare provider specializing in sports medicine or musculoskeletal conditions can develop a personalized treatment plan to help you manage symptoms, restore proper shoulder function, and safely return to your desired level of activity.

Take the First Step Toward Recovery

Don’t let shoulder impingement hold you back any longer. Take the first step towards recovery and improved shoulder health. Whether you’re an athlete looking to return to peak performance or someone seeking relief from daily discomfort, our team is here to support your journey to better shoulder health.

At Form and Function, our experienced physiotherapists in Markham specialize in the personalized care and treatment of shoulder impingement. We offer comprehensive assessments and tailored treatment plans to help you regain strength, flexibility, and comfort. Our goal is to provide you with the tools and support needed to overcome shoulder impingement and return to your daily activities and sports with confidence.

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About the Author

Alex is a graduate of Master’s of Physical Therapy from Mcgill University. He brings a wealth of knowledge and expertise in physiotherapy, specializing in a wide range of conditions, from sports injuries to chronic pain management. He takes a holistic approach to treatment, focusing not only on alleviating symptoms but also on addressing the underlying causes to promote long-term healing and resilience.

What truly sets Alex apart is his compassionate and supportive nature. He understands that embarking on the path to recovery can be daunting, and he is dedicated to providing you with the guidance, encouragement, and personalized care you need to succeed.

Whether you’re an athlete aiming to reach peak performance, an individual recovering from surgery, or someone looking to regain mobility and function, Alex is here to help you achieve your goals.

So, if you’re ready to take the first step towards a healthier, stronger you, we invite you to schedule an appointment with Alex today. Together, let’s embark on a journey to healing, strength, and vitality!

Book with Alex today and start your journey to a pain-free, healthier shoulder!

June 26, 2024

By jim feng 0 Comments Chronic Pain, Health Talk, Health Tips, Learn, Markham, Team - Markham

Hip Impingement: Non-Surgical Treatments in Markham

Understanding Hip Impingement

If you’re an active person and experiencing persistent groin, back, or hip pain, you may be dealing with a condition called hip impingement. This article aims to provide you with a comprehensive understanding of hip impingement, its symptoms, and how it can impact your daily life and athletic pursuits.

What is Hip Impingement?

Hip impingement, also known as femoroacetabular impingement (FAI), is a condition where the bones of your hip joint is not fitting together perfectly, causing them to rub against each other during movement. This friction can lead to damage to the cartilage that lines the joint, as well as the labrum, a ring of cartilage that helps to stabilize the joint.

There are two main types of hip impingement: cam impingement and pincer impingement. Cam impingement occurs when the neck of the femur (thigh bone) is larger than it should be, while pincer impingement happens when the acetabulum (hip socket) is too deep, or injury of the synovium (tissue around the joint that holds the joint fluid) is being impinged and causing pain in the hip. In some cases, a person may have a combination of both types.

Symptoms and Their Impact on Daily Life

The most common symptom of hip impingement is pain in the groin area, which can range from mild to severe. You may also experience stiffness, clicking, or locking sensations in the hip joint. These symptoms often worsen with activities that involve bending the hip, such as sitting for long periods, getting in and out of a car, or engaging in sports that require quick directional changes.

Hip impingement can significantly impact your daily life, making it difficult to perform routine tasks or enjoy your favourite activities. You may find yourself avoiding certain movements or positions due to pain, which can lead to muscle weakness and further joint deterioration over time. Additionally, the constant discomfort can take a toll on your mental well-being, leading to frustration and anxiety.

It’s essential to address hip impingement early on to prevent further damage to the joint and improve your overall quality of life. In the following sections, we’ll explore various non-surgical treatment options available in Markham, as well as tips for managing and preventing hip impingement.

The Importance of Early Intervention

It’s essential to address hip impingement early on to prevent further damage to the joint and maintain your active lifestyle. Ignoring the symptoms or pushing through the pain can lead to more severe complications, such as labral tears or early-onset osteoarthritis.

If you suspect that you may have hip impingement, it’s crucial to consult with a healthcare professional who specializes in sports medicine or musculoskeletal conditions. They can provide an accurate diagnosis and develop a personalized treatment plan to help you manage your symptoms, restore proper joint function, and safely return to your desired level of activity.

Non-Surgical Treatments for Hip Impingement in Markham

Pain Management: Medications and Injections

Pain management through medications and injections should be considered a last resort option for treating hip impingement. However, in cases where physiotherapy and alternative therapies fail to provide sufficient relief, your healthcare provider may recommend anti-inflammatory medications or targeted injections to alleviate acute pain and improve mobility.

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to reduce inflammation and ease discomfort associated with hip impingement. While these medications can provide short-term relief, they may have potential side effects, especially with prolonged use. Your doctor will carefully weigh the benefits against the risks before prescribing them.

In some instances, corticosteroid injections directly into the hip joint may be advised. These powerful anti-inflammatory injections can temporarily relieve pain and improve range of motion. However, their effects are temporary, and repeated injections are not recommended due to the potential for further joint damage. Injections are typically considered a short-term solution while you pursue longer-lasting treatments, such as physiotherapy or lifestyle modifications.

Physiotherapy and Exercise Programs

Physiotherapy and exercise programs are often the first line of defense against hip impingement. The primary objective is to reduce inflammation, restore range of motion, and strengthen the muscles surrounding your hip joint. Your physiotherapist will design a personalized plan tailored to your specific needs and condition severity. Initially, you may need to focus on gentle stretches and isometric (static) exercises to alleviate acute pain and improve mobility. As your symptoms subside, you’ll gradually progress to dynamic movements that challenge your hip’s stability and strength.

A comprehensive exercise routine targets the deep core muscles, hip flexors, gluteal muscles, and surrounding muscle groups. Strengthening these areas can help support your hip joint, reduce strain, and prevent further impingement. Your physiotherapist may also incorporate manual therapy techniques, such as soft tissue massage and joint mobilization, to improve range of motion and alleviate muscle tension.

Targeted Exercises for Hip Strength and Stability

Incorporating targeted exercises into your daily routine is crucial for managing hip impingement and preventing further joint damage. Focus on exercises that strengthen the muscles surrounding your hip, particularly your gluteal muscles, hip abductors, and core. These muscles help stabilize your hip joint and prevent excessive stress on the affected area.

Some effective exercises for hip impingement include bridges, clamshells, side-lying leg lifts, and gentle hip rotations. It’s essential to start slowly and gradually increase the intensity and repetitions as your strength and tolerance improve. Working with a physiotherapist or qualified fitness professional can help ensure that you’re performing the exercises correctly and safely.

Alternative Therapies: Acupuncture and Chiropractic Care

In addition to traditional physiotherapy and exercise programs, you may find relief through alternative therapies such as acupuncture and chiropractic care. These complementary approaches can be safely integrated into your overall treatment plan to address hip impingement from multiple angles.

Acupuncture, a form of traditional Chinese medicine, involves inserting thin needles into specific points on the body to alleviate pain and promote healing. For hip impingement, acupuncture can help reduce inflammation, improve circulation, and release muscle tension in the affected area. Many patients report a significant reduction in discomfort and improved mobility after a series of acupuncture sessions.

Chiropractic care focuses on realigning the body’s musculoskeletal structure, including the joints and surrounding muscles. A chiropractor may use manual adjustments and manipulations to restore proper alignment and function to your hip joint, alleviating the impingement and associated symptoms. Chiropractic treatments can also address any compensatory imbalances or misalignments in the spine or other joints that may contribute to hip impingement.

Choosing the Right Treatment Plan for You

When it comes to managing hip impingement, it’s crucial to choose a treatment plan that aligns with your individual needs and goals. As a woman living in Markham, you have access to a wide range of healthcare providers and resources that can help you find the most effective approach to restoring your hip’s form and function.

Factors to Consider: Age, Lifestyle, and Severity of Condition

Your age, lifestyle, and the severity of your hip impingement all play a significant role in determining the most appropriate treatment plan. For younger women with mild to moderate impingement, a conservative approach focusing on physiotherapy, exercise, and lifestyle modifications may be sufficient to alleviate symptoms and prevent further joint damage.

However, if you’re an older woman or have more severe impingement, you may require a more aggressive treatment plan that includes pain management techniques, such as medications or injections, alongside physiotherapy. Your healthcare provider will assess your individual situation and recommend a tailored approach that addresses your specific needs and goals.

It’s also essential to consider your lifestyle and daily activities when choosing a treatment plan. If you lead an active life or participate in sports, you may require a more intensive rehabilitation program to help you safely return to your desired level of function. On the other hand, if you have a more sedentary lifestyle, your treatment plan may focus on improving your overall mobility and reducing pain during everyday tasks.

Finding the Right Healthcare Providers in Markham

Unionville is home to a diverse range of healthcare providers who specialize in treating hip impingement and other musculoskeletal conditions. When searching for the right professionals to support your treatment plan, look for providers who prioritize a collaborative, patient-centered approach.

Start by seeking referrals from your primary care physician or trusted friends and family members who may have experienced similar issues. You can also research local physiotherapy clinics, chiropractic offices, and acupuncture practitioners online, paying close attention to patient reviews and testimonials.

When evaluating potential healthcare providers, consider their level of expertise in treating hip impingement, as well as their commitment to ongoing education and staying up-to-date with the latest research and treatment techniques. A knowledgeable, experienced provider will be better equipped to develop a comprehensive treatment plan that addresses both the form and function of your hip joint, ultimately helping you achieve optimal results.

Living with Hip Impingement: Tips for Management and Prevention

Living with hip impingement can be challenging, but there are several strategies you can implement to manage your symptoms and prevent further damage to your hip joint. By making simple lifestyle changes and incorporating targeted exercises into your daily routine, you can significantly improve your quality of life and maintain your hip’s health.

Lifestyle Modifications for Hip Impingement Management

One of the most effective ways to manage hip impingement is by making mindful adjustments to your daily habits and activities. This may include avoiding prolonged periods of sitting, which can exacerbate hip pain and stiffness. Instead, take frequent breaks to stand, stretch, or walk around, promoting circulation and reducing pressure on your hip joint.

Additionally, be mindful of your posture and body mechanics during everyday tasks. When bending or lifting, use your legs and core muscles to support the movement, rather than relying solely on your hips. If certain activities, such as high-impact sports or exercises, aggravate your symptoms, consider finding low-impact alternatives that still allow you to stay active without putting undue stress on your hip joint.

Daily Habits and Lifestyle Changes

Managing hip impingement goes beyond just treating the symptoms; it requires making thoughtful lifestyle changes and adopting healthy habits to prevent further aggravation and promote lasting relief. One of the most effective strategies is to incorporate exercises that strengthen your lateral kinetic chain, which includes the muscles running along the sides of your body, such as the glutes, hip abductors, and obliques.

These muscles play a crucial role in stabilizing your hip joint and preventing excessive inward rotation or adduction, which can exacerbate impingement. By strengthening this lateral chain, you’ll not only improve your hip’s stability but also correct imbalances that may be contributing to your condition. Exercises like clamshells, side-lying leg raises, and lateral band walks can be highly effective in targeting these areas.

In addition to targeted exercises, making simple adjustments to your daily habits can significantly impact the management of hip impingement. For instance, minimizing prolonged sitting or activities that require excessive hip flexion can reduce the strain on your hip joint. Instead, aim to take frequent breaks and incorporate gentle movements or stretches throughout the day.

Exercises to Strengthen and Protect Your Hips

Incorporating targeted exercises into your daily routine is an essential part of managing and preventing hip impingement. As you progress through the different stages of your condition, your exercise regimen will need to adapt accordingly. Here’s a general guideline for strengthening and protecting your hips:

Acute Phase: If you’re experiencing a flare-up or acute pain, it’s crucial to prioritize rest and avoid activities that exacerbate your symptoms. During this phase, gentle isometric exercises that engage the muscles without significant movement can help promote healing and maintain strength. Examples include gluteal squeezes, leg raises, and hip abductions while lying down.

Subacute Phase: As your acute symptoms subside, you can begin introducing more dynamic exercises that improve range of motion and stability. This phase may include exercises like clamshells, bridges, and controlled hip rotations. Your physiotherapist can guide you through proper form and progression to ensure a safe and effective recovery.

Functional Movement Phase: Once you’ve regained stability and strength, you’ll focus on functional exercises that mimic daily activities and movements. This phase might involve exercises like squats, lunges, and step-ups, which help strengthen the hips and improve balance and coordination. Your healthcare provider may also incorporate agility drills and sport-specific exercises if your goals include returning to athletic activities.

Prevention and Maintenance: Even after your symptoms have resolved, it’s crucial to continue incorporating hip-strengthening exercises into your routine. This can help prevent future impingement and maintain the overall health of your hip joint. Low-impact activities like swimming, cycling, and walking can also be beneficial for keeping your hips mobile and strong without excessive strain.

When to Seek Further Medical Attention

While conservative, non-surgical treatments are often effective for managing hip impingement, it’s essential to recognize when more medical attention is necessary. Ignoring persistent or worsening symptoms can lead to further joint damage and potentially chronic pain or arthritis down the line. By seeking prompt medical care, you can avoid exacerbating the condition and increase your chances of a successful recovery.

If you experience any of the following, it’s advisable to consult with a healthcare professional without delay: severe or debilitating pain that doesn’t respond to rest or over-the-counter medications, significant loss of range of motion or mobility, locking or catching sensations in the hip joint, or pain that disrupts your sleep or daily activities. These can be signs of advanced joint damage or impingement that may require more aggressive treatment or surgical intervention.

Don’t hesitate to reach out to the experienced team at Form & Function Health, Performance and Wellness Centre in Markham. They offer comprehensive evaluations and individualized treatment plans to address your hip impingement effectively. By taking action early and seeking the appropriate care, you can minimize the risk of long-term complications and improve your overall quality of life. Call Form & Function today to schedule an appointment and take the first step towards regaining pain-free mobility.

Book with Dr. Jim Feng today to start your personalized treatment plan and take the first step toward pain-free mobility.

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June 6, 2024

By Attlee Lam 0 Comments Chiropodists, Chiropractors, Chronic Pain, Health Tips, Learn, Markham, Massage Therapists, Physiotherapists

Fascial Stretch Therapy: Boosting Flexibility and Reducing Pain

Fascial Stretch Therapy (FST) has gained popularity in alternative therapies for improving flexibility, reducing pain, and enhancing overall well-being. This approach targets the body’s fascia, aiming to alleviate stiffness, improve range of motion, and reduce discomfort. In this article, we explore the principles, techniques, and potential benefits of FST.

Understanding Fascial Stretch Therapy

Therapists use FST as a manual therapy technique to target the fascia, a complex web of connective tissue that surrounds muscles, bones, and joints throughout the body. Unlike traditional stretching, which often involves isolated muscle groups, FST takes a holistic approach, targeting the entire fascial network to enhance mobility and flexibility.

The fascia plays a crucial role in maintaining structural integrity, providing support to muscles and organs, and facilitating movement. Over time, due to factors such as aging, injury, or prolonged periods of inactivity, the fascia can become tight, leading to restrictions in movement and potential discomfort.

FST is performed by trained practitioners who use a combination of traction, gentle stretching, and mobilization techniques to release tension within the fascial system. This therapeutic approach is highly individualized, with practitioners assessing each client’s unique needs and tailoring the session accordingly.

Techniques Employed

Traction and Joint Distension: FST often begins with gentle traction to create space in the joints and allow for increased mobility. This technique helps to reduce compressive forces within the joints, promoting a more fluid range of motion.
PNF Stretching: Practitioners use Proprioceptive Neuromuscular Facilitation (PNF) techniques in FST to enhance flexibility. These involve a combination of contraction and relaxation of targeted muscles, encouraging the body to adapt to increased stretch without triggering a protective response.
Dynamic Stretching: Unlike static stretching, where you hold a position for an extended period, dynamic stretching involves continuous movement. FST incorporates dynamic stretching to improve flexibility, balance, and coordination.
3-Dimensional Movement: FST recognizes that the body moves in three dimensions. Practitioners employ multi-planar stretches to address fascial restrictions comprehensively, promoting flexibility in all planes of movement.

Benefits of Fascial Stretch Therapy

Improved Flexibility and Range of Motion: One of the primary goals of FST is to enhance flexibility by targeting the fascial system. Clients often experience an increased range of motion in joints, allowing for smoother and more comfortable movement.
Pain Reduction: Tight fascia can contribute to chronic pain and discomfort. FST aims to alleviate pain by releasing tension within the fascial network, promoting better alignment and reducing strain on muscles and joints.
Enhanced Athletic Performance: Athletes can benefit significantly from FST as it improves flexibility, agility, and overall functional movement. By addressing fascial restrictions, athletes may experience improved performance and reduced risk of injuries.
Postural Improvement: Tight fascia often causes poor posture. FST helps to address postural imbalances by releasing tension in specific areas, allowing the body to achieve better alignment.
Stress Reduction: The gentle and relaxing nature of FST can have positive effects on the nervous system, promoting a sense of relaxation and reducing stress levels. This mind-body connection is integral to the overall well-being of individuals seeking FST.
Rehabilitation and Injury Prevention: Practitioners often use FST in rehabilitation settings to aid in recovery from injuries. It can prevent issues by identifying and addressing fascial restrictions early.

Fascial Stretch Therapy vs. Traditional Stretching

Traditional Stretching:

Static Stretching: Involves holding a specific position for a period.
Targeted Approach: Increases flexibility and range of motion in specific muscles or muscle groups.
Self-Performed: Individuals can do this on their own with the use props such as straps or blocks.

Fascial Stretch Therapy:

Assisted Stretching: Uses traction and movement to target the fascia.
Holistic Approach: Increases mobility and flexibility, reduces pain, and improves posture.
Personalized sessions: Therapist uses gentle stretching to gradually release fascial tension.

The Takeaway

Fascial Stretch Therapy emerges as a promising approach in the realm of manual therapies, offering a holistic and individualized method to improve flexibility, reduce pain, and enhance overall well-being. As more individuals seek alternative and complementary therapies to support their health and fitness goals, FST stands out for its focus on the interconnected web of fascia that plays a vital role in our body’s structural integrity and movement patterns. Whether used for athletic performance enhancement, pain management, or overall flexibility improvement, FST provides a unique and effective approach to promoting optimal physical function and well-being.

For those interested in exploring Fascial Stretch Therapy in Markham, it is often covered under physiotherapy or chiropractic services at specialized clinics like Form & Function. Our skilled physios, chiros, and massage therapists are trained to provide FST, making it a valuable addition to your wellness routine, offering both immediate and long-term benefits for your physical and mental health.

Book with Atlee to experience the benefits of Fascial Stretch Therapy!

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July 31, 2023

By Afshin Shams 0 Comments Central Sensitization, Chronic Pain

Chronic Pain and Central Sensitization: A Guide to Effective Physiotherapy in Markham

Experiencing pain is a normal part of everyone’s lives. Our body senses threats via nerve endings called nociceptors which send signals up to the brain. However, over time, our nerve cells can become over-sensitized. This means they can react more strongly and easily to something that normally wouldn’t hurt or would hurt less. This is called “SENSITIZATION”. When sensitization happens, the signals transmitted to the brain occur more frequently, more efficiently and can be experienced anywhere in the body (something you don’t want!). Sensitization can contribute to chronic pain conditions such as fibromyalgia, headaches and low back pain. Sensitized individuals may also experience other systemic symptoms such as chronic fatigue, mood changes, sleep problems or difficulty concentrating.

If you’re based in Markham and seeking relief from persistent pain, physiotherapy offers effective treatment options. Our team of skilled professionals, including physiotherapist Afshin Shams, specializes in managing central sensitization and related conditions. In this article, we’ll explore central sensitization, its causes, and how physiotherapy can help alleviate symptoms and improve your overall well-being.

When we are sensitized, we may experience

→ pain that is out of proportion to the actual damage, a phenomenon known as Hyperalgesia

→ pain that spreads to other areas of the body, known as Referred Pain

→ pain that lasts a long time = Chronic/Persistent pain

→ pain that is triggered by harmless things like touch, pressure or temperature, which is called Allodynia

Chronic pain and central sensitization is a biopsychosocial experience and can affect anyone, but some people may be more prone to it than others due to

→ genetic factors: history of chronic pain in the family

→ environmental factors: occupation (repetitive activities), prolonged sustained postures

→ social: life stressors, job dissatisfaction, interactions with boss/colleagues at work, or

with family/friends at home.

Ok, now what do I do about it?

Treatment for central sensitization is, yes you guessed it, DESENSITIZING your central nervous system. Our bodies are constantly changing and adapting to internal and external stimuli. Research has suggested that we may be able to RETRAIN our brain and take advantage of the powers of NEUROPLASTICITY, which is when the brain changes in response to experiences, good or bad.

Physiotherapy offers evidence-based treatments that aim to desensitize the central nervous system and improve neuroplasticity. These interventions can effectively reverse the mechanisms behind sensitization. Some promising treatments include:

regular exercise: Regular physical activity can decrease the sensitivity of our nervous system by changing processes at the cellular level, re-calibrating the nociceptive signals sent to the brain. Exercise doesn’t have to be high-intensity or involve going to the gym. Low-impact activities such as walking, swimming, or yoga can be effective in reducing nervous system sensitivity. Try to aim for at least 30 mins per day 4-5x per week.
electro-acupuncture: electroacupuncture blocks pain by activating a variety of bioactive chemicals through peripheral, spinal, and supraspinal mechanisms. Specific systemic insertion points by an experienced practitioner centrally through the spine (neck, upper and lower back) and peripherally (ankle, feet, hands) can unblock neurovascular pathways and promote increased blood flow.
TENS (transcutaneous electrical nerve stimulation): Electrical impulses from the pads placed on the skin can reduce pain signals going to the spinal cord and brain, which may help relieve pain and relax muscles. They also stimulate the production of endorphins, which are the body’s natural painkillers.
lifestyle modifications: correct ergonomic setup at work (use of a standing desk), change of posture throughout the day (every hour), work-life balance, positive social experiences (friends and family), relaxation techniques such as meditation and yoga.

How long does it take to get better?

It is important to note that central sensitization occurs over a period of months to years, which means it may also take several weeks to months to observe significant improvements in symptoms. The most important aspect is understanding the different causes, adhering to the treatment plan and active participation from the patient.

Take the first steps towards your recovery by booking an initial assessment with our experienced physiotherapist, Afshin Shams. At our clinic in Markham, Afshin offers a comprehensive range of services, including physiotherapy, massage therapy, and chiropractic care. With a Bachelor of Science in Kinesiology from York University and a Physiotherapy degree from the European School of Physiotherapy in Amsterdam, Afshin provides personalized treatment plans that incorporate manual therapy, electro-acupuncture, and tailored home exercise programs. Since then, Afshin has completed post-graduate courses in Contemporary Medical Acupuncture from McMaster University as well as the Advanced Integrated Musculoskeletal (AIM) program through the Orthopaedic Division of the Canadian Physiotherapy Association.

Book your initial assessment with our physiotherapist Afshin Shams using the link below:

https://formfunctionclinic.janeapp.com/#/staff_member/82

Remember, chronic pain and central sensitization require consistent effort and active participation to observe significant improvements in symptoms. With the guidance of our physiotherapy team in Markham, you can embark on your road to recovery and regain control of your life.