By Dr. J 0 Comments Health Tips, Health Videos

FAB 5 Glute Medius Exercise to Treat ITB Compression Syndrome

Ever Since Frederickson’s article in 2k, there has been  great deal of talk about how the Glute Mede and other abductors of the hip affect the ITB compreesion syndrome.  Some recent articles have also pointed out that ITB compression at the distal end of the femur may lead to a sensory feedback to fire the Glute medes.  So if the Glutes are weak, and inhibited, then it will lead to further lateralization of the hip during dynamic movements and then further  compression of the ITB.  Don’t forget, the ITB is a viscoelastic structure as described by Shleip, meaning when it gets loaded ballistically, it will come back and shrink due to hydration properties as well as actual contractile components.
We also know that the ITB does not have a great deal of ability to stretch, so therefore actual stretching of this compressive band to cure your problems is very unlikely.  Because the pain is due to a compressive force at the distal (further away) end of the ITB,  we also want to avoid compressing it even further.  So make sure if you are foam rolling to avoid the actual painful site by working the proximal end (as long as it feels good after you roll).  So if we can’t stretch it , massage it out, then that leaves us with modalities(laser, IFC, shockwave, acupuncture etc), and good ol’rehab.  So check out the FAB 5 exercise I like to start with my patients.  Most people get better with the basics, but for our active population, we make sure we introduce more sport and activity specific exercises to top it off.
This is my first attempt at using Final Cut on my Mac, I hope you guys enjoy.  Feedback welcome.
For more about how to fix this problem and many others, visit https://www.formfunctionclinic.com/#locations to make a appointment
httpv://www.youtube.com/watch?v=BhzchA0KWjk
By Dr. J 0 Comments Health Tips

Osteoporosis vs. Osteoarthritis

Osteoporosis and osteoarthritis often get confused for one another, as they both begin with ‘osteo’; however, they are completely different conditions – you may have only one of them or you may even have them both.  Both conditions can cause pain and limit your mobility, but the underlying cause of the pain and mobility restrictions are treated differently.  So it is important that you obtain an accurate diagnosis, in order to have a treatment plan that will be successful for you!

 

  Osteoporosis Osteoarthritis
Definition It is a condition that involves the state of your bones.  There is a decreased quantity and quality of your bone structure.  This can increase your risk of getting a fracture.
It affects your overall bone structure.		 It is a condition that involves the state of your joints.  There is a thinning and destruction of the cartilage that is normally at the ends of bones.  There can also be changes to the bone that lies underneath the cartilage.It affects specific joints.
Symptoms It produces no symptoms, even as the condition progresses.  Only when the bone has become weakened to a point that a simple movement (i.e. bending over to pick up something heavy) can cause a fracture, can pain occur. It produces significant pain that can result in restricted mobility and stiffness.  The joints may also appear larger over time, due to an accumulation of fluid in the joint.
Risk Factors Major Risk Factors:

–       Low bone mineral density
–       Increasing age
–       Low body weight
–       Family history
–       History of low-trauma fracture(s)

 

 Internal Risk Factors:

–       Age
–       Gender
–       Genetics
–       Previous joint damage
–       Bone malalignment

External Risk Factors:

–       Obesity
–       Repetitive jobs/sports that stress the joint(s)
Exercise Therapy The exercise program would be individualized to the person to include weight-bearing and strength training exercises that can help stop bone loss, maintain/increase bone density, or increase balance and prevent falls. The exercise program would be individualized to the person to include range of motion and strength training exercises of the muscles surrounding the joint, in order to provide support to the weak and painful joint.If the damage to the joint is severe, a joint replacement surgery may be needed.  An exercise program can also be developed in order to prepare yourself for surgery and for recovery after surgery.

Come into Form & Function to be assessed by one of our healthcare professionals, in order to have a treatment plan developed that will work best for you!

Sonia
Physiotherapy Resident

By Dr. J 0 Comments Health Tips

Exercise for women 60+ …even a little goes a long way!

A recent study in women aged 60-74, showed that exercising even just two times per week (1 aerobic workout and 1 strength training workout) for 16 weeks can improve aerobic fitness and strength, and reduce fat mass. The greatest benefits were seen in women who exercised four times per week (2 aerobic workouts and 2 strength training workouts). Interestingly, benefits decreased when women exercised six times per week (3 aerobic workouts and 3 strength training workouts).

If you’re a woman 60 years or over, use this study as motivation for safe and effective physical activity levels because even a little bit of exercise can make a difference (just don’t overdo it!). Before starting a new exercise program, make sure your health care professional assesses that you are healthy enough to do so. Exercising is an important step to helping improve your health physically and emotionally, so that you can live your life to the fullest.

So women of all ages: let’s keep moving!

Odette Bulaong, ND

 

By Dr. J 0 Comments Health Tips

Achilles Pain & Weak Glutes

achinles

 

 

 

 

 

A recent article by Smith et al ( 2013) has  shown that runners with Achilles Tendinopathy (chronic tendinitis) also have a delay in both Glute Mede and Glute Max activation and duration of firing. Unfortunately it does not tell us if Glute inactivity is the chicken or  the egg, but from a kinetic chain perspective it does make a great deal of sense.  Glute Mede and max are external rotators of the leg, and with out good firing patterns, it can also play a part in pronation (foot flattening out) of the foot.  Pronation is one mechanism of causing achilles injuries.   Either or, if your unsure have your therapist check for glute mede and max response to load, as well as its endurance if you are suffering from Achilles tendon pain.

 

 

Neuromotor Control of Gluteal Muscles in Runners with Achilles Tendinopathy
Smith, Melinda M.; Honeywill, Conor; Wyndow, Narelle; Crossley, Kay M.; Creaby, Mark W.
Medicine & Science in Sports & Exercise: 10 October 2013

By Dr. J 0 Comments Health Tips

Choosing the Right Footwear for the Appropriate Sport

Be sure to wear sport-specific shoes when you play a particular sport for at least three times a week.  It is highly recommended that you consult with the Chiropodist to ensure that you are wearing the proper shoe size and type of shoe.

The following are just a few shoe recommendations for different types of sports:-

BASKETBALL

Common foot injuries: sprains, tendonitis, stress fractures

The ideal basketball shoe should:

–       Have a thick, stiff sole that gives support while running and landing jumps.

–       Have a high ankle construction that supports the ankle during quick changes in direction.

 

SOCCER

Common foot injuries: ankle sprains, turf toe, ingrown toenails

The ideal soccer cleat should:

–       Not have more than a half inch of space between your longest toe and the end of the shoe.

–       Feature the stud type for the ground that will be played on most often: soft, hard or firm.

 

TENNIS & BADMINTON

Common foot injuries: ankle sprains, tendonitis, torn knee ligaments

The ideal court shoe should:

–       Have a sufficient amount of heel support.  Ensure that the area surrounding the heel is stiff enough and

has adequate padding to prevent injury when making quick changes in direction.

–        Ensure that the sole of the shoe is stiff to provide support when running.

–

RUNNING

Common foot injuries: plantar fasciitis, shin splints, toenail conditons

The ideal running shoe should:

–       Provide maximum shock absorption, to help runners avoid injuries.

–       Match your foot’s arch type (low, medium or high)

By Dr. J 0 Comments Health Tips

Choosing the Right Footwear for the Appropriate Sport

Be sure to wear sport-specific shoes when you play a particular sport for at least three times a week.  It is highly recommended that you consult with the Chiropodist to ensure that you are wearing the proper shoe size and type of shoe.

The following are just a few shoe recommendations for different types of sports:-

BASKETBALL

Common foot injuries: sprains, tendonitis, stress fractures

The ideal basketball shoe should:

–       Have a thick, stiff sole that gives support while running and landing jumps.

–       Have a high ankle construction that supports the ankle during quick changes in direction.

 

SOCCER

Common foot injuries: ankle sprains, turf toe, ingrown toenails

The ideal soccer cleat should:

–       Not have more than a half inch of space between your longest toe and the end of the shoe.

–       Feature the stud type for the ground that will be played on most often: soft, hard or firm.

 

TENNIS & BADMINTON

Common foot injuries: ankle sprains, tendonitis, torn knee ligaments

The ideal court shoe should:

–       Have a sufficient amount of heel support.  Ensure that the area surrounding the heel is stiff enough and

has adequate padding to prevent injury when making quick changes in direction.

–        Ensure that the sole of the shoe is stiff to provide support when running.

–

RUNNING

Common foot injuries: plantar fasciitis, shin splints, toenail conditons

The ideal running shoe should:

–       Provide maximum shock absorption, to help runners avoid injuries.

–       Match your foot’s arch type (low, medium or high)

By Dr. J 0 Comments Health Tips

Measuring Your Physical Activity Intensity

So, you’re jogging on the treadmill, but don’t know if you’re exercising at an appropriate intensity or pace?  A way of determining whether you should modify your intensity level is to use the Rating of Perceived Exertion Scale.

Using the Rating of Perceived Exertion Scale helps you to determine the efficacy, as well as the safety, of your exercise program.  You want to reach a level of intensity that will induce a training effect, while ensuring that you don’t get to a point when you start to experience adverse effects.  Heart rate is commonly used, but it can be influenced by many factors, such as certain medications, environmental conditions, and psychological/mood states.  The Rating of Perceived Exertion Scale is a reliable alternative to help you self-monitor your exercise intensity on a minute-by-minute basis, allowing you to immediately modify your intensity by speeding up or down your movements.

So, how do you use the scale? The scale ranges from 0 (you are at rest) to 10 (complete exhaustion).  When you’re trying to determine what your current level of intensity is, it is important to consider your overall exertion, not just the soreness of a specific body part.  Also, since this is a subjective scale, your own appraisal of your exertion is what’s important – don’t compare yourself to other people!  As a guide, moderate intensity is considered to be 4-6 on the 0-10 scale and high intensity is considered as 7-9.  Discuss your physical activity goals with a healthcare professional at Form and Function to determine at which intensity level you should be training.

The “talk test” is a simpler version of the Rating of Perceived Exertion Scale.  If you can sing during your activity, you’re exercising at a low intensity; however, if you can barely get a word out, without having to take a gulp of air, you’re exercising at a vigorous intensity.  Therefore, a moderate intensity is when you are exercising, but can still carry on a conversation.

Using this as a starting point, if over time, your rating decreases or you are able to sing while performing the same activity, then you know that your exercise tolerance has improved – great job!

Sonia
Physiotherapy Resident

By Dr. J 0 Comments Health Tips

Measuring Your Physical Activity Intensity

So, you’re jogging on the treadmill, but don’t know if you’re exercising at an appropriate intensity or pace?  A way of determining whether you should modify your intensity level is to use the Rating of Perceived Exertion Scale.

Using the Rating of Perceived Exertion Scale helps you to determine the efficacy, as well as the safety, of your exercise program.  You want to reach a level of intensity that will induce a training effect, while ensuring that you don’t get to a point when you start to experience adverse effects.  Heart rate is commonly used, but it can be influenced by many factors, such as certain medications, environmental conditions, and psychological/mood states.  The Rating of Perceived Exertion Scale is a reliable alternative to help you self-monitor your exercise intensity on a minute-by-minute basis, allowing you to immediately modify your intensity by speeding up or down your movements.

So, how do you use the scale? The scale ranges from 0 (you are at rest) to 10 (complete exhaustion).  When you’re trying to determine what your current level of intensity is, it is important to consider your overall exertion, not just the soreness of a specific body part.  Also, since this is a subjective scale, your own appraisal of your exertion is what’s important – don’t compare yourself to other people!  As a guide, moderate intensity is considered to be 4-6 on the 0-10 scale and high intensity is considered as 7-9.  Discuss your physical activity goals with a healthcare professional at Form and Function to determine at which intensity level you should be training.

The “talk test” is a simpler version of the Rating of Perceived Exertion Scale.  If you can sing during your activity, you’re exercising at a low intensity; however, if you can barely get a word out, without having to take a gulp of air, you’re exercising at a vigorous intensity.  Therefore, a moderate intensity is when you are exercising, but can still carry on a conversation.

Using this as a starting point, if over time, your rating decreases or you are able to sing while performing the same activity, then you know that your exercise tolerance has improved – great job!

Sonia
Physiotherapy Resident

By Dr. J 0 Comments Health Tips

Natural relief for menstrual cramps

Many women suffer for years from painful periods, a condition known as dysmenorrhea. Fortunately, there are several naturopathic therapies including acupuncture, nutritional changes and herbs that can help provide pain relief.

A study done on 120 females found here, demonstrated that women who consumed ginger root powder for 2 days before their period and the first 3 days of their period experienced less pain and shorter duration of pain than women who did not. Since menstrual cycles are a monthly occurrence, natural therapies such as ginger can be considered by women to decrease their dependence on pain medication.

Remember that in addition to pain relief, naturopathic medicine also helps to determine and treat the cause of painful periods, which is important for female reproductive and overall health.

Odette Bulaong ND

By Dr. J 0 Comments Health Tips

Flexibility vs Mobility

 

 

 

 

 
Flexibility-exercisesThe best way to think this one through is to imagine “flexibility” as your passive range of motion; it is how far you are able to bend forward .  This is usually limited to tonicity of the muscles, tendons, ligaments, fascia, scar tissue and joint capsules.

Mobility on the other hand is how you function within that range of motion.  Just because you have good passive range of motion, it does not mean that you are capable of functioning optimally within that range.

Always build mobility as well as flexibility.