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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

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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)

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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)

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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

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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

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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

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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.

 

 

 

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Importance of Proprioception in Rehab

What is it?
Proprioception is the sense of relative position between joints and body parts. This sense allows us to know where our limbs are in space subconsciously. It is very important in all every day movements but it is especially important in sports where often complicated, precise and coordinated movements are required.

How does it work?
Proprioception system is made up of sensory receptors in our muscles, tendons and joints. These sensory receptors pick up information regarding tension and stretch of tissues and send this information to your brain. The brain processes this information and automatically sense motor signals to adjust your muscles contraction or relaxation to achieve your desired movement.

Why is it important in rehab?
After an injury, especially if you have been immobilized, these sensory receptors can be impaired leading to a deficit in your proprioception system. Just like a muscle can shrink or atrophy from disuse, these sensory receptors can lose function if they are not being used. With an impaired proprioceptive system, your coordination is decreased leading to hindered athletic performance and a greater change of reinjury. It is the second injury following the initial injury that often causes more severe consequences.

There are ways of redeveloping your proprioception safely and it is a must if you sustained any lower limb athletic injury. Please feel free to contact the health care professionals at Form and Function to find out more about proprioceptive training following injury.

Manni Wong
Registered Physiotherapist

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If you’re pregnant…get out of bed!

If a pregnant mother you know has been told to stay in bed to prolong her pregnancy, please share this information with her.

A recent study summarized in  The New England Journal of Medicine Journal Watch was done on 644 pregnant women. It showed that the bed rest that is often recommended to prevent pre-term births did not help prolong pregnancies, and may have actually been linked to an increase in pre-term delivery.

Every pregnant mother should be assessed by her doctor individually to determine what is best for her. This study provides support that activity restriction is an outdated recommendation that may cause more harm than good. Share this information with your doctor and have a discussion on what is best for you.

Odette Bulaong, ND

 

By Dr. J 0 Comments Health Tips

Stretching the Fascia

Here are  few tips on stretching fascial tissue.  These tissue will include such structures as the Iliotibial Band (IT), Patellar tendon, Thoraco-lumbar Fascia.  Remember, these tissues are viscoelastic structures.  Schleip 2005/09/12 has demonstrated that not only do these structure stiffen do to excessive rehydration after dynamic fast load, but also has a contractile component.  Slow stretching for these structures have shown to have longer lasting effects on these tissue.  So remember to spend upto 5-10 min with moderate and slow progressive tensionfor these structures.

Dr. J

chiropractor in markham
chiropractor in markham

 

Dr. J