Knee Arthritis

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Knee arthritis is a condition that can cause stiffness that limits joint range of motion. Over time, the knee’s flexion and extension movements become limited, generally causing pain and an alteration of the normal biomechanics. Your thigh muscles also have to work harder during movement, generating a feeling of muscle tension.

To date, the exact causes of osteoarthritis have not been fully identified. It is completely normal to have a mild level of osteoarthritis with age. However, the more advanced stages of osteoarthritis can affect the ability to carry out daily activities and sports. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the knee can increase the symptoms of osteoarthritis.

In the knee, the joint affected by osteoarthritis is the t​ibiofemoral joint​, formed by the femur bone and the tibia bone. It is mainly ​cartilage​ damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, certain muscles in the thigh area may compensate for the joint restriction and become more tense.

Each person will react differently to osteoarthritis and management will depend on its stage. Knee osteoarthritis can produce, but is not limited to, local pain in the knee, localized edema and stiffness in certain knee movements. Repetitive movements of the knee during walking or other sports activities and a squatting position with direct pressure can cause pain.

Knee osteoarthritis is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.

Relative rest is a good way to prevent your symptoms from getting worse after a painful episode. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and knee and hip muscles strengthening exercises will allow for better recovery.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve range of motion of your knee’s joint, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of knee osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of knee osteoarthritis.

Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage of osteoarthritis. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

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Lateral Ankle Sprain

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A lateral ankle sprain (LAS) occurs when you twist or roll your ankle inward.
This can happen by walking/running on an uneven surface, stepping on someone else’s foot, pivoting or changing direction during sport.

The severity of the sprain can range from mild to severe.

Usually, this abrupt inward ankle twist or roll will lead to a stretch or
a tear, partial or complete, of the lateral ligament complex of your ankle.
In the very moment preceding the sprain, your ankle muscles will tend to protect you with a forceful contraction. Sometimes, this can lead to muscle spasms and/or a small bone fracture where the muscle attaches to your foot.

The peroneal nerve and the ligaments of your foot may also be overstretched during a lateral ankle sprain.

Everyone will react differently after an injury and recovery will depend on the severity of the sprain. LAS can cause but is not limited to, pain, difficulty in weight-bearing activities, swelling, ecchymosis, pins & needles.

The severity of the sprain, your rehabilitation plan, your health status, your fitness level and your nutrition affect recovery time. Generally, you can expect to fully recover from a lateral ankle sprain.

Class IV Laser and acupuncture are large parts of our treatments. They provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life.

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Tennis Elbow

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Lateral epicondylalgia, also called tennis elbow, is an irritation of the wrist extensor muscles. This condition can affect people performing repetitive motions of the wrist and arm, such as tennis players. Symptoms include pain and tenderness on the outside of the elbow.

Tennis elbow is a common overuse injury that often develops gradually over a period of weeks or months. The condition is characterized by pain and tenderness on the outside of the elbow, which may worsen with certain activities or movements.

If you’re dealing with lateral epicondylalgia, know that most people fully recover from this condition. As a general guideline, it can take a few months to recover completely. Of course, this varies from person to person – some may recover more quickly, while others may take longer.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for elbow pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Shin Splints

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If you’re an avid runner, then you’ve probably experienced the pain of medial tibial stress syndrome at some point. Also known as shin splints, this condition is caused by repetitive stress on the tibia, or by excessive traction on the fascia (the muscle envelope) from the surface of the bone.

This condition, commonly known as “shin splints”, affects people who regularly participate in activities that put stress on the lower leg muscles and tibia, such as walking, running, or jumping. The condition is caused by training intensity and/or volume being increased too quickly, without allowing adequate time for recovery.

Shin splints are a painful condition caused by repetitive stress on the shinbone (tibia). This can be from excessive traction on the muscles and fascia around the bone, resulting in inflammation. Shin splints are a common injury, especially for runners. Treatment includes rest, ice, and stretching as.

Repetitive stress on the tibia, or excessive traction of the fascia, can cause medial tibial stress syndrome (shin splints). The fascia is a muscle envelope that covers the surface of the bone. When this tissue is overworked, it can lead to pain and inflammation in the shins.

This condition mostly affects people who do a lot of walking, running, or jumping. Their tibia and lower leg muscles have to absorb a lot of weight, which can lead to injury. Generally, this happens when people suddenly increase the intensity or volume of their training without giving their bodies enough time to recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for leg pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Patellar bursitis

Patellar bursitis is the irritation of the bursa in the front of the knee, just below the kneecap. It is covered by the patellar tendon that connects the kneecap to the tibia.

Sports and activities that require the quadriceps muscles to be repeatedly contracted or stretched while running, hiking, or any other extended activity can cause irritation of the bursa and sometimes inflammation. Patellar bursitis may also occur as a result of trauma directly to the knee.

The bursa is a small fluid-filled sac. The bursa, located in the front of the knee below the kneecap, acts as a lubricant to reduce friction between the patellar tendon and the tibia.

Each person will react differently after an injury and recovery will depend on the severity of the injury. Patellar bursitis can produce, but is not limited to pain in the front of the knee, localized edema due to swelling of the bursa and reduced mobility in the knee. Symptoms are usually worse while running, walking on a sloping surface, climbing and descending stairs, and squatting.

Your rehabilitation plan, health profile, fitness level and nutritional status affect the recovery time. In most cases, you can expect a full recovery from patellar bursitis. As a general rule, this condition may take a few months to fully recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

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Patellofemoral syndrome

Patellofemoral syndrome is an irritation of the articular surface between the kneecap and the femur, your thigh bone, that causes pain under and around the kneecap.

Climbing stairs, running and walking for a prolonged period of time often increases pain. Pain can also be felt after sitting for a long time or squatting.

Patellofemoral pain is more prevalent among young women than men, and more prevalent in the active population.

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Generally, the articular cartilage of your kneecap and femur are involved. A weakness of your quadriceps, mostly the internal portion, can be a risk factor. Research also demonstrated the involvement of the fat tissue around your kneecap as a source of pain.

Everyone will react differently after an injury and recovery will depend on the severity of it. Patellofemoral syndrome can cause, but is not limited to, pain at the front of the knee, difficulty with weight-bearing and squatting and sometimes swelling. Pain can also irradiate under and around the knee. Creaking or grinding sensations can occur during physical activity.

Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Most of the time, you can expect to recover fully from a patellofemoral syndrome. As a rule of thumb, this condition can take up to three months to fully recover.

Class IV Laser is a large part of our treatments. It provides safe and effective, treatment for knee pain and injury. Patients generally respond well to treatments and should notice pain relief after a few treatments. Our treatments use the latest Class IV Lasers and as well as other therapies including myofascial release and acupuncture to help reduce the pain, strengthen the muscles and increase range of motion. Most importantly these treatments help reduce inflammation/swelling, which helps with increasing function, pain relief and speeding up a return to normal life. 

Relative rest is a good way to protect your knee and prevent further damage, but it’s important to avoid overprotecting your injury. A few days rest with a reduction of activities might be necessary. A quick but progressive return to weight-bearing during your activities of daily living and light cardiovascular exercise that doesn’t cause pain will allow better recovery.

Follow your practitioner’s advice. It will help you manage the different phases of the recovery process and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain range of motion, strength, endurance and functional status.

As per the principles of rehabilitation for a patellofemoral syndrome, adjusting the volume and intensity of your physical activities is a very important piece for a functional rehabilitation. For this condition, a progressive exercise program performed over a few months period is pretty standard.

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light mobility and strengthening exercises as tolerated.

Shoulder Impingement Syndrome

Shoulder Impingement Syndrome
Shoulder Impingement Syndrome
Impingement syndrome
Impingement syndrome is an irritation of the structures between the upper portion of your arm and your shoulder blade mainly during overhead arm movements.The rotator cuff is comprised of four muscles that help position the humerus, your upper arm bone, into the shoulder socket during arm movement.The shoulder has great mobility but at the same time is prone to injury during falls or accident, or when there is a lack of motor control (altered biomechanics).Men over 40 performing manual labour are the most affected with this condition. It is also present in young athletes practicing sports involving repeated overhead motion such as swimming, baseball or tennis.

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Structures involved

The tendons of the rotator cuff, ligaments of your shoulder and subacromial bursa are the most commonly affected structures. The subacromial space gets smaller during overhead movements. This can cause, over time, irritation, inflammation and/or a lesion of the rotator cuff tendons.

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Signs & Symptoms that you may experience

Everyone will react differently after an injury and recovery will depend on the severity of it.

Impingement syndrome can cause but is not limited to, pain at the front of the shoulder and localized swelling. Pain or tightness is often felt when you lift your arm overhead or when you lower it from an elevated position. Pain can also be felt around your shoulder blade in your back.

Other early symptoms can include light pain with activities or during rest and in some cases, irradiating pain around your shoulder. In severe cases, you might feel pain at night and a loss of strength or range of motion. Impingement syndrome can lead to rotator cuff tendinitis or shoulder bursitis when left untreated.

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Recovery

Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Most of the time, you can expect to recover fully from impingement syndrome. As a rule of thumb, this condition can take up to three months to fully recover.

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▶ WHAT TO DO

Early Stage

Relative rest is a good way to protect your shoulder and prevent further damage, but it’s important to avoid overprotecting your injury. A few days rest where you avoid pain-inducing movement and activities might be necessary. A quick but progressive return to your activities of daily living, light cardiovascular exercise and specific range of motion and strengthening exercises will allow better recovery.

Rehabilitation

Follow your practitioner’s advice. It will help you manage the different phases of the recovery process and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain your normal range of motion, strength and endurance, optimal motor control and functional status.

As per the principles of rehabilitation for impingement syndrome, movement training through therapeutic exercises is an important part of functional recovery. A progressive exercise program performed over a few weeks period is pretty standard.

▶ WHAT TO AVOID

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light strengthening exercises as tolerated.

Stress and Weight 

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Bottom Line:

A recent research study found over 75% of people experience at least a moderate amount of stress every day! 

Chronic stress is not fun to deal with, but did you know it can also affect your weight? 

When you are stressed your body goes into survival (or “fight or flight”) mode which changes your hormonal balance. You don’t need to be running from a saber tooth tiger to enter fight or flight mode. Even everyday events like traffic and stress at work can cause you to have that physiological response. 

Why it Matters:

Recent research suggests that chronic stress can result in:

  • high blood pressure,
  • changes in your brain,
  • and weight gain.

When you are stressed out, it is more likely that you will over-eat and less likely that you will get enough sleep and exercise. Stress causes your body to release cortisol, a hormone that can produce a build-up of fatty tissue and cause weight gain. Cortisol increases both your appetite and the amount of fat the body stores. By recognizing your stressors, and engaging in a few simple relaxation techniques, you can learn to reduce your body’s natural stress response. 

  • The hormone Cortisol is released in response to stress and increases your blood sugar.
  • Chronic stress can lead to elevated cortisol levels. 
  • An association has been found between increased cortisol levels and obesity.

Next Steps: 

Relaxation techniques such as meditation, yoga, or even simple breathing exercises can help your body counter the stress response. Also, exercise has been shown to decrease stress levels substantially. 

The next time you are feeling stressed out, take a moment to breathe a few deep breaths and try to get some exercise into your schedule that day. Not only will you feel better mentally, but your body will be able to reduce the amount of Cortisol produced which will limit your body’s fat storage and help curb any thoughts of over-eating. Staying fit and trim does start in your head! 

Science Source(s): 

Hair Cortisol and Adiposity in a Population‐Based Sample of 2,527 Men and Women Aged 54 to 87 Years. Obesity 2017

Shoulder Capsulitis

Shoulder Capsulitis

Shoulder capsulitis

Shoulder capsulitis happens when the strong connective tissue surrounding the shoulder becomes thick, stiff and inflamed, causing pain and loss of motion in the shoulder in all directions. It is sometimes called adhesive capsulitis or frozen shoulder.

The exact cause of this condition is unknown, but the risk of suffering from it increases following prolonged shoulder immobilization, a stroke or other shoulder conditions.

People over 40 are more prone to developing this condition and women are more commonly affected than men. Diseases such as diabetes, thyroid dysfunction and cardiovascular diseases can increase the risk of suffering from shoulder capsulitis.

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Structures involved

The glenohumeral joint capsule is involved in this condition. When it thickens, the capsule limits movements of the shoulder. The presence of a natural joint lubricant called synovial fluid also tends to diminish during a capsulitis.

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Signs & Symptoms that you may experience with Shoulder Capsulitis

Everyone will react differently in the event of capsulitis and recovery will depend on its intensity. Shoulder capsulitis generally causes pain and loss of range of motion in the shoulder. This condition typically develops slowly and can last from a few months to a few years. Symptoms of shoulder capsulitis can generally be categorized into three progressive stages.

In the first one, called the freezing stage, the shoulder becomes progressively stiffer and painful. Pain can be worse at night, especially if you sleep on your affected side.

In the second one, called the frozen stage, stiffness in the shoulder joint is important. Pain may begin to diminish during this stage but the range of motion in the shoulder is very limited and muscles start to lose their strength.

The last stage, called the thawing stage, is the beginning of recovery. There is a reduction in pain and a gradual increase in movement.

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Recovery

Prognosis is favorable for the majority of people affected but recovery can take a long time, ranging from one to two years. Your rehabilitation plan, health, fitness & nutritional status will affect recovery speed. Although you can expect to recover from this condition, some mobility restrictions may persist, particularly in regard to range of motion at the shoulder.

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▶ WHAT TO DO

Early Stage

Relative rest is a good way to protect your shoulder and prevent further damage during the first stage, but it’s important to avoid overprotecting your shoulder. It might be necessary to reduce pain-inducing movement and activities. Progressive return to your activities of daily living, range of motion exercises and light cardiovascular exercise will allow better recovery.

Rehabilitation for Shoulder Capsulitis

Follow your practitioner’s advice. It will help you manage the different stages of a capsulitis and will increase the likelihood of successful rehabilitation. Your practitioner will assist you during your rehabilitation program in order to regain your normal range of motion, strength and endurance and functional status.

As per the principles of rehabilitation for shoulder capsulitis, range of motion exercises are an important element of functional recovery. A progressive exercise program is pretty standard.

▶ WHAT TO AVOID

Don’t rely on passive treatment only. Each phase of the rehabilitation process is important. Patients that are actively involved in their treatment plan tend to recover faster. Keep in mind that pain is not always a good indicator of tissue damage. As soon as you feel better and the pain is well managed in collaboration with your therapist, you should reintroduce light range of motion and strengthening exercises as tolerated.

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Learn About Laser Therapy

Laser Therapy For Knee Pain

Laser Therapy For Knee Pain
Laser Therapy For Knee Pain

Those who have knee pain, whether acute or recurring, may find relief in cold laser therapy. This type of laser therapy is a non-invasive procedure that uses a class IV laser to stimulate the affected area and alleviate pain. Research has shown that it can be efficacious in alleviating knee pain whether it’s caused by injury or chronic conditions. Researchers think the lasers aid in healing because they may:

  • Improve circulation
  • Stimulate natural painkillers called endorphins
  • Improve cell regeneration
  • Encourage new tissue growth 

Those who have knee injuries, as well as those who have a knee injury caused by trauma, may be able to benefit from laser therapy. Bone on bone knee pain can be eliminated with a combination of LLLT and physical therapy. The LLLT reduces the irritation and subsequent inflammation of arthritis while the physical therapy strengthens the surrounding muscles and ligaments so that pressure on the joint is reduced.

An injured knee joint can heal faster when LLLT is applied because the body’s healing mechanisms are stimulated and circulation increases. Other types of pain that can be helped with LLLT include:

  • Bursitis
  • Tennis elbow
  • Carpal tunnel syndrome
  • Fibromyalgia

The time it takes to heal and how long the benefits lasts will vary by the individual. Currently, there is no cure for arthritis or similar bone diseases. However, LLLT can provide relief from the symptoms and improve quality of life for those who have a degenerative bone disease in their knees. For some, the use of LLLT can enable them to begin to exercise and lose weight, which can often alleviate much of the knee pain of arthritis and other conditions.

If you have knee pain and would like to try laser therapy in Winnipeg, feel free to contact us at 204-586-8424.