What is the role of physical therapy in treating tennis elbow?

Does your elbow hurt, and you have been diagnosed with tennis elbow? If yes, rest and lowering inflammation is the mainstay goal for treating it. Once the inflammation subsides, physical therapy can help to strengthen the muscles and prevent recurrence of tennis elbow. Here is how physical therapy can help.

Before knowing the role of physical therapy, let’s understand what tennis elbow is and why does it happen.

What is Tennis Elbow?

Tennis elbow is caused by inflammation of the forearm muscles that attach to the elbow. Common symptoms of tennis elbow are burning and pain on the outside of the elbow and reduced grip strength.

Tennis elbow is an overuse injury caused by repetitive action. Tennis elbow is commonly observed in racquet sports, but can also be seen in carpenters, plumbers, and painters.

Factors Responsible

Factors causing tennis elbow are different for everyone suffering from it. For treating tennis elbow, it is thus important to find out the factors responsible for your problem and manage them accordingly. Some common factors are:

  • The tightness of forearm muscles: The tendons affected by tennis elbow are attached to the forearm muscles. For normal arm function, it’s important that forearm muscles are flexible and strong to perform the required tasks. If the muscles are not flexible, the load on these tendons increases, causing pain and inflammation.
  • Repetitive motion: Tendons tend to break down when the strain is higher than what they can withstand. This could be due to small forces over a period of time or in a single motion where the force is so high that the tendon breaks. So, tennis elbow is common in individuals with hobbies or jobs that involve repetitive movements.
  • Shoulder tightness: When movement at one joint is not normal, it alters the functioning of neighbouring joints. With a task that involves shoulder, wrist, and elbow, a lack of shoulder mobility increases the load on the wrist and elbow.
  • Others: Ergonomic factors, such as sitting position, grip size of tools you use, and frequent use of vibrating tools increase the risk of tennis elbow.

Role of Physical Therapy

Physical therapy can help you with:

  • Lowering pain
  • Promoting tissue repair
  • Restoring normal function
  • Improving muscle strength

Your physical therapist will determine the factor(s) responsible for the tennis elbow and curate a treatment plan accordingly. Some treatment options are:


Functional training and weight-bearing exercises can improve muscle strength and flexibility. They also help to reduce muscle tightness. Some common exercises are ball squeeze, finger stretch, and wrist stretch. Exercises are usually advised once the pain eases. You may be able to see results within 8 weeks depending on your condition.

Manual Therapy

Manipulation and mobilization can help in lowering pain. These techniques are usually done as an adjunct to exercise or medications.

Shock Wave Therapy

Extracorporeal Shockwave Therapy aids in stimulating the healing process of your body. Your physical therapist will use this technique at a definite interval to allow your body to heal between treatments.

As factors causing tennis elbow are different, a combination of treatment options used in all cases can be different. Your physical therapist will help you curate a treatment plan for a pain-free elbow.

Looking for a physical therapist? Search for physiotherapy clinic near me.

How can physical therapy help treat multiple sclerosis?

Canada has the highest rate of multiple sclerosis with almost 1 in 385 Canadians suffering from it. The use of physical therapy for managing multiple sclerosis is higher than ever. Wondering how physical therapy can help?

Multiple Sclerosis can cause various symptoms such as body pain and weakness. Physical therapy includes treatment modalities to improve your gait and strengthen your muscles. It also involves exercises to improve or maintain mobility and prevent muscle spasms. Your physical therapist can also train you to use mobility aids, such as a walker, cane, or wheelchair.

What is Multiple Sclerosis

Multiple sclerosis is an autoimmune disease of the spinal cord and brain. This condition affects the protecting covering of the nerves, thus damaging nerves. Some common symptoms are weakness, muscle pain, tingling and numbness, and vision problems.

Role of Physical Therapy at Different Stages

PT plays an important role during different stages of multiple sclerosis. Here is a gist:

  • Diagnosis: Physiotherapy, during diagnosis, involves exercises to deal with fatigue and improving balance.
  • Relapse: The severity of symptoms during a relapse or flare are severe and may interfere with your ability to carry out daily functions. Physical therapy can help you to carry out daily activities with ease such as working, walking, cooking, bathing.
  • After relapse: The goal of PT is to help you perform daily activities to baseline functioning. Usually, a break of two weeks is taken to allow you to recover from fatigue and other factors.
  • Progressive: During this stage, the condition progressively increases. Physical therapy can help you sustain changes your body is going through. It can also help you to use mobility aids.
  • Advanced: In the advanced stage, you may face difficulty in moving around. There is also an increased risk of weak bones. PT can help to increase upper body strength and the ability to use mobility aids.

Aims of Physiotherapy

  • To maintain voluntary control
  • Re-educate to sustain postural mechanism
  • Prevent abnormal movement
  • Avoid relapse
  • Prevent falls
  • Develop stamina and strength
  • To cope with changing body needs
  • Stimulate perceptual and sensory experience

Treatment Options


Exercise helps to improve strength and is beneficial for the quality of life and mood. Your physiotherapist will decide the exercise frequency, duration, and intensity based on your condition. Weight-bearing exercise can be helpful to combat weakness and fatigue.

Poor balance and reduced walking speed increase the risk of falls in people with multiple sclerosis. A physiotherapist will curate balance exercises to improve gait and balance and thus reduced the risk of falls. Low to moderate-intensity aerobic exercises improve fitness and reduces fatigue.

Aquatic Exercises

Besides strengthening your muscles, aquatic exercises also help in improving mental health and energy levels. The lowered impact of gravity in aquatic exercise aids people with even severe weakness to stand and exercise.

Manipulation, massage, and transcutaneous electrical nerve stimulation (TENS) aids in relieving pain and improving muscle strength and mobility.

Final Word

Physical therapy plays an important role in various stages of multiple sclerosis from diagnosis to relapse. Of note, visit a registered physiotherapist before trying any treatment options.

Looking for a physiotherapy clinic near me OR a physical therapy near me? Find Out details here.

What are the various approaches for advanced concussion care?

A concussion is a kind of brain injury, which is induced by a hit or gust to the head. Besides, severe
shaking like whiplash can also cause a concussion because it causes the brain to twist in the skull.

When it comes to concussions, experts are critical about avoiding unwanted consequences and obtaining
favorable outcomes.

For optimized solutions, advanced concussion clinics need to bring together the field’s leading
experts to collaborate – to improve diagnosis, target treatment, and accelerate the brain’s recovery.

Signs of a Concussion

Below are the probable signs that may indicate that you should consult a concussion rehabilitation

  • Headache: Specifically, when a headache gets worse
  • Illness: Dizziness, nausea or vomiting
  • Vision: Dual or blurred vision, or sensitivity to light
  • Speech: The sensation of hearing ringing or other problems
  • Sleepiness: Drowsiness or a dull, foggy or slowed-down feeling
  • Confusion: Trouble concentrating, confusion or irritability

Recovery from a Concussion

For most of the people with a mild concussion or traumatic brain injury, getting full-time rest works well
to help the brain heal.

Some people require more extended rest or expert concussion treatment.

Below are the tips to help you quickly recover from a concussion and get back to your usual activities.

  • Reduce screen time
  • Limited exposure to bright lights and blaring sounds
  • Avoid unnecessary head and neck movements
  • Stay hydrated
  • Rest
  • Eat more protein
  • Eat foods rich in omega-3s and antioxidants
  • Be patient and follow all the instructions

Advanced Concussion Care for Brain Injury

If symptoms don’t go away or get worse, you may need to go for advanced concussion care. At PhysioExperts, you’ll have access to a large team of experts who will do the needful for you.

Advanced concussion care may include:

Vestibular therapy

Vestibular therapy is a specific form of treatment designed to relieve dizziness, headaches, and imbalance.
It involves a personalized problem-oriented approach to promote compensation and brain adaptation.
Our concussion care experts will customize physical exercises to address each person’s specific problems.
Based on the personalized case study, there are three principal methods of exercise therapy: gaze
stabilization, habituation, and balance/exertional training.

Speech and Language (Cognitive) Therapy

Speech and language therapy focuses on improving cognitive issues.
Speech and language therapy helps to correct issues with perception, excellent motor skills, handwriting,
learning, memory retention, understanding, and recall. Our speech and language therapists would guide your return to normality by helping you adapt to various

Occupational Therapy

Occupational therapy involves visual-motor skills. Our occupational therapists assist you in regaining
excellent motor control.

Active Rehabilitation Program

The Advanced Concussion program is beneficial for the renewal of the autonomic nervous system
balance. With prolonged symptoms for more than a month, a rehabilitation program may be needed to
help you back to the lifestyle you enjoyed before the concussion.

In the rehabilitation program, we blend physical treatments that address issues with balance,
coordination, vestibular therapy, reaction time, peripheral awareness. We use various techniques to help
you multitask and treat physical symptoms like headaches and dizziness.

Other advanced concussion care solutions include using sport-specific strategies to overcome
recurring problems.

Post-concussion plan:

To help clients reduce their brain “fog” and increase their recall and stamina, we work with them and their
loved ones to evaluate and narrow down the difficulties they are facing.

Together, we formulate a post-concussion care treatment plan that will help the client both adapt
and overcome the concerns.

This action plan can include: a personal design for controlling one’s environment to reduce
over stimulation and remunerate for deficiencies, realistic goal setting, exercises to improve cognitive
endurance, family education, and assistance with transitioning back to work or school.


If you are experiencing a concussion or believe you need advanced concussion treatment, it’s
important to seek help. Get in Touch with us for details.

Frozen Shoulder – Symptoms, Causes, Diagnosis, Treatment

Frozen shoulder is a typical condition in which the shoulder hardens, which reduces mobility.

There has been ambiguity about frozen shoulder and arthritis. Frozen shoulder refers categorically to the shoulder joint, while arthritis may apply to multiple joints. Frozen shoulder can affect one or both shoulders.

With visible conditions, you may need physiotherapy.

In this article, we will talk about everything that you need to know about frozen shoulder:

What are the symptoms?

A person with a frozen shoulder will have a consistent pain followed by the shoulder joints getting stiff.

There are three stages for Frozen Shoulder:

  • Freezing, or painful stage 

In this initial stage, the pain increases gradually, making shoulder motion harder and harder. Pain tends to be worse at night. This stage can last from 9 weeks to 9 months.

  • Frozen stage

In the second stage, the shoulder remains stiff. It can last from 12 months, and movement may be restricted.

  • Thawing stage

In this stage, shoulder movement may become flexible again. Pain may fade but occasionally recur. That takes between 20 to 24 months.

What causes Frozen Shoulder

Below are the common causes of frozen shoulder: 

  • Stroke
  • Hyperthyroidism, or overactive thyroid
  • Hypothyroidism, or underactive thyroid
  • Cardiovascular disease
  • Parkinson’s disease

The risk factors for frozen shoulder are:

  • Age: Being over 40 years of age.
  • Gender: Women are some susceptible to frozen shoulder
  • Recent trauma: Surgery or an arm fracture often leads to immobility during recovery, and this results in the thickening of the shoulder capsule.
  • Diabetes: About 15 to 20 percent of people with diabetes develop a frozen shoulder.

What are the various Frozen Shoulder treatments?

  There are four main treatment methods: 

  1. Anti-inflammatory medications 

Medications play an immense role, and these include analgesics, anti-inflammatories, and sometimes medicines to assist with sleeping.

  1. Physical Therapy

Physiotherapy is powerful, but the impact depends on the phase of the frozen shoulder.

In the initial stages, the physiotherapy exercises focus on maintaining movement, flexibility, and strength to avoid further stiffness. 

  1. Corticosteroid  injections

 These injections are usually given using a sterile technique.

  1. Shoulder manipulations and Surgery

A manipulation under anesthesia (MUA) is the common Frozen Shoulder treatment technique for a simple frozen shoulder. The shoulder is moved through a range of motion, which causes the capsule and scar tissue to stretch.  

During the treatment procedure, 2 to 3 holes are made in the shoulder. 

The thickened capsule tissue is cut and removed. Thus the tight capsule releases, which allows the increase in range of motion. 

 It is an effective treatment for stiff shoulder after injury, trauma, or fracture, and diabetes.

The benefits of Frozen Shoulder Physiotherapy

The benefits of frozen shoulder physiotherapy vary according to the stage of the frozen shoulder you experience. 

For the first phase, assisted range-of-motion exercises can help prevent loss of movement, and various pain-reducing methods can sometimes help. 

In the second phase, treatment may become more efficient. Although the shoulder is still very stiff, physical therapy can become more active as the pain recedes.

The goal for physiotherapists is to retain and regain as much motion as possible.

Therapy can be more aggressive and is better tolerated for the final phase, which can last up to 24 months. 


If you experience a frozen shoulder, schedule an appointment with us. 

We can assess the stage of the condition and create a particular physiotherapy to get you back to full range of motion as quickly and thoroughly as possible.

What are the various stages of Hip Osteoarthritis (OA)?

About more than 10 % of Canadians are currently living with osteoarthritis, the most common form of arthritis. There’s a prominent connection between osteoarthritis and aging factor.

Therefore, as the baby-boomer generation ages, the number of people with osteoarthritis in Canada is expected to surge. 

Pain and stiffness are indications for worsening disease. By the time the initial symptoms of stiffness and pain occur, changes in the joint may have already reached an advanced stage.

Osteoarthritis Treatment and outcome can depend on the joints’ effects. For the records, osteoarthritis can affect any joint in the body.

It is beneficial to have brief knowledge about your condition before you go for treatment.

How do you know you need physiotherapy for Osteoarthritis

The commonly affected areas are the knees, hips, hands, fingers, and spine. Osteoarthritis rarely affects the elbows, wrists, and ankles.

In most cases, people with osteoarthritis are middle-aged or older because the condition appears over time. There is the gradual development of cracks on the joints due to wear and tear.

However, you may not need rehabilitation [1] physiotherapy for the condition if you are below the age of 40. By contrast, at least 80 percent of people over age 55 have X-ray [2] evidence of the disorder, even if they show no prominent symptoms.

There are specific cases when people need to take the help of different physiotherapy treatments to help recover.  These situations are the most probable cause in younger adults who show osteoarthritis symptoms due to sports injuries, obesity, and other types of arthritis, which encompass various inflammatory joint conditions.

However, in this article, we would introduce to you some of the fundamental aspects of hip osteoarthritis to help you understand your symptoms well.

The specific case of Hip Osteoarthritis

First thing first, let’s walk you through what is the hip joint and how that works.

The hip joint consists of a ball-shaped end of the thigh bone (femoral head), which fits into the hip socket (acetabular socket). Generally speaking, that’s the area around your groin, thigh, buttocks, or knee.

The inner part of this ball-and-socket joint is lined with smooth cartilage to help with the flexible joint movement. If this smooth cartilage wears away, the remaining rough surfaces of the ball-and-socket grinds against each other, which causes pain.

Over time, this condition deteriorates causing permanent damage to the joint. 

Let’s know how Osteoarthritis develops in the hip joint, and when you should opt for physiotherapy.

We will also discuss different physiotherapy treatments that we include in the physiotherapy home service. 

Osteoarthritis: The PrimaryStage

The various causes of the Hip OA are the structural problems with the hip joint (hip dysplasia, femoroacetabular impingement), age, obesity, and accidental or chronic injury.
The first changes that osteoarthritis typically bring is when the cartilage that coats the ends of your bones and cushions your joints starts to thin out.

Even though cartilages don’t have nerves when the damaged cartilages rub against each other, they affect the bone underneath,  this is the initial symptom of osteoarthritis.

However, in this initial stage of the disorder, we recommend staying active while avoiding overuse of any particular joint. As a means of physiotherapy, we suggest getting exercise therapy for core stability.

Osteoarthritis: The secondary Stage

As osteoarthritis progresses, you may notice pain tends to worsen as the day goes on, rather than easing off.  Now it becomes difficult to carry the daily activities due to the wear and tear of the hip joints.

At this stage, it is very important to receive physiotherapy to help with your joints pain, stiffness and other symptoms. This will help you delay the further deterioration of the joint disease and also to get back to your normal routine with minimum pain.


At PhysioExperts, our physiotherapists are very experienced to help you with the same using the latest machines and most helpful exercises and manual therapy. We also use electrotherapy, evidenced-based manual therapy, acupuncture, etc to help you get back to your normal activities.