Our role as a physiotherapist in COVID-19

As COVID-19 has been a dreaded nightmare for all of us, we all should exercise caution at all times. We understand that as a physiotherapist, we are in direct contact with our patients. Therefore, to avoid the spread, as a precaution we have kept our clinic closed for now.

As physiotherapists, we are also the first contact practitioners, which means that we are in a position to take responsibility for the early identification of the novel coronavirus. It is, therefore, our responsibility to be familiar with COVID-19 symptoms and prevent its transmission. As a part of the physiotherapy community, we are sharing some of the key considerations that we ought to follow with due diligence:

Staying updated with the current scenario. We are constantly following WHO’s and Ottawa Public Health’s evolving resources and keeping ourselves abreast with the current statistics and news.

Being responsible is our oath. We are keeping an objective view of the current crisis. Our staff and our patients may look upon us as a leader to provide the right information to help them make decisions and also provide reassurance that we can take care of them at this time of need.

Exercising caution at all times. We’re following the infection prevention and control (IPC) guidelines and are practising social distancing and promoting everyone to stay home. We’ve rescheduled our appointments and have opened digital service via Telehealth Care so our patients can still connect with us in case of emergencies.

We are happy that the federal government is including the essential role and contributions of physiotherapists to fight Canada’s COVID-19, and making new investments to mitigate the impact of the virus on Canadians. Together we will overcome COVID-19 with compassion, command and conviction.

PhysioExperts is committed by using telehealth to deliver quality care to our patients. Through this medium, we promote ourselves to help you stay connected with us anytime, anywhere.

During your telehealth virtual appointment, we will prescribe exercises, track your progress and advise precautions. We also help you use whatever resources are available at your home to optimize your care.

What you get?

  • Virtual appointments are secure and private just like in clinic sessions
  • Get a 30 min – 60 min session with an experienced Physical Therapist 
  • Easy to connect video sessions on your phone, tablet or laptop

We’re extending our expert care with Telehealth. We are available from Monday – Friday, 9 am – 8 pm. Book online: https://experts.janeapp.com or book via email: info@physioexperts.caor book via call: 613.672.6000

COVID-19: Our responsibility as physiotherapists

The novel coronavirus is the biggest disruption we have ever experienced in the world. 

People are getting anxious and are unaware and lack clarity on this changing situation. As a responsible physiotherapy clinic in Ottawa, PhysioExperts team would like to share important information with everyone. Please take time to read and share with your colleagues, friends and family.

Since March 2020, the province of Ontario has witnessed over 19,000 positive cases with an average number of 400 cases coming daily. This is a serious problem and we would like to promote social distancing as the first step to stop this pandemic. The objective is to reduce the spread and delay its transmission to the peak and reduce the number of cases over time to relieve the pressure on the healthcare system.

According to the WHO report the incubation of the virus is somewhere between 1 and 14 days with symptoms most likely emerging after the 5th day. Therefore, healthcare professionals are promoting 14 days of self-isolation. So, it’s important to stay protected at all times. It’s very important that you follow proper hand hygiene, follow social distancing and make use of your Personal Protective Equipment(PPE)  applicable to prevent the spread of infection. 

Hand hygiene is equally important to reduce the infection from spreading. Wash your hands with soap for a minimum of 20 seconds. The reason is, the virus can stay in your hands for more than 30 minutes, which is enough to make your sick. In case of emergencies, always exercise caution and wear surgical hand gloves and a face mask. Use an alcohol-based sanitizer if you don’t have immediate access to soap and water. 

We only promote the right information and always try to stop the spread of the virus as well fake news. Stay home and stay safe.

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:

Exercises

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

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.

Acupuncture and the Use of Dry Needling Techniques in Physiotherapy treatment

Acupuncture and dry needling techniques are used with other modalities to help you advance in your treatment. The technique requires an intensive clinical reasoning process for proper application. 

Physiotherapists use acupuncture/dry needling techniques for the management of both acute and chronic conditions.

For example, acupuncture is a useful intervention in a range of conditions including, but not limited to, the treatment of headaches, shoulder pain, osteoarthritis, stroke rehabilitation, and other chronic respiratory conditions.

Dry needling is a newer practice that attempts to release tension from knots and pressure points in muscles. However, dry needling and acupuncture have similar application procedures.

In this article, we will learn more about how the physiotherapists use acupuncture and dry needling treatment:

What are acupuncture and dry needling treatment?

Acupuncture Treatment improves pain modulation by stimulating the brain and spinal cord to release hormones, which promotes sleep and wellbeing.

These chemicals assist the body’s healing process.

What are acupuncture and dry needling techniques?

The acupuncture and dry needling technique use needles to help the muscle knots relax or release myofascial trigger points. It is a clean and safe technique that can reduce myofascial pain, muscle tightness, and headaches.

During the procedure, the physiotherapist inserts a needle into a tight band of muscle, which can cause brief localized discomfort, but is effective immediately.

The most common practice is to leave the needle in the muscle for 10–30 minutes. However, there are other types of dry needling techniques:

  • The in and out technique, during which the physiotherapist inserts the needle into a trigger point and removes it right away
  • The non-trigger points technique, during which the physiotherapist inserts needles into the surrounding muscle, instead of a knot or pressure point.

What to expect For Acupuncture and Dry needling Treatment?

Generally, the physiotherapists conduct the acupuncture treatment with the use of single-use, pre-sterilized, disposable needles of varying sizes that pierce the skin at specific acupuncture points. These needles are typically left in position for about 20-30 minutes before being removed.

At the starting point, the physiotherapist will run through a detailed history and examination to assess your suitability to acupuncture.  You also need to alert the physiotherapist of any medical conditions you may suffer from, such as diabetes, heart problems, and low blood pressure.`

To begin with the real procedure, the physiotherapist will determine the acupuncture points, after a thorough examination.  The Acupuncture Treatment plan may combine the traditional technique of finding out the acupuncture points only, trigger points, or a combination of both.

Clients will generally require about three sessions before the physiotherapist can access any cause and effect reasoning, though some people may show immediate effects after treatment.

How safe are acupuncture and dry needling?

As compared to other modalities used in medicine, Acupuncture and Dry Needling Treatment is considered to be very safe.

At Physio experts, we use sterile, single needles so that there is no risk of infection, and our physiotherapists are highly trained and implement the strictest hygiene standards.

The whole dry needling and acupuncture Treatment has minimal side effects, which is less than 1 in 10,000 treatments.

Acupuncture and Dry Needling Treatment at PhysioExperts

At PhysioExperts, we’ve been giving care for over 10 years. Our personalized physiotherapy services have helped our clients to receive quality treatment.

We have a team of Licensed Physiotherapists certified in acupuncture who are involved in on-going post-graduate courses, ensuring current and research-based treatment approaches.

Conclusion

Dry needling and acupuncture Treatment is one of the many services that we offer to our clients. We apply these techniques as a part of our overall physiotherapy plan to manage symptoms.

Besides, our physiotherapy packages come integrated with other treatment techniques, education, and exercises to help with your condition. Get In touch to know more.