National Physiotherapy Month

2019

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8 MANITOBA PHYSIOTHERAPY ASSOCIATION WINNIPEG FREE PRESS - THURSDAY, MAY 9 2019 Have you got pain? Is moving a challenge? WE CAN HELP! 400 Tache Ave. (LL1) - Winnipeg MB 204-233-0419 dcphysio@mymts.net dougchristiephysiotherapy.com Call us if you suffer from: • Neck pain • Back pain • Arthritis • Workplace / Car accident • Concussion • Vertigo / Dizziness • Plantar Fasciitis Our physiotherapists have over 100 years of combined experience and have advanced training in treating muscle and joint dysfunction, vertigo and more. INTERESTED IN ATTENDING A FREE "EXERCISE & ADVICE FOR EARLY HIP OSTEOARTHRITIS" SESSION? CALL US NOW! • Rotator Cuff injury • Post operative issues Our Physiotherapists are Certified Hand Therapists offering: • Custom Splinting • Acupuncture • Detailed assessments • Comprehensive treatments A Hand to Shoulder Clinic A Hand to Shoulder Clinic EastCity Physiotherapy 1123 St. Mary's Rd., Winnipeg, MB R2M 3T7 Office 204.691.1529 Fax 204.691.1749 Email info@eastcityphysio.ca O steoarthritis is the process of degradation of the carti- lage covering the bones that form the joint surface and this de- terioration can even progress to the breakdown of the underlying bone surfaces themselves. Two of the most common joints af- fected are the knee and the hip joints. Studies vary in the estimate of the prevalence of this condition, but it is agreed that it is very common. It is estimated that from 7 to 28 percent of persons over 50 years old suffer from OA of the knee and/or hip. The com- mon symptoms from OA are pain and stiffness in the affected joint. The pain and stiffness can range from being very mild to being totally debilitating. There are predisposing factors to developing OA that one is unable to change. For example gender (female), increasing age and family history. But there are several physical factors con- tributing to OA that one can influence. These factors include a variety of issues that cause unfavourable mechanical/ physical stress to the joint. Physiother- apists can help you to identify these risks and to treat them so they do not contribute to joint degeneration. Con- trolling these issues may prevent your name being on the long list waiting for a hip or knee replacement. Unfavourable mechanical joint stress can be caused by previous in- jury of the involved joint or even of another joint. Weak muscles, tight muscles, pain locally or elsewhere, stiff or unstable joints, excess weight and other factors can change the loads and shear placed on a joint and can lead to early degeneration of those improperly loaded joint surfaces. Physiotherapists can guide you in your recovery following an injury to ensure that you restore your muscle and joint function to its best capacity and thereby reduce harmful load- ing of joints. Sometimes, unfavour- able mechanical joint stress happens even without injury. Poor posture and muscle imbalance from repeti- tive challenging positions (eg play- ing catcher) or one-sided activities (eg playing tennis) can overload a joint over time. Physiotherapists can iden- tify these imbalances and advise you on corrective exercises or postures. Key weak muscles and tight mus- cles can cause an unnatural overload to a joint. And even a nerve that is compromised can create an imbal- ance that can contribute to changes in joint forces. A physiotherapist will help you identify these factors when you complain of joint pain. OA is often referred to as a condi- tion of wear and tear. That makes one think that activity will contribute to the condition. In fact, only very high intensity and very repetitive activ- ity is shown to be a causative factor. For a variety of reasons regular daily activity actually helps to prevent and manage OA. Repetitive, abnormal joint strain can load a joint to the point it starts to cause tissue breakdown. Physiother- apists can advise you on less stress- ful postures at home and at work. And a physiotherapist can teach you alternate ways to perform activities to place less of a load on your joints. It is true that OA cannot always be prevented. If you do have a painful and stiff joint, a physiotherapist can help to assess and manage the con- dition. Physiotherapists are trained in manual therapy techniques and soft tissue techniques that help to restore joint mobility and improve joint biomechanics. Physiotherapists can also use acupuncture, electrical stimulation, ultrasound or laser to help reduce pain and promote heal- ing. And physiotherapists can teach you joint-saving techniques and proper strengthening and stretching exercises to help maintain your joint health as long as possible (which may or may not be your entire life). Sadly, even if one is diligent in trying to prevent, slow progression and manage OA, not all joint replace- ments can be avoided. If you suffer from debilitating degeneration and a joint replacement is the best op- tion for you, then a physiotherapist can direct you in your post-operative recovery to achieve a strong, flexible and functional joint that gets you moving once again! So if you are concerned about get- ting OA, or concerned that you have OA, is it worth a visit to a physiother- apist? Absolutely it is. Physiother- apists are specifically trained to iden- tify physical inadequacies and treat them with therapeutic techniques. Physiotherapy has helped a lot of people who thought they were des- tined to have a life time of pain and reduced activity. Osteoarthritis (OA) is one of the most common chronic health conditions and a leading cause of pain and disability among adults. Cathy Christie is a physio- therapist at Doug Christie Physiotherapy and Associ- ates. You can find Cathy and other great physiotherapists in the Find a Physiotherapist section of our website at mbphysio.org QUICK TIPS FOR PREVENTING OA AND THE CONSEQUENCES OF OA • rehabilitate your injuries at the time in which they occur throughout your life • stretch muscles and joints at least once a week, more often if they are tight • keep active (walking is great for this) • seek help from a physiotherapist for joint pain and stiffness that does not resolve quickly KEY WEAK MUSCLES AND TIGHT MUSCLES CAN CAUSE AN UNNATURAL OVERLOAD TO A JOINT. AND EVEN A NERVE THAT IS COMPROMISED CAN CREATE AN IMBALANCE THAT CAN CONTRIBUTE TO CHANGES IN JOINT FORCES. PHYSIOTHERAPY CAN HELP IN THE PREVENTION AND TREATMENT OF OSTEOARTHRITIS

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