Saanichton Physical Therapy Blog

Marathon, Half Marathon Race Recovery

Recovery Advice:

Whether you are a first time or seasoned full or half marathon runner, post race you will be on a runners high for finishing your event after many months of running training and preparation. The key to a good post marathon, half marathon or running event recovery is what you do in the first few days after your marathon or running event.

The outcome of not following through on a good recovery include risk of injury, increased fatigue, mood swings and extreme muscle soreness.

At Saanich Physiotherapy and Sports Clinic we advise on the following tips to prepare you for your post race recovery.

 

Drink lots of water

Many of us don’t realise how much fluid can be lost during running. During your running event the wind evaporates a large portion of your sweat – this means that a lot of the fluid you lose is invisible, but can add up to 1-2 litres or water. Some of the signs to watch our for in post running dehydration can be headaches, concentrated urine which appears darker yellow in colour and feelings of being extremely exhausted. A swollen tongue and cracks/indentations in your lips can also be signs of a dehydrated body.

Perform a warm down routine

Warming down will make a huge difference to how your body responds in the first 1-2 days after your running event. This is when DOMS (delayed onset muscle soreness) starts to rear its ugly head. So it’s vitally important to warm down even if you do not feel like it at the time. Stay on your feet and keep moving and walking around the race precinct for about 5-10mins. Do a few light lower limb stretches of your quadriceps, hamstrings and calves immediately after the marathon or running event and keep increasing your light running routine over the next few days.

Book a massage or some hands on physiotherapy

At Saanich Physiotherapy we encourage you to pre-book your post race remedial massage or hands on physiotherapy and dry needling appointment in the first 1-2 days after your event. This will really assist your muscles to re-lengthen and decrease soreness after all the hard work they did getting you over the finishing line.

                                         Wear compression garments

Wear your compression socks, pants or shorts when you get home or even immediately post-race if you can get to them easily. Wearing these can significantly reduce your muscle soreness.

Seven days later have a massage or hands on physiotherapy appointment

It will usually takes 1-2 days for DOMS to kick in. Getting that second massage or hands on physiotherapy appointment a week after a major running event can work wonders. This is quite important if you are looking to continue to run or participate in another event soon (eg the following weekend or fortnight). Our hands on Physiotherapists and registered massage therapists will work over any residual tight knots and bands that developed over the course of your running event.

Legs up the wall

A great way to encourage recovery is to lie with your legs resting up on a wall. This can facilitate blood flow and lymphatic drainage. Adopting this position can improve your mood and energy levels by bringing blood back to the brain. You can stretch in this position for for up to 15mins. Move your gluteals closer to the wall for comfort and to stretch your hamstrings.

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Knee Pain: Meniscus

Knee Pain: Meniscus

Knee pain can affect a large range of age groups, ranging from ‘growing’ pains experienced by young people to ‘arthritic’ pain in older persons, and everything in-between. In this Blog we will examine knee meniscus injuries, what causes them and how to treat these injuries.

What is the Meniscus of the Knee?

The meniscus are C-shaped structures in your knee joint which sit between your femur (or thigh bone) and your tibia (or shin bone). They are made of a type of cartilage called fibrocartilage, which is a little bit different to other form of cartilage in your knee called articular cartilage. Articular cartilage is often more affected with arthritis. Your knee has two menisci, the medial meniscus and lateral meniscus. The medial meniscus is located on the inside while the lateral meniscus is on the outside of your knee.

The menisci have a limited blood supply which rely on movement of the knee to keep it strong and healthy. The best thing you can do to prevent your meniscus from injury, is to keep active and keep the knee moving.

What does the Meniscus do?

The main role of the menisci is to help with absorbing and distributing forces through the knee joint. They work together with knee and hip muscles to act as a shock absorber when the knee is active. The menisci also increases the surface area of the knee joint, so it adds some extra stability to the knee.

How do you injure your meniscus?

The majority of meniscus injuries occur as people age (over 50 years). As you get older the limited blood supply to the meniscus becomes further reduced. As people age they develop wrinkles and grey hair. The aging process also occurs in the knee, the menisci begin to degenerate, lose some of their strength and become more prone to injury.

As the menisci become more susceptible to injury with age, the range and types of movements which can damage it become more prevalent. The majority of meniscus injuries occur when you twist your knee over a planted foot. – Sometimes it can be as simple, as turning to look over your shoulder or stepping off a ladder and putting weight on your foot and twisting your knee. You might notice the knee to slowly swell up.

Meniscus injuries in the younger ager group (under 30) are not as prevalent. Simple twisting movements to the knee are unlikely to cause menisci injury in younger persons. You are more likely to see menisci injuries occur with other knee injuries such as ligament damage caused through sport.

What should I do if I damage my meniscus?

So you have injured your knee and you are thinking, what to do next? Alternatively, you have had a scan on your knee and been diagnosed with a meniscus tear and wanting to know what is the best way to treat it?

A 2002 study involving people who had ‘degenerative’ menisci tears, compared the rehabilitation recovery rates of three groups. The first group had meniscus removal surgery (i.e. arthroscopic meniscectomy), the second experienced joint ‘wash-out’ (lavage) and third underwent ‘placebo’ surgery where the surgeon made skin incisions only. All groups undertook the same rehabilitation program. Amazingly they found no difference in between the 3 groups. All groups had the same levels of pain and function, and all improved at the same rate.

Since the initial 2002 study, further published studies have compared meniscus surgery with placebo surgery and physiotherapy treatment. These studies continue to confirm the same result, that is, there is no differences between all of the groups in terms of rehabilitation other than the surgery group having a higher cost of treatment!

The treatment for meniscus tears in the active, younger population (under 30) is more complex with some individuals needing surgery as soon as possible, while others can manage with physiotherapy and exercise.

What does this all mean?

Degenerative meniscus tears are more common as people age. In some cases people who not have any knee pain may have degenerative menisci and not be in any pain. In other words having a degenerative meniscus correlates poorly pain. The good news is, you might not need to have surgery at all if you are able to undertake a comprehensive physiotherapy rehabilitation program.

Will surgery provide you any benefits? Yes it will in the short term. However, arthroscopic meniscus surgery is associated with a ten-fold increase the risk of knee osteoarthritis.

Although most degenerative meniscus tears don’t need surgery, there are always some cases where surgery is going to be more effective than physiotherapy. Some menisci tears can either ‘stick-up’ into the joint or ‘break-off.’ In cases like these the tear can cause the knee to lock when trying to bend or straighten, and surgery is recommended to remove the tear.

What will my physiotherapist work on during my rehabilitation?

The first thing your physiotherapist will undertake is a full assessment of not only your knee, but your legs and even your back to see if you pain is coming from your meniscus or from somewhere else.

If you have hurt your meniscus recently your physiotherapist will start treatment aiming to reduce the swelling and begin to return it to its full range of movement.
If you have full range of movement and no swelling in your knee joint your physiotherapist will begin an exercise program focused on strengthening the muscles around your knee, and from around your hip. Weak quadriceps muscle has been found to place a greater load on your knee joint and your meniscus. Strengthening these muscle groups can reduce the pressure on the meniscus during movement. Weakness in your bottom (gluteal) muscles can also affect your knee function. Weakness in the gluteal muscles is known to place more load through the inside of the knee, which is where the majority of medial injuries occur. Strengthening the quadriceps and gluteal muscles will contribute to reducing the pressure on the knee.

To Summarize:

Degenerative meniscus tears areas common as wrinkles and grey hair as you grow older. Although surgery is sometimes required for some knee injuries it often is not the only or best option in most cases. For most knee injuries involving the menisci the best anti-aging medicine is physical activity and exercise.

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Neck Pain Victoria – Text Neck?

Neck Pain Victoria – Text Neck?

Are our devices giving us neck pain?

There are millions of people right now looking down at their smartphone or tablet. Do you ever stop to think about what this might be doing to your neck and upper back?

At Saanich Physiotherapy and Sports Clinic, we are seeing a huge increase in the amount of neck, upper back, shoulder and arm pain which is all related to posture when using devices. From texting on the smartphone to watching TV on the tablet in bed, we are all guilty in some way. And sadly, we are seeing more and more children coming in with these issues too.

Consider how much your head actually weighs. On average, it weighs 4.5-5kg. When sitting or standing upright, this weight is supported by the lower neck vertebrae, intervertebral discs, muscles and ligaments. When you then lean your head forward when looking at your smartphone, the relative weight of your head on your neck muscles can increase up to 27kg! Just by looking down at your phone, you can increase the force on your lower neck by 5 times!

When maintaining this position for a period of time, the muscles will fatigue and stop working, meaning that the force of your head is now being held up by small ligaments, the neck joints and the discs in the neck. It is no wonder people are having more and more neck pain.

The term “Text Neck” is becoming more commonly accepted as a diagnosis for neck pain caused by prolonged use of smartphones and tablets. If left untreated, this massive increase in force in the lower neck and lead to headaches, increased arching of the spine, general pain and tightness and arm pain from irritating nerves in the neck. It can also cause weakening of the muscles in the neck which can lead to ongoing pain, stiffness, headaches or arm pain in the future.

With the increase in children having smartphones and even the use of tablets in school, there are becoming more and more postural issues arising which is definitely a concern for ongoing and long term neck and upper back problems later in life.

Text Neck can be treated. Your Physiotherapist may use joint mobilizations, soft tissue massage, taping or even dry needling to help restore normal movement within the joints and muscles.

However, it is imperative that you strengthen the muscles in the neck and upper back to prevent long term issues. Your Physiotherapist will tailor a program for you to complete at home or might even recommend core conditioning or yoga classes for a supervised strengthening program.

If you, your children or another family member or friend are guilty of using their smartphone or tablet too much and are noticing pain or discomfort in their neck, upper back or arm make sure you book an assessment with your Physiotherapist sooner rather than later!

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Back Pain solutions with Saanich Physio

Back Pain solutions with Saanich Physio

Back Pain solutions with Saanich Physio

Back Pain Victoria – Back pain or back injury is a very common condition that we treat on a daily basis. Saanich Physio has a particular interest in treating your back pain by providing quality, effective hands-on Physio & exercise solutions for your back pain.

Back Pain Physio

Once we have your acute back pain under control with hands-on treatments we work with you to rehabilitate and restore the function of your back muscles and spine. All our Physiotherapists will work with you on exercises for your back pain, as we believe self -management strategies are key to the prevention of recurrent back pain episodes.

At Saanich Physio our approach to your back pain is holistic and your back pain physiotherapist will work with you on improving areas such as posture, sleep, lifestyle, work ergonomics, stress reduction, hobbies or your current sports or exercise regimes. We may also discuss the impact of additional factors like heavy schoolbags, lack of exercise or a sedentary lifestyle.

Back Pain – What causes it?

80% of the Canadian population will suffer from back pain at some point during their lives. It is the third most common reason people take time off work after colds and flu. Lower back pain can originate from many causes. Your back pain can originate from your lumbar spine discs, spinal facet joints, arthritis, back muscle strain, back ligament strain, muscle spasm, bony spurs or growths, pinched nerves, irritated nerves, osteoporosis, sciatica and stress just to name a few.

Back Pain – why do I have it?

Some of the most common reasons for back pain are incorrect lifting techniques, repetitive bending, poor posture, prolonged sitting as well as weakness in your core stabilising muscles

Back Pain Victoria – Signs and Symptoms

Back Pain can affect the lower, thoracic or middle back or upper back neck.

Back Pain is often described as one or more of the following:

  • Local sharp pain, dull ache or burning pain
  • Pain that radiates into your hip, groin or buttocks
  • Pain that is aggravated by sitting, standing, bending forward or backwards, twisting or walking
  • Pain that travels down your leg to your thigh, calf, ankle or foot
  • Pins and needles or numbness travelling into your legs and /or feet
  • Weakness of your leg muscles
  • Pain associated with loss of bladder or bowel control

Back Pain Victoria – Will Physio help me?

Hands-on Physio treatment for back pain will vary according to the cause of your back pain. In addition to soft tissue techniques and joint mobilisations, we may use dry needling for back pain, taping or bracing to support your spinal muscles, heat or ice therapy and suggestions for medications for reducing your pain and inflammation. Your back pain Physio may refer you for appointments for x-ray, CT scans or MRI to assist in diagnosing your back pain if required. We can liaise directly with the radiologist for scans and or steroid injections.

Conditions Treated

Non-Specific Back Pain
Sciatica
Degenerative Disc Disease
Stiff Lumbar Joints
Inflammatory Pain
Discogenic Back Pain including-
Bulging Disc, Prolapsed Disc & Herniated Disc
Spinal Canal Stenosis
Thoracic-Upper Back Pain
Scoliosis
Coccyx Pain
Sacroiliac Joint Pain
Back Sprains and Strains
Piriformis Syndrome
Back Spasms
Osteoarthritis
Pregnancy-related Back Pain
Spondylolisthesis
Rheumatoid Arthritis
Ankylosing Spondylitis
Psoriatic Arthritis
Enthesitis
Idiopathic Arthritis
Spondyloarthropathies
Osteoporosis
Flat Feet
Physiotherapy to prevent relapses and worsening of symptoms

Make a booking today to get your back pain under control. Click our Book Now Button for an appointment today.

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