Saturdays at 3pm in Saanichton
We are pleased to offer some great courses at Saanichton Physio. Our Athletic Therapist Peter Schreurs is also a certified yoga instructor and facilitates these courses in our private, relaxing clinic space
Hatha yoga: Discover your Inner balance
Hatha is a potent alignment-oriented practice that emphasizes the forms and actions within yoga postures. Act to help bind the mind and body through the practice of traditional asanas with modern body awareness. Emphasis is placed on core strength, flexibility and balance as well, as concentration and breath control. This class is based on physical postures (asanas), deep breathing, mindfulness and listening to the body. Any and all levels of students are welcome, please bring your own mat and water bottle.
Length 60 min
Core Strength: Find your Inner Core
Core strength is the foundation upon which we find our seat, and enables us to move through our daily lives, as well as the activities which we like best. Learn how to use the various elements of your core to; increase your strength, increase your body awareness, and decrease your chance of injury. Whether you are looking to increase performance, or are dealing with an injury, this class will help you on your path. Any and all levels of students are welcome, please bring your own mat and water bottle.
Length 45 min
*cost $10.00 drop in or 5 passes for $40.00
Millions of people take opioids for chronic back pain, but many of them get limited relief while experiencing side effects and worrying about the stigma associated with taking them.
More than 100 million people in the United States suffer from chronic pain, and those with chronic low back pain are more likely than patients with other types of pain to be prescribed opioids. Unfortunately, these medications are addictive and can cause side effects, ranging from drowsiness to breathing problems.
“Patients are increasingly aware that opioids are problematic, but don’t know there are alternative treatment options,” said Asokumar Buvanendran, M.D., lead author of the study, director of orthopedic anesthesia and vice chair for research at Rush University, Chicago, and vice chair of the American Society of Anesthesiologists (ASA) Committee on Pain Medicine. “While some patients may benefit from opioids for severe pain for a few days after an injury, physicians need to wean their patients off them and use multi-modal therapies instead.”
In the study, 2,030 people with low back pain completed a survey about treatment. Nearly half (941) were currently taking opioids. When asked how successful the opioids were at relieving their pain, only 13 percent said “very successful.” The most common answer — given by 44 percent — was “somewhat successful” and 31 percent said “moderately successful.” Twelve percent said “not successful.”
Seventy-five percent said they experienced side effects including constipation (65 percent), sleepiness (37 percent), cognitive issues (32 percent) and dependence (29 percent).
Respondents also had concerns about the stigma associated with taking opioids. Forty-one percent said they felt judged by using opioids. While 68 percent of the patients had also been treated with antidepressants, only 19 percent felt a stigma from using those.
A major pharmaceutical company recently agreed to disclose in its promotional material that narcotic painkillers carry serious risk of addiction and not to promote opioids for unapproved, “off-label” uses such as long-term back pain. Researchers also note a lack of solid studies on the effectiveness of opioids in treating back pain beyond 12 weeks.
Patients with chronic low back pain, persistent pain lasting more than three months, should see a pain medicine specialist who uses an approach that combines a variety of treatments that may be more beneficial, said Dr. Buvanendran. These treatments include physical therapy, bracing, interventional procedures such as nerve blocks, nerve ablation techniques or implantable devices, other medications such as anti-inflammatories and alternative therapies such as biofeedback and massage, he said.
American Society of Anesthesiologists (ASA). “Many back pain patients get limited relief from opioids and worry about taking them, survey shows.” ScienceDaily. ScienceDaily, 23 October 2016.
Ok so your shoulder has been hurting for a while and your Physio has diagnosed you with a Rotator Cuff injury. What the hell is a rotator cuff? How do I get rid of this pain!?
Firstly, the rotator cuff is a group of four muscles which help to stabilise the shoulder. The shoulder is a ball and socket joint, similar to the hip, however the shoulder has a shallow socket in comparison. What the shoulder lacks in stability it makes up for in mobility, generally speaking, a healthy shoulder has almost 360 degrees of movement so it needs help from the surrounding muscles to maintain stability through movement. There is also another structure inside the shoulder joint called the labrum, which helps to deepen the joint and provide stability.
How does my Rotator Cuff get injured?
Rotator cuff injuries usually occur either acutely (immediate sharp pain) or over time (gradual increasing dull ache). Acute rotator cuff injuries can often involve a tearing of the rotator cuff tendons and leads to pain and weakness of the shoulder. Gradual onset of shoulder pain can be associated with repetitive overhead movements, which can lead to smaller tears in the tendon and inflammation around this area.
One of the main factors which can influence shoulder pain is the position of the shoulder. The further forward the humeral head (the ball) sits in the socket, the more compression of the tendon occurs and leads to injury.
How can I fix it?
Having your shoulder properly assessed by a qualified Physiotherapist is the first step in diagnosing a Rotator Cuff injury. Investigations such as Ultrasound or MRI may be relevant if the Physiotherapist feels there is significant injury. For acute rotator cuff tears, a small period of immobilisation in a sling or in some cases, just with some tape, will help settle the pain. Once pain and inflammation are under control then you need to get the shoulder moving and gradually strengthen the rotator cuff tendons and surrounding muscles.
For the gradual onset type shoulder pain there is usually a biomechanical cause for the loading of the tendons. Thorough assessment by a qualified Physiotherapist is a must to get to the bottom of your shoulder pain. Initially settling down the pain and inflammation around the tendons and encouraging gentle pain free movement is the first step. Then gradually increasing the load in the shoulder until the strength is back to normal
How can I prevent this from happening in the future?
Continuation of the strength and flexibility exercises prescribed by your Physiotherapist will help decrease the likelihood of re-occurrence. Identifying aggravating positions i.e. overhead movements or reaching in awkward positions will also decrease the likelihood of re-injury. If your job is a relatively sedentary and requires hours of sitting at a time, trying to break up your day with standing/walking will help, also an ergonomic assessment to ensure your workspace is properly set up to suit you will help ease the stress on your shoulders/neck.
There is a common belief that there is not much you can do for osteoarthritis because the joint damage has already occurred and can’t be reversed. However it is often the inflammation of the tissue surrounding the joint and instability from the weakened tissues that lead to pain from an arthritic joint.
Our physiotherapists may be able to help you decrease the inflammation and pain around the joint and get you moving again. Here is some information about osteoarthritis and how we can help.
What is osteoarthritis?
Arthritis is a name for a group of conditions that cause damage to the joints in our body, usually causing pain and stiffness
Osteoarthritis is one of these conditions and it affects the whole joint, including bone, cartilage, ligaments and muscles
It is most prevalent in the joints of the hips, knees, neck, lower back, fingers and big toe, but can occur in any joint
It is degeneration of the joint structures, namely the cartilage (protective cushioning on the bony surfaces) and its underlying bone surfaces
Bony growths or spurs commonly known as osteophytes are common in osteoarthritis
Ligaments and muscles around the joint also deteriorate in osteoarthritis
It normally affects a joint on one side of the body i.e. it doesn’t normally occur bilaterally like other arthritic conditions
There are other arthritic conditions you may have heard of such as rheumatoid arthritis, juvenile arthritis, and ankylosing spondylitis.
Signs and symptoms
Swelling of the joints
Symptoms usually develop and worsen gradually over months or years
Affecting ability to carry out normal daily activities
Clicking/grinding in the joint
Loss of flexibility in a joint
What causes osteoarthritis?
Previous joint trauma/injury
Being overweight greatly increases your risk
High joint stress/repetitive use/heavy loads
There is an increase risk as you age and there is more ‘wear and tear’ on the joints
Arthritis can be diagnosed by taking a thorough history and physical examination
X-ray can help confirm a diagnosis – you may need to see your doctor to get a referral
Our physiotherapists can help you with:
Strength and exercise programme
Joint mobilisation/soft tissue techniques
Aids or braces
Weight loss programme
Medication and joint supplements – your doctor can guide you on the best options
Surgical options such as joint replacement
Pre-operative rehabilitation has been shown to improve outcomes post-operatively, so if you are requiring surgery come and find out how you can help speed up your recovery with pre-hab
Some hints for the colder months
Cold weather can exacerbate joint pain and joint stiffness. Remembering a few common sense tips can help people with osteoarthritis survive cold weather:
Dress warmly and layer up
Exercise indoors to stay motivated and warmer
Use a heated pool for exercise – talk to your physiotherapist for local options and classes
Ensure your vitamin D levels are adequate
You don’t have to wait for the warmer months to reduce pain associated with osteoarthritis! Book an appointment with a physiotherapist online 24/7,