Intramuscular Stimulation (IMS) or Dry Needling

Intramuscular Stimulation (IMS) or Dry Needling

Introduction

Intramuscular Stimulation (IMS), also known as dry needling, is a therapeutic technique used to treat muscle pain and dysfunction. It involves the insertion of fine, sterile needles, the same ones used with acupuncture, into specific points in the muscles, known as trigger points, to alleviate pain and improve muscle function.

History and Development

Dry needling has its roots in traditional Chinese medicine, particularly in the practice of acupuncture. However, in the mid-20th century, Dr. Janet Travell and Dr. David Simons, pioneers in the field of pain management, identified and mapped out trigger points in the muscles. Based on their work, Dr. Chan Gunn, a Canadian physician, developed IMS as a specific technique to target these trigger points using needles without any medication or injection, hence the term “dry” needling.

The Science Behind IMS

Trigger Points

Trigger points are hyperirritable spots within a muscle that can cause pain, stiffness, and restricted movement. They are often palpable as taut bands or knots within the muscle tissue. These points can often refer pain to other areas of the body.

Mechanisms of Action

The insertion of needles into trigger points during IMS can lead to several beneficial effects:

  • Neurophysiological Response: The needle insertion stimulates sensory nerves, which sends signals to the brain, promoting the release of pain-relieving chemicals such as endorphins.
  • Mechanical Disruption: The needle physically disrupts the contracted muscle fibres, helping to release the tight knots and reduce muscle tension.
  • Improved Blood Flow: The needling process increases local blood flow to the affected area, promoting healing and reducing inflammation.

Procedure

During an IMS session, the practitioner conducts a thorough assessment to identify the trigger points and areas of muscle dysfunction. The patient is then positioned comfortably, and the skin is cleaned to maintain sterility. Fine, sterile needles are inserted into the identified trigger points. The depth of needle insertion varies depending on the location of the trigger points and the muscle being treated.

Patients may feel a slight pinch or a muscle twitch during needle insertion, which is a positive sign indicating that the needle has reached the trigger point. The needles are often removed once the twitch has occurred, or they can be left in place for a few minutes to further encourage the muscle to relax.

Conditions Treated with IMS

Intramuscular stimulation is used to treat a wide range of musculoskeletal conditions, including but not limited to:

  • Myofascial Pain Syndrome: Chronic pain caused by trigger points in the muscles.
  • Back and Neck Pain: Common conditions often associated with muscle tension and trigger points.
  • Tendinitis and Tendinopathy: Inflammation or degeneration of tendons often accompanied by muscle dysfunction.
  • Sports Injuries: Including muscle strains, sprains, and overuse injuries.
  • Headaches and Migraines: Often linked to muscle tension and trigger points in the neck and shoulder region.
  • Post-Surgical Pain: Pain and muscle dysfunction following surgical procedures.

Benefits of IMS

The benefits of intramuscular stimulation extend beyond pain relief. Some of the key advantages include:

  • Non-Pharmacological: IMS does not involve the use of medications, making it a safe option for individuals who may have contraindications to pharmaceuticals.
  • Minimally Invasive: The use of fine needles minimizes tissue damage and promotes quicker recovery compared to more invasive procedures.
  • Targeted Treatment: IMS specifically targets the trigger points and dysfunctional muscles, providing localized relief.
  • Improved Functionality: By reducing muscle tension and pain, IMS can enhance overall muscle function and range of motion. Muscles will contract more efficiently and stretch more easily without taut bands or triggers points in the muscle.

Risks and Considerations

While IMS is generally considered safe, there are some potential risks and side effects to be aware of:

  • Temporary Discomfort: Patients may experience mild discomfort or soreness at needle insertion sites.
  • Bruising: Minor bruising can occur at the needling sites.
  • Infection: Although rare, there is a slight risk of infection if proper sterile techniques are not followed.
  • Miscarriage: Needling can stimulate a sympathetic response in the body. Hence, IMS is typically not done during pregnancy

Patients should always seek treatment from qualified and experienced practitioners to minimize these risks.

Conclusion

Intramuscular stimulation, or dry needling, is an effective and versatile technique for treating muscle pain and dysfunction. By targeting trigger points with fine needles, IMS can provide relief from various musculoskeletal conditions, promote healing, and improve muscle function.

If you are interested in learning more about IMS and seeing if is right for you, Janice Bealer, a physiotherapist at our Sun City Lower Mission location, has incorporated IMS into her practice for almost 20 years now. Give us a call or book online to try it out!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info

Pointe Dance

Pointe Dance

Starting dance on pointe is an exciting milestone for any dancer. Ballerinas often dream of putting on a pair of pointe shoes and gliding seemingly effortlessly across the stage. While pointe work is beautiful, it is not a normal functional movement, and nowhere near effortless. The demands of pointe work open the door to many possible injuries in the feet, ankles, and other parts of the body. It is for this reason that a Pre-Pointe Assessment is essential before starting work on pointe. Dancers should be assessed by a qualified health professional who has experience with ballet dancers.

Why is it important to have a Pre-Pointe Assessment done by a physiotherapist before beginning pointe work?

  1. Injury prevention: Pointe work places significant stress on the feet, ankles, and legs. A physiotherapist can identify any pre-existing weaknesses or imbalances that open the door to injury on pointe, and can develop an individualized program to prevent these injuries. A Pre-Pointe Assessment by a physiotherapist can help prevent injuries such as sprains, strains, tendonitis or stress fractures.
  2. Strength and stability: Dancers need exceptional strength in their feet and lower legs to execute complex movements on pointe safely. Pre-Pointe Assessments help determine whether a dancer has the necessary strength and stability to perform effectively on pointe, ensuring that they can support their weight without risking injury.
  3. Flexibility and range of motion: Proper flexibility is essential for pointe work. During a Pre-Pointe Assessment, physiotherapists assess the range of motion in the ankles and feet, helping dancers to understand their individual limits and how to safely improve their flexibility.
  4. Technique optimization: Beyond physical readiness, physiotherapists provide insights into optimal technique. By assessing a dancer’s form and alignment, they can recommend specific exercises to enhance technique, leading to improved performance and artistry.
  5. Personalized rehabilitation programs: All previous injuries should be considered during a pointe assessment, whether they are old or new. For dancers recovering from injury, Pointe Assessments allow physiotherapists to create a tailored rehabilitation program that focuses on rebuilding strength, flexibility, confidence, and ensuring a safe return to pointe work.

Progression to work on pointe exponentially increases the incidence of dancer injury. It is important that a Pre-Pointe Assessment be completed to prevent these injuries. Physiotherapists are movement specialists, and as such are well qualified to assess dancer readiness to do work on pointe. A proper assessment by a physiotherapist will not only help to prevent injuries, but also enhance overall performance and ensure that dancers are physically prepared for the demands of pointe work to reach their full potential on stage.

Physiotherapist Lindsay Wourms is a former dancer and gymnast, and is certified to conduct Pre-Pointe Assessments before transitioning to pointe work. She is currently accepting new patients of all ages for Pre-Pointe Assessments or dancer related physiotherapy assessments at our Lower Mission location. 

For further information on pointe assessments or to schedule an appointment please contact us! 

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
What Our Kinesiologists Say About Stretching

What Our Kinesiologists Say About Stretching

What Our Kinesiologists Say About Stretching

It is one of the most important ways to avoid injury and to promote overall health. Here are some of the reasons everyone, active or not, should stretch:

  • improves range of motion and flexibility
  • promotes muscle balance
  • prepares your body for activity
  • helps your body recover from activity
  • decreases joint stresses/compression
  • minimizes unwanted muscle tightness and knots
  • promotes circulation
  • develops body awareness
  • enhances performance by improving overall speed, balance, endurance, agility, and strength

Stretching Tips from our Experts

  • Stretch only what is tight. This helps to reduce the number of stretches you’ll do!
  • Ensure your stretching targets the area intended.
  • Stretch when warm – after activities or later in the day – to improve range of motion.  
  • Practice dynamic stretches before your activity, and static stretching after the activity.
  • Feel tension in the muscle as you hold the stretch. Avoid pain, overstretching, bouncing or rocking.
  • Relax. Stretch in a quiet, comfortable area; on a matted area in the gym; on the warm soft grass; or on the carpet while watching TV.
  • Make stretching a habit. Progress is the accumulation of many efforts.
  • A kinesiologist can guide your exercise planning and lead you to healthier daily living, faster recovery, less pain, and enhanced sport performance.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Pilates’ Surprising Origins & Proven Benefits

Pilates’ Surprising Origins & Proven Benefits

Pilates’ Surprising Origins & Proven Benefits

In a British internment facility during World War I, German inventor Joseph Pilates developed the Pilates method. He was largely working with a rehabilitation population (those with illnesses and injuries), boasting his participants would emerge stronger than they were before interment. Years later, through thousands of participants and many research studies, Pilates has been found to improve core strength and stability, flexibility, balance, posture, cognitive function and even quality of life.

Interestingly, multiple studies have been done regarding the use of pilates for those with chronic low back pain and the results have not been disappointing! Scientists have shown that pilates exercise therapy can help with both pain and function for those with chronic low back pain.

If youre ready to try a pilates program aimed at your back troubles, Sun City Physiotherapy can help! Our Physiotherapists will work with you one-on-one; and can use a variety of mat and reformer-based techniques aimed at getting you back to doing what you love!

Ready to try Pilates? Follow this exercise at home to get started:

Core Breathing

  1. Lie on the floor, mat, or bed with you knees bent and soles of your feet planted;
  2. Place your hands on the sides/fronts of your lower ribs and start to notice how they expand and contract when you breathe;
  3. Try taking a deep inhalation, feeling your ribs expand sideways (laterally) into your hands;
  4. As you exhale, think about feeling the contraction of your ribs and a tightening of your abdominals all the way down to your belly button area;
  5. Repeat 3 to 5 times – Well Done!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Gardening Tips

Gardening Tips

Gardening Tips

Proper movements and tools will extend your gardening season. The secret to a healthy garden is a healthy gardener. To get the most of your gardening season, the Canadian Physiotherapy Association (CPA) recommends the following tips and techniques. A “warm up” before you start your gardening helps to reduce muscle strain, injury and fatigue. Do some shoulder circles, trunk rotations, and heel / toe standing. Take a few minutes to stretch your neck, wrists, shoulders, lower back and legs. Repeat them again at the end of your gardening activity. If you begin to feel a bit stiff while gardening, pause and do more stretches.

RAKING OR HOEING – keep your tools close to your body and your back straight to reduce strain. Use your arms and avoid twisting your trunk. Use long-handled tools suited to your height. 

  • If you tend to bend over or reach too far while raking, consider using an ergonomic rake (available at garden centres). It will make the job easier and reduce strain to your back.

WEEDING OR PLANTING – do not bend from the waist. Squat or kneel on a kneeling pad. If you have difficulty getting up, use a kneeling pad / bench with a support handle for assistance. 

  • Give your back, legs and knees a break from stooping and kneeling by using tools with long handles to help with the weeding; 
  • Squat or sit on the ground to trowel, rather than bending over. 

DIGGING OR SHOVELLING – insert the head of the shovel vertically into the ground and step on the blade. Lift small amounts at a time. Keep your back straight and bend at the knees. Avoid twisting. Use a wheelbarrow to move big or heavy loads. 

  • Choose a shovel with a weight and handle length that is appropriate for your size and for the job you are doing; 
  • Give your back a break by using a smaller shovel, reducing the temptation to lift large amounts of soil; 
  • Spread heavy lifting and digging tasks over a week rather than a weekend, and spread major projects throughout the seasons. Take time to recover between them.

LIFTING OR CARRYING – know your limits and lift properly: bend your knees, not your back. Keep the load close to your body. Don’t lift items that are too heavy for you to handle – get help! Use a wagon or wheelbarrow to transport supplies and / or to move or carry heavy items. 

  • A four-wheeled cart is sturdier and easier to use than a wheelbarrow; 
  • Lift with your knees slightly bent and your back straight. Avoid twisting or reaching. 

PRUNING OR TRIMMING – get as close to your work as possible. Don’t stretch beyond your reach or past your stable footing.

  • Match the size of the gardening tool handle to the size of your hand. Choose tools that you can hold so that your hand remains positioned in line with your forearm; 
  • Hold your tools in a loose comfortable grip. Holding too tightly may cause injury; 
  • Be creative! Adapt or create your tools for ease and comfort;
  • Pad the handles of your gardening tools; 
  • Use knee pads or a foam pad for kneeling;
  • Wrap a slippery handle with tape to improve your grip (hockey stick tape will do). 

ADDITIONAL TIPS FOR THE GARDENER:

  • Tools with larger, padded handles are more comfortable for gardeners with painful or arthritic hands. Enlarge tool handles with grip-tape or foam tubing purchased at a hardware store. 
  • Tools with tubular steel rather than wood are more lightweight and may be easier to use.
  • Where possible, use a potting bench or a counter top to prevent unnecessary bending. 
  • Wear a gardening apron with several pockets for carrying frequently used tools, or keep them close at hand, to avoid reaching or twisting for the tool you need. 
  • Wear gardening gloves to protect your hands and joints. 
  • Keep tools (such as your pruners) sharp to make cutting easier. 

Talk to a physiotherapist: Most of the aches and pains gardeners experience can be prevented. Enjoy the fruits of your labour. Don’t be limited by the aches and pains!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Seasons of Mental Health

Seasons of Mental Health

Seasons of Mental Health

If you’re like me and many others, you may feel affected as the seasons change throughout the year.  It is not uncommon to notice mild or more severe changes in how you feel and function in the midst of smoky, brown heat domes and cloudy, grey cold snaps.

Some people experience noticeable changes in themselves as fall and winter approach. For me, I feel affected as soon as the time changes in November and we lose an hour of daylight. Other people notice changes when the real first cold and snow comes, or after 6 or 8 weeks of winter have passed. Some common seasonal side effects:

  • Anxiety or feeling stressed;
  • Less energy, motivation and interest in usual activities;
  • Lethargy (sluggishness) and apathy (an emotional numbness)
  • Changes in appetite, sexual interest, eating habits and sleeping habits;
  • Inflammatory response – resulting in pain, stiffness and/or exacerbation of other health conditions.

Some people experience enough of the above that they can be diagnosed with, or may identify with, Seasonal Affective Disorder. We can understand this to be like an episodical seasonal depression and/or anxiety. Some people experience this every year. People can also experience seasonal side effects from ongoing rain and persistent summertime forest fire smoke, droughts, and heat domes.

We can understand these seasonal side effects to be contributed to by the following:

Changes in our routine/schedules: self-care like sleep, rituals, exercise, diet, activities, socializing and work are all affected by the seasons and their weather. They can be thrown off balance. And we have to adapt – or try to! This can cause stress and less than hoped for outcomes in our wellness.

  • Daylight: there is a direct connection between daylight – or better yet, sunlight – and mood.
  • Weather, temperature and moisture: having our bodies and minds manage extreme temperatures and weather events takes a toll. It can be exhausting, and even scary! Additionally, moisture, humidity, and pressure can all affect inflammation.

So what can we do to mitigate the impact or even prevent, these seasonal side effects?

  • As much as possible, maintain your wellness or self-care routine: continue your exercise, sleep hygiene, hobbies and other activities, and get creative and resourceful in finding ways to adapt while still pursuing a semblance of structure or stability. You may have to let go of some rigidity – which is great for our mental health in the long run, as we will have to respond to other adversities in the future.
  • Seek out support or connection: you are not the only one facing the current season/weather!
  • Talk to your doctor and/or other health care providers who may have suggestions within the context of your unique health situation.
  • Practice mindfulness: this can help us take our experiences one day at a time, and manage dwelling or worry.

I look forward to supporting you in further understanding how seasonal or other life changes or factors may impact your mental health, and finding ways towards meaningful experiencing and functioning amidst them.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Dancers, Athletes and Joint Hypermobility

Dancers, Athletes and Joint Hypermobility

Dancers, Athletes and Joint Hypermobility

One of the main reasons dancers, gymnasts, cheerleaders, figure skaters, and all athletes for that matter, become injured is due to joint hypermobility. Hypermobility refers to a jointsability to move beyond its average range of motion. 

A recent study done with young ballet dancers between 9-19 years of age showed that joint hypermobility was the number one predictor of future injury. To a small degree, our genetics and anatomy play a role in our natural joint mobility, however, with proper cross-training, injuries can be easily prevented!

Here are some tips for dancers (and all types of athletes!) to help if you are currently dealing with hypermobile joints, or if you want to prevent injury.

  • Strengthen, strengthen, strengthen. Strengthening is one of the best ways we can prevent injury to a joint.
  • Avoid overstretching. I know those oversplits are impressive, but without proper joint reinforcements this can lead to further joint instability.
  • Cross-training. As dancers we are often caught in a cycle of the same movements. And although we are often placing ourselves into different positions, we need more variety in our training to prevent overuse of muscles, and underuse of others. It’s all about balance! 

What you can do before a practice or performance to prepare and optimize your joints.

  • Raise your heart rate. Try doing some jogging on the spot, jumping jacks, or some burpees to get your blood pumping!
  • Stretch dynamically before class and statically after class. Your muscles are made up of little links and if we over stretch these links before we begin dancing, it will make it more difficult to contract our muscles due to the links being too far apart from one another.
  • Do some heel raises! Ankles and calf muscles are pertinent for every style of dance. Waking up those muscle will help activate them and prepare them for all your big leaps and jumps.
  • Incorporate large muscle groups in your warmup. Engage the whole lower and upper body through things like squats, lunges, and planks.
  • And of course, have a positive mindset. Our mindset for dance class can make or break how we perform.

Working alongside a physiotherapist who has a vast knowledge base in dance and other athletic fields can help optimize your overall performance and prevent further injury. If you are interested in increasing your overall strength or taking your athletic training to the next level, book an appointment with Allie Bruce-Fuoco Physiotherapist and former 2023 National Highland Dance Champion.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Thinking of Dieting?

Thinking of Dieting?

Thinking of Dieting?

Happy New Years! Thinking of going on a diet in 2024? Read this, and think again:

At this time of year, many folks are considering assessing their nutrition and looking to improve their eating habits or relationship with food. If you are looking to improve your energy levels and develop or reinforce healthy nutrition habits for the new year, this article is for you!

My top 3 recommendations to clients are as follows (and these may be surprising): 

1) Get adequate sleep! 

How many hours are you sleeping each night? Is it a good quality sleep or are you tossing and turning throughout the night, waking up feeling sluggish or not well rested? A good sleep hygiene routine (along with managing your stress levels) is paramount to a good quality sleep, which impacts our digestion and metabolism. It may seem odd that I talk about sleep with clients when they are seeing me for nutrition support, but it is very much related! Try removing electronics/screens for 30 minutes before bed. Dim the lights, read a book or do a skin care routine- whatever it is that helps you be mindful and present before falling asleep. Your quality of sleep will set the tone for your nutrition choices and cravings the next day. 

2) Stay hydrated throughout the day. 

Again, this one sounds simple, but the effects of dehydration directly affect our energy levels, concentration, and performance in activities throughout the day. Ensure you are drinking enough. Consider walking around with a water bottle, carrying one to work, keeping one in your car, even bringing one into the grocery store while you’re shopping. This can be helpful in increasing your fluid intake and meeting your hydration needs. 

3) Eat enough throughout the day to meet your nutritional needs. 

This is my big recommendation. A lot of us are focused on losing weight in the New Year, and everyday throughout the year for that matter. This makes sense considering how engulfed we are by diet culture, and the media is telling us that a smaller body is more valuable than a larger body – which is extremely disheartening and untrue. 

With the focus being on weight loss, a lot of people start over-restricting their intake to cut calories and consequently under-eat throughout the day. This may look like skipping breakfast and just having a coffee, or having a small lunch to stave off the hunger so you can “save up” your calories and have a more indulgent dinner and evening snack with wine. This is disordered eating, and if you do it, or have done it in the past, you are not alone. It is extremely common and rooted in diet culture. The great news is you do NOT need to do this in order to achieve your health goals or feel good in your body. The funny (or not so funny) thing is, if we under-eat and over-restrict for too long, our bodies will adapt by lowering our resting metabolic rate so we actually burn fewer calories at rest. This can also cause hormone imbalances, resulting in water retention and fat storage. 

So instead of going on a diet this New Years, ‘cutting carbs’ or under-eating, I suggest seeing a Registered Dietitian. A dietitian can help you achieve your goals in a healthy, sustainable way, where you actually get to eat what you want when you want without having to worry about it. It’s called “Food Freedom” – and I want everyone to have this! 

Feel free to email me: mwood@suncityphysiotherapy.com or call Sun City Physiotherapy to book an appointment so we can get started on making 2024 your best year yet!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Exercise – Where To Begin?

Exercise – Where To Begin?

Exercise – Where To Begin?

There are many reasons to exercise including improved health, fitness and aesthetics.  For most people who begin an exercise program they will likely see improvements in all of these areas if their programs are of adequate intensity, duration, frequency; and if their exercise selection is appropriate. 

Most people’s exercise journey takes them to a local gym or their basement ‘fitness centre’ equipped with a few bands, some light dumbbells, maybe a bench and some rather old and dusty cardiovascular equipment such as rickety stationary bike/laundry drying rack.  A local public gym is usually much more impressive and typically presents with countless options of equipment including a variety of resistance and cardiovascular machines, free weights, plus other things such as sleds, battle ropes, bands, balls, weird looking half balls, balance devices, etc. To figure out what equipment to use and then how to use it, you may tag along with a friend (or invite them to your basement), who seems to know what they are doing, or be tempted to hire a certified guide. But personal training sessions tend to cost over $100 per hour – a little steep for most people these days – and in other days too! Here’s some quick suggestions regarding exercise selection when starting out an exercise program, should you being doing it solo or worry that your friend might not be the best person to get tips and directions from.

Lift weights! Resistance training builds bigger and stronger muscles if performed right; but not necessarily huge ugly veiny muscles that stretch your pants and shirts and make you look like some sort of hulk.  Your muscles and lean mass can change and likely  improve the shape of your body and improve your capacity to lift and perform work outside of the gym.  It also can improve your stamina, and cardiovascular fitness! What? Yes, have you ever noticed how when you lift heavy things and especially if it’s repeatedly or over an extended period of time that your heart rate and breathing rate picks up – such as moving furniture or doing some sort of landscaping? Well that’s your cardiac muscle (your heart) and your vascular system (blood vessels such as arteries and capillaries) working together to essentially transport energy to the working areas of your body and also removing the cellular waste products of that energy production away from those tissues to be converted or expelled elsewhere.  If you have been rather sedentary, especially, or if you have little time to perform exercises, try combining resistance training movement in pairs (called supersets) or larger circuits of exercises (called circuit training) and try to keep moving. If your heart rate and breathing rate doesn’t pick up and if you don’t see a noticeable improvement in your stamina and energy levels within a few weeks – you probably aren’t lifting heavy enough or vigorously enough. 

When it comes to resistance exercises, choose free weights over machines.  It tends to lead to better strength and fitness gains that carries over into other functional daily activities where as machines tend to make muscle bigger but do not teach a person how to lift and stabilize a real world object. Even with a simple task such as putting a weight (let’s start with a soup can) in your hand and bending your elbow, it isn’t so simple as simply telling your bicep muscles to contract. Different fibres in your elbow have different angles of pull on the elbow joint and yank on different parts of the bicep tendon.  

In  addition to this, different fibres in your bicep are recruited depending on the weight, speed of motion, and how tired you are. Also, when you lift the weight upward tension needs to develop around the shoulder and trunk to keep the shoulder from flexing and the trunk from pulling forward. In fact, if standing, your whole posterior chain of muscles needs to engage when doing this to keep you from falling forward – including your glutes, hamstrings and calves. This being said, standing free weight exercises tend to work pretty much every muscle of your body, though lifting soup cans in the kitchen is not going to be the best way to develop a bigger rounder bum if that is what you’re after.

To be clear, a machine is something that follows a fixed pattern of movement whereas free weights have an open path that you have to control yourself in order to perform a movement in a certain way. Even with what are technically called free weight exercises, we can use benches and supports that minimize the involvement of other muscle groups and in effect isolate an area but also eliminate the other areas the need to get involved with functional strength development.  With the example above, if you take your soup can to a gym and lean over what called a preacher curl bench where your torso is really slumped over a support and the back of your arms is supported by the same, it becomes an exercise almost entirely for your biceps which might help to make them get huge, but does little to nothing to increase the functional strength or fitness of your arms.

This article could get very long, so I’ll try to start wrapping it up here leaving you with some some suggestions for simple exercises and hopefully leave only a few loose ends to tie up at some point in the future. When lifting weights for general strength and fitness gains, I encourage people to include a pushing forward movement, a pulling back movement, a pushing up ward movement, and a squat – or preferably a deadlift motion. This will challenge every major muscle of your body and help your develop functional strength, especially if they are done on your feet, too.

Here are some examples of exercises for each of these patterns with a free-weight option, and machine option side by side:

Forward Push: good for chest, shoulders and triceps in particular

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Horizontal pull: good for upper back, biceps and forearms in particular

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Vertical push: good for shoulders, upper traps and triceps in particular.

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Deadlift: good for legs, glutes and low back in particular.

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If you have particular areas of weakness or orthopaedic concern, some additional supplementary core, hip, or shoulder exercises may be incorporated. Or if pain is present in any area of the body, I would recommend getting clearance with your doctor and getting an evaluation by a physiotherapist or a qualified kinesiologist such as myself to help address the other issues that need to be dealt with first. I hope this provides help for some of you out there. Let me help you resolve or manage your particular concerns and help you to become a better, stronger, more capable version of yourself.

Chris Burton is a registered Kinesiologist and CHEK Practitioner.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Pain Is Not Just a Body Problem!

Pain Is Not Just a Body Problem!

Pain Is Not Just a Body Problem!

“Pain is not just a ‘body’ problem, it is a whole systems problem”

– Jon Kabat Zinn

 

Earlier this month, we recognized National Pain Awareness Week. Additionally, this colder, wetter, darker time of year is a common time for increased pain for many people. It sounds like a time to talk about pain!

Understanding and managing pain as a holistic priority versus an issue that impacts only one localized area of the body, can actually help us meet our needs in a comprehensive way.

Our whole selves – including our whole body – encompass multiple subsystems working together to keep us alive, safe and healthy, such as the nervous system and the musculoskeletal system. Each function as one part of the bigger system, with the shared role of maintaining homeostasis – the “status quo”. If we become too hot, we get cooled down. When we are hungry, we are prompted to find food. Upon feeling scared, we feel sweaty and nauseous as our whole self prepares to focus on a threat. There are parts of ourselves whose sole job is to monitor for stimulus, either inside or outside the body, that may impact homeostasis. There are other parts that respond to the stimulus in a way that mitigates the impact on the rest of the system.

Let’s apply this to the example of accidentally touching the hot handle of a pot on the stove. When we touch that handle, our peripheral sensory nerves pick up on the stimulus of heat and send this information along, up our spinal cord, and to our central nervous system – the brain stem and brain. There, the stimulus is processed: what is this, and what does it mean? A plan is then created for how to respond. Peripheral motor nerves send this plan back through the body, and we move our hand away from the hot handle. Chemicals may be released to manage pain and to allow us to move quickly. This all happens in a matter of seconds. 

But this cascade of events is not the only thing happening within our whole system. While some subsystems work together automatically to mitigate, such as the threat of a burn on our hand, another part of our brain remembers a time when we burned ourselves and what we did to take care of it. And so we find a tap and run cold water over the area that touched the hot handle. And either the persistent or reduced sensation of the burn tells us to keep running the water or not.

Let’s add another component. Perhaps when we’re running the water, we notice that we did not get to the burn in time, and it has begun to blister. We know we have to use that hand for an important task coming up; this will now be near impossible with this injury. We start experiencing worries about what to do and what will happen. We start to feel anxious. We may experience self-talk, saying that we’re clumsy and slow. We may feel ashamed. At this point, we do have some options for how to respond. Just like choosing whether or not to recognize a forming burn and run cold water over it, we can also choose to recognize the emotions, thoughts and beliefs we are experiencing and take care of them in a compassionate way. If we decide not to, we may experience a build-up or even an overwhelming load of neglected emotions, thoughts and beliefs; much like a burn that is left blistering under the skin, causing more pain and maybe even damage. And an ironic thing is we have learned that mental and emotional stress that is not taken care of places an extra load on our nervous system. This activates or exacerbates pain and chronic health conditions. So taking care of our body pain requires more than running cold water over a burn!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info