Non-Surgical ACL Treatment and Rehabilitation

Non-Surgical ACL Treatment and Rehabilitation

Traditionally, the diagnosis of an ACL rupture has almost certainly meant surgery. The thoughts on this are slowly changing. There are multiple studies being conducted on the healing potential of an injured ACL. There are also almost no good studies that prove that surgery is actually better than a structured rehab program.

That being said, ACL reconstruction has potentially been done too easily and frequently in the past. The more recent thinking is to attempt a structured rehab program, assigned by a medical professional with the relevant knowledge, for 3 to 6 months and then re-evaluate the need for surgery. Some patients will still require surgery but a large percentage will be completely functional with some good rehab.

There are many factors that will contribute to the decision surgery vs non-surgical:

  • Concomitant injuries like other ligament injuries
  • Meniscal tears that cause locking or catching
  • Fractures
  • A very unstable knee

In the initial phase, the most important aspect is to get the patient as confident as possible in daily activities like standing up from a chair and sitting back down. Exercises, and their intensity, are then gradually increased as tolerated to the point where the patient has full lower limb strength and control.

The final decision is then made based on incidences of instability experienced by the patient once fully rehabbed.  

Does the ACL heal?

Some studies have found that the ACL heals on its own, others have found it heals onto the PCL, and in some cases, it doesn’t.

Does it matter if my ACL heals or not?

In most cases, it will not make a difference if your ACL heals or not as most of the stability for your knee is dynamic. What this means is that most of the control or stability of your knee come from muscular control, strength and proprioception (balance). There are now many famous professional athletes playing their sports that choose not to have surgery. Some of them have healed ACLs and other not; but their lower control and strength is good enough that the ACL is less important.

Moral of the story:

It is worth a trial of non-surgical treatment following an ACL rupture prior to deciding on a surgical intervention.

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 Does a Physiotherapist Do, and Why Should I See One?

What Does a Physiotherapist Do, and Why Should I See One?

What Does a Physiotherapist Do, and Why Should I See One?

May is Physiotherapy Month. It’s a great time to explain how Physiotherapy can help keep you moving, and what to expect when you see a physiotherapist for treatment. 

Injury

When we are injured, our bodies often compensate in less than ideal ways. This compensation can mean that things don’t feel right when you return to your favourite activity. A  physiotherapist is trained to identify what compensations your body has made, and how to correct them. This is a vital step in your recovery process, and can help minimize your risk of re-injury. 

Assessment

Getting to the root of your injury or condition is the first step in your recovery process.  Your physiotherapist will start by listening to you regarding how the injury occurred, how it is limiting you and what your goals are. They will watch you move and test individual muscle strength to find out what is actually causing your pain and limitations. 

Treatment

You may be surprised to learn the broad areas of treatment in which a physiotherapist can help. We treat all areas of muscle and tissue injuries; and many – as in the s at Sun City Physiotherapy – can help with: sports injuries, spine (back and neck) pain, TMJ (jaw) problems, vertigo, scoliosis, pelvic health, concussions, whiplash, work injuries, and others. 

Methods

If you’ve seen a  for a past injury or condition, you may have had manual or manipulative therapy. It’s how we describe our hands-on approach to treatment. However, in some cases – depending on your injury – your  physiotherapist may use any combination of the manual therapy with interferential machines, shockwave therapy, intra-muscular stimulation (IMS/dry needling), acupuncture, exercise prescription, or pain management modalities. It all depends on how your therapist assesses your injury, and the rehabilitation plan they develop for you.

Recovery

Getting back to what you love doing is important. It’s why you are seeking treatment. Your  physiotherapist will advise you on how and when you can return to your activity or sport. If it is too soon in your recovery process, your physiotherapist will often recommend alternative activities that will allow you to maintain or improve your fitness level while not making your injury worse. 

Timelines

How long will it take before I’m feeling good again? This is question we hear the most. Although we all wish we had a crystal ball, the reality is that every person’s body and injury will be slightly different. However, a physiotherapist has the knowledge and training to be able to give you a general time frame (weeks vs months) as to how long your recovery will be, and how to go about getting started!

It’s important to remember that in most cases, you do not need a referral to see a physiotherapist, however some insurance plans may require a referral from your doctor. We can answer that question for you when you call to book your appointment. 

If you are injured, Physiotherapy can help keep you moving.  

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

Gymnastics

Gymnastics

Gymnastics

Gymnastics is a sport that requires strength, flexibility, balance, coordination, and endurance. While its aerial and acrobatic movements can shock and awe, these movements can increase an athlete’s risk for injury. 

What are the common injuries in gymnastics?

For paediatric populations, the most common gymnastics injuries include: sprains, strains, fractures, and dislocations. It has been reported that roughly 97% of gymnastics injuries end up in emergency departments. The most common sites of injuries are the ankle, lower leg, shoulder, Achilles, trunk, and foot. 

One of the most prevalent chronic issue experienced by gymnasts is low back pain. Low back pain has been reported in up to 85% of gymnast populations. The most common low back injury is spondyolysis.

What are the risks?

Risk factors for injury in gymnastics include: a previous history of injury, competing before complete recovery, improper technique, overtraining/overuse, and environmental factors such as landing surfaces. 

How can I prevent injury?

To begin, it should be noted that 80- 97% of injuries happen in practice compared to competition. 

Some of the best ways to prevent injury are to:

  • Avoid over training.
  • Learn proper form and technique for skills in order to protect the body from repeated motions. 
  • Engage in a proper warm up.
  • Engage in specialized strength and conditioning programs that have been developed for gymnasts. 
  • Manage pain and physical issues early, before they become chronic.

Why is physiotherapy important?

Nearly 90% of elite gymnasts report sustaining one or more injuries that result in reduced training capacity. These athletes spend roughly 14% of their time training at sub-optimal levels. Physiotherapists can help to prevent and manage these injuries, which in turn increases optimal training time. 

Physiotherapists with training in gymnast populations can help to identify risk factors, diagnose and treat acute and chronic injuries, educate on proper warm up techniques, provide relevant strength and conditioning programs, and screen for proper form in the performance of gymnastics skills to prevent biomechanical errors. 

Credentials

Lindsay Wourms, PT, MScPT, Special Focus in Paediatrics
Former competitive gymnast 
Gymnastics coaching experience with both recreational and pre-competitive groups
Special education in gymnastics rehabilitation and injury prevention
Physical Therapist on site for gymnastics at the BC Winter Games 2023

References:

References Hecht, S. S., & Burton, M. S. (2009). Medical coverage of gymnastics competitions. Current Sports Medicine Reports, 8(3), 113–118. 

Heinen, T., Pizzera, A., & Cottyn, J. (2010). When is manual guidance effective for the acquisition of complex skills in Gymnastics? International Journal of Sport Psychology, 41(3), 255–276. 

Kerr, Z. Y., Hayden, R., Barr, M., Klossner, D. A., & Dompier, T. P. (2015). Epidemiology of National Collegiate Athletic Association women’s gymnastics injuries, 2009–2010 through 2013– 2014. Journal of Athletic Training, 50(8), 870–878. 

Kirialanis, P., Dallas, G., Di Cagno, A., & Fiorilli, G. (2015). Knee injuries at landing and take-off phase in gymnastics. Science of Gymnastics Journal, 7(1), 17–25. 

Kirialanis, P., Malliou, P., Beneka, A., Gourgoulis, V., Giofstidou, A., & Godolias, G. (2002). Injuries in artistic gymnastic elite adolescent male and female athletes. Journal of Back and Musculoskeletal Rehabilitation, 16(4), 145–151. 

Kolt, G. S., & Kirkby, R. J. (1995). Epidemiology of injury in Australian female gymnasts. Research in Sports Medicine: An International Journal, 6(3), 223–231. 

Kox, L. S., Kuijer, P. P. F. M., Kerkhoffs, G. M. M. J., Maas, M., & Frings-Dresen, M. H. W. (2015). Prevalence, incidence and risk factors for overuse injuries of the wrist in young athletes: a systematic review. British Journal of Sports Medicine, 49(18), 1189-96. 

Kruse, D., & Lemmen, B. (2009). Spine injuries in the sport of gymnastics. Current Sports Medicine Reports, 8(1), 20–28. 

Nemeth, R. L., Von Baeyer, C. L., & Rocha, E. M. (2005). Young gymnasts’ understanding of sport‐ related pain: a contribution to prevention of injury. Child: Care, Health and Development, 31(5), 615–625. 

Sands, W. A., McNeal, J. R., Jemni, M., & Penitente, G. (2011). Thinking sensibly about injury prevention and safety. Science of Gymnastics Journal, 3(3), 43-58. Singh, S., Smith, G. A., Fields, S. K., & McKenzie, L. B. (2008). Gymnastics-related injuries to children treated in emergency departments in the United States, 1990–2005. Pediatrics, 121(4), e954–e960

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 is Kinesiology?

What is Kinesiology?

What is Kinesiology?

Kinesiology is the science of human movement, performance and function. Kinesiologists are university educated healthcare professionals who have studied body mechanics and the role human movement plays in preventing and managing injury, chronic disease, disability, and overall performance.

Kinesiologists can prescribe exercise-related practices for the management of injury, chronic disease, and return to work strategies. This can be during a clinic session with one-on-one training and coaching or through take home exercise programs for clients to implement into their lifestyle. A kinesiologist can work with people of all ages and physical abilities to help them achieve their health and wellness goals.

How can kinesiology help me?

A kinesiologist is here to help every member of the community, from athletes to desk-bound workers to people dealing with persistent pain. If you have been injured in an accident, a kinesiologist can help you manage your pain and improve your symptoms of injury by improving muscle strength and stability. A kinesiologist will use their knowledge of anatomy, specifically in exercise physiology, to develop a specific exercises program that is designed for you.

A kinesiologist can help with:

  • Suffering from a disease such as high blood pressure or diabetes
  • Fall prevention for seniors
  • Recovery from an accident
  • Preparing for or recovering from surgery
  • Non-specific low back pain
  • Poor workspace ergonomics
  • Muscular strengthening
  • Overall improvement of health

The involvement of a kinesiologist in your exercise planning can lead to healthier daily living, faster recovery, less pain, and enhanced sport performance.

What should I wear to my appointment?

Wear comfortably fitting lounge or exercise attire. In your initial session, you may move through a variety of functional movements during your full body assessment. During subsequent sessions you will use this time to receive exercise coaching, to stretch, and to discuss any necessary adjustments to your treatment plan. Your kinesiologist will be there to help you reach your movement goals.

ICBC supports clients working with a Kinesiologist

ICBC recognizes kinesiology as an essential form of active rehabilitation and believes working with a kinesiologist can play an integral part in your recovery from injury. If you have been injured in a motor-vehicle accident, you may be eligible to receive full ICBC coverage for all visits with a Kinesiologist.

– Laney Twerdohlib, Kinesiologist 

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

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Specialized physiotherapy for the assessment and treatment of bladder and bowel incontinence, and pelvic pain are becoming more recognized as a first line of defence.

If you think you may be affected, ask yourself the following questions: 

  • Have you experienced incontinence when heading to the bathroom, or when you cough or sneeze?
  • Do you find yourself straining or in pain when passing a bowel movement?
  • Have you experienced pain with intercourse?
  • Do you suffer from lower back or hip pain?
  • Are you pregnant or post-partum and experiencing leakage?

If you answered yes to any of these questions, the pelvic floor muscles, fascia and nerves may be contributing to your symptoms, and assessment by a pelvic floor physiotherapist is recommended.

Pelvic floor physiotherapy goes beyond the well-known Kegel, and should be assessed and treated similarly to any other muscular injury or imbalance. The goal is to optimize the coordination, strength, and flexibility of the pelvic floor muscles. Through the use of a ‘rib to knees assessment approach’ your pelvic floor physiotherapist will explain the important relationship between your diaphragm, core, and pelvic floor. Any imbalances, previous trauma, or de-conditioning can lead to symptoms such as rib pain, core weakness, back/hip pelvic pain or incontinence. Your pelvic floor physiotherapist will then work to address these symptoms, and create a manageable and empowering treatment plan to help you regain control and function around what can often feel like an isolating and embarrassing problem for many.

Who would benefit from a Pelvic Health Assessment? Those experiencing: 

  • Stress incontinence: leakage with coughing, sneezing, jumping, running;
  • Urge incontinence: leakage or loss of control without being able to delay voiding;
  • A mix of the above incontinences;
  • Women during pregnancy and post-partum;
  • Post Prostatectomy, and:
  • Nocturia – waking multiple times throughout the night to void

What should you expect at a Pelvic Health Appointment?

  • Assessment of posture, movement mechanics, core and pelvic floor muscle activation;
  • Option for internal assessment of pelvic floor musculature;
  • Exercises specific for your pelvic floor muscle tone and function;
  • Education on symptom management, and;
  • Self-management techniques to confidently perform exercises at home

If you have questions or concerns around your pelvic floor, or are currently pregnant or post partum, book an assessment with our Pelvic Health Physiotherapist, Paige Marzinzik at our Downtown or Lower Mission Clinic.

– by Paige Marzinzik, Physiotherapist, Pelvic Health Therapist

 

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

Achilles Tendonitis

Achilles Tendonitis

Achilles Tendonitis

What is Achilles Tendonitis?

Achilles tendonitis is a painful condition that results from an imbalance between tissue wear and repair in the Achilles tendon – at the back of the ankle. It usually develops slowly over time, although symptoms can come on quite suddenly.

Factors affecting tissue wear can include activity level, biomechanics, muscle imbalance and footwear. Factors that affect tissue repair can include age, gender, genetics, sleep, fitness level, and certain medications and medical conditions.

Why Should I Know the Signs?

Achilles pain is common in athletes and for those who spend a large portion of their day standing or walking. The development of tendon pain is often preceded by a change in activity level, for example running longer distances or spending more time walking at a new job. Sometimes tendon pain can come on several months after making such a change. Other times it can be hard to pinpoint the exact cause of the injury, since tendonitis is influenced by so many factors.

How Can Physiotherapy Help?

The ideal treatment for Achilles tendonitis will depend on how old the injury is, the section of tendon affected, and the type and degree of tissue change that is present (for example is the tendon thickened, or are there bony changes where the tendon attaches to the heel bone). Management will often involve activity modification as well as a progressive exercise program.

Your physiotherapist can help to confirm your diagnosis (several other conditions can cause pain at the back of the ankle!) and can help to identify and correct any muscle imbalances or biomechanical problems that may be contributing to your injury. Achilles tendonitis can also benefit from Shockwave Therapy which is offered at all Sun City Physiotherapy locations.

Rob Heimbach is a registered physiotherapist who works out of our Glenmore clinic. His passions include distance running, hiking, tennis, curling, and beach volleyball. He is an outdoors and movement enthusiast who enjoys helping people return to pain free movement!

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

Nutrition for Menopause

Nutrition for Menopause

For most women, menopause begins between the ages of 45 and 55, and it is defined by the lack of a menstrual cycle for 12 months. This is a time to take care of yourself by making healthy lifestyle choices. Food and nutrition play significant roles in the health and quality of life of menopausal women. Eating well and being physically active can make this midlife transition easier.

Menopausal symptoms vary with every person. Some go through menopause with no real symptoms. However, common symptoms include hot flashes, night sweats, weight gain – especially around the mid-section, sleep disturbances and mood changes. These symptoms result from changes in hormones, most significantly changes in estrogen and testosterone. Nutrition can play a strong role in preventing and managing changes in body composition.

Some other health concerns associated with menopause include osteoporosis and breast cancer, which are chronic diseases that are common to women. These conditions may occur throughout the lifespan and can affect both men and women. However, they predominantly affect menopausal women.

Dietary factors contributing to an increased risk of cancer are excess calorie intake, especially saturated fat intake, alcohol, and environmental chemicals consumed on or in foods, adult weight gain, and inadequate antioxidants and fibre.

Weight Gain with Menopause

Due to changes in hormone levels and the natural aging process, women in menopause typically lose muscle and gain fat mass, often in the belly area. Lifestyle is also a factor, and decreased physical activity is also common around this life stage. After menopause, weight gain may also increase the risk of certain health issues, like high cholesterol, high blood pressure and insulin resistance (a condition in which your body cannot use insulin correctly, which can lead to diabetes), as well as reduced self-esteem. 

What Can I Do?

Plan for your body’s natural metabolic slowdown. 

  • Be physically active. Adults should do at least 30 minutes of moderate-intensity physical activity most days of the week. Being active doesn’t have to mean a trip to the gym. You can be active doing daily activities. Take the stairs, park further away from your destination and walk, garden, swim, or dance. Aim for strength-building activities at least twice per week. Not only will strength training help build back your lost muscle mass, but it also helps to slow mineral loss in your bones which may lead to osteoporosis. Most importantly, being active should be fun. Pick activities you enjoy and get moving with friends and family.
  • Eat well. Foods such as vegetables, fruits, whole grains, calcium-rich products and lean protein foods contain the nutrients you need and should make up the majority of your meals and snacks. If you choose to drink alcohol, limit yourself to one drink a day on the days that alcohol is consumed. If you suffer from hot flashes, try cutting back on caffeine and spicy foods, which could trigger hot flashes in some people. Be mindful of your sodium intake and aim to cook most of your meals at home rather than eating out.
  • Drink plenty of water. Water keeps you hydrated and may help manage hot flashes. It also helps move dietary fibre through the body, which is especially important if you’re working on increasing your fruit and vegetable intake.

If the changes from menopause are affecting your mood or self-esteem, remember this is a temporary state. Healthy eating and physical activity habits you put in place during menopause can help you manage symptoms and return to feeling great.

If you are looking for support to help manage symptoms of menopause, seeing a Registered Dietitian may be beneficial. Dietitians can help you manage weight gain, loss of muscle tissue, sensory and gastrointestinal changes associated with aging (e.g- constipation, diverticulosis), and assess your nutrient intake to help correct micronutrient deficiencies associated with menopause.

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 Is Scoliosis?

What Is Scoliosis?

What is scoliosis?

Scoliosis is a deformity of the spine, usually diagnosed in adolescents; often without a known cause.

What is Scheuermann’s Kyphosis?

It is a (hyper)kyphosis; a spinal deformity that leads to a more rounded appearance of one’s upper back (sometimes referred to as a “roundback” or “hunchback”)

What does this look like; and what does that mean for me or my child?

It means that you may have noticed some differences in the appearance of your child or yourself as compared to peers: uneven hips, waist, and/or shoulders, a “sticking out” spot on the ribs and/or back, a shoulder blade that doesn’t match the other side. You or your child may also experience increasing symptoms as the condition progresses, such as pain, breathing difficulty, osteoarthritis, mental health problems, and decreased health-related quality of life.

What is Schroth? 

Schroth exercises are an evidence-supported, set of physiotherapeutic scoliosis specific exercises (PSSE). They are aimed at preventing the progression of the spinal curve, or to optimize post surgical results. Studies have shown that Schroth is effective for decreasing pain, improving quality of life, increasing back muscle endurance and range of motion, and improving self-image.

Does timing matter?

Early detection and care planning are very important. The options for, and effectiveness of treating a scoliosis or kyphosis vary with stages of skeletal maturity. If you suspect you, your child or teen has scoliosis or kyphosis, it is important to get it screened by a professional such as a doctor or physiotherapist.

What should I expect when signing up for Schroth therapy?

  • Assessment of your posture/curve and movement
  • Education about your scoliosis/kyphosis
  • Specific Exercises, positions and postures to practice at home
  • Monitoring your scoliosis/kyphosis

Scoliosis and Kyphosis management is a team approach which includes your family doctor (observation, monitoring, and care coordination), physiotherapist (physiotherapeutic scoliosis specific exercises), orthotist (bracing), and surgeon (surgery).

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

Complete Concussion Management

Complete Concussion Management

What is a Concussion?

A concussion is a mild form of brain injury that results from acceleration or deceleration of the brain within the skull following a significant impact to the head or body. Concussions can be the result of a direct blow to the head, or of indirect forces causing quick movement of the head or neck. A concussion may occur with or without a loss of consciousness, and cannot be detected with imaging techniques such as a CT Scan or MRI.

Most concussion symptoms will resolve within 7-10 days, even though the full physiological effects of a concussion can last up to 30 days. For some, however, symptoms do not resolve within 7-10 days. In this scenario, the symptoms may be generated from multiple sources such as the neck, or the visual or vestibular systems. Symptoms may also be based on level of exertion. When symptoms persist beyond the 7-10 days, they may indicate Post Concussion Syndrome.

It is recommended that individuals who suffer a concussion undergo a full assessment in the early stages of their concussion, as a stepwise return to activity can help to prevent prolonged symptoms and suffering.

What are Common Symptoms of a Concussion?

Physical – headache, lightheadedness, dizziness, nausea, fatigue, changes in sleep patterns, changes in vision, sensitivity to light and noise.

  • Cognitive – reduced concentration, memory problems, feeling mentally foggy.
  • Emotional – irritability, anxiousness, depression, feeling more emotional than usual.

What sets CCMI Apart when it comes to Concussion Rehabilitation?

Baseline testing – The measures taken in an assessment following a concussion are most accurate when they can be compared against the same measures taken before your injury. This helps to most accurately determine the effects of your concussion, when you are fully recovered, and when it is safe to return to sport. CCMI uses a multi faceted baseline test which ensures that the many areas affected by concussion are accurately assessed. A series of physical and cognitive tests are performed at the beginning of the season and following an injury to determine whether a concussion has occurred, and the level and areas of impact. Once these areas can be identified, rehabilitation is focused where it is needed. Concussion symptoms often disappear days to weeks before the brain has recovered. Having valuable baseline information may help practitioners to make safer return to play decisions.

An integrated approach to rehabilitation – Following a short period of rest, the International Consensus Statement on Concussion in Sport (2016) recommends a gradual increase in mental and physical activity by a licensed healthcare practitioner trained in concussion management. CCMI concussion treatment includes: balance, exercise, and visual rehabilitation, manual therapy, nutritional interventions, and a gradual return to school, work, and sport.

The CCMI Concussion Tracker Smartphone Application for coaches, teachers, and athletes – The CCMI Concussion Tracker app supports safer return-to-sport decisions for young athletes. It captures and shares an athletes’ concussion status in real time. Where a concussion hits, Concussion Tracker enables the coach and athlete to:

  • Report and track concussion
  • Conduct sideline assessments
  • Record athlete’s recovery status and timeline
  • Scan and share medical documents if needed
  • Track daily symptoms for recovery progress
  • Store and view pre-season concussion test results

Lindsay Wourms  is a certified CCMI physiotherapist.

Contact us to start your concussion recovery today!

Call 250-861-8056

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

Making Sense of ‘Persistent’ Pain

Making Sense of ‘Persistent’ Pain

It seems self evident that pain is caused by tissue damage and is therefore resolved by tissue healing. But what about when the initial injury should have resolved long ago and yet our pain continues into many months and possibly even years? This is known as ‘persistent’ or ‘chronic’ pain and in order to understand how it can develop we need to explore where pain really comes from.

Tissue damage is not actually what causes us to feel pain per se, rather, it is our nervous system’s RESPONSE to PERCEIVED DAMAGE or even just the perception of POTENTIAL damage that leads to this. This mechanism can be described in terms of inputs and outputs.

An input is where the body picks up signs of potential tissue damage via ‘nociceptive’ nerves, which detect things such as increases in tissue pressure, shearing or tearing forces, extremes of hot or cold and so forth. This information is then sent to the central nervous system (CNS) for consideration.

If the CNS perceives these signals as a threat to your well-being, it will effect an output response by modifying or activating the function of a number of bodily systems. One good example is the sympathetic nervous system, which helps to bring about the body’s stress response commonly know as ‘fight or flight’. These output responses can lead to symptoms such as:

• Muscle spasms/aches/tightness/weakness,
• Changes in your posture
• Increased rate of breathing• Increased pain and sensitivity to pain
• Increased heart muscle tone,
• Increased arousal, alertness and attention.

These responses are generally necessary to aid our recovery, but there are times when they can become excessive and counterproductive. For example, if tissue damage is allowed to go on for prolonged periods, it can lead the CNS to accelerate its response causing it to react to things that would not normally be painful. Also, because responses are based on the CNS’s PERCEIVED level of injury or threat, a person’s beliefs, past experiences and emotional state (anxiety/low mood) can be enough to lead the body to mount a pain response even in the absence of any actual tissue damage.

A counterproductive or prolonged response like this can also lead to:

• Slow healing of cuts and recovery from illness
• Difficulty in concentration and memory
• Changes in sleep patterns
• Fatigue
• Altered libido
• Digestive problems
• Widespread and spontaneous pain
• Increased muscle activity

In these situations, conventional treatments alone are not always enough and a deeper knowledge of how to bring back true balance is essential. Holistic physiotherapy treatment will help you to move away from a persistent, painful and domineering ‘fight or flight’ state by boosting areas such as your immune and parasympathetic nervous
systems (areas all too often ignored!).

Some examples of things that can help include:

• Relaxation and breathing exercises
• Having a good understanding of your condition
• Graded fitness training and exercises
• Doing away with unhelpful and damaging beliefs and worries
• Developing a healthy sleep pattern

Further articles to come! If you’re struggling in the meantime, contact us today to start your journey of understanding and lasting recovery.

Sun City Physiotherapy Locations

Downtown

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

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

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

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