Entries in Physio Tips (5)

Wednesday
Jul152015

Are you in pain? Need to improve function? Try Dry Needling!

What is Trigger Point Dry Needling?

Trigger Point Dry Needling involves inserting thin needles into tight, irritable muscles.

Trigger Point Dry Needling creates changes to muscles and connective tissue (fascia) near the needled areas. It also stimulates nerves to help releases the body’s own painkillers.

What should I expect from treatment?

The number and location of needles used will vary based on your condition and treatment goals. The needle is inserted into the muscle up to several centimetres deep. Sometimes the needled muscle will twitch.

Trigger point dry needling is rarely a stand-alone treatment. It is used to address pain. When combined with other physiotherapy treatment methods, it also helps improve movement and function. Your physiotherapist will regularly check your progress to ensure needling is helping you.

Are there any complications associated with Trigger Point Dry Needling?

Yes. Any technique that punctures skin has a risk of complications. It is important you know the risks before treatment. Some minor complications that usually resolve on their own include pain during or following treatment.  Less common complications include fatigue and drowsiness.  Hence, be sure to communicate with your physiotherapist throught the treatment and ensure your questions are answered. 

Would a different treatment work?

Needling is one of the many techniques your physiotherapist may use. Discuss the benefits and risks of needling and other available treatments with your physiotherapist. For some, such as those with needle fear or a history of fainting, an alternative treatment might be a better option.

Do all physiotherapists perform Trigger Point Dry needling?

No. Physiotherapists who perform dry needling have completed training in addition to their university education. They have also received approval to perform needling from their regulatory body (Physiotherapy Alberta - College + Association) and must adhere to safe practice standards.

Please view Irfan Jessa, PT's brief explanation about dry needling (below):

Click here to learn more about our Physiotherapists!

Click here to schedule an appointment with one of our Physiotherapists today!

 

-Adapted from Physiotherapy Alberta

Wednesday
Feb262014

Gunn IMS Treatments Now Available at Endurance on 8th Health Centre!

What is Gunn IMS?

Supersensitivity and muscle shortening cannot be operated on and ‘cut away,’ while ‘painkillers’ and other analgesic pills only mask the pain (often poorly) and promote toxicity, compounding the problem. Neuropathy only responds to a physical input of energy.

Intramuscular Stimulation (IMS) is a total system for the diagnosis and treatment of myofascial pain syndromes (chronic pain conditions that occur in the musculoskeletal system when there is no obvious sign of injury or inflammation). IMS is grounded in Western Medical Science, and has a solid foundation in its radiculopathic model of pain, which is now supported by many experts in the field. It was developed by Dr. Chan Gunn while he was a physician at the Worker’s Compensation Board of British Columbia in the 70′s, where he investigated the large number of mysteriously stubborn cases after frustration with the ineffective modalities at his disposal. The treatment, which utilizes acupuncture needles because they are the thinnest implements available that are designed to penetrate deep within muscle tissue, specifically targets injured muscles that have contracted and become shortened from distress.

 

IMS relies heavily on a thorough physical examination of the patient by a competent practitioner, trained to recognize the physical signs of neuropathic pain. This physical examination is indispensable since chronic pain is often neurological as opposed to structural, and therefore, invisible to expensive X-rays, MRI Tests, Bone and CT Scans. Failure to recognize these signs will result in an inaccurate diagnosis, and thus, a poor starting point for physical therapy.

The treatment involves dry needling of affected areas of the body without injecting any substance. The needle sites can be at the epicenter of taut, tender muscle bands, or they can be near the spine where the nerve root may have become irritated and supersensitive. Penetration of a normal muscle is painless; however, a shortened, supersensitive muscle will ‘grasp’ the needle in what can be described as a cramping sensation. The result is threefold. One, a stretch receptor in the muscle is stimulated, producing a reflex relaxation (lengthening). Two, the needle also causes a small injury that draws blood to the area, initiating the natural healing process. Three, the treatment creates an electrical potential in the muscle to make the nerve function normally again. The needle used in IMS, by stimulating muscle spindles, essentially becomes a specific and unique tool for the diagnosis of Neuropathic Muscle Pain.

The goal of treatment is to release muscle shortening, which presses on and irritates the nerve. Supersensitive areas can be desensitized, and the persistent pull of shortened muscles can be released. IMS is very effective for releasing shortened muscles under contracture, thereby causing mechanical pain from muscle pull. IMS, in effect, treats the underlying neuropathic condition that causes the pain. When competently performed, IMS has a remarkable success rate, as proven by the amelioration of symptoms and signs, even for chronic back pain with root signs.

IMS is comparable in some ways to acupuncture; however, there are a number of important differences. IMS requires a medical examination and diagnosis by a practitioner knowledgable in anatomy, needles insertions are indicated by physical signs and not according to predefined, non-scientific meridians, while subjective and objective effects are usually experienced immediately.

We are excited to announce that Gunn IMS will be available at Endurance on 8th Health Centre effective February 2014!

Click "here" for more information and to schedule your appointment today!

 

 

Monday
Dec232013

Flexibility and Yoga Camp

Loosen up your stiff joints and tight muscles with our flexibility and yoga bootcamp!

Endurance is proud to present this 45 minute class dedicated to increasing your range of motion and performance and reduce chance of injuries!  Learn some great stretches to relieve your sore muscles and gain flexibility with some great yoga inspiration! 

 

Who: Lara Schamotta
What: Stretching, flexibility, yoga and relaxation
When: Fridays
Start date: March 6, 2015
End Date: April 10, 2015
Time: 12:10 pm - 12:55 pm 
Duration: 6 weeks
Cost: $140.00 
Things to bring: Yoga mat & water

All are welcome to join the class after January 16!  There are only two spots left! 

Click here to register or call us at 403-265-8383. You may also register online here.  Limit 6 people per class!

Friday
Dec202013

Mama said knock you out.  

E8 Fit camps are back with a great way to burn off those holiday calories!

Endurance hosts for the first time ever a high energy Muay Thai fitness bootcamp for clients of all fitness levels.  This 50 minute intense workout involves Muay thai, kickboxing, core, and abs. 

Muay Thai and kickboxing, both contact sports, can be used for self-defense and general fitness.Muay Thai, which orginated in Thailand, is also known as the "the art of eight limbs," mainly because it uses both knees, hands, legs, and elbows to attack their opponent. Almost every action made during Muay Thai requires the movement of the entire body which is perfect for a full body workout!

Kickboxing was developed from Muay Thai, boxing, and karate, or also known as a hybrid martial art. This sport of defence and attack involes both punching, with boxing gloves, and kicking with bare feet. 

 

Jason Meller Can Fit Pro

Jason Meller is a Muay Thai Kickboxing instructor and fighter with Team Smandych Muay Thai here in Calgary.  Jason has been training and competing in  Muay Thai and Kickboxing for a little over 9 years now.  His travels have led him to train and compete in Canada, United States and Thailand.  He is well versed in training people for whatever that individual's goals may be.  Jason's knowledge of Muay Thai and Kickboxing allows him to alter training sessions to suit the training environment.  Weather looking for a new form of exercise, just wanting to tone up or maybe thinking of competing, a Muay Thai Kickboxing workout can generate quick results for every individual.  Along with Jason's experience with Muay Thai and Kickboxing he is also a massage therapist and certified Canfit Pro group fitness instructor.

 

 


Where: Endurance on 8th Health Centre Studio
When: Mondays & Wednesdays 
Time: 5:15 pm - 6:00 pm, 6:15 - 7:15 pm 
Start Date: August 25, 2014
End Date: Oct 1, 2014
Duration: 6 weeks
Cost: $140.00 + the purchase of gloves

 

 

 

 

Each class is limited to 5-6 people so hurry! Click here to register or call us at 403-265-8383 to save your spot.  You may also register online here.


Saturday
Dec072013

"No Pain, No Gain" Leads to Repetitive Strains 

There is nothing worse than being at the peak of your training, feeling great, making continuous gains, and then.. injury strikes, taking all the fun out of your workout. Anybody involved in weight training should educate themselves on common injuries and prevention strategies.

Whenever muscles and tendons are overloaded or overstretched, tiny tears can occur in the tissue. The local area becomes inflamed for a short time as the body attempts to repair the damage. Repeated and forceful movements strain the tendons, irritate them and cause local inflammation and thickening. At this stage, the area may feel painful. Normally, the body would repair the damage and the pain would go away. However, without enough rest, more activity causes further damage leading to more inflammation, tendon thickening, scar tissue and pain. This cycle gets progressively worse and can become chronic if proper treatment is not taken. These injuries are classified as repetitive strain injuries (RSI).

RSI’s present an increasingly common challenge to clinicians and although common to all athletes, they are highly prevalent among the bodybuilding community. The intense training that bodybuilders undergo can place tremendous stress on the tissues setting them up for strains. RSI’s can result from repetitive heavy lifting with poor posture or improper ergonomics. These injuries can become quite a burden as many individuals will require time away from the activity to rest and heal the damaged tissue.  Pain is often a symptom of an RSI and therefore it’s important to recognise and appreciate the difference between normal muscles soreness and injury. It’s okay to have muscle soreness after a big workout, it’s part of the recovery phase. However, if the pain does not dramatically decrease within a day or two and it limits your range of motion and function you may be looking at an injury.

RSI’s can be managed successfully by non-surgical methods in most cases with a combination of activity modification, nonsteroidal anti-inflammatory drugs, therapeutic modalities and specific exercise for flexibility, strength and endurance. Use common sense in this situation – if a certain activity causes an exacerbation of pain, chances are it is causing damage. Let the injured area rest and seek advice on why the injury happened in the first place. If you continue to work out in the same manner you should expect the same results, in this case - injury. Taking a short break from a certain exercise or two will be much less debilitating to your performance than developing a chronic condition. Consulting with an exercise specialist such as a physiotherapist or a chiropractor during the initial onset of symptoms can save you a lot of grief, frustration and loss of strength.

 

For a successful bodybuilder, prevention of an RSI is key.

Always warm up and stretch prior to any weight training or cardio activity. This is necessary to increase the blood flow and oxygen to the exercising muscles and prevent strains. Remember that 10-20 minutes can be the difference between seeing or losing big gains.  

Muscle balance - think symmetry. It’s not only for looks, it’s important to prevent injury. If the muscles on one side of the joint are strong (ie. chest) and the muscles on the other side are weak (ie. back) it can cause unnecessary stress to the body and lead to poor posture, technique, and RSI’s.

Concentrate on what you’re doing. Unnecessary gym injuries often happen because someone’s mind is not on the exercise. You must be focused on the task at hand and be conscious of your movements. Having good posture and technique greatly reduces the odds of having an injury– mirrors can be your new best friend.

Wear proper footwear.  Our feet have a big job to do in supporting us during our workouts, you should do your best to keep them happy and supportive.

Go at your own pace. Don’t worry what anyone else is doing or how much they are lifting – if you try and lift heavier than your body is ready for you will end up getting hurt.   

Use wraps as necessary. They can provide extra stability to our joints and reduce strain on our muscles and tendons.

Drink and eat properly for your lifestyle. Dehydration can have a dramatic effect on your muscles and their performance so make sure to drink plenty of water during and after a workout.  Food is the fuel for our muscles and body building requires specific nutritional demands. Consult with a nutrition specialist to become informed on how to eat to reduce the risk for injury.

When an athlete is better informed of when treatment is necessary and what is available it is beneficial to their training and performance. Common areas for strains in body builders include the neck, back, shoulder, elbow and knee although they can occur around any joint in the body. A few other examples of common injuries that can be treated conservatively by your therapist include rotator cuff impingement, ACL sprains, meniscal injuries, bursitis, nerve entrapment, pectoral and quadriceps tears and many others. Remember it’s better to consult with your therapist at the early onset of symptoms for optimal healing and recovery.

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