Restless Leg Syndrome (RLS) is a condition marked by unpleasant leg sensations. It is a disorder of the part of the nervous system that causes an urge to move the legs. Restless Leg Syndrome frequently leads to insomnia because it usually interferes with sleep. The leg pain of Restless Leg Syndrome typically eases with motion of the legs and becomes more noticeable at rest.
People with Restless Leg Syndrome have uncomfortable sensations in their legs and sometimes in their arms or other parts of the body. They get an irresistible urge to move their legs to relieve the sensations. The condition causes an uncomfortable itchy, pins and needles or creepy crawly feeling in their legs. RLS affects both sexes, but it is more common in women and may begin at any age, even in young children. Most people who are affected severely are middle-aged or older.
What Are the Causes?
The causes of Restless Leg Syndrome is yet unknown in most people, however, doctors suspect that genes play a role. Nearly half the people with RLS also have a family member with the condition. However, other factors associated with the development or worsening of Restless Leg Syndrome include:
Some drugs and medications have been associated with RLS, they include:
What Are the Symptoms?
People suffering from Restless Leg Syndrome are described by many different symptoms, such as:
Symptoms of RLS usually affect and worsen in the nighttime leading to insomnia. Because of lack of sleep, children and some adults may be very drowsy, irritable and aggressive during daytime hours.
How Can RLS Be Diagnosed?
For the diagnosis of Restless Leg Syndrome, four criteria should be met in a person:
How Can You Cure RLS?
Physiotherapy is the best treatment method, however, it requires severe lifestyle modifications that include:
There is no specific cure for Restless Leg Syndrome, however, Physiotherapy can help control the condition, reduce symptoms and improve sleep. If you are suffering from Restless Leg Syndrome and have tried all possible treatments, book an appointment with us, our professional physiotherapists with their expertise will help you get relief from Restless Leg Syndrome.
A condition of bruise that occurs at the upper part of the hip is called as a Hip Pointer or Iliac Crest Contusion. The part of the hip bone, i.e. the top curve of the pelvis located near the front side of the body is known as iliac crest. Injury to soft tissue and bone usually results from a pointer. Several muscles including the abdominal muscles are attached to the hip bone.
A Hip Pointer or Iliac Crest Contusion is very common in contact sports like American Football, Rugby, Ice Hockey etc. and usually it is the result of a direct blow to the pelvic brim or the iliac crest. A fall directly onto the hip may also result to hip pointer injury, when the muscles are bruised and they can have a lot of bleeding which is the source of pain.
How is a Hip Pointer Diagnosed?
A Hip Pointer may be diagnosed clinically, but in certain instances, additional information may be garnered from imaging. MRI and ultrasound may be used to determine the extent of the contusion, while radiographs help to ensure if no fracture have occurred.
What Are the Signs and Symptoms of Hip Pointer?
Athletes who participate in contact sports, especially those who wear little or no protective padding, are at highest risk. Various symptoms include:
Pain on the upper, outside part of the iliac crest caused by a blow or a fall
Limited range of motion at the hip joint
Hip pain that gets worse with activities such as running, jumping, twisting or bending
Tenderness in the top part of the hip joint
Swelling and / or bruising
Possible muscle spasms in the hip area
You may experience severe pain and soreness on the outside part of the hip pointer
How Can You Remedy a Hip Pointer Injury?
Initial therapy of a hip pointer consists of ice, rest, pain medication and compression of the affected hip until symptoms improve. Avoid activities that aggravate the symptoms of pain. Aspirin or anti-inflammatory medications should be avoided because they tend to thin the blood and make the bleeding increase in the initial days after the injury. Crutches can be used in the initial treatment phase if walking or bearing weight on the affected leg is painful.
As the pain reduces, resistance exercises for the hip may be initiated. Slowly and steadily, your physiotherapist will prescribe certain strengthening exercises along with aerobic conditioning, as tolerated. On an average, one can expect full recovery within two to four weeks with conservative treatment and physical therapy.
If you have experienced an impactful blow on your hip pointer, it is crucial to start the treatment as soon as possible. The longer you wait, the longer it will take to heal. Most hip pointers are caused due to accidental events and therefore, cannot be prevented. The only way to avoid this injury is by wearing protective hip padding that is appropriate for your sport. In case you are suffering from a hip pointer and you want a professional physiotherapist to help you recover well and fast, book an appointment with HCR in Edmonton.
A Lisfranc injury is an injury to the mid-foot. It can be referred to as a Lisfranc fracture, Lisfranc injury, Lisfranc dislocation, Tarsometatarsal injury or simply midfoot injury. The injury is named after Jacques Lisfranc De St. Martin, a French surgeon who first described the injury in the year 1815.
The foot can be divided into three parts: the forefoot area which contains toes, the midfoot area consisting the small bones called navicular, cuboid and cuneiform. Third part is the hindfoot consisting of the talus (lower ankle) and the calcaneus (heel). These bones are held in place by connective tissues (ligaments) that stretch both across and down the foot. This cluster of bones and ligaments is known as the Lisfranc Joint Complex. A twisting fall can break or dislocate these bones out of place.
A Lisfranc injury is often mistaken for a simple sprain, especially if the injury is a result of a straightforward twist and fall. However, injury to the Lisfranc joint complex is not a simple sprain, it is a severe injury that may take months to heal and may require surgery in worse cases. Lisfranc injuries include ligament tears, fractures and dislocations of the bones and ligaments in the complex joint structure.
If you have experienced any direct or indirect trauma to your midfoot, please contact us for an examination and professional physical therapy sessions for better and faster recovery from Lisfranc injury.
Ankylosing Spondylitis is an inflammatory disease that can cause some of the vertebrae in your spine to fuse together. It is a spondyloarthritis of the spine and pelvis, also known as Bechterew's disease. Due to a bone formation at the level of the joint capsule and cartilage, affected joints progressively become stiff and sensitive. This makes the spine less flexible and can result in a hunched-forward posture. It causes decreased range of motion and gives the spine a 'bamboo-like' appearance, hence the alternative name 'bamboo spine'. If ribs are affected, it may become difficult to breathe deeply.
Other joints such as hips, knees, ankles, shoulders and temporomandibular joints may also be affected by the disease but the back and neck are the most affected areas. Ankylosing Spondylitis affects men more often than women.
Pain and stiffness in your lower back and hips are the early signs and symptoms of Ankylosing Spondylitis. Morning stiffness lasting greater than 30 minutes is a common subjective complaint, as well as waking up in the second half of the night. Pain is usually aggravated with rest and relieved with physical activity.
The areas most commonly affected are:
The common physical findings include:
There is no known specific cause of Ankylosing Spondylitis, although genetic factors seem to be involved. Particularly, people who have a gene called HLA-B27 are at significantly high risks of developing Ankylosing Spondylitis.
If you have Ankylosing Spondylitis symptoms, your doctor or physiotherapist may ask you to bend your back in different directions. He or she may also measure your chest circumference - once with exhaling air out of your lungs and once with your lungs filled with air.
X-rays allow your doctor to check for changes in your joints and bones, though it may be difficult to spot anything in the early stages of the disease. Hence, MRI scans are done to provide more detailed images of bones and soft tissues.
Physical therapy is an essential part in the treatment of Ankylosing Spondylitis. It can provide a number of benefits, from pain relief to improved physical strength and flexibility. Physiotherapy aims to alleviate pain, increase spinal mobility and functional capacity, reduce morning stiffness, correct posture deformities and increase overall mobility.
Range of motion and stretching exercises can help maintain flexibility in your joints and preserve good posture. Proper sleeping positions, abdominal and back exercises can help maintain your upright posture.
Your doctor or physiotherapist may recommend a surgery only if you have severe pain or joint damage. Otherwise, most people with Ankylosing Spondylitis don't need surgery. If you have symptoms of Ankylosing Spondylitis and you also smoke, make sure you quit smoking because it creates additional problems. Damaging your lungs can further compromise your ability to breathe. If you suffer from any physical deficiency that restricts proper movement and flexibility of your body, make sure you book an appointment with us and our specialized physiotherapists will help you effectively.
Biceps Tendonitis is also called as Bicipital Tendonitis. It is inflammation of the tendon that attaches the biceps muscle to the shoulder or forearm. The tendon most commonly irritated is the one that attaches to the top of the biceps muscle to the shoulder. This condition is typically seen in the younger, athletic population and it caused by repetitive overhead motions.
The common problems related to biceps tendonitis are pain, decreased range of motion, decreased strength and impaired functional mobility of the arm. Biceps tendonitis may develop gradually from effects of wear and tear, or it can happen suddenly from a direct injury. The tendon may also become inflamed in response to other problems that affect how you use the shoulder, such as rotator cuff tears, impingement of the shoulder, or shoulder instability.
Continuous or repetitive shoulder actions can cause overuse of the biceps tendon. The cells within the tendons become damaged and are unable to repair themselves, resulting to tendonitis. This is common in sports where athletes perform activities like throwing, swimming, or swinging a racket or club. Years of shoulder wear and tear can also cause biceps tendon to become painful.
Degeneration in a tendon causes loss of the normal arrangement of the collagen fibers that join together to form the tendon. Due to degeneration, some of the individual strands of the tendon become jumbled and other fibers break which both cause the biceps tendon to lose strength.
Patients usually complain feeling of deep ache directly in front and top of the shoulder. The aching may spread down into the main part of the biceps muscles. Resting the shoulder generally eases the pain, however pain is worse if the patient continues to perform overhead activities. A catching or slipping sensation is felt near the top of the biceps muscle and that may suggest a tear of the transverse humeral ligament.
Patients medical history and a physical examination are perhaps the most important tools that your doctor or physiotherapist will use to diagnose the problem. It is crucial for your physiotherapist to know where your pain is, when it started, and what activities ease or aggravate the symptoms. Your physiotherapist will also physically examine your shoulder. First he will look at the way you hold your shoulder with your natural posture in sitting and standing. The positioning of your upper back and neck can also affect the functioning of your shoulder.
To reduce inflammation and swelling are the initial goals of the physical therapy treatment. Patients should restrict over-the-shoulder movements, reaching and lifting. Your physiotherapist may use electrical modalities such as ultrasound or electrical current. He will also encourage you to apply heat or ice frequently at home to reduce pain and inflammation.
Once the pain and inflammation are under control, your physiotherapist will focus on regaining strength, range of motion and ensure proper co-ordination of your shoulder. A number of stretching and strengthening exercises will be prescribed to you.
If the condition of patients improves with physical therapy treatment, they do not require a surgery. Surgery may only be recommended if the problem doesn't go away and / or there is no noticeable improvement whatsoever. If you are based in Edmonton and have been experiencing symptoms of biceps tendonitis, make sure you immediately book an appointment with us and our professional physiotherapists will provide you the best treatment.
Swimmer's Shoulder represents a chronic irritation of the shoulder's soft tissues. Soft tissues consist of tendons, muscles and ligaments. Swimmer's Shoulder is a general term used to describe an overuse shoulder injury that usually occurs in swimmers. This is also known as impingement syndrome. Being an overuse injury, it is caused by repeated trauma rather than a specific incident.
The muscles that have the most effect on your joint stability are called the rotator cuffs. The 'cuff' is made up of four muscles which work together to help keep your shoulder centred in the socket. This makes your shoulder a very mobile joint, and being so mobile, it needs to be well controlled by the muscles and ligaments that surround the joint.
What Happens in Swimmer's Shoulder?
Over-training, fatigue, hypermobility, poor stroke technique, weakness, tightness, previous shoulder injury because of use of hand paddles can lead to your muscles and ligaments being overworked. You may experience injuries such as rotator cuff impingement and tendonitis, rotator cuff tears, bursitis, capsule and ligament damage, or cartilage damage if this goes on.
What Are the Symptoms of Swimmer's Shoulder?
The symptoms may vary with the cause. Usually the pain is worse in backstrokes, and least during breaststroke. Pain may occur at phase of freestyle, and, depending on when it occurs, the diagnosis will be different. Sleeping on the involved side aggravates the pain. The swimmer will experience shoulder pain even while not swimming, when the problem is fairly advanced. The shoulder becomes progressively more tender to the touch.
How Can Swimmer's Shoulder be Diagnosed?
Your physiotherapist will run tests on the structures of the shoulder to determine what part of the shoulder is causing you pain. He will try to understand what caused your shoulder to become painful in the first place and he'll treat it accordingly. In order to get the best treatment, it is essential to get the correct diagnosis.
How Can Physiotherapy Cure Swimmer's Shoulder?
The first aim of physical therapy is to relieve the patient from aggravating pain and that involves resting the shoulder. A physiotherapist can help modify shoulder activities to help avoid re-aggravation of the rotator cuff. Regular icing and nonsteroidal anti-inflammatory medications should also be instituted until the athlete is pain free.
To restore normal strength in the rotator cuff is the second goal of physical therapy. With a supervised exercise program, regaining strength can be accomplished of the rotator cuff using relatively low weights of 2-3 lb, maximum up to 5 lb going through high repetitions (12 -20 reps per set). These exercises should be performed everyday or every other day.
Working with a physiotherapist for Swimmer's Shoulder can be very helpful, particularly one with expertise in treating shoulder injuries. Such a physiotherapist can help the athlete perform dry land exercises to swimming exercises. Athletes may have to undergo a surgical intervention if their shoulder pain persists for over 6 months despite guided rest and rehabilitation.
Upper Crossed Syndrome is described as a muscle imbalance pattern located at the head and shoulder regions. It is commonly found in individuals who work at their desks or who sit for a major part of the day exhibiting a poor posture that incorporates head jutting forward, slumped shoulders and upper back rounding. For instance, simply observe anyone texting on their phone...that's a sloppy posture.
When we spend too much time in a rounded position at the upper torso and not enough time counteracting that forward position with exercise, we may gradually suffer from upper crossed syndrome. Those people who fit in time to get to the gym may do exercises such as bench presses, push-ups and other exercises that strengthen the chest, but avoid working and strengthening their weakened back muscles. Over time, the muscles of the upper back weaken and elongate while the chest muscles become tight and short. These imbalances often lead to symptoms such as headache, dizziness, shoulder and back pain because the muscles are no longer allowing the body to move as it is designed to.
How Do We Prevent it?
Upper Crossed Syndrome can be prevented easily by incorporating mobility and strengthening exercises into your daily routine. Of course, posture is everything when it comes to the maintaining a healthy body. Some simple systematic practices in our day to day life can help prevent Upper Crossed Syndrome.
How Can Physiotherapy Provide Comfort and Relief From Upper Crossed Syndrome?
Upper Crossed Syndrome can be very irritating, tiring and limit your ability to complete you regular daily activities. If you find that you experience pain when reaching overhead, frequent headaches, or upper back shoulder pain that won't go away, you may be suffering from Upper Crossed Syndrome. It is best to seek help from physiotherapists to evaluate your condition. A physiotherapist may try to find out any joint dysfunction on the upper shoulder region along with imbalances and postural deviations. Physical therapy aims to restore proper body posture by providing appropriate postural or functioning training. Your physiotherapist will thoroughly assess your body and will accordingly outline specific stretching and strengthening exercises to restore stability in your upper back and shoulder muscles.
Physical therapy is extremely beneficial for Upper Crossed Syndrome, as it provides you with strategies that you can use for a lifetime to combat the particular syndrome and maintain a healthy posture. You can always contact us, incase you are suffering from Upper Crossed Syndrome or any other physical defect. We will provide you the best possible remedies.
A sprained finger is a relatively common condition characterized by damage or tearing of the connective tissue such as the ligaments, cartilage or joint capsule of one or more finger joints. Finger sprain symptoms include pain in the finger at the time of injury. Once swelling is developed over the joint, there will be restricted movement of the finger or fingers.
Each of the 4 fingers, excluding the thumb, comprises of 3 small bones known as phalanges. They join each other at the Interphalangeal Joints (IP Joints) and to the bones of the palm, called as metacarpals at the metacarpophalangeal joints forming 3 joints for each finger. To identify which ligaments might be injured, bending the finger in different directions to stretch the ligaments will reproduce pain. The joint will be unstable if there is a severe or a complete rupture of the ligament.
It is important for patients with this condition to perform movement and strength exercises early in the rehabilitation process to prevent stiffness and weakness from developing and also to ensure the finger is functioning correctly. The exercises prescribed by your physiotherapist should be performed under his observation to ensure that the ligaments and the joints remain in their proper place.