We have been practically bursting waiting to be able to announce our newest physiotherapist to you! Maja Stroh is joining us and is starting with clients the week of March 11, 2019, and she already has her first clients booked in! As many of our new and current clients are aware, we have been very busy at the clinic since Shannon went on maternity leave and we have found Maja, the perfect therapist to join our Warman Physio family to help you help yourself!

Maja will be working out of both our Warman and Saskatoon locations, and has a specific interest in perinatal health.

 

Biography

Maja graduated from the University of Saskatchewan with a Bachelor of Science in Biochemistry in 2007. She went on to graduate at the same university with a Masters of Physical Therapy in 2009. Maja has been working as a physical therapist since 2009 in private clinic settings, both in Saskatoon and rural areas. Maja has experience in treating orthopedic based populations, as well as pelvic health clients. Her particular interest is in treating the prenatal and post-partum pelvic floor populations.

She considers continuing education a high priority as well as strives to provide the best evidenced based practices. She has completed a variety of post graduate continuing education courses. These include courses relating to pain management, her Level III for both the Upper and Lower Quadrant Orthopedic Division courses, as well as a variety of pelvic health continuing education courses/lectures. She plans to continue to advance her knowledge with treating pelvic floor populations by continuing with further pelvic health courses.

Maja loves spending time with her two young boys. Some of her other interests include, cooking, gardening, painting and camping/hiking.

Areas of Practice Interest:

*Pre-natal & Post-partum assessment and treatment

*General Orthopedics

*Urinary Incontinence

*Pelvic Pain

*TMJ Dysfunction

*Spinal Assessment & Treatment

Headaches are one of the most common physical problems that many people live with on a frequent basis. Whenever a client presents with a headache or a history of headaches I really like to investigate to see how I can help improve their condition. Just asking a few simple questions might lead us to an idea of where these headaches may originate thus providing a better treatment. It’s important to note that in any case of concern with headaches clients are always encouraged to speak with their family physician. There are many different types of headaches and many may have some significant overlap.

When clients present with a head forward posture (think of the classic chin forward at the computer desk) we are going to consider additional techniques during treatment that will encourage a better and more optimal posture.

In a case dealing with referral pain to the temple area it might lead us to follow a trigger point pattern. When relieving tension in these areas with proper technique a client can experience what sensation we like to refer to as “melting”.

With many of these symptoms overlapping into tension headaches it’s necessary to inform clients on self-care to better their chances of decreasing headaches. Proper follow up for additional treatment is often recommended. Increasing water intake, suitable stretches and hydrotherapy techniques can all assist with your long-term outcome.

There is no “one-size fits all” program for stretching that will help headaches, as the muscles that need stretching will vary from one client to the next. You can never go wrong with changing up what position you are in frequently throughout the day!

For an appointment with Lauren you can check out the online booking or give us a call! To see what any therapist has available you can check it out as well!

Lauren has been working as a Massage Therapist in the Warman area since 2012 and sees a wide variety of issues from tension headaches, to scoliosis and much more. With a focus on health and optimal function, she is able to listen to what is going on and address the key muscles through a variety of techniques.
Her training has lead her to try and improve each individuals’ well-being by working through the areas at fault, but is also able to provide a relaxation massage where the focus is general relaxation and not specific tension release to correct pathology. She has specific training in and provides services for hot stone massage, which is a thermotherapy technique using both warm and cool stones to improve circulation and lymphatic function and prenatal massage.

 

Let’s put it out there from the beginning – the amount of stead-fast, hard research on what “actually works” to “potty train” kids is lacking. For this reason, I have taken the key factors and milestones that are seen clinically for readiness and complied some things for us to think more critically about related to “training” our kids.

First things first, I consider it potty learning. This is a crucial distinction to make as parents and caregivers. Training implies that there is something that the guardian must complete in order for kids to be successful at using the toilet. The shift in focus to being potty learning, is recognizing that no matter how hard you try, you cannot MAKE your child pee or poop in the toilet (I mean, have you tried to MAKE a toddler do anything? It’s not happening!)

“My child was on the potty two minutes ago and then they peed on the floor!”

We often get sucked into the cultural norms of having our children ‘potty trained’ by a certain age, but did you know that most children aren’t ready from a physical and mental perspective until closer to 3 or 4? Regardles, using the potty is a skill that needs to be developed and when attempted before the child is ready may lead to a variety of issues (constipation, later bed wetting and leaking problems, urgency and frequency issues, possible pelvic pain, etc).

For a child to be potty learned they must be able to complete all the components of toileting independently (pulling down/up pants/underwear, sitting on the potty, emptying the bladder and bowel, washing hands) and not only that but be able to recognize that the body needs to go, and leave enough time to get there, then coordinate the muscles of the pelvic floor to relax and empty the bladder and the bowel… phew! It’s actually pretty tough to get the hang of!

If a child is under the age of 3 and they learn that they can ‘hold’ their bowel/bladder they will often wait much longer between voids than inhibited voiding (this is what happens when children are in diapers as a newborn and infant) which can lead to bladder infections and constipation. Over time, bladder holding can lead to what is often referred to as a ‘weak’ bladder where the child needs to void frequently throughout the day (can’t drive more than an hour for your 4, 5, 6+ year old?)

You need to pee AGAIN? You just went to the bathroom!

A few things we want to think about specifically:
*having to guide (not nag, push, or pester) a child under the age of 4 (sometimes even older) to use the washroom is normal
*ensuring the child isn’t constipated before starting potty learning is essential (peanut butter consistency!)
*if it’s frustrating for you or the child likely now isn’t the right time

So what are some of the Potty Learning components?

From my perspective there’s three things kids need in order to potty learn:
~Physical readiness (can the bladder hold enough urine)
~Cognitive readiness (do they understand what their body is telling them with enough time to do what they need to do)
~Emotional readiness (this is whether they choose to actually go potty or not)

How much urine is in a miss? A dribble in underwear or a full bladder?

If it’s just a dribble they probably are ok to continue with underwear changes. If it’s a full bladder (and doesn’t get better quickly) I would say head back to diapers.

The tricky part is we often associate using the potty with being a big kid so if they aren’t ready they will become upset. HOWEVER, mom/dad/caregiver gets to decide underwear or diapers, and little gets to decide if they pee/poop in the potty or not. There is absolutely nothing you can do about when they pee or poop or where they do it.  Toddlers love control. So you give the little control: ‘ok, pee and poop need to go into the potty or into a diaper. If your body isn’t telling you when to go potty with enough time to get there then we need to wear diapers and that’s ok. We can try again later’
Wearing diapers also doesn’t mean they can’t go pee on the potty. They for sure still can! Tell them that too and celebrate pee in the potty ‘wow! You listened to what your body was saying, great job!’ (No big kid stuff)

If you have questions about potty learning, or want to learn more about normal continence and skill development, the clinic runs a Peds Pelvic Floor Workshop intermittently throughout the year (next one is Tuesday Feb 5!), and is developing an online program for the public to have access to!

Haylie has been practicing pelvic health and focused in prenatal and post-partum care since graduating from the U of S MPT program in 2011. Officially adding to her practice pediatric pelvic floor therapy in 2017. She has been advocating for treatment for women, ensuring appropriate and effective care throughout pregnancy and post-partum, and helping all expecting and post-partum moms ultimately brought her to open her family-friendly clinic. At Warman Physio clients are encouraged to bring their infants and children to treatment. Warman Physio has been nominated as a finalist for the 2018, 2017, & 2016 WMBEXA, is a WMBEXA award recipient of 2017 New Business Award, and a finalist in the ABEX 2018, 2017 & 2016, and Haylie was recognized as YWCA Women of Distinction for Health & Wellness in 2017, and has been nominated for the 2019 SABEX and WMBEXA Awards.