At Warman Physio our therapists focus on excellence. Providing excellent, comprehensive, up-to-date care, as well as a personable and compassionate care.

This is why going to courses, reading research, is so important… and being a little bit “nerdy” comes in handy 😉

 

This past weekend I took a course from Antony Lo, an outstanding therapist and physiotherapy educator from Australia, called The Female Athlete. This course was designed to challenge the status quo on current standard practice recommendations for women’s health related to Diastasis Recti, Prenatal, & Postpartum care.

During this course my belief system was challenged in some ways, and affirmed in others. My take-away from this course? First, we need more research in pretty much everything – we have far more questions than we do answers, and although we would like to have specific YES and NO answers for our clients’, everyone is individual with unique needs (not surprised here!) – basically, you are your own person, and the rules may not apply, and may need to be broken in your instance.

Another thing that we need to consider is pain. What is pain exactly?

 

“Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”.

What does this mean? Sensory and emotional experience – does anyone find they have more pain when they have more stress? How about if you have pain with something that doesn’t actually damage your tissue – like when your foot falls asleep and you get the painful pins and needles. We do not need tissue damage for pain, and no matter what is going on, your pain is exactly that, YOUR PAIN. Not the therapist, not your family, yours. No one can tell you that you don’t have pain, because it is your experience alone. Because of this reason, some pain can be resolved and changed very quickly, and some may take longer.

Last, our bodies are extremely strong, capable, adaptive, and resilient (SCAR)! We can change our perspective and make our weaknesses into strengths.

Do you think this is AMAZING? Have some questions? Want to tell me how it resonates with you? Send me a message!

 

Haylie has been practicing women’s health and focused in prenatal and post-partum care since graduating from the U of S MPT program in 2011. 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 brought her to open her family-friendly clinic; where clients are encouraged to bring their infants and children to treatment. Warman Physiotherapy & Wellness has been nominated for the 2018 WMBEXA, is a WMBEXA award recipient of 2017, and a finalist in the ABEX 2016, 2017, & 2018. Haylie was also recognized as YWCA Women of Distinction for Health & Wellness in 2017. 

This past weekend I received several messages related to pelvic floor dysfunctions that are not being taken at face value. “Well you’ve had kids”, “it’s all in your head”, “this is a psychosocial problem not  a physical problem”. I have said it before and I will say it again, women need to be listened to, trusted, and most importantly, respected when they bring problems to healthcare providers, family, and friends. Although it may seem helpful to say that “this is something that happens when you have had kids”, it can be less than helpful AND is often not the case.

Pelvic Organ Prolapse (POP), is becoming a more well known topic of discussion in various mom groups, and in particular postpartum fitness groups. A large part of the impression I get as I am tagged, mentioned, and participating in these various forums is there seems to be significant panic associated with POP. People become paralyzed, hyper vigilant, and fearful of movement (also known as Kinesiophobia). So let’s break it down to dispel some of the hysteria that seeps into many pelvic health related issues.

Your top three organs that prolapse are (typically) your bladder (cystocele), your rectum (rectocele), and your uterus (uterine prolapse). Although most commonly occurring after child-birth, even those without children can have POP. Let’s focus on pregnancy and post-partum phase.

During pregnancy your uterus grows from approximately 5cm in size (which would hang out below your pubic bone), to what seems impossibly large to house the tiny little growing miracle (all the way up to the rib cage). This feat in and of itself does a few things, but thinking of organs specifically – they get moved, pushed and pressed all over the place because there just isn’t room.

How is this possible? Imagine your organs are like little boats at the dock. The boats (organs) wouldn’t do well in inclement weather (movement) if they were tied tightly or cemented to the dock; instead they have ropes (ligaments) to attach and hold them in a relatively stable position relative to the dock (abdominal wall/pelvis/ribs), and the other boats. Your organs aren’t cemented in place either, they essentially float being guided by ligaments, general positioning and support from other organs and the pelvic floor, as well as all the other connective tissue. So, when you are pregnant and the uterus is forging its way through the pelvic and abdominal cavity, everything else is able to move into new positions to compensate.

 

Once baby is born (vaginal or C-section), the organs suddenly have a lot more space to move around in – their ligaments and fascia have stretched, and there is no longer a tiny human occupying the extra space. As everything settles into a ‘new normal’, if everything is coordinating well, the organs will be situated in a similar position to pre-pregnancy with some slight variance. If the pelvic floor isn’t able to support, or other muscles around the rib cage are having difficulty relaxing, we can get changes in pressure that contribute to pushing these organs down and create POP and various symptoms.

What do we watch for? Feeling of heaviness, falling down or falling out, pressure, discomfort, or bulging, difficulty inserting a tampon, or keeping a tampon in, are all common complaints of POP.

There is much that Pelvic Floor Physio can do to assist with POP, and in many instances resolution of symptoms is possible.

Haylie has been practicing women’s health and focused in prenatal and post-partum care since graduating from the U of S MPT program in 2011. Advocating for treatment for women, ensuring appropriate and effective care throughout pregnancy and post-partum, and helping all expecting and post-partum moms brought her to open her family-friendly clinic; where clients are encouraged to bring their infants and children to treatment. Warman Physiotherapy & Wellness has been nominated for the 2016 WMBEXA and ABEX Awards, is a WMBEXA award recipient of 2017, and Haylie was recognized as YWCA Women of Distinction for Health & Wellness in 2017.

I am a UK based physio working in Exeter and Totnes. My focus is in helping people to develop a positive relationship with their body allowing them to become injury free, taking control of their own health and enjoying an active life.

When learning new choreography there is often a pressure to get the moves right quickly. This can energise us and enables us to focus our effort but it can also increase stress and tension. By focusing on what we’re trying to achieve it’s easy to forget our bodies, the very thing we need to be tuned in to. In my experience as a physiotherapist, tension is the major risk factor in triggering an injury.

How can I stay relaxed when learning choreography?

As a physiotherapist I work closely with breath. When we are stressed it is easy to lose our natural breathing pattern. This results in breathing into the chest rather than using our full abdomen, increasing tension and reducing performance.

Instead, take opportunities to breathe in softly through the nose feeling the lower abdomen gently expand. Avoid pulling in or tensing the stomach muscles. If you sense tension or discomfort you can take a long, slow and gentle out breath exhaling through the nose. Feel the muscle tension melting away, you can focus relaxation on specific parts of your body.

Dancing is fun and it is important to not be hard on yourself but to treat your body with patience. Often my clients put a lot of pressure on themselves and find that their performance improves when they just relax into their practice. Trust that you’re doing your best and your body will follow. If you have an injury it can be both stressful and frustrating, you may feel unable to train and this stress is likely to slow down recovery. I encourage clients to use imagery in their recovery process, softening breath and imagining yourself doing the choreography. Imagery has been shown to improve sports performance and helps connect the body and mind.

Michael Otto BSc MCSP  Holistic Physio in the UK.

Have you heard of your temporomandibular joint (TMJ)? It’s one of the most used joints in your body. Did you know physiotherapy can help with TMJ problems?

Your TMJ, also known as your jaw joint, is used for eating, talking, expressing emotion (both consciously and unconsciously) and breathing.

Pain associated with dysfunction in this area may be felt in the jaw line, cheek, ear, temporal region (side of head) and commonly associated with headaches and neck pain. TMJ problems, or TMJ dysfunction (TMD) can also present as inability to fully open your mouth, pain with chewing, popping/cracking with opening and closing your mouth, and/or grinding/clenching of teeth.

Some of the causes of TMJ problems can be derangement or displacement of a disc between your mandible (jaw bone) and skull, muscle dysfunction, habitual clenching/grinding (bruxism), or trauma to the face and jaw. Common contributing factors to TMD can be stress, anxiety, prolonged opening of the mouth (e.g. during dental procedures), mandibular malalignment or orthodontic work to name a few.

A physiotherapist will assess the TMJ by asking a detailed history, taking observations of jaw alignment, posture, and neck position. They will observe how the individual opens and closes their mouth, looking for abnormal movements patterns, and observe for clicking from the TMJ. The therapist will palpate externally for muscle tone, and to assess the movement of the TMJ. Using gloves an intra-oral assessment will be completed as well to determine how the joint is functioning, and to further assess the myofascial system. The neck is generally assessed as it can commonly contribute to dysfunction in the TMJ.

Following an assessment, a treatment plan and home program will be developed.

Ms. W comes in with complaints of pain through the right greater than left temporal region of her jaw, inner ear on right, frequent headaches and stiffness in the jaw that is often worse in the morning. Recently she has begun to noticing a clicking from her right jaw, especially when she yawns or eats chewier items. Her dentist advised her she likely has TMJ problems and recommended that physiotherapy may help.

The physiotherapist may ask a few of the following questions: How long have you been dealing with this problem? Do you ever find yourself clenching your jaw in times of stress or have you been told you grind your teeth overnight? Any recent dental procedures? Any history of trauma to the face or neck?

As mentioned above the TMJ is one of the most frequently used joints in the body. Most clients who receive treatment for their jaws have been experiencing symptoms for some time, and often did not know that physiotherapy can help. Commonly they have seen their doctor or dentist prior to seeking treatment.

In the case above the individual likely has a longer standing history of clenching, also known as bruxism. Commonly people can do this subconsciously during their sleep, or in times of stress. When frequently clenching the muscles of the face and jaw can become fatigued and become sources of pain. When muscle are held tight for long enough they can start to alter the way the jaw moves, and lead to problems with a disc located between the jaw and the skull.

The physiotherapist will develop a treatment plan specific to Ms. W’s presentation completing treatment specific to the muscles surrounding the TMJ and the joint itself.

 

If any of the symptoms described sound familiar, book in for an assessment today!

As many of you know I, Haylie Lashta, will be going on maternity leave soon, with my last day scheduling clients being June 2, 2017. I have searched for the perfect person to come in to cover for my maternity leave that can also complete women’s health assessment and treatment, and she has been found!

Kendra Usunier BMR(PT), MClSc, FCAMPT will be joining our team starting on May 23, 2017!

Biography

Kendra graduated from the University of Manitoba in 2008 with a Bachelors of Medical Rehabilitation in Physiotherapy. She went on to complete a Masters of Clinical Science in Manipulative Therapy from Western University in 2015.

Since graduating Kendra has worked in Saskatchewan and Manitoba. She returned to Saskatoon in 2012, and is excited to begin working in Warman. Having grown up in a smaller community, she is happy to return to that environment.

Kendra’s primary focus has been orthopaedics and women’s health. She has taken extensive additional training in orthopaedics, becoming a Fellow of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) – an internationally recognized qualification in manual and manipulative therapy. For more information on CAMPT therapists please click here.

In addition to orthopaedics, Kendra has a passion for women’s health and pre-and post-natal care. She has also taken additional courses in treatment of temporomandibular joint dysfunction, acupuncture, pain management, and myofascial release.

Kendra has a passion for ongoing education in physiotherapy, striving to provide the most up to date, evidence based treatment for patients. She assists in instructing muskuloskeletal courses at the University of Saskatchewan and within the Canadian Orthopaedic Division Syllabus.

Kendra enjoys spending time with her husband and daughter, running, playing soccer and doing yoga in her spare time.

Areas of Practice Interest:

  • Spinal Assessment & Treatment
  • Osteoporosis Management
  • TMJ Dysfunction
  • Sports Rehabilitation
  • General Orthopedics
  • Prenatal & Post-partum
  • Urinary Incontinence
  • Pelvic Pain
  • Acupuncture

Kendra’s schedule has been provided and is available for appointments. Contact us to book your appointment today! Don’t want to wait? Cole Digel has availability as early as the week of May 15, 2017.