Posted on

Ontario Community Physiotherapy Clinic Program: Patient Information

Questions? Please visit: www.ontario.ca/physiotherapy

Ontario’s Community Physiotherapy Clinic Program is available to eligible patients, free of charge. The Program funds select clinics to help people recover from recent illnesses, injuries and surgeries, or flare-ups of chronic conditions.

Who is eligible?

You can enter the Program if you are referred by a doctor or nurse practitioner and have experienced:

  1. A recent illness, injury, accident or surgery that led to a decline in function or movement; or
  2. A flare-up or worsening of symptoms from a previous fall, accident, surgery, or chronic condition that led to a decline in function or movement.

You must also:

  1. Have a valid Ontario health card, and
  2. Be 65 years or older, 19 years or younger, or any age if you were admitted to a hospital for an overnight stay within the last 12 months as the reason for your referral

You can also participate if you are approved for Ontario Disability Support (ODSP) or Ontario Works (OW). In that case, an Ontario health card is not required and there are also no age requirements.

Who is not eligible?

You are not eligible to participate in the Program if you:

    Want to keep an existing level of function or ability to move

    Want long-term rehabilitation (talk to your health care provider for options)

    Need specialized services (e.g. for stroke and heart attack recovery)

    Receive other physiotherapy services funded through auto insurance, the Workplace Safety Insurance Board (WSIB) or by other government-funded healthcare programs (e.g. in-home physiotherapy).

Note: a referral from a doctor or nurse practitioner does not mean you are automatically approved to receive physiotherapy under this Program.

How does the Program work?

  1. Eligibility

A doctor or nurse practitioner must first refer you to the Program.

A physiotherapist will then determine if you are eligible.

If you are not eligible, you may:

    Get coverage through private or workplace insurance, or

    Pay for physiotherapy services on your own

You may also have to pay for the assessment if you are not eligible.

  1. Assessment

If you are eligible, the physiotherapist will do an assessment, diagnose your condition and develop a treatment plan.

Your plan will include goals that are based on your assessment that are reasonable and measurable (e.g. to walk to the grocery store again).

  1. Treatment

There is no pre-set limit to the number of visits you can receive. The number of visits you receive with your physiotherapist will be based on your treatment plan and the progress you are making towards achieving your goals.

You can also be treated for more than one condition at the same time.

  1. Discharge

Your physiotherapy will end when:

  1. You’ve achieved the goal(s) in your treatment plan, or
  2. You can achieve your goals on your own or through a home exercise, exercise and falls program, or similar program, or
  3. Continuing physiotherapy would not help you improve.

The physiotherapy clinic will send a report to your referring doctor or nurse practitioner once your visits have ended. The report will list the treatment you received and the goals you achieved.

The physiotherapy clinic should also give you exercises to do at home. You may also be given a list of support services in your community.

You can learn more about support services in your community by:

Visiting www.ontario.ca/healthcareoptions Contacting your Local Health Integration Network (LHIN) (www.lhins.on.ca)

Calling the Seniors’ INFOline at 1-888-910-1999 or TTY: 1-800-387-5559

What if I want more physiotherapy after I’ve been discharged?

You may be eligible to receive additional physiotherapy under the Program as long as you meet all of the requirements outlined above.

You will not be eligible for further treatment if you wish to maintain your level of function or ability to move, or if your physiotherapist finds your function or mobility has remained the same since you were discharged—even if you have a referral from your doctor or nurse practitioner.

If you are not eligible to receive additional physiotherapy under the Program, you can:

    Get coverage through private or workplace insurance, or

    Pay for physiotherapy on your own

Do I have to wait?

Wait times for physiotherapy under the Program vary. Clinics manage their wait lists based on the urgency of a patient’s condition. Be sure to ask the clinic about their wait times.

You have the option to:

    Be placed on a wait list

    Visit another clinic that offer services within the Program in your area

    Find coverage through private or workplace insurance, or

    Pay for physiotherapy services on your own. A link to a list of clinics participating in the Program can be found at www.ontario.ca/physiotherapy

 

Questions or Concerns? Call ServiceOntario INFOline:

In Toronto 416-314-5518

Toll Free 1-866-532-3161

TTY 1-800-387-5559

Available 8:30am – 5:00pm

Posted on

K-Laser Therapy

K-Laser

Benefits of K-Laser Therapy

Class IV K-Laser Therapy is an FDA cleared therapeutic treatment that manages pain and inflammation while accelerating tissue regeneration. Laser energy increases circulation, drawing water, oxygen, and nutrients to the damaged area. This creates an optimal healing environment that reduces inflammation, swelling, muscle spasm, stiffness and pain.

Studies show Laser Therapy helps reduce pain associated with these common medical conditions:

Laser Therapy helps reduce pain associated with many common medical conditions

Drug Free, Surgery Free, Pain Free
K-Laser Class IV therapeutic lasers deliver specific red and near-infrared wavelengths of laser light to induce a photochemical reaction and therapeutic effect.​ Physiological effects include increased circulation, reduced inflammation, pain reduction and enhanced tissue healing. Laser therapy has been used in Europe since the 1970s​ and was cleared by the United States Food and Drug Administration (FDA) in 2005.

 

Posted on

Pre-Surgery Checklist

Check out these guidelines and give yourself the best chance to recover optimally. Rehab is pretty straight forward. As long as you have a plan.

One of the regular conversations we have with our greater athletic family is how to prepare for an upcoming surgery. For most athletes, a surgical event essentially represents a temporary alien invasion level disruption to their lives. And honestly, this analogy isn’t far from the truth. Besides dropping headlong into a medical system that can pretty much strip people of their loci of control, serious injury is disruptive to family, nutrition, training, sleep, stress levels, etc.

Check out these guidelines and give yourself the best chance to recover optimally. Rehab is pretty straight forward. As long as you have a plan.

Posted on

3 Things You Can Do Every Day To Hurt Your Neck…

3 ways to hurt your neck.

Or, an ounce of prevention is worth a pound of cure.
Let’s take a real quick quiz that might help you live with less neck pain…

(And if you answer ‘yes’ to any of these questions… read on!)

When you’re relaxing at home, do you find yourself looking up at the TV screen because it’s hung up high on the wall?
When you’re out and about do you carry your bag on one shoulder? Or hold your heavy briefcase in one hand?
When you sleep at night, do you find yourself sleeping on your stomach? Or with more than one pillow in a twisted position?
When you’re relaxing at home, do you find yourself looking up at the TV screen because it’s hung up high on the wall?
When you’re out and about do you carry your bag on one shoulder? Or hold your heavy briefcase in one hand?
When you sleep at night, do you find yourself sleeping on your stomach? Or with more than one pillow in a twisted position?
Chances are, you’ve answered ‘yes’ to at least one of these questions.

I may be wrong, your bag might not be heavy, and you might sleep with just the one pillow, but the reason why I guessed you’d answered ‘yes’ to one of these questions is because over the years, almost every patient that walks into my clinic who has been suffering from neck pain, has been doing one of these things. (though more recently, “computer” or “smartphone” has started to become a major source of neck pain as well!—more on that later).

So it’s no surprise that during my time as a PT that one of the most regular injuries I see is ‘neck pain’.

And without even realizing it, things that we do every day can cause it.

So let’s take a look at 3 of the most common everyday mistakes I’ve found my patients doing that cause their ‘neck pain’…

Watching TV
Watching TV is a habit – not saying it’s good or bad! But, the real issue with watching TV is HOW you watch it! Are you doing it the way I see most of my friends and family watch it… With the TV hung above the fireplace high on the wall, kicked back with your feet up (and neck!), while watching your favorite TV show or sporting event? (or Soap Opera?).

Even though you might think it’s comfortable and relaxing…. the truth is, there could be a problem waiting for you! If you’re watching TV like this it can be strenuous for your neck and head. A lot of people make the same mistake — they don’t realize that the position they have it in, can actually affect their body and health.

Anyway, how to fix it? There’s a reason why TV stands are almost always the same height, and any decent one will mean that if you’re sitting on the sofa watching TV, the TV will be at eye level. SO, watch TV so your head isn’t looking upwards, or reaching out, and this should help you avoid headaches, eye trouble, and muscle tension.

Your Bag
Carrying your bag on one shoulder, or holding a heavy briefcase in one hand is something most of us are guilty of doing, but did you know that’s also one of the main causes of aches and pains in your neck and shoulders?

You see, since all of the weight of your bag is on one shoulder, or on one side of the body, it can throw your muscles and posture off balance, which is why you sometimes see people with one shoulder higher than the other!

Another thing — the way we carry our bag(s) can cause our muscles to become stiff too. So, the way to solve this problem is to reduce the weight of your bag and to periodically switch up the side you carry it.

Switching your bag to the opposite side will help to balance out the way your body carries the weight, relieving any tension built up in your muscles, and solving posture problems too! Switch it up every 10 minutes, or every time you walk past two streets.

How We Sleep
Another daily habit that brings on neck pain is the way we sleep. You see, if you sleep with your head propped up on more than one pillow, your neck, and back aren’t going to be nicely in-line – meaning more pressure on your muscles and spine.

And, if you find yourself sleeping on your stomach, your head is most likely going to be turned on to the side – meaning your body is in a twisted position for hours at a time! Now, can you see why you might wake up with a bit of a sore neck, or the infamous “crick” in the neck?

Although your neck is built to rotate from side to side, it’s not designed to stay in that position for hours on end. So, if you choose to sleep on your side, use a pillow that doesn’t prop your head too high up, but in-line with your shoulder instead. And, if you choose to sleep on your back, sleep with one thin pillow so your neck and spine are nicely straight.

Posted on

Gluteal Tendinopathy

Telma Grant, P.T. Private & OHIP physiotherapy and Chiropractic. If you're in pain, call us. We can help.

What is Gluteal Tendinopathy?

When tendons are repeatedly placed under more tension than they can deal with, they can have a failed healing response. This can cause changes to the structure of the tendon and is known as a tendinopathy. When this occurs in the tendons of the gluteal muscles it is referred to as gluteal tendinopathy.

The gluteal muscles are three large muscles located at the back of the pelvis that provide most of the muscle bulk of buttock region. These muscles work together to keep your pelvis level when standing and are responsible for many movements of the hip. They play an important role in standing, walking and running.

The two deepest gluteal muscles, gluteus medius, and gluteus minimus, attach from the center of the pelvis (the sacrum) and insert into the bony outer region of the upper thigh, called the greater trochanter via the gluteal tendons.

What causes tendons to develop tendinopathy?

Tendons, like muscles, skin, and bones are living tissues and their strength and elasticity is influenced by a variety of factors, including hormones, age, how often and how much they are used. Rapid changes in activity levels or simply performing the same tasks too often can place a tendon under more stress than it can tolerate and it begins to break town.

Recently it has been shown that tendon health is also negatively affected by compressive forces, which can occur from blunt trauma or even habits such as crossing the legs or sleeping on your side on a hard mattress.

What are the symptoms of Gluteal Tendinopathy?

When gluteal tendons are affected by tendinopathy, a typical pattern of sharp pain at the outside of the hip with specific movements is present. The pain is usually worse with walking, going up and down stairs and running.  The pain can become quite severe, and eventually can impact day-to-day activities.

How can physiotherapy help?

A thorough assessment is required for an accurate diagnosis and once gluteal tendinopathy is confirmed, your physiotherapist will be able to identify which factors have contributed to your condition and help to address these. It has been shown that specific loading exercises and muscular retraining can stimulate the tendon to heal and remodel the collagen fibers into a more organized pattern again. Your physiotherapist can investigate any postural habits or activities are contributing and address these as required.

 

Posted on

10 Facts About Tendons

Tendons.

Tendons are found all over the body and while you may know a little about them, you might be surprised to learn a few of these facts.

  1. Tendons can be found at the ends of muscles. Tendons are simply connective tissues that attach muscles to bone and help them move our joints when they contract.
  2. Tendons come in many shapes and sizes. While the most recognizable shape is the long thin kind (such as the Achilles tendon), they can also be flat and thin or very thick, depending on the shape of the muscle and attachment of the bone. A thin flat tendon is also known by the name aponeurosis.
  3. Tendons are able to act like elastic bands, they can stretch and bounce back into shape. Like elastic bands, if too much force is applied they can stretch or tear.
  4. Unlike elastic bands, tendons are living tissue and their properties are affected by many different factors. Seemingly unrelated things such as hormonal changes, autoimmune disorders, and nutrition can all affect a tendon’s ability to withstand load.
  5. Tendons don’t only attach muscles to bone, they can attach to other structures as well such as the eyeball.
  6. Tendons can tear, however; more often they are injured through overuse. Healing of tendons can be quite slow as they have less blood supply than other tissues of the body, such as muscles.
  7. Tendons are mostly made of organized collagen fibers. Areas of tendon degeneration have been shown to have collagen fibers that are disorganized, with this area having less strength and elasticity.
  8. The Achilles tendon is the strongest tendon in the body. This connects the large calf muscles to the back of the heel to point the ankle away from the body. Most tendons are simply named for the muscle they attach to, however, the Achilles has it’s own name, named after the mythical Greek character who’s heel was his only point of weakness.
  9. The smallest tendon is located in the inner ear, attaching to the smallest muscle in the body.
  10. Tendons and muscles work together to move your joints and are called a contractile unit.
Posted on

Lymphedema

Physiotherapy for lymphedema. Telma Grant, P.T. Private & OHIP physiotherapy and Chiropractic. If you're in pain, call us. We can help.

What is lymphedema?

Lymph is a high-protein fluid in the body which flows between soft tissues. Edema is the scientific term for swelling. Lymphedema, therefore, is a high-protein swelling resulting from fluid build-up in soft tissues, which then forms a solid mass.

How common is this condition?

The overall incidence of chronic lymphedema is estimated at 0.13 to 2% worldwide. There are two types: primary and secondary lymphedema. The former occurs from birth; the latter can occur after surgery for removal of lymph nodes, after radiation therapy for the treatment of certain cancers or after parasitic infections.

What are the symptoms?

Symptoms of lymphedema include heavy, tight and achy limbs, with swelling and decreased movement around the affected joints. The skin in the area becomes hard and thickened.

What treatments are available?

Physiotherapy can be useful for the management of lymphedema; techniques include laser therapy, therapeutic massage, compression garments, manual lymph drainage and specific exercises. Your physiotherapist is also able to assist with advice to help manage the condition.

How can you help yourself?

  • Educate yourself on the condition: look up as much information as you can in order to better inform yourself of what you can expect. However, be wary of those selling products as their information may be biased. Unregulated industries also have fewer restrictions on what they are allowed to say or promise when promoting their products.
  • Look after the affected limb: make sure the skin is kept clean and dry, with breathable clothing and ventilation.
  • Get regular exercise: daily exercise is important to help maintain a healthy lifestyle.
  • Eat a well-balanced diet and maintain adequate hydration levels.
  • Surround yourself with people you are comfortable with. None of the information in this newsletter is a replacement for proper medical advice. Always see a medical professional for advice on your individual condition.
Posted on

How to Add Exercise to Your Cleaning Routine

OHIP Physio after Hospital. Orthitcs and knee braces at Telma Grant, P.T. Telma Grant, P.T. Private & OHIP physiotherapy and Chiropractic. If you're in pain, call us. We can help.

As the warmer summer months beckon and time spent outdoors starts to increase, it’s the perfect excuse to de-clutter your surroundings, be it at home or at work. A clean environment helps to maintain a clear head, and the act of cleaning can be therapeutic in itself. Vigorous cleaning can burn up to 90 calories per fifteen minutes; that’s up to 360 calories per hour!

Vacuum cleaning, sweeping and mopping the floor raise the heart rate and can be incorporated into a cardiovascular workout. Lifting and moving heavy objects such as furniture can be incorporated into your strength training while cleaning windows, hanging curtains and washing walls all have a stretching component. However, with vigorous cleaning comes the risk of over-exertion; necks and backs are particularly at risk of injury.

Make sure to maintain good alignment while doing all of these exercises in order to minimize your chances of injury.

Step-ups:

These are a great low-impact exercise to activate the gluteal muscles and core and can be done while vacuuming the staircase. Keep your knees no further forward than your toes, and bend from the hips as you push up onto the standing leg by squeezing your backside muscles.

Squat twists:

Keep your knees bent and core engaged while you use your oblique muscles to rotate your body from the waist while mopping the floor.

Single-leg standing obliques: while washing the windows, engage the lateral abdominal muscles to pull the arms down to the side of the body as you balance on one leg.

Lunges:

Keep your back straight and front knee above your ankle while lunge walking as you sweep the floor. Try to lunge as low as possible while keeping a good technique.