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Physio for Hip Pain & Total Hip Replacement


Total hip replacement (THR) is a surgical procedure to replace a damaged hip joint with a new artificial/prosthetic implant. Physio is essential before and after surgery in order to minimize complications. Physio for hip pain also reduces recovery time and restores hip joint function as quickly as possible.

Musculo-skeletal conditions that may require THR

An impaired hip joint can result in pain and motion restriction for daily activities like sitting, standing, walking and commuting. Some of the conditions that could potentially damage the hip joint include:

  • Trauma
  • Tumors
  • Osteoarthritis
  • Rheumatoid arthritis
  • Osteonecrosis

Signs and symptoms include moderate to severe hip pain and joint stiffness. Since the hip is a weight bearing joint, pain and discomfort in this region can interfere with the ability to walk and result in gait imbalances.

This can trigger several biomechanical adjustments in the lower body and lead to low back pain, knee pain and ankle pain. Over a period, this can cause several limitations in function. It is important to consult with a physician and detect hip joint abnormalities as soon as possible to prevent long-term damage.

Benefits of Physio for Hip Pain

In the event of a scheduled THR surgery, physio can speed up healing and rehabilitation of the hip joint before and after surgery.

Before surgery

A baseline measurement of the strength and flexibility is performed. The patient is educated about precautions to take prior to the surgery and positions / movements to avoid after surgery. Objects and furniture may need to be re-arranged to make sure important objects are within reach.

After surgery

Several procedures and modalities can be used by the physical therapist to facilitate recovery after surgery. These include:

  • Ultrasound to heal connective tissue (tendons and ligaments).
  • Manipulative therapy that includes stretching and massage.
  • Resistance training to build muscle strength.
  • Cold compress and heat to relax muscle spasms.
  • Low-level laser use for muscle and connective tissue injuries.
  • Functional electrical stimulation to restore muscle strength.

The Importance of the Initial Evaluation

Your physio understands that when it comes to your recovery, every little detail matters. That is the reason your therapist will conduct a detailed initial evaluation. This includes objective measurements of the strength, flexibility, and mobility of the hip joints.

The physio will identify functional limitations of the patient and establish a gap between the prior level of function and intended level of function.

Once the physiotherapist determines this gap and analyzes diagnostic tests like X-rays and MRI scans, an effective treatment program can be created. This consists of specific procedures and modalities.

Treatment for mild hip problems is generally conservative. It includes medications and physical therapy. Physical therapy can also help before and after THR surgery. After a brief period of hospitalization, the patient may need several weeks, potentially months of physio to achieve full recovery.

If you or someone you know is complaining of hip pain, call our office today. We will do everything we can to help.


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RICE and MEAT & Physio

RICE (Rest, Ice, Compression, Elevation) - humorous medical acronym for the treatment of certain leg and foot injuries; colorful sticky notes, white chalk handwriting on blackboard

When you hear the words rice and meat, we won’t blame you for thinking about food!

In the physio world, the RICE method (rest, ice, compression, and elevation) has long been the recommended treatment for sports injuries. It is a recognized way to handle injuries, but recent reports suggest that ice and complete rest might delay recovery. Complete rest causes the muscles surrounding the injury to tighten, causing the potential for further injury once the activity is resumed. Though ice is useful in the short window immediately after the injury, it can impede the healing process over time.

If RICE is out, what method should you use instead? It’s called MEAT.

MEAT stands for “movement, exercise, analgesics, and treatment”.

The theory is simple. To recover as quickly as possible from an injury, continue to move the affected joint as much as possible throughout the recovery period. Use common sense and remain within the limits of pain. Your body will tell you what it can, and cannot handle. The inflammation following an injury is part of the body’s natural healing process. Increased blood flow to the area that helps repair the damaged tissue. The continued application of ice to an injury after the first few hours could, in fact, a hindrance to this natural healing process.

MEAT is Good for the Body

M for Movement

Maintaining range of motion in the injured joint is an important aspect of recovery. Your physio will guide you regarding specific do’s and dont’s with exercise. As a general rule, the more you move, the quicker you will heal. Listen to your body, since pain is an indication that something isn’t right. Your therapist will help you maintain mobility in the joints surrounding the injury. This will reduce the formation of scar tissue and decrease recovery time.

E for Exercise

As the pain reduces, you will be encouraged to increase the duration and intensity of exercise under the watchful eyes of the physical therapist. A progressive routine of exercises will increase strength, improve balance and facilitate recovery. The primary objective during this stage is to promote healing while avoiding re-injury.

A for Analgesics

‘Analgesic’ is a medical term for pain relieving medication. It is best to consult with your physician to determine the most appropriate medications. Your doctor may recommend that you start with over-the-counter medication. If it is not effective, your doctor may prescribe prescription medications including steroids.

T for Treatment

A physio plays an important part in long-term recovery following any injury. Physio treatment includes a variety of procedures and modalities, including therapeutic exercise, ultrasound, manual therapy and neuromuscular re-education using advanced techniques. A physio can restore, retrain and improve the joints and muscles in the human body.

Limitless – Looking Beyond RICE and MEAT

We believe that human potential is limitless. Physios have a reputation as ‘recovery specialists’ since we help heal bones, muscles, and joints.

Regarding what we can do for you, injury recovery is just the tip of the iceberg. Physios can help athletes achieve peak performance, can help seniors live a healthy lifestyle and can help every single person live life with energy and vitality.

So how can we help you? The answer may surprise you. Perhaps we can help you relieve aches and pains. Perhaps we can help you become stronger and more flexible. Remember – injury or not, we are always here to help you. It’s what we love doing, and we have dedicated our lives to improving the health of our patients and our community. So schedule an appointment today, and let’s meet (no pun intended) to see what we can do for you.

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Laser Acupuncture for TMJ

TMJ Treatment at Telma Grant, P.T.

This article shows that acupuncture is effective for those with jaw pain.

2 reasons why I like this article:

1. It named the seven most commonly used Acupoints for jaw pain and why they wre used. Three are local jaw points, three are neck points and one is Li4.

2. 2. It explains the view of western medicine and Chinese medicine on acupuncture analgesia.

For the full article, click here.



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Motion Express Dance Studio

Motion Express Dance Studio is our immediate upstairs neighbour. A number of our clients go to MXDS and speak very highly of them. We know when MXDS is in the building, the same way we know Clarington Martial Arts is in the building: the “happy noise.”

Motion Express Dance Studio is celebrating 19 years of dance in Clarington this year!  At MXDS we love to share our passion for dance and for the art of performing with our dance families.  All of our dancers, from the Broadway Babies right through to our Encore dancers are encouraged to find their own passion for dance, achieve their goals and to share their love of dance within our community.  We are glad you stopped by for a visit and we can’t wait to share our love of dance with you and your family!

Motion Express Dance Studio
Click on their logo to go to their website
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Physio for Diabetes – Your Weapon Against Diabetes

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

Physio for diabetes. More than 29 million people in the U.S. have diabetes and it affects both adults and children. Diabetes occurs when the body can’t make sufficient insulin, doesn’t make any at all, or can’t utilize what it does manufacture. Insulin is a hormone made by the pancreas that enables people to use the glucose (sugar) they consume in foods to provide energy for the body to work and play.

There are three types of diabetes. Type 1 is known as juvenile diabetes since it typically begins in childhood. It’s an autoimmune condition in which the immune system attacks the pancreas resulting in little, if any, insulin production. Type 1 diabetes requires daily insulin injections.

Type 2 diabetes is often referred to as adult onset diabetes and individuals may or may not require daily insulin injections. Type 2 diabetes can sometimes be managed with exercise, diet and oral medications. It also has a strong genetic component and is exacerbated by high-carbohydrate diets and lack of exercise. It can occur at any age, but is often seen in older adults.

Gestational diabetes occurs during pregnancy and ordinarily disappears after childbirth, but the mother will have an increased risk of developing type 2 diabetes at any time thereafter.

Many of the symptoms of both type 1 and type 2 diabetes can be subtle, often overlooked, and are only discovered after long-term damage to the body has already occurred.

Patients with diabetes may experience:

  • Fatigue
  • Hunger
  • More thirst than normal
  • Increased need to urinate
  • Increased breakage and hair loss
  • Blurred vision
  • Dry mouth and itchy skin
  • Injuries and wounds that heal slowly
  • Yeast infections
  • Pain, numbness or tingling in legs and feet

People with type 1 diabetes often experience unplanned weight loss even though they haven’t made any changes in their diet. In type 1 diabetes, the body can’t utilize the food that’s being consumed and the body begins to burn fat and muscle to produce energy. As the body burns fat, ketones are produced and when they build to dangerous levels, nausea and vomiting can occur.

9 Benefits of Physical Therapy

Physio for diabetesPhysical therapy is beneficial for those who have been diagnosed with diabetes and individuals with pre-diabetes, also known as insulin resistance. Pre-diabetes occurs when glucose levels are elevated, but haven’t yet reached diabetic proportions.

Physical therapy is effective for:

  • Better utilization of glucose
  • Lower blood pressure
  • Reduce the risk of heart disease
  • Weight loss
  • Reduced nerve disease
  • Fewer skin problems
  • Improved muscle function and flexibility
  • Pain relief
  • Lower risk of amputations

People with diabetes are at increased risk of numerous problems that accompany the disease. Damage to nerves is common, resulting in pain and disability. High blood pressure, peripheral vascular disease and stroke are very real concerns.

If not controlled, diabetes damages neurological systems that can cause blindness and one of the greatest threats to diabetics is kidney disease. Injuries heal slowly and can quickly transition into life threatening wounds that won’t respond to antibiotics and limbs that must be amputated.

Physio for Diabetes

Physio for diabetesManaging diabetes with physical therapy has multiple benefits ranging from more efficient use of glucose and weight loss to improved muscle tone and strength. Aerobic exercise and resistance training are highly effective therapies for managing diabetes and helps relieve pain, expand range of motion, increase flexibility, and improve balance and coordination.

Your physical therapist may choose clinical Pilates, yoga or tai-chi to address movement and weight problems. He/she can also provide nutritional counseling and dietary supplements that are specially designed for your diabetic needs. Assistance is available if you need mobility aids such as crutches, canes, walkers or wheelchairs.

Orthotic devices and shoes can be prescribed to lessen pain, alleviate sores, stabilize the gait and align the body. Your physical therapist can evaluate and care for injuries and show you how to protect your feet from wounds – particularly if you have little or no sensation remaining.

Exercise plans will be adjusted as needed as your overall physical conditioning improves. Your physical therapist has a wide array of therapies that can be used to provide you with the exercise you need to manage glucose levels, lose weight, and improve your health. Hydrotherapy is an effective treatment for improving the body that also relieves the effects of gravity and weight on the body, making it easier to move.

Therapeutic massage may also be utilized to stimulate the immune system, rid the body of toxins and reduce blood pressure. The therapy is beneficial for improving circulation, easing pain, and relieving the stress of dealing with a chronic disease.

Diabetes is a systemic problem that affects every organ in your body. Your physical therapist can help you manage the symptoms and health risks associated with the disease, assist in your continued mobility, and aid you in maintaining overall health.

Physical therapy had a wide variety of therapies that can be utilized to manage the symptoms and effects of diabetes.

Exercise is a key component in the management of diabetes and your physical therapist can create a custom exercise program that’s tailored to your fitness level and mobility level.

Continue reading Physio for Diabetes – Your Weapon Against Diabetes

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Clarington Martial Arts: Clarington’s Premier Self-Defence and Fitness Studio

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

Clarington Martial Arts (CMA) is Clarington’s premier self-defense and fitness training studio. Directly above Telma Grant, P.T., we sure know when CMA is in the building. We call it “happy noise” because we have seen the beaming faces of students in their martial arts uniforms and multi coloured belts coming and going to CMA. CMA’s classes are active, energetic, fun and widely popular. CMA’s instructors are highly trained and dedicated to their students’ learning and safety.

 Warming up at CMA

CMA  was founded by head instructor, Karen Hillis (aka Ma’am), in 1997. As a local competitive coach as well as a mother of five children, Ma’am launched CMA with two goals:

Firstly – to create a positive training space for people of all athletic abilities to get fit, have fun and sweat buckets together.

Secondly – to gather instructors from several complimentary disciplines to offer a well-rounded martial arts education.

20 years later, we are proud to continue to be a positive environment for those looking to complete their fitness goals, and a place for athletes of all ages to build a martial arts education like no other!

CMA is family-oriented, multi-discipline, and believes in the direct education of the psychology of athletic performance, sparring and self-defence.CMA Kids

  • Taekwondo
  • Judo
  • Boxing
  • Fitness training
  • Free self-defense classes
  • Little Dragons class

In our upcoming newsletters, we will focus on a different feature of CMA.

Taekwondo means literally “the way of the hand and the foot”. Fast, accurate kicking and punching are the mainstays of the study of Tae kwon do. Speed, agility, balance, timing and coordination all improve through the pursuit of this challenging martial art and sport.  Suitable for adults and children. Opportunity to compete exists for interested participants. Many classes to choose from, multiple classes per day, classes are separated by belt and age.

For an active extra-curricular that is both fun and instills discipline, or if you are looking for fitness and self-defence training in a safe and dedicated setting, we highly recommend Clarington Martial Arts.

Click here for CMA’s flier.

Click the CMA Logo to go to their website.
Click the CMA Logo to go to their website.
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Use of Physio, Bracing and TENS for knee OA

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

Physio exercises and knee brace for knee OAOARSI recommends use of physio exercise, knee bracing  and TENS for OA of the knee

The Osteoarthritis Research Society International (OARSI) developed recommendations for the management of hip and knee osteoarthritis. This analysis resulted in 23 recommendations based on a critical appraisal of existing guidelines, evidence and the consensus opinions of a 16 member international, multidisciplinary group of experts from four medical disciplines (primary care, rheumatology, orthopedics and evidence-based medicine). These recommendations include the use of physio exercises and bracing for treating knee OA.

Four Recommended Treatments:

23 treatment guidelines for the management of hip and knee OA were identified from OARSI’s literature search. Four of which were:

Physio Exercises

Patients with symptomatic hip and knee OA may benefit from referral to a physiotherapist for evaluation and instruction in appropriate aerobic, muscle strengthening (home-based quadriceps muscles strengthening) and range of motion exercises.


All patients with hip and knee OA should be given information and education about the objectives of treatment and the importance of changes in lifestyle, exercise, pacing of activities, and other measures to unload the damaged joint(s).

Knee bracing

For patients with knee OA and mild/moderate varus or valgus instability, a knee brace can reduce pain, improve stability and diminish the risk of falling.


TENS can help with short-term pain control in some patients with hip or knee OA.

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OHIP Physio for Seniors, Youth, ODSP & OW

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.

The government provides coverage for OHIP physio for seniors, youth and other categories of patients to obtain physiotherapy services at publicly funded physiotherapy clinics. There are a limited number of physiotherapy clinics across the province.

To be covered for physiotherapy services at a publicly funded physiotherapy clinic, you require a referral and:

  • Be 19 years old or younger or
  • Be 65 years old or older or
  • Be receiving benefits under the Ontario Disability Support Program or Family Works or
  • Have been overnight in hospital for a condition that now requires physiotherapy treatment

Get OHIP Physiotherapy

Learn how you can receive government-funded physiotherapy services to help you recover from illness, surgery or injury. If you are a senior, you may benefit from exercise classes designed to keep you healthy, active and independent.

Click here to see a list of all OHIP physio clinics in Ontario.