Personalized Blood Flow Restriction Rehabilitation (PBFR)

In physiotherapy, the clinical application of PBFR utilizes a Class 1 medical tourniquet system (FDA approved device) during exercise training. This unique method of rehabilitation results in enhanced strength gains and muscle hypertrophy that can usually only be attributed to high intensity strength training. However with PBFR, these enhanced strengthening, athletic performance and injury repair benefits are achieved instead with low intensity exercise, thereby protecting the injured area from heavier loading as it heals.
This safe and innovative form of rehabilitation benefits all conditions related to sports medicine and post-surgical orthopaedics (for example: bone fractures, tendon, muscle and ligament injuries) and is now offered at Go! Physiotherapy Sports + Wellness Centre.
Physiotherapist, Susan Deslippe is a clinical instructor of PBFR. Contact Go! Physiotherapy to schedule an appointment and learn more.

Patellar tendinopathy

by Tariq Dossa – Registered Massage Therapist, BSc (Kin), RMT, CSCS

Patellar tendinopathy is a common condition encountered in sports medicine. Patellar tendinopathy is commonly referred to as “jumper’s knee”. However, this term is misleading as this condition is found in a wide variety of athletes, many of who do not partake in activities that include jumping.

Unfortunately, its origin and development are poorly understood, and thus it is a troublesome condition that is difficult to treat. It is considered an overuse injury characterized by activity-related, anterior (front)  knee pain associated with focal patellar-tendon tenderness just inferior (below) the patella.

Figure 1: Patellar tendinosis (jumper’s knee)

Figure from http://www.pponline.co.uk/encyc/img/248Efig1.PNG

Patellar tendinopathy is degenerative by nature and thus even if asymptomatic, tendon damage can be present. If the tissue is not allowed to fully recover, injury is is inevitable.

In individuals with short duration of symptoms complete recovery may take two to three months. In chronic cases, patellar tendinopathy recovery can be four to six months. As a result, it forces many athletes to limit their training and competition levels for prolonged periods of time, which in turn impairs performance. Perhaps as many as 33% of athletes are unable to participate in sport for more than six months and an estimated 10% of athletes with patellar symptomatic tendinopathy have to undergo surgery. Clearly, this condition can adversely affect the quality and longevity of participation in sport.

Conservative symptom management is typically attempted via the application of ice, non-steroidal anti-inflammatory drugs, taping and braces. Electrophysical modalities such as ultrasound, laser, and electrical stimulation are also used. In some cases local corticosteroid injection is beneficial. The literature finds that a combination of manual therapy and remedial exercise can very effectively manage patellar tendinopathy.

Don’t let knee pain prevent you from doing the things you enjoy! Come and see us today!

Snow Angel Stretch: an effective stretch to help restore shoulder movement after mastectomy.

Discover a safe and effective stretch to help your recovery after mastectomy. Susan Deslippe, a physiotherapist at Go! Physiotherapy Sports + Wellness Centre in Vancouver, will show you how.

tags: breast cancer, post-mastectomy, mastectomy, stretches, shoulder restriction, exercise, rehabilitation. physical therapy, vancouver physiotherapy, axillary node dissection.

Cane overhead stretch

Susan Deslippe demonstrates an effective shoulder/chest stretch to do following mastectomy or radiation treatment.

Shoulder exercises post-mastectomy

Physiotherapist Susan Deslippe demonstrates a safe and effective stretch to help you recover after mastectomy.

How to avoid spinal neck and back pain when playing Violin

Musician injuries physiotherapist, Grace Cheung, walks us through a few common postural errors amongst violinists in this video segment, a first of a series of videos related to injury prevention amongst musicians. Have a visit. :)

Grace Cheung is a physiotherapist who specializes in treating musicians and performing artists. She is also a musician and plays violin, piano, guitars and is now learning the cello. Grace is co-owner of Go! Physiotherapy Sports and Wellness Centre.

First Ever Breast Cancer Meet Up in Vancouver!

Are you a Breast Cancer Survivor in Vancouver? Please join us for our first Meet Up Group. Details about registering are here.

Physiotherapy After Mastectomy

For more information see our Breast Health page.

Violin Injuries – Top Six Postures That Cause Pain

by Grace Cheung, PT

Musician Injuries often happen because playing your instrument, whether it is the violin, piano, cello, guitar, flute, drums or even the glockenspiel, is REPETITIVE and ASYMMETRICAL.

Often times, changes in technique, practice habits, instrument set-up, posture, and other life changes can contribute to injury. You may want to examine whether there have been any changes lately and whether they were introduced quickly versus gradually.

Here we have a novice violinist demonstrating six postural habits that can contribute to hand, arm, neck and back pain.

1. Arm Position
A good violin teacher will notice when your hand or wrist is not in an optimal position. However, when playing for a long time, sometimes very subtle changes in position can occur in the forearm, wrist or finger positioning in either the bow or string hands. Repetitive use of a muscle or joint when it is in a non-optimal or neutral position can lead to overuse and eventual repetitive strain injury. A Musician Injury Scan can help to identify these variations in posture and prevent injury.

2. Neck and Jaw (TMJ) is Bent to the Left
Here we see the neck is bent to the left. Now, a good music teacher would be fairly quick to correct this posture by bringing the head to as straight as a position as possible. However, it is unavoidable as a violinist to not use the left neck and temporomandibular joint (or jaw) muscles more than the right. A right side bend stretch is one thing a violinist can do to alleviate this left neck and jaw muscle overuse. If you missed our exercise tip sheet from the last post, look here.

3. Right Shoulder Girdle Slump
Pain in the right shoulder, neck and upper back is not uncommon amongst violinists as well. Often times the shoulder blade, or scapula, can be slumped and pulled up and forward from overuse of the upper trapezius and pectoral muscles, and weakness of the lower scapular muscles.

4. Lazy Back
Below we see a loss of the spine’s natural curves. There is an increase in kyphosis, or forward curve, throughout the back. In the low back, we see a loss of lumbar lordosis, or backward curve, along with a pelvis that is tilted back. Playing with these postures in a prolonged fashion contributes to muscles and ligaments being stretched in the back, leading to weakness and eventual pain with overuse in this non-optimal posture.


5. Swayback
Here we see in standing another common posture. The head is forward, the upper thoracic spine is slightly back, the pelvis is pushed forward, the hips are extended and the knees want to lock into hyperextension. All sorts of potential problems here from the spine down to the knees.

6.Non-Violin Related Postures

Another thing to consider is what your posture is like the rest of the day, when you are not playing violin. Below is a common posture we see with our smarthpones and devices. This posture, when held prolonged, can contribute to headaches, neck pain, back pain, and arm pain and even numbness and pins and needles.

Grace Cheung is a physiotherapist who specializes in treating musicians and performing artists. She is also a musician and plays violin, piano, guitars and is now learning the cello. Grace is co-owner of Go! Physiotherapy Sports and Wellness Centre.

Musicians Injuries

I have just posted a new exercise sheet for common muscles that get overused but musicians, especially string players. Check it out on our website here.

Check back here soon, as we will soon be posting some more info about common musician injuries!

-grace

Musicians Injuries Go Physio