Good nutrition can improve your recovery

Michelle Strong, Registered Holistic Nutritionist, is one of our community partners and is our guest author this week. She is the founder of the Strong Nutrition and Weight Loss clinic (www.strongnutritionandweighttloss.com)– a boutique nutrition practice for weight loss and prevention/ management of chronic illness. Her approach is integrative and addresses the emotional connections people have with food instead of the simplistic and outdated calorie-in vs. calorie-out mentality.

‘Tis the season, New Year’s Resolutions are (hopefully) full speed ahead and with that come the inevitable slew of injuries associated with post holiday indulgences. So whether you fall into this group, the weekend warriors or you slug it out with your driveway each snow day, follow this advice to reduce inflammation ASAP and start feeling like your old self.

Inflammation is an immune reaction in response to infections, wounds or any type of physical damage to tissue. If you turn over your ankle shoveling the driveway, often you will feel heat and swelling in the area. This is acute inflammation and is necessary to the healing process. Alternatively, chronic inflammation is a long term reaction in the body; this does not serve the body in the healing process, and in fact in creates more damage the longer it lasts.

Although different, both acute and chronic inflammation benefit from similar nutritional recommendations to improve recovery and healing.

  1. Take it Out: Don’t add fuel to the fire. Think about inflammation as heat or fire in the body. Would you add gas to an uncontrollable fire? Nope, so we don’t do this in the body either. Think about sugar as gas. This “food” triggers the release of inflammatory messengers called cytokines which just makes everything worse off.

There are so many types of sugars out there to beware of, but for simplicity, stay away from processed white sugars (fruit is ok). Avoid (like the plague) things like candy, alcohol (sorry), white breads, crackers and pastas and foods that have added sugars like flavoured yogurt and cereals.

  1. Add it In: There are so many healing foods out there and generally, we ALL know what is good for us and what isn’t. However, there are some KEY antioxidant rich beauties that can speed up healing time. My 3 favourite are: Turmeric (also ginger and cayenne and black pepper), plant based fats (coconut oil, olive oil and avocado) and Fermented Foods (kimchi, sauerkraut, kefir).

Often I will pass along this recipe and have client drink it daily (if not daily, at least during their recovery time). This is tasty and perfect for these chilly Canadian mornings.

Turmeric Tea Recipe (How to Make Golden Milk)

Prep: 2 mins / Cook: 3 mins / Total: 5 mins / Yield: 4

Turmeric tea (also called golden milk) is a great way to get the benefits of turmeric daily. Find out how to make this ancient health-boosting drink in under 5 minutes!

Ingredients

Instructions

  1. First, blend all ingredients in a high-speed blender until smooth.
  2. Then, pour into a small saucepan and heat for 3-5 minutes over medium heat until hot but not boiling.
  3. Drink immediately.

Source: wellnessmamma.com

  1. Slather it on top: In conjunction with the above, there are also topical options.
  • Topical use of turmeric mixed with an oil like coconut oil (watch out this stains!)
  • Essential Oils: there are multiple options out there; I like Deep Blue and Frankincense (by DoTerra), these I find are the best to ward off pain caused by inflammation. These can be used along with coconut oil and massaged into the sore area.
  • Epsom Salts. Soak the injured area in a warm bath of salts (and with the oils listed above).

For more information on inflammation including a tasty inflammatory busting smoothie recipe, click here: Enjoy!

https://strongnutritionandweightloss.com/2013/05/29/anti-inflammatory-buster-smoothie-recipe/

 

Achieve your ideal posture

Posture is something we all intuitively know something about, and ideal posture is something we all strive for.

But how much do you really understand about what your ideal posture is?

Imagine if you were looking at yourself from the side and could draw a line from the top of your head down to the floor. With ideal posture, that line would pass down through the ear canal, over the tip of the shoulder, just in front of the middle back vertebrae, through the middle of the low back vertebrae, right over the pointy bone of the hip, through the middle of the knee and outer bone of the ankle.

Some people have increased curves and their head is forward. This puts excessive stress on the neck muscles and can cause pain.

Others have too large of a curve in the middle and or lower back, which can also cause unusual stress on the middle and lower back.

Finally, seniors may have a forward bent or kyphotic middle back. Often the bones become wedge-shaped making it impossible to stand up straight.

Our therapists can help you with the pains and muscle tightness associated with poor posture, and help you work toward achieving ideal posture through muscle strengthening, as well as increasing range of motion and flexibility.

If you or someone you know is having trouble with neck pain, lower back pain, or poor posture, have them contact us. EQ Physio is conveniently located at the corner of Dundas and Trafalgar in Oakville – we’re here to help you achieve balance and equilibrium today!

3 hip exercises for your knee pain

Have you ever suffered from knee pain around or under your kneecap (patella)? This may be related to a condition called patellofemoral syndrome.

Treatment for this type of knee pain includes exercises to improve the strength of your front thigh muscles (quadriceps). You may have also even had your knee taped, braced or stimulated.

However, if you haven’t done anything to strengthen your hip muscles, you are missing out!

A recent research study (1) reviewed the best available research on the best exercises for patellofemoral syndrome. It found that a combination of hip and knee strengthening will reduce your pain and help you return to your usual level of activity.

Specifically, exercises to strengthen your thigh (quadriceps), and hip (abductors, lateral rotators, and extensors) muscles were found to be better than knee exercises alone. A strong and more stable hip is thought to reduce the stress at the knee.

The evidence also suggested that they should be done 3x/week for at least 6 weeks, even if you had moderate-to-severe pain for at least three months.

Some of the exercises used in the study include the following (3 sets of 10):

Hip External Rotation

  1. Attach one extremity of an elastic band around your ankle and attach the other extremity to a solid object on your side.
  2. In standing, put your knee on a stool and position yourself so you will be pulling your foot towards the inside to externally rotate your hip.
  3. Only your hip should rotate, your body should stay perfectly still and straight.
Hip internal rotation

  1. Attach one extremity of an elastic band around your ankle and attach the other extremity to a solid object on your side.
  2. In standing, put your knee on a stool and position yourself so you will be pulling your foot towards the outside to internally rotate your hip.
  3. Only your hip should rotate, your body should stay perfectly still and straight.
Sidelying leg raises (Hip abduction)

  1. Lie on your side against a wall with your bottom leg bent in front.
  2. Lift up your top leg on the wall, keeping it straight, and your pelvis stable.
  3. Once you reach the maximum range without any movement of your pelvis, externally rotate your hip so that your foot is pointing upwards. Rotate your leg back before returning to the initial position and repeat.

These are “Level 1” type exercises. If you would like more information about your knee pain or how to progress your exercises, please don’t hesitate to contact us!

  1. Nascimento et al, titled “Hip and Knee Strengthening Is More Effective Than Knee Strengthening Alone for Reducing Pain and Improving Activity in Individuals With Patellofemoral Pain: A Systematic Review With Meta-analysis” (J Orthop Sports Phys Ther 2018;48(1):19-31. doi:10.2519/jospt.2018.7365).

Is your heel pain truly plantar fasciitis?

Gabe Ho, Registered Massage Therapist is a graduate of the Royal Canadian College of Massage, McMaster Contemporary Medical Acupuncture, and McMaster Advanced Neurofunctional Sports Performance Programs and a member of the College of Massage Therapists. He uses a neurofunctional approach for his massage and acupuncture treatments to identify and correct the underlying causes of dysfunction.

What is the true cause of your heel pain?

Plantar fasciitis is a commonly diagnosed condition for heel pain that results from inflammation of the plantar fascia.

Symptoms typically include:

  • A sharp burning pain when pressure is applied to the bottom of the foot – often described as ‘like stepping on glass’
  • More prevalent in the morning or after prolonged walking or standing

This pain can be very limiting and difficult to treat.

Does this sound like your heel pain?

Unfortunately more often than not plantar fasciitis is used as an umbrella diagnosis for heel pain.

The plantar fascia is a very strong connective tissue that wraps from your heel to the base of your toes. It has to be extremely strong and durable to be able to manage the weight bearing forces of not just standing but exponentially increased forces such as running or jumping.

It is unlikely that you are going to wake up one day and find that this connective tissue, that is built to withstand tremendous forces, has become so brittle that you can’t put your body weight on it.

diagram of nerves in the foot

Commonly, we find that heel pain is due to an irritation of one or more of the following nerves in the foot:

  • Tibial, with its medial and lateral plantar branches
  • Saphenous
  • Sural

These irritated nerves can be traced up the leg and often into the back. The irritation can be a result of a seemingly unrelated injury, a mal-alignment of structures (such as bones in the foot), hip or knee dysfunction, or issues of the spine.

An effective treatment of heel pain locates the source of the irritation (foot, knee, hip, back) through a detailed physical examination.  This ensures that we can treat the source of your heel pain as well as calming the local irritation in the foot.

If you are looking to understand your heel pain, our registered massage therapist or physiotherapist can provide you with the appropriate guidance to help you return to your regular activities.

Still unsure? Come and see one of our expert therapists at EQ Physio for a free 10-minute consultation to discuss how we can help you.  Our clinic is conveniently located near the corner of Dundas and Trafalgar in Oakville.

Stretches to help you out after shoveling

Fixes for some common post-shoveling aches!

We’ve all experienced some aches and pains after working hard to clear the snow from our driveways and sidewalks.

Here are some physiotherapy stretches you can try to alleviate pain in your shoulders, knees and back. You should not be feel any pain with these exercises. If your pain is being caused by tight muscles, they should release with your breathing (consciously relax the muscles while you exhale).

For the following stretches, hold each one for 5 deep breaths. If the stretches do not help to release your muscles, the tension is likely a protective reflex and you do not want to overstretch these areas.

Shoulder Pain

Shoulder Rolls

Stand up and roll the shoulders backward.

physiotherapy shoulder rolls


Pec Stretch

  1. Stand up straight in front of an open doorway.
  2. Place your hands onto either side of the doorway at shoulder level.
  3. Keep your core and glutes tight.
  4. Lean your body weight forward until you feel a stretch along your chest and in front of your shoulders.
  5. Maintain the position and relax.

physiotherapy pec stretch


Lats Stretch

Start on all fours, bring the buttocks onto (or as close as you can) your heels and lengthen the arms (palms up) in front as far as possible without moving the buttocks. Keep the head down and aligned with the spine.

physiotherapy lats stretch


Cross Body Stretch

  1. Stand and place your upper arm across your chest and your hand over the opposite shoulder.
  2. Squeeze your shoulder blades together and use your other hand to push your arm in towards you, until you feel a stretch in the back of your shoulder.

physiotherapy cross body stretch

Knee Pain

Quadriceps Stretch

  1. Lie on your side with your injured leg up and your bottom knee bent in front of you to protect your back.
  2. Reach back and grasp your ankle of your injured leg and gently pull towards your buttocks.
  3. Move your knee back without arching your back until you feel a stretch in the front of your thigh.
  4. Keep your knee as low to the floor as possible and maintain the position.

You can use a towel or belt around your ankle to pull it towards your buttocks.

physiotherapy stretch for quadriceps


Hamstrings Stretch

  1. Start seated with one leg extended in front with the other foot resting on your inner upper thigh. You can also sit with your hips on a bloc or folded blanket for this pose.
  2. Reach for your foot with both hands and hold the position.
  3. Your body should be aligned nicely with the leg straight forward and the hips and shoulders squared.
  4. Breathe normally when in position.
  5. Repeat on the other side.

physiotherapy stretch for hamstrings


Groin Stretch

Sitting tall with a straight spine, place the soles of your feet together in front of you. Use your outer thighs to draw your knees toward the floor. Holding your ankle, use your abdominal muscles to fold forward. Keeping your elbows back along your body, continue to draw your knees toward the floor. Use sinking breath to release muscle tension.

physiotherapy stretch for groin

Back Pain

Child’s Pose

Begin kneeling on all fours. Push back and reach your arms out in front of you. To make more room for your body, separates your thighs for wide-knee version of the child’s pose.Rest and breathe, allowing your body to completely relax.You can rest your hand on a block for greater back and neck support. If you have knee pain or discomfort, place a rolled-up yoga mat or folded blanket under your leg behind your knee.
yoga child's pose


Cat and Cow

  1. Start on all fours with the hands under your shoulders and knees under your hips, with a neutral spine.
  2. Exhale, then slowly round your back to the sky, starting from the tailbone.
  3. Inhale, then extend the spine starting from the tailbone and lifting the crown of head last.
  4. Repeat as needed, flowing with your breath.
  5. Return to neutral spine position at the end.

If you have wrist discomfort or injuries, use “fist for wrist” with palms facing each other. For sensitive knees or other knee concerns, use a knee pad for comfort.

Cat and cow yoga stretch


Figure 4 Stretch

  1. Cross the legs with the leg to be stretched on top.
  2. Gently pull the lower knee toward the chest until a stretch is felt in the buttocks.

Figure 4 physiotherapy stretch


Seated Twist D

In a seated position, extend your legs.Bring your right knee up with the sole of your foot on the floor.Cross your left leg under your right leg and your right leg over the left.Place your right hand next to you or behind you and sit tall.Beginning at the base of the spine, rotate to the right, bringing your left forearm around to hold you right shin/knee.Use your core strength instead of your arm to deepen the twist.Lengthen your spine with every inhale, twist further with every exhale.If you have difficulty keeping your back straight, sit on a rolled-up yoga mat or folded blanket. Repeat on the other side.

Yoga seated twist D

Also check out our previous post about how to prevent injuries from shoveling before they happen:  AVOIDING INJURY WHILE SHOVELING

If you’re having difficulty with pain after shoveling, come and see one of our expert therapists at EQ Physio for a free 10-minute consultation to discuss how we can help you. Our clinic is conveniently located at the corner of Dundas and Trafalgar in Oakville.

Avoiding injury while shoveling

After a few years of mild winters, we have returned to winter weather that is truly Canadian!

Like all of us, it is likely safe to say that you’ve dusted off your shovels and gotten your snow-moving muscles moving a few times already this season.

Here are some tips (from the Canadian Centre of Occupational Health and Safety) to keep yourself injury-free while clearing snow from your driveways:

  1. Timing
    • Where possible, it is more practical to shovel early and often. Fresh dry snow is lighter and therefore more manageable than wet, heavily packed, or partly melted snow.
  2. Choose the appropriate shovel length and weight for you
    • Weight: it should be lightweight but sturdy – about 1.5 kg (a little over 3 lbs).
    • Length: the handle should reach your chest to reduce the amount of forward bending.
    • Shaft type: shafts with a bend (versus a straight style) may be easier on your lower back when used correctly.
    • Handle type: shovels typically have a “D”-shaped handle. Be sure the handle shape does not force the wrist into awkward positions.
    • Blade size/shape: choose the style that best matches the exact task. For example, a large push-style shovel will move large amounts of snow, but may result in lifting too much weight. A smaller blade shovel (25 to 35 cm or about 10-14 in) should be used for lifting and throwing snow. The smaller blade will decrease the weight that is lifted and decrease the risk of injury.
  3. Wear appropriate clothing
    • Wear several layers of warm, lightweight clothing that is comfortable to move in. The inner layer should be breathable, such as thermal underwear that allows perspiration to escape from the skin surface.
    • Make sure your head, (especially your ears), feet and hands are well covered. However, do not let your hat or scarf block your vision – you have to see what you are shovelling.
    • Boots should be water-resistant and high-cut, and should provide good traction.
    • Gloves should be light and flexible and give you a good grip.
    • If the weather is very cold, wear something over your mouth. Use a work/rest schedule if the temperatures are low or if it is windy.
  4. Warm up before starting
    • Do some of these exercises to help warm up your muscles and improve your circulation:  WARM UP
  5. Work safely
    • Work at a steady pace. Shoveling is going to make you sweat and, if you stop, you could get a chill.
    • Push the snow rather than lift it. If you must throw it, take only as much snow as you can easily lift and turn your feet to the direction you’re throwing – don’t twist at the waist. Do not throw snow over your shoulder or to the side.
    • Pace yourself. Shoveling snow is a strenuous activity comparable to weightlifting, while walking on uneven and unstable ground, and wearing heavy-duty clothing. Take frequent breaks and drink some warm, non-alcoholic fluids.
  6. Stretch after shoveling
    • Once you are done, stretch for 5–10 minutes to loosen up the muscles in the low back and hamstrings that were used during shoveling: COOL DOWN

Check in to our blog again soon for an upcoming post discussing some specific fixes for common aches and pains that can occur after shoveling!

If you’re having difficulty with low back pain after shoveling, come and see one of our expert therapists at EQ Physio for a free 10-minute consultation to discuss how we can help you. Our clinic is conveniently located at the corner of Dundas and Trafalgar in Oakville.