By Athlete's Care on September 20, 2022
TMJ stands for temporomandibular joint, a complex structure that acts as a sliding hinge connecting the jawbone to the rest of the skull. There is one TMJ on each side of the jaw.
TMJ disorders (also dubbed TMD) result in pain and discomfort, and affect the movement of the jaw. The causes of TMJ disorders are often hard to pinpoint. There may be a variety of issues at play, including:
Much of the time, TMJ disorders are temporary in nature, and surgery and other interventions are relatively rare.
TMJ disorders can be hard to diagnose. Here’s what you can observe on your own, and let your Toronto physiotherapist know about during your consultation:
Pain may focus around the joint, or radiate towards the ear, and culminate in a locking of the jaw, meaning it is difficult to either open or close. If there is persistent pain and tenderness, it’s time to see a doctor for a firm diagnosis.
Once your TMJ has been diagnosed via examination and imaging such as a dental X-ray or CT scan, the underlying problem may also be revealed.
In cases where surgery is not indicated, physiotherapy can help. While the research is as yet limited, TMJ exercises have been known to help induce relaxation of tight jaw muscles, and increase mobility.
Your Toronto physiotherapist can suggest a range of exercises designed to relax the jaw, improve mobility, and help reduce pain.
In some cases, medical acupuncture has also proven to be useful in relieving pressure in the jaw, as well as massaging the joint and muscles around it. Along with physiotherapy, there are other simple measures you can take to alleviate symptoms:
If you are experiencing pain in your jaw, or you have been diagnosed with a TMJ disorder and would like to add physiotherapy to your treatment plan, don’t hesitate to contact one of our Toronto physiotherapy clinics today for a consultation.
By Athlete's Care on September 08, 2022
The knee is a complex joint, and it's located at a crucial part of the body.
Many of the injuries and conditions of the knee revolve around the ligaments that keep the bones in place:
Pads of elastic cartilage cushion the movement of the bones. At either side of the knee, they are called the meniscus.
The bursae are small sacs filled with fluid that help to cushion the joint and enhance smooth movement.
There are many injuries that are common to the knee and area.
There are many types of arthritis. In the knee area, the most common include:
When the pain and discomfort is mild, and if you are waiting to see a medical professional, you can take steps that should help reduce the symptoms.
Knee pain is a common problem. But, when it goes beyond a little soreness, it requires a professional assessment. Here are the signs you should seek medical help:
Pain anywhere can prevent you from leading the life you deserve. If you are experiencing problems with your knee joints, our Toronto physiotherapy and sports medicine professionals are ready to help. Don’t hesitate to contact one of our Toronto physiotherapy clinics today for a consultation.
By Athlete's Care on July 22, 2022
Cuboid syndrome is a common etiology of lateral midfoot pain that is often misdiagnosed and not well understood. It is believed to originate from an incongruence of the calcaneocuboid joint from its desired inverted position to an everted position. This incongruence is often caused by the pull of the peroneus longus muscle on the cuboid bone during an inversion ankle sprain. It is commonly associated with a pes planus (flat) foot type which make up 80% of cases.
The calcaneocuboid joint is a component of the midfoot that has the important job of transitioning the foot from a mobile adaptor to a rigid lever during heel lift. Heel lift causes undue stress on the cuboid bone if it is not in optimal alignment, thus causing pain and an antalgic gait pattern. Impaired peroneus longus functionality may also affect calcaneocuboid joint stability. Interestingly, a study by Marshall et.al., found that 17% of ballerinas with foot or ankle injuries presented with cuboid syndrome (1).
Symptoms include diffuse pain in the lateral midfoot area that may radiate distally into the forefoot. A slight palpable sulcus may be observed on the dorsal-medial aspect of the cuboid bone as it sits in a poor (everted) position. The bottom of the foot may present with mild swelling and/or bruising. Tenderness is often felt with palpation of the plantar cuboid area and along the peroneus longus tendon.
Radiographs offer minimal aid in diagnosis but there are several specific clinical tests that are reliable for a clinical diagnosis. Radiographs can be helpful to rule out cuboid fracture and other differential diagnoses (2).
The most successful initial treatment for cuboid syndrome is cuboid manipulation therapy. A low amplitude, high velocity thrust can shift the cuboid into a preferred inverted position. This position can then be maintained with custom foot orthotics that correct the pes planus foot structure and incorporate a cuboid pad that holds the cuboid in the preferred alignment.
If your patient presents with a history of lateral ankle sprain and continued lateral midfoot pain, consider a referral to Sarah Higgins (Chiropodist/Pedorthist) at Liberty Village Athlete’s Care. Sarah specializes in manual foot therapy and custom foot orthotic assessment and manufacturing. No physician referral or prescription is necessary.
(1) Marshall P, Hamilton WG. Cuboid subluxation in ballet dancers. Am J Sports Med. 1992;20(2)169-175
(2) Durall CJ. Examination and treatment of cuboid syndrome: a literature review. Sports Health. 2011 Nov;3(6):514-9
By Athlete's Care on July 14, 2022
In essence, Pilates Rehab uses specific movements to retrain your neuromuscular system. It’s based on the idea of neuromotor training.
Pilates rehab can be used in a variety of treatment situations. A 2016 review of several studies found that Pilates Rehab was useful in treating:
The studies evaluated:
The results showed improvements in all categories.
The exercises your Toronto sports medicine specialist will guide you through work to forge paths in your neuromuscular system. Those paths are intended to ensure that your body is moving in an optimal way, according to your own biomechanics.
Those best practices can help to reduce pain and improve range of motion. Pilates Rehab can be combined with massage therapy and other treatments as part of a comprehensive rehabilitation program.
Healthy optimal patterns of movement are established and/or regained.
With its emphasis on the mind as well as the body, Pilates Rehab can also be useful in helping you overcome any lingering psychological issues after an injury. It’s common – and very natural – to feel some level of anxiety about repeating an action that has resulted in pain or physical trauma. The discipline of Pilates helps many people overcome those fears.
One of the advantage of a Pilates regimen is that it provides a full-body workout using minimal props, and can be performed in an environment where space may be at a premium.
Because of its emphasis on core strength, leading to both stability and flexibility, along with issues like posture and muscle control, Pilates can also be used as an injury prevention tool. Proper conditioning is particularly important for those who are not regular athletes, and may only workout on weekends or even less often.
If you’d like to learn more about Pilates Rehab, and whether it might help your condition, don’t hesitate to contact one of our Toronto physiotherapy, chiropractic and sports medicine clinics for a consultation today.