Deezar Raval Physiotherapy
743 Lagimodiere Blvd R2J 0T8 Winnipeg, MB, Canada

STRETCHING VS STRENGTHENING FOR INJURY REDUCTION A common belief is that stretching is the best way to help reduce injuries. Although stretching has benefits, such as pain relief and improving mobility, stretching is not the most effective way to prevent injuries. Studies suggest that a better way to reduce injuries is to incorporate programs that focus on strength training and proprioception.... Stretches can be a component of your training regimen, but if your goal is injury reduction, you should incorporate a consistent strength program. Stayed tuned for some exercises that will benefit your warm up and exercise program! Physiotherapists are well equipped to discuss factors that may be influencing your pain and dysfunction and can help provide you a structured training program to achieve your goals. Reference : Lauersen et al., 2014

DIAGNOSTIC IMAGING Medical imaging such as ultrasounds, X-rays, MRIs and CT scans are often used in the medical field to help identify and rule out serious pathologies such as, fractures, torn ligaments or tendons and lesions. Many other findings, like arthritic changes, osteophytes and disc or meniscal changes, can appear on imaging. However, what is not well known is that some of these findings can appear in both individuals with or without pain and disability. ... Studies show that 85% of adults without any symptoms have arthritic changes present on their knee x-rays. Another study shows that degenerative changes in the low back are present in 90% of individuals between the ages of 50 and 55. This suggests that there is no consistent correlation between degenerative changes identified in imaging and pain or disability. This is important since imaging results can often cause significant concern, fear and worry which can contribute to decreased activity participation, decreased overall function and increased levels of disability. Diagnostic imaging is an extremely valuable tool, especially to rule out serious medical conditions. But, we must remember that pain, and particularly chronic pain, is a complex multi-factorial individual experience that often cannot solely be explained by imaging. Physiotherapists are well equipped to discuss factors that may be influencing your pain and dysfunction, assess your current function and help you build a plan to achieve your goals. See more

TENDON INJURIES AND REHAB Tendon injuries, also known as tendinopathies, are quite common and can be difficult to manage. Tendons are highly organized tissues designed to absorb and release loads, mainly from quick movements. Tendinopathies present due to chronic overloading of these tendons, via tension, friction or compression. The most common types of tendinopathies occur at the rotator cuff, elbow epicondyles, patellar and Achilles tendon.... A misconception with these types of injuries is that the tendon needs complete rest to heel. It is fine to offload the tendon initially to let it settle, but for a tendon to restore function, you need to gradually reload it. This means you need to find the current capacity of the tendon are build a rehab plan that incorporates strengthening to the effected and surrounding tissues. Following this, you need to progress the exercises to feature elements of impact and speed to improve the spring loading of the tendon. These exercises will vary depending on each person’s level of function and goals. Physiotherapists have the knowledge and skills to properly asses the injury and establish an appropriate rehab plan. Reference: Cook, Jill. Current Concepts in Tendon Rehabilitation. La Trobe Sport and Exercise Medicine Research Centre. 2020. Lecture.

FROZEN SHOULDER Do you have shoulder pain and limited movement? Has Dr. Google diagnosed you with a frozen shoulder? As physiotherapists we often see frozen shoulder being mis-diagnosed. In fact, true frozen shoulder is not as common. Multiple shoulder pathologies present with similar symptoms as frozen shoulder. Studies have shown that these factors need to be present for a proper frozen shoulder diagnosis: -25% reduction of shoulder range of motion in at least 2 direct...ions -50% reduction of shoulder external rotation -Progressive worsening of symptoms for at least 1 month True frozen shoulder is inflammation followed by fibrosis of the shoulder capsule and usually takes 1-3 years to fully resolve. Physiotherapy can help properly diagnose the issue and establish an appropriate treatment plan based on each individuals presentation, irritability and goals. See more

To our valued patients, We hope everyone is continuing to stay safe and healthy out there! With the government’s latest announcement, we will be able to cautiously re-open our doors and offer physiotherapy services to the public effective Monday May 4th, 2020. ... We have prepared the clinic and acquired supplies to ensure that we are taking all the precautionary measures and following the required guidelines to offer a safe visit. In order to protect our patients and staff, we ask our patients to review the current guideline. -Use the self-screening tool before booking an appointment (https://sharedhealthmb.ca/covid19/screening-tool/) -Stay home if you are feeling symptomatic -Use the hand sanitizer provided upon entering and when leaving the building -Implement social distancing rules (remain 6 feet apart from others) in the waiting area and in the gym -Patients should wear their own masks, as we will be in close proximity (you may purchase one at the clinic for a small fee) -No-contact payment will be used (credit card on file, tap or e-transfer) -We encourage patients to stay in their car until their appointment times -Keep your shoes on to avoid touching them We will resume our regular hours of 9-6 from Monday-Friday. There will be no admin staff working, so please e-mail us at [email protected] to book an appointment. Also, for those who are still wanting to stay home during these times, we are going to continue offering telerehab services. Until further guidelines are released allowing gyms to open, NorthStar Fitness and gym services will remain closed. We look forward to seeing you again soon! Take care, Josée and Quentin