Physical therapy eases sciatica

According to analysis of a recent study, physical therapy sessions provide both immediate and long-term relief for patients with sciatica.

The research involved 165 patients with moderate or severe sciatic pain. They participated in physical therapy sessions for three months. Immediately after a PT session, 85 percent of patients reported reduced leg pain through centralization. Centralization happens when the radiating leg pain associated with sciatica retreats to the spine, where the pain originated, and is associated with a good prognosis in sciatica patients. In this study, researchers were investigating whether certain patients were more likely to experience centralization following a PT session.

The researchers concluded that because the majority of participants experienced centralization, physical therapy can reduce sciatic pain, regardless of the type of disc lesion causing pain. Following three months of physical therapy, all of the patients involved in the study reported a reduction in leg pain and improved ability to perform daily activities. Those who saw immediate centralization reported the most significant improvement, but even those who did not find immediate relief after one physical therapy session experienced long-term improvements in sciatica symptoms. All patients involved found that these benefits remained at a follow-up visit one year after the therapy sessions.

This study confirms that physical therapy reduces radiating leg pain for many patients, providing both short and long-term results.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapy,  Physiotherapy in Markham, ON.


Massage Therapy for Neck and Shoulder Pain

Massage therapy is beneficial for shoulder and neck pain, but is no more effective than other active, conservative treatments, according to a new study.

Massage therapy has long been one of the most popular alternative treatments, with ancient references to massage dating back to 2700 BC in China. Despite its popularity, few studies have examined the efficacy of massage therapy alone for neck and shoulder pain. Many studies on massage therapy (MT) included it as an adjunctive therapy in preparation for mobilization, spinal manipulation or other treatments, making it difficulty to evaluate the efficacy on its own. This has lead earlier literature reviews to suggest that there is inconclusive evidence on the MT for neck and shoulder pain.

When compared to inactive treatments (wait lists, standard care, or sham), massage led to significantly better outcomes in the short term for patients with neck and shoulder pain. In one study, MT patient were more than twice as likely to experience significant improvements in neck pain compared to standard-care patients ( 39% versus 14%).  Although patients’ pain dissipated after receiving massage, their functional status (measured by shoulder range of motion) stayed the same. Whether this would change over time is unclear, since the researchers found that there was still insufficient evident to asses the long-term effects of MT for shoulder and neck pain.

Additionally, MT was found to be more no more effective than other active treatments like acupuncture, traction, physical therapy, exercise, and activator trigger point therapy. It’s possible that massage may be the most effective when combined with other active treatments like chiropractic care, however more research is needed.

Massage therapy may trigger biochemical changes that affect blood circulation, improve muscle flexibility, and loosen adherent connective tissue. These biochemical changes could play a role in mediating the body’s response to pain and inflammation.For instance, earlier studies have suggested that massage is better than anti-inflammatory drugs for improving inflammation and recovery after intense exercise.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapyPhysiotherapy in Markham, ON.

Height and Weight Affect Prevalence of Teen Back Pain

It seems that back pain has become a problem that begins far earlier in life than it used to, for far too many young people. Studies show that around 12% of teens have some degree of pain in their low backs.

Scientists have also conducted research linking patient body mass index (BMI) to low-back pain. They have found that obese patients do not recover as effectively from back pain as those who are not obese.

Among the adolescent population, evidence linking obesity to low-back pain has been lacking. To remedy this, researchers recently examined the prevalence of low-back pain in teens, and analyzed how BMI and height influenced the likelihood of adolescent back pain.

For the study, researchers used data from nearly 830,000 medical examinations conducted by the military for mandatory recruitment screenings over more than 20 years’ time. Among these, the severity of those with low-back pain was determined by attached disability clauses, the military’s official way of setting health-related limitations on new recruits. Among the records of those with low-back pain disability clauses, researchers categorized the young men and women as having low-back pain alone or low-back pain with other evidence that corroborated the claim of back pain.

For low-back pain alone, the study found that 5.2% of males and 2.7% of females complained about pain. For both genders, the prevalence dropped to 0.2% when looking for patients who had objective back-pain evidence.

Higher BMI was significantly associated with low-back pain in both genders. Being overweight or obese greatly increased the chance for low-back pain.

Height was also linked to low-back pain in both sexes. The tallest teens were at greater risk of suffering from back pain than the shortest teens.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapyPhysiotherapy in Markham, ON.

Most Common Kid Sports Injuries

While physical activity is beneficial for children’s health, it can lead to sports injuries in the growing bodies of young people. Research about sports injuries has been conducted in an effort to prevent injury and keep athletics as safe as possible for kids.

A recent study added to this body of research. Researchers surveyed over 1200 children aged 6-12 years old weekly over two and a half years. Because the survey questions were so frequent, this study utilized the technology of text messages, which were exchanged with participants’ parents every week. The purpose of the study was to report data about both traumatic and overuse sports injuries to the upper and lower extremities. The survey questions and responses sent via text message were used to identify the presence of musculoskeletal problems and to determine participation in physical activities and leisure-time sports. When injuries were reported, examinations were performed, with treatment assigned, if needed.

Injury incidence averaged at about 1.2% of participants each week. Overall, injuries to the lower extremities were nearly six times more common than injuries to the upper extremities. Overuse injuries were the most common in the legs and lower body; traumatic injuries were more prevalent than overuse in the upper body.

Overall, the injury rate was high. Among just 1259 children, a total of 1229 injuries was reported, with overuse injuries almost doubling traumatic injuries. Many children experienced multiple injuries over the 2.5 year study period.

On average, the children participated 1.5 times per week in a leisure-time sport. Those who participated in school sports were significantly more likely to suffer a traumatic lower-extremity injury. Leg injuries associated with overuse were also more likely the more the children participated in sports.

The only factor that increased the odds of sustaining an upper-extremity injury was age. Especially for overuse injuries, the older the participants were, the greater their chances of being hurt in the upper body.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapy, sports therapyPhysiotherapy in Markham, ON.

Massage May Prevent High Blood Pressure

A new study suggests that massage therapy can decrease blood pressure in women with per-hypertension. The study found that massage therapy significantly reduced both systolic and diastolic blood pressure, and the benefits  lasted at least three days after one massage session.

Hypertension, commonly referred to as high blood pressure, affects approximately 50 million adults in the US. The term “per-hypertension” refers to people who have elevated blood pressure levels that haven’t yet reached the high-blood pressure threshold. People with per-hypertension are 3.5 times more likely to develop myocardial infraction and 1.7 times more likely to have coronary disease.

Researchers measured blood pressure immediately before and after the treatment, and took additional measurements three days after the massage session to assess the lasting effects. Massage therapy was found to immediately normalize blood pressure, and these reductions persisted at the 72-hour follow-up. Although the underlying mechanisms are still unclear, this study suggests that massage therapy can effectively lower blood pressure in patients with per-hypertension.

While per-hypertension can be treated with drugs, most clinicians recommend non-pharmacological options as the first line of treatment. This research suggests that massage therapy could be an effective adjunct for preventing high blood pressure, along with lifestyle changes, nutrition and exercise. Chiropractic spinal adjustments have also been found to significantly reduce blood pressure in earlier studies. Both chiropractic and massage therapy may offer patients an effective natural way to prevent the risks associated with hypertension.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapyPhysiotherapy in Markham, ON.

Preventing ACL Injuries in Athletes

acl injuries

Female athletes are two to nine times more likely to suffer from anterior cruciate ligament (ACL) injuries than males. New research suggests that gender disparity is likely the result of body type and landing techniques.

ACL injuries are an extremely common sports injury, resulting in an estimated 80-100,000 ACL repairs in the US every year. Although most athletes are able to bounce back from these injuries, they can be a source of significant disability, lost playing time, and put you at an increased risk of arthritis later in life. Sports with jumping or quick starts and stops are tied to an increased risk of ACL injuries, such as basketball, soccer, volleyball, and lacrosse. Gender also plays a role in the risk of ACL injuries, but it was previously not understood why.

A new study from Oregon State University shows women are more likely to land in way associated with a higher risk of ACL injuries.

Using motion analysis software, researchers examined men and women’s body movements while performing various jumping exercises. Both men and women utilized their quad regions similarly, and they also landed stiffly, which has which has been tied to an elevated risk of ACL injuries. However, women were 3.6 times more likely to land in a “knock-kneed” position, with their thighs slightly inward. This inability to control frontal-plane knee loading may put the knee ligaments at risk.

Chiropractors often treat athletes recovering from torn ACLs and other lower-limb complaints.Exercise therapies have been shown to be effective for healing one of the most common types of knee injuries, meniscal tears. In one study, exercise therapies were as effective as surgery for alleviating symptoms in patients with knee arthritis and meniscal tears. Chiropractors frequently provide such therapies, often as a part of an integrated approach.

Joint Rehab is a health clinic which focuses specifically on your needs for therapy and rehabilitation.Joint Rehab Providing services in massage therapyPhysiotherapy in Markham, ON.



What is Physiotherapy?

Physiotherapy or Physical therapy is defined as provision of services to people in order to restore or maintain physical and functional ability especially after time of disease process or injury, but most often it is performed to optimize physical capabilities.


Physiotherapy is mostly believed by many people to be an exercise which maintains the working state of human body in an efficient way. Nevertheless, physio is far more than an exercise supervised by physiotherapists. Following are some of the conditions in which physiotherapy may be useful include Injuries, Post injury rehabilitation (post fracture, post-surgical), Muscular problems, Joint disorders (Osteo-arthritis), Neck pain and backaches, Spine problems (Sciatica, Spina bifida), Headaches (tension headaches), Neurological disorders (Stroke, Cerebral palsy, Multiple sclerosis), Urinary problems (stress incontinence), Gynecological problems (post labor, uterine and vaginal prolapse), Lung and heart diseases (chronic obstructive pulmonary disease).

Above are some of the situations where physical therapy works as an assisting therapy along with the basic treatment modality, but the role of physiotherapists is far more than the above mentioned list.


Physiotherapy is not just an exercise comprising of easy and repetitive steps. Optimal application is sometimes a challenge for even experienced physiotherapists. Use of appropriate physical therapy according to the patient’s age, sex, physical condition, disease severity and physical capabilities are some of the factors that influence the approach to for physio treatment. Therefore only a physio with vast knowledge, sufficient experience and expertise is mandatory for this purpose. Such a person is termed as a Physiotherapist.

Joint Rehab Providing services in Physiotherapy in Markham, ON. For more information visit