Knee pain newmarket

Physiotherapy for Liotibial Band Syndrome

Iliotibial band friction syndrome (ITBFS) can cause knee pain as it results in the abnormal friction or rubbing at the side of your knee where the band  crosses. When the IT band is rubbed it can cause both inflammation and knee pain. In some cases, you may also feel the pain around the thigh and/or hip.

What is Iliotibial band friction syndrome – IT Band?

You may not be familiar with the IT band  but it’s a thick tissue which runs along the outside of the thigh between the knee and hip. Where the Iliotibial band crosses the knee it also passes over the thigh bone (femur) and also attaches to the front of your tibia (shin bone). Underneath the IT band is a bursa which helps it smoothly glide when you straighten and bend the knee.

Most people who suffer from ITBFS complain of a burning sensation on the outside of the knee and will feel pain on the outer part of the hip or thigh. The burning sensation can be more noticeable when running and cycling since those exercises require repetitive straightening and bending of the knee. ITBFS can also be caused when tight muscles around the knee and hip cause friction between the hip or knee bones and the IT band.

Other causes of the affliction could be weak thigh and hip muscles as well as improper foot position when running. The pain can often go away by itself or with rest and on other occasions you may be able to relieve the pain by visiting a licensed physiotherapist. This is usually recommended if the pain continues and interferes in your normal activities and routine.

Physiotherapy for  Iliotibial band friction syndrome

At Fit Physiotherapy our team of physiotherapists will be able to help find the cause of your pain after thoroughly evaluating your condition. The therapist may test things such as your muscle flexibility and strength in and around the the legs, thighs and hips. Your range of motion at the ankles, knees and hips may also be tested. In addition, there’s a specific ITBFS test known as the Noble Compression Test. This is done by pressing the IT band on the outside of the knee while you flex and extend it.

Our therapists will test the flexibility of the IT band and may also test you to make sure the pain isn’t due to an injured knee cartilage or ligament. A gait evaluation may also be performed and we’ll also assess the position of your feet to make sure there’s no overpronation. Once you’ve been assessed we’ll develop a personal physical therapy treatment program for your unique condition.

The first few days of knee or hip pain caused by the IT band is known as the acute phase. It’s recommended that you avoid any activity that causes pain at this stage. You can ice the area for up to 20 minutes a time a few times per day at during this stage to help reduce any swelling. After a week of icing and resting the affected area you can typically begin gentle motion and stretch the IT band and surrounding muscles.

In general, your therapist will prescribe hip and knee strengthening exercises for a few weeks before you begin to exercise more aggressively. The therapist will then monitor your condition to make sure the IT band can tolerate it before you return to strenuous activities such as playing sports. Your abdominal muscles could all be strengthened to ensure they’re providing adequate support for the IT band. If there is a problem with your foot pronation you may be advised to wear inserts or orthotics in your shoes to help correct it.

Sufferers of ITBFS often find it painful to engage in physical activity and this can include walking. If you begin physiotherapy early and follow the recommendations of your therapist you should be able to relieve the pain and safely return to your normal activities in several weeks. We’ll make sure your treatment program is geared specifically for you and will use whatever proven therapy techniques are necessary to have you back to normal as soon as possible.

physiotherapy for concussions

Physiotherapy for Concussions

A concussion is a traumatic brain injury which is commonly suffered by athletes who participate in physical-contact sports. However, they can also occur as a result of motor vehicle accidents, falls and explosions etc as well as in conjunction with another injury. A concussion is generally caused  by a direct blow to the head, face, neck or another area of the body with the mechanical force being transmitted to the head. In most instances, the individual will stay conscious when suffering a concussion. The injury is usually confirmed by an imaging test such as a CT scan or MRI

Symptoms of a Concussion

The symptoms of a concussion can include anxiety, dizziness, vertigo, sleeplessness, memory loss, blurred vision, lack of energy/coordination, fatigue, confusion, depression, sensitivity to noise/light, headaches, neck pain, problems with balance, and nausea. In addition, if you’ve received a concussion in the past the chances are higher that you may suffer another one and the symptoms may last for several months if not treated. If the symptoms continue to linger for more than 10 days the condition is often referred to as post-concussion syndrome.


When suffering from a concussion it’s important to stay away from strenuous physical and cognitive activities and exercise and to get an adequate amount of rest. Many sufferers of concussion turn to physiotherapy to deal with the condition and are able to return to their normal activities by following a progressive and gradual exercise program. If returning to a physical-contact sport, they generally need medical clearance before doing so.

At Fit Physiotherapy we are able to create a personalized treatment plan and prescribe the proper type and amount of exercise to enable to return to your daily activities as soon as possible. Physiotherapy assessment includes documentation of symptoms such as sleep disturbance as well as cognitive and mood disorders. The assessment will include your general medical history and take into consideration your gender, age, and employment/occupation. We also assess your heart rate, range of motion, vision, and inner ears.

For athletes, it’s recommended that they try to improve their isometric neck strength through exercises to help reduce the chances of being concussed. This is due to the fact that sudden changes in direction of the head can result in a concussion as well as acceleration and deceleration. At Fit Physiotherapy we may also treat your vestibular system to help improve inner ear balance as well as prescribe exercises to improve your visual system. In addition, manual neck therapy can help reduce headaches while cardiovascular exercises are also beneficial to the condition.

It’s essential to follow your licensed physiotherapist’s instructions when it comes to the duration and intensity of your exercises and make sure you don’t do too much before your ready. The exact treatment plan will depend on the severity of your concussion and will be aimed at helping you return to your normal lifestyle as safely and quickly as you can.

About FIT Physiotherapy

Fit Physiotherapy of Newmarket is a modern Physiotherapy Clinic dedicated to providing the most up-to-date practices in physio therapy. For our patients, we provide custom individualized treatment plans.  Contact us today to schedule an appointment.

vertigo physiotherapy in newmarket

Physiotherapy for Vertigo 

Some people confuse vertigo with dizziness since they are quite similar in many ways. However, they’re not exactly the same ailment. When somebody suffers from giddiness, unsteadiness, disorientation and light headedness they usually say they’re dizzy. With vertigo, it often feels as if the environment or the room is spinning around. The cause of this sensation is typically related to an inner ear (vestibular) problem with one of the most common being known as BPPV or benign paroxysmal positional vertigo. 

Causes of Vertigo

However, vertigo can also be caused by a lack of blood flow to your brain, issues with the neck, concussion, or psychological problems. It’s believed that about half of all vertigo cases are caused by inner ear disorders though and the symptoms are made worse or triggered when moving quickly. Other symptoms can include the sensation of moving or rocking even though you’re perfectly still and they can last for hours or days at a time. 

But like many other ailments, vertigo can be caused by several other things including: tumours, strokes, the central nervous system, cervical spine problems, and Meniere’s disease. Doctors often perform a quick Dix-Hallpike test to determine if vertigo is the result of crystals in your inner ear (BPPV). If it is, the good news is that it can easily be treated through vestibular physiotherapy. 

Physiotherapy for Treating Vertigo

If you’d prefer to visit a physiotherapist before a doctor, our team of highly-trained professionals at Fit Physiotherapy will comprehensively assess your condition and be able to establish the cause of your symptoms. We can then create a personalized physiotherapy plan to help you get back to normal as soon as possible.

There are several ways to help relieve vertigo and these include habituation exercises, head and eye coordination exercises, gait and balance exercises, re-positioning techniques, and the Epley manoeuvre. Through vestibular physiotherapy, most vertigo sufferers will notice their balance, and overall physical functions have been greatly improved and their risk of falling is highly reduced. Vestibular physiotherapy may be treated at our clinic as well as techniques to use at home. 

Since all cases of vertigo are unique, it’s difficult to predict how long it will take before you notice an improvement in your condition but it’s typically within four to six weeks. This will generally depend on the severity of vertigo, how often you perform the prescribed exercises, and your overall physical and psychological condition. In most instances, patients will be required to perform their customized exercises three times a day. In addition, your therapist may suggest you stay active if possible and will develop a tailor-made program for your specific condition. 

FIT Physiotherapy

Vestibular physiotherapy is known to be a highly successful method of treating vertigo and dizziness. Vertigo can be treated by Fit Physiotherapy at our Newmarket location in a relatively short period of time. Our skilled team of therapists knows exactly how to treat the condition and its symptoms through specific types of vestibular physiotherapy. Contact us today to learn more.

Physiotherapy for De Quervain's Newmarket

Physiotherapy for De Quervain’s

De Quervain’s is a form of tendinitis which causes tenderness and pain in the wrist on the side of the thumb as well as in the forearm and base of the thumb. The pain typically increases when the thumb is extended and when you grasp something. The affliction is often caused when the tendons become strained due to repetitive, prolonged or forceful use of your hand as well as using your arm or hand while it’s in an awkward position.

Treating De Quervain’s

De Quervain’s can be treated by actions such as range-of-motion exercises, splinting or cortisone injections. However, in some cases surgery may be needed. This type of tendinitis may occur suddenly or gradually when the tendons start to inflame and you can even get it from excessive gaming and/or texting with your thumb as well as repetition from playing sports such as tennis and golf.

When suffering from De Quervain’s you may find normal daily activities such as opening a jar, lifting, carrying and holding objects, typing or writing to be painful. There are other wrist conditions that can cause pain and have similar symptoms to De Quervain’s though, so it’s recommended you have the condition examined by a medical professional.

Physiotherapy for De Quervain’s

At Fit Physiotherapy of Newmarket our team of experienced, licensed therapists will be able to diagnose your nerves, joints and tissues and pinpoint the root of your pain.

Your therapist will test and measure the range of motion, strength, and flexibility in your wrist and thumb by performing a physical exam and a Finkelstein test. Once you’ve been properly evaluated we will be able to confirm if you have De Quervain’s tendinitis or not. If you do, your therapist will develop a personalized therapy treatment program for your specific condition. The therapist will also be able to identify which specific activities and arm positions are causing discomfort.

You may need to wear a splint or brace on your wrist to immobilize it for treatment while compression is often used to help alleviate the swelling and pain. In addition, ultrasound therapy could be applied to help relieve pain. This method uses ultrasonic sound waves to help reduce inflammation, improve circulation and heal the tendons and tissues. Other types of treatments could include ice and/or heat packs as well as deep-tissue massage and an electrical stimulation treatment known as Iontophoresis.

The best way to prevent stiffness and to improve the range of motion is through specific types of exercises and stretches which your therapist will prescribe. As your condition gradually improves the exercises are typically progressed to help build up strength and range of motion in the wrist and thumb. Your therapist will be able to recommend ways to help prevent suffering from De Quervain’s tendinitis in the future and can teach you safe and correct wrist and hand positions to use while performing daily activities and when participating in sports etc.

At Fit Physiotherapy our goal is to help reduce swelling and pain in your arm, wrist and thumb when suffering from De Quervain’s tendinitis and to improve your strength and range of motion without aggravating the tissues and tendons. You’ll be able to perform most exercises and stretching at home as well as administer ice and heat packs. You’ll also be instructed on which specific activities to avoid while being treated. In time, most patients will be able to get back to their normal daily routines without any pain and inflammation.

FIT Physiotherapy can help treat your De Quervain’s tendinitis.  If you are located in the Newmarket area, contact us today on how physiotherapy can help treat De Quervain’s tendinitis.

Physiotherapy Degenerative disc disease treatment Newmarket

Physiotherapy for Degenerative Disc Disease

Degenerative disc disease is commonly known as DDD and it’s an affliction that can affect your spine as you age or through injury. If suffering from DDD pain and inflammation it can often be treated by strengthening your core muscles, neck and back through physiotherapy. The goal is to strengthen your body, particularly the spine, through active and passive treatments. Passive treatments are used to help relax your body and most people then typically begin active treatments to help relieve their pain.

Treating Degenerative Disc Disease

Common treatments for DDD include deep tissue massage, hot and cold therapy and traction. Massages help target muscle tension, spasms, sprains and strains. Direct pressure and friction is applied to your soft tissues such as muscles, ligaments and tendons. The heat will increase the blood flow of the affected area which results in the delivery of nutrients and oxygen. The increased circulation also helps remove any waste by-products which have been produced by muscle spasms.

When it comes to cold therapy, the blood circulation is slowed down and this helps reduce pain, spasms and swelling. The most common forms of cold therapy are ice packs. After going through cold therapy it’s common to stretch the muscles. As for spinal traction, the aim is to alleviate the muscle and nerve pain and tightness by stretching your back. This is performed manually or with the help of a specially designed traction machine.

Active therapy is also important since you need to improve your core stability, range of motion, strength and flexibility through stretching and physical exercises. At Fit Physiotherapy we conduct a thorough examination through testing and personalize each DDD therapy program for the individual’s specific needs. We will discuss your health history and make sure the program is suitable for your condition. In reality, DDD can’t be eradicated since the discs have already begun to degenerate and this can’t be reversed. Your dedicated therapist will help eliminate the pain and show you how to manage it.

You will learn what triggers the pain and how to avoid it through things such as proper posture, body mechanics and other healthy habits. You will also be able to work on your personalized program at home by strengthening the back and abdominal muscles while also increasing your muscle endurance. Exercises may also help you reduce weight at the same time and reduce the pain and stress on your discs. Other contributors to DDD pain can include smoking, lack of exercise and physical work.

If the degenerative disc is in your neck it can lead to neck, shoulder and/or arm pain while an affected disc in the lower back often leads to pain in the legs, back and/or buttocks. This pain can often be felt when reaching, bending and sitting and it may lead to tingling and numbness in the affected areas. Once you begin your treatments you should notice a reduction in pain while your body begins to strengthen. Our goal is to improve your movement and flexibility, so you return to and/or enjoy your daily activities as soon as possible.

When not properly treated, DDD will often lead to a recurrence of pain. Regular treatments and exercises are recommended  to help keep the discomfort at bay. At Fit Physiotherapy all of our therapists are experienced and educated in treating DDD and possess advanced knowledge and skills at helping relieve the pain.  FIT Physiotherapy is located in Newmarket, Ontario, contact us today to learn more about how we can help treat your DDD.

Ankle injury surgery physiotherapy

Physiotherapy After ORIF (Open Reduction Internal Fixation) Surgery

If a bone is broken (fracture), and moves out of position, you may need to undergo open reduction internal fixation surgery. Physiotherapy after ORIF surgery is important for the injury to heal properly and efficiently. Open Reduction is the surgical realignment of broken bones. Internal fixation refers to the fixation of screws and / or plates to promote healing. Physiotherapy after ORIF surgery will increase the success of the surgery, reduce pain and stiffness, aid the healing process and improve mobility and function in the forearm.

Our physiotherapists will help you achieve the return of full or near to full function whilst also helping to prevent any future problems occurring. Rehabilitation can take 4 months or longer after you have had ORIF surgery depending on the severity of the injury.

Common ORIF Surgeries:

  • Fractures of the forearm (Radius and Ulna)
  • Fracture of the Femur
  • Tibial Plateau Fracture
  • Ankle fracture

Contact FIT Physiotherapy today to learn more about our specialized physiotherapy treatment after open reduction internal fixation surgery.

knee injury physiotherapy

Physiotherapy Before & After Knee Replacement

In total knee replacement surgery, the ends of the damaged thigh and lower leg (shin) bones and sometimes the kneecap are capped with artificial surfaces. These surfaces are made of metal and plastic. The plastic acts like hard cartilage, helping your joint to move freely. The metal and plastic parts of the artificial joint allow your knee to bend while also making it more stable.

Physiotherapy plays a major role in the pre-operative and post-operative process. Before the procedure, it is important to focus on strengthening the muscles around the joint that is to be replaced. This will increase the chances of optimal recovery from surgery. Your orthopedic surgeon may prescribe exercises or recommend physiotherapy before your surgery. Our staff will be able to demonstrate what exercises should be done and how to properly execute them to minimize pain and the risk of injury.

Physiotherapy after surgery focuses on regaining full range of motion and recovering strength in the muscles of the knee. Our physiotherapists can prescribe stretches and active exercises to improve range of motion. They will also demonstrate and supervise strengthening programs to maximize recovery. Our staff can also administer modalities and manual therapy to minimize pain and swelling after the surgery.

Contact FIT Physiotherapy today to learn more about our specialized physiotherapy treatment after pre and post knee replacement surgery.

tennis rotator cuff surgery

Physiotherapy after Rotator Cuff Repair Surgery

Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus.

Rotator Cuff repairs are always accompanied by a physiotherapy protocol. This protocol ensures the proper recovery from the procedure. Physiotherapy after a Rotator Cuff repair will help reduce pain and swelling, help regain full range of motion over time, and help the patient regain strength in their shoulder joint.  After the surgery, the shoulder will be immobilized (put in a sling) for about 7 to 10 days in order to allow the tissues heal. This is followed by light physiotherapy focussed on passive range of motions for 6 six weeks. Therapy gradually becomes more aggressive as you tissues continue to heal and your range of motion improves. Physiotherapy will focus more on strengthening and Active Range of Motion.

Our staff are very experienced in treating patients recovering for Rotator Cuff Repair Surgery. Although there is a general timeline for the recovery of this kind of surgery. We acknowledge that factors such as age, and health history make every patient is different. We assess your abilities each visit and base our treatment on your progress. Our physiotherapists take special care to ensure that you rehab is no too aggressive nor too passive. We work diligently to get our patients back to normal as efficiently as possible.

Contact FIT Physiotherapy today to learn more about our specialized physiotherapy treatment after rotator cuff surgery.

hip pain from running

Can Physiotherapy Help With Hip Pain?

Hip pain often affects your mobility and one of the best ways to regain it is to participate in a physical therapy program. This will also help relieve or eliminate the pain while increasing strength and motion and helping you return to your normal activities as soon as possible.

The hip is basically a ball and socket type of joint which consists of the pelvis and femur (thigh bone) The bones are supported by several ligaments and this helps stabilize the joint. In addition, the joint is allowed to move due to the muscles around the hip.

Causes of Hip Pain

As with most joints, there are several reasons why you may feel hip pain. Such as repetitive strain caused by physical activity or sports. Arthritis is also quite common in the hips because the joint bears a lot of weight. The hips are used for most daily activities such as running, walking, climbing the stairs, and sitting and standing etc. Since the hips are situated close to the lower back you may find it difficult to determine if the pain is originating from the hips or back.

Hip pain may be present in the front, back and side of the hip joint as well as the groin. If you feel pain in any of these areas for more than two weeks, it’s highly recommended that you seek professional medical help to determine the cause and have it treated.

Physiotherapy and Hip Pain

If you decide to visit a physiotherapist, they will be able to evaluate your condition and the diagnosis will help them create a proper management program. At FIT Physiotherapy our team of trained therapists will discuss your condition and medical history before physically examining your problem.

We will perform a gait evaluation to see if your walking, range of motion and mobility are being affected and determine where the pain is coming from. The strength of your hips and surrounding muscles will also be measured. In addition, your lower back me be tested to make sure your pain isn’t originating there.

Following the evaluation your therapist will be able to create a personalized treatment program for the affected area. Treatment may consist of heat and ice to help reduce any swelling, manual therapy as well as a physical program such as exercise to help regain mobility and strength. To help speed your recovery, many of the exercises and stretches will be able to be performed at home.

Our goal at FIT Physiotherapy Newmarket is to determine exactly why you’re suffering from hip pain, help eliminate and stop it from recurring. We want you to be able to perform your daily functions as quickly as you can without any pain or limited mobility. For a personal evaluation and rehabilitation advice please feel free to contact us at FIT Physiotherapy. We will be able to provide experienced assessment, prevention and treatment programs to help improve your condition as soon as possible.

physiotherapy for tendonitis in newmarket ontario

Can Physiotherapy Help With Tendonitis?

When it comes to constant pain and loss of function in the elbows, knees, shoulders, heels or wrists etc, one of the most common causes is Tendonitis. This condition is the result of inflamed tendons, which are the tissues that connect your bones to your muscles. You can suffer from tendonitis anywhere tendons are present in the body.

It’s not always easy to self-diagnose tendonitis though since some people feel a burning sensation when suffering from it and others describe it as a dull ache. In addition, there are also other common symptoms of tendonitis which are tenderness, swelling, stiffness, soreness and weakness.

If the condition worsens it can often lead to pain even when at rest. In general, most people will feel tendonitis pain during some type of physical activity. In fact, tendonitis is often caused by repetitive actions performed in sports and other activities such as the condition known as tennis elbow.

If you believe you may be suffering from tendonitis it’s recommended that you visit a doctor or a physiotherapist for testing and diagnosis. If you do happen to have tendonitis the good news is that it can be effectively treated with physiotherapy. The pain can be minimized and your mobility and range of motion can be returned to normal if the tendons and muscles are strengthened and stretched.

Tendons usually become inflamed or injured because they can’t handle the physical activity you’re performing since it places too much stress on them. In some instances, you may feel pain for just a day or two and it will then disappear by itself. In other cases the pain will linger and become more intense when you use the tendons to complete difficult or repetitive tasks. If this is the case then you may want to visit a physiotherapist for treatment.


How Physiotherapy Can Help Tendonitis

There are several forms of physiotherapy used to treat tendonitis pain such as heat, ice, manual therapy, electrical stimulation, heel lifts, arch supports, taping/splints, ultrasound, exercise, massage, stretching, and iontophoresis. Manual therapy is used to treat the joint, tendons and surrounding tissue such as the ligaments and muscles. In addition, exercise is prescribed to improve the tendons’ strength.

At Fit Physiotherapy of Newmarket, our goal is to alleviate the pain and rehabilitate the condition so you can resume your daily routine and normal activities as soon as possible. We will discuss your medical history, diagnose your condition and create the most effective and personalized therapy program to help treat it. The specific therapy treatments used will depend on the level and type of pain you’re feeling as well as your flexibility and range of motion and the specific tendon which is affected.

We will pinpoint the cause of the problem and also suggest how to avoid it from recurring. The tendons’ flexibility and strength will be safely restored over time through therapy with a program that has been specifically created for your unique condition. The recovery time will vary depending on each individual and nonsteroidal anti-inflammatory drugs may be prescribed to help alleviate the pain and swelling.

In many instances you’ll have to cut back on physical activity and sports until the tendon has healed and is no longer causing pain. However, in most cases you will be able to take part in physical activities which don’t place any strain or stress on the injured tendon.

About FIT Physiotherapy

FIT Physiotherapy is a physiotherapy clinic in Newmarket, Ontario.  We specialize in sports physiotherapy and associated injuries such as tendonitis.  For more information on tendonitis or any other physical condition you may be suffering from and how physiotherapy can help it, please contact our team of professionals at Fit Physiotherapy.