Peak Health & Performance Calgary South

November 10, 2025

Chiropractic Solutions for Shoulder Health: From Stiffness to Strength

chiropractic care for shoulder pain calgary south

Shoulder pain can significantly impact daily activities, affecting everything from reaching overhead to simply typing at a desk. For those seeking non-invasive solutions, chiropractic care offers a promising alternative. By employing specific techniques, chiropractic professionals aim to improve shoulder mobility and reduce discomfort. In this blog, we’ll explore how chiropractic care addresses shoulder pain, the common conditions it can help with, and the benefits over traditional treatments.

How Does Chiropractic Care Help Relieve Shoulder Pain?

Chiropractic care helps relieve shoulder pain by restoring joint mobility, improving health, and enhancing muscular function. Techniques such as mobilization, soft tissue therapy, and exercises target the source of discomfort and promote recovery. The goal is to reduce inflammation, increase range of motion, and alleviate pain.

Joint Mobilization	Chiropractic techniques focus on restoring proper function to the shoulder joint, which can alleviate pressure and reduce pain. This can lead to improved function and range of motion.
Soft Tissue Therapy	Techniques such as myofascial release are used to target tight muscles and fascia surrounding the shoulder. This helps decrease tension and improve circulation, facilitating recovery.
Exercise and Rehabilitation	Chiropractors often prescribe specific exercises to strengthen shoulder muscles and stabilize the joint. These exercises are designed to enhance flexibility and support long-term recovery.
Postural Correction	Poor posture can contribute to shoulder pain. Chiropractors assess and recommend changes in posture to reduce strain on the shoulder and neck areas.
Inflammation Reduction	Chiropractic treatments can help decrease joint inflammation through techniques that promote natural recovery processes, reducing pain and swelling.
Nerve Function Improvement	By addressing any joint dysfunction, chiropractic care can improve nerve function, which is crucial for optimal shoulder movement and sensation.

Overall, chiropractic care addresses shoulder pain by targeting its underlying causes, offering a comprehensive approach to improve shoulder health and reduce discomfort.

What Common Shoulder Conditions Can Chiropractors Treat?

Chiropractors can address various shoulder conditions by employing techniques that improve function, enhance mobility, and reduce stress on tissues. Conditions such as rotator cuff injuries, frozen shoulder, and tendonitis are often managed with chiropractic care. By focusing on the musculoskeletal system, chiropractic professionals aim to restore balance and function.

Rotator Cuff Injuries	These injuries involve the muscles and tendons stabilizing the shoulder joint. Chiropractic care focuses on reducing inflammation and improving joint mechanics to facilitate recovery.
Frozen Shoulder (Adhesive Capsulitis)	Characterized by stiffness and pain, frozen shoulder can benefit from chiropractic mobilization techniques to restore movement.
Shoulder Impingement	This condition occurs when shoulder blade tendons become compressed. Chiropractic care aims to mobilize the shoulder and scapula, reducing impingement and pain.
Tendonitis	Inflammation of shoulder tendons can be addressed through mobilization and soft tissue therapies that promote recovery and reduce swelling.
Bursitis	Inflammation of the bursa can cause significant discomfort. Chiropractors use techniques to decrease inflammation and improve shoulder mechanics.
Labral Tears	While severe cases may require surgery, chiropractic care can help manage pain and improve function for less severe tears.

In summary, chiropractic care can effectively manage various shoulder conditions by focusing on restoring proper joint function and reducing inflammation, thereby improving overall shoulder health.

How Is a Chiropractic Shoulder Adjustment Performed?

A chiropractic shoulder adjustment is performed by gently manipulating the shoulder joint to improve its function and mobility. Techniques may include manual adjustments, soft tissue manipulation, and mobilization exercises, all aimed at reducing pain and enhancing movement.

Initial Evaluation: The chiropractor assesses the shoulder’s range of motion, pain levels, and any dysfunction. This evaluation helps determine the most appropriate treatment plan.
Manual Adjustments: The chiropractor applies controlled force to the shoulder joint to improve function. This can relieve pressure and restore proper joint mechanics.
Mobilization Techniques: Gentle mobilization exercises are used to increase joint movement and reduce stiffness, promoting a greater range of motion.
Soft Tissue Manipulation: Techniques such as massage or myofascial release are employed to target tight muscles and fascia, enhancing flexibility and reducing pain.
Stretching Exercises: Specific stretching exercises may be incorporated to increase flexibility and support recovery by reducing muscle tension around the shoulder.
Post-Session Guidance: Chiropractors often provide advice on posture, daily activities, and exercises to maintain improvements between sessions.

To sum up, a chiropractic shoulder adjustment involves a series of targeted techniques designed to improve shoulder joint health and function, contributing to pain relief and enhanced mobility.

Are Chiropractic Treatments Safe and Effective for Chronic Shoulder Pain?

Chiropractic treatments are generally safe and effective for managing chronic shoulder pain when performed by a qualified professional. These treatments aim to enhance mobility, reduce discomfort, and address underlying issues such as dysfunction or muscle imbalances. While not all cases are suitable for chiropractic care, many individuals experience significant improvements.

Chiropractors employ non-invasive techniques, reducing the risk associated with more invasive procedures. By focusing on restoring health and function, chiropractic care can help decrease inflammation and improve joint function. This approach is particularly beneficial for individuals seeking alternatives to surgery or medication. Additionally, chiropractic care often includes personalized exercise plans, further supporting recovery and preventing recurrence.

It’s important to note that while chiropractic care is effective for many, it might not be suitable for all conditions. Therefore, individuals should consult with a healthcare provider to determine the best course of action. Overall, chiropractic treatments offer a viable option for those struggling with chronic shoulder pain, promoting recovery and improved quality of life.

What Are the Benefits of Chiropractic Care Compared to Traditional Treatments for Shoulder Pain?

Chiropractic care offers several benefits compared to traditional treatments for shoulder pain, including a non-invasive approach, personalized care, and a focus on holistic recovery. Techniques such as joint mobilization, soft tissue therapy, and exercise programs address the root causes of pain and promote long-term improvement.

Non-Invasive Approach: Chiropractic care avoids surgery and medication, reducing risks and potential side effects associated with these treatments.
Personalized Treatment Plans: Chiropractors tailor their approach based on individual needs, ensuring that each client receives targeted care for their specific condition.
Holistic Recovery Focus: By addressing the entire musculoskeletal system, chiropractic care promotes overall health and function, not just symptom relief.
Improved Mobility: Chiropractic techniques aim to restore joint function and flexibility, which can lead to better movement and reduced pain.
Reduced Inflammation: Through mobilization and soft tissue therapies, chiropractic care can help decrease inflammation, facilitating recovery.
Enhanced Quality of Life: By alleviating pain and improving function, chiropractic care contributes to a higher quality of life without the reliance on medications.

In brief, chiropractic care provides a comprehensive, personalized, and non-invasive approach to shoulder pain, often leading to improved outcomes and quality of life compared to traditional methods.

How Many Chiropractic Sessions Are Typically Needed for Shoulder Pain Relief?

The number of chiropractic sessions needed for shoulder pain relief varies based on the individual’s condition, severity of pain, and response to treatment. On average, clients may require 6 to 12 sessions to notice significant improvements. However, each person’s recovery timeline is unique and can be influenced by factors such as adherence to prescribed exercises and lifestyle modifications.

During the initial consultation, the chiropractor evaluates the shoulder’s condition and discusses a tailored treatment plan. Regular reassessments help track progress and adjust the number of sessions as needed. Some individuals may experience relief after a few sessions, while others with more complex issues may need a longer course of care. In summary, the duration and frequency of chiropractic sessions depend on individual needs and response to treatment.

Can Chiropractic Care Help With Shoulder Pain Caused by Sports Injuries or Poor Posture?

Chiropractic care can effectively address shoulder pain resulting from sports injuries or poor posture. By targeting the underlying causes, such as dysfunction or muscle imbalances, chiropractic techniques promote recovery and prevent future issues. Methods like mobilization, soft tissue therapy, and corrective exercises are commonly used.

Addressing Dysfunction: Chiropractors focus on mobilizing the shoulder joint and surrounding areas, which can alleviate pressure and reduce pain from injuries or poor posture.
Soft Tissue Therapy: Techniques such as myofascial release help reduce muscle tension and improve circulation, aiding recovery from sports injuries or posture-related pain.
Corrective Exercises: Specific exercises are prescribed to strengthen shoulder muscles, enhance stability, and correct posture, preventing recurrence of pain.
Postural Education: Chiropractors often provide guidance on maintaining proper posture during daily activities and sports to minimize strain on the shoulders.
Injury Prevention: Regular chiropractic care can help maintain optimal shoulder function, reducing the risk of future sports-related injuries.
Enhanced Performance: By improving shoulder mechanics and reducing pain, chiropractic care can contribute to better athletic performance and overall fitness.

The key takeaways are that chiropractic care offers effective solutions for shoulder pain caused by sports injuries or poor posture, focusing on recovery and long-term prevention.

Enhanced Mobility and Pain Relief

Chiropractic care provides a holistic and non-invasive approach to managing shoulder pain, offering tailored treatments that address root causes and promote long-term recovery. Whether dealing with sports injuries or seeking alternatives to traditional treatments, chiropractic options can enhance mobility and reduce discomfort.

For those seeking personalized support, book a session with Peak Health & Performance in Calgary South for a comprehensive assessment and tailored chiropractic care to address shoulder pain effectively.

Frequently Asked Questions

How Can Chiropractic Care Improve Shoulder Mobility?

Chiropractic care enhances shoulder mobility by mobilizing the joint and addressing muscle imbalances. Techniques such as manipulation and specific exercises help increase range of motion, reduce stiffness, and improve overall shoulder function.

Is Chiropractic Care Suitable for All Types of Shoulder Pain?

While chiropractic care is effective for many shoulder pain conditions, it may not be suitable for all. Individuals should consult with a healthcare provider to determine if chiropractic care is the best option for their specific condition.

What Should I Expect During My First Chiropractic Visit for Shoulder Pain?

During the first visit, expect a comprehensive evaluation of your shoulder, including a review of your medical history. The chiropractor will discuss a tailored treatment plan, which may include mobilization, exercises, and lifestyle recommendations.

Can Chiropractic Care Prevent Future Shoulder Injuries?

Regular chiropractic care can help maintain optimal shoulder function, reducing the risk of future injuries. By addressing muscle imbalances and promoting proper posture, chiropractic care contributes to injury prevention.

How Quickly Can I Expect Results From Chiropractic Care for Shoulder Pain?

Results vary based on individual conditions and severity of pain. Some people experience relief after a few sessions, while others may require a longer course of treatment. Consistency and adherence to prescribed exercises can enhance recovery speed.

November 9, 2025November 10, 2025

How Physiotherapy Enhances Knee Function: Strengthen and Stabilize

physiotherapy for knee strengthening calgary south

Physiotherapy plays a crucial role in enhancing knee strength and function, especially for individuals dealing with knee instability, weakness, or recovering from injuries. By focusing on a tailored approach, physiotherapy helps in the restoration of knee stability and mobility, reducing the risk of future injuries. In this blog, we will explore various aspects of physiotherapy for knee strengthening, including exercises, equipment used, and its effectiveness for conditions like arthritis and injury-related pain.

How Does Physiotherapy Help in Improving Knee Stability and Mobility?

Physiotherapy enhances knee stability and mobility through targeted exercises, functional training, and manual techniques. By addressing muscle imbalances and joint mechanics, it aids in reducing pain and improving movement patterns. Key approaches include strength training, balance exercises, and flexibility work.

Strength Training: Focuses on building the muscles around the knee, particularly the quadriceps and hamstrings, to provide better support and stability. This helps in reducing stress on the knee joint.
Balance Exercises: Enhances proprioception and reduces the risk of falls. Exercises like single-leg stands improve the body’s ability to maintain stability during various activities.
Flexibility Work: Involves stretching exercises that improve the range of motion. This is essential for maintaining knee joint health and preventing stiffness.
Manual Techniques: Includes joint mobilizations and soft tissue work, which can alleviate pain and improve joint function. These techniques help in restoring normal movement patterns.
Functional Training: Involves practicing movement patterns that mimic daily activities, allowing individuals to regain full functionality in their movements.
Neuromuscular Training: Enhances the connection between the nervous system and muscles, improving overall coordination and movement efficiency.
Education and Advice: Physiotherapists provide guidance on posture, movement strategies, and lifestyle modifications to support knee health.

In brief, physiotherapy for knee stability and mobility focuses on strengthening, balance, flexibility, and functional training, which together enhance joint health and reduce the risk of future issues.

Can Physiotherapy Prevent Future Knee Injuries?

Yes, physiotherapy can be instrumental in preventing future knee injuries. By focusing on strengthening the muscles around the knee, improving balance, and enhancing flexibility, physiotherapy prepares the knee to handle stress and movement more effectively. These proactive measures can significantly reduce the likelihood of injuries. By identifying and correcting movement patterns that may lead to injury, physiotherapy also addresses potential risk factors. Incorporating exercises that enhance proprioception, or the body’s awareness of its position, can further prevent missteps that lead to injury. Additionally, physiotherapy often includes education on proper techniques for activities like running or lifting, which can prevent overstrain and wear on the knee.

Overall, by strengthening muscles, improving balance, and educating on proper movement, physiotherapy is a key component in reducing the risk of future knee injuries.

What Are the Best Physiotherapy Exercises for Strengthening Weak Knees?

The best physiotherapy exercises for strengthening weak knees focus on building muscle strength, improving flexibility, and enhancing stability. These exercises often include leg raises, squats, and step-ups, which target key muscle groups around the knee.

Straight Leg Raises	This exercise targets the quadriceps without putting strain on the knee joint. It is particularly useful for those who need to start with gentle strengthening.
Wall Squats	Wall squats engage the quadriceps, hamstrings, and glutes. They help in building overall leg strength and improving knee stability while supporting the back against a wall.
Step-Ups	Performing step-ups on a raised platform strengthens the quadriceps and improves balance. This exercise simulates functional movement patterns like climbing stairs.
Hamstring Curls	Using a resistance band or machine, hamstring curls work the muscles at the back of the thigh, crucial for balanced knee support.
Calf Raises	Strengthening the calves contributes to knee stability and enhances lower leg support during movement.
Bridge Exercises	This exercise targets the glutes and hamstrings, contributing to overall lower body strength, which supports knee function.
Clamshells	Clamshells are excellent for strengthening the hip abductors, which play a role in knee alignment and stability.

In summary, incorporating a variety of targeted exercises like leg raises, squats, and step-ups can effectively strengthen weak knees and improve overall function.

How Often Should You Do Knee Strengthening Physiotherapy Exercises?

Knee-strengthening physiotherapy exercises should be performed regularly, ideally 3-4 times a week, to build and maintain muscle strength effectively. Consistency is key to achieving optimal results. The frequency of exercises depends on individual needs and goals, as well as the current condition of the knee. It’s important to allow adequate rest between sessions to facilitate muscle recovery and prevent overuse. A physiotherapist may recommend starting with lower frequency and intensity, gradually increasing as strength builds. Additionally, incorporating a variety of exercises that target different muscle groups can ensure balanced development and reduce the risk of strain.

In brief, a routine of 3-4 sessions per week, with varied exercises, ensures effective knee strengthening while allowing necessary recovery time.

Is Physiotherapy Effective for Knee Pain Caused by Arthritis or Injury?

Yes, physiotherapy is effective for managing knee pain caused by arthritis or injury. It provides tailored interventions that focus on reducing pain, improving mobility, and enhancing strength. Techniques such as manual therapy, therapeutic exercises, and education on joint protection are commonly used.

Manual Therapy: Involves hands-on techniques that help in reducing pain and improving joint mobility. It can be particularly beneficial for arthritis-related stiffness.
Exercise Therapy: Customized exercise programs focus on strengthening muscles and improving flexibility, which can alleviate pain and improve function.
Joint Protection Strategies: Education on how to protect the joints during daily activities helps in reducing pain and preventing further damage.
Pain Management Techniques: Techniques such as ice therapy and heat application can be used to manage acute pain episodes effectively.
Functional Training: Helps individuals regain the ability to perform daily activities with less pain and more efficiency.
Postural Advice: Guidance on maintaining proper posture during activities can reduce unnecessary strain on the knees.

The key takeaways are that physiotherapy employs a multi-faceted approach to address knee pain, making it highly effective for arthritis or injury-related issues.

What Is the Recovery Time for Knee Strengthening Through Physiotherapy?

Recovery time for knee strengthening through physiotherapy varies based on the individual’s initial condition, the severity of any previous injury, and the commitment to the exercise regimen. Generally, noticeable improvements in strength and function can be seen within 4 to 6 weeks of consistent physiotherapy. However, full recovery and optimal strengthening may take several months, particularly if the individual is recovering from a significant injury. The physiotherapy process is gradual, with exercises and intensity adjusted over time to match progress. It’s essential to adhere to the recommended frequency and duration of sessions to maximize benefits. Ongoing assessments with a physiotherapist can help track progress and make necessary adjustments.

Overall, recovery time can vary, but consistent effort and adherence to a structured physiotherapy plan yield the best results in knee strengthening.

What Equipment Is Commonly Used in Physiotherapy for Knee Strengthening?

Common equipment used in physiotherapy for knee strengthening includes resistance bands, exercise balls, and weights. Each piece of equipment serves a unique purpose, enhancing the effectiveness of the exercises.

Resistance Bands	Used to provide varying levels of resistance, these bands are versatile tools for strengthening exercises targeting the knee and surrounding muscles.
Exercise Balls	Useful for stability exercises, exercise balls help in improving balance and core strength, which indirectly supports knee function.
Weights	Free weights or ankle weights are often used to increase the intensity of strengthening exercises, allowing for progressive overload.
Foam Rollers	Foam rollers are used for self-myofascial release, helping to relieve muscle tension and improve flexibility.
Balance Boards	These are used to enhance balance and proprioception, important for knee stability.
Treadmills and Stationary Bikes	Cardiovascular equipment is often used in physiotherapy sessions to improve overall fitness and support knee strengthening.

In summary, a variety of equipment such as resistance bands, exercise balls, and weights are commonly utilized in physiotherapy to enhance knee strength and function.

Stop Letting Pain Win

Physiotherapy is an invaluable tool for enhancing knee strength and function. By incorporating targeted exercises and using specialized equipment, individuals can achieve better knee stability, reduce pain, and prevent future injuries.

At Peak Health & Performance in Calgary South, we offer personalized physiotherapy services tailored to your specific needs. Our team is dedicated to helping you achieve optimal knee health and overall well-being. Contact us today to begin your journey towards improved knee function and a more active lifestyle.

Frequently Asked Questions

What Are the Benefits of Physiotherapy for Knee Injuries?

Physiotherapy offers numerous benefits for knee injuries, including improved strength, flexibility, and mobility. It also aids in pain relief and helps prevent future injuries by addressing underlying issues and enhancing overall knee function.

Can Physiotherapy Help with Post-Surgery Knee Recovery?

Yes, physiotherapy is a crucial component of post-surgery knee recovery. It facilitates faster recovery by improving joint motion, reducing swelling, and strengthening muscles around the knee, ensuring a return to normal activities.

How Soon After a Knee Injury Should I Start Physiotherapy?

Starting physiotherapy as soon as possible after a knee injury is beneficial. Early intervention helps in managing pain and swelling, and promotes quicker recovery by initiating a personalized rehabilitation plan.

Does Physiotherapy Involve Painful Exercises?

Physiotherapy exercises are designed to be challenging but not painful. A skilled physiotherapist will tailor exercises to your comfort level, ensuring that they promote recovery without causing additional pain.

Are Home Exercises Recommended as Part of Physiotherapy?

Yes, home exercises are often recommended as part of physiotherapy to complement in-clinic sessions. They help maintain progress, improve strength, and enhance joint flexibility, contributing to overall knee health.

May 11, 2024

Golf Movement Assessment: Learn Your Swing and Play Better!

Written by Vanessa McCrae, Physiotherapist

If you are experiencing pain in your golf swing, if you can’t seem to make that swing correction that you have been working on for months, or if you are just trying to gain a few yards and be more consistent on the golf course – a Golf Movement Assessment might be right for you!

What To Expect

Our Golf Assessment includes a Titleist Performance Institute (TPI) golf-specific movement screen, an orthopaedic assessment, a golf swing video analysis and an individualized exercise program to get you swinging pain-free and efficiently.

What is Titleist Performance Institute?

TPI is the world’s leading educational organization dedicated to the study of how the human body functions in relation to the golf swing. Since its inception in 2003, TPI has studied thousands of golfers ranging from the top professional Tour players to weekend enthusiasts. An incredible amount of data on players of all shapes, sizes, ages, and fitness levels has been gathered during this time.

Using this data, TPI discovered how a properly functioning body allows a player to swing a golf club in the most efficient way possible. Additionally, TPI has analyzed how physical limitations in a player’s body can adversely affect the golf swing and potentially lead to injury.

Who Should Get a Golf Movement Assessment?

Whether you are an avid golfer or someone who is just starting out at the game, a Golf Movement Assessment is for you! An assessment can help you get on the path to adding more yards, having more consistency and playing injury-free! A golf movement assessment is also a great gift to give to anyone in your life who loves the game or seems to complain about aches or pains when playing.

Adding Distance & Improving Consistency

The three main culprits to losing power and consistency in the golf swing are hanging back, losing posture and sliding through impact. While there are many swing drills to help with these issues, more times than not it can be a physical restriction that is preventing you from correcting this problem. Without addressing this restriction, it will be impossible to make the swing change that you have been struggling with.

Injury Prevention

Estimates suggest that more than 50% of golfers develop chronic problems, the most common being low back pain. The body is designed to have certain joints for mobility and others for stability. A break in this organization can result in undue stress to certain parts of the body.

Due to the high velocity and repetitive nature of the golf swing, the low back tends to be one of the areas that encounter undue stress. Making sure that we have the prerequisite mobility and stability to perform a golf swing will help fend off injuries and allow us to golf all season injury-free!

Unlock Your Best Game Yet!

If you are looking to improve your game this season and play injury-free, then a Golf Movement Assessment is for you! Click here to book today!

November 18, 2023November 18, 2023

Unlock Your Full Potential: The Power of Clinical Pilates in Physiotherapy

clinical pilates physiotherapy calgary south

Written By Physiotherapist and Clinical Pilates Provider Janelle Juss

Pilates is becoming increasingly popular despite being around for over 100 years! The creator, Joe Pilates, was inspired to strengthen both the mind and body, drawing from yoga, martial arts, and Greek and Roman exercise principles. This Classical Pilates repertoire of exercises is still taught to this day.

What Is “Clinical Pilates” vs “Pilates”?

Pilates is typically taught in a group setting, going through general exercises. Clinical Pilates are one on one sessions, which allow each session to be tailored to specific restrictions and limitations, but also specific goals. By having the session be led by your Physiotherapist you can feel confident you are doing the exercises correctly, effectively and safely. The attention to detail and individualized approach can allow you to get more out of your sessions.

Clinical Pilates appointments are spent moving and exercising through the majority of the session, but the option for some manual therapy that you may be used to having with your Physiotherapist is also available to finish off your appointment.

During an appointment, we can utilize our Pilates equipment, the Tower, Reformer and Wunda Chair. The equipment is designed to provide resistance in some exercises, and assistance and support in others. Teaching your body to experience new exercises with novel equipment can be an engaging way to exercise and challenge yourself. With the physiotherapist’s guidance, you can work together to find where your strengths and possible weaknesses are.

Clinical Pilates can be billed as Physiotherapy through benefits or personal insurance plans.

Benefits of Clinical Pilates:

Improves Stability
Strengthens Core Muscles
Rehabilitation After Injury
Corrects Posture
Reduces Neck and Back Pain
Improves Flexibility
Tones Muscles

Common Conditions and Injuries Treated With Clinical Pilates

Low back pain: Through improving control of your range of motion of your spine and it’s range of motion. Increasing core control and support from the hips and legs are beneficial as well.
Tension Headaches: Improving neck and shoulder strength and control through exercise can build resilience in those muscles which can be helpful for decreasing the frequency of headaches. Increasing upper back mobility can also be beneficial.
Hypermobility: When you have a lot of flexibility, gaining control of your full range of motion through muscle strength is even more important. The use of the equipment can provide feedback to your muscles which can help you learn to control your flexibility.
Postpartum Recovery: General body strengthening postpartum, but often with a focus on regaining core and pelvic control.
Chronic Pain or Post Car Accident: Exposing yourself to exercise gradually, with the support and guidance of the Physiotherapist, can be a safe way to start reconnecting with your body. Learning to trust and gradually challenge it again.
Post Ankle Sprain or Fracture: Learning how to connect with your foot again and coordinate with the whole body. Focusing on increasing your range of motion, balance and strength.

Who Is Clinical Pilates Good For?

New to exercising and not sure where to start.
Seeking a low impact exercise option.
Have an area of chronic tightness or pain.
Crossing training for any sport and looking for a challenge.
Excellent for dancers, yogis, gymnasts and hypermobile people.
Prefers 1:1 attention and support when learning exercises to make sure it’s being done correctly and is appropriate for you specifically.
Age: 13 years old is typically the earliest age that we see this intervention being helpful for, however, there are some exceptions. There is no age limit!
No pain, or obvious issues and are looking for a way to continue feeling good, and maybe find areas they could focus on as preventative care.

Final Words

Clinical Pilates can take your physiotherapy experience to the next level, and help you progress your rehab, strength, and overall fitness. If you are curious about Clinical Pilates, book in for a free discovery call to learn what the best treatment option might be for you! To get started with your Clinical Pilates journey, book HERE.

November 14, 2023November 18, 2023

Hand Injuries from Climbing

chiropractic for climbing injuries calgary south

Written by Dr. Kevin Fox-Chen

Climbing may be a full body sport, but the most common injuries sustained involve the upper body. This generally includes injuries to the shoulder, elbow, wrist or hand. Whether you’ve struggled with an injury for the past few seasons or have a new one that you’ve been unable to bounce back from, a chiropractor or physiotherapist is well versed to get you back on track!

What Is The Most Common Hand Injury in Climbing?

The most common injury in climbing is a finger pulley sprain. Finger pulleys are the annular (ring shaped) ligaments that wrap around the bones in our hands and keep tendons strapped down while allowing them to glide back and forth.

Other common hand injuries include tendinopathies or tenosynovitis.

What Causes Finger Pulley Injuries?

Evidence suggests that volume, not necessarily intensity, of climbing contributes the most to pulley injuries or even climbing injuries in general. Climbing athletes find themselves going back for “one last go” while working on a project even though we likely should have packed it in many attempts earlier. Finger pulleys, like any other tissue in the body, respond to load (they are trainable!) but also require rest to adapt properly. If you’re climbing at your max, ensure your sessions are short and/or you take significant rests between attempts.

How Long Do Pulleys Take To Heal?

Like all injuries, this depends on the location and severity of the sprain. A general guideline is that an incomplete tear will take 6 weeks to heal if everything is done correctly. This includes stress reduction, good nutrition and progressive, graded functional loading of damaged tissues. For a complete rupture, it may take significantly longer.

How Can a Chiropractor or Physiotherapist Help With Your Finger Injury?

A chiropractor or physiotherapist is able to perform a comprehensive history and physical exam to determine which structures are injured, what the degree of the injury is and give you a roadmap to recovery.

A program of care will provide you with expectations for how fast you can get back to pulling on plastic or rock and optimize your recovery as well as help prevent future injury!

How Do I Prevent Finger Pulley Injuries?

Specific warming up, cooling down and load management. Are you working a 45 degree crimp fest on the kilterboard five days a week with 3 hour sessions? Talking through your training schedule with a professional may be a good idea to get a second set of eyes on just how much load (and rest!) you’re giving your body.

In Summary…

Appropriate diagnosis and treatment of hand and pulley injuries is your best bet for a rapid return to climbing and avoiding future injuries. One important takeaway from this is that if you believe that you have been following a timeline and you still haven’t felt improvement, the pulley injury may be a tendon or tendon sheath issue as these can present similarly! If you’re experiencing finger pain or hitting roadblocks to your recovery, consider booking an appointment HERE.

August 3, 2023March 22, 2024

Concussions: What Are They and How Do I Fix It?

Written by Dr. Riley Sjodin, Chiropractor

Concussions used to be thought of as a product of a high-impact sport or major accident, however, a concussion can actually be caused when there is no impact to the head at all. To learn a bit more about concussion management, read this summary below!

What Is a Concussion?

A concussion is a functional brain injury where a sudden acceleration/deceleration to the head, neck, and body results in forces being transmitted to the brain. This causes a shearing or twisting of the brain cells which ultimately leads to a concussion.

Symptoms of a Concussion

There are upwards of 20 different symptoms that can occur from concussion, but the most common symptoms are headache, pressure in the head, neck pain, trouble concentrating, fatigue, nausea, and dizziness.

Concussions are simply diagnosed by a mechanism of injury that has significant deceleration or acceleration of the body, followed by immediate symptoms or within hours of the injury. There is no such thing as grading a concussion (mild, moderate, severe) in the early phase. We always err on the side of caution so a patient does not put themselves at risk by going back into a dangerous sport/activity/environment.

The main signs of a concussion are a blank/vacant stare, delayed verbal & motor responses, confusion, inability to focus attention, disorientation, slurred speech, gross observable incoordination, inability to walk in tandem, memory deficits, or being knocked unconscious.

When Should I Seek Medical Attention?

If you suspect you have had a concussion you should monitor for deteriorating symptoms and go to emergency if you have any of the following:

Severe or worsening headache
Short-term memory loss or increasing confusion,
Multiple episodes of vomiting
Fluid coming from ears, nose, mouth, eyes
Numbness or weakness in arms
Lack of motor coordination, slurring speech

If you do not have any of these, then rest for 24-48 hours with no strenuous activity, take naps throughout the day as needed, have a proper balanced diet, and get assessed by a healthcare practitioner as soon as possible to ensure the proper recovery going forward.

The primary things to avoid if you suspect you have a concussion are:

Do not play sports or return to activity before being cleared by a healthcare practitioner.
Do not do any intense cognitive activity for 24-48 hours which may involve taking some time away from work/school.
Do not take pain medications as this can “mask” your symptoms and make it difficult to assess your concussion. Talk to your medical doctor first.
Do not drive for 24 hours just to ensure you are medically stable before getting behind the wheel.

How Long Will My Concussion Last?

In 60-70% of people, symptoms will resolve within 3-4 weeks, but for 30-40% of people, they can be longer. Fortunately, early treatment and assessment after an acute concussion greatly reduce this timeline.

The best way to ensure someone has fully recovered to their pre-injury levels is to have a baseline measure. This is very helpful in making informed and safe return-to-play decisions and is why Baseline Concussion Testing is recommended for anyone undergoing a high-risk sport (10 years of age or older). Whether you are an athlete or not, there are a multitude of tests & protocols to return someone to their daily routine safely.

Rest is no longer considered the only way to manage a concussion. Although it may be required in the initial steps, we often want patients doing low-intensity (sub-symptom threshold) activity around the house for the first few days. From there, we treat concussions in many ways and can include exercise physiotherapy, manual therapy (soft-tissue therapy, acupuncture, mobilizations), visual/vestibular therapy, diet/nutritional interventions, and education & reassurance.

Concussion Testing

If you or someone you know participates in impact sports, you may want to consider a Baseline Concussion Screen for accurate and personalized return-to-play guidelines should you sustain a concussion. If you are experiencing concussion symptoms and have not yet been assessed by a healthcare professional, we encourage you to do so as soon as possible.

July 24, 2023November 10, 2023

Therapy Intensives: How They Can Benefit YOUR Child

Written by Physiotherapist Emma Bolt

“Hey Emma, what are therapy intensives and why do some of these kids seem to live in the clinic for a few weeks?”. Thanks for asking! In this blog post, we’ll be talking about all things therapy intensive. The why, the how long, and the when.

What Are Therapy Intensives?

Therapy intensives are blocks of time where a child participates in a high-frequency therapy program – think of it like a bootcamp. I have met and worked with families from all across Canada, as well as the United States, and even as far as Croatia, who have sought out therapy intensives for their child.

As an intensive completion present, the family is provided with a comprehensive and customized home exercise program so that the gains made during the intensive can be maintained and progressed at home. Typically, the final few sessions are dedicated to the teaching and coaching of the exercise program to ensure the family is comfortable with the program prior to the intensive end date.

How Long Should a Therapy Intensive Be?

At Peak Health & Performance, we offer therapy intensives of 2 or 3 weeks in duration where the child participates in 1 to 2 hours of physiotherapy each day. I like to explain the 2 to 3-week reasoning, based on my clinical experience, to families like this:

Week 1: The first week is for the child to get to know me and for me to get to know the child. What do they like? What do they dislike? What is the primary focus of this intensive to achieve the family’s goals?
Week 2: This is when I begin to hone in on the child’s current skill set. If you were to go to a boot camp for a week, would you show the trainer your maximum effort on day one knowing full well that they’ll make things extra hard for you as a result? Probably not. A lot of kids I’ve worked with try to play a similar trick. “Let’s pretend I can’t do X, Y, or Z so this lady I’ve never met before makes things easier for me”.
Week 3: The primary focus of the intensive, and the child’s true current skill level, has been identified which means the final week is dedicated to building a comprehensive home exercise program based on the child’s full achieved potential during that intensive.

It is important to point out that even after a 2 week intensive, a comprehensive home exercise program can still be created. This is especially true when the child and the therapist providing the therapy intensive have a pre-existing relationship.

The number of hours each day is dependent on the child’s age, level of endurance, goals, and familiarity with an intensive therapy structure. If a child is younger with no previous experience of intensive therapy, or DMI therapy, it would be preferable to start with 1 hour a week. If the child is on their 6th intensive, or if the family feels confident that their child could participate in 2 hours of therapy each day, then a greater number of hours is appropriate.

A great way to help support the decision-making process of how many hours per day your child’s therapy intensive could be is to try a few DMI sessions prior to booking your intensive. This decision would be based on how your child participated during the session, as well as how they recovered following the session in regards to mood, energy, and sleep.

When Is The Ideal Time To Do An Intensive?

If your child has been close to achieving a new gross motor milestone, but hasn’t quite seemed to figure it out, a therapy intensive might be for you. If your child has just been cleared for physiotherapy after a surgery and is deconditioned, a therapy intensive might be for you. If you feel the town or city where you live does not have knowledgeable or skilled physiotherapists to work with your child and are interested in receiving DMI therapy, an intensive might be for you!

If your child’s condition is progressing requiring frequent hospitalizations, or if they have had a recent change in their baseline resulting in increased seizure activity, increased fatigue, reduced appetite, or reduced sleep quality, a therapy intensive may not be right for you at this time. If your child is participating in a research study, please discuss whether a therapy intensive would be appropriate with the research team.

Key Takeaways

A therapy intensive is like a bootcamp for gross motor milestones. An exercise program is developed and provided to the family to support maintenance and progression of the gains made during the intensive. While almost any time is a good time to have a therapy intensive, it is hard work! Any child starting an intensive should be in reasonably stable medical health to ensure their safety and to optimize the gains made during the intensive.

July 16, 2023November 10, 2023

TheraTogs: Have You Heard of Them?

Written by Physiotherapist Emma Bolt

“Hey Emma, what’s with those gold suits I see on kids during your DMI sessions?”. Thanks for asking, it’s a TheraTog! This blog post is all about the compressive garment used to act like a second set of therapist hands during DMI sessions.

What Are TheraTogs?

TheraTogs were designed by a pediatric physiotherapist named Beverly “Billi” Cusick to act as an extra pair of hands to help a child have more optimal posture and alignment while participating in activities. TheraTogs are an undergarment and are meant to be worn under the clothes in direct contact with the skin.

However, this is not ideal for a clinical setting both for sanitary reasons, but also for the practicality of dressing and redressing children during a 45 or 60-minute session, so we use them on top of the children’s clothing.

What Are The Benefits of Wearing a TheraTog?

TheraTogs are customized by a therapist based on the child’s unique musculoskeletal, postural, balance, or movement correction needs. Some of the concerns that TheraTogs may be used to address include:

Leg positioning concerns such as excessive in-toeing, out-toeing, or scissoring walking patterns.
Abnormal tone (including hypotonia and hypertonia).
Abnormal trunk postures that can be manually corrected (TheraTogs are not used to address scoliosis).

TheraTogs are compressive in nature, so they provide a high level of proprioceptive input, or joint compression input, to build a child’s awareness of their body. By providing support to the trunk, a TheraTog may increase the quality of movement or level of participation a child is able to achieve while wearing the suit.

For example, a child who has a weak core or low trunk tone may tend to lean on their arms for support while sitting, but is able to reach for and play with toys while wearing a TheraTog. When used daily, a TheraTog provides live-in postural correction so that they move, play, and interact with the world in more optimal alignment. Since the suit is fabric, as opposed to a hard plastic that doesn’t bend or flex, a child will not become dependent on the TheraTog to be able to perform daily tasks.

Are There Any Conditions That A TheraTog Should Not Be Used With?

Yes, as mentioned previously, TheraTogs are compression garments. When compression is applied to the body, the pressure in our blood vessels is increased. A TheraTog should not be used for children with tachycardia or other cardiac arrhythmias, or for children with a VP shunt. Please inform your physiotherapist if your child has either one of these conditions.

How Do I Get A TheraTog of My Own For My Child?

Prior to discussing the potential of a family purchasing a TheraTog for their child, I ensure a TheraTog is supportive and appropriate through assessment and monitoring during DMI sessions. For some children, the benefit is obvious and immediate.

For other children, the benefit is minimal when considering the financial and time commitment using a TheraTog requires. If a TheraTog is determined to be beneficial and the family would like to purchase one for home use, Peak Kids is able to support families in this process.

Once a family has received their TheraTog, I provide in depth education on how to apply the TheraTog, store it, clean it, and lots of helpful tips and tricks to increase a parent’s comfort with the TheraTog.

When I put on a TheraTog for the first time, it took me 15 minutes to put on and 5 minutes to fall off. It is a skill, but with practice and the support of a knowledgeable therapist, families are able to provide their children with live-in postural correction to support improved stability and movement skill capabilities.

Key Takeaways

A TheraTog is a compressive undergarment used to improve posture and provide stability to the trunk. It can also improve a child’s awareness of their body. TheraTogs are customized for each child and can be purchased for home use.TheraTogs should not be used as a device to correct scoliosis, or for children with tachycardia, other cardiac arrhythmias, or VP shunts.

June 9, 2023February 7, 2024

Concussions and Sport: 5 Quick Questions

Written by Scott Cyr, Physiotherapist

When it comes to concussion management, the most common question we hear is about the return to sports and when athletes can get back into the game. Although that will greatly depend on the case, we can offer some general information that might help you understand what goes into the post-concussive rehab decisions! Here are 5 quick questions and answers for you regarding concussions that I am working on Physiotherapy in Calgary South working in post-concussive care.

How Long After a Concussion Can I Return to Sport?

Timelines for concussion recovery can vary from person to person! In order to return to full sport, it is recommended you progress through a stepwise graduated return to sport protocol. Each step is to have 24 hours between to ensure no recurrence of symptoms with increased activity. If you experience symptoms at a specific stage, you must go back to the previous stage.

The return to sport protocol consists of 6 steps, therefore a minimum of 7 days is required to advance through the protocol, as long as there are no setbacks. It is advised that medical clearance is provided prior to re-engaging in any contact drills. It is not uncommon for recoveries to last between 14-21 days on average.

What Happens If You Return to Sport Too Soon After a Concussion?

Coming back too early from a concussion can lead to detrimental effects. It is highly important that an athlete be asymptomatic and progress through a graduated return to ensure they are safe to return to sport. By returning too early, an athlete puts themselves at significant risk. These risks include worsening symptoms, further injury to the brain/other body parts or even second impact syndrome – something that can have detrimental effects and is life-threatening.

Can You Play Sports After Two Concussions?

Yes! Although once someone has a concussion, it is more likely they will sustain another compared to their peers who have never had a concussion. Returning to sport after two concussions is the same protocol and step progressions after your first. You should no longer have symptoms and once you have received medical clearance, you may return to sport!

What Is The “3 Concussion Rule”?

The 3 concussion rule is an outdated “rule” that was developed in the 1940s. This arbitrary rule stated that if you were to get 3 concussions in a sporting season, you would sit out for the rest of the season.

No literature has been developed to support these claims. If you have sustained multiple concussions, especially in a single season it is important to have discussions with your medical team for further planning on recovery or potential referrals that may benefit you.

Can I Play Sports With A Concussion If It Is Only A Mild One?

NO! A concussion is a concussion and they are no longer graded or categorized (mild – severe). If you have a concussion, you should report to your medical team and complete a graduated return to sport, regardless of how minimal the symptoms are! That way, you can ensure your safe and effective return to sport.

Final Words

In any case, it is absolutely best to seek medical attention if you suspect that you or someone you know has suffered a concussion. The sooner that you can seek professional advice, the sooner you will get back to doing what you love! To book a concussion assessment today, click HERE.

For further information on concussions including signs and symptoms, return to school/sport and a breakdown of the recommended step-by-step protocol, please access the following resource:

parachute.ca/en/injury-topic/concussion/

June 9, 2023July 18, 2025

An Intro To Vestibular Physiotherapy

vestibular physiotherapy for vertigo calgary south (1)

Written by Jordan Knapman, Physiotherapist

Vestibular therapy, or vertigo treatment by a physiotherapist, is one of those topics that you likely don’t come across unless you or someone you know has been impacted by vertigo or severe dizziness. One of the most common misconceptions about vertigo is that it is something you ‘just need to live with’.

This is not the case at all! As a physiotherapist in Peak Health who is trained in vestibular rehabilitation, I can set that myth straight and say there is lots we can do to help you or your family member. Whether you are facing chronic dizziness, experience intermittent vertigo symptoms, or are unsure if what you have is even classified as dizziness, we are here to help. If you’ve been experiencing dizziness, or know of someone who has, you’ve come to the right place!

What is Vestibular Physiotherapy?

Vestibular Physiotherapy is a type of rehabilitation geared specifically for dizziness and balance. We have three senses that contribute to our balance and equilibrium, one of which is the vestibular system. This is a small organ in the inner ear that detects how fast we move our head position and in what direction.

Often, when we have a problem with this organ we can have a sensation of spinning, which is referred to as vertigo. Since information coming from the vestibular system is combined with information coming from our vision and foot sensation, a Vestibular Physiotherapist will often look at all 3 systems to determine the best course of action.

Can a Physiotherapist Use Tests to Diagnose My Dizziness?

No matter the cause of dizziness or vertigo, the tests that are needed will often bring on symptoms. Most commonly, the Dix-Hallpike Test is used to test for a common type of dizziness. In this test, the Physiotherapist will lie down a person on the treatment table quickly, while looking for a specific type of eye movement while you wear special goggles with infrared cameras.

Other tests may include balance with eyes closed on a foam pad, fast head movements, or even holding your breath! Unfortunately, these tests will often bring on similar symptoms to what you’ve been experiencing, as the Physiotherapist will need to determine what is responsible for your issue. This feeling is most often very short-lived and should dissipate quickly.

However, the most important test is your story as some problems cannot be tested for. A skilled Physiotherapist with training in Vestibular Rehab will spend time in careful discussion with you about what your symptoms feel like, how long they last, when they happen, and how they affect you. All of this allows the Physiotherapist to determine the most likely cause of your symptoms and determine the next steps to confirm their thoughts.

Does Vestibular Therapy Get Worse Before It Gets Better?

This is sometimes possible! Certainly, during treatment for one cause of vertigo, called BPPV, it is very common to feel worse both during and immediately after treatment. This subsides quite quickly, and most feel much better soon after. For other, more complicated causes of vertigo, it is possible to feel slightly worse during the first week of home exercises.

Thankfully, not everyone experiences this and we know that it does not mean things are moving in the wrong direction! Your Physiotherapist would help in making this determination and adapt your treatment plan if necessary.

How Long Does It Take For Vestibular Therapy To Work?

As with any type of rehabilitation, this largely depends on the underlying cause of your symptoms. For the aforementioned BPPV, the most common cause of vertigo symptoms, may resolve in as few as 1-3 treatments.

For most other vestibular causes rehabilitation may take an average of 6-12 weeks, depending on how long symptoms have been ongoing. Regardless of how long the dizziness has been occurring, Vestibular Physiotherapy can often make a difference (even if it takes a bit longer!).

So… Does Vestibular Therapy Actually Work?

Vestibular Rehabilitation can be very successful! For many vestibular conditions, Clinical Practice Guidelines mention that this therapy “provides a clear and substantial benefit” and has a “strong recommendation” when used appropriately.

That said, while an improvement in symptoms is expected in the majority of cases, not everyone will achieve a complete resolution of symptoms for every cause of dizziness. Your physiotherapist will help to determine a management strategy in the case of a long-term condition to deem if vestibular therapy is right for you.

Final Words

At Peak, we believe that through a thorough, in-depth assessment we can get you feeling confident with a plan to help you feel your best. Living with dizziness or balance issues should not be your normal, so let us help you feel your best again! Click here to book in for a vestibular assessment today.

References

Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg. 2017;156:S1-S47.

Hall CD, Herdman SJ, Whitney SL et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association. J Neurol Phys Ther. 2022;46:118-177.