Archive for Physiotherapy
On April 28th, the College of Physiotherapists of Ontario recognized the work that I have done with my clients and fellow health professionals with the 2011 Award of Distinction.
I am very proud of receiving this honor. I would like to thank my clients and fellow health professionals for the support they have provided to me.
The College recognized my work with MelioGuide and my role promoting safe and effective exercise for people with osteoporosis.
You can read the College’s announcement here.
Can someone tackle a chronic health problem, such as back pain, and use the opportunity to improve their fitness level and reduce their weight? A client of mine here in Ottawa for both my Physiotherapy and Personal Training services successfully managed to make all those changes.
Monique spent four years working with an Orthopedic Specialist and a Chiropractor to address a chronic lower back condition. Even though she felt she was receiving excellent care, she was not making the progress she hoped for and believed that it was time to try another approach. She also wanted to use the opportunity to change other aspects of her health.
Monique came across my website while doing a Google search for a Physiotherapist with a fitness or Personal Training background in the Ottawa area.
When we first met she told me about her back problem and stated that she wanted to “remake” herself. I sensed that Monique was committed to the changes she needed to make to improve her health and well-being.
I completed her initial evaluation and we reviewed the results together. We agreed to the following:
- She was carrying too much fat and we needed to reduce her weight.
- We would address her back problem with an exercise program that incorporated strength exercises.
- She would modify her eating habits.
Monique and I agreed on the following action plan:
- Increase her protein, fruit and vegetable intake. Monique needed a more balanced food mix. She needed the right nutrients to support her goals.
- Establish small achievable goals, which included getting up and moving every half hour. Sitting and moving in ways that supported her back as well as taking Omega 3 and drinking plenty of water.
- Daily walks that gradually increased in distance and pace over time. Monique was doing very little exercise when we first met. A daily walking routine is a great start.
- Incorporate strength exercises into her routine. Like most inactive people, Monique needed to increase her strength. This was particularly important given her history of back pain.
- Since Monique lives in a small community just outside of Ottawa (with limited access to gym facilities) her exercise program should be home based. We both wanted to make sure that she had no excuse not to exercise!
How did Monique do? Did she stick with her exercise and nutrition programs and achieve her goals?
Here is Monique’s step-by-step progress plan:
- Meet Regularly with Your Fitness Professional: Monique and I met once a week for the first three weeks to get her started. Follow-up sessions were spread further apart to encourage independence.
- Commit to Change: Her commitment to personal change overcame her resistance to exercise regularly. She forced herself to complete her prescribed walking and strength exercises.
- Reenergize: Her back felt worse when she missed her morning walk and her energy lagged. She was finally getting hooked on feeling reenergized!
As you can see in her photos, Monique is well on her way to her personal transformation.
In Monique’s words:
“Well being is the natural result of putting exercise first in your daily routine.”
Monique has not had a flare up of her back pain for several months.
I am excited to announce to my fellow health care professionals the most affordable, convenient and environmentally friendly continuing education and professional development course for health professionals on safe and effective ways to prevent, treat and manage osteoporosis with your clients.
My MelioGuide Building Better Bones Level 1 course is now online. Before the availability of this online course, the only way for Physical Therapist, Physiotherapists, Physical Therapy Assistants, Occupational Therapists, Kinesiologists and other health professionals to access the Building Better Bones continuing education training program was to attend one of my two day workshops.
Over the past three years over 600 health professionals have successfully completed the Building Better Bones Level 1 workshop. Now with the full 15 hours of training online, this important osteoporosis professional development is available to health professionals around the world.
To learn more about the Building Better Bones Level 1 online course, please visit the BBB product page.
After writing the article entitled “Menopause: Your Change, Your Life”, I received some feedback from Mary Wood, an Edmonton based Physiotherapist (Physical Therapist) and owner of CURA Physical Therapies. Mary offers services related to pelvic health.
The following is a summary of Mary’s comments.
Within three years of menopause, women may begin experiencing the symptoms listed below. Pelvic floor exercises known as Kegels, can help with all the symptoms when done correctly and regularly. If you have been doing them and they have not helped or you are unsure if you are doing them correctly, you should consult your physician or a Physical Therapist who works in the area of pelvic health.
- Bladder urgency
- Recurrent urinary tract infections
- Vaginal dryness
- Painful intercourse
Bladder urgency and recurrent urinary tract infections
Good bladder habits can limit or eliminate both potential problems and include:
- Drinking adequate fluids (toilet water after voiding should be a light lemon yellow color)
- Check for and limit bladder irritants in your diet (caffeine, citrus, aspartame, spicy foods). By eliminating the possible irritant for 5 days before reintroducing it in your diet, will allow you to determine the impact that it has on you.
- Normal voiding is 5-7 times in 24 hours (1 time overnight). Usually going every 3 hours.
- Should be able to hold 2 hours but don’t wait longer than 4 hours
- ALWAYS sit on the toilet (don’t perch or hover). Let nature takes its course, don’t push or strain.
- Don’t void (pee) just in case or if it has been within an hour.
- Limit the possibility of constipation by obeying the first urge to have a bowel movement.
- Talk to your doctor if the symptoms persist.
Vaginal dryness and painful intercourse
To reduce the symptoms of vaginal dryness you could try avoiding harsh soaps, over washing, dampness (hanging out in a wet swim suit), wearing non-chafing breathable underwear, using antihistamines and smoking.
We mentioned the three important key points to help with vaginal dryness and painful intercourse but got the order wrong! Moisturization should come before lubrication. Both of which will make utilization easier!
Several non-prescriptive moisturizers include:
- KY Moisture Beads
- Vitamin E (before you go to bed at night)
These products can and are often used throughout the rest of a woman’s life.
2. Personal Lubrication (non-prescriptive)
Personal lubrication can be considered for any genital sexual activity. There are numerous products on the market which include:
Some individuals have experienced negative reactions to the warming lubricants. It is recommended that you use them cautiously.
Some of the prescription products available include:
- Estring: contains estradiol; one ring lasts 3 months
- Premarin Vaginal Cream: contains conjugated estrogens; to be used cyclically, i.e. 3 weeks on/1 week off or as directed by your physician
- Vagifem: estradiol in vaginal tablet insert form; insert daily for 2 weeks, then twice weekly or as directed by your physician
Regular sexual intercourse helps maintain pelvic health. However it may not be possible for a variety reasons affecting either partner or the lack of a partner. Some women experience vaginal shrinkage. Options include manually stretching the opening on your own, use of a vibrator or use of devices like epi-no.
Women experiencing pain or bleeding during or after sexual intercourse should talk to their doctor.
As health care professionals we should ensure that our female clients are healthy in all aspects of their lives!
Juvent 1000 Dynamic Motion Therapy (DMT) Vibration Platform
A Review by Margaret Martin
Could a new technology, selected by NASA for use on next year’s Space Station to assist astronauts to build bone in a zero gravity situation, help someone stationed here on earth? I decided to check this out for myself.
I recently had the opportunity to try the Juvent 1000 Dynamic Motion Therapy (DMT) Platform.
The device resembles a bathroom weight scale and generates vibrations through the soles of your feet. The fast and gentle vertical accelerations that the platform emits produces tiny stresses. Researchers believe that these stresses stimulate the bones to grow stronger.
A recent study has shown that a one year treatment of low-level, high frequency vertical vibrations can inhibit bone loss in the hip and spine. The study was conducted on a group of women who were three to eight years post menopause.
The company suggests that you will see results if you use the device for a minimum of twenty minutes a day.
When I took the Juvent 1000 DMT for a test drive, I was pleasantly surprised by the gentle vibration that it emitted.
It is not meant as a replacement to a drug therapy program and is probably a reasonable supplement to other bone activities. However, with a price tag of $3,000, I will need to see further studies before I make any recommendations to my clients.
At MelioGuide, we recommend that you adopt a bone friendly lifestyle that includes the right combination of exercise, nutrition and daily activities. We also suggest that before you undertake any health-related changes that you consult with your physician.
One final note on the Juvent 1000 DMT: A bone vibration study is underway in the Toronto region and the medical team is looking for volunteers. The study is taking place at the Postmenopausal Health Research Clinic at Toronto General Hospital under the guidance of Dr. Angela Cheung.
If you are interested in participating visit the link below. We have also included a link to Juvent’s web site with the product details.
MelioGuide receives no compensation or consideration from Juvent, Inc.
|Bone Vibration Study at Toronto General Hospital|
|Juvent 1000 Dynamic Motion Therapy Platform (Canada)|
|Juvent 1000 Dynamic Motion Therapy Platform (US)|