We-Fix-U: Hip, Knee & Leg Pain

Newsletter by We-Fix-U Physiotherapy

PETERBOROUGH 1500 Lansdowne St. West Peterborough, ON K9J 2A2

PORT HOPE 125 Toronto Rd. Port Hope, ON L1A 3S6 TEL: 905-885-0024 FAX: 905-885-0084 OSHAWA 1335 Benson Street Oshawa, ON L1K 0W6 TEL: 905-433-7675 FAX: 905-433-7858

COBOURG 727 William St. Cobourg, ON K9A 3A7 TEL: 905-373-7045 FAX: 905-373-7271 BOWMANVILLE 196 King St E Bowmanville, ON L1C 1P1

TEL: 705-270-0606 FAX: 705-270-0605

NEWSLETTER Health & Wellness Newsletter July, 2018

TEL: 905-233-4374 FAX: 905-248-5188


Jean-Paul (J.P.) grew up in Northumberland County and left after high school to complete his education in Kinesiology and Physical Therapy at McGill University and D’Youville College respectively. He has represented our local communities in volleyball, soccer and hockey at OFSAA , the Ontario Cup and OMHA finals and continued with athletics in Montreal where he captained McGill to CIS Bronze and Silver finishes in 2002 and 2004. J.P. moved home 4 years ago, with his wife Adrienne, after working across North America as a travelling Physical Therapist to raise their two children, Noah (4) and Zoey (2). He has always brought knowledge, skill and passion to whatever he endeavours to accomplish and he is now taking a leadership role as Director of Physical Therapy at We-Fix-U’s Port Hope location. The past two and a half years, J.P. has been working with our strong team of Regulated Health Professionals to create a clinic environment that promotes overall wellness, health and fitness. His strength is assessing the root cause of your pain or mobility issue and communicating with you so that you know ‘why’ you are doing the homework he has prescribed. J.P. recognizes that you need to address the bigger picture including the relationship between the biological, psychological and social aspects of your life. He prefers an active approach which includes mindfulness education, listening to music (we take requests), dancing, singing and, of course, exercise. If you want to get the most out of your recovery, come check out We-Fix-U Port Hope and see what all the fun is about!


Your hip, knee and lower leg are tough—but injuries happen. Your hips and knees are your largest joints, supporting your body’s weight. They work in close coordination, giving us the mobility we need. Between arthritis, injuries and age, however, pain can flare up. If you’re experiencing hip, knee or leg pain, call us to schedule a closer look. Before you do, however, let’s examine the pain itself. (continued inside)

INSIDE: • Hip, Knee & Leg Pain • Relieve Hip Pain In Minutes • Healthy Recipe • Upcoming Free Presentations • We-Fix-U Practice News • Arthritis Solutions “GLAD Canada Program”


• Acupuncture • Concussion Program • Chiropractic Care • Dry Needling

• Foot Health (Chiropody) • Laser Therapy • Physiotherapy • Massage Therapy • Pool Therapy Program


July, 2018


Whether you have hurt your back or have been suffering for a long time, seeing a physiotherapist, chiropractor or registered Massage therapist at We-Fix-U can help you return to a more active and pain-free life. Give us a call today:

Hip, knee and leg pain are surprisingly common. Thus, their source can come from a variety of things. If you’re experiencing pain in any part of your leg, pinpointing the exact spot can help you determine the cause. We-Fix-U has pinpointed several leading causes of hip, knee and leg pain.

While many causes exist, the most likely are: • Arthritis

• Dislocation • Hip fracture • Sprains and strains • Tendinitis • Pinched nerves • Osteoporosis • Cancer

• COBOURG (905) 373-7045 • PORT HOPE (905) 885-0024 • PETERBOROUGH (705) 270-0606 • BOWMANVILLE (905) 233-4374 • OSHAWA (905) 433-7675

While some causes are more severe than others, a a WFU health care practitioner can identify each. As the body ages, joints become inflamed. Cartilage may wear down, reducing the “buffer” between bones. In some cases, limited blood flow may cause bone tissue death, or necrosis. If you’re experiencing redness, inflammation and immobilized joints, the condition may be severe.

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In many cases, physiotherapy and chiropractic care can help patients increase leg mobility. In doing so, they can stretch, flex and strengthen the muscles responsible for support. If a joint appears deformed, or if sudden swelling occurs, contact a physician immediately. A good physiotherapy and chiropractic program can assist with post- operation treatment, too. If you’ve undergone treatment for osteoporosis, dislocation or a fracture, your therapist can help you reclaim full mobility— and a healthy lifestyle. From start to finish, we’re dedicated to your ongoing wellness. On every level, physiotherapy and chiropractic serves to enhance the patient’s quality of life. We’re here to help, and we have years of experience backing every therapy option. Contact one of our providers today, and tell us about your symptoms. Sources https://www.mayoclinic.org/symptoms/hip-pain/basics/when-to-see-doctor/sym-20050684 https://www.everydayhealth.com/hip-pain/hip-pain-and-your-body.aspx https://www.health.harvard.edu/pain/knees-and-hips-a-troubleshooting-guide-to-knee- and-hip-pain

Call us today to schedule an appointment!

Service Spotlight

Spinach Dip Recipe


Complexion Medical Laser Skin Clinic Complexion Medical Laser Clinics is honoured to introduce laser skin treatments to the Bowmanville and Cobourg We-Fix-U. Focused on professional care with results you can trust. Working with Health Canada approved medical grade equipment and skin care products that will promote healthy skin regardless of age ethnicity or skin condition. Common conditions treated:

INGREDIENTS • 1 package frozen spinach (drain) • 2 - 8 oz packages cream cheese • 1 package colby jack cheese

• 1 package parmesan cheese • 2 cans of Rotel • Small onion, chopped • 1 tsp cumin or to taste • 1 tsp garlic salt or to taste

INSTRUCTIONS Combine all ingredients well and place in a 11 x 13 pan. Bake at 375 degrees for 30 - 40 minutes.

• Acne/Acne scarring • Varicose veins • Scar reduction • Hair removal

• Rosacea (skin redness) • Vascular conditions • Skin rejuvenation (wrinkles, fine lines) • Sun damaged skin


Discover more by visiting www.themedicallaserclinic.com!


We appreciate our customers! On Saturday June 16th, our Port Hope clinic located on Toronto Rd (Pineview plaza) participated in a Customer Appreciation Event with other plaza business owners. In association with the Electric Juice Factory, we provided our patrons with a sample of the Electric Juice Factory’s freshly pressed juice. We also provided clinic tours and presented stretching demos. PRIDE! On Saturday June 23rd, We-Fix-U attended the Cobourg PRIDE walk. Supporting our LGBTQ community is important to us. You can see Sandra (Massage Therapy Director) participating in style! Walk For Arthritis! On Sunday June 3rd, Michelle, Laura and Julie took part in the Peterborough Walk for Arthritis event. It was a great day. We were happy to support such a great cause and let people know that we are here to help. We were glad to offer FREE 15 minute massages, Free Physio Consults and a FREE

Epsom salt bath kit for participants. Lawn Bowling Tournament!

On Saturday June 2nd, J.P had the honor of representing We-Fix-U at the Cobourg Lawn Bowling tournament. Congrats to the winners. If you haven’t had a chance to try lawn bowling yet, check out Cobourg Lawn

Bowling Club on Facebook. #WeSupportPortHope!

When a devastating fire hit dozens of homes in Port Hope, our clinic decided that we needed to help. We hosted a Food Drive to support the families. We collected 6 BIG bags of non perishable food items. #WeSupportPortHope


Summer is finally here, bringing with it some much needed warmweather. With the golf season already underway, I am getting lots of patients coming in with low back pain after golf. It is my goal to keep everyone out on the course as often as they can! Low back pain can become nagging and chronic if the underlying issue is not dealt with. I am far from a golf pro but I do work with them on a regular basis and the BIGGEST cause of low back pain in golfers comes from a swing characteristic known as “reverse spine angle.” If in your back swing your head is closer to the target than your hips, then it is difficult for your lower body to start the downswing (figure 1). This causes a decrease in power, an increase in slicing the ball and most importantly puts excessive tension on the low back due to inhibited abdominals and gluteal muscles. This creates excessive compressive loads on the lower right (for a right handed golfer) side of the spine at impact. How do I know if this is me? Take a video or picture of your swing head on and if at any point your trunk is leading towards your target, this is a reverse spine angle. How do I fix it? Check your pelvic tilting ability as well as your thoracic spine mobility. If you can address the ball and still

stick your butt out OR tuck your butt under your hips, this shouldn’t be the issue- check your T-spine. Lying on your side with your knees bent, see if you can rotate your upside arm to the ground behind you (fig. 2). If either of these are limited or don’t feel quite right- come in for a complimentary functional screen or book a Chiropractic Assessment.

- Dr. David Blair D.C



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Benefits Of Massage Therapy

Massage Therapy regenerates the body’s innate ability to heal itself though specific soft tissue techniques to increase circulation and oxygen to themuscles. Whether your need is to have a moment of relaxation, reduce muscle tension or attain relief from chronic pain, a therapeutic massage can enhance your overall sense of emotional and physical well-being.

Regular Massage Therapy can be an important part of your Health Maintenance Plan by:

• Reducing or eliminating pain • Improving joint mobility

• Improving circulation • Reducing muscular tension

Registered Massage Therapy has been proven beneficial for:

• Anxiety and Depression • Back, Leg and Neck Pain • RSI (repetitive strain injuries) • Headaches • Muscle Tension

• Sports Injuries • Stress • Tendinitis • Strains and sprains • Pregnancy and labor support

Exercise Essentials

HIP HIKES While standing up on a step, lower one leg downward towards the floor by tilting your pelvis to the side. Then return the pelvis/leg back to a leveled position. Repeat 6 times on each side. Try this movement if you are experiencing hip pain.

KNEE EXTENSION STRETCH While sitting, tighten your top thigh muscle to press the back of your knee downward towards the ground.

Stretches Knees

Strengthens Hips



Always consult your physical therapist or physician before starting exercises you are unsure of doing.


When dealing with feet, it seems no other word conjures up gross images faster than “bunion”. In reality though, bunions are no more than a simple misalignment of one of the body’s most important joints. Yes, the side effects of having a bunion can yield some gross-looking conditions, but a bunion itself is a lot less cringe-worthy. Bunions, or what we call “Hallux Abducto-valgus (HAV)” when we want to sound smart, can be described as a rotational dislocation of the big toe joint. It’s a pretty complex process, but simply think of it as the big toe leaning towards the second toe, making the big toe joint protrude from the side of the foot. This joint is a work-horse: when working properly it handles more than 3/4 of your body weight each time you take a step, so any change in its function or position can have a significant impact on the body. Pain can result from the joint that now bends a little more awkwardly with each step, resulting in strain on the soft tissues surrounding the joint, and on the cartilage within the joint, eventually wearing down to cause arthritis. Pain can also be caused by the now-widened foot being squeezed into less-than-perfect footwear, causing the “gross stuff”: callus, corns, blisters, or in severe cases, ulceration and infections. Causes of bunions are mainly mechanical. Foot function is by far the main culprit. Any imperfections in foot mechanics, which can be due to many reasons, can eventually lead to a bunion formation; excess force applied to the side of joint over time is what gradually forms the bunion. The more significant the underlying problem is, the faster the bunion can develop. Yes, footwear does play a role in a bunion development, but typically the underlying mechanical faults are still there. Not everyone who wears pointed- or narrow-toed shoes develops a bunion.

Surgery is not the best option, and Chiropodists typically only recommend this as a last resort. This is because surgery can improve the alignment of a joint cosmetically, but doesn’t deal with the underlying cause, so the problem can return. Surgery may also compromise the mobility of the joint, leading to other potentially worse problems down the road. Treatment by a chiropodist involves symptom relief, such as dealing with corns, callus, or blisters, and then addressing the underlying mechanical problems to improve joint function and slow the progression of the condition. Evaluation of foot structure and function is vital in determining whether footwear, exercises, stretches, orthotics, referral to a physiotherapist, or any combination of these treatments is necessary. An assessment with a chiropodist at We-Fix-U can determine what treatment is best for you and your not-so-gross bunion. - Mark Smyth, Chiropodist

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