Now Hiring !!

I am looking for 1 or 2 professional, compassionate physiotherapists who would like to work with me in this rewarding field of private homecare. I provide 1:1, thoughtful, holistic, patient-centered physiotherapy treatments. Typically 1 hr sessions. New grads, seasoned therapists or semi-retired therapists are welcomed to apply. Training begins ASAP, can start work as early as January. Great pay, contract position. Can be a part time position if you have days off from another employer.

Also open to OTs, RMTs, PSWs and Nurses who may be interested in occasional work.

Please send resumes to:

Celia@wanderinghealer.com

Or find me on Facebook:

The Wandering Healer Physiotherapy Services

Thank you,

Celia Rojas, PT

Prepare for your upcoming surgery Now!

post-operative

Are you counting down the days until your total knee replacement, your total hip replacement or perhaps your shoulder? Well there are many ways to improve your odds of having a successful and quick recovery after surgery. One such way is to contact a physiotherapist to prepare your body, your mind, your home and even your caregivers for optimum recovery at home.

Why Would Seeing A Physiotherapist Before Your Surgery Be Helpful? 

To improve your strength, your function, prime your lymphatic system, practice walking with crutches or walker, practice stairs, set up equipment at home, home safety evaluation and calm any anxieties or concerns regarding your upcoming surgery.

How Does Lymphatic Drainage Help With Acute Swelling Such As After Surgery?

Surgery is an invasive procedure that will cause our bodies to react with pain, muscle inhibition, and swelling. This swelling, or edema, is needed to an extent to bring in circulation for healing but in most cases the swelling can be significant and cause further pain, prolonged pain or joint stiffness and limit the amount of new blood entering into the area and limit healing. Priming your lymphatic system with lymphatic massage prior to surgery as well as after surgery will help move that excess fluid in the right direction and aid in your recovery.

Why Would Seeing ME Help You Before And/Or After Your Surgery?

Because I also work on the orthopaedic ward of a hospital and I know first hand what you will go through in those first days after surgery. I have a good understanding of a variety of post-surgical rehabilitation protocols, what to do and what not to do after your surgery. I understand that it may be difficult to get to a clinic so soon after surgery. Or perhaps you prefer to have a full hour of hands-on, one-to-one physiotherapy in the comfort of your own home; something that may not or cannot be offered by CCAC/ LHIN.  I can be that attentive private physiotherapist that you are looking for.

What Does Post-Surgical Physiotherapy Involve ?

I would begin with a thorough assessment of strength, functional abilities, range of motion, walking ability, home environment and any other issues unique to you.

Then I would address these issues on an agreed upon priority list beginning with:

  • decreasing post-surgical pain and edema (including lymphatic massage)
  • improving range of motion as indicated by surgery or surgeon
  • improve walking and ability to get out of bed, chairs, shower
  • improve strength (including use of electro-acupuncture if desired)
  • increase endurance and safety
  • progress to new gait aids such as crutches or cane or nothing
  • improve balance and stability
  • return to a more normal or better you !

 

Make an appointment today !

Suction Cup to the ITBand ??

A couple of months ago I attended an APTEI symposium discussing theories explaining what may really be happening during soft tissue “release”. Each presenter also did a demo of a manual therapy technique that they use with great success.  For one of the demos, presented by the wonderfully energetic Bahram Jam (PT), we received a Tissue Distraction Release (TDR) silicone cup.

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Now although Bahram independently discovered that the use of a suction cup on tight or compressed tissue greatly alleviated pain (he originally used a modified toilet plunger! a clean one of course), Cupping therapy has been around for thousands of years.

Bahram’s search for an alternate way to treat tight TFL-ITB was what lead him to the use of negative-pressure suction cups. As many know, whether it be first-hand or through your patients, the solution to relieve a tight ITB is  stretching with foam rollers (ouch!), massage or difficult to achieve stretches. But these exercises stretch and compress the the tight tissues further into the body. So what if there was a way to LIFT the layers of tissue and stretch the fibres away from the body – well, yeah…there is a way! Cupping Therapy!

Before the enthusiasm from the symposium wore off, I found someone to test out this new tool. As it turns out, a tool of torture, well kinda.

My patient has long-standing issues with her hips including bilateral tight TFLs and guitar-string IT bands. No, not a runner, just funky posture and poor flexibility in legs overall.

Her left hip is typically the most problematic (pain, decreased range of motion, weaker) but on this day, the patient reported 6/10 pain upon palpation of the R hip/lateral thigh and 4/10 pain on the left.

I discussed with the patient how cupping therapy works and how this modified technique which involves movement (dynamic cupping) with ROM,  is less likely to cause bruising, but still a possibility. She was more than happy to trade in her pain for possible red spots.

So on the more painful right side, I used the tissue distraction cup, and on the left leg she did her usual foam rolling.

I applied lotion, made gliding movements throughout the lateral thigh and also had the patient move her hip and knee joint in certain directions during the cupping therapy. And yes, it was very painful, “but way worth the benefits” she says. Her painful R hip went from a 6/10 down to an unbelievable 0/10 !  And the more problematic L hip went from a 4/10 down to 2/10 with the foam rollers.  In spite of the pain, she insisted on having the treatment performed to her left leg, bringing the pain down to a 1/10.

Overall great results with this silicone suction cup! I was really impressed and my patient was delighted. The pain stayed away longer than any previous treatments done before and with subsequent treatments we have calmed the heck out of this problem so its almost a non-issue.

I also figured out what I was doing wrong that caused so much pain the first time. I changed lotions to a more oily one (i’m going to just try oil next time), and was more generous with the application. The treatments continue to be uncomfortable but not so painful.

So whether you believe that it releases evil spirits (the original theory), or over acupuncture points it stimulates the flow of chi or simply mechanically it increases circulation and distracts layers of fibres below the skin (removes the fuzz)…all I can say is that so far the results have been positive. Another great tool for my toolbox.

Suction to the ITBand? Yes! Suction away!

 
If you or someone you know is interested in trying out cupping therapy please request an appointment. Cupping therapy would be best for tight tendons and muscles, shin splints, carps tunnel syndrome, Dupuytren’s contracture, plantar fasciitis, scar management, etc.