WHAT CONDITIONS ARE TREATED BY A PHYSIOTHERAPIST?
Sports Injuries (i.e. sprains and strains, fractures, sciatica)
Repetitive Stress Injuries (i.e. carpal tunnel syndrome, tennis elbow, golfer’s elbow, jumper’s knee, runner’s knee, achilles tendonitis, rotator cuff tendonitis)
Pre and Post Surgical Rehabilitation (i.e. knee and hip replacements, spinal decompression, ligament and tendon reconstruction, fracture repair)
Non-Specific Mechanical Neck and Low Back Pain
Chronic Degenerative Conditions (i.e. osteoarthritis, spinal stenosis, disc herniation, degenerative disc disease, rheumatoid arthritis, osteoporosis)
TMJ Syndrome (i.e. jaw-related pain, muscle imbalances, luxating disc, subluxed condyle)
Balance Dysfunction (i.e. age-related, sensory issues, vertigo, dizziness)
Whiplash and Other Sequelae (resulting from a motor vehicle accident)
WHAT TREATMENTS ARE USED BY A PHYSIOTHERAPIST?
An individually tailored treatment plan will be designed for each patient taking into consideration the physical restrictions discovered during the assessment, the extent and nature of the injuries, the stages of soft tissue healing (inflammatory, repair and regeneration, remodeling and maturation) and the patient’s personal goals. The safety of each individual is paramount so precautions and contraindications are ruled out prior to the implementation of any physical therapy treatment.
Typically, a program of care will have a combination of the below mentioned interventions:
- joint mobilizations and manipulations
- soft tissue release
- instrument-assisted soft tissue mobilization
- therapeutic exercises
- electrical stimulation
- functional taping
- dry needling/anatomical acupuncture
At Pomegranate healthcare, a physical therapist can determine the appropriateness of bracing a joint, depending on the nature and extent of the injuries.
Braces help to minimize acute and chronic pain by providing protection, stability and enhanced proprioception to joints. Acute injuries and chronic conditions can be managed with various orthopaedic supports to help reduce unwarranted stress on tissue that is already irritated.
The goal might be to immobilize a joint to allow natural healing to take place. An immobilizer brace is typically prescribed for a fracture or significant ligament/tendon tear.Occasionally, a joint becomes dynamically unstable due to repetitive stress or trauma so a functional brace is prescribed to mitigate the risk of further injury, especially during high intensity activities.
If you have extended health care benefits through your work employer, a brace might be covered under your policy. Often you need a medical referral in order to be eligible for coverage. Please follow-up with your insurance company to get further details.
WHAT IS THE IMPACT OF PHYSIOTHERAPY ON POPULATION HEALTH?
Eleven million Canadians over the age of 12 years old are affected by musculoskeletal (MSK) conditions annually
Physiotherapy screening and triage of patients referred for surgery reduces costs by decreasing the number of inappropriate specialist referrals; with 34% of patients not requiring surgery
- Four out of five Canadians experience at least one episode of low back pain (LBP) at some point in their life.Physiotherapy for patients with LBP is effective in reducing both acute and chronic pain while significantly limiting the risk of increased disability and chronic conditions.
Early access to physiotherapy reduces the number of days of sick leave compensation for sub-acute LBP by 43.9 days per person over a three-year period due to a faster rate of return to work within the first year
Early access to physiotherapy (within 14 days) for LBP reduces health care utilizationby reducing medication use, physician visits, use of advanced imaging, and injections
Total medical costs are $2,736.23 lower for patients receiving early physiotherapy
ABOUT YOUR THERAPIST
In 2007, Astur Sarkisyan obtained a Bachelor of Arts with Honors degree, majoring in Kinesiology and Health Science. His passion for the study of human movement and patient-centered care lead him to pursue a post graduate education in the field of physical therapy. In 2010, Astur graduated from the Queen’s University Master of Science in Physical Therapy program.
Once becoming a regulated health care professional, Astur decided to focus his practice on orthopaedic injuries and dysfunction. Clinically, his special interests include pre and post-surgical rehabilitation, sports injuries, chronic age-related degenerative conditions (i.e. osteoarthritis) and jaw (TMJ)dysfunction.
In order to expand his scope of practice, Astur completed numerous professional development courses which enhanced his skill set and knowledge base. He learned advanced manual therapy techniques through the Orthopaedic Division of the Canadian Physiotherapy Association and the Manual Therapy Certification program at St. Augustine University. Furthermore, he completed a mini-residency at The Center for Occlusal Studies in West Virginia with Dr. Mariano Rocabado, the world’s pre-eminent authority on TMJ dysfunction as it relates to the craniovertebral junction.
Astur continuously seeks out the most up-to-date literature to ensure evidence-based practice is being upheld. It is his mandate to develop individualized treatment programs, combining manual therapy, dry needling, didactic instruction and corrective exercises with the intent to fulfill each patient’s personal therapeutic goals.
During his leisure time, Astur enjoys cooking food from around the globe which is inspired by his extensive travels. He is committed to achieving lifelong wellness by exercising on a regular basis with a particular focus on weight training. He is a firm believer that movement is medicine!