Simon Kelly Hamstring Tendinopathy

Mark: Hi, it's Mark from Top Local. I'm here with Simon Kelly, Insync Physio in Vancouver. Vancouver's top physiotherapists, multiple times voted by their customers, best physiotherapists in Vancouver. And we're going to talk about hamstring strains. How are you doing today, Simon? 

Simon: How you doing Mark, thanks a million for dialling in. I'm great to talk to you here today. I'm looking forward to chatting to you about hamstring tendinopathy, in particular actually. So,  yeah, we'll get cracking right away, I suppose. 

I had a client who came in a number of weeks ago, she's an avid runner. She's actually run numerous marathons and she was increasing her running up to maybe sometimes even more than that, 35, 40 kilometres. And she was getting really, really bad and pain in her glute, in her bum muscles. So that's generally how she started presented in the clinic. There was no huge swelling or anything like that. At first it was kind of global. It wasn't like she wasn't able to specifically point to a region in her glute muscles.

So again, it was gradual in onset. So you're kind of pretty sure it wasn't like an acute rupture or hamstring tear or strain or anything like that. She couldn't remember a specific event. Again, that crosses off a lot of that diagnosis like I spoke about before. And it just gradually began to get worse and worse where she wasn't able to run it all.

But in particular initially, it was at 35 kilometres and then she couldn't even run 5 to 10 kilometres. So that's kind of when she came into the clinic, so I saw her then. 

Mark: So that's the diagnosis part of it? What was the treatment plan that you put her on and how did it go?

Simon: So I had a treatment plan Mark because initially it was more global. I actually treated her piriformis muscle, which is a tight muscle in the back of her glute. We've all heard about well most of us have heard about that muscle. The sciatica gets compressed down through there so initially, because it was global and she wasn't pointing at a specific spot. I thought it was piriformis syndrome. 

So we settled that muscle first, we desensitize her whole system, but then after two or three sessions, we realized that she was coming in and then she was much more specific. What I mean by specific issue is pointing at her sit bone. So we sit on two bones called ischial tuberosity, is the fancy term we use. That's where all your hamstring muscles attached to. And placing that with her subjective of lots and lots of running, basically lots of hip extension and knee bending. That's what your hamstring does, over many, many kilo meters that the tendon was just breaking down and it wasn't able to keep up with the load that she was pressing on it.

So initial the treatment like you said, is basically what we call an isometric contractions. And isometric contraction is where you contract the muscle without actually moving through to range. You have to load the tendon. But you have to load it in a very specific and sort of measured way.

So new research has told us now that we actually should be loading it pretty heavy. She was in what we call a reactive stage of tendinopathy. So she'd be doing 70% of her own sort of body weight. An isometric max voluntary contraction we call it. What that does is it sort of breaks down the collagen crosslinks, it gets the tendon back to health. 

And then we can do more of what we call isontonic. What do you see people doing in the gym. Lunges, squats lots of heavy weight through weight bearing. One key thing with hamstring tendinopathy is it's good to load it, but not in a compressed position. What I mean is compressed position is where you're leaning over, like bent over like a straight or stiff leg dead lift. That will be put in a lot of compression and tensile force on the issue of tuberosity. So you want to avoid that kind of stuff initially.

But eventually you want to be gone down into that position. So you'd be in a semi bent over position. Then lower and then lower until the tendon is able to withstand it.

And then you do a lot of energy storage and release. Which is like jumping, running eventually. So that was kind of the initial program. We got her isometrics first, then isotonics and then energy storage and then energy storage and release. And we just gradually increased her running back up from 5 to 10 kilometres, right back off to 25, 30 kilometres.

I've seen seeing her at present. So she still has a touch of tendinopathy, but it's much, much better. And we are loading the tendon into compression now so she's almost doing her straight leg deadlifts back to normal. Which is great.

Mark: So there you go. If you've got some problems with hamstring, tendinopathy, it's sore in your hams from running or any kind of exercise where your hamstrings are going to be bothering you. The guy to see is Simon Kelly at Insync Physio, he's in the Cambie Street office. You can reach them at (604) 566-9716, to book an appointment. Or check out the website insyncphysio.com. You can book online on there. And of course,  Insync also has for the folks in Burnaby, they have a North Burnaby office at (604) 298-4878. Again, you can book online at insyncphysio.com. Thanks Simon. 

Simon: Cheers Mark. Thanks very much.

Tim Begley Testimonial

I highly recommend Insync Physiotherapy. I went in as a patient because of low back pain and that was taking me away from doing my job. Kaitlyn took a really good assessment and it turns out it was actually coming from my hip. I really appreciated how much time she spent doing the assessment and figuring out what was actually going on.

She needled it, which was very uncomfortable for me, but it really was effective, and then gave me some stretches and exercises for management. I've had a few times where the issue has popped back up, and then going back to those stretches seems to resolve the issue. Super good experience.

I really like how they spend time to really understand what's actually going on, great treatment options, as well as, providing stretches and exercise for self-management so that I don't need to go back in. I highly recommend them.

Adam Mann Rotator Cuff Tear

Mark: Hi, it's Mark from Top Local. I'm here with Adam Mann of Insync Physio in Vancouver. They are multiple award winning Best Physiotherapists in Vancouver. If you want to get better, these are the guys to see, and we're going to talk about a rotator cuff tear. How are you doing Adam? 

Adam: Doing well. Good to see a Mark.

Mark: So what was going on with this client, we're going to tell a little bit of a history of a client. They came in with a rotator cuff. What did you see? 

Adam: Yeah, so this guy was a middle-age plumber. And so he used his right arm a whole bunch just to tighten valves and all sorts of stuff in sort of really tight spots.

So he's always kind of reaching under and kind of doing some end range motions, a lot of twisting motions. So he had pretty debilitating shoulder pain and it was going on for almost three to four months. And it was on the front part of his arm right here. And he felt like his arm was painful. It was weak and it had limited range of motion. And it's this guy's livelihood. So he definitely needed his arm to be rock solid. 

So eventually we assessed him and we decided that he had a rotator cuff tear. 

Mark: So how did that present? Like what other issues was he having other than just the pain that of maybe trying to do, you know, look after plum juice, but what else was happening with in his life?

Adam: So, you know, he had a lot of pain when he was sleeping. That was a big part of it. So when he's sleeping on that side, or even on the other side, and his arm was in a non ideal position, you would just feel that kind of achy pain. He also would feel a pinch as soon as he kind of was reaching overhead past 90 degrees and almost any motion. And sometimes the pain would actually radiate a little bit to the back. 

Mark: So how do you assess and treat this condition? 

Adam: So shoulders are really interesting to treat. So typically when we do a shoulder assessment, we go in and we look at the neck range of motion. And we look at the shoulder range of motion, and then we also look at the shoulder blade. And so here's a shoulder blade here that I have, and there's 17 muscles that attach to the shoulder plate. And some of them go all the way up to the neck wrap around to the front of the arm and the rotator cuff in particular, its job is to stabilize this ball and socket joint. So as he's moving his arm through different ranges of motion, it sort of adds a bit of compression onto the joint so that he can move above 90 and do something, those extreme motions.

But the way that we look at it is we will take a look at the neck. We'll make sure that we'll look at the posture. That's actually a really big part of it because a lot of times the tendon that was compressed, if the shoulder is in a forward posture position, this tendon here is the one that he damaged, it's called the superspinatus.

So in certain positions, it can get compressed when you're in a bad posture position. So we could confirm some of that with do some strength testing and orthopedic testing, and basically a cluster of different tests that show that it was a rotator cuff tear. And so that's how we kind of assess it.

Mark: And so then how do you move into treatment of that, given that it's a tendon and it's within a joint that he's going to be using a lot. 

Adam: In terms of treatment again, because there's so many different factors in the shoulder. I always like to start with posture.

So we really try to get that shoulder blade into a better position. And we do that by treating a bit of the neck where we open up the neck. We make sure that the back muscles bring the shoulder blade into an ideal position are working. And then we add in a gradual strengthening program of the shoulder and we start in pain-free ranges.

So we might start below 90 at first, and then we'll slowly creep up to higher motions or end range motions. Once we have more real estate that's pain-free inside of that joint for the person to move. 

Mark: So that sounds like a very holistic kind of body approach. What can you tell me more about that? How does that work? 

Adam: Yeah, so in general, the way I treat and the way I look at a person is force goes to the area of least resistance. And so if it's going into this muscle here, it's probably due to a dysfunction of where that shoulder is sitting. And so if we can get that shoulder into a better position, we're gonna have lasting outcomes.

And the problem with rotator cuff tears is that 50% shoulder pain tends to come back. So when we are treating this, I kind of set realistic expectations with the client where we can get you pain-free and we can probably get you full range of motion back, but you do need you to keep up with some of the exercises that we give you. Not all of the exercises, but some of them, you know, once a week, like you can miss a couple of days here and there for sure, but I wouldn't miss a couple of weeks.

Mark: And so that kind of falls onto the next question. Would this just go away all by itself?

Adam: A lot of research shows that this doesn't necessarily go away. It does come back a fair bit. And in general, working on posture is quite healthy. We want to get people moving well for long periods of time.

And so, it would probably ebb and flow, but the shoulder would still be weak. We actually do need to strengthen the muscle and the tendon that was compressed, in order to get full function back. And there was a bit of research that shows if you don't rehab it and get it stronger, it will actually lead to arthritis inside of the joint and stuff like that later on. And some other outcomes that we don't want.

Mark: So there you go, if you've got pain in your shoulders and you want it fixed and you want it to not come back and continually make your sleeping really difficult. I've been through this. This is not fun at all. And I was treated at Insync and it made a heck of a difference and it will work for you. You can reach them. Insyncphysio.com to book online.

You can talk to Adam in Vancouver office at (604) 566-9716 to book and get him to look after your shoulders for good. So that you can live out the rest of your days with healthy, loose shoulders. Thanks Adam. 

Adam: Awesome, Mark. Glad to hear that your shoulder's moving better. Good chatting with you.

Adam Mann Tennis Elbow

Mark: Hi, it's Mark from Top Local. I'm here today with Insync Physio, Adam Mann. Insync has won many times Best Physiotherapist in Vancouver. And we're going to talk about tennis elbow. How are you doing today Adam?

Adam: Great Mark. Good to see ya. 

Mark: So we're going to go through a client's injury history. What was going on with this client's problems. 

Adam: Yeah. So this client was basically a middle aged woman who had an office job and about a month ago started attending a group exercise class where they were just going through different weights and different circuits. And basically about a week before I assessed her, she was doing a motion called a cling and press where she kind of, are lifting up a bar weight, flipping your wrist, and then just extending your arms up. And it wasn't a whole bunch of weight, but she just felt a really sharp snapping pain in her forearm. And basically the first couple of days, it was pretty sore. And so she, iced it, she kind of rested it for a little bit, but yeah, it just wasn't getting better. And at nighttime, it kind of created this dull ache, which was from burning and nagging. And basically when she was holding out her arm in certain directions, and she was carrying anything, even a cup of coffee, she felt like a weakness and she wasn't able to actually lift that cup of coffee.

And so at that point, when she couldn't have her coffee, that's when we assessed her. 

Mark: How do you go about doing an assessment on a client when they come in with issues like this? 

Adam: So first off we do a history where we just really figure out what's going on, what the mechanism of injury was. So we kind of find out the movement that caused the injury.

And then we basically take a look at some objective measurements. So we'll look at somebody's grip strength. We'll make sure we'll look at their range of motion. After we finished talking to them, we had a general idea of, and what the tennis elbow was. That it was tennis. So, but we also take a look at the neck and we look at it, the shoulder and we sort of make sure that we're not missing anything else.

 So I did ask in particular about neck pain, because there's a bit of research that shows that compression at the level of the neck can make some of these forearm muscles more sensitive to injury. So we do what's called an upper body scan where we just kind of look at the range of motion and strength of the neck, of the shoulder, of the forearm.

We look at the joints in the forearm to make sure that there's no other fractures or anything like that. And then we come up with the diagnosis. 

Mark: So somewhere in there, I think you mentioned nerve tension. What do you mean by nerve tension? 

Adam: So, yeah. Good question. Nerves, exit the spine and travel through a bundle of bundles called the brachial plexus, and basically any nerves higher up at the level of the spine, at the of the neck, the shoulder or the forearm that may be compressed, can cause basically a bit of sensitivity, lower down, sort of like a hose that has a bit of compression. At the level of the neck would make sure that the flow of the nerve which does muscle strength, does reflexes, does sensitivity can actually just not function properly and that can lead to more people to have more prone injuries in that area.

Mark: So what was the course of treatment? 

Adam: So at first with any injury, we talk about education. We talked a little bit about rest, certain motions that would have caused more pain. We talked a little bit about her workplace. So in particular, making sure the keyboard was the right height. 

We did a bit of soft tissue work. So we did some mobilization, active mobilization where she was moving the wrist. And we were doing some basically soft tissue work on the forearm. And of course we did some exercises. Now, the first exercise that I gave her was to work on some of that neck tension and that nerve compression. So we gave her, what's called a nerve glide where she's moving the neck, she's moving the forum, she's moving all of these tissues together to try to release any compression.

Mark: And so what was the course of treatment? And how did it all work out for the client? 

Adam: Absolutely. So of course with anything, we start with a graded, it's a tendonitis injury. So with anything, what we do is a graded exercise program. So we start with adding a load, but making sure that that tendon doesn't get too angry. We add sort of an isometric compression on the tendon where we're just going to hold the tendon in a certain position with a bit of a load. And then we sort of increase that load with move motions that are, where we take the tendon to a little bit more of a compressed position, and then we add movement and we add rotational motions.

And basically we start to address some of the motions and range of motion restrictions in the neck at the same time. But yeah, at that point we got her grip strength back up to snuff, and we got her back into the gym, made sure that the pain was under control. And after about a month and a half, she was completely discharged and back to doing everything she liked doing.

Mark: So there you go. If you have some tennis elbow issues and you want people who dig deep into exactly what the cause is, not just where the pain's happening, but where it might be coming from upstream, so that you get relief fast. You want to go see Insync Physio, Adam Mann. You can book online at insyncphysio.com in Vancouver at 604-566-9716. You can call and book. Or you can book online. Thanks Adam. 

Adam: Have a good one, Mark.

Allison J Bran-Testimonial

I think what was paramount is that Insync and my therapist didn't just look at my physical injury. They listened to my story, about my goal to run this half marathon and how it was connected to my journey as a mother and my journey back to a sense of my own identity. And they, I want to say just made that goal as important as the goals that they're, you know, real athletes have when they're pursuing some sort of championship or gold medal.

I had a really bad knee injury and it started off as something quite minor. I couldn't sit at my desk, but it quickly progressed to the point where I couldn't walk downstairs without my knee giving out. I had to brace myself either side of the stairwell to walk downstairs. I had an awkward stride. I couldn't take a full step. The pain was awful. I visited Insync Physiotherapy and I was matched with a therapist who was tall like me. Female and who was a runner. And so right away, I really felt like there was a sense of understanding between us. 

I had one treatment and my stride was normal. I walked into the clinic, you know, unable to take a full step. And I walked out being able to take a full stride down the hallway. And then I had another treatment and they integrated IMS into that treatment. And one IMS treatment, and I can walk downstairs without bracing myself.

 Really hard to explain what a miracle that really was. I mean, I had tried other treatments and I tried everything I knew how to do from my athletic background and all of the tricks that I had up my sleeve for training through injury and rehabilitation exercises. And, you know, I tried everything I knew how to do, and it wasn't working. This injury was different, you know, I'm not a young athlete anymore. I was actually 18 months postpartum. And this goal to run my first half marathon was one that I had set to get back into shape. 

And then when my knee injury caused me to be unable to train, I realized that being able to train for this half marathon and be physical again, was really something I was doing to get back to myself. To regain a sense of my identity before becoming a mom. There was a gentleness with how the mental challenges were addressed. I remember my therapist, you know, encouraging my drive and encouraging that old athlete that still lived inside of me, but also somehow finding a way to convince me to be more gentle and to encourage me that I will get back into the shape that I was. And that I will get back more importantly to that sense of identity that I have as somebody who's strong and athletic and able, you know, physically. 

Not only did the physical injury get so much better immediately and allow me to walk and pick up my child and go up and down stairs with laundry and start the rehabilitation journey. The care and the attention to the whole me, I think, is what encouraged and allowed me to complete my therapy. To complete the rehab exercises. To go the distance and to really heal and become strong again.

Why Insync Physio Does Things The Way They Do

Mark: Hi, it's Mark from Top Local. I'm here's Wil Seto, Insync Physio in Vancouver. One of the highest rated physiotherapy offices, most popular in Vancouver and North Burnaby. And we're going to talk a little bit about some of the deeper reasons why Insync Physio does things the way they do. How you doing Wil? 

Wil: Yeah, I'm doing great, Mark. Thanks for the introduction. So I really believe, I strongly believe in our commitment to excellence. And the way that we do that is by having myself and our physio team commit to having their skills and their training and expertise at their top game.

And so we have training in sports physiotherapy and advanced manual therapy, which are two specialty areas that are basically very vigorous training programs, where at the end of it you get all this expertise in terms of assessment and treatments and skills that are internationally recognized.

So we have therapists that are always looking to better themselves. And we're very evidence based practice. We use the most latest research evidence to really look at the underlying cause and the root cause of your injuries and aches and pains. So, that's the first thing. 

The second thing is really our care and commitment to caring and helping people. And I mentioned this before, in previous segment about how we really just want to, you know, provide people with that ultimate experience of being able to find, you know, their best way of moving and being able, overcome their injuries and their aches and pains. And that's super important for us because that's the most gratifying thing for us. And we love to be able to do that. That's what drives us to be better.

And the third thing is really, and I mentioned this before, about one of our core things is their commitment to building a better and a stronger community. And that's do not just the people that we help in the clinics, but even ourselves within the clinics amongst ourselves, where we always try to make each other better. We always share our information when we are helping each other. It's like, as one person goes up the ladder, we're all pulling each other up. And so this is really cool dynamic that we have as a team. And as a result, we're able to then have that transfer over to our clients in the clinic. But then also within the community that  we work with other allied health care professionals. Like doctors, even some of the sports med doctors we work with and people like kinesiologists and trainers, and healthcare people that are involved in the overall picture. 

So the biggest thing then is you know, why Insync Physio and you know, what does it mean to come into our clinics?

So what, you know, I think ultimately it's like, what do you want to become in sync with? So when you have an injury and when you have aches and pains, you know, we're helping you to not just overcome your aches and pains and your injuries, on the physical level. So it's like, what do you want to become in sync with?

So looking at that physical aspect, but looking at how you think about that process. Looking about how you want overcome that injury and looking about how you feel about it. How do you feel about yourself in the process and how we can get you from that A-B process as well? Because ultimately, you know, we will listen. We will definitely listen to what you want. Like with so many different variety of people from like, you know, the super, highly competitive athletic population where, you know, we've had athletes that I've worked at the Olympic Games. To World Championships and National Provincial Championships. To the weekend warrior where we know what you want and we will listen to you, but ultimately we will help you with what you really need.

And so going back to that question is what do you want to become in sync with? And that's a really important question that we try and bring back to ourselves all the time is how can we help you, but ultimately, how do you want to be involved in that process? 

So I hope with everything that I've said about that today that really inspires you to just think about, you know, whatever injuries and aches and pains that you're having and goals that you have for movement and physical activity and other sports. Or even just staying fit and active that you ask yourself, what kind of involvement in your own process in this that you want to be a part of. Because ultimately, when you look at the healing cycle, it's us helping you and also you helping yourself by looking at how you want to be involved in this process as well.

Because as much as we can provide a lot of the technical things and all the hands on things to really give you tools, that's what we have. Like, I feel like we have these tools that we can provide for you. To help guide you along that path for healing. And the healing isn't just the physical. I mean, yes, you're going to experience, you know, like a progression of whatever injury that you're experiencing, whether it's like whiplash, a spinal injury or, you know, rotator cuff impingement related injuries or whatever it is. Ultimately it's going back to looking at how you can also be an important part, an integral healing process to your recovery. 

So thanks for listening.

Mark: Insync Physio, you can reach them at insyncphysio.com. Check out their ratings. They have many, five star ratings. They're all five stars. Vancouver, (604) 566-9716 or in Burnaby 604-298-4878. Call to book, or you can book online at the website. Thanks Wil. 

Wil: Thanks Mark.

Hand Muscle Stretch – Injury Prevention for The Hand

This stretch is great to do after doing some self massage on your hand when your hand feels tight or crampy. The deep inner hand muscles can get quite tight when doing high repetitions and especially with high loads with your hands and fingers. In the clinic we see many rock climbers that come in with various finger and hand injuries that also have elbow injuries related to this.

Start by making a closed crimp grip with the joints of your fingers, but avoid closing your hand so you don’t make a fist. Then place the meaty part above the heel of your opposite hand under the finger tips of your hand to be stretched, wrap your fingers over the knuckles of the hand and flex that wrist to extend what’s called the proximal Metacarpal joints.

This will give you a deep stretch into the hand. Hold this for 30 - 60 seconds doing 3 sets on each side.

If you’re unsure about the technique or have uncertainty about what you’re doing, consult your local Physiotherapist before continuing. 

Wil Seto

Mark: Hi, it's Mark from Top Local. I'm here with Wil Seto of Insync Physio in Vancouver and Burnaby. They have two award-winning offices to serve you in the lower mainland and they provide sterling physiotherapy services and massage therapy services. How are you doing today Wil? 

Wil: I’m doing great. Thanks for that shout out. That's great. 

Mark: So we're going to talk a little bit about your background. What got you into becoming a physiotherapist and opening clinics? 

Wil: Yeah, absolutely. Well, first of all you know, I guess you could go back to my background, like growing up, I always loved sports and just like staying fit and active. 

I used to compete in freestyle wrestling. And I did that for several years. I also played competitive volleyball. And that was in my high school years, and then moving into university, I went right into doing personal training stuff. And I was really excited working with people and helping with their health and fitness goals while I was actually completing my studies in kinesiology. And so during that time at university, I also discovered Ultimate Frisbee. So I'm always like, you know, doing something active and, and then I ended up playing competitive ultimate for a few years until I myself got it very badly injured. 

So I guess you could say, that was really one of the biggest things that led me into the path of going into kinesiology, which is the study of human movement. And then really getting into a physiotherapy, because physiotherapy studies is sort of the next level for me. And if you actually have to go back into like a little bit of like my background, you know, I've been practicing and working as a physio now since 2001.

And like I was saying previous to that, I did my degree in kinesiology and I worked as a kinesiologist. And as a trainer as well. But then like I said, you know, going into physiotherapy was just a whole new level of being able to help people. And I think that's where it ultimately is you know, in terms of why I really liked getting into this profession and healthcare because it was the way that I was able to help people.

So that was all in Ontario. I did all my studies there and when I completed my physiotherapy training at McMaster University, so that's back in 2001, I decided to move out here to Vancouver because it's just such an awesome place here in the West Coast. I took up rock climbing as well, and I played more, kind of recreational Ultimate Frisbee. And just love sports, love watching sports as well, big fan of hockey. And I also run as well. And those are my big sort of main go to things in terms of fitness for me.

So I guess you could say that when I actually became a registered physiotherapist and I started working in 2001, I realized that my learning and training in my career was it just beginning. And so I started my mentorship training. Mainly in two specialized areas, primarily in Orthopedics and pursued my diploma in Advanced Manual Therapy and then primarily in sports physiotherapy.

And so the main reasons behind that was because I really liked the aspects of what the manual therapy stuff offered. And it was a pretty intense, vigorous program of in class courses and self directed studies. And so they had these in class examinations that tested our abilities in clinical reasoning, hands-on manual therapy assessment and treatment skills. And then there were these like intense national exams that were written in the hands on practical exams that we had to fly to different places to go and write. And then you undergo these examinations to then complete your final training, which basically gives you the designation of becoming what's called a fellow of the Canadian Academy of Manipulative Therapist or FCAMPT for short. 

And so this is where I really honed my clinical reasoning skills. And more importantly, my hands on manual therapy skills and assessment skills. Ranging from stuff like, you know, soft tissue treatment techniques to joint and manipulative adjustments. So that's like the advanced manual stuff.

And then I really felt that I'm doing something related to sports was important for me too, just because my background in athletics and doing things that was very athletic based. So at the same time, I ended up doing my training in sports physiotherapy, and it was also a very vigorous and intense training process while I was going through the manual therapy stuff. And here basically I worked with like numerous athletes, sports teams and obviously keeping up with working with people in the clinic as well at the same time. 

And so I ranged from working with people who were doing amateur sports and things like that, more on a local level in Vancouver. To more competitive stuff like some of the provincial teams, like the Team BC Rugby and then like some other hockey teams, like at UBC to working,  like more competitively at like the Olympic Games. And then with a lot of Ultimate Frisbee player athletes, where I ended up working with like Team Australia primarily and I did a bit of work with Team Canada. 

But primarily you know, I really believed in sort of that active lifestyle, obviously, and then looking at how to rehab your injuries. And combining I think that the manual hands-on therapy approach with that sports physiotherapy approach was something that I really felt was a really good path for me. And ultimately with my training completed in 2009, where I ended up getting a lot of that expertise and training under my belt, which really helped me solidify a lot of things that I believe than how I could help people.

And which led me to ultimately, I guess you could say create my core value system for opening up the clinics. And I first opened up Insync Physiotherapy at the Cambie location in Vancouver in 2011. And then four and a half years later in 2015 I ended up opening up my second location in North Burnaby. And really what it comes down to is the question of why did I end up doing that?

So, you know, I think exploring that, it was a really good process for me. And I think that having a deeper dive into I'm looking at the fact that I was really committed to wanting to better myself all the time. And I still do, even after doing so many, like hours, thousands of hours of continuous studies, all this training that I've done, you know, I'm still doing more to better myself.

And so this commitment to excellence that I really believe in and that commitment to excellence,  you know, is obviously reflected and in these courses and these things that I've done. And with the team that I've created, the physios that I have working with with me, alongside with me, I believe they also have the same values that I have as well, in terms of a commitment to excellence. And these courses and these designations that we've accumulated and you know, they're all not just nationally recognized, they're also internationally recognized, which is really cool as well. So that's been a big driving factor, is to always learn. So it's a lifelong learning thing for me and for our whole team. 

I guess the second thing goes along with our value system of our commitment to caring for people. And I think I mentioned it earlier, but how I just love helping people and working with people in this way. And it's actually kind of funny because before I actually went into studying kinesiology, you know, one of the things I also really liked to do, was that I actually was considering looking at becoming a firefighter.

And the reason why was because I just wanted to help people and it was very physical and I thought it was really cool. But then I realized that getting into kinesiology was definitely more specific in terms of what I really loved and was passionate about. Because it was about learning about the body and something that you know, it's just amazing for me to understand. 

And to be able to help other people to care for and understand their bodies and how they work. It is something that I think really, it drives me and our team to really be better. Right. Because I think that when we're able to get someone, it doesn't even have to be like, back to a sporting event. It could just, so they can actually even just, you know, put on their socks again for the first time with a pain or getting out of the house and walking down the block. 

But you know, we've taken it to the next level where we worked with athletes at many different levels and people who want to excel. And I think that that level of caring and commitment to caring for people is really what is a driving factor for us. So that's really important.

And I think the third thing is our commitment to really, I guess you could say it's a community thing. Our commitment to be integrated in community and to build a better, more caring community. And the ways that I've done that is I felt like with our team, that we've really gone out and reached out to different associations and partnered up with, like for example, Vancouver Ultimate League, Run Vancouver, or just, you know, a couple of partners that we currently have, where we're providing onsite physio, where we just volunteer our services and connect with the community. We provide these free services for them. We love getting out there and just connecting and just working with people.

We do sport injury prevention talks, and we do like a doctor lectures for allied healthcare professionals. And so we, we try and teach other people in the healthcare community, you know, how to take care of not just themselves, but the people that they're actually helping. And so we're building the network and that's the other important thing for us. Is that we have a community and that we're building a stronger and more caring community of people that are also in line with our values.

So essentially, you know, we have a team of people that also are feeling the same way about how we want to help people. And so that's primarily why I do what I do. I really strongly believe that those are the core things that drive myself and have our team aligned with what we do.

Mark: So if you're in pain, these are the guys to see, frankly. Insyncphysio.com. Check out their website. You can book online or give them a call for Vancouver. (604) 566-9716. Or in Burnaby (604)298-4878. You can call and talk to them. They're easy. They're approachable. They're really good at what they do. And you'll see. Check out the reviews, they're all five stars. Thanks Wil. 

Wil: Thanks Mark. I appreciate it.

Rock Climbing Hand Recovery – Healing Self Massage & Injury Prevention For The Hand

Having good contact strength is one of the most important things to have as an avid and competitive rock climber. Knowing how to help yourself in the recovery of your hand after a good climbing session is just as important as knowing how to train to increase that strength. This will help you reduce and prevent injuries which can help you be a stronger climber.

Start by grasping the webspace of your hand between your thumb and index finger with your other thumb and index finger. Then applying pressure, use your thumb to massage the top portion of the webspace of your hand. Turn the hand over and apply pressure to the palm side of the hand pushing out those knots.

Then, push with deep pressure and massage out the lumbrical muscles that sit in between each finger space on the palm side of the hand. All these spots can get really tight! Spend about 60 seconds on each of them for a total of 5 minutes doing some self massage after each work out session. 

Unlike other bigger muscles in your body, the hand doesn’t have redundant blood supply. So this means a little bit of this after each workout can go a long way for increasing blood supply and helping over worked muscles recover better and faster, so you can be better and stronger on your next climbs. If you’re unsure about the technique or have uncertainty about what you’re doing, consult your local Physiotherapist before continuing. 

Sacro-Iliac Joint Injuries-Progressive Core Stability Strength Hand Side Plank Scissors

Lie down on your side, with your feet stacked on top of each other with your hand and outside foot supporting your body weight. Keep your low back straight, butt tucked in and pull your inner core muscles inward below your belly button.

Lift your hip up off the ground and raise your top arm upwards pointing your hand to the top. Raise the top leg up towards the ceiling and back down again ten times before lowering your hip back down to the ground to rest for 10 seconds. Repeat this movement pattern for 10 repetitions in total doing 3 sets per day on each side.

This progressive exercise helps build the strength in your gluteus medius and core stability muscles to help with the dynamic stability of your Sacroiliac joint injuries.

If you’re unsure about the exercise or have any uncertainty about where you’re at with the recovery of your Sacroiliac-iliac joint injury, consult your local Physiotherapist before continuing. 

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