Seasons of Mental Health

Seasons of Mental Health

Seasons of Mental Health

If you’re like me and many others, you may feel affected as the seasons change throughout the year.  It is not uncommon to notice mild or more severe changes in how you feel and function in the midst of smoky, brown heat domes and cloudy, grey cold snaps.

Some people experience noticeable changes in themselves as fall and winter approach. For me, I feel affected as soon as the time changes in November and we lose an hour of daylight. Other people notice changes when the real first cold and snow comes, or after 6 or 8 weeks of winter have passed. Some common seasonal side effects:

  • Anxiety or feeling stressed;
  • Less energy, motivation and interest in usual activities;
  • Lethargy (sluggishness) and apathy (an emotional numbness)
  • Changes in appetite, sexual interest, eating habits and sleeping habits;
  • Inflammatory response – resulting in pain, stiffness and/or exacerbation of other health conditions.

Some people experience enough of the above that they can be diagnosed with, or may identify with, Seasonal Affective Disorder. We can understand this to be like an episodical seasonal depression and/or anxiety. Some people experience this every year. People can also experience seasonal side effects from ongoing rain and persistent summertime forest fire smoke, droughts, and heat domes.

We can understand these seasonal side effects to be contributed to by the following:

Changes in our routine/schedules: self-care like sleep, rituals, exercise, diet, activities, socializing and work are all affected by the seasons and their weather. They can be thrown off balance. And we have to adapt – or try to! This can cause stress and less than hoped for outcomes in our wellness.

  • Daylight: there is a direct connection between daylight – or better yet, sunlight – and mood.
  • Weather, temperature and moisture: having our bodies and minds manage extreme temperatures and weather events takes a toll. It can be exhausting, and even scary! Additionally, moisture, humidity, and pressure can all affect inflammation.

So what can we do to mitigate the impact or even prevent, these seasonal side effects?

  • As much as possible, maintain your wellness or self-care routine: continue your exercise, sleep hygiene, hobbies and other activities, and get creative and resourceful in finding ways to adapt while still pursuing a semblance of structure or stability. You may have to let go of some rigidity – which is great for our mental health in the long run, as we will have to respond to other adversities in the future.
  • Seek out support or connection: you are not the only one facing the current season/weather!
  • Talk to your doctor and/or other health care providers who may have suggestions within the context of your unique health situation.
  • Practice mindfulness: this can help us take our experiences one day at a time, and manage dwelling or worry.

I look forward to supporting you in further understanding how seasonal or other life changes or factors may impact your mental health, and finding ways towards meaningful experiencing and functioning amidst them.

Louise Chursinoff is a registered nurse and Masters-level, clinically trained registered social worker. Her dual knowledge base and skill set, and passion for whole-self wellness, guides her in supporting people towards understanding and taking care of each part of their self.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info
Thinking of Dieting?

Thinking of Dieting?

Thinking of Dieting?

Happy New Years! Thinking of going on a diet in 2024? Read this, and think again:

At this time of year, many folks are considering assessing their nutrition and looking to improve their eating habits or relationship with food. If you are looking to improve your energy levels and develop or reinforce healthy nutrition habits for the new year, this article is for you!

My top 3 recommendations to clients are as follows (and these may be surprising): 

1) Get adequate sleep! 

How many hours are you sleeping each night? Is it a good quality sleep or are you tossing and turning throughout the night, waking up feeling sluggish or not well rested? A good sleep hygiene routine (along with managing your stress levels) is paramount to a good quality sleep, which impacts our digestion and metabolism. It may seem odd that I talk about sleep with clients when they are seeing me for nutrition support, but it is very much related! Try removing electronics/screens for 30 minutes before bed. Dim the lights, read a book or do a skin care routine- whatever it is that helps you be mindful and present before falling asleep. Your quality of sleep will set the tone for your nutrition choices and cravings the next day. 

2) Stay hydrated throughout the day. 

Again, this one sounds simple, but the effects of dehydration directly affect our energy levels, concentration, and performance in activities throughout the day. Ensure you are drinking enough. Consider walking around with a water bottle, carrying one to work, keeping one in your car, even bringing one into the grocery store while you’re shopping. This can be helpful in increasing your fluid intake and meeting your hydration needs. 

3) Eat enough throughout the day to meet your nutritional needs. 

This is my big recommendation. A lot of us are focused on losing weight in the New Year, and everyday throughout the year for that matter. This makes sense considering how engulfed we are by diet culture, and the media is telling us that a smaller body is more valuable than a larger body – which is extremely disheartening and untrue. 

With the focus being on weight loss, a lot of people start over-restricting their intake to cut calories and consequently under-eat throughout the day. This may look like skipping breakfast and just having a coffee, or having a small lunch to stave off the hunger so you can “save up” your calories and have a more indulgent dinner and evening snack with wine. This is disordered eating, and if you do it, or have done it in the past, you are not alone. It is extremely common and rooted in diet culture. The great news is you do NOT need to do this in order to achieve your health goals or feel good in your body. The funny (or not so funny) thing is, if we under-eat and over-restrict for too long, our bodies will adapt by lowering our resting metabolic rate so we actually burn fewer calories at rest. This can also cause hormone imbalances, resulting in water retention and fat storage. 

So instead of going on a diet this New Years, ‘cutting carbs’ or under-eating, I suggest seeing a Registered Dietitian. A dietitian can help you achieve your goals in a healthy, sustainable way, where you actually get to eat what you want when you want without having to worry about it. It’s called “Food Freedom” – and I want everyone to have this! 

Feel free to email me: mwood@suncityphysiotherapy.com or call Sun City Physiotherapy to book an appointment so we can get started on making 2024 your best year yet!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info
Exercise – Where To Begin?

Exercise – Where To Begin?

Exercise – Where To Begin?

There are many reasons to exercise including improved health, fitness and aesthetics.  For most people who begin an exercise program they will likely see improvements in all of these areas if their programs are of adequate intensity, duration, frequency; and if their exercise selection is appropriate. 

Most people’s exercise journey takes them to a local gym or their basement ‘fitness centre’ equipped with a few bands, some light dumbbells, maybe a bench and some rather old and dusty cardiovascular equipment such as rickety stationary bike/laundry drying rack.  A local public gym is usually much more impressive and typically presents with countless options of equipment including a variety of resistance and cardiovascular machines, free weights, plus other things such as sleds, battle ropes, bands, balls, weird looking half balls, balance devices, etc. To figure out what equipment to use and then how to use it, you may tag along with a friend (or invite them to your basement), who seems to know what they are doing, or be tempted to hire a certified guide. But personal training sessions tend to cost over $100 per hour – a little steep for most people these days – and in other days too! Here’s some quick suggestions regarding exercise selection when starting out an exercise program, should you being doing it solo or worry that your friend might not be the best person to get tips and directions from.

Lift weights! Resistance training builds bigger and stronger muscles if performed right; but not necessarily huge ugly veiny muscles that stretch your pants and shirts and make you look like some sort of hulk.  Your muscles and lean mass can change and likely  improve the shape of your body and improve your capacity to lift and perform work outside of the gym.  It also can improve your stamina, and cardiovascular fitness! What? Yes, have you ever noticed how when you lift heavy things and especially if it’s repeatedly or over an extended period of time that your heart rate and breathing rate picks up – such as moving furniture or doing some sort of landscaping? Well that’s your cardiac muscle (your heart) and your vascular system (blood vessels such as arteries and capillaries) working together to essentially transport energy to the working areas of your body and also removing the cellular waste products of that energy production away from those tissues to be converted or expelled elsewhere.  If you have been rather sedentary, especially, or if you have little time to perform exercises, try combining resistance training movement in pairs (called supersets) or larger circuits of exercises (called circuit training) and try to keep moving. If your heart rate and breathing rate doesn’t pick up and if you don’t see a noticeable improvement in your stamina and energy levels within a few weeks – you probably aren’t lifting heavy enough or vigorously enough. 

When it comes to resistance exercises, choose free weights over machines.  It tends to lead to better strength and fitness gains that carries over into other functional daily activities where as machines tend to make muscle bigger but do not teach a person how to lift and stabilize a real world object. Even with a simple task such as putting a weight (let’s start with a soup can) in your hand and bending your elbow, it isn’t so simple as simply telling your bicep muscles to contract. Different fibres in your elbow have different angles of pull on the elbow joint and yank on different parts of the bicep tendon.  

In  addition to this, different fibres in your bicep are recruited depending on the weight, speed of motion, and how tired you are. Also, when you lift the weight upward tension needs to develop around the shoulder and trunk to keep the shoulder from flexing and the trunk from pulling forward. In fact, if standing, your whole posterior chain of muscles needs to engage when doing this to keep you from falling forward – including your glutes, hamstrings and calves. This being said, standing free weight exercises tend to work pretty much every muscle of your body, though lifting soup cans in the kitchen is not going to be the best way to develop a bigger rounder bum if that is what you’re after.

To be clear, a machine is something that follows a fixed pattern of movement whereas free weights have an open path that you have to control yourself in order to perform a movement in a certain way. Even with what are technically called free weight exercises, we can use benches and supports that minimize the involvement of other muscle groups and in effect isolate an area but also eliminate the other areas the need to get involved with functional strength development.  With the example above, if you take your soup can to a gym and lean over what called a preacher curl bench where your torso is really slumped over a support and the back of your arms is supported by the same, it becomes an exercise almost entirely for your biceps which might help to make them get huge, but does little to nothing to increase the functional strength or fitness of your arms.

This article could get very long, so I’ll try to start wrapping it up here leaving you with some some suggestions for simple exercises and hopefully leave only a few loose ends to tie up at some point in the future. When lifting weights for general strength and fitness gains, I encourage people to include a pushing forward movement, a pulling back movement, a pushing up ward movement, and a squat – or preferably a deadlift motion. This will challenge every major muscle of your body and help your develop functional strength, especially if they are done on your feet, too.

Here are some examples of exercises for each of these patterns with a free-weight option, and machine option side by side:

Forward Push: good for chest, shoulders and triceps in particular

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Horizontal pull: good for upper back, biceps and forearms in particular

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Vertical push: good for shoulders, upper traps and triceps in particular.

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Deadlift: good for legs, glutes and low back in particular.

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If you have particular areas of weakness or orthopaedic concern, some additional supplementary core, hip, or shoulder exercises may be incorporated. Or if pain is present in any area of the body, I would recommend getting clearance with your doctor and getting an evaluation by a physiotherapist or a qualified kinesiologist such as myself to help address the other issues that need to be dealt with first. I hope this provides help for some of you out there. Let me help you resolve or manage your particular concerns and help you to become a better, stronger, more capable version of yourself.

Chris Burton is a registered Kinesiologist and CHEK Practitioner.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info

“Ring Theory”  – Integrated Systems Model 

“Ring Theory”  – Integrated Systems Model 

Some people think the Integrated Systems Model (ISM), sometimes known as ‘Ring Theory’ sounds like hocus pocus. But here’s the general theory which I am elaborating on from the ISM’s founder, British Columbia’s Diane Lee. 

Imagine the body is a series of rings. Your cranium, each vertebrae, the pelvis, shoulders, hips, knees and ankles. It’s easiest to imagine in your thorax where your ribs attaching to your thoracic vertebra create actual rings. 

Now imagine that one of those rings shifts due to an injury or simply due to an adopted movement pattern. Another ring in the stack will shift to accommodate and maintain the body’s centre of gravity within its base of support (for example, your feet, if you are standing). 

These are normal adaptations and usually don’t cause us any problems, especially if those rings align again when we go to move. If they remain however, a non-optimal alignment can result in increased stresses on a joint, muscle, or nerve for example. As you can imagine this can become a concern over time resulting in overuse injuries or preventing an acute injury from healing as quickly. 

If we can find the ‘driver’ or the ring shift that makes the overall alignment during a task better, I believe that is the path to recovery. 

Things I love about this model: 

  • You choose a task you want to improve on. For example, if stair climbing is something you find difficult we’ll work on that together. Even if you have multiple areas of concern, choosing a task requires a focus on function versus pain. And as function goes up, pain typically comes down. 
  • I correct possible drivers until I find the one that makes the task easier. Often, if you are open to it, you will feel the difference in your ease of movement and / or notice the difference in the alignment of your body right away. 
  • Even if you don’t have pain, but just want to have more ease doing an activity, this model will work for you. 
  • Injuries don’t have to be chronic. They can be acute. Often a few sessions after the initial treatment of an acute injury, I will use the ISM to help make sure that any possible reasons for your initial injury are addressed. For example, was your shoulder injury precipitated by a thorax that isn’t rotating optimally when you throw? Or is it more related to your hips? 

Downfalls of this method of assessment: 

  • You have to be open to it. I try my best to help you feel the difference after a correction is made but the reality is if you aren’t open to the idea, it won’t work for you. And that is okay. There are many ways to treat an individual. This is just one of them. 
  • People who have never or are unwilling to turn inward and be sensitive to changes in their body’s state have the most difficulty buying into this method. But often, I will make one correction and they will have a ‘wow’ moment – their task is no longer as difficult, feels lighter and more free. 

Who this approach is for: 

  • Most often these are people who have tried many other therapies yet haven’t experienced satisfying recovery. 
  • People with multiple areas of concern. 
  • Those with acute or chronic injuries. 
  • People who would like a particular task or activity to feel easier. 

During my assessments clients often say to me, “Why are you interested in that old injury?  Or in that condition?” It is because your story paints a picture of your possible drivers too. If the Integrated Systems Model interests you, I hope you’ll come in and share your story with me.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info

What is Kinesiology?

What is Kinesiology?

What is Kinesiology?

Kinesiology is the science of human movement, performance and function. Kinesiologists are university educated healthcare professionals who have studied body mechanics and the role human movement plays in preventing and managing injury, chronic disease, disability, and overall performance.

Kinesiologists can prescribe exercise-related practices for the management of injury, chronic disease, and return to work strategies. This can be during a clinic session with one-on-one training and coaching or through take home exercise programs for clients to implement into their lifestyle. A kinesiologist can work with people of all ages and physical abilities to help them achieve their health and wellness goals.

How can kinesiology help me?

A kinesiologist is here to help every member of the community, from athletes to desk-bound workers to people dealing with persistent pain. If you have been injured in an accident, a kinesiologist can help you manage your pain and improve your symptoms of injury by improving muscle strength and stability. A kinesiologist will use their knowledge of anatomy, specifically in exercise physiology, to develop a specific exercises program that is designed for you.

A kinesiologist can help with:

  • Suffering from a disease such as high blood pressure or diabetes
  • Fall prevention for seniors
  • Recovery from an accident
  • Preparing for or recovering from surgery
  • Non-specific low back pain
  • Poor workspace ergonomics
  • Muscular strengthening
  • Overall improvement of health

The involvement of a kinesiologist in your exercise planning can lead to healthier daily living, faster recovery, less pain, and enhanced sport performance.

What should I wear to my appointment?

Wear comfortably fitting lounge or exercise attire. In your initial session, you may move through a variety of functional movements during your full body assessment. During subsequent sessions you will use this time to receive exercise coaching, to stretch, and to discuss any necessary adjustments to your treatment plan. Your kinesiologist will be there to help you reach your movement goals.

ICBC supports clients working with a Kinesiologist

ICBC recognizes kinesiology as an essential form of active rehabilitation and believes working with a kinesiologist can play an integral part in your recovery from injury. If you have been injured in a motor-vehicle accident, you may be eligible to receive full ICBC coverage for all visits with a Kinesiologist.

– Laney Twerdohlib, Kinesiologist 

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Treatment of Urinary Incontinence and Pelvic Pain in Women and Men

Specialized physiotherapy for the assessment and treatment of bladder and bowel incontinence, and pelvic pain are becoming more recognized as a first line of defence.

If you think you may be affected, ask yourself the following questions: 

  • Have you experienced incontinence when heading to the bathroom, or when you cough or sneeze?
  • Do you find yourself straining or in pain when passing a bowel movement?
  • Have you experienced pain with intercourse?
  • Do you suffer from lower back or hip pain?
  • Are you pregnant or post-partum and experiencing leakage?

If you answered yes to any of these questions, the pelvic floor muscles, fascia and nerves may be contributing to your symptoms, and assessment by a pelvic floor physiotherapist is recommended.

Pelvic floor physiotherapy goes beyond the well-known Kegel, and should be assessed and treated similarly to any other muscular injury or imbalance. The goal is to optimize the coordination, strength, and flexibility of the pelvic floor muscles. Through the use of a ‘rib to knees assessment approach’ your pelvic floor physiotherapist will explain the important relationship between your diaphragm, core, and pelvic floor. Any imbalances, previous trauma, or de-conditioning can lead to symptoms such as rib pain, core weakness, back/hip pelvic pain or incontinence. Your pelvic floor physiotherapist will then work to address these symptoms, and create a manageable and empowering treatment plan to help you regain control and function around what can often feel like an isolating and embarrassing problem for many.

Who would benefit from a Pelvic Health Assessment? Those experiencing: 

  • Stress incontinence: leakage with coughing, sneezing, jumping, running;
  • Urge incontinence: leakage or loss of control without being able to delay voiding;
  • A mix of the above incontinences;
  • Women during pregnancy and post-partum;
  • Post Prostatectomy, and:
  • Nocturia – waking multiple times throughout the night to void

What should you expect at a Pelvic Health Appointment?

  • Assessment of posture, movement mechanics, core and pelvic floor muscle activation;
  • Option for internal assessment of pelvic floor musculature;
  • Exercises specific for your pelvic floor muscle tone and function;
  • Education on symptom management, and;
  • Self-management techniques to confidently perform exercises at home

If you have questions or concerns around your pelvic floor, or are currently pregnant or post partum, book an assessment with our Pelvic Health Physiotherapist, Paige Marzinzik at our Downtown or Lower Mission Clinic.

– by Paige Marzinzik, Physiotherapist, Pelvic Health Therapist

 

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info