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rehabilitation

Why Strength and Conditioning is the Key to Returning Stronger After Injury

Why Strength and Conditioning is the Key to Returning Stronger After Injury

Recovering from an injury is rarely a straight path. The first steps often involve rest, hands-on treatment, and targeted physiotherapy to reduce pain, restore mobility, and rebuild foundational strength. But what happens after you’ve completed your rehabilitation sessions? For many athletes and active individuals, the transition back to sport or higher-level activity requires more than just being pain-free—it requires rebuilding resilience, power, and confidence.

That’s where strength and conditioning sessions come in. This stage of recovery bridges the gap between rehabilitation and performance, ensuring you don’t just get back to activity, but return stronger, more confident, and less likely to re-injure.


1. Where Strength and Conditioning Fits in the Recovery Timeline

Physiotherapy is often the first stop after injury, focusing on pain management, restoring mobility, and re-establishing baseline strength. Once those building blocks are in place, many people wonder what’s next. Jumping directly back into sport or high-intensity training without additional preparation often leaves athletes at risk of setbacks.

Strength and conditioning fits into the late stages of rehabilitation—when you’re largely pain-free, moving well, and ready for more. It focuses on:

  • Bridging the gap between rehab and sport-specific demands.

  • Progressively loading tissues to build resilience in the injured area.

  • Developing higher-level movement skills like agility, coordination, and power.

Think of it as the “performance phase” of rehab: you’re no longer just recovering; you’re preparing to excel again.


2. Why a Tailored 60-Minute Session Matters

Generic training plans can only take you so far, especially after an injury. A 60-minute individualized strength and conditioning session gives you the opportunity to focus on:

  • Your specific injury history. Whether you’re coming back from an ACL tear, shoulder instability, or chronic ankle sprains, the program can target the movements and muscle groups most critical for your recovery.

  • Technique correction. Small adjustments in how you squat, jump, or land can dramatically reduce stress on vulnerable joints and tissues. Guided feedback during your session ensures you move efficiently and safely.

  • Pushing harder, safely. Many people are hesitant to load an injured area again, which can stall progress. A structured session provides reassurance and guidance so you can progressively challenge yourself with the right balance of intensity and recovery.

This individualized approach allows you to recover faster, train harder, and return to your sport or activity with greater confidence.


3. How Strength and Conditioning Complements Physiotherapy

Physiotherapy and strength and conditioning are different but complementary. Physiotherapy is clinical in nature. It focuses on diagnosis, reducing pain, restoring mobility, and addressing impairments. The aim is to get you back to a functional baseline.

Strength and conditioning is performance-driven. It builds strength, speed, power, and endurance while correcting movement inefficiencies. The aim is to help you return to your sport or activity at your best.

Together, they form a complete recovery journey. Physiotherapy gets you back to moving well; strength and conditioning makes sure you can move well under pressure, at speed, and in sport-specific contexts.


4. Confidence: The Missing Piece in Many Recoveries

One of the biggest barriers athletes face after an injury isn’t physical—it’s psychological. Fear of re-injury can hold people back from moving naturally, cutting, sprinting, or lifting the way they did before. This hesitation often leads to compensations that can increase the risk of new injuries.

Strength and conditioning helps rebuild this confidence by exposing you to controlled, progressive challenges. You relearn how to move powerfully and safely, gaining trust in your body again. By the time you step back onto the field, court, or gym floor, you know you’re ready.


5. Injury Prevention: Preparing for the Future

Participating in structured strength and conditioning after injury isn’t just about getting back to your previous level—it’s also about staying there. Targeted training improves:

  • Joint stability through strengthening supporting muscles.

  • Balance and coordination, reducing the likelihood of falls or awkward movements.

  • Movement efficiency, ensuring your body absorbs and transfers force effectively.

These improvements not only reduce the risk of reinjury but also enhance overall performance.


6. Who Benefits From Post-Injury Strength and Conditioning?

This approach isn’t just for elite athletes. Anyone who wants to return to activity after an injury can benefit. Common examples include:

  • Athletes preparing for their return-to-play protocols.

  • Active adults wanting to get back to running, skiing, or weightlifting.

  • Older adults looking to rebuild strength and reduce their risk of future injury.

  • Youth athletes who need guidance in safe technique and long-term development.

If your goal is to move better, get stronger, and prevent reinjury, strength and conditioning can help.


Takeaway: Don’t Stop at “Pain-Free”

Being pain-free is a milestone, not the finish line. The real measure of recovery is whether you can return to the activities you love at full capacity—and stay there. Strength and conditioning is the missing link for many people, turning a good recovery into a great one.

With individualized programming, expert guidance, and a focus on both performance and prevention, you can shorten your recovery timeline and build resilience for the future.

Ready to take the next step? Book a strength and conditioning session with Athletic Therapist Abbey Peters by calling 250-723-5112, and set yourself up for a stronger, safer return to the activities you love.

Understanding Shin Splints: Causes and Recovery

Understanding Shin Splints: Causes and Recovery

As Marathon season approaches, many people are excited to begin their long-distance training. However, one of the most common concerns among runners is how to prevent shin splints. Shin splints are a common injury that can occur during long-distance running. Unfortunately, many people are unaware of what shin splints are, how they develop, how to treat them, and most importantly, how to prevent them. In this blog, we will discuss the two different types of shin splints, what causes them anatomically, effective treatment options, and how to prevent them if you plan to start a running program. We aim to help you stay healthy and keep you moving. 

First, let's start with the two types of shin splints: anterior or posterior. The difference between them is the location of pain, which is caused by the specific muscle group affected. 

Anterior Shin Splints: 

Anterior Shin Splints tend to be more common and involve pain along the front (anterior) part of the shinbone, typically on the outer edge.

Anterior shin splints affect the muscles at the front of the lower leg, primarily the tibialis anterior muscle. This muscle is responsible for dorsiflexion of the foot (bringing the toes upward) and is heavily involved in activities like walking, running, and jumping.

Posterior Shin Splints: 

Posterior shin splints involve pain along the inner (posterior) part of the shinbone, closer to the calf muscles.

Posterior shin splints primarily affect the muscles and connective tissues at the back of the lower leg, including the posterior tibialis muscle and the flexor hallucis longus muscle. These muscles play a role in controlling the movement of the foot and stabilizing the arch.

Now that we know the two different types, what actually causes shin splints? 

Shin splints are caused by repetitive stress on the shinbone and the tissues that attach muscles to the bone. For instance, during long-distance running, the muscles on the front and back of the shin bone contract every time your foot hits the ground. This can lead to irritation or inflammation where the muscles of the shin connect to the bone. The irritation and inflammation cause sharp pain during physical activity and impact, and sometimes a dull ache after exercise. The area of pain is usually a couple of inches and can be sore to touch. However, it typically improves with rest and doesn't usually show signs of swelling.

If you do notice any swelling or if rest doesn’t improve your symptoms, it is important to speak to your GP or physiotherapist. Sometimes, shin splints can be mistaken for a stress fracture and requires different treatment.

So what are the major contributing factors causing Shin Splints? 

  • Overuse or Overtraining: Rapidly increasing the intensity, duration, or frequency of exercise, particularly high-impact activities like running, can strain the muscles, tendons, and bone tissue in the lower leg.

  • Biomechanical Issues: Flat feet, improper footwear, or irregularities in running or walking gait can lead to uneven distribution of stress along the shinbone, increasing the likelihood of shin splints.

  • Muscular Imbalances: Weakness or tightness in certain muscles, particularly the calf muscles and those surrounding the shinbone, can disrupt proper biomechanics and contribute to shin splints.

  • Hard Surfaces: Exercising on hard surfaces, such as concrete or pavement, can exacerbate impact-related stress on the lower legs.

How Do I Prevent Shin Splints? 

Strength Training: If you're someone who runs long distances, it's important to start a strength training program that includes ankle and calf strengthening exercises. This is your first line of defense, as building strength will make you more resilient and better able to handle stress and strain without getting injured.  For injury-specific exercises, we recommend speaking with your local physiotherapist as exercises can vary depending the type and severity of your shin splints.

Soft Surfaces: Mix things up by running on softer surfaces such as trails instead of just on concrete or pavement. Trails provide more cushioning and put less stress on the lower leg muscles. You can also try using a treadmill, although for longer distances this isn’t always everyone's favourite. 

Good Footwear: Invest in good footwear that provides proper arch support, especially if you're prone to shin splints. Visit a local running store to get fitted for shoes that are best suited for you. 

Insoles: Consider using insoles if you have flat feet and have experienced shin splints in the past. Insoles can support the arch of your foot and reduce the load on the muscles in the posterior shin, lowering your risk of developing shin splints.

Running Assessment: Consider getting a running assessment to check your technique. Most physiotherapy clinics offer assessments where they record you running on a treadmill and review the components of your gait and any biomechanical factors that may be contributing to your shin splints. This typically results in a treatment plan and exercises to address the underlying issues.

What happens if I already have shin splints? How Should I treat them? 

Recovery from shin splints requires patience and usually a multifaceted approach:

  • Rest: This is the most important but everyone’s least favourite option. You must reduce the volume and load on the lower leg muscles to allow them to recover. This may be reducing your running distances to a more manageable level or temporarily halting impact activity to reduce pain. Your physiotherapist will help explore options with you to decide what path will work best for you and your training. 

  • Ice Therapy: Applying ice packs to the affected area can help alleviate inflammation and pain. Aim for 15-20 minutes of ice therapy several times a day.

  • Strength Training: progressive strength training for your calves, the muscles of the anterior shin, arches of your feet and outer hip are beneficial while you “rest”, they can help increase resiliency of the injured muscle groups so return to activity doesn’t result in another flare up.  For injury-specific exercises, we recommend speaking with your local physiotherapist as exercises can vary depending on the type and severity of your shin splints.

  • Gradual Return to Activity: Once the pain subsides, gradually reintroduce activity, paying attention to proper form, footwear, and surface. A Return to Run Program is always a smart choice, there are great ones all over the internet and your physiotherapist should be able to guide you. Slow progressions are key! 

If you or someone you know is struggling with shin splints, or have had shin splints in the past and want more prevention tips, book an appointment with one of our physiotherapists. You can book online at www.portalberniphysiotherapy.ca or call us at 250-723-5112. 

The Healing Power of Clinical Pilates in Rehabilitation

The Healing Power of Clinical Pilates in Rehabilitation

Clinical Pilates is known to have many benefits when recovering from injury or improving chronic pain. The combination of controlled movements, mindful breathing, and focused exercises on muscular strength and alignment can improve a patient’s body awareness and overall mind-body connection. Whether you're seeking post-injury rehabilitation, pain management, or a path to lifelong wellness, Clinical Pilates offers a gentle, yet powerful approach. 

Read along to discover the many benefits of Clinical Pilates and whether or not it is right for you.


The Core of Rehabilitation

Rehabilitation is all about restoring movement, strength, and function to those who've experienced injuries or health conditions. As clinicians, we understand the significance of personalized, well-rounded treatments that cater to each individual's unique needs. Enter Clinical Pilates – a method that aligns seamlessly with this philosophy.

The Power of Controlled Movements

At the heart of Clinical Pilates lies a focus on controlled movements that engage the body's core muscles. These gentle yet precise movements aid in retraining muscle activation patterns, enhancing stability, and improving overall body awareness. For someone navigating their way through rehabilitation, these controlled movements can be transformative.

Tailored to Your Needs

One of the most remarkable aspects of Clinical Pilates is its adaptability. Whether you're recovering from a sports injury, surgery, or managing chronic pain, a skilled practitioner can customize the exercises to suit your specific condition. This tailored and individualized approach not only accelerates your recovery but also helps prevent further injuries by addressing underlying weaknesses.

Mind-Body Connection

The mind-body connection is an essential component in the rehabilitation process, especially when dealing with chronic pain. Pain is not solely a physical sensation; it's also influenced by psychological factors. Clinical Pilates incorporates mindfulness and controlled breathing techniques that help manage stress and anxiety – both of which can exacerbate pain. By promoting relaxation, positive mental state in combination with body awareness and proper posture, Clinical Pilates helps develop a stronger mind-body connection and effectively reduces pain. 

Gradual Progression

One of the keys to successful rehabilitation is gradual progression. Clinical Pilates excels in this regard by offering a range of exercises that can be modified to accommodate various levels of fitness and recovery. Clinical Pilates provides a structured framework that allows individuals to start at a level that aligns with their current capabilities and gradually advance as their pain tolerance and strength improve. Whether you're just beginning your journey or well on your way to recovery, there's a suitable Pilates routine for you.

Building Long-Lasting Habits

One of the most rewarding aspects of using Clinical Pilates as a form of treatment, is witnessing patients transition from rehabilitation to maintaining an active, healthy lifestyle. Clinical Pilates equips individuals with valuable tools to sustain the progress they've made. The exercises learned during rehabilitation can be seamlessly integrated into daily routines, ensuring that the benefits of Pilates extend far beyond recovery. There is also the chance to transition to group classes, making it more affordable, fun, and social - adding to its longevity. 

Extended Health Care Coverage 

Clinical pilates is often eligible for coverage under extended healthcare plans. Some clinicians are certified to provide Clinical Pilates and can bill within your extended coverage. If you have questions and want to know if you are eligible, you can always contact the clinic for more guidance.  

Incorporating Clinical Pilates into rehabilitation is a decision that can positively impact your journey to recovery. The combination of controlled movements, tailored exercises, and mindfulness can bring about comprehensive healing.

If you want to learn more about clinical pilates or book an appointment, reach out to us at 250-723-5112. You can also book an appointment with one of our clinicians at Port Alberni Physiotherapy, or book a class at our onsite yoga and pilates studio - Yellow Door Studio.