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Pregnancy ends at delivery, but your body’s recovery does not. In the weeks and months after birth, many women notice that their lower back, pelvis or hips simply do not feel the way they did before pregnancy. You may feel uncomfortable while carrying your baby, getting out of bed, walking, feeding, bending over a crib or returning to exercise. Sometimes the pain started during pregnancy and never completely disappeared. For others, symptoms become more noticeable only after the baby arrives. This does not necessarily mean something is damaged. But persistent pain also should not automatically be dismissed as “just part of having a baby.” Why Can Pain Continue After Pregnancy? Your body adapts significantly throughout pregnancy. As your baby grows, the abdominal wall stretches, your centre of mass changes and the muscles around the pelvis and trunk work under different demands. Birth then adds another major physical event, followed almost immediately by a completely new set of daily activities. And there is very little rest involved. Holding and feeding a baby, lifting a car seat, repeatedly bending over a crib, carrying a baby on one side and disrupted sleep can all add physical demands while your body is still recovering. This is one reason postpartum pain rarely has one simple explanation. Where Do Women Commonly Feel Postpartum Pain? Postpartum musculoskeletal symptoms can appear in different areas. Some women primarily notice lower back pain. Others feel discomfort around the sacroiliac region, buttocks, pubic area or elsewhere around the pelvis. You may particularly notice symptoms when: Getting up after sitting or lying down Rolling over in bed Walking for longer periods Carrying your baby Going up or down stairs Standing on one leg while dressing Returning to exercise Spending long periods feeding or holding your baby The pattern matters because not all postpartum back or pelvic pain has the same cause. “I Had My Baby Months Ago — Shouldn’t I Feel Normal by Now?” There is no universal postpartum recovery deadline. Many pregnancy-related musculoskeletal symptoms improve during the first months after delivery, but some women continue to experience lumbopelvic pain for considerably longer. A 2025 systematic review noted that although most pregnancy-related lumbopelvic pain improves within the first few months, a smaller group continues to experience symptoms years later. So six weeks postpartum is not a magical point when every structure, muscle and movement pattern should suddenly feel exactly as it did before pregnancy. At the same time, pain that continues to interfere with walking, sleeping, exercise or caring for your baby deserves attention. Postpartum Recovery Is More Than “Getting Your Core Back” Postpartum recovery is sometimes reduced to one idea: strengthening the core. The reality is more complex. The abdominal wall, pelvic floor, diaphragm, lower back, hips and pelvis work together during movement and load transfer. Sleep, previous pain, pregnancy symptoms, type of delivery, activity level and the physical demands of caring for a baby can also influence how someone feels. Even psychological factors and expectations about recovery can be relevant in persistent pelvic girdle pain, according to a 2026 systematic review. That is why assessment should focus on the individual woman, rather than assuming every postpartum patient needs the same exercises or treatment. What About the Pelvic Floor? The pelvic floor is an important part of postpartum recovery, but back or pelvic pain does not automatically mean that the pelvic floor is “weak.” Some women may experience urinary leakage, pelvic pressure, heaviness, discomfort or changes in pelvic floor function after pregnancy and delivery. These symptoms deserve appropriate assessment rather than simply doing more Kegel exercises without knowing what is happening. There is good evidence supporting appropriately prescribed pelvic floor muscle training for some postpartum pelvic floor problems. For example, a large 2025 systematic review found that postpartum pelvic floor muscle training reduced the odds of urinary incontinence. We will cover postpartum pelvic floor symptoms separately in another article because they deserve their own discussion. Can Postpartum Back and Pelvic Pain Improve? Yes, many women improve. Current research supports an active, individualized approach to postpartum lumbopelvic pain. A 2026 systematic review and meta-analysis found that core stabilization programs can improve pain and disability in women with postpartum lumbopelvic pain, although the authors also identified limitations and variation between available studies. The important point is not that every woman needs the same “core program.” It is that postpartum recovery can be assessed and supported, rather than simply waiting and hoping the pain disappears. Where May Osteopathic Care Fit In? At OsteopathyNearMe, postpartum care begins by listening to what has changed since pregnancy and birth. An assessment may look at how comfortably you move through the lower back and pelvis, hip mobility, muscular tension, breathing mechanics and how your body responds to everyday movements. We may also discuss which activities are currently provoking symptoms — because carrying a baby all day can tell us more about your problem than an isolated movement on a treatment table. Osteopathic Techniques That May Be Used Postpartum Treatment is adapted to the individual and to how far you are into your postpartum recovery. Depending on the assessment, care may include gentle joint mobilization, soft-tissue techniques, myofascial release, muscle energy techniques, and gentle work around the lower back, pelvis, hips, thoracic region or diaphragm when clinically relevant. The purpose of these techniques is not to claim that the pelvis needs to be “put back into place” after childbirth. Instead, manual care may be used to help reduce discomfort, address areas of tension and support more comfortable movement while recovery progresses. Evidence specifically for osteopathic manual treatment of postpartum lumbopelvic pain remains more limited than the evidence supporting active rehabilitation. We therefore see osteopathic care as one possible part of postpartum management rather than a replacement for pelvic health physiotherapy, medical care or appropriate rehabilitation. When Is Pelvic Health Physiotherapy Appropriate? Sometimes another professional should be part of the plan. A pelvic health physiotherapist may be particularly appropriate when symptoms include urinary or fecal leakage, pelvic heaviness or pressure, concerns about prolapse, significant pelvic-floor dysfunction, or when specific pelvic-floor rehabilitation is required. Postpartum care does not need to be an osteopathy versus physiotherapy decision. Different practitioners can address different aspects of recovery. When Should You Speak With Your Doctor? Postpartum pain should receive medical attention when it is severe, rapidly worsening or associated with symptoms that do not fit a typical musculoskeletal presentation. Seek medical advice for concerns such as fever, significant unexplained bleeding, new neurological symptoms, significant leg swelling or redness, difficulty controlling the bladder or bowel that is new or severe, or feeling systemically unwell. If something about your recovery feels unusual or concerning, it is appropriate to have it investigated. You Don’t Have to “Bounce Back” There is considerable pressure on new mothers to recover quickly. But postpartum recovery is not about getting your old body back on a deadline. It is about gradually becoming comfortable and confident in your body again — whether that means carrying your baby without back pain, walking comfortably, sleeping better, returning to exercise or simply getting through everyday activities more easily. If postpartum back or pelvic pain is limiting what you can comfortably do, it may be worth having it assessed. At OsteopathyNearMe Health Studio in Etobicoke, Kateryna works with women during pregnancy and postpartum recovery, including musculoskeletal concerns associated with the lower back and pelvis. FAQ How long can postpartum back pain last? There is no fixed timeline. Many pregnancy-related symptoms improve during the first few months after birth, but some women experience persistent lumbopelvic pain for longer. Is pelvic pain normal after giving birth? Some discomfort during postpartum recovery is common, particularly early on. Persistent, worsening or function-limiting pain should not automatically be dismissed as normal and may benefit from assessment. Why does my lower back hurt from carrying my baby? Carrying, feeding and repeatedly lifting a baby increases the physical demands placed on the back, hips and trunk—often while sleep and recovery are limited. These demands can contribute to symptoms, particularly when back or pelvic pain was already present during pregnancy. Can an osteopath help with postpartum back pain? Osteopathic manual care may help some women manage musculoskeletal discomfort and improve comfortable movement. Treatment should be individualized, and osteopathy should complement rather than replace medical or pelvic-floor rehabilitation when those services are indicated. When can I have osteopathic treatment after giving birth? This depends on the type of delivery, your recovery and your symptoms. Care during the early postpartum period should be gentle and adapted appropriately. Following significant complications or when there are medical concerns, medical clearance or assessment may be appropriate first. Should I see an osteopath or pelvic floor physiotherapist? It depends on your symptoms. Musculoskeletal back, pelvic and hip complaints may be appropriate for osteopathic assessment, while urinary leakage, prolapse symptoms and specific pelvic-floor dysfunction often warrant pelvic health physiotherapy. In some cases, both approaches can complement each other. References Yin YT, Lin KY, Chen CY, Yeh CN, Li YT. The effects of core stabilizing exercise in postpartum women with lumbopelvic pain: A systematic review with meta-analysis. Brazilian Journal of Physical Therapy. 2026;30(3):101597. DOI: 10.1016/j.bjpt.2026.101597. PMID: 41930536 (tel:41930536). Özyurt F, Üzelpasacı E, Tayfur A, Akbayrak T. Effectiveness of physical therapy on pain, disability and quality of life in women with lumbopelvic pain in postpartum period: a systematic review with evidence gap map and meta-analysis. BMC Women’s Health. 2025;25:318. DOI: 10.1186/s12905-025-03881-2. PMID: 40615997 (tel:40615997).

Does your shoulder pain when lifting arm, reach overhead, put on a jacket, or sleep on that side? One possible cause is rotator cuff tendinopathy — a common shoulder problem involving the tendons that help control and stabilize the shoulder. The pain can make everyday movements uncomfortable, but many rotator cuff-related problems can be managed conservatively. Understanding what is contributing to your symptoms is an important first step. At OsteopathyNearMe in Etobicoke, we assess shoulder pain to understand how the shoulder, neck, upper back and surrounding muscles are moving and whether osteopathic care may be appropriate for you. What Is the Rotator Cuff? The rotator cuff is a group of four muscles and their tendons that surround the shoulder joint. They help stabilize the shoulder and control movements such as lifting, reaching and rotating your arm. When these tendons become sensitive or their ability to tolerate load is exceeded, pain can develop. This is commonly described as rotator cuff tendinopathy. What Does Rotator Cuff Tendinopathy Feel Like? Symptoms vary from person to person, but you may notice: Pain when lifting your arm Pain reaching overhead Discomfort when reaching behind your back Pain when lying on the affected shoulder Pain during gym, work or sports activities Reduced confidence or strength when using the arm The discomfort is often felt around the front or outside of the shoulder and may sometimes travel into the upper arm. What Causes Shoulder Pain When Lifting Arm? There isn’t always one single cause. Shoulder symptoms can develop after a sudden increase in physical activity, repetitive overhead work, sports, changes in training, or gradually without an obvious injury. The shoulder also does not work in isolation. Movement of the shoulder blade, upper back and neck can influence how comfortably the arm moves. Muscle tension, mobility restrictions and how much load the shoulder is currently able to tolerate may all be relevant. This is why assessment is often more useful than focusing only on the exact spot where it hurts. Do I Need an MRI for Shoulder Pain? Not necessarily. Current clinical guidelines emphasize that rotator cuff-related shoulder pain can often be assessed initially through your history and physical examination. Imaging is generally considered when there has been significant trauma, a more serious structural injury is suspected, or symptoms are not improving as expected. An osteopathic assessment does not replace medical imaging when imaging is clinically necessary. How Can an Osteopath Help With Rotator Cuff-Related Shoulder Pain? Osteopathic care begins with understanding how your shoulder is moving and what may be contributing to your symptoms. Assessment may include the shoulder joint itself as well as the shoulder blade, upper back, neck and surrounding muscles. The goal of manual care may be to reduce discomfort, improve comfortable movement and make it easier to gradually return to normal activity. Depending on your presentation, osteopathic care can also be used alongside other appropriate management, such as rehabilitation, medical assessment or other healthcare services. Manual therapy is one conservative option used in the management of rotator cuff-related shoulder complaints, particularly as part of a broader rehabilitation approach. What Techniques May an Osteopath Use? Treatment is individualized rather than using the same technique for every painful shoulder. Depending on the assessment, an osteopath may use: Soft tissue techniques for muscles surrounding the shoulder and shoulder blade Myofascial release to address areas of muscular and fascial tension Gentle shoulder joint mobilization to support comfortable movement Scapular mobilization to improve movement between the shoulder blade and rib cage Thoracic spine mobilization when upper-back mobility may be influencing shoulder mechanics Muscle energy techniques to work with mobility and muscular control Trigger point techniques for relevant areas of muscular tension Gentle cervical techniques when the neck may also be contributing to the presentation The techniques used depend on your symptoms, examination findings and tolerance. When Should Shoulder Pain Be Assessed? Consider having your shoulder assessed if pain: Keeps returning Interferes with sleep Makes overhead movement difficult Limits work, exercise or sport Has not improved over time Is accompanied by noticeable weakness or loss of movement Sudden severe pain after significant trauma, obvious deformity, major weakness, fever, unexplained systemic symptoms, or other concerning symptoms should receive appropriate medical assessment. Shoulder Pain Assessment in Etobicoke You do not necessarily need to wait until shoulder pain becomes severe before having it assessed. At OsteopathyNearMe Health Studio in Etobicoke, we take a broader look at shoulder movement and the surrounding areas that may be contributing to your symptoms. Osteopathic care may help make symptoms easier to manage and support your return to comfortable movement, either on its own when appropriate or alongside other healthcare and rehabilitation. FAQ Can rotator cuff tendinopathy heal? Many people with rotator cuff-related shoulder pain improve with conservative management. Recovery time varies depending on the condition, duration of symptoms, activity demands and individual factors. Why does my shoulder hurt when I raise my arm? Rotator cuff-related pain is one possible explanation, but shoulder pain can have several causes. An assessment can help determine which structures and movements may be contributing. Can an osteopath help with rotator cuff pain? Osteopathic care may be used to help manage pain, mobility and muscular tension associated with shoulder complaints. Depending on the individual case, it may also complement rehabilitation or other healthcare. Can shoulder pain come from the neck? Yes. Some symptoms felt around the shoulder or upper arm can originate from or be influenced by the cervical spine. This is one reason an assessment may include both the shoulder and neck. Do I need an MRI before seeing an osteopath? Usually not. Current clinical guidelines do not recommend routine imaging to confirm rotator cuff tendinopathy during initial management unless specific circumstances make imaging appropriate. References Desmeules F, Roy JS, Lafrance S, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025;55(4):235–274. DOI: 10.2519/jospt.2025.13182. PMID: 40165544. Liu S, Chen L, Shi Q, et al. Efficacy of manual therapy on shoulder pain and function in patients with rotator cuff injury: A systematic review and meta-analysis. Biomed Rep. 2024;20(6):89. DOI: 10.3892/br.2024.1778. PMID: 38682089.

Does the outside of your hip hurt when you walk, climb stairs or lie on that side at night? This is a common pattern of lateral hip pain. One possible cause is gluteal tendinopathy, sometimes included under the broader term greater trochanteric pain syndrome (GTPS). The condition involves the tendons of the gluteal muscles around the outside of the hip and can make everyday activities surprisingly uncomfortable. The good news is that lateral hip pain can often be managed conservatively. Understanding what is irritating the area and gradually improving your ability to move and tolerate activity can be an important part of recovery. Current evidence particularly supports education, appropriate load management and progressive exercise for gluteal tendinopathy. At OsteopathyNearMe in Etobicoke, we assess hip and surrounding musculoskeletal complaints to understand what may be contributing to your symptoms and determine an appropriate approach to care. What Is Gluteal Tendinopathy? Your gluteal muscles do much more than move your leg. The gluteus medius and gluteus minimus help stabilize the pelvis and control the hip during activities such as walking, climbing stairs and standing on one leg. Their tendons attach around the greater trochanter — the prominent bone on the outside of your upper thigh. When these tendons become painful and sensitive to load, the condition is commonly described as gluteal tendinopathy. You may also hear the term greater trochanteric pain syndrome. Historically, pain in this area was frequently called trochanteric bursitis. However, current understanding recognizes that the gluteal tendons are commonly involved, while the surrounding bursa and other tissues may also contribute. What Does Gluteal Tendinopathy Feel Like? A typical symptom is tenderness or pain around the outside of the hip. You may notice it when: Lying on the painful side Walking for longer periods Going up or down stairs Standing on one leg Getting up from a chair Running or exercising Standing for prolonged periods Sleeping at night Some people also notice discomfort extending down the outside of the thigh. The pain pattern can vary, which is why an assessment is useful rather than assuming that every pain around the hip has the same cause. Why Does My Hip Hurt When I Sleep on My Side? This is one of the most characteristic complaints we hear with lateral hip pain. When you lie directly on the painful side, the tissues around the greater trochanter are placed under pressure. Even lying on the opposite side can sometimes be uncomfortable because the upper leg may move across the body and increase compression around the affected hip. This does not necessarily mean that you are causing additional damage every time the area hurts. It does, however, tell us something about which positions and loads are currently sensitive. Why Does My Hip Hurt When Walking or Climbing Stairs? Walking and stair climbing require the muscles on the outside of your hip to help stabilize your pelvis. When the gluteal tendons are sensitive, increasing the demand on these muscles can provoke symptoms. This is also why lateral hip pain sometimes appears after a sudden increase in walking, running, hills, gym activity or other physical demands. The answer is not necessarily to stop moving completely. A better strategy is often to understand which activities are aggravating the area and gradually rebuild its tolerance. Is It Hip Bursitis? Possibly — but bursitis does not describe every case of lateral hip pain. The bursa is a small fluid-filled structure around the outside of the hip that helps reduce friction between tissues. It can become irritated, but research has increasingly recognized the importance of the gluteal tendons in persistent lateral hip pain. For this reason, terms such as gluteal tendinopathy and greater trochanteric pain syndrome are commonly used today. Can Osteopathy Help With Pain on the Outside of the Hip? Osteopathic care may help some people manage musculoskeletal hip pain by addressing discomfort, mobility and movement limitations that may accompany the problem. Assessment may include the hip itself as well as the pelvis and lower back when relevant. For example, we may look at: Hip range of motion Movements that reproduce your symptoms Pelvic movement and control Muscle tension around the hip Lower-back mobility when relevant Activities that aggravate the problem Recent changes in walking, running or exercise Treatment is then adapted to the individual rather than treating every painful hip in exactly the same way. The aim of osteopathic care is to help reduce discomfort, improve comfortable movement and support your return to normal activity. When strengthening, rehabilitation or additional medical care is appropriate, osteopathic treatment can also be used alongside those approaches. What Techniques May an Osteopath Use for Lateral Hip Pain? The techniques used depend on your examination, level of sensitivity and individual presentation. An osteopath may use: Soft tissue techniques around the gluteal muscles, lateral hip and surrounding tissues to help reduce muscular tension and improve comfort. Myofascial techniques to address areas of soft-tissue restriction around the hip, pelvis and thigh. Gentle hip joint mobilization using controlled movements to help improve comfortable hip mobility. Muscle Energy Techniques (MET) in which you gently contract particular muscles against controlled resistance to support mobility and muscular function. Pelvic and lower-back mobilization when restrictions in these areas appear relevant to your overall movement pattern. Gentle stretching or positional techniques selected according to how irritable the hip is and which movements are comfortable. With gluteal tendinopathy specifically, treatment should not simply consist of aggressively pressing or stretching directly over a painful tendon. Because tendon symptoms are influenced by how the area tolerates load, we also consider which daily activities and positions may currently be aggravating the hip. Manual treatment can therefore form one part of a broader strategy aimed at making movement more comfortable while the hip gradually builds its capacity again. What Else Helps Gluteal Tendinopathy? One of the strongest findings in the current literature is the importance of education and appropriate exercise. A 2025 systematic review found moderate-strength evidence that exercise combined with education improves pain and function in gluteal tendinopathy, supporting this as a central part of conservative management. A landmark randomized clinical trial also found that an education-and-exercise approach produced better global improvement than a wait-and-see strategy and performed well compared with corticosteroid injection. For some persistent cases, healthcare providers may consider other options such as shockwave therapy or injections. Recent systematic reviews suggest these may have a role in selected patients, although the appropriate option depends on the individual presentation. The important point for patients is that you do not necessarily have to choose between osteopathy and other care. Manual treatment may help make symptoms and movement more manageable while rehabilitation helps gradually restore the hip’s ability to tolerate activity. When Should Hip Pain Be Assessed? Consider an assessment if: Hip pain repeatedly interferes with walking You cannot comfortably sleep on one side Stairs consistently aggravate your symptoms Pain is limiting exercise or work The problem keeps returning Your activity level is progressively decreasing because of the pain Symptoms are not improving as expected More urgent medical assessment may be appropriate following significant trauma, inability to bear weight, substantial swelling, fever or illness accompanying hip pain, or severe rapidly worsening symptoms. Hip Pain Assessment in Etobicoke If pain on the outside of your hip is affecting your sleep, walking, exercise or everyday activities, you do not necessarily need to simply wait for it to disappear. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal hip complaints to understand how your symptoms behave and which factors may be contributing. Osteopathic treatment may help reduce discomfort, improve mobility and make movement easier while you progress through recovery. And when rehabilitation or additional healthcare is appropriate, osteopathic care can work alongside it. Frequently Asked Questions Why does the outside of my hip hurt? One common cause is gluteal tendinopathy or greater trochanteric pain syndrome. Other hip, lower-back and surrounding musculoskeletal conditions can produce similar symptoms, so persistent pain is worth assessing. Why does my hip hurt when I lie on my side? Side-lying places pressure around the outside of the hip. When the gluteal tendons and surrounding tissues are sensitive, this position can become uncomfortable and may even disturb sleep. Is pain on the outside of the hip bursitis? It can involve the bursa, but persistent lateral hip pain is frequently associated with the gluteal tendons as well. This is why the broader term greater trochanteric pain syndrome is often used. Can hip pain travel down the outside of the thigh? Yes. Lateral hip pain can sometimes extend down the outer thigh. Pain extending further into the leg, particularly when accompanied by numbness, tingling or neurological symptoms, may require consideration of other causes as well. Should I stop walking if my hip hurts? Not automatically. Complete rest is not usually the goal for gluteal tendinopathy. Activity may need to be temporarily adjusted depending on symptom irritability, followed by gradual progression as tolerance improves. Can an osteopath assess lateral hip pain? Yes. An osteopathic practitioner can assess an appropriate musculoskeletal hip complaint, including hip movement and relevant surrounding regions, and determine whether osteopathic care may be suitable. What treatments are commonly used for gluteal tendinopathy? Education about managing aggravating loads and progressive exercise have particularly good support in current research. Depending on the individual case, manual therapy and other treatments may also form part of a broader management approach. References Bremer T, Nicklen P, Fearon A, Morrissey D. The efficacy of gluteal tendinopathy treatments: A systematic review.Clinical Rehabilitation. 2025;39(5):600–617. PMID: 40223303. DOI: 10.1177/02692155251327298. Mellor R, Bennell K, Grimaldi A, et al. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. BMJ. 2018;361:k1662. PMID: 29720374. Rau OR, Cheng J, Jivanelli B, Tenforde AS, Wyss JF. Extracorporeal Shockwave Therapy for Tendinopathies Around the Hip and Pelvis: A Systematic Review. HSS Journal. 2025. PMID: 40292269. DOI: 10.1177/15563316251332189. Kuhns BD, Becker N, Reyes-Cordova A, et al. Improved Outcomes With Platelet-Rich Plasma for Treating Extra-articular Hip Pathology Especially Greater Trochanteric Pain Syndrome and Hamstring Injury: A Systematic Review of Randomized Controlled Trials. Arthroscopy. 2026;42(1):310–325. PMID: 41838530. DOI: 10.1002/arj.70024.

Introduction TMJ pain can make everyday activities like eating, speaking, and yawning uncomfortable. Many people assume the problem is only inside the jaw joint. In reality, the jaw works closely with the muscles of the face, neck, shoulders, and upper back. Modern research suggests that temporomandibular disorders (TMD) are often influenced by several factors rather than a single structural problem. If you have persistent jaw pain or clicking, understanding what may be contributing to your symptoms is the first step toward choosing the right treatment. What Is TMJ? TMJ stands for the temporomandibular joint—the joint that connects your lower jaw (mandible) to your skull. TMJ pain may develop gradually or begin after injury, prolonged stress, teeth grinding, or changes in jaw function. Temporomandibular disorders (TMD) refer to a group of conditions affecting the jaw joint, chewing muscles, and surrounding tissues. Common symptoms include: • Jaw pain • Clicking or popping • Difficulty opening the mouth • Pain while chewing • Headaches • Facial pain • Neck pain • Ear fullness without infection • Jaw fatigue Does Jaw Clicking Mean Something Is Wrong? Not necessarily. A painless click is often caused by a small change in the position of the articular disc inside the jaw joint. Research has shown that many people have jaw clicking without pain or reduced function. However, an assessment is recommended if jaw clicking is accompanied by: • Pain • Jaw locking • Difficulty opening the mouth • Progressive worsening of symptoms • Difficulty chewing Treatment decisions should be based on your symptoms and function rather than the clicking sound alone. What Does the Research Say? Current international clinical guidelines recommend conservative treatment as the first approach for most people with temporomandibular disorders. The strongest evidence supports: • Patient education • Individualized jaw exercises • Self-management strategies • Behaviour modification • Manual therapy combined with exercise Research suggests that manual therapy may improve pain and jaw function, particularly when it is combined with an active rehabilitation program. While manual therapy can provide short-term symptom relief for some people, long-term improvement is generally achieved by combining hands-on treatment with exercise, education, and changes in daily habits. How Can Osteopathy Help? An osteopath for TMJ does not treat the jaw joint in isolation. During an assessment, we evaluate how your jaw works together with your neck, posture, breathing pattern, and surrounding muscles. During an assessment, we look at how your jaw works together with your neck, upper back, posture, breathing pattern, and the surrounding muscles. Because temporomandibular disorders often have several contributing factors, understanding the whole picture is essential before creating a treatment plan. Treatment may include gentle manual therapy, soft tissue techniques, joint mobilization when appropriate, individualized exercises, and practical advice to help reduce unnecessary strain on the jaw. The goal is not simply to reduce pain temporarily. It is to improve how the jaw moves, restore comfortable function, and help you understand what may be contributing to your symptoms so you can manage them with confidence. What Happens During Your First Appointment? Your first visit begins with a detailed discussion about your symptoms, medical history, and daily activities. We then perform a comprehensive assessment that may include your jaw movement, neck mobility, posture, muscle function, and other areas that could be contributing to your symptoms. After the assessment, we explain our findings in clear language, discuss whether osteopathic treatment is appropriate for your condition, and develop an individualized treatment plan based on your goals and the best available evidence. Why a Comprehensive Assessment Matters Many people seek treatment for jaw pain after trying different exercises, mouth guards, or online advice without fully understanding why their symptoms developed in the first place. Because temporomandibular disorders often involve more than the jaw joint alone, identifying the factors contributing to your symptoms is an important first step. A comprehensive assessment allows us to evaluate how your jaw functions together with your neck, posture, surrounding muscles, and movement patterns. This information helps determine whether osteopathic care is appropriate for your situation and guides the recommendations that follow. Rather than applying the same approach to every patient, we believe that understanding the individual is the foundation of high-quality care. Book Your TMJ Assessment Living with jaw pain, clicking, headaches, or difficulty chewing can be frustrating—especially when you're not sure what's causing your symptoms. At OsteopathyNearMe in Etobicoke, we begin with a thorough assessment designed to understand the factors that may be contributing to your condition. Rather than focusing only on the jaw joint, we evaluate how your jaw, neck, posture, breathing, and surrounding muscles work together. Following your assessment, we will explain our findings in clear, easy-to-understand language, discuss whether osteopathic care is appropriate for your situation, and recommend an individualized management plan based on your goals and current presentation. If you’re looking for an experienced osteopath for TMJ in Etobicoke, we’d be pleased to welcome you to our clinic for a comprehensive assessment. Frequently Asked Questions Can an osteopath help with TMJ pain? Many people with jaw pain, clicking, headaches, or difficulty chewing choose an osteopathic assessment to better understand what may be contributing to their symptoms. Because TMJ problems often involve the jaw, neck, muscles, posture, and movement patterns working together, a comprehensive assessment can help determine whether osteopathic care may be appropriate for your individual situation. Is jaw clicking always a problem? Not necessarily. Many people experience jaw clicking without pain or limitations in function. However, if clicking is accompanied by pain, locking, difficulty opening your mouth, headaches, or worsening symptoms over time, a professional assessment is recommended to identify what may be contributing to the problem. How many osteopathy sessions are usually needed for TMJ? There is no fixed number of visits because every person is different. The recommended treatment plan depends on factors such as how long your symptoms have been present, the findings during your assessment, your goals, and how your symptoms respond over time. After your first appointment, we’ll discuss what approach is most appropriate for your situation. Can TMJ pain cause headaches or neck pain? It can. Many people with temporomandibular disorders also experience headaches, neck discomfort, facial pain, or ear symptoms. Because these symptoms can also have other causes, a comprehensive assessment is important to determine whether they may be related in your individual case. Should I see a dentist or an osteopath for TMJ symptoms? It depends on the nature of your symptoms. If your symptoms appear to be related to your teeth, bite, or dental health, a dentist may be the most appropriate professional to see. If they appear to involve jaw movement, surrounding muscles, posture, or neck function, an osteopathic assessment may also be appropriate. In many cases, the best outcomes come from collaboration between different healthcare professionals. References Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD).Journal of Oral & Facial Pain and Headache. 2014. National Institute of Dental and Craniofacial Research (NIDCR). Temporomandibular Joint Disorders (TMJ & TMD). American Academy of Orofacial Pain. Guidelines for Assessment, Diagnosis and Management of Temporomandibular Disorders. Still Not Sure What’s Causing Your Jaw Pain? Jaw pain, clicking, headaches, and difficulty chewing can have many different contributing factors. Without a proper assessment, it can be difficult to know where the problem is coming from. At OsteopathyNearMe, we begin with a detailed assessment to understand how your jaw, neck, posture, breathing, and surrounding muscles work together. If osteopathic care is appropriate for your situation, we’ll explain our findings and discuss the options available to you. Book your assessment today and take the first step toward understanding your symptoms.

Lower back pain that travels into the buttock, thigh or further down the leg can be uncomfortable and sometimes worrying. You may hear this type of pain described as sciatica, especially when it feels sharp, burning or electric, or travels along one leg. But not every pain that moves from the back into the leg is caused by the sciatic nerve, and these symptoms do not automatically mean that you have a damaged or “slipped” disc. Understanding what may be contributing to your symptoms is an important first step toward recovery. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal back and leg complaints and help determine whether osteopathic care may be appropriate for your presentation. What Is Sciatica? Sciatica is a commonly used term for pain and other symptoms associated with irritation or involvement of nerve roots that contribute to the sciatic nerve. Symptoms may begin around the lower back or buttock and travel into the thigh, calf or foot. Some people experience mainly pain, while others may also notice: Tingling or pins and needles Numbness or altered sensation Burning or electric-like sensations Changes in strength Symptoms that change with certain movements or positions A lumbar disc herniation is one possible cause, but it is not the only explanation for pain travelling into the leg. What Does Sciatica Feel Like? Sciatica can feel different from person to person. Some describe a sharp line of pain travelling down the leg. Others experience a deep ache, burning sensation, tingling or intermittent discomfort. Symptoms may change with sitting, bending, walking or other activities. Importantly, the location of pain alone cannot tell us exactly which structure is responsible. That is why assessment considers the overall pattern of symptoms rather than simply where the pain is felt. Does Pain Down the Leg Mean I Have a Herniated Disc? Not necessarily. A lumbar disc herniation can irritate a nerve root and produce pain or neurological symptoms into the leg. However, experiencing pain down the leg does not automatically establish that a disc is responsible. Other structures around the lower back, hip and pelvis can sometimes produce similar symptoms. Current research recognizes several musculoskeletal conditions that can mimic lumbar radicular pain, making clinical assessment particularly useful when symptoms persist or repeatedly return. What Causes Lower Back Pain Shooting Down Leg? There isn’t one explanation that applies to everyone. Depending on your presentation, assessment may consider your: Lower back Hip and pelvic movement Muscles and surrounding soft tissues Previous injuries Daily and occupational activities Recent changes in physical activity Neurological signs when appropriate The goal is not simply to find one area that feels tight. It is to understand how your symptoms behave and determine what type of care may be appropriate. Do I Need an MRI for Sciatica? Not everyone experiencing back and leg pain requires immediate imaging. For many musculoskeletal presentations, clinical assessment is an appropriate starting point. Imaging may become more important when there are significant or progressive neurological findings, symptoms are not progressing as expected, serious pathology is suspected, or imaging would influence the next stage of management. An MRI can provide valuable structural information, but the findings still need to be interpreted together with your symptoms and clinical examination. Can Osteopathy Help With Sciatica and Back Pain? Osteopathic care may be helpful for some people experiencing lower back discomfort with symptoms travelling into the leg. Treatment begins with an assessment to understand how your symptoms behave and how your lower back, hips, pelvis and surrounding tissues are functioning. Depending on the findings, osteopathic treatment may include manual techniques aimed at reducing discomfort, improving mobility and helping you move more comfortably during recovery. Recent systematic reviews of osteopathic manipulative treatment for low back pain have reported improvements in pain and function, including short-term benefits in people with chronic low back pain. Recovery, however, is individual. What Techniques May an Osteopath Use? Osteopathic treatment is individualized, so the techniques used will depend on your symptoms, clinical findings and how your body responds during the session. For lower back pain with symptoms travelling into the leg, an osteopath may use a combination of techniques such as: Soft tissue techniques — to address muscle tension and improve comfort around the lower back, hips and pelvis. Myofascial techniques — gentle approaches directed at areas of soft-tissue restriction that may be contributing to discomfort or limited movement. Joint mobilization — controlled movements of the lumbar spine, pelvis or hips aimed at improving mobility and making movement more comfortable. Gentle traction techniques — may be used in selected cases to reduce discomfort and provide a comfortable sense of decompression. Muscle Energy Techniques (MET) — gentle techniques in which the patient actively contracts specific muscles against controlled resistance to support mobility and reduce muscular tension. Neural mobilization techniques — carefully selected movements may sometimes be used when neural sensitivity appears relevant to the presentation. Treatment of related areas — when clinically relevant, the osteopath may also assess and treat the hips, pelvis, thoracic spine or other areas that may influence overall movement and function. Not every technique is appropriate for every patient. Treatment is adapted according to your symptoms, comfort level and clinical findings. The goal is not to force a disc or nerve back into place, but to help reduce discomfort, improve mobility and make movement easier while supporting the recovery process. Osteopathic care may also be used alongside rehabilitation, medical care or other treatment when appropriate. Will Sciatica Always Require Surgery? No. Many people with sciatica and related symptoms are managed without surgery. The appropriate approach depends on the cause, severity and duration of symptoms as well as whether neurological changes are present. Research continues to support an individualized approach rather than assuming that everyone experiencing sciatica needs the same treatment. When Should Back Pain Going Down the Leg Be Assessed? Consider an assessment if: Pain repeatedly travels from your lower back or buttock into the leg Symptoms interfere with walking, work, sleep or exercise You experience persistent tingling or numbness The problem repeatedly returns Symptoms are becoming progressively worse You notice changes in leg strength Certain symptoms require more urgent medical attention. Seek prompt medical care if back or leg symptoms are accompanied by new bladder or bowel dysfunction, numbness around the groin or saddle region, rapidly progressing significant weakness, major trauma, fever or other concerning systemic symptoms. Lower Back Pain and Sciatica Assessment in Etobicoke If lower back pain is shooting down your leg, understanding why it is happening can help you decide what to do next. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal lower-back and leg complaints and provide individualized osteopathic care when appropriate. Our aim is to help reduce discomfort, improve movement and support your recovery. If your presentation indicates that medical evaluation, imaging, rehabilitation or another healthcare professional should be involved, osteopathic care can work alongside that process when appropriate. Frequently Asked Questions Why is my lower back pain shooting down my leg? One possible explanation is irritation or involvement of a lumbar nerve root, commonly described as sciatica. However, other musculoskeletal conditions can create similar symptoms, so assessment can help clarify what may be contributing. How do I know if my leg pain is sciatica? Sciatica commonly involves pain travelling from the lower back or buttock into one leg. Tingling, numbness or other neurological symptoms may also occur. Similar symptoms can have different causes, so the overall clinical presentation matters. Does sciatica mean I have a slipped disc? No. A lumbar disc herniation is one possible cause of sciatica, but experiencing sciatica-like symptoms does not automatically mean that you have a symptomatic disc herniation. Can sciatica cause tingling or numbness? Yes. When a nerve root is involved, symptoms can include tingling, altered sensation or numbness in addition to pain. Can an osteopath assess sciatica? Yes. An osteopathic practitioner can assess musculoskeletal back and leg symptoms, examine relevant movement and function, and determine whether osteopathic care is appropriate or whether additional medical assessment may be needed. Can osteopathy be used alongside other treatment? Yes. Osteopathic care can be part of a broader recovery plan and may be used alongside rehabilitation, medical care or other appropriate treatment depending on the individual presentation. When should I seek urgent care for sciatica? Seek prompt medical attention if symptoms are accompanied by new bladder or bowel dysfunction, numbness around the saddle or groin area, or significant or rapidly progressing weakness. References Sheppard M, Blades K, Kabbara J, Bui A, Hendryx J. Short-term benefits of osteopathic manipulative treatment for chronic low back pain: systematic review and meta-analysis. Journal of Osteopathic Medicine. 2026. PMID: 42136223. DOI: 10.1515/jom-2025-0226. Putnam K, Harrington K, Zapata I, et al. The efficacy of osteopathic manipulative medicine in the treatment of low back pain: a scoping review and meta-analysis of patient-reported outcomes. Journal of Osteopathic Medicine. 2026. PMID: 42434994. DOI: 10.1515/jom-2026-0017. Zhu Z, Schouten T, Strijkers R, Koes B, Gerger H, Chiarotto A. Effectiveness of non-surgical interventions for patients with chronic sciatica: A systematic review with network meta-analysis. The Journal of Pain. 2025;33:105431. PMID: 40373933. DOI: 10.1016/j.jpain.2025.105431.

Does your shoulder hurt when you lift your arm overhead, reach for something on a shelf, put on a jacket, or exercise? Shoulder pain with these movements is common and can have several possible causes. One frequently encountered group of conditions is rotator cuff-related shoulder pain, but similar symptoms can occur for different reasons. If the pain keeps returning, affects your sleep, or makes everyday activities difficult, understanding what may be contributing to it is an important first step. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal shoulder complaints to better understand your symptoms, movement and function and determine whether osteopathic care is appropriate. Why Does My Shoulder Hurt When I Lift My Arm? The shoulder allows a large amount of movement, and raising your arm requires coordinated movement between the shoulder joint, shoulder blade and surrounding muscles and tendons. Pain during this movement does not necessarily mean that something is torn or seriously damaged. One possible explanation is rotator cuff-related shoulder pain. This is a broad clinical term used for shoulder symptoms associated with the rotator cuff region and includes presentations that have historically been called rotator cuff tendinopathy, subacromial pain or shoulder impingement. Importantly, it is often difficult to identify one individual structure as the definitive source of shoulder pain based on symptoms or imaging alone. What Does Rotator Cuff-Related Shoulder Pain Feel Like? Symptoms vary from person to person, but people commonly describe pain around the front or side of the shoulder or upper arm. It may become noticeable when: Lifting the arm overhead Reaching behind the back Putting on a shirt or jacket Reaching into a cupboard Lifting or carrying objects Exercising or playing sports Lying on the affected shoulder Some people also notice reduced strength or difficulty performing movements that were previously comfortable. These symptoms alone cannot confirm a particular diagnosis, which is why the overall history and physical assessment matter. Does Shoulder Pain Mean I Have a Rotator Cuff Tear? Not necessarily. Shoulder pain can occur with or without structural changes to the rotator cuff. Imaging findings also need to be interpreted carefully. An ultrasound or MRI may identify changes in shoulder tissues, but an imaging finding does not automatically establish exactly why someone is experiencing pain. Current clinical guidelines therefore recommend beginning with a detailed history and physical examination. Imaging is generally considered when clinically indicated rather than being automatically required for every person with shoulder pain. What Can Contribute to Shoulder Pain When Lifting Your Arm? There is rarely one universal explanation. Depending on the person, relevant factors may include a recent increase in physical activity, repetitive overhead work, sport, previous injury, changes in training load or the way the shoulder responds to particular movements. During an assessment, it can therefore be useful to consider: When and how the pain started Which movements reproduce it Recent changes in work, sport or training Previous shoulder or neck injuries Shoulder range of motion and strength Shoulder blade and upper-body movement Whether symptoms extend into the arm Whether there are neurological or other concerning symptoms This does not mean that every painful shoulder has a biomechanical “fault” that needs to be corrected. Shoulder pain is often multifactorial. Can Osteopathy Help With Shoulder Pain? For an appropriate musculoskeletal presentation, osteopathic care may form one part of a broader conservative management approach. An osteopathic assessment can examine shoulder movement and function as well as relevant areas such as the upper back and neck when clinically appropriate. Manual techniques may sometimes be used with the aim of improving comfort or movement in the short term. However, current evidence does not justify presenting manual therapy as a stand-alone cure for rotator cuff-related shoulder pain. Contemporary clinical guidelines place particular importance on education, activity management and active rehabilitation. Research into manual therapy suggests that it may provide some benefit when incorporated into a broader management plan, but the magnitude and certainty of those benefits vary between studies. This is why treatment should be individualized rather than based on the idea that one technique works for everyone. Should I Stop Using My Shoulder If It Hurts? Not necessarily. Complete avoidance of movement is not automatically the best approach for many musculoskeletal shoulder complaints. Current clinical guidance generally supports an active approach in people with rotator cuff-related shoulder pain, with activity and rehabilitation adapted to the individual presentation and level of irritability. At the same time, repeatedly forcing a painful movement without understanding what is happening may not be helpful either. Assessment can help determine an appropriate next step. When Should Shoulder Pain Be Assessed? Consider having your shoulder assessed if: Pain keeps returning when you lift your arm Symptoms are interfering with work or exercise You are having difficulty reaching overhead Pain regularly wakes you at night Your shoulder feels noticeably weaker Symptoms are becoming progressively worse The problem is not improving as expected Seek prompt medical assessment after significant trauma, obvious deformity, sudden substantial loss of strength, a hot or markedly swollen joint, fever, or when shoulder pain is accompanied by concerning chest, breathing or neurological symptoms. Shoulder Pain Assessment in Etobicoke If shoulder pain when lifting your arm is making work, exercise or everyday activities uncomfortable, an assessment can help clarify what may be contributing to your symptoms. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal shoulder complaints and determine whether osteopathic care is appropriate for your presentation. When another healthcare professional, diagnostic imaging or further medical investigation appears more appropriate, referral may be recommended. Frequently Asked Questions Why does my shoulder hurt when I lift my arm? There are several possible causes. Rotator cuff-related shoulder pain is common, but symptoms can also arise from other musculoskeletal or medical conditions. A clinical assessment can help determine which possibilities are most relevant to your presentation. Why does my shoulder hurt when I lift my arm above my head? Overhead movement increases the demands placed on the shoulder and rotator cuff. Pain during this movement can occur with rotator cuff-related shoulder pain, but the movement itself does not identify one specific injured structure. Does shoulder pain when lifting my arm mean I have a tear? No. Pain during arm elevation does not by itself establish that a rotator cuff tendon is torn. Clinical assessment and, in selected cases, diagnostic imaging are used when further investigation is warranted. Can shoulder pain come from my neck? Sometimes. Certain neck-related problems can produce symptoms around the shoulder or into the arm. This is one reason an assessment may include the neck and a neurological screen when the history suggests it is appropriate. Can an osteopath assess shoulder pain? Yes. An osteopathic practitioner can assess an appropriate musculoskeletal shoulder complaint, examine relevant movement and function, and determine whether osteopathic care may have a role or whether referral is more appropriate. Should I get an MRI for shoulder pain? Not everyone with shoulder pain requires an MRI. Current clinical guidelines recommend clinical assessment first in many presentations, with imaging used when findings or the course of symptoms indicate that it is necessary. References Desmeules F, Roy JS, Lafrance S, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. Journal of Orthopaedic & Sports Physical Therapy. 2025;55(4):235-274. PMID: 40165544. DOI: 10.2519/jospt.2025.13182. Lewis J, Mintken PE, McDevitt AW. What’s in a Name? The Case for Using “Rotator Cuff-Related Shoulder Pain” in Clinical Practice. Journal of Orthopaedic & Sports Physical Therapy. 2025;55(7):1-3. PMID: 40536259. DOI: 10.2519/jospt.2025.13405. Zeng D, Feng R, Xia Y, Hu C, Liu Y. Effectiveness of trigger point manual therapy for rotator cuff related shoulder pain: a systematic review and meta-analysis. Disability and Rehabilitation. 2025;47(9):2217-2233. PMID: 39189423. DOI: 10.1080/09638288.2024.2393797. Liu S, Chen L, Shi Q, et al. Efficacy of manual therapy on shoulder pain and function in patients with rotator cuff injury: A systematic review and meta-analysis. Biomedical Reports. 2024;20(6):89. PMID: 38682089. DOI: 10.3892/br.2024.1778.

Pain around or behind the kneecap is a common problem in runners and physically active people. You may notice it while running, going up or down stairs, squatting, or after sitting with your knee bent for a long time. One possible cause is patellofemoral pain, often called runner’s knee. But not every pain around the kneecap has the same cause. If the pain keeps returning or starts limiting your activity, understanding what may be contributing to it is an important first step. At OsteopathyNearMe in Etobicoke, we assess musculoskeletal knee complaints to better understand your symptoms and determine whether osteopathic care is appropriate. What Causes Pain Around the Kneecap When Running? “Runner’s knee” is a common name for patellofemoral pain — discomfort felt around or behind the kneecap. Despite the name, you don’t have to be a runner to experience it. Symptoms are commonly noticed during activities such as: Running Going up or down stairs Squatting Lunging Jumping Gym training Sitting with the knee bent for a long time These patterns are commonly described in clinical guidelines for patellofemoral pain. Why Does My Knee Hurt When I Run? There isn’t always one simple cause. Running repeatedly loads the knee, and symptoms can sometimes appear after increasing distance, intensity, frequency, or returning to activity after a break. When assessing knee pain, we may consider: When the symptoms started Recent changes in training Which movements reproduce the pain Previous injuries Knee and hip function Your usual sport or physical activity The important point is that knee pain should not automatically be blamed on one muscle, one joint, or a supposed “misalignment.” Current research supports a broader, individualized approach to patellofemoral pain rather than assuming that one factor explains every case. Why Does My Knee Hurt on Stairs or When Squatting? This is another common question. Stairs and squatting increase the demands placed on the knee while it is bent, which can reproduce symptoms around the kneecap. However, pain during stairs or squatting does not automatically mean you have runner’s knee. Different knee conditions can produce similar symptoms, which is why an assessment can be useful when the problem persists. Does Runner’s Knee Go Away on Its Own? Sometimes symptoms settle, but for some people they can persist or repeatedly return. A recent systematic review also found that predicting exactly how patellofemoral pain will progress for an individual remains difficult. If your knee feels better after resting but the pain returns every time you start running again, it may be worth having it assessed rather than repeatedly guessing at the cause. Can an Osteopath Assess Knee Pain From Running? Yes. An osteopathic musculoskeletal assessment can help build a clearer picture of your symptoms. Depending on your presentation, assessment may include the knee as well as relevant movement and function of the hip, ankle and surrounding tissues. The goal is not to find a single “misalignment.” Instead, we try to understand what may be contributing to your symptoms and whether osteopathic care is appropriate for your particular presentation. Current evidence also supports active rehabilitation as an important part of managing patellofemoral pain and does not support manual therapy as a stand-alone treatment. When another form of care or further medical investigation appears more appropriate, referral may be recommended. When Should Knee Pain Be Assessed? Consider having your knee assessed if the pain: Keeps returning when you run Is limiting your usual training Regularly appears with stairs or squatting Is becoming more noticeable over time Started after increasing your training Is interfering with normal daily activities Significant trauma, inability to bear weight, major swelling, obvious deformity, a hot or markedly swollen joint, or fever should be medically assessed promptly. Knee Pain Assessment in Etobicoke If pain around your kneecap is stopping you from running, exercising or moving comfortably, you don’t have to simply assume it is runner’s knee. At OsteopathyNearMe in Etobicoke, we assess knee and other musculoskeletal complaints to better understand your symptoms and determine whether osteopathic care may be appropriate. Frequently Asked Questions Why does my knee hurt around the kneecap when I run? Patellofemoral pain is one possible cause, particularly when pain is felt around or behind the kneecap. However, several knee conditions can produce similar symptoms. Is runner’s knee the same as patellofemoral pain? “Runner’s knee” is commonly used to describe patellofemoral pain, but it is an informal term and should not be assumed to explain every case of running-related knee pain. Why does my knee hurt when going downstairs? Going downstairs places increased demands on the knee while it is bent. This commonly provokes patellofemoral symptoms, although other knee problems can cause similar discomfort. Can you get runner’s knee without being a runner? Yes. Patellofemoral pain can occur in people participating in many different physical activities, not only running. Can an osteopath assess runner’s knee? An osteopathic practitioner can assess an appropriate musculoskeletal knee complaint and determine whether osteopathic care may have a role. Manual therapy should not be presented as a stand-alone treatment for patellofemoral pain. References Neal BS, Lack SD, Bartholomew C, Morrissey D. Best practice guide for patellofemoral pain based on synthesis of a systematic review, the patient voice and expert clinical reasoning. British Journal of Sports Medicine.2024;58(24):1486–1495. DOI: 10.1136/bjsports-2024-108110. PMID: 39401870. Neal BS, et al. Prognosis of Patellofemoral Pain: A Systematic Review With Evidence- and Gap-Map. Journal of Orthopaedic & Sports Physical Therapy. 2025;55(10):661–670. DOI: 10.2519/jospt.2025.13491. PMID: 40996335. Willy RW, et al. Patellofemoral Pain: Clinical Practice Guidelines. Journal of Orthopaedic & Sports Physical Therapy. 2019;49(9):CPG1–CPG95. DOI: 10.2519/jospt.2019.0302. PMID: 31475628.

Groin pain during soccer, running, hockey, gym training or other sports can be frustrating—especially when it settles with rest but returns as soon as training intensity increases. Sometimes the discomfort follows a clear strain. In other cases, it develops gradually and becomes noticeable during sprinting, kicking, changing direction or other demanding movements. The important point is that “groin pain” is a symptom, not a single diagnosis. Several structures around the hip, pelvis and groin can produce similar symptoms, which makes proper assessment particularly important. At OsteopathyNearMe in Etobicoke, we assess sports-related groin pain to better understand which musculoskeletal factors may be contributing and whether osteopathic care is appropriate. What Causes Groin Pain When Playing Sports? Groin pain when playing sports is a common reason athletes seek assessment, especially when symptoms return during running, kicking, cutting, or changing direction. Groin pain may be related to the adductors, hip joint, iliopsoas region, inguinal region or pubic area. More than one region may sometimes be involved. This is one reason why searching for a single muscle or trying to identify the problem only by where it hurts can be misleading. What Does Adductor-Related Groin Pain Feel Like? The adductors are the muscles along the inner thigh that contribute to controlling the hip during running, cutting and kicking. When the adductor region is involved, people may notice pain around the inner thigh or groin during activities such as: Running or sprinting Kicking a ball Changing direction Skating Lunging or certain gym movements Returning to sport after a period away Recent research identifies previous groin injury and reduced hip-adduction strength among the factors most consistently associated with groin pain in athletes. However, the researchers rated the overall evidence as low to moderate, so these factors should not be interpreted as proof of the cause in an individual patient. Why Is Proper Assessment Important? Two people can point to almost exactly the same area of pain but have different contributing factors. An assessment may consider how the symptoms started, which movements reproduce them, hip movement, muscle function and the demands of the person’s sport. This helps distinguish a likely musculoskeletal presentation from symptoms that may need investigation by another healthcare professional. Clinical reasoning is particularly important with persistent groin pain because there is no single test that explains every case. Can Osteopathy Be Part of Care for Sports-Related Groin Pain? Potentially, when assessment suggests an appropriate musculoskeletal presentation. Research supports conservative management for many athletes with longstanding groin pain, with active rehabilitation generally having a stronger evidence base than relying only on passive treatment. A systematic review and meta-analysis found that the certainty around the optimal combination of exercise and passive/manual approaches remains very low. For this reason, osteopathic care should not be presented as a treatment that simply “fixes” the groin. At OsteopathyNearMe, the role of assessment is to understand the relevant hip, pelvic and surrounding musculoskeletal findings and determine whether manual osteopathic care may reasonably form part of the person’s management. When Should Groin Pain Be Assessed? An assessment may be worthwhile when groin pain: Keeps returning during sport Has persisted despite reducing activity Limits running, kicking or changing direction Started after a sports injury Is affecting your ability to train at your normal level Severe pain following significant trauma, inability to bear weight, marked swelling or bruising, a noticeable groin lump, systemic symptoms, or unexplained persistent pain should receive appropriate medical assessment. Sports Injury Assessment in Etobicoke Recurring groin pain does not necessarily mean that you need to stop your sport indefinitely—but identifying what may be contributing is an important first step. If groin discomfort is limiting your soccer, hockey, running, gym training or other activity, you can book an osteopathic assessment at OsteopathyNearMe in Etobicoke. We will assess the presentation and determine whether osteopathic care is appropriate or whether further medical investigation may be advisable. Frequently Asked Questions Why does my groin hurt when I run? Groin pain while running can arise from several areas, including the adductors, hip, iliopsoas, pubic or inguinal region. The location of pain alone usually isn’t enough to determine the cause. Is groin pain common in soccer players? Yes. Groin problems are particularly relevant in sports involving kicking, sprinting and frequent changes of direction. Is groin pain always an adductor strain? No. Adductor-related pain is one possibility, but several musculoskeletal and non-musculoskeletal conditions can produce pain in the groin region. Can an osteopath assess sports-related groin pain? Yes. A musculoskeletal assessment can examine relevant movement, symptom behaviour and hip/pelvic function. Whether osteopathic treatment is appropriate depends on the individual presentation. Should persistent groin pain be checked? Yes. Pain that repeatedly returns, limits sport or does not settle as expected deserves assessment rather than assuming it is simply a pulled muscle. References Martins TB, Martins TB, Migliorini F, Maffulli N, Okubo R. Risk Factors Associated with Groin Pain in Athletes: A Systematic Review. Life (Basel). 2025;15(11):1688. PMID: 41302113. DOI: 10.3390/life15111688. Bisciotti GN, et al. The conservative treatment of longstanding adductor-related groin pain syndrome: a critical and systematic review. Biol Sport. 2021. PMID: 33795914. DOI: 10.5114/biolsport.2020.97669. Serner A. Current Clinical Concepts: Exercise and Load Management of Adductor Strains, Adductor Ruptures, and Long-Standing Adductor-Related Groin Pain. J Athl Train. DOI: 10.4085/1062-6050-0496.21. Brito R, Cruz P, Costa D, Afonso S, Barros P. Nonsurgical Interventions for the Management of Long-Standing Groin Pain in Athletes: A Systematic Review of Randomized Controlled Trials. Cureus. 2023;15:e40149. PMID: 37425562. DOI: 10.7759/cureus.40149.

The temporomandibular joint (TMJ) is one of the most complex joints in the human body. It connects the jaw to the skull and plays a vital role in speaking, chewing, and swallowing. When this joint becomes imbalanced or restricted, it can lead to TMJ dysfunction, a condition that affects many people but is often overlooked. Common symptoms of TMJ dysfunction may include: • Jaw pain or stiffness • Clicking or popping sounds when opening or closing the mouth • Headaches or migraines • Ear pain, ringing, or a feeling of pressure • Neck and shoulder tension • Difficulty fully opening the mouth From an osteopathic perspective, TMJ dysfunction is rarely an isolated problem. The jaw is closely linked to the posture, spine, and nervous system. Stress, poor posture, teeth grinding, or previous injuries can all contribute to dysfunction in this area. How osteopathy can help: Osteopathic treatment for TMJ dysfunction focuses on restoring balance, mobility, and function in the jaw and surrounding structures. Gentle hands-on techniques are used to: • Release tension in the muscles and fascia around the jaw and neck • Improve mobility of the temporomandibular joint • Support better posture and alignment • Reduce stress and promote relaxation Many clients notice improvements not only in jaw comfort, but also in related symptoms such as headaches, neck pain, and overall well-being. If you are experiencing persistent jaw pain, clicking, or other TMJ-related issues, osteopathy offers a natural and effective way to restore comfort and balance.

Why Does Chronic Back Pain Keep Coming Back? Chronic lower back pain is one of the most common reasons people search for an osteopath in Etobicoke. Unlike acute pain, chronic back pain often develops gradually due to: Prolonged sitting Poor posture Muscle imbalance Stress Previous injuries Pain may improve temporarily but keeps returning because the underlying mechanical imbalance remains. How Osteopathy Helps Osteopathic treatment focuses on: Improving spinal mobility Releasing deep muscular tension Restoring pelvic balance Supporting proper movement patterns Rather than treating only the painful area, we assess how the entire body contributes to the dysfunction. When Should You Seek Help? If your back pain lasts longer than 2–3 weeks or frequently returns, a proper assessment may prevent long-term degeneration. At OsteopathyNearMe in Etobicoke, treatment is fully personalized and hands-on.

Low back pain can start after lifting something heavy, sitting for long periods, returning to exercise—or sometimes for no obvious reason at all. For some people, it improves within days or weeks. For others, it keeps returning and begins to interfere with work, sleep, exercise, driving, or everyday movement. If you’re experiencing low back pain, the first step isn’t simply finding the painful spot. It’s understanding what may be contributing to your symptoms and what you can safely do about them. At OsteopathyNearMe in Etobicoke, we begin with a comprehensive assessment before deciding whether osteopathic care is appropriate for you. Why Does My Lower Back Hurt? One of the biggest misconceptions about back pain is that there must always be one damaged structure causing the problem. In reality, most cases are classified as non-specific low back pain, meaning symptoms cannot reliably be attributed to one specific muscle, joint, disc, or other structure. Possible contributing factors can include: a sudden increase in physical activity repetitive or unfamiliar movements prolonged sitting or standing previous episodes of back pain changes in strength or physical conditioning sleep and recovery stress and other lifestyle factors This doesn’t mean your pain isn’t real. It means that back pain is often more complex than one structure that needs to be “fixed.” Do You Need an MRI for Low Back Pain? Not always. MRI and other imaging can be very useful when a healthcare professional suspects a specific condition or when the result could change your management. But routine imaging is not necessary for every episode of uncomplicated low back pain. Changes seen on an MRI also don’t automatically explain why someone is experiencing pain. That’s why a clinical assessment should look at the whole picture—your symptoms, medical history, movement, function, and daily activities—not just an imaging report. What Does Current Research Say? Modern back pain management has moved away from relying on one treatment alone. Current clinical guidelines emphasize a person-centred approach that may include: education and reassurance maintaining appropriate physical activity exercise self-management strategies manual therapy for selected patients The World Health Organization includes spinal manipulative therapy and massage among physical interventions that may be offered for chronic primary low back pain. However, an important detail is often missed: Manual therapy should not be viewed as a universal solution or a replacement for active rehabilitation. Research comparing exercise and manual therapy suggests that neither provides a dramatic advantage for everyone. The most appropriate approach depends on the individual. So, Can Osteopathy Help with Low Back Pain? For some people, osteopathic manual therapy may help make movement more comfortable and support their return to normal activity. But we don’t approach back pain as something that simply needs to be “realigned.” Instead, osteopathic care may be one part of a broader management plan. Depending on your assessment, this may include: gentle joint mobilization soft-tissue techniques other appropriate manual techniques movement recommendations individualized exercises advice about gradually returning to normal activities The goal is not to make you dependent on treatment. The goal is to help you move more comfortably, understand your symptoms, and regain confidence in your body. What Happens During Your First Appointment? Your first appointment begins with a conversation. We want to understand: When did your pain start? What movements make it better or worse? Does the pain stay in your back or travel into your leg? How is it affecting your work, sleep, exercise, or everyday life? We then perform a physical assessment based on your presentation. This may include evaluating: spinal movement hip mobility functional movements relevant muscles and joints neurological findings when appropriate Most importantly, we screen for signs suggesting that your symptoms may require further medical investigation. If osteopathic care isn’t appropriate, we’ll tell you. Does Low Back Pain Treatment Include Rest or Exercise? For most uncomplicated low back pain, prolonged bed rest is generally not recommended. Sometimes activities need to be temporarily modified, especially when symptoms are very sensitive. But the longer-term goal is usually to maintain comfortable movement and gradually return to normal activity. For persistent symptoms, low back pain treatment often includes a gradual return to activity, exercise, education, and other conservative approaches. That doesn’t mean everyone needs the same “back exercises.” The right starting point depends on your symptoms, abilities, lifestyle, and goals. When Should Back Pain Be Checked Medically? Most episodes of low back pain are not caused by a serious medical condition. However, medical assessment may be necessary when back pain follows significant trauma, is accompanied by progressive neurological changes or concerning systemic symptoms, or when the overall presentation doesn’t look like routine musculoskeletal pain. This is another reason why assessment comes before treatment. Why a Comprehensive Assessment Matters Two people can both say: “My lower back hurts.” But the reason their symptoms persist—and what they need next—may be completely different. One person may mainly need help returning to movement after an acute episode. Another may have recurring symptoms associated with activity or work. Someone else may have symptoms requiring medical investigation. That’s why we don’t use the same treatment plan for every patient. Understanding the individual comes first. Book a Low Back Pain Assessment in Etobicoke If back pain is affecting your work, exercise, sleep, or everyday activities, you don’t necessarily need another generic list of exercises from the internet. You may need to understand why your back is bothering you and what the appropriate next step is for your situation. At OsteopathyNearMe in Etobicoke, we provide one-on-one osteopathic assessments for people experiencing low back pain and other musculoskeletal complaints. We’ll listen to your story, assess your movement and relevant clinical findings, explain what we find in understandable language, and discuss whether osteopathic care is appropriate for you. Book your assessment at OsteopathyNearMe in Etobicoke and take the first step toward understanding your back pain. Frequently Asked Questions Can an osteopath help with low back pain? Manual therapy may help some people manage low back pain, particularly when used as part of a broader approach that includes movement, education, and appropriate exercise. Whether osteopathic care is suitable for you depends on your individual presentation. How many osteopathy sessions will I need? There isn’t a fixed number that applies to everyone. Your plan depends on factors such as how long you’ve had symptoms, what we find during the assessment, your activity goals, and how you respond over time. Progress should be reassessed rather than automatically prescribing a long course of treatment. Is osteopathy appropriate for sciatica? Pain travelling from the lower back into the leg can have several causes. An assessment helps determine whether conservative care may be appropriate or whether further medical evaluation is recommended. Should I exercise with low back pain? For persistent non-specific low back pain, exercise is supported by substantial research. However, the appropriate type and intensity depend on the individual. The goal isn’t to force yourself through significant pain but to find an appropriate way to remain active and gradually progress. Do I need an MRI before seeing an osteopath? Usually not for uncomplicated low back pain. If your history or assessment suggests that imaging or further medical investigation may be appropriate, you can be referred to the appropriate healthcare professional. Where can I see an osteopath for low back pain in Etobicoke? OsteopathyNearMe provides one-on-one osteopathic assessment and care in Etobicoke, Toronto. Your first appointment focuses on understanding your symptoms, assessing relevant movement and clinical findings, and determining whether osteopathic care is appropriate for your situation. References World Health Organization. WHO Guideline for Non-Surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings. Geneva: WHO; 2023. George SZ, Fritz JM, Silfies SP, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. Journal of Orthopaedic & Sports Physical Therapy. 2021;51(11):CPG1–CPG60. doi:10.2519/jospt.2021.0304. Hayden JA, Ellis J, Ogilvie R, Malmivaara A, van Tulder MW. Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews. 2021;9:CD009790. doi:10.1002/14651858.CD009790.pub2. González-Gómez L, Moral-Munoz JA, Rosales-Tristancho A, et al. Exercise Therapy Versus Manual Therapy for the Management of Pain Intensity, Disability, and Physical Function in People With Chronic Low Back Pain: A Systematic Review With Meta-Analysis and Meta-Regression. European Journal of Pain. 2025;29(8):e70090. doi:10.1002/ejp.70090. Effectiveness of adding manual therapy to exercise for pain and disability in chronic non-specific low back pain: a systematic review and meta-analysis. 2026. PMID: 41643247.

Does the outside of your hip hurt when you sleep on your side, walk, climb stairs, or stand on one leg? One possible cause is greater trochanteric pain syndrome (GTPS) — a common condition affecting the outside of the hip. It is often called hip bursitis, but current research suggests that the gluteal tendons are frequently involved as well. At OsteopathyNearMe in Etobicoke, we start with an assessment to understand what may be contributing to your hip pain and whether the symptoms are actually coming from the hip. What Causes Hip Pain When Sleeping on Side? Hip pain when sleeping on side is often related to irritation or sensitivity of the muscles and tendons around the outside of the hip. Common symptoms may include: Pain on the outside of the hip Pain when sleeping on the affected side Discomfort with stairs or longer walks Pain when standing on one leg Symptoms after increasing running or exercise Aching down the outside of the thigh However, similar symptoms can sometimes come from the lower back, hip joint, or other structures, which is why assessment is important. Is It Really Hip Bursitis? Not always. The term trochanteric bursitis is still commonly used, but lateral hip pain can involve the gluteus medius and gluteus minimus tendons, the bursa, and surrounding tissues. This is why simply treating inflammation may not address everything contributing to the problem. How Is Lateral Hip Pain Assessed? An assessment may include: Hip movement Tenderness around the outside of the hip Hip muscle strength Walking and single-leg control Lower-back movement Movements that reproduce your symptoms Research supports using a combination of clinical tests rather than relying on one test alone. An MRI is therefore not automatically necessary. Imaging may be considered when the diagnosis is unclear, a significant injury is suspected, or symptoms are not progressing as expected. What Treatment Has the Best Evidence? Current research provides the strongest support for education and progressive exercise in people with gluteal tendinopathy. Treatment often focuses on gradually improving the hip’s ability to tolerate everyday activities such as walking, stairs, exercise and prolonged standing. Complete rest is usually not the goal. Instead, activity may be temporarily modified and then progressively increased as symptoms allow. Can Osteopathy Help With Hip Pain? Osteopathic manual treatment may be used as one part of a broader management plan when appropriate. Depending on your assessment, care may include: Hands-on treatment Movement and activity advice Mobility work Progressive exercises Strategies to reduce aggravating positions Importantly, research currently provides stronger direct evidence for education and exercise in gluteal tendinopathy than for manual therapy alone. Our goal is therefore not simply to repeatedly treat the painful area, but to help improve movement, function and your ability to tolerate activity. What Can I Do at Home? While waiting for an assessment, you may try: Avoiding prolonged pressure directly on the painful hip Sleeping on the opposite side with a pillow between your knees Reducing activities that significantly aggravate symptoms Continuing comfortable daily movement rather than complete rest Avoid aggressively stretching or strengthening the hip if you are unsure what is causing the pain. When Should Hip Pain Be Investigated? Seek appropriate medical assessment if hip pain follows significant trauma, you suddenly cannot bear weight, symptoms are severe or rapidly worsening, or you develop significant neurological or systemic symptoms. Most uncomplicated lateral hip pain can initially be assessed conservatively. Hip Pain Treatment in Etobicoke If hip pain is interfering with sleep, walking, exercise or everyday activities, an assessment can help determine what may be contributing to your symptoms. At OsteopathyNearMe Health Studio in Etobicoke, we assess the hip together with relevant muscle function, movement and surrounding areas before developing an individualized treatment plan. Frequently Asked Questions Why does my hip hurt when I sleep on my side? Direct pressure can irritate sensitive tissues around the outside of the hip. GTPS and gluteal tendinopathy are possible causes, although other conditions can produce similar symptoms. Is outer hip pain always bursitis? No. The gluteal tendons and other surrounding tissues may also contribute to lateral hip pain. Should I stop walking? Usually not completely. The amount of walking may need to be temporarily adjusted if it significantly aggravates symptoms. Should I stretch my IT band? Not necessarily. Some positions may increase compression around sensitive lateral hip tissues. Exercise should ideally be based on your individual assessment. Do I need an MRI? Not always. Many cases can initially be assessed clinically. Imaging may be considered when the diagnosis is uncertain or the result would change management. References Bremer T, Nicklen P, Fearon A, Morrissey D. The efficacy of gluteal tendinopathy treatments: a systematic review. Clinical Rehabilitation. 2025;39(5):600–617. DOI: 10.1177/02692155251327298. Kjeldsen T, Hvidt KJ, Bohn MB, et al. Exercise compared to a control condition or other conservative treatment options in patients with Greater Trochanteric Pain Syndrome: a systematic review and meta-analysis. Physiotherapy. 2024;123:69–80. DOI: 10.1016/j.physio.2024.01.001. Kinsella R, Semciw AI, Hawke LJ, et al. Diagnostic Accuracy of Clinical Tests for Assessing Greater Trochanteric Pain Syndrome: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2024;54(1):26–49. DOI: 10.2519/jospt.2023.11890. Mellor R, Bennell K, Grimaldi A, et al. Education plus exercise versus corticosteroid injection versus a wait and see approach for gluteal tendinopathy. BMJ. 2018;361:k1662. DOI: 10.1136/bmj.k1662.