Category Archives: Blog

physical therapy online

Now Providing Online Physical & Occupational Therapy Care

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physical therapy online

Our partnering clinics are now providing physical and/or occupational therapy care!

There are now two ways to help patients recover from injury:

  • In Person:We are still open and welcoming patients to receive the care they need in our clinic. Click here for more information about the precautions we are taking in the clinics to keep you safe.
  • Online Through Telehealth: Our partnering therapists can still complete a visit for patients that are unable to make it into the clinic.  They will use both VIDEO and AUDIO so that they can have two way communication during these physical and/or occupational therapy visits.

In order to make your telehealth appointment a success, here are the things you will need access to: 

  • Internet access
  • A device with a camera (computer, phone, tablet) that has access to email
  • Space to exercise

online physical therapy

For more information about online physical and occupational therapy services please contact your clinic directly.

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*Not all locations may be set-up for online appointments. 

Stay Active While Social Distancing

4 Ways to Stay Active While Social Distancing

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Stay Active While Social Distancing

Most of us have found ourselves at home looking for things to do. Even though we may not be able to make it to the gym or to a group class with friends, there are still ways to stay active while social distancing at home.

Here are our top 4 ways to keep moving.

  1. Go for a walk or run: Getting some fresh air and going for a walk or run in an uncrowded location is a great way to get some exercise in. The CDC recommends 6 feet of distance between yourself and others, so make sure you choose a path or trail that allows for space.
  2. Do housework: You have stocked up on cleaning supplies; now it’s time to get some exercise out of it! Whether it’s washing dishes, vacuuming, or dusting, the time spent on your feet and moving around can add up to a fully productive and active day – not to mention the result of having a clean living space.
  3. Have a dance party: It might not be the same as a traditional Zumba class, but all you need to get the party started is some music that can get you moving. Whether it be salsa, a line dance, or maybe even the floss, dancing is a sure way to get your heart rate up.
  4. Living room resistance training: Squats, lunges, planks, and push-ups can all be done at home without the need of a gym or weights. These exercises use your body weight to help train. If you need guidance on getting started or making sure you have exercises that you can do safely, please call us for help.

We hope you have fun staying active with these exercise ideas. If you need help getting started or have questions, please reach out to any of our physical therapy clinics. They can work with you to create an in-home exercise plan that works for you and your ability levels.

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Your Health is Our Top Priority

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Preventing the Spread of Illness

Updated 3/25/2020

As you are aware, there is an emerging public health threat related to the 2019 Novel Coronavirus (COVID-19), additionally, it is also flu and respiratory disease season. We are taking necessary precautions to prevent the spread of these viruses and encouraging everyone to take action to stay healthy. While we are all changing our daily routines during this global health crisis, we want to let you know that our doors are still open, and will remain open unless we are told otherwise by our governmental leaders.

We have considered the question of whether or not to stay open from an ethical perspective. The question pertains to whether or not we, as private practice business owners, are contributing to the rise of the infection curve, versus supporting the flattening of it, by remaining open to see our patients.

We want to share that a memorandum was issued on March 19, 2020 by the U.S. Department of Homeland Security which states:

“If you work in a critical infrastructure industry, as defined by the Department of Homeland Security, such as healthcare services and pharmaceutical and food supply, you have a special responsibility to maintain your normal work schedule.”

The guidance goes on to further define the “essential infrastructure workers” to include “physical and occupational therapists and assistants”. Their advice to our industry is to strive to stay open and treat the patient population during this pandemic. Therefore, we believe that it is our duty to try to meet this guidance and continue to care for our patients’ physical and occupational therapy needs during this time of crisis.

Since our clinics and its staff are included in the specific definition of “essential” healthcare businesses that should strive to stay open and care for patients, we intend to do just that. We are able to practice within the recommended CDC guidelines and we are following local government mandates. We are here to assist in keeping people healthy; physical and occupational therapists are essential in flattening the curve of the COVID-19 pandemic. We play a key role in keeping people we can help out of physician offices and hospitals. This will not only free up the medical teams to treat those impacted by COVID-19, but also limit the exposure of those seeking care for treatment that a physical or occupational therapist can provide. For those patients who do not need surgery at this time, or if surgery has been delayed, we are here and ready to help get you better.

There is currently no vaccine to prevent COVID-19 infection. The best way to prevent infection is to avoid being exposed to this virus.

Here are the steps we are taking to help to prevent infection and the spread of the virus.

  • All employees are screened daily for COVID-19.  Staff with respiratory symptoms return home and do not return to work until well.
  • After each patient encounter, we are washing our hands with soap and water, or using an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • We are routinely cleaning and disinfecting frequently touched objects and surfaces such as; mats, treatment tables, exercise equipment, computer keyboard and mouse, pens, phones, light switches, door handles, faucets, etc.

How you can help us maintain a safe environment for yourself and our patients.

  • Please take a minute to wash your hands or use hand sanitizer when you first walk inside.
  • It is allergies season. When coughing and sneezing, cover mouth and nose with flexed elbow or tissue – discard tissue immediately into a closed bin.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • If you have symptoms of any respiratory infection with no fever (e.g., cough, runny nose) please call ahead to reschedule your appointment or a telehealth visit, if appropriate.
  • If you have a fever, please refrain from coming to the clinic until you have been fever-free for 3 days.

More information about the coronavirus can be found on the CDC’s website. If you have any questions or would like to speak with us directly, please don’t hesitate to call any of our locations.

physical therapy near me

Many of our locations are now offering a Telehealth option for patients who are not able to make it in the clinic. More information about Online Physical Therapy Sessions.

Physical Therapy for Golfer's Elbow

Physical Therapy for Golfer’s Elbow (Medial Epicondylitis)

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Physical Therapy for Golfer's Elbow

Golfer’s Elbow, medically known as medial epicondylitis,  is a painful condition where the tendons that attach to the inside of the elbow become inflamed due to repetitive use of the hand, wrist, forearm, and elbow. It often occurs with repetitive activities such as swinging a golf club or tennis racket, work or leisure activities requiring twisting and gripping such as shoveling, gardening and swinging a hammer. It can also appear in other sports-related activities such as throwing and swimming. Medial epicondylitis is most commonly seen in men over the age of 35 but can be seen in any population. If these symptoms sound familiar, than going to physical therapy for golfer’s elbow may be just what you need.

What is causing your elbow pain?

Medial epicondylitis affects the group of muscles that are responsible for bending the wrist, fingers, and thumb and that rotate the wrist and forearm. The tendons that connect those muscles to the medial epicondyle (bump on inside of elbow). Tendons are made up of collagen fibers that are lined up next to each other. The repetitive forces pull on those tendons creating pain and tenderness. Without treatment, those tendons can eventually pull away from the bone. Acute injuries to your elbow can create an inflammatory response which can cause redness, warmth, and stiffness in your elbow.

Medial epicondylitis is most often caused by an abnormal arrangement of collagen fibers. This condition is called tendinosis. During tendinosis, the body doesn’t create inflammatory cells as it does during an acute injury. Instead, fibroblasts are created which help make up scar tissue to fill in the spaces between the collagen fibers. This increase in scar tissue can lead to increased pain and weakness in the tissues. Physical and hand therapy is the most common nonsurgical treatment for medial epicondylitis. Your therapist will perform an evaluation where he/she will ask you several questions about your condition, pain level and other symptoms you may be experiencing. He/she will perform motion and strength testing on your entire upper extremity. Your therapist will also palpate your arm to determine which tendon(s) may be inflamed. He/she will use special tests designed to deferentially diagnose your condition from others that may have similar presentations, such as Cubital Tunnel Syndrome.

golf ball on tee

What to expect from Physical Therapy for Golfer’s Elbow

  • Pain Management: this can include Mechanical Diagnosis & Therapy, ice, ice massage, moist heat, electrical stimulation, and ultrasound.
  • Range-of-Motion Exercises: stretches and mobility exercises to help maintain proper movement in your elbow, forearm, wrist, and hand.
  • Strengthening Exercises: progressive resistive exercises to help build strength in your arm, elbow, forearm, wrist, and hand. These can include weights, medicine balls and/or resistance bands. This will also include your Home Exercise Program.
  • Manual Therapy: used to ensure full, pain-free movement is achieved and can include joint mobilizations, manual muscle stretches, and soft tissue massage.
  • Neuromuscular Re-education (Functional Training): used to help you return to your prior level of function for both home and work activities. Will include retraining proper movement patterns with necessary modifications based on the current level of function and patient limitations.
  • Patient Education: used to help retrain patients on proper postural control during everyday activities including dressing, self-care, work, and sports activities. This can include helping return a patient to their specific sport, such as making adjustments to their golf swing or throwing technique.

Once you’ve completed physical therapy for Golfer’s Elbow you’ll want to do everything you can to prevent this from reoccurring. This can occur by maintaining proper awareness of your risk for injury during your daily movements. Key things to keep in mind:

1. Maintain proper form during all repetitive movements both at work and at home.
2. Continue your Home Exercise Program in order to maintain proper strength in your shoulder, elbow, forearm, wrist, and hand.
3. Use proper posture and body mechanics with lifting or carrying to avoid any undue stress on your joints and tendons.

This information was written by Plymouth Physical Therapy Specialists, an outpatient physical and hand therapy group with fourteen locations in the surrounding Plymouth, Michigan area. At Plymouth Physical Therapy Specialists, they are committed to using evidence-based treatments in their practice. This means that their therapists utilize the most current and clinically relevant treatments in their approach to rehabilitation. For more information click here.

how to run with bad knees

How to Run with Bad Knees: Pain Prevention & Care

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how to run with bad knees

The biggest fear of every runner is that their joints are going to start to ache and prevent them from running. You can actually never know when something like knee or ankle pain could occur, but you should know the most common reasons that happen and how to prevent it.

Maybe you had a knee injury when you were younger and it could start showing up again while running. Also, a meniscus tear is another problem that could make your knees ache as well as the jumper’s knee. There are simply many reasons for this pain to show since knees are gentle and the impact of feet to the ground puts too much stress on them. Luckily, there are many ways to prevent this and take proper care of your knees and tendons around them which will enable you to run without any difficulties.

Wear the Right Shoes

Feet are very complex and if you don’t take care of them while running, you will find more problems occurring in them, your knees and even hips. It is all connected and you have to protect your foot in order to avoid any further aches and problems. Running is a high impact sport and puts plenty of stress on feet, ankles, and knees and wearing proper shoes will help you run easily and reduce any risks of injury and pain.

Your job is to find the right shoes that will provide proper support for your toes, heel, and arch. Also, the sole should be comfortable and thick enough to provide amortization during running. Not only will running become even more fun, but you will manage to save your knees from stress, provide comfort for your feet and avoid and prevent any ankle pain and injuries.

Don’t Skip the Strength Training

Strength training is good for your entire body. Proper strength exercises will make your muscles more strong and flexible which is an important part of preventing any pain and injuries. If your lower-body muscles are weak, you should try to make them stronger. You can perform plenty of different exercises, such as lunges and squats and you will manage to make your thighs and knees stronger and more balanced. Also, don’t forget to work on your core and stability, because those will keep your knees and hips protected while running and even help with performance.

Lean Forward While Running

If you’re experiencing any knee pain during or after your running session, it could be that your technique or posture is off. Maybe you are not leaning forward enough and this puts even more stress to your joints, making your knees hurt. So, to prevent this, lean your trunk slightly forward while running, and you will manage to reduce the load placed on your joints, including knees. This will in return lower the risks of discomfort and injury on your knees and ankles.

Don’t Overtrain

It is essential to know your body and listen to it and know when it’s tired. Too much intense training will only bring negative effects and increase the risks of injuries and pain. If you’re already experiencing knee pain, think about how much you’ve run in the last couple of days and see if that was maybe too much for your body. Your body needs proper rest in order to stay healthy, injury-free and to make progress. If you run one day, make sure to rest the next day, or adjust the amount of time you spend running in one take. Take care of your body, let it rest, and you will reach your goals fast and avoid pain.

Knees are delicate. No joint in your body will give in eventually if you’re putting too much stress on it every day. So, make sure your running technique is right, invest in proper shoes and take it easy. You will be able to run faster and longer if you gradually increase the intensity.

If you are looking for help with your knee pain or would simply like to improve your running posture please don’t hesitate to reach out to your local physical therapist. Many clinics have running programs that are designed specifically to help keep people on the pavement pain-free!

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PT News PTandMe

PT News February 2020

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PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout February 2020. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

1. 8 Great Pelvic Floor Stretches to do During Pregnancy

Written by Ability Rehabilitation with multiple locations throughout Tampa and Orlando, FL.

Stretching and strengthening your pelvic floor muscles during pregnancy can help relieve your aches and pains — and alleviate stress and tension too. Pelvic floor stretches will also help you have an easier delivery and decrease your risk of urinary incontinence later on.  Read more

 

neck pain

2. Treat Your Back and Neck Pain with Our Advanced PT Methods

Written by Cornerstone Physical Therapy, an outpatient physical therapy practice with multiple locations throughout Greater Columbus, OH

Did you know that studies say approximately 90% of people will be plagued by back or neck pain at some point in their lives? While it is a common complaint, it can sometimes be difficult to determine where the pain is originating on your own. Read more

 

3. Older is Better: Strength Training for the Aging

Written by Wright Physical Therapy an outpatient physical and hand therapy practice with locations throughout Idaho.

Aging adults often attribute their aches, pains, and illnesses to “getting too old”. Age can be used altogether too much as a crutch to avoid exercise and activity. When it comes to health in general, the aging individual has so much upside to focusing on wellness in their lifestyle.  Read more

Find these locations and others to start feeling better today!

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Can Knee Pain Cause Low Back Pain

Can Knee Pain Cause Low Back Pain?

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Can Knee Pain Cause Low Back Pain

Knee osteoarthritis remains a significant problem among US adults 60 years and older. A recent study suggests knee arthritis rates as high as 37 % with women showing higher rates vs men (42% vs 31%) and higher rates among those with significant weight problems.

As a result, many of these patients opt for a total knee replacement. However, patients often suffer from pain and have difficulty walking for many years before deciding to proceed with such surgery. Living with pain for an extended period typically causes changes in how a patient walks in an attempt to relieve the pain associated with knee arthritis. Sometimes this is even done subconsciously, but it can lead to additional problems, such as low back pain (LBP). An example of how knee pain can cause low back pain would be a knee flexed position that leads to a patient leaning forward when walking. This changes at the pelvis and contributes to low back pain.

Physical Therapy Can Help Your Low Back and Knee Pain

When a patient seeks help from a physician complaining of low back pain, they are commonly referred to a physical therapist for treatment. In treating these patients, physical therapists will provide a complete and individualized assessment of the causes of low back pain, which may include a thorough biomechanical evaluation and gait assessment. Patients that go to physical therapy with knee arthritis/osteoarthritis have likely developed a permanent knee bent posture (osteoarthritis patients almost always keep their knee bent at 10 degrees or more to relieve pressure or to prevent the sheering force on the knee).

Even though back pain and knee arthritis are significant problems there is a solution. Through aggressive physical therapy that is aimed at restoring normal gait patterns, spinal mobility, and conditioning, patients have had significant relief of back pain and are prepared for successful rehabilitation following a total knee replacement. By eliminating the knee bent position before surgery and normalizing gait patterns patients can exercise more effectively, improve cardiovascular conditioning and reduce the energy cost associated with changes in how they walk all while reducing back pain.

If you believe your knee pain is causing your back pain, you may benefit from physical therapy.  Through years of experience, we have seen that comprehensive manual therapy, aimed at restoring normal walking patterns in low back pain patients considering a total knee replacement, can result in a significantly easier recovery of normal function during post-operative rehab.

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Provided by the therapists at Life Fitness Physical Therapy – MD
www.lifefitnesspt.com

Avoid common baseball injuries

10 Ways To Avoid Common Baseball Injuries

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Avoid common baseball injuries

According to an article published by the Journal of Athletic Training, youth baseball players reported throwing-arm pain 74% of the time. They also reported that UCL reconstructions between 2003 and 2014 increased 343%, with 56.6% in those aged 15 to 19 years. With the increase injuries related to the pitching athlete, we wanted to take a minute and focus on what you can do to help prevent common baseball injuries from happening to your athlete.

WHAT ARE COMMON BASEBALL INJURIES?

  • The most common baseball injuries include mild soft tissue injuries, such as muscle pulls (strains), ligament injuries (sprains), cuts, and contusions (bruises).
  • Although baseball is a non-contact sport, most serious injuries are due to contact — either with a ball, bat, or another player.
  • The repetitive nature of the sport can also cause overuse injuries to the shoulder and elbow.

.

WHAT CAN YOU DO TO PREPARE FOR THE SEASON?

  • Physical exam. A pre-season physical exam is important for both younger and older players. The goal is to prevent injuries and illnesses by identifying any potential medical problems. These may include asthma, allergies, heart, or orthopedic conditions.
    Warm-up and stretch. Always take time to warm up and stretch.
  • Warm-up with some easy calisthenics, such as jumping jacks. Continue with walking or light running, such as running the bases.
  • Gentle stretching, in particular your back, hamstrings, and shoulders, can be helpful. Your team coach or athletic trainer may provide a stretching program.

.

10 WAYS TO AVOID COMMON BASEBALL INJURIES

ASMI GUIDELINES TO HELP PROTECT PITCHERS FROM SHOULDER AND ELBOW INJURIES:

Pitching

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1. Don’t throw too much:
Daily, weekly and annual overuse is the greatest risk to a pitcher’s arm health. Numerous studies have shown that pitchers who throw more pitches per game and those who do not adequately rest between appearances are at an elevated risk of injury. While medical research does not identify optimal pitch counts, pitch count programs have been shown to reduce the risk of shoulder and elbow injury in Little League Baseball by as much as 50% (Little League, 2011). The most important thing is to set limits for a pitcher and stick with them throughout the season.

2. Don’t pitch through arm fatigue:
Individuals are 36 times more likely to develop shoulder and elbow injuries when routinely pitching with arm fatigue.

3. Don’t pitch more than 100 innings per year:
If an athlete throws over 100 innings they are 3.5 times more likely to be injured than those who did not exceed 100 innings pitched.

4. Don’t throw more than 8 months per year:
Athletes who throw > 8 months per year are 5 times as likely to suffer an injury requiring surgery of the elbow or shoulder. Pitchers should refrain from throwing for at least 2-3 months per year and avoid competitive pitching for at least 4 months per year.

5. Don’t pitch on consecutive days:
Pitchers who pitch on consecutive days have more than 2.5 times greater risk of experiencing arm pain.

6. Don’t play catcher following pitching:
If the player catches the following pitching they are 2.7 times more likely to suffer a major arm injury.

7. Don’t play on multiple teams at the same time:
There is an increased risk of injury due to the difficulty in monitoring pitch limits and rest time. If the player is on multiple teams, make meticulous efforts to keep track of the number of pitches thrown to allow adequate rest.

8. Don’t forget the shoulder in strength and conditioning programs:
Numerous studies have shown that deficits in upper extremity strength and mobility are strongly correlated to serious arm injuries. Shoulder and forearm strengthening exercises can build strength, endurance and motor control which can prevent injury.

9. Be cautious with throwing curveballs and sliders:
While existing research has not consistently shown a strong connection between the curveball and injuries, Yang et al., found that amateur pitchers who threw curveballs were 1.6 times more likely to experience arm pain while pitching and Lyman et al, found that youth pitchers who throw sliders are 86% more likely to experience elbow pain.

10. Be cautious with the radar gun:
Radar guns do not directly cause harm to a pitcher, however, the gun may cause the pitcher to throw beyond their normal comfort level. This could create an arm strain.

Don’t redshirt this season. Physical therapists can work with athletes to make sure certain muscle groups can accommodate the strain and movements necessary to perform well in your sport. Be proactive and work towards a great season with PT!

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Safely get in and out of a chair after surgery

How To Safely Get In and Out of a Chair After Surgery

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Safely get in and out of a chair after surgery

After going through total replacement surgery, it can be difficult to move around. Shortly after discharge, but before outpatient physical therapy begins, most patients will be seen by a home health nurse or physical therapist. Their visits with you will focus on making sure the wound heals properly and that you are able to perform essential functions around the home. This can include bathing, getting in and out of bed, and even walking up and down the stairs. In this article, we want to focus on how you can safely get in and out of a chair after surgery. 

One of the easiest things you can do is to choose to sit in chairs that are at an appropriate height for you. Your thighs should be parallel to the ground and your hips should NOT be lower than your knees. Avoid low chairs and overstuffed sofas and couches as much as possible. The ultimate goal is to be able to go from sitting to standing, vice-versa with even weight distribution on both legs.

How to sit down in a chair after surgery

  • Back up with your walker until you feel the chair with your legs
  • Slide your surgical leg forward. Reach back for the arm-rests one hand at a time.
  • Lower yourself using your arms and your nonsurgical leg.
  • Scoot back into the chair using your arms to assist.

how to safely sit in a chair after surgery

How to get up from a chair after surgery

  • Avoid low chairs and chairs without armrests in your immediate post-operative phase.
  • Scoot to the edge of the chair keeping your surgical leg in front of you.
  • Push up using your arms and nonsurgical leg until you are standing. Do not pull up using the walker.
  • Reach out and take hold of your walker.
  • Make sure your balance is secure before you take your first step.

how to get up from a chair after surgery

Whether you are working to safely get in and out of a chair after surgery, make sure you DO NOT pull up from the walker or sit down holding onto the walker.

The tips above will work in most cases, but not all. It is important to follow the advice and restrictions given to you by your health care provider. In our next post about how to safely manage movement after a hip or knee replacement, we will be covering the proper steps for getting in and out of chairs and the bed. We wish you all the best in recovery. If you are looking for an outpatient physical therapy clinic please stop by the Find a PT page.

physical therapy near me

More reading on total hip or knee joint replacement recovery:

manage movement after a hip or knee replacement

 

PT News PTandMe

PT News January 2020

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PT News PTandMe

This time in PT News we recap what our clinics have been posting throughout January 2020. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

1. How to Keep Up With Your New Year’s Resolutions

Written by Momentum Physical Therapy with multiple locations throughout San Antonio, TX.

Did you set a health or fitness goal for this new year/new decade? Maybe it was running, joining a gym, drinking more water or even getting more sleep. No matter what you choose, it’s important to have a goal in mind. We have all heard the statistics on resolutions, especially when it comes to fitness-related resolutions.  Read more

 

2. Winter Activities Foster Year-Round Fitness

Written by The Jackson Clinics, an outpatient physical therapy practice with multiple locations throughout Virginia and Maryland. 

The urge to “hibernate” in winter is strong, even for us humans. However, you are better off staying in shape than struggling to catch up come spring. And winter exercise benefits more than just physical fitness; it is also a powerful antidote for the winter blues. Read more

 

3. What is a Hand Therapist

Written by Desert Hand and Physical Therapy an outpatient physical and hand therapy practice with locations throughout Phoenix, AZ.

Physical therapy is something we may have all heard about, but hand therapy might be unfamiliar territory. Although physical therapy and hand therapy are similar, there are some major differences between the two that should be understood.   Read more

Find these locations and others to start feeling better today!

physical therapy near me