Category Archives: PT News

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PT News February 2019

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This time in PT News we recap what our clinics have been posting throughout February 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

1. Cold Weather Exercise Tips
Written by IRG with physical therapy locations throughout Puget Sound, Seattle and the surrounding areas.

Are you planning to take your exercise outside this winter? Here are a few things to keep in mind for pre-and-post workouts in the elements this season.  Read more

 

2. Can I Exercise Safely with a Cold?
Written by the Therapy Team at The Jackson Clinics with physical therapy locations throughout Northern Virginia and Maryland.

The average adult gets one to six colds every year, with symptoms lasting a week to 10 days. Should you let these colds interrupt your exercise routine? Probably not, as long as you pay attention to what your body tells you. Read more

 

3. Physical Therapy for the Treatment of Osteoporosis
Written by the physical therapy team at Mishock Physical Therapy & Associates with locations throughout Montgomery, Berks and Chester, PA counties.

Osteoporosis is the leading cause of fractures in the elderly. It is a disease which causes diminished bone mass and leads to a decrease in bone quality which results in increased risk for bone fractures. Fractures can lead to functional disability, chronic pain, and at times, early death. Read more

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PT News January 2019

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This time in PT News we recap what our clinics have been posting throughout January 2019. We are excited to begin a new year of new posts featuring published articles from PTandMe partnering clinics!

neck pain

1. Improving your Bed & Workstation Setup can Help Reduce your Neck Pain
Written by Sport & Spine Physical Therapy with 5 physical therapy locations throughout Southern Wisconsin.

The neck has an incredibly important job to do. It supports the head and allows us to move it in a wide range of directions so that we can better navigate the world around us. But because of how frequently it’s used and its position in the body, the neck is also a very common location for pain, and sometimes all it takes is one bad night’s sleep to ruin your day.  Read more

 

Dry Needling

2. What is Dry Needling and How Does it Work?
Written by the Therapy Team at Momentum Physical Therapy with 12 physical therapy locations throughout Greater San Antonio.

You may have heard of acupuncture, but have you heard of dry needling? If you’re up for trying new things to help with your physical therapy, keep reading to get more information on dry needling and how it works in physical therapy.  Read more

Work Injury Patient

3. Rehabilitation Program Gets Man Safely Back to Work After Two Different Operations
Written by the physical therapy team at Ability Rehabilitation with locations throughout Greater Orlando and the Tampa Bay Area

Carlos needed two different surgical procedures three years apart to repair a torn rotator cuff and an injured bicep muscle. But he also had a family to support and a paycheck to earn; he didn’t have the luxury of taking an extended leave of absence from work. Read more

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PT News December 2018

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This time in PT News we recap what our clinics have been posting throughout December, 2018. Featuring published articles from PTandMe partnering clinics!

Shedding Holiday Pounds

1. Shed Those Extra Holiday Pounds
Written by The Jackson Clinics with physical therapy locations throughout Northern Virginia and Maryland.

The holidays are here once again, with all their edible temptations, and you would like to get into better shape after they have passed. This time you are determined to find an approach that will prevent frustration, keep you motivated and help you achieve your fitness goal.  Read more

 

Snow Shoveling

2. Prevent Low Back Pain While Shoveling Snow
Written by the Therapy Team at Rehab Associates of Central VA with 11 physical therapy locations throughout Central Virginia.

As I was shoveling the snow off my driveway this week, I quickly realized that I needed to adjust my technique or I was going to pay for it later. Injury can result from repetitive movements with a general lack of awareness and variability in movement and may be prevented with some easy steps.  Read more

Fire fighter workers compensation

3. One Fire Captain’s Story: From a Workers’ Comp Injury to a Full Recovery
Written by the Therapy Team at ARC Physical Therapy+ with locations across Kansas, Missouri and Iowa

Bryan Bogue, the Fire Captain with the City of Independence, Missouri Fire Department was on a medical call and needed to lift a heavy bag over a concrete wall. It seemed like a fairly straightforward task until he raised his arms and felt a tendon snap in his elbow. The pain was immediate and severe. Read more

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PT News November 2018

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This time in PT News we recap what our clinics have been posting throughout November, 2018. Featuring published articles from PTandMe partnering clinics!

Seeing a physical therapist first with Direct Access

1. Seeing A Physical Therapist First, Through Direct Access, Improves Outcomes and Saves Money
Written by Mishock Physical Therapy & Associates with six physical therapy locations throughout Montgomery, Berks and Chester, PA Counties.

With direct access, getting the help you need has never been easier. Direct access is a law that allows you to seek care from your physical therapist without a physician referral. This means that as a patient, you can call us directly if you have an injury, pain, stiffness, or weakness that you want evaluated.  Read more

 

things you should know about vertigo

2. Things You Should Know About Vertigo
Written by the Therapy Team at Momentum Physical Therapy with 12  physical therapy locations throughout Greater San Antonio.

While anti-nausea medication and rest can help, there are ways to treat vertigo without medication. Vertigo can be helped with physical therapy. BPPV (Benign Paroxysmal Positional Vertigo), commonly described as having “loose crystals in the inner ear,” is the most common type of treated with physical therapy.  Read more

Questions to ask before surgery

3. Questions To Ask Before Choosing Surgery
Written by the Therapy Team at The Center for Physical Rehabilitation with 6, but soon to be 7, physical therapy locations throughout the Greater Grand Rapids Area.

Having surgery can be an intimidating process. Know what your surgical goals are. Are you looking to return to normal daily life functions or do you have plans to return to or start into high-level fitness/athletics? Read more

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PT News October 2018

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This time in PT News we recap what our clinics have been posting throughout October, 2018. Featuring published articles from PTandMe partnering clinics!

Kicking injury aside Rebound Physical Therapy Review

1. Kicking Injury Aside and Back on the Field
Written by Rebound Physical Therapy with 10 physical therapy locations throughout Bend, OR and the surrounding communities.

Physical therapists help patients with all kinds of disabilities or injury. Read about Kaylee’s journey through rehab as she goes from being a soccer athlete to having to relearn how to walk, and eventually get back into her sport.  Read more

 

Transitioning Indoor Activities

2. Transitioning to Indoor Activities
Written by the Therapy Team at The Jackson Clinics with 18  physical therapy locations throughout Northern VA and soon branching into Maryland.

While summer offers opportunities to walk, jog, bicycle, garden, play sports and get into shape, cold weather brings the temptation to eat more, move less and hibernate indoors. Shorter days, frosty air and holiday parties can threaten the fitness gains you made during the summer.  Read more

women's health

3. The Importance of Physical Therapy on Women’s Health: All You Need to Know
Written by the Therapy Team at Cornerstone Physical Therapy with 5 physical therapy locations in Ohio.

Ever since the #1 New York Times bestseller entitled “Men Are from Mars, Women Are from Venus” by John Gray was published, more and more people have asked the question “What makes men and women so different?” Read more

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PT News September 2018

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This September in PT News. Featuring published articles from PTandMe partnering clinics!

Juvenile Arthritis

1. Childhood Arthritis and How Physical Therapy Can Help
Written by Cornerstone Physical Therapy with 5 physical therapy locations in Ohio.

Juvenile arthritis (JA) isn’t a specific disease, but an inflammatory and autoimmune condition in youngsters under age 16. JA affects approximately 300,000 children just in the U.S. and it’s classified within seven different types, depending upon a range of symptoms and coconditions. Read more

 

shoulder physical therapy

2. Hands-on physical therapy effective for common shoulder conditions
Written by the Therapy Team at Rehab Associates with physical therapy locations throughout Central, VA.

Shoulder problems are one of the more common issues that affect the musculoskeletal system, as its prevalence in the general population has been reported as high as 4.8%. The most common shoulder condition that causes pain is shoulder impingement syndrome (SIS), which often results from too much overhead activity.  Read more

Tummy Time

3. Tummy Time Positions
Written by the Therapy Team at The Center for Physical Rehabilitation (CPR) in Grand Rapids, MI and the surrounding communities.

The American Academy of Pediatrics recommends that babies are placed on their backs for sleeping and on their tummies for supervised play time as part of their daily routine. So many of our carriers, including car seats, car seat stroller combos, bouncers and swings put our kids into a supine (aka, on their backs) position and make it more challenging to incorporate tummy time into your day. Read more

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PT News July 2018

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This Month in PT News. Featuring published articles from PTandMe partnering clinics!

1. Early Referral to Physical Therapy for Low Back Pain Reduces Cost and Improves Outcomes
Written by Mishock Physical Therapy with physical therapy locations throughout Montgomery, Berks and Chester, PA Counties.

Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding $100 billion per year in treatment, reduced productivity and lost wages. Approximately, 70 million adults have LBP in any given 3 month period of time. (Health Stats, 2015). Read more

 

groin pain

2. Men. Do You Feel Like You’ve Been Kicked in the Groin?
Written by the Therapy Team at Ability Rehabilitation with Physical Therapy locations throughout Central, FL

Are you experiencing groin pain without a known injury? Do you have urinary hesitancy, urgency or frequency? Have you been diagnosed with prostatitis, and given antibiotics but achieved little to no relief?  Read more

hand stretch

3. Improve Your Mobility with These Range of Motion Exercises
Written by the Therapy Team at Desert Hand and Physical Therapy in Phoenix, AZ

Range of Motion Exercises, or ROM exercises, are important movement patterns designed to regain mobility in a joint such as the shoulder, knee, wrist or fingers. Regularly moving your joints can help reduce pain, keep your joints flexible, and improve strength and balance. Read more

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PT News June 2018

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This Month in PT News. Featuring articles from PTandMe partnering clinics!

1. Walking: An Effective Tool for Weight Loss and Maintenance
Written by The Jackson Clinics with locations throughout Northern VA.

The simplest exercise available is placing one foot in front of the other and walking. Because this is something we do every day, it is often overlooked as a valuable tool for weight loss. Read more

 

athletic trainer

2. The Roles of an Athletic Trainer
Written by the Therapy Team at The Center for Physical Rehabilitation with locations throughout Great Rapids, MI

Athletic trainers not only help individuals return to the athletic field or a respective line of work but it also allows these athletic trainers to practice in a setting that best suits them and their interests.  Read more

physical therapy

3. Why Should I Try Physical Therapy
Written by the Therapy Team at Excel Physical Therapy in Palmer & Wasilla AK

Do you suffer from aches and pains in your joints? Physical therapy can help! Most people who suffer from pain wait it out to see if it will subside on it’s own, but what is the cause of the pain? Read more

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PT News May 2018

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This Month in PT News. Featuring articles from PTandMe partnering clinics!

1. 4 Common Signs of Concussions
Written by the Therapy Team at IRG – Sports Physical Therapy Kirkland, WA

It’s important to be able to recognize the signs and symptoms of concussions in order to prevent further injury Read more

 

2. Hands-on physical therapy effective for common shoulder conditions
Written by the Therapy Team at Rehab Associates of Central Virginia 

Shoulder problems are one of the more common issues that affect the musculoskeletal system, as its prevalence in the general population has been reported as high as 4.8%.  Read more

3. What to expect on your first visit with a pelvic Physical Therapist
Written by the Therapy Team at Ability Rehabilitation – Central Florida

You may be wondering how this will help with your concerns and symptoms. You may be wondering “how does this work”. What will happen during the first visit and follow up treatments. Read more

Big Toe Problems in Runners

Big Issues with the Big Toe

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Big Toe Problems in Runners

Many runners don’t realize what an important role the big toe plays in stabilizing the foot both during push-off and when the foot hits the ground. There’s a reason the big toe is also called the great toe: if it lacks strength, the foot can collapse. And if it is unable to move fluidly, unwanted motion will occur at the next link up the chain…the foot. And that’s not good. Let’s find out how big toe problems in runners can be addressed with physical therapy.

Quick vocabulary time-out: a joint can be hypermobile (too mobile) or hypomobile (not mobile enough). So how do we manual therapists know if a joint is moving too much or not enough? We look for 60-90 degrees of extension. If you can bend your big toe up so far that your toenail almost hits the top of your foot, that’s too much mobility! But if your big toe doesn’t bend at all or can’t budge up to 60 degrees, then you’ve got too little mobility.

Let’s look at hypermobility first. I see more instances of hypermobility in women than men, especially if the woman sits with her toe in extension, dances ballet now or in adolescence, or frequently wears high heels. Hypermobility can lead to a lengthening and weakening of the tendon or muscle, and can lead to issues like turf toe, plantar fasciitis, posterior tibilais tendinitis, anterior knee pain, and even chronic hip issues.

So what do we do? For a hypermobile joint, we have to stabilize the big toe using strengthening exercises. Research shows that the following exercises help stabilize the foot/arch:

The Isometric Vele Lean (think of the “Michael Jackson lean”)

  • Find a neutral foot position. (A flat foot position will have little to no space between the floor and your middle arch. A high/rigid foot position allows you to fit two fingers between the floor and your middle arch. What you want is a neutral position in which the arch of your foot is just an index finger high off the ground.)
  • Lean about ten inches forward (similar to the position you see skiers use when they jump off a slope to get distance), hold 10 seconds, and then return to the neutral foot position.
  • Perform 10 reps, provided you do not feel pain.

Backwards Walk (sticking with the MJ theme, you could consider this a slow and controlled Moon Walk)

  • Again, find a neutral arch.
  • Walk backwards heel to toe (“retro tandem gait” in manual therapist speak), maintaining that neutral arch.
  • Continue for two minutes, stopping if you feel fatigue or pain.

Let’s not forget that the toe, foot, and leg are like a chain, so we have to address all weak links, not just the hypermobility. For example, if a toe is hypermobile, the next joint up is often stiff. Or the knee might be painful. A manual therapist can help determine the cause (lack of quad strength? hip or foot weakness?) as well as the solution.

OK, now to address hypomobility, in which the great toe does not allow enough movement. Runners with hypomobile toes tend to compensate in one of two ways: they either over pronate, which can result in a bunion or a collapsed foot, or they can keep their feet supinated in order to avoid rolling off their big toes. As with hypermobility, it’s important to find the cause of the cause: what is the reason for the hypomobile big toe, which is the reason for such irritants as turf toe, plantar fasciitis, lateral foot pain, and even lateral ankle pain? And up the chain? Yes, even knee and hip pain can result from a big toe that can’t move freely enough.

While a manual therapist can help address your overly stiff big toe, you can also gain mobility with exercise at home. To determine if your great toe is too stiff, actively lift the toe while in a weight-bearing stance. You should be able to lift the toe high enough to allow you to slide a finger under it. If you can’t lift your big toe that high, try the following to get your hypomobile great toe moving:

  • Kneel down and lift the hypomobile big toe by placing it on a folded towel in front of you.
  • Holding the foot neutral, try a lunge or calf raise. If you feel pain, decrease the height of the big toe.
  • Perform ten reps.
  • Progress to more lifts the following day, provided you are not too sore.

The exercise above will certainly help loosen a big toe with low mobility. But if you aren’t able to get the big toe off the ground at all, then you may need to proceed with caution. Before attempting the lunge/calf raise exercise, simply try to hold a prolonged low-load stretch for seven minutes or longer. Be careful, as overly aggressive stretching can be harmful. I would rather you progress slowly, day by day, to make sure you keep you from pain. (Please seek a manual therapy fellow to prescribe the correct intensity and duration of activity if you DO have pain.)

Now, please don’t read the above and immediately diagnose yourself as having a problem with your great toes; many runners will never experience big toe stability or mobility issues. This is just one tool in a manual therapist’s toolbox. Just because you now have this hammer, it doesn’t mean you have a nail that needs hammering!

Written by: Brad Perry, PT, MS, SMTC, FAAOMPT
Owner @ Kingwood, Lake Houston, Spring-Klein, Cleveland, & Northern Oaks Sports Medicine Physical Therapy
Kinesiologist, USA Triathlon, USATF Certified Coach, & Slowtwitch Certified Running Coach
www.kingwoodotpt.com