Category Archives: PT News

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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

PT News PTandMe

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

PT News PTandMe

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

PT News PTandMe

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

PT News

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

fall

1. Ways to Avoid Taking the Fall?
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Each year, injuries from falling afflict many adults— the majority of whom are senior citizens—causing painful fractures and leaving them with severe mobility problems. Read more

aging

2. Healthly and Graceful Aging – Throw Out the Rocking Chair
Written by Colleen Cleves B.S., ACSM Certified Personal Trainer, the Center for Physical Rehabilitation – Grand Rapids, MI

“Getting old isn’t for sissies.” “Good enough for my age and stage.” “There is no gold in the golden years.” “I shouldn’t be doing that for my age.” Read more

Quality PT

3. Quality of Care in Rehab
Written by Ian M. Campbell, DPT, Intermountain Physical Therapy & Hand Rehabilitation – Boise, ID

What Quality Care Means in Rehabilitation. One can drive through their city and likely notice multiple physical therapy (PT) clinics. Read more

PT News

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

back

1. My Back Pain Always Returns! What Can I Do?
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

After the common cold, the most common reason Americans miss work is back pain. Unfortunately, once you have experienced back strain or injury, it can easily become a recurring problem. Read more

uncommon

2. Uncommon Injury and Treatment Process
Written by Steve Retan AT, ATC, the Center for Physical Rehabilitation – Grand Rapids, MI

Having worked as an athletic trainer for the last 23 years, I have treated and rehabilitated countless injuries.  However there are times that athletes sustain injuries that I have not seen before.  One such injury occurred to a high school hockey player after colliding with an opponent during a game. Read more

ankle

3. Tips for Improving Your Ankle Mobility
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, Texas

It’s important for a physically active body to achieve a stable balance between each active joint for maximum performance. In order for all of this to happen, ankle mobility is essential and is the root for several exercises or workouts! Read more

PT News

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

ski

1. Skiing and Thumb Injury
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Skiing falls can often cause injury to the inner ligament of your thumb, caused by the force of the pole against this area of the hand during a fall. This area, a band of fibrous tissue connecting the bones at the bottom of the thumb, is known as the ulnar collateral ligament. Read more

crash

2. Amazing People Make A Difference: Megan and Earl’s Story
Written by the Therapy Team, ARC Physical Therapy+ – Topeka, Kansas

Earl Bayless was riding in his work truck on December 21, 2016 when his driver fell asleep, causing a major accident. Their truck flipped several times in the air and skidded a block down the road before coming to a stop and leaving Earl to wonder what just happened. Read more

rowing

3. 6 Benefits of Rowing
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, Texas

If you are looking for a low-impact workout that targets multiple areas of the body while getting your heart rate up, rowing might be the right exercise for you! Read more

shin splints

PT News

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

flu

1. Resuming Exercise After the Flu Bug
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Flu season is in full swing, and along with the regular flu, the new H1N1 virus is infecting thousands of people. Influenza can be a serious illness. Symptoms include fever, chills, headache, body aches, sore throat , runny nose, dry cough and a general feeling of exhaustion and sickness. Read more

New Year Resolution

2. The New Way to Resolve
Written by Allison Whitteberry, PTA at the Center for Physical Rehabilitation – Cascade

According to Statistic Brain, 41% of Americans usually make New Year resolutions. However, after six months, less then half of those American’s have maintained their resolutions. Read more

Shin Splints

3. What You Need to Know About Shin Splints
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, Texas

Shin splints is one of those old health terms that pop up from time to time, like “lumbago.” Lumbago refers to low back pain, which actually can be caused by different things. Read more

PT News

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

1. Stay Injury-Free This New Year
Written by the Therapy Team at Integrated Rehabilitation Group – Puget Sound Region, WA

This new year, health clubs across the country typically enjoy a membership boost as eager souls sign up to make good on their resolutions to “get fit.” Read more

2. Don’t Let Your Asthma Freeze You Out of Winter Workouts
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Avoiding asthma attacks while exercising in winter is best accomplished by preventing cold, dry air from getting into your bronchial airways. One way to do this is to exercise indoors when it is cold. Read more

3. Living Our Mission Statement: Being a Catalyst of Change In 2018
Written by Colleen Norris, Partner/Practice Administrator – Overland Park, KS

I have been in healthcare for almost 40 years and the changes that have occurred over that time have been tremendous. I’ve seen everything from patient care innovations, new payment methodologies, advancing technology, improved workflow processes and my personal favorite… a focus on outcome data. Read more