Tag Archives: manual therapy

physical therapy knee pain

How Physical Therapy Helps Knee Rehabilitation

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PT&Me Knee Rehabilitation

Physical therapists can provide more than pre/post surgical knee rehabilitation for patients experiencing knee pain.

What Causes Knee Pain?
The knee is a relatively simple joint required to do a complicated job…to provide flexible mobility while bearing considerable weight. While walking down the street, our knees bear three to five times our body weight. When the knee is overstressed in sports or in everyday activities, these structures can break down — and a knee injury occurs.

Common Knee Problems Seen by Our Physical Therapists:

  • Strain / Sprain
  • Arthritis Pain
  • Muscle Weakness
  • Ligament Sprains
  • ACL Tears
  • Tendinitis (ie: Patellar, Pes Anserinus)
  • Chondromalacia Patella
  • Patellofemoral Syndrome / Knee Pain
  • Pre / Post Operative Therapy

How Physical Therapy Provides Knee Rehabilitation
Rehabilitation acutely after knee surgery or a knee injury primarily centers around decreasing swelling in the knee joint. Even a small amount of fluid inhibits the quadriceps muscle on the front of knee by slowing the signal for movement traveling from the brain to the muscle. Manual techniques to decrease muscle spasm and improve length tension relationships of soft tissue are also incorporated. Gradually, exercises to increase strength, range of motion and functional mobility are introduced.

Treatments Offered Include:

  • Comprehensive evaluation with an emphasis on determining the source of the problem
  • Individualized and specific exercise programs
  • Manual therapy (hands-on treatment)
  • Modalities as needed
  • Work and sport specific simulations
  • Progressive home program to help restore independence and self-management

Knee Rehabilitation Goals:

  • Reduce Pain
  • Improve Mobility
  • Movement Awareness/Gait Training
  • Functional Strength
  • Patient Education

For more information on knee injuries visit our PT & Me Knee Injury Center page by clicking here.

The PT & Me Injury Center goes over diagnoses on how physical therapists treat specific injuries.

To find or search for a local participating PT & Me physical therapy clinic in your local area please click here.

applied functional science AFS

What is Applied Functional Science (AFS)?

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The unique and wholistic practice of Applied Functional Science (AFS) requires extensive education and training beyond the traditional education received by rehabilitation clinicians.

AFS vs. Traditional Therapy

Traditional Therapy
Local Joint Focused

TREATMENTS INCLUDE:
• Focused on correcting the injured joint or muscle
• Therapeutic exercise focused on the muscles around the affected joint
• Manual treatments to improve movement in the affected joint
• Successful treatment evaluated by reduction of pain and improved joint strength

Functional Approach
Whole Body Focused

TREATMENTS INCLUDE:
• Source of pain and cause of pain are rarely the same
• Focused on correcting the underlying cause of the injured joint or muscle
• Therapeutic exercise individual developed based on patient-specific mechanics and affected functional tasks
• Manual treatments utilized to help facilitate normal functional mechanics
• Successful treatment evaluated by restoring pain free function lost due to injury

Body, Mind, and Spirit Do I need a Specialist?
Applied Functional Science (AFS) is a unique approach that uses the collaboration of the physical, biological and behavioral science used to treat patients as a whole. AFS uses biomechanics affected by the everyday forces of life to identify and treat the underlying cause of an injury.

Physical: Functional mechanics of the joints and muscles as they respond to everyday activities

Biological:
Functional application of neuromuscular properties in everyday activities

Behavioral: Why are you here? Incorporating personal driving factors and goals for betterment in your individualized treatment plan

This information was written by Plymouth Physical Therapy Specialists, an outpatient physical therapy group with 17 locations in Michigan. Plymouth Physical Therapy Specialists was established in 1994 by Jeff Sirabian PT, MHS, OCS, Cert. MDT, CSCS. With over 20 years of experience in orthopedics and sports medicine, Jeff has established a state of the art physical therapy practice with 17 locations to conveniently serve you. For more information click here.

chronic back pain

Effective Chronic Back Pain Treatment

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For chronic back pain, exercise, physical therapy, manual therapy and mindfulness-based stress reduction have the best evidence for effectiveness.

Chronic back pain is one of the most frequent reasons people visit the doctor — it’s estimated that 31 million Americans experience low-back pain at any given time. Yet doctors are finding drugs should actually often be the last line of treatment for it. A new guideline out Feb 14th 2017, from the American College of Physicians (ACP) suggests doctors recommend exercise and treatments like heat wraps, yoga, and mindfulness meditation to their patients before turning to medications like opioids or even over-the-counter painkillers. “That marks a big departure from previous guidelines,” Roger Chou, a professor at Oregon Health and Science University, told Vox1. (Chou’s evidence review can be found at: https://goo.gl/MWzWvK)

Why Send Patients to Physical Therapy for Chronic Back Pain?

It is the long term benefits of physical therapy interventions such as multifidus, transversus abdominus and pelvic floor neuromuscular reeducation that benefits your patients.
• Multifidus muscle recovery requires specific, localized, retraining.3
• PT + meds 30% recurrence versus 84% meds only (1 year follow-up).4
• PT + meds 35% recurrence versus 75% meds only (2-3 year follow-up).4
• Less likely to have further healthcare costs.4

Back Pain Conditions Commonly Seen by physical therapists include:
• Low Back Pain (LBP)
• Arthritis Pain
• Strains & Sprains
• Muscle Spasm
• Herniated Discs
• Degenerative Discs
• Radiculopathy/Sciatica
• Piriformis Syndrome
• Sacroiliac Joint Dysfunction
• Scoliosis
• Spondylosis
• Stenosis

In physical therapy our goals are to Improve:
Mobility — Knowledge of Safe Positions — Movement Awareness — Functional Strength — Coordination

“Exercise or alternative therapies, the ACP noted, can work as well as or better than medications, but don’t come with the side effects.1” Physical Therapy is a safe, proven way to treat patients experiencing back pain.

Evidence showed that acetaminophen was not effective at improving pain outcomes versus placebo. Low-quality evidence showed that systemic steroids were not effective in treating acute or subacute low back pain2. (ACP Newsroom)

back pain 3

Treatment
We offer a comprehensive approach incorporating manual therapy, prescriptive therapeutic exercise and modalities. Our programs improve the patient’s physical condition and symptoms. We also provide the patient with movement awareness, knowledge of safe positions, functional strength, and coordination. All of this promotes the management of low back pain (LBP).

Treatments offered include:
• Comprehensive Evaluation with an emphasis on determining the source of the problem.
• Individualized & Specific Exercise Programs
• Manual Therapy (hands-on treatment)
• Modalities as Needed
• Progressive Home Program to help restore independence and self-management

Information provided by North Lake Physical Therapy – Portland, OR
To learn more about North Lake Physical Therapy click here.

References:
1. http://www.vox.com/science-and-health/2017/2/14/14609508/doctors-admit-drugs-cant-fix-back-pain
2. https://www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-treating-nonradicular-low-back-pain
3. Spine (Phila Pa 1976). 1996 Dec 1;21(23):2763-9. Hides JA, Richardson CA, Jull GA.
4. Spine (Phila Pa 1976). 2001 Jun 1;26(11):E243-8. Hides JA, Jull GA, Richardson CA.

Medial epicondylitis golfer's elbow

Golfer’s Elbow (Medial Epicondylitis)

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Medial epicondylitis is most commonly referred to as Golfer’s Elbow and 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.

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 therapy is the most common non surgical 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 testingon your entire upper extremity. Your physical therapist will also palpate your arm to determine which tendon(s) may be inflamed. He/she will use special tests designed to differentially diagnose your condition from others that may have similar presentations, such as Cubital Tunnel Syndrome.

golf ball on tee

After you have been evaluated by your physical therapist, he/she will formulate an individualized treatment plan that can include any of the following:

1. Pain Management: this can include Mechanical Diagnosis & Therapy, ice, ice massage, moist heat, electrical stimulation and ultrasound.
2. Range-of-Motion Exercises: stretches and mobility exercises to help maintain proper movement in your elbow, forearm, wrist and hand.
3. 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.
4. Manual Therapy: used to ensure full, pain-free movement is achieved and can include joint mobilizations, manual muscle stretches and soft tissue massage.
5. 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 current level of function and patient limitations.
6. Patient Education: used to help retrain patient 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 your care under the direct supervision of a physical therapist 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 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 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.

Post-Mastectomy Physical Therapy

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The word cancer is a scary one. Even though we all hope that it never becomes part of our lifetime of trials, more often than not, we know someone that has had, or is currently dealing with cancer. It is a testament to the medical community that so many women are able to wear the pink ribbon as a sign of triumph and pride, but we still mourn with those that wear it as a sign of remembrance and loss. More than once, while talking with women that have begun treatment for breast cancer, the topic of whether or not to have a mastectomy has come up. It’s not a decision taken lightly, often one with multiple concerns about what happens after surgery. Will the cancer be gone for good? Will it hurt? How long will it take to recover? A physical therapy post mastectomy program can help address these issues.

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What is Occupational Therapy (OT)?

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APRIL IS OCCUPATIONAL THERAPY MONTH!

Occupational therapy is the only profession that helps people across the lifespan to do the things they want and need to do through the therapeutic use of daily activities (occupations). Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health, and prevent—or live better with—injury, illness, or disability.

Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes. Occupational therapy services typically include:

  • An individualized evaluation, during which the client/family and occupational therapist determine the person’s goals.
  • Customized intervention to improve the person’s ability to perform daily activities and reach the goals.
  • An outcomes evaluation to ensure that the goals are being met and/or make changes to the intervention plan.

 

Occupational therapists serve infants, children and adults with a range of abilities and diagnoses such as:

  • Attention Deficit Disorder/Attention Deficit
  • Hyperactivity Disorder
  • Autism Spectrum Disorders
  • Brachial Plexus Injury
  • Cerebral Palsy
  • Concussion and other traumatic brain injuries
  • Down Syndrome
  • Hand and wrist injuries
  • Organizational or sensory movement disorders
  • Sensory Processing Disorders
  • Torticollis

WHAT TYPES OF OCCUPATIONAL THERAPY ARE THERE?
Occupational therapists can address a number of different needs. Specialized treatments include:

  • Manual Therapy
  • Neurodevelopmental Treatment
  • Post-Concussion Management
  • Self-care/Daily Living Skill Acquisition
  • Sensory Integration Therapy
  • Social Skill Development
  • Therapeutic Exercise
  • Vestibular Treatment
  • Visual Motor Rehabilitation
  • Work Related Injuries and Evaluations
  • and many others…

Manual Therapy: A Hands-On Approach

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When you take a look at it, many physical and occupational therapy clinics provide manual therapy, but what is it? Is manual therapy just another fancy way of saying physical therapy?  NO.  The goals of manual therapy may be similar to that of orthopedic treatment – decrease pain, increase function and flexibility, but the process is different.

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