Tag Archives: Physical Therapy

Why Should I Do My Physical Therapy Home Exercise Program?

February 1, 2023 contentadmin - Blog, General Information

When a patient walks in for physical therapy, one of the things they are sent home with is a home exercise program. But why do they do that? Aren’t they supposed to take care of everything while you are in the clinic? These are questions that may run through your head, but what exactly are the benefits of a home exercise program? If you’re on the fence about whether or not to take your HEP seriously, we’re here to tell you why you should.

Continuation of forwarding progression in rehabilitation: Physical and occupational therapists tailor each program to the abilities and strengths of each patient. A patient that completes their home exercise program is more likely to excel in the one-on-one sessions at the clinic and experience fewer setbacks in rehabilitation.
Increases level of mobility and endurance: Exercise in the home is designed to continue the progress of the clinic visit by increasing a patient’s flexibility and stamina. A good home exercise program allows a patient to increase function and improve muscle memory so that progress is gained rather than lost from one visit to another.
For some patients, therapy doesn’t end at discharge: A home exercise program can help a patient remain pain-free and functional without having to pay for repeat visits and costly medical bills. For patients experiencing chronic pain – a home exercise program is a ticket to staying out of the doctor’s office.

New Remote Therapeutic Monitoring Program Helps Seniors Complete their Home Exercise Programs!

With RTM, physical therapists continue to create and prescribe home programs as part of the treatment plan as they have always done. The difference with RTM however, is that now our teams can monitor a patient’s performance and response to the home exercise program between clinic visits. RMT provides physical therapists with musculoskeletal data and reports pain levels each time the patient engages with the platform. Additionally, if a patient can’t perform their exercises or follow the instructions correctly, the physical therapist will know and be able to make modifications immediately.

Despite the benefits of a home exercise program, patients have trouble following through on their home exercise program goals. We’re going to go over some of the more common excuses:

I don’t have time, because life at home is too busy: It can be hard, especially for those running a household with multiple schedules to accommodate. However, a physical therapist can offer suggestions on working these into your schedule. Some exercises can be done at work, at home, on the playground. If time is truly a concern then don’t be afraid to let the therapist know.
It hurts: Some pain is considered normal – it’s a normal part of the exercise. However, if you are doing an exercise and something feels wrong, let your physical therapist know immediately. Don’t wait until your next appointment and tell yourself you will take care of it then. It could be something as simple as not doing the exercise correctly and they can talk you through it over the phone. Communication is a large part of rehabilitation and your therapist wants to know if something is causing concern.
Not motivated: Not seeing the point of the exercises your therapist gave you – ask them why it is so beneficial. Going to see a physical therapist 2-3 times a week alone without doing home exercises will not be enough to maintain muscle strength and flexibility. Healthy habits begin with persistence. If you need motivation talk to your therapist, they are born motivators and want nothing more than to watch you succeed. Enlist the help of family or friends to keep asking about your progress.

Physical therapists may utilize print copies of exercises or they may choose to go utilize a digital version that you can access from a mobile device. No matter the delivery, the goal for each is the same. To help you heal more effectively. If you have questions about your home exercise program and what it contributes to your recovery talk to your physical therapist. Education and understanding are crucial to making sure your experience in recovery is successful. If you need help finding a physical therapist to answer your questions, we have you covered in our “Find a PT” section.

Post Mastectomy Physical Therapy

October 12, 2022 contentadmin - Blog, Women's Health

Post Mastectomy Physical Therapy

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.

Physical Therapy can’t answer all of those questions, but one thing a physical therapy post-mastectomy program can do is aid in the overall recovery process by focusing on regaining strength and increasing the range of motion in your shoulder and arm. Early intervention by a physical therapist can help women regain full function following mastectomy surgery, regardless of whether or not a woman has had reconstruction. Rehabilitation is always tailored to each patient’s specific needs. Not every patient experiences the same recovery, and as such physical therapists are prepared to help patients experiencing a multitude of symptoms – some have been highlighted below.

Size, location, and the type of mastectomy are important considerations when choosing a type of treatment. Exercises to maintain shoulder range of motion and arm mobility may be prescribed as early as 24 hours after surgery. These exercises are important in restoring strength and promoting good circulation. As rehabilitation progresses these exercises may be modified to meet new goals.

Physical Therapy after Surgery

After mastectomy surgery, patients may experience tightness around the surgical site. This is caused by scar tissue formation. The result can be very dense tissue under the incision, which is painful and can restrict the range of motion. The restricted range of motion puts a woman at risk for a painful condition known as frozen shoulder. Early treatment by a physical therapist can help reduce the pain and help regain functional range of motion and strength.

Numbness and/or nerve sensitivity at the surgical site can develop post-mastectomy. Manual therapy can help restore sensation and relieve nerve pain. In severe cases, a chronic condition known as post-mastectomy pain syndrome may develop. This is caused by scar tissue impinging on nerves. Physical therapy can be very effective at releasing scar tissue and reducing nerve-related pain.

Axillary node dissection can lead to a condition known as cording or axillary web syndrome. Cording presents as a moderate to painful tightening, which appears as “cords” emanating from the armpit and extending down the arm. Cording significantly restricts the range of motion and arm function. Manual therapy and therapeutic stretching help to resolve this condition quickly.

Radiation treatment after mastectomy surgery can exacerbate posture and range of motion problems, causing fibrosis and skin tightness. Manual therapy can remediate these issues and may prevent them from ever becoming a problem.

The Benefits of Exercise and Physical Therapy post-mastectomy treatment programs can differ greatly as seen above, but there are a few benefits that all patients can benefit from:

Improved shoulder range of motion
Improved shoulder strength
Improved functional mobility
Improved posture
Decreased pain at the surgical site
Decreased edema on the affected side
Improved sensation at the surgical site

Meeting with a physical therapist before surgery can help you feel more at ease and more confident in your overall recovery goals. It’s never too early to ask questions! To find a physical therapy clinic near you click here.

For more information on cancer-related physical therapy programs click here:

Post Concussion Recovery: Why Baseline Testing is Important

August 10, 2022 Teresa Stockton - Blog, Head, Pediatrics, Sports and Fitness

Concussions are serious

Medical providers may describe a concussion as a “mild” brain injury because concussions are usually not life-threatening. Even so, the effects of a concussion can be serious.

Once an athlete has been suspected of having a concussion… when is it safe to go back to play? The answer is different for everyone, but there are few baseline tests that medical professionals can administer to make sure that a gradual return to play, work and activity is safe and won’t lead to further damage.

When an athlete has a concussion, it’s important to know how much their functional and cognitive abilities have been affected. With a baseline test you give medical professionals an accurate starting point to correctly evaluate the impact of the injury.

FAQs about Concussion Baseline Testing

Concussion baseline testing is a pre-season exam conducted by a trained health care professional. Baseline tests are used to assess an athlete’s balance and brain function (including learning and memory skills, ability to pay attention or concentrate, and how quickly he or she thinks and solve problems), as well as for the presence of any concussion symptoms. Results from baseline tests (or pre-injury tests) can be used and compared to a similar exam conducted by a health care professional during the season if an athlete has a suspected concussion.

Baseline testing generally takes place during the pre-season—ideally prior to the first practice. It is important to note that some baseline and concussion assessment tools are only suggested for use among athletes ages 10 years and older.

How is baseline testing information used if an athlete has a suspected concussion?

Results from baseline testing can be used if an athlete has a suspected concussion. Comparing post-injury test results to baseline test results can assist health care professionals in identifying the effects of the injury and making more informed return to school and play decisions.

Education should always be provided to athletes and parents if an athlete has a suspected concussion. This should include information on safely returning to school and play, tips to aid in recovery (such as rest), danger signs and when to seek immediate care, and how to help reduce an athlete’s risk for a future concussion.

What should be included as part of baseline testing?

Baseline testing should include a check for concussion symptoms, as well as balance and cognitive (such as concentration and memory) assessments. Computerized or paper-pencil neuropsychological tests may be included as a piece of an overall baseline test to assess an athlete’s concentration, memory, and reaction time.

During the baseline pre-season test, health care professionals should also assess for a prior history of concussion (including symptoms experienced and length of recovery from the injury). It is also important to record other medical conditions that could impact recovery after concussion, such as a history of migraines, depression, mood disorders, or anxiety, as well as learning disabilities and Attention-Deficit/Hyperactivity Disorder.

Baseline testing also provides an important opportunity to educate athletes and others about concussion and return to school and play protocol.

Who should administer baseline tests?

Baseline tests should only be conducted by a trained health care professional such as a physician, physical therapist or trained ATC.

Who should interpret baseline tests?

Only a trained health care professional with experience in concussion management should interpret the results of a baseline exam. When possible, ideally a neuropsychologist should interpret the computerized or paper-pencil neuropsychological test components of a baseline exam. Results of neuropsychological tests should not be used as a stand-alone diagnostic tool, but should serve as one component used by health care professionals to make a return to school and play decisions.

How often should an athlete undergo concussion baseline testing?

If baseline testing is used, research suggests that most components of baseline testing be repeated annually to establish a valid test result for comparison. Baseline computerized or paper-pencil neuropsychological tests may be repeated every 2 years. However, more frequent neuropsychological testing may be needed if an athlete has sustained a concussion or if the athlete has a medical condition that could affect the results of the test.

Many physical therapy clinics have therapists that have been trained in baseline testing software and techniques. Physical therapists can also specialize in return to sports programs for athletes that have experienced concussions. The decision of when you go back to your sport can be a critical one… especially if you go back to soon. Prevent this by having an accurate baseline available for your healthcare professionals.

Need Physical Therapy? Find a PT Near You!

more information can be found at http://www.cdc.gov/headsup/

Additional articles from PTandMe about concussions can be found here:

Dynamic Golf Stretches

May 4, 2022 Teresa Stockton - Blog, Sports and Fitness

Golf requires strength, flexibility, endurance, and power to create pain-free movement and improve your game. The most common golf injury is low back pain followed by shoulder pain and knee pain. A physical therapist can assist you in improving your pain and correcting your body’s deficits. These golf stretches will make your golf game less painful and reduce those extra strokes:

Hamstring Stretch
(move from upright into stretched position 10x)

Back Extension Stretch
(hold club backwards overhead, repeat 10x)

Hip/Back/Shoulder Rotation Stretch
(hold club behind back and rotate torso to each side 10x)

Calf Stretch
(move from upright into stretched position 10x)

Lumbar Spine Rotation
(hold club, plant feet as shown, rotate to each side 10x)

Forearm Rotation
(hold club straight up, then rotate to each side 10x)

This information was written by Mishock Physical Therapy and Associates, a privately-owned, outpatient physical therapy practice operating in southeast Pennsylvania. They actively participate in the community by providing services to schools, retirement communities, and local businesses. Their mission is to provide the most efficacious, state-of-the-art physical therapy services to relieve pain, restore function and return you to the highest quality of life possible. For more information click here.

7 Ways Physical Therapists Treat Shin Splints

March 11, 2022 Teresa Stockton - Blog, Leg, Sports and Fitness

Here are 7 ways a physical therapist can help treat pain and symptoms associated with shin splints:

Pain Reduction: The RICE principle is the first step to recovery (rest, ice, compression, and elevation). Manual therapy and Kinesiotaping may also speed up recovery and reduce swelling.

Gait and Footwear Analysis: An analysis of how a person walks and runs is an important part of treatment. The wrong mechanism of walking can transmit a great deal of force through the shin to the knee and hip. In such situations, physical therapists will correct gait patterns and recommend footwear with shock-absorbing capacity.

Muscle Stretches and Strengthening: The tibial and peroneal muscles are attached to the shin and must be stretched adequately before any form of exercise. Physical therapy includes various stretches of the foot that will help stretch and warm up these muscles. Strengthening damaged muscles can also help.

Activity Modification: Physical therapists may suggest alternative activities to minimize stress on the shinbones. These can include swimming and cycling.

Increase Range of Motion (ROM): Exercises for the hip, knee, ankle, and foot improve blood circulation, reduce inflammation and relieve pain. A home exercise program may also be implemented.

Arch Support: The absence or collapse of a normal foot arch can lead to shin splints. Physical therapists will recommend appropriate orthotics that can be custom-made for the patient and provide the proper amount of arch support.

Return to Sport: If you are an athlete, your therapist may tailor exercises that are specific to strengthening the areas needed to perform your sport. Modified use of your muscles may also be discussed and implemented. Return to your sport may be gradual to prevent re-injury.

To learn more about shin splints please visit our PTandMe injury center on this website by clicking here.

PT News December 2021

December 29, 2021 Teresa Stockton - Blog, Foot, General Information, PT News

This time in PT News we recap what our clinics have been posting throughout December 2021. We are excited to bring you current physical therapy-based posts featuring published articles from PTandMe partnering clinics!

1. Injury Prevention and Durability: The Significance of the “Core”

Written by Mishock Physical Therapy with multiple locations throughout Montgomery, Berks, and Chester Counties.

In the US, 30 million children, and teens participate in organized sports with more than 4 million injuries each year. The majority of these injuries occur as sprains and strains of the upper and lower extremity. (Hopkinsmedicine.org) Many of these injuries are preventable with proper exercise training, which ultimately reduces health care costs and minimizes lost playing time keeping the athlete on the field or court. Read more

2. Boxing: Making an Impact in Physical Therapy

Written by Intermountain Physical Therapy, an outpatient physical therapy practice with locations in Caldwell, Nampa, and Meridian, ID

Boxing is a full-body fitness and rehabilitation strategy that, in addition to general fitness, can be applied to a variety of conditions seen and treated by Physical Therapists and Physical Therapy Assistants. Boxing has health applications for both neurologic and pathologic conditions, with significant research focusing on four common conditions addressed by physical therapy. Read more

3. The McKenzie Method

Written by ARC Physical Therapy+, an outpatient physical therapy group with locations throughout Greater Kansas City.

“The most compelling part of the McKenzie Method is that it allows the patient to take a more active role in managing their pain,” Megan Westman, DPT, Certified MDT, explains. “It provides the patient’s tools to prevent further pain as well as improve centralization and reduction of symptoms in between each PT visit.”… Read more

We hope you enjoyed our picks for the PT News December 2021 edition.

Find these locations and others to start feeling better today!

PT News November 2021

November 24, 2021 Teresa Stockton - Blog, Foot, General Information, PT News

This time in PT News we recap what our clinics have been posting throughout November 2021. We are excited to bring you current physical therapy-based posts featuring published articles from PTandMe partnering clinics!

1. 15 Healthy Travel Snacks

Written by The Jackson Clinics with multiple locations in Northern, VA.

Packing healthy travel snacks may sound like a silly thing to do. After all, there are plenty of food options at just about every rest area or airport. However, there are many reasons to consider packing at least a few healthy travel snacks on your next trip. Read more

2. Don’t Miss Out on Free Physical Therapy

Written by Momentum Physical Therapy, an outpatient physical therapy practice with locations throughout Greater San Antonio, TX.

Have you met your annual insurance deductible? If you have, it’s a great time to come in to see your physical therapist! any people find that they can access physical therapy at low or no cost after their deductible has been met. Most deductibles reset on January 1st, so NOW is the time to take advantage of your access to physical therapy. Not sure if your deductible has been met? Read more

3. If the Shoe Fits

Written by Physical Therapy Plus, an outpatient physical therapy group with 3 locations in New Jersey

All too often the topic of footwear comes up in our clinic, even if the person isn’t there for a foot problem. The shoes you choose to spend your day in will greatly impact all areas of your body including your knees, hips, and spine. Your foot is the first part of your body to absorb the impact of the ground. That being said, it’s best to arm it with the right surface to stabilize against the force of the ground reaction… Read more

We hope you enjoyed our picks for the PT News November 2021 edition.

Find these locations and others to start feeling better today!

PT News October 2021

October 20, 2021 Teresa Stockton - Arm, Blog, PT News, Sports and Fitness

This time in PT News we recap what our clinics have been posting throughout Sept/October 2021. We are excited to bring you current physical therapy-based posts featuring published articles from PTandMe partnering clinics!

1. Arm Pain? Check the Neck!

Written by JACO Physical Therapy with multiple locations in O’ahu, HI.

Do you have a deep ache or weird sensation in the shoulder, elbow, or hand? Does it come and go? Does it get worse when you stay in one position for too long, sometimes spreading into other areas? Do you massage or “shake it out” to get relief? Check the neck! Read more

2. Marathon Series: 4 Parts

Written by The Center for Physical Rehabilitation, an outpatient physical therapy practice with locations throughout Greater Grand Rapids, MI.

Welcome to the blog and video series of my marathon training! I want to preface that this series will not be a detailed training plan, but a combination of reflection, describe shared principles in rehab and running, and a showcase of the clinician talent at CPR. Read more

3. Pulled Groin or Sports Hernia? How to Tell the Difference

Written by O.S.R. Physical Therapy, an outpatient physical therapy group with 4 locations in MN.

It’s one of the most painful moments of any athlete’s life. Doing a fast cut-over during practice or twisting too much to avoid another player, suddenly you feel a sharp pain in your inner thighs and up into your groin. Clearly, you’ve strained your groin – but, is this strain just a pulled groin or sports hernia?… Read more

We hope you enjoyed our picks for the PT News October 2021 edition.

Find these locations and others to start feeling better today!

PT News August 2021

September 1, 2021 Teresa Stockton - Balance & Vestibular Rehab, Blog, PT News, Sports and Fitness

This time in PT News we recap what our clinics have been posting throughout August 2021. We are excited to bring you current physical therapy-based posts featuring published articles from PTandMe partnering clinics!

1. Knee ACL and Lower Extremity Injuries: Can we prevent them in our young athletes?

Written by Mishock Physical Therapy with multiple locations in Montgomery, Berks, and Chester Counties.

Lower extremity injuries make up 66% of all sports injuries, the knee being the most commonly injured joint. (Med Sci. Sports Exerc. 2002) The anterior cruciate ligament (ACL) is one of four ligaments in the knee that holds the thigh and leg bones together. The ACL ligament is often injured in sports. The ACL ligament tear often requires orthopedic surgery (ACL reconstruction). It is estimated that 350,000 ACL reconstructions are performed annually in the USA. Over 100,000 of these repairs happen in NCAA athletes per year, alone. Read more

2. Strengthening Your Core Can Improve Balance

Written by One to One Physical Therapy & Aquatics, an outpatient physical therapy practice with locations in Lake Worth, Boca Raton, & Delray Beach, FL.

Did you know that strengthening your core muscles is linked to developing better balance? It’s true! When your core muscles are strong, they have a better chance of preventing you from experiencing chronic lower back pain and developing other injuries. They also prevent you from losing your balance or falling over. A strong core helps to keep you in an upright position, especially as you get older and develop more of a risk of falling and hurting yourself. Read more

3. Freeride Mountain Biker Carson Storch Pushes the Limits

Written by Rebound Physical Therapy, an outpatient physical therapy group with locations throughout Greater Bend, OR.

In the sport of freeride mountain biking, taking big risks often produces big rewards. Professional freerider Carson Storch knows this firsthand. The 28-year-old Bend native has spent the last decade competing in high-profile slopestyle and freeride competitions and starring in mountain biking film projects in which he pushes the limits of the sport… Read more

We hope you enjoyed our picks for the PT News August 2021 edition.

Find these locations and others to start feeling better today!

PTandMe was recently recognized as one of the Top 100 Physical Therapy Blogs Online by feedspot.com!

PT News June 2021

June 30, 2021 Teresa Stockton - Blog, Industrial Rehab, PT News, Shoulder

This time in PT News we recap what our clinics have been posting throughout June 2021. We are excited to bring you current physical therapy-based posts featuring published articles from PTandMe partnering clinics!

1. Our Top 10 Beach Activities

Written by The Jackson Clinics with multiple locations throughout Northern, VA.

Summer is here and, despite the cicadas and lack of a proper Spring season, it’s time to get out and enjoy the sun. We asked our team to share their favorite beach activities. From building sandcastles to creating fantastic smoothies, our Top 10 list delivers fun and affordable activities for the whole family! Read more

2. Managing Return to Work Aches and Pains

Written by The Center for Physical Rehabilitation, an outpatient physical therapy practice with locations serving Greater Grand Rapids, MI.

Over the past several months, many people have experienced an extended time away from work due to the covid-19 pandemic but recently employees have gradually begun returning to their regular work routine. As we return to our places of employment and re-adjust to the physical demands of our jobs, we undoubtedly will experience an onset of aches and pains. Thankfully a majority of these aches and pains will resolve on their own or with some basic interventions. Read more

3. 5 Keys to Treating a Frozen Shoulder

Written by Wright Physical Therapy, an outpatient physical therapy group with locations throughout ID.

We explore the meaning of stiff shoulder as it refers to a sub-optimal range of motion for performance that is physically and, at times, mentally debilitating. The lack of motion from a stiff shoulder can have a significant impact on daily living, vocation, and recreation. There are 5 key principles for treating the “frozen” shoulder. These apply to all shoulders which lack range of motion, regardless of the particular diagnosis. Read more

We hope you enjoyed our picks for the PT News June 2021 edition.