Tag Archives: treatment techniques

Low Back Pain (LBP) Top 5 Exercises to Reduce Back Pain

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How to Reduce Low Back Pain
Over time, we develop arthritic changes in our back due to normal wear and tear. Below are a list of exercises that can help reduce lower back pain. These exercises will help you, in time, return you to your normal activities and improve your quality of life.

Top 5 Exercises to Reduce Back Pain

1. LOWER TRUNK ROTATION
Lie on your back with your knees bent.
Keep your feet and knees together and lightly rotate your spine.
Stop the stretch when you feel your hips coming off of the table. Only rotate to approximately 45 degrees and rotate back and forth like a windshield wiper.
Repeat for 2 minutes.
Low back pain

2. ABDOMINAL BRACING
Lie on your back with your knees bent. Slightly elevate your hips but not high enough to where it comes off of the table. Simultaneously, squeeze your abdominal muscles down towards the table. Continue to breathe.

Hold this for 10 seconds and rest for 10 seconds. Repeat for 2 minutes.

Low back pain
Low back pain

3. SINGLE KNEE TO CHEST
Bring one knee to your chest.

Hold for 5-10 seconds. Repeat alternating legs to your chest for a time of 2 minutes.
Low back pain

4. FIGURE 4 STRETCH
Cross on ankle over to the opposite knee and press down on the resting leg. You should feel the stretch in your hip.

Hold this stretch for 30 seconds if you can tolerate it. Repeat for 3 repetitions, then switch legs.
Low back pain

5. PIRIFORMIS STRETCH

Cross one ankle over to the opposite knee. Pull the resting knee across your body and up towards your chest. (You should aim for your opposite shoulder as a reference). This stretch should be felt over the crossed leg buttock.

Hold for 30 seconds if you can tolerate it. Repeat for 3 repetitions on each leg.
Low back pain

Written by Laura Cifre, OTR/L, PT, DPT, Director at Green Oaks Physical Therapy – Irving, Texas.
To learn more about Green Oaks Physical Therapy click here.

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

shin splints

7 Ways Physical Therapists Treat Shin Splints

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shin splints

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 be used to speed up recovery and reduce swelling.

Gait and Footwear Analysis: An analysis of how a person walks and runs in 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 goot 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 appropriate 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 PT & Me injury center on this website by clicking here.

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

Lymphedema

What are the Signs and Symptoms of Lymphedema?

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Lymphedema

Lymphedema can occur in any body part. Some common early symptoms include:

  • Tightness, swelling or thickening anywhere in the extremity. Initially the swelling may fluctuate but over timeit worsens.
  • A burning sensation or tingling sensation radiating down the extremity.
  • Complaints of heaviness or aching of the extremity.
  • Inability to wear rings, jewelry, watches or clothing secondary to edema.

STAGE 1 – Reversible Lymphedema

  • Lymphedema disappears with bed rest and/or elevation especially over night.
  • Edema is soft and pitting, no resistance is felt. Indentations are easily made.
  • No or little fibrosis. No alteration of tissues.

STAGE 2 – Irreversible Edema

  • Protein enriched edema which does not decrease with elevation/nights rest.
  • Connective and scar tissue formation (i.e. fibrosis). Fibrosclerotic changes.
  • Non pitting edema, strong pressure is able to produce pitting.
  • Edema becomes hard. Indentions are difficult to make.

lymphedema

Precautions and Guidelines

  • Maintain a well balanced diet, with low sodium intake. Keep a healthy weight, avoid obesity. Good nutritional guidelines are provided by the American Heart Association and the American Cancer Society.
  • Keep the affected arm or leg, clean, and well moisturized. Lotion should be at a relatively low pH balance. The goal is to prevent skin breakdown.
  • Use antibacterial and hypo-allergenic soap when washing.
  • Avoid injections, vaccinations, flu shots, blood draws and IV lines in the affected extremity. Remember, if this is an emergency, it is more important to treat the patient than to worry about putting an IV in the affected arm.
  • If at all possible, avoid having blood pressure taken in the affected arm.
  • Many people enjoy having a manicure. There is always a risk with this but you can decrease your risk by keeping your cuticles moist with lotion and push them back instead of cutting them. You could also consider buying your own manicure set and have the salon use only your tools.
  • When cleaning the house, wear a good quality rubber glove when handling harsh chemicals such as ammonia, bleach, furniture polish, abrasive cleansers etc.
  • Avoid using a razor or depilatory creams for the armpit or leg hair. The safest tool would be an electric razor.
  • When cooking, wear long protective mitts (to the elbow) when taking food out of the oven and when boiling a pot of hot water.
  • It is important to avoid pet scratches, insect bites, spider bites etc. Using an insect repellent may be necessary but remember some brands are very harsh. Look for a natural insect repellent if possible.
  • Avoid sunburn at all cost! Especially if you have received radiation therapy.
  • Be aware of items that can cause a burn such as a curling iron, an iron, space heaters etc.
  • Avoid saunas, hot tubs, and hot showers. Avoid extreme temperatures, very cold or very hot.
  • Avoid lifting or moving heavy objects.
  • Avoid tight fitting clothing or jewelry.
  • Exercise, and be knowledgeable of how exercise effects the lymphedema.
  • Check your skin daily, and call your physician immediately if you notice any adverse changes in your lymphedematous body part or if you have fever and redness.

 

Additional Precautions for Leg Lymphedema

  • Proper shoe wear is essential in avoiding blisters and ingrown toenails, avoid high-heeled shoes.
  • Do not walk bare foot, especially outside.
  • Get all fungal infections treated immediately.
  • Do not receive injections to remove varicose veins in the affected leg.

This information is for educational purposes only. This information should not be used without consultation with your healthcare professional. If you have questions regarding the material or its application, seek professional assistance from your provider. This information is not intended to diagnose any medical condition or to replace healthcare professional consultation.

 

When Is the Time Right for Physical Therapy?

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physical therapy

Often, we end up in physical therapy based on the referral of our physician after dealing with and injury for a certain period of time. However, physical therapy can be used for many different ailments and can actually help cut down the time off work, off of sports and promote healing much faster.

Physical therapy can be used for many of your minor and major injuries. Following surgeries or traumas (accidents, dislocations, fractures, sprains) it can cause a considerable reduction in swelling and allow things to heal 75-80% faster than if without therapy. It has been shown that following surgery, the quicker someone goes for therapy, the less likely they are to stiffen up or have complications due to loss of range of motion. It also helps to significantly reduce pain and swelling.

Physical therapy is not only used following surgeries or sports injuries, but can be extremely helpful in preventing symptoms from getting worse and developing into more problems. If you’ve been having pain in your shoulder for 3 months or so, your body now has altered the way it moves your shoulder and in turn, you have developed some compensation patterns which could cause things to develop into other areas, such as your neck from your altered movements. This then, can lead to more significant problems which could have been easily avoided if therapy had been started and symptoms had gotten under control.

Remember, the quicker you get into therapy following an injury or persistent pain, the quicker your response time will be to therapy. If you are having some issues, talk to your physician about starting therapy. You don’t have to wait until it has a complete impact on your life or your recreational activities. Stop pain in your life and feel better by visiting one of our PT & Me physical therapists today.

PTandMe

PTandMe and How to Find Physical Therapy Near You

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Find Physical Therapy

PTandMe is your online guide to physical therapy. We make it easy for you to look up common conditions, see how physical therapy will benefit you directly, and most importantly, we make it easy for you to find physical therapy.  If you are in pain, and need to find a licensed physical therapist in your area – we are the best place to look. To learn more about Physical Therapy click here.

The PTandMe injury center is unique in that it provides information on common conditions that physical therapists treat as well as gives you a glimpse into what physical therapy treatment may look like for your condition. Physical therapists are the musculoskeletal experts, so when it comes injury or musculoskeletal pain – you are in the right place. The injury center covers diagnoses from head to toe. To visit the PTandMe injury center click here.

PT & Me

In addition to the injury center, PTandMe sends out great health and wellness tips each month through the Therapy Connection newsletter & weekly PT & Me blog posts.  We partner with over 550 physical therapy clinic nationwide, so the topics covered are relevant and directly from licensed professionals in the field. Featured articles, recipes and fun trivia questions make these resources a great learning tool for everyone.

When it comes to finding physical therapy and scheduling your first appointment, PTandMe makes it easy.  We have collected an online database of our partnering clinics throughout the United States so that you can easily access them from your phone or home computer. To find a physical therapist near you visit our “Find a PT” search page by clicking here.

If you are on the fence about going to physical therapy, or simply want more information about it, PTandMe makes it easy for you to find the information you need quickly. The faster you start to treat pain or an injury, the better the long term benefits, so don’t wait to try physical therapy. Get started today and find physical therapy clinics near you!

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.

PT News

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

1. How to Deal with Chronic Joint and Muscle Pain
Written by the Therapy Team at Cornerstone Physical Therapy – Gahanna, OH

All of us have experienced pain and discomfort in the muscles and joints at some point, especially with age. In most cases, the use of over the counter medications, hot/cold packs and rest help resolve the problem. Read more

2. Pain at the Mall
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

As the outside temperatures drop, people contemplating undertaking an exercise program often consider walking at the mall. Benefits include a controlled climate, an absence of traffic, security and easily available restrooms and water. Read more

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

What does quality care mean in rehabilitation? One can drive through their city and likely notice multiple physical therapy (PT) clinics. Some may be privately owned and operated, others run by local hospitals. Read more