All posts in Therapy Blog

Knee Pain: How Can Physical Therapy Help?

Knee Pain: How Can Physical Therapy Help?
Comments Off on Knee Pain: How Can Physical Therapy Help?

Physical therapy is a great option to consider in relieving knee pain. The main goals of a treatment program should be decreasing pain and increasing mobility. If someone experiences difficulty standing up from or sitting down on a chair, going up or down the stairs, or walking to run errands, it’s important to treat the problem earlier on before it exacerbates.

During the initial evaluation, the physical therapist will examine the patient’s strength, range of motion, and functional abilities. From there, a personal treatment plan will be created for the individual, taking in account of any goals he/she may have in mind.

A session of physical therapy may include stretching, strengthening, balance and gait training, and joint mobilitization /stabilization. If the therapist deems appropriate, a hot pack, ice pack, electrical stimulation, ultrasound, or althetic taping may be used.

People with knee pain should consider physical therapy because it can be an effective treatment in place of surgery. Therapy has been proven to be successful for patients with meniscal tears and moderate osteoarthritis; allowing them to avoid possible risks, side effects, and expenses of surgical intervention.

If surgery is inevitable, therapy can be essential both before and after surgery for efficient recovery. Therapy beforehand, can help patients become stronger and help them accustom to an exercise routine, thus, requiring less intensive therapy post-operation. After surgery, therapy can help individuals regain mobility, increase strength and balance, walk without an assistive device, and return to previous activities of everyday life.

After an injury, exercises can help patients prevent joints from stiffening, increase movement, and reduce pain. Some beneficial exercises include stretching for the quadriceps and hamstrings, strengthening the hip and knees with clamshells, squats, and strengthening the calves with heel raises.

However, every patient start off at different levels and experience different types of pain, therefore, it is important to consult a physical therapist so they can make an exercise regimen catered to the patient alone.

More

Total Hip Arthroplasty – Anterior vs. Posterior Approach

Total Hip Arthroplasty – Anterior vs. Posterior Approach
Comments Off on Total Hip Arthroplasty – Anterior vs. Posterior Approach

For many years, the dominant technique for hip arthroplasty replacements has been the posterior approach. For this type of surgery, an incision is made at the back of the hip, muscles are cut to reach hip joint, the head and neck of the femur are removed, a stem with a “ball” at the end is inserted into the femur, and finally the hip joint is rejoined and surrounding tissues are repaired.

There are many risks of dislocation including sitting with hip hyper-flexed, leg internally rotated, and crossing one leg over the other. Because of this, many surgeons have taken different approaches that may be more beneficial such as the anterior approach.

In this case, a smaller incision is made in the front of the leg. Instead of cutting and possibly causing damage, muscles are separated to reach hip joint.

Post-operation will require a shorter recovery and hospital stay time compared to the posterior approach. Less precaution is needed as the patient should only avoid keeping their leg externally rotated.

There are many disadvantages to the anterior hip replacement approach as well. Because of the smaller incision, there is a restricted view of the hip joint. A special operating table is required for the anterior approach that may give rise to femoral and ankle fractures.

There may be risk of lateral femoral-cutaneous nerve damage which may lead to numbness, tingling, or burning sensation along the thigh. Finally, obese and muscular patients are not good candidates since additional soft tissue makes it difficult to access the joint.

Physical therapy can help patients with hip arthroplasty replacements regain mobility and strength. Exercise routines can increase the lifetime of an implant, thus, post-phoning another surgery.

Patients who received the anterior approach may have better range of motion, thus, there is less restriction on their exercise prescription. Studies show that they may use crutches or a walker unaided 6 days sooner than patients who received the posterior approach.

They may also experience less pain, thus, they are able to bend at hip and bear weight sooner, leading to faster recovery.

However, this is just general information. Always consult your doctor or surgeon to decide which procedure is appropriate for you.

More

What is Postural Dysfunction?

What is Postural Dysfunction?
Comments Off on What is Postural Dysfunction?

Postural dysfunction, also known as “poor posture”, occurs when we position our spine in unnatural positions such as rounding our shoulders and protruding the head. This can place great stress on the vertebrae as well as the joints and muscles in the surrounding area. It’s important to correct our posture before too much pressure accumulates leading to the onset of more pain.

Essentially our body is designed for movement. It’s not meant to stay stagnant for long but today, more and more people are adapting stationary lifestyles and habits (i.e. sitting at work for long hours, watching television, or using the computer).

As technology continues to boom, more time is spent looking down at phones and tablets causing our bodies to maintain a flexed posture far longer than what’s appropriate. In fact, the ideal stance is where the ears, shoulders, hips, knees, and ankles should be aligned.

A number of factors can cause posture problems including:

  • Muscle Tightness: If a muscle continues to be shortened, it will eventually accommodate that position by becoming shorter. For instance, sitting for long periods can cause our hip flexors to shorten, thus, interfering with our gait and causing a flexed forward posture.
  • Muscle Weakness: If a muscle continues to be lengthened, it will eventually become weak due to overuse. For instance, sitting for long periods can cause our gluteus Maximus muscle to lengthen which increases the possibility of atrophy. This can cause lower back pain and less hip mobility, ultimately leading to poor posture when we stand.
  • Soft Tissue Shortening or Adhesions: When a joint remains immobile, it can become stiff and lose some of it’s range of motion.
  • Poor Neuromuscular Control: Injury can alter neuromuscular control, thus, affecting joint stability and posture.
  • Inflammation: Inflammation can cause muscle spasms, guarding, and changes in posture.

How can physical therapy help?

Postural Dysfunction Physical therapy is a great method to correct poor posture and restore proper balance. A physical therapist will observe your posture and educate you on good habits to maintain. Most treatment plans concentrate on reducing compensations and strains while aiming towards the optimal load on muscles and soft tissues.

You may also receive an exercise prescription to strengthen specific muscles and to correct body alignment. It’s important to note that’s everyone’s body is designed and shaped differently; therefore, every treatment plan will be individualized to meet goals and needs.

Your treatment plan may include:

  • Assessment and diagnosis of postural habits
  • Postural education and training
  • Electrotherapy
  • Manual therapy and soft tissue massage
  • Joint mobilization
  • Postural taping
  • Corrective exercises and movements to improve flexibility, strength, and posture
  • Activity modification advice
  • Advice regarding ergonomic work stations

Read more:

More

Signs, Types and Treatment of Physical Therapy for Neck Pain

The neck bears a considerable amount of weight; as much as one-seventh of the body’s weight! It’s one of the most unrestrained body parts but pain in this area can limit our range severely. Many people try to alleviate their symptoms by taking pain killers; however, this does not stop the pain from returning. Instead, the best solution is to locate and treat the underlying problem and physical therapy is great in doing just that.

Physical Therapy for Neck Pain

Signs and Symptoms

Neck pain can affect any age group and it ranges from a dull ache to a sharp, intense pain. In more severe cases, it can travel to the arms, shoulders, upper back, chest, and head. In fact, the most common complaint is pain occurring in the form of a headache.

Neck problems can also prevent movement because of muscle stiffness, tenderness, and tension. This can limit our participation in activities of daily living such as looking down to read a book and turning our head to look behind our shoulders.

Types of Neck Pain

The source of most neck pain is strained neck muscles. People can place stress onto the area with the most simplest of actions. Common ways that cause strains, sprains, or spasms include poor posture, looking down at your phone, carrying a heavy bag, and sleeping in an odd position.

Falling or whiplash is another way to cause the problem. For instance, in a car accident, your neck may go backward and then forward, in a whip like motion, a movement likely to harm the area. Other impact or force-related trauma can cause similar injuries.

If muscle knots, tension, or stiffness is left untreated, it can lead to chronic neck pain that lasts for three or more months. It’s capable of spreading to the following areas: shoulders, chest, upper back, and/or arms causing weakness, tingling, and/or numbness to develop.

Thus, it’s important to address neck pain in its early stages before it exacerbates and limit our mobility even more. Apart from physical, additional symptoms of chronic pain include fatigue, depression, and anxiety.

Treatment

Physical therapy treatment for neck pain may include:

  • Applying ice, heat, and/or electrical stimulation
  • Muscle energy technique
  • Joint mobilization and soft tissue massage
  • Cervical traction (light stretching of the neck)
  • Postural corrections as well as ergonomics consultation
  • Strength and stretching exercises
  • Neural mobilization

Neck Stretches: It’s optimal to include stretching exercises in the treatment plan to increase range of motion and flexibility of the cervical joints. It can also relieve the stiffness that accompanies the pain.

Neck Strengthening: Strengthening exercises can improve posture, which in turn decreases recurrent flare-ups of pain.

Aerobic Conditioning: Aerobic exercises can benefit blood flow to the neck and upper back muscles and soft tissues, thus, loosening the muscles and increasing range of motion. Also, after 30 minutes of cardio, our body naturally produces endorphins, a “painkiller” that can help relieve symptoms.

Read more:

More

Tips for Avoiding Lower Back Pain

Is a lower back pain interfering with your life? You are not alone! Nearly four out of five people experience back pain at some point in their lifetime. Lower Back Pain takes various forms, from a persistent dull ache to sudden sharp pain, and has many causes.

Sometimes it results from a sprain, fracture, or other accidental injury. It can stem from a disease or medical condition, such as herniated disc, arthritis, fibromyalgia, or spinal stenosis (a narrowing of the spinal canal through which the spinal cord runs). However, many people develop back pain because they’re overweight or sedentary.

Most lower back pain usually gets better within a few days or weeks, and surgery is rarely necessary. However, even small episodes of back pain are the result of weakness in the core muscles and usually lead to longer, more painful episodes in the future if you don’t take care of the underlying problem.

Here are a few tips that are surprisingly effective at preventing back pain and keeping it from returning:

  • Get more exercise. If your back is hurting, you may think the best way to get relief is to limit exercise and to rest. Studies show that frequent changes in position and regular physical activity can help ease inflammation and muscle tension faster in the back.
  • Maintain a healthy weight. Extra pounds, especially in your midsection, can make back pain worse by shifting your center of gravity and putting strain on your lower back. Staying within 10 pounds of your ideal weight may help control back pain as well as all the other health benefits.
  • Quit smoking. Nicotine in smoke, restricts the flow of nutrient-containing blood to spinal discs, so smokers are especially vulnerable to back pain.
  • Sleeping position. If you’re prone to back pain, talk with our physical therapists about the best sleeping position. What is most important is to be in a comfortable position that you can sleep in to achieve the most rest. Sleeping on your side with your knees pulled up slightly toward your chest with a pillow between the knees is best during the first 15-30 minutes in bed. Prefer to sleep on your back? Put one pillow under your knees and another under your lower back. Try to avoid sleeping on your front.
  • Improve your posture. Find a good chair to sit on. Avoid soft couches or chairs that put you in a slouched position. Find a chair that will allow you to keep your feet flat on the floor when you sit. With standing, try to alternate your positions and walk around if possible. Have one foot forward when standing and switch this every 10 minutes.
  • Watch how you lift. Don’t bend over from the waist to lift heavy objects. Bend your knees and squat, pulling in your stomach muscles and holding the object close to your body as you stand up. Don’t twist your body while lifting. If you can, push rather than pull heavy objects.
  • Use supportive shoes. A good pair of shoes, with cushion can reduce pressure on your back. Avoid using high heels as they shift your center of gravity and strain your lower back.
  • Keep your wallet in your front pocket. Don’t put your wallet in the back pocket of your pants. Sitting on a wallet shifts your balance when sitting causing discomfort and back pain.
  • Avoid heavy bags. If you use a briefcase or handbag, make sure you have only what you need to lighten the load. Use a bag that can strap over the opposite shoulder, so the weight is more evenly distributed. When carrying a heavy bag or case without straps, switch hands frequently to avoid putting all the stress on one side of the body.

There is a lot that you can do to prevent back pain and alleviate quickly when it starts. The important part is to work with your physical therapist to address the underlying cause of your back pain. This puts you on the right path to a healthy back that will support you pain free for a lifetime.

To learn more about our back and neck program, helping you attain a strong, healthy back, contact us today!

Read more:

More

6 Easy Steps to Less Pain and More Energy

Our body is meant to move. Many of our daily activity include sitting for long hours it may be driving, at desk, watching TV, using public transportation to and from work. When we sit for long period of time it slows down our circulatory, lymphatic and digestive system. It also alters our posture which contributes to neck, back pain, headache and other pains.

Following some simple steps can reduce those effects on our body. 

Get Into the Mindset

You have to get in to a new routine which can make you more mobile. Get up during TV commercial, take break from your desk and chair and walk around for few minutes. Start slowly with what you can do and stick with it.  Small improvement will lead to big success in long term.

Drink More Water

It might sound very unreal but water helps us increase energy and relieve fatigue. It also helps flushing out toxins, boost immune system. It can also prevent muscle cramps and sprains. So keep that water bottle handy with you and keep drinking throughout the day. Keeping yourself hydrated has many benefits.

Yoga and stretches

Yoga doesn’t improve your flexibility but it improves your strength, stability and over all well-being. You don’t have to join yoga classes there are many basic tutorials are available on internet which you can do at home. If you cannot do yoga start with simple stretching exercises for commonly tight muscles. This may help you to reduce your pain and will prevent future injuries.

Posture and ergonomics

Lot of pain and ache comes from poor posture, improper body alignment and poor ergonomics. Poor setup of desk, chair and computer can increase tension in your muscles when this happens consistantly you will develop tightness in muscles which may lead to pain and ache. So it is very important to have a good posture a maintain it. Also ergonomically improvement around your work area can help you prevent aches and pain.

Exercises

Do any form of exercise atleast 20 min a day. We all need some form of aerobic exercises to prevent many problems. So take out some time to do exercises. If you are not a gym person you can just do walking or biking.

Doing regular exercises keeps muscle strong and that prevents them to get hurt easily. Keep in touch with expert for physical therapy of postural dysfunction injuries and get better solution there.

More

Tennis Elbow & Physical Therapy

Tennis elbow is one of the most common overuse elbow injury. Patient doesn’t have to play tennis to have this condition. Many patients when we are discussing their condition they say they never played tennis in their life. You don’t have to play tennis to have tennis elbow. Medical term for tennis elbow physical therapy is lateral epicodylitis.

Tennis Elbow & Physical Therapy

What Causes Tennis Elbow?

Tennis elbow is an overuse injury. It is caused by repetitivemovements which put stress on tendons which are situated outside of the elbow and helps us move hand backward.  This is an injury of common extensor origin tendons which controls wrist extension.

It is very common in tennis players, but in reality it can impact anyone who performs repetitive movements;people who work manual labor jobs like construction, carpenters, Plummer, Painters and machine operator etc.

Symptoms

Listed are few symptoms which is common in tennis elbow patients

  • Pain in the outer elbow, especially when gripping something, lifting, shaking hand, getting up from chair, opening a jar.
  • Tenderness or swelling outer side of elbow.
  • Weakness in wrist extensor and/or painful wrist extension.

Physical Therapy for Tennis Elbow

Every patient is different, depend upon condition treatment may vary. In acute cases in other words in recent injury most likely to use cold packs;some therapist may use cold packs even in chronic condition because it’s an inflammatory condition.

Physical therapist may use electrical stimulation, ultrasound, soft tissue massage and specific exercises.

Doctor may try pain medication (anti-inflammatory, analgesic, oral cortisone) or give injection.

If you have tried cold pack, hot packs and other home remedies at home which have failed you can contact your physician or physical therapist.

New Age Physical Therapy provides you with personalized, one-on-one care you deserve in a friendly atmosphere. Our therapists have more than 15 years’ experience and are up to date with current techniques and treatments.

All of our patients receive individual attention with the same provider during each and every visit. Our goal is to restore each patient to his or her highest possible level of function.

Read More…

 

More

How to get recover in Basketball Injuries through Physical Therapy?

With March Madness just got over, and NBA basketball playoffs are in sight. We still have got basketball on the mind – as many people do at this time every year. Many people working on their brackets, physical therapist are ready to deal with injuries which arise from basketball.

Basketball Injuries Physical Therapy

All players playing at college, NBA level are very well conditioned and trained. They still get hurt and need to warm up properly in order to avoid injuries.

Meanwhile weekend worrier, who just started playing outside as weather is getting better have to be more careful to avoid injuries playing basketball.

All players must do good warm up and stretches before starting game. All players should condition themselves and have proper footwear while playing.

Read More:

Common Basketball Injuries

These are the common basketball injuries which we see commonly;

  • Ankle Injuries (sprains, strains, fractures tibia/ fibula)
  • Knee Injuries (ACL, MCL, Meniscus tears)
  • Shoulder Injuries (Rotator Cuff tears)
  • Hand & Wrist Injuries (sprains, dislocations, fractures)

Regardless of your age, if you have an injury playing basketball, physical therapy can help you to recover from your injury. Physical therapy can help you to reduce pain, increase range of motion and improve muscle strength.

Most of us don’t get luxury of a professional basketball player and get personal physical therapist. Here at New Age Physical Therapy we tailored each patient’s treatment depends on their injury and get them back to playing basketball as soon as possible.

New York State allows direct access to physical therapy. That means you get to make an appointment whether or not you have a prior prescription from another physician.

Our physical therapist is highly motives have more than 16 years of experience in outpatient physical therapy. If have been injured playing basketball, contact us today to set up an appointment.

More

How Physical Therapy can help after a work related Injury?

Getting injured on the job is no fun. Workers who get hurt at work are most worried about when they can go back to work. How long they will be out? Will they able fulfill their financial obligations? It is very frustrating to get hurt either at work or somewhere else. Workers should know what steps to follow once they get hurt.

Work Related Injury Treatment

Many people who do a lot of labor such as construction work, contractor, loading/unloading etc. are more prone for injury. But people in any work environment can get hurt may be due to repetitive activities, slip and fall etc.

After you are injured at your work you should report injury to superior then you should seek immediate medical help.Your health and well-being should always be your top priority. Once you seek medical help physician will explain you type and extend of your injury and what measures to take for getting back to work.

Read more: Ice Bottle Massage for Plantar Fasciitis

Physical Therapy

Physical therapy depends upon your type and severity of injury. Patient may need physical therapy if he had any orthopedic injury. In most extreme cases patient may need surgery. Other injury can be treated with conservative method like pain killers, anti-inflammatory, rest, injections and physical therapy.

In most cases physical therapy can help to improve patient’s functional level. Physical therapist can help you to alleviate pain by modalities like hot packs, cold packs, electrical stimulation, and ultrasound. Therapist can help with range of motion, strength. Physical therapist can make a treatment plan based on your injury. Therapist can give you particular exercise plan to carry out at home for faster recovery.

Our physical therapist is treating this kind of conditions for more than sixteen years. We offer direct access to physical therapy for patients so setting up an appointment doesn’t require a prescription. Just call and see how we can help you with your injury.

More

Ice Bottle Massage for Plantar Fasciitis

While we are talking about plantar fasciitis then it is painful situation that may limit your ability to even walk and sometime you can’t run too. This situation occurs when the plantar fascia, the tough tissue on the bottom of your leg foot, and it becomes inflamed or irritated.

This may occur if you have high span, having tightness in the muscles of your lower leg for Sports Rehabilitation, or if the bottom of your foot paining from overuse and repetitive strain.

Ice Bottle Massage for Plantar Fasciitis

Administration of plantar fasciitis includes an exhaustive evaluation from your specialist or physical therapist to decide the reason for your foot torment.

Starting administration of plantar fasciitis includes controlling the fiery procedure in your foot. This typically includes utilizing ice to diminish the torment and aggravation in the plantar sash. Ice packs can be connected to the base of your foot for 10-15 minutes, a few times each day, to control the irritation.

Another approach to apply ice to your plantar sash is with the ice bottle knead. This application procedure has the additional advantage of tenderly kneading the tissue on the base of your foot.

The ice-bottle back rub can give a delicate extend to your plantar belt, which may enhance general versatility in your curve and foot.

To perform the ice bottle massage for plantar fasciitis:

1. Get a plastic water bottle. On the off chance that you’ve bought filtered water, you may wish to really drink it in the first place, since you effectively paid a top notch cost for sifted or spring water.

2. Fill your water bottle around seventy five percent full. Put the container in your cooler, and leave space for the water to grow as it stops.

3. Keep the top off the jug as the water solidifies, yet spare the top. Make certain that the container does not tip over in your cooler.

4. Wait for couple of hours for the water to stop, and after that evacuate the jug and put the top on it.

5. Sit in a seat and lay the ice bottle on the floor on its side.

6. Gradually roll your difficult foot over the water bottle, and then press delicately into the container to knead your excruciating plantar sash.

7. You can play out the ice bottle knead for 10-15 minutes a few times each day simply make sure to store the water bottle in your cooler after every utilization.

Once the irritation in your foot is under control, you may need to enhance the adaptability of your calf and plantar belt to additionally deal with your condition. The plantar fascia extend and the towel calf extend are two straightforward and powerful approaches to enhance the adaptability around your lower leg and plantar belt.

In specific cases patient may require orthotics to right foot position. Physical therapist may utilize kineso tape to treat resolute heel torment.

Podiatrist or lower leg/foot pro may give you a cortisone shot to alliviate intense agony and may recommend you hostile to inflammatory.

Plantar fasciitis can be a reason for foot torment and may confine your capacity to perform every day movement. Yet, customary utilization of ICE back rub of ICE pack can truly control your torment.

Read More:

How to Help Your Plantar Fasciitis Pain?

More