Tag Archives: Physical therapist

Biceps Tendinitis

Biceps Tendinitis is a common shoulder pathology which usually develops in younger athletic population due to repetitive overhead injuries. The patients suffering from this condition usually have to suffer pain, lesser range of motion & strength and impaired functional mobility. This pathology develops over the time with pain located at the front of the shoulder.

What do we mean by Biceps Tendinitis?

There are two parts of biceps muscles: the long head and the short head. The long head is usually affected with tendinitis. Biceps tendinitis is known as the inflammation of the tendon around the long head of biceps muscles. The most commonly irritated tendon is the one that attaches the top of the biceps muscles to the shoulder. Biceps tendinitis results due to the repetitive stress which in turn results into irritated, swollen and painful tendon.

What causes Biceps Tendinitis?

Excessive and abnormal forces applied across the tendon results into biceps tendinitis. Apart from this, several other conditions also contribute towards developing the condition including:

  • Tension and pulling of a tendon or muscle
  • Compression i.e. pushing, pinching or shearing
  • Weak rotator cuff and upper back muscles
  • Tight shoulder joints or muscles
  • Poor body mechanics
  • Overuse from certain types of work or sports
  • Gradual wear and tear
  • Continuous or repetitive shoulder actions
  • Abrupt increase in exercise routine
  • Age- relate bodily changes
  • Degeneration in a tendon
  • A direct injury to the shoulder.

What are the potential signs and symptoms of Biceps Tendinitis?

Biceps tendinitis is common amongst the athletes involved in swimming, throwing, gymnastics and other contact sports. Workers who are involved in overhead shoulder work or heavy lifting are at greater risk. The sufferers commonly report symptoms including:

  • Sharp pain in the front of shoulder
  • Tenderness in the front of the shoulder
  • Pain radiating towards neck down the arm
  • Feeling pain after every activity
  • Weakness around the shoulder joint
  • Catching or clicking sensation near top of the biceps
  • Pain aggravating with flexion, forearm supination or elbow flexion.

What are the Physical Treatments to treat Biceps Tendinitis?

Once you are diagnosed with Biceps Tendinitis your physical therapy will develop a customized treatment program while keeping your specific goals and condition in mind.  Your physical therapy may suggest:

  • Initially RICE; rest, ice, compression and evaluation may be suggested. He may also advice to avoid the activity aggravating the condition
  • Soft-tissue therapy, electrical stimulation or ultrasound therapy may be suggested
  • Series of stretching or strengthening exercises may be suggested to regain lost range of motion
  • Postural corrections may be suggested to correct the sitting and standing posture.
  • Physical therapists may also employ hands-on therapy to gently move or mobilize your shoulder
  • Functional training would be provided to prevent future injuries. He would point out and correct your faulty movement.

Contact Active Physical Therapy for the state-of-art treatment of any of your musculoskeletal disease. Our treatment modules are planned and coordinated according to the needs, requirements and urgencies of our patients. The treatment modules co-ordinated by us will not only cure your current ailment but also pose a check on the further ones.

Juvenile Disc Disorder

Most of the times, chronic back pain or long term back problems are associated with elderly or middle-aged people.  But Juvenile Disc Disorder can also affect the people as young as 20 years of age. It means that if you are an adolescent, even then you cannot save yourself from this deformity. The fact is; some patients may inherit a prematurely aging spine.

What do we understand by Juvenile Disc Disorder?

Juvenile Disc Disorder is a condition, where end-plates of disc spaces are not that much strong to bear the pressures generated within the disc spaces. Such a condition leads to disc herniations into the vertebral bodies and triggers back pain at quite an early age.

The condition is very much similar to that of degenerative disc disease but with a difference that in this condition, degeneration starts at a much earlier age and generally, most of the discs of lumbar spine are involved as opposed to that of degenerative disc disorder, where only one or two discs are typically involved.

What are the causes of Juvenile Disc Disorder?

Following factors can lead to Juvenile Disc Disorder:

  • Injury to back
  • Weakening of discs due to wear and tear
  • Strain and stress you put on your backs
  • Changes in your discs and other spine structures
  • Decreasing of water in the discs
  • Discs become less spongy and much thinner
  • Space between the vertebrae above and below the disc gets smaller
  • Hypermobility of facet joints
  • Your genes; you may be pre-disposed to excessive wear and tear of joints.

What are the potential signs and symptoms of Juvenile Disc Disorder?

Any part of your spine can get affected due to Juvenile Disc Disorder but low back or neck is most commonly affected parts. Other signs and symptoms of the disease include:

  • Chronic back and neck pain
  • Pain at the site of damaged disc
  • Pain radiating to another body part
  • More pain while sitting for a long time
  • Feeling of pain while bending, lifting or twisting
  • Feeling less pain while walking, running or if you change positions frequently
  • Pain subsides with rest.

What are the treatment options suggested by the Physical Therapists to treat Juvenile Disc Disorder?

Physical Therapy treatment to treat Juvenile Disc Disorder is much similar to that of Degenerative Disc Disorder. Most of the patients respond well to the physical therapy techniques and recovery is possible in about five-six weeks. Physicals therapists may suggest the following techniques to treat Juvenile Disc Disorder:

  • Physical Therapist may suggest rest or restricted activity but for few days only. Extended rest is not recommended and mild activity is suggested for better healing.
  • A daily hamstring stretching and aerobic conditioning may be suggested for the better healing
  • Deep tissue massage is recommended to release the tension in soft tissues like; ligaments, tendons or muscles
  • Heat therapy is suggested to remove the waste by-products caused due to spasms.
  • Cold therapy is used to lessen the pain and inflammation.
  • Spinal traction is administered to eliminate the pain caused due to the muscle tightness or compressed nerves.
  • Various exercises to improvise the flexibility, strength, core stability and range of motion are practised.
  • An individualized treatment program, taking into account your health and history is formulated
  • Your physical therapists will make you learn about various body mechanics to limit pain. Positions causing pain will also be made familiar to you.
  • Proper work ergonomics and posture corrections are taught to help you to take better care of your back.
  • Strengthening exercises to strengthen abdominal and back muscles are also recommended.

Juvenile Disc Disorder can wreak havoc on the back of an adolescent, so the parents should watch out for the early signs of the disease and if you find out any warning signs, should go for immediate diagnosis and treatment. Contact Active Physical Therapy for the state-of-art treatment of any of your musculoskeletal disease. Our treatment modules are planned and coordinated according to the needs, requirements and urgencies of our patients. The treatment modules co-ordinated by us will not only cure your current ailment but also pose a check on the further ones.

Physical Therapy Tips for Safer Springtime Cleaning

Tips for Safe and Healthy Spring Cleaning

Tips for Safe and Healthy Spring Cleaning

Spring is always a welcome change after cold and lethargic winters. The blue skies and warm temperatures also bring open windows, fresh air, blossoming flowers and above all the spring cleaning.  Spring cleaning can be as hard and difficult as full-body workout as it involves good dusting, mowing of lawns; clearing gutters and many more. But the statistics show that great many numbers of people injure themselves during this annual cleaning. Active Physical Therapy suggests you to be cautious and observe the following measures to avoid any harm or injury to your body:

  • Do not perform similar motions repeatedly as this can result into sprains, strains or low back pain.
  • Keep your spine in line i.e. maintain a good posture and keep a wide base of support.
  • Avoid too much twisting or bending while lifting objects. Lift the objects properly by getting closer to them i.e. use your legs instead of your back.
  • Use long-handled tools, kneeling pad and stools while doing yard work and gardening as well.
  • Keep your properly hydrated throughout the cleaning session.
  • Wear skid resistant shoes to ensure proper footing on uneven surfaces.
  • Take regular breaks, in order to relax your tense muscles.
  • Use correct height ladder to minimize the risk of falls during cleaning your windows. Also make sure that ladder is placed on a levelled surface.
  • Move your feet and body while vacuuming, instead of reaching forward and sideways with your arms and trunk.
  • Use extension cords carefully. Do not drape them across the spans of crossing walkways to avoid tripping or falling.
  • Avoid twisting while bending, raking or thatching; instead use your legs to shift your weight from side to side.
  • To avoid slips and falls, always work in the yard wherever it is dry. Do not overfill bags or tarps as it can put pressure on your spine.
  • Do not over-exert yourself. Listen to your body and if you notice any symptoms like light-headedness, shortness of breath, sudden or severe headache, excess sweating, chest or stomach pain after or during cleaning, Contact Your Doctor immediately.

Prevention is always better than cure. Poor Physical posture, lack of exercise or warm-up, poor Physical condition can lead to injury or pain. So always do your best and follow good practices to save yourself form all such hazards.

Active Physical Therapy will be glad to help you with more spring cleaning tips or with any injuries or pain you experience during cleaning. Our diligent and expert physical therapists use state of art techniques to treat any of your musculoskeletal pains or injuries.

Radial Tunnel Syndrome

What do we mean by Radial Tunnel Syndrome? What are its potential causes, symptoms and treatment options?

Radial Tunnel Syndrome 1Most of the athletes visit physical therapists for their lateral elbow pain. Physical therapists are of the view that Radial Tunnel Syndrome (RTS) occurs due to swelling or irritation of radial nerve because of the friction caused due to compression by muscles.

What do you mean by Radial Tunnel Syndrome?

Radial Tunnel Syndrome occurs when the radial nerve gets compressed where it passes through a tunnel near the elbow. This compression happens in proximal forearm where the radial nerve splits into PIN (main trunk) and sensory branch (minor trunk).

What are the causes of Radial Tunnel Syndrome (RTS)?

Pain of Radial Tunnel Syndrome occurs due to the pressure on radial nerve. Other causes of Radial Tunnel Syndrome include:

  • Injury
  • Bone Tumors
  • Inflammation/Swelling of surrounding tissues
  • Non-cancerous fatty-tumors
  • Too Small tunnel
  • Repetitive bending, gripping and pinching of wrist
  • Direct blow to the outside of elbow
  • Continuous twisting of arm

What are the potential symptoms of Radial Tunnel Syndrome (RTS)?

The symptoms of Radial Tunnel Syndrome start getting worse when you bend your wrist backward or hold an object with a stiff wrist. Following are the symptoms of Radial Tunnel Syndrome:

  • Tenderness and pain on the outside of elbow
  • Pain in the forearm and hand during activity
  • Minimized grip and forearm strength
  • Pain that worsens while rotating wrist
  • Cutting and stabbing pain at top of the forearm or at the back of hand, when you straighten your fingers
  • Numbness and tingling down the forearm

How can Physical Therapy be helpful to treat Radial Tunnel Syndrome (RTS)?

Fore mostly, the physical therapist will advise you to avoid the repetitive activities which involve your wrists. If Radial Tunnel Syndrome is caused due to your work site conditions, your work site conditions would be modified. Apart from these, following therapeutic techniques would be administered to treat the condition:

  • Stretching and strengthening exercises would be administered to reduce pain
  • Cold and heat therapies would be practiced
  • Range of motion exercises would be administered to restore tissue flexibility and normal functioning of the joints
  • You would be advised to wear night-splint to limit your elbow movements at night
  • Soft –tissue massage would be used to promote blood circulation
  • Modalities like ultrasound, moist heat and electrical stimulation may also be used
  • Spinal manual therapy may be used to improve neural mobility
  • Ergonomic interventions like; load management, postural awareness and workstation modification are used
  • Functional strengthening exercises are used to treat Radial Tunnel Syndrome

 Contact   Active Physical Therapy for the state-of-art treatment of your overuse injuries. Our certified and skilled physical therapists are always ready to help you with customized treatment plans as per your needs and requirements.

What is Little League Shoulder and How is Physical Therapy Beneficial to Treat the Problem?

Little Leaguer's Shoulder Little League Shoulder also referred to as Pitcher’s Shoulder or Throwing Shoulder is a type of overuse injury; commonly affecting gymnasts, pitchers and young athletes lying in the age group of 10 to 15 years. Under this condition, the shoulder pain intensifies with the stressful use of arm.

What do we mean by Little League Shoulder?

Little League Shoulder is an injury to the proximal growth plate at the upper end of the humerus at the shoulder. The growth plate is a part of the bone that grows actively as a person matures. If not treated properly, it can cause disruption in the normal bone growth. The injury to the growth plate occurs due to repetitive throwing and overhead movements of the shoulder. Children who participate actively in baseball the whole year around are more likely to be affected by this injury.

How can Physical Therapy help your child to relieve the symptoms of Little League Shoulder?

As throwing and reaching are completely bodily activities and moreover the Little-League injury is a musculoskeletal injury; advanced Physical Therapy modalities can best treat this dysfunctional problem. Physical Therapy targets at restoring the strength, function, mobility and stability to the injured player’s shoulder before he returns to his usual sports’ activities. Following treatment options may be adopted by the Physical Therapists to help the young athletes to relieve Little League Shoulder:

  • Initially, physical therapists will prescribe rest, ice and compression to reduce pain and inflammation.
  • Any of the sports’ activities of the child will be restricted for 2 to 3 months or as required.
  • Corrective Therapies will be administered to correct those mechanical faults that are causing stress to the shoulder.
  • Strengthening exercises will be suggested to restore strength and function to the muscles in elbow, shoulder, upper back and shoulder blades.
  • Soft tissue massage and Joint mobilization techniques will be employed by the physical therapists to lessen the pain and as well as tendon irritation. These modalities also help to restore normal joint mechanics.
  •  Modalities such as Ultrasound, Electrical Stimulation, Laser and Cold techniques will be used to enhance motion and to lessen the inflammation of shoulder joint and surrounding tendons’ muscles.
  • Posterior Shoulder Capsule stretches will be prescribed to enhance the flexibility of shoulder muscles.
  • Neuromuscular Re-education program; including the progressive throwing program is introduced to improve movement techniques and mechanics of the players.
  • Once the player is ready to return to the normal sports’ activities; physical therapists will educate him about correct warm-up techniques, throwing mechanic, pitch count and cool-down techniques.

Active Physical Therapy provides prompt Sports Rehabilitation Physical Therapy in one-on-one setting for the active athletes and players. Our diligent and compassionate physical therapists help the athletes to get back to their sports’ activities as more vigorous and better than before.

Patellar Tendinitis

 

Patellar Tendinitis: Symptoms, Causes and Treatments

The patellar tendon is the one connecting the knee cap to the shin bone. Like other tendons; this tendon as well is made up of hard string like bands. Patellar Tendonitis is an overuse injury resulting from constant strain to patellar tendon.

What do you mean by Patellar Tendinitis?

Patellar Tendinitis also known as Jumper’s Knee is a condition where tendon attaching the patella or knee cap to the top of the shin bone or tibia becomes inflamed, irritated and painful. This condition is more common among the athletes, whose sports involve frequent running, jumping and landing activities like basket ball or volley ball players.

What are the potential signs and symptoms of Patellar Tendinitis?

Pain over the patellar tendon is the initial and noticeable sign of Patellar Tendinitis. Other than this, following symptoms can be noticed in the patients suffering from Patellar Tendinitis:

  • Tender and Swollen tendon
  • Crunching sensation (Crepitus) during the knee movement
  • Feeling pain while jumping or kneeling down
  • Pain while beginning a physical activity
  • Feeling pain while climbing stairs or getting up from a chair
  • Swelling in and around the patellar region
  • Feeling pain while contracting the quadriceps muscles
  • Affected tendon feels thickened than the unaffected one

What are the causes of Patellar Tendinitis?

Patellar Tendinitis is an overuse injury and below mentioned factors contribute towards it:

  • Repeated stress to the patellar tendon
  • Weakening of the tendon structure
  • Repeated stress  to the  supporting structure of knee
  • Inappropriate foot wears
  • Inadequate training techniques
  • Running on the hard surfaces
  • Age
  • Joint laxity and flexibility
  • Misalignment of leg, foot and ankle
  • Flat foot
  • Leg length difference

How Physical Therapy can help to treat Patellar Tendinitis?

Your Physical Therapists will start a proper treatment regime after diagnosing and evaluating your condition properly. The treatment therapies developed usually depend upon the extent and severity of the injury. Therapists may suggest following treatment techniques:

  • Therapists may suggest you to avoid the activities aggravating your condition
  • Eccentric and Concentric program of exercises is designed to treat Patellar Tendinitis. These are the most helpful therapeutic exercises to treat the condition.
  • Splints may be used to immobilize your joint for a short period of time
  • Cold therapy is administered to reduce pain and inflammation
  • A Jumper’s Knee strap may be used by the therapists to lessen the pain and to reduce the pressure on the tendon
  • Stretching exercises may be prescribed to lessen the muscle spam and to lengthen the muscle tendon
  • Strengthening exercises are administered to strengthen the weak thigh muscles
  • Iontophoresis therapy may be used by the therapists
  • Electrical Simulation and Ultrasound may be used to limit and control swelling and pain
  • Flexibility exercises are developed for thigh and calf muscles and to maximize the control and strength of quadriceps muscles
  • Therapists may also design special shoe inserts to improvise the knee alignment and the functioning of patella

Contact Active Physical Therapy for the efficient and state of art treatment of your musculoskeletal problems and disorders. Our certified and acknowledged therapist use patient proven treatment techniques to heal your ailments and to make you as staunch and sturdy as before.

Hammer Toe

Hammer Toe: Causes, Symptoms and Treatment

Hammer Toe

Hammer toe also referred to as Claw Toe is the toe with an inappropriate shape. The toe next to the big toe is the most affected one. This deformity most commonly affects the women wearing high heeled shoes or shoes with narrow toe box.

What do we mean by Hammer Toe?

Hammer Toe is a condition where a bend develops at the joint between the first and second segment of one or more small toes and as a result of which the tip of the toe bends downwards giving it a hammer or claw like shape. Due to the joints of the toe bulging out, the person may have trouble walking. It can turn out to be more serious in the persons with diabetes and poor circulation.

What are the potential causes of Hammer Toe?

Each toe’s muscles work in pairs and whenever there is a muscular imbalance; pressure on the joints and tendons of toe increases and thus toe assumes a hammer head shape. This muscular imbalance occurs due to the following reasons:

  • Poor or ill-fitted shoes including too tight, too short, too pointy and high heeled shoes
  • Foot Structure problem since birth
  • Arthritis
  • Poor blood flow to foot
  • Peripheral Neuropathy (having little or no feeling) in case of diabetic patients
  • Injury to toes
  • Genes also contribute towards developing this condition like flat foot or high arched foot
  • Tight foot ligaments or tendons
  • Spinal cord or peripheral nerve damage

What are the signs and symptoms of Hammer Toe?

Hammer Toe causes you pain and discomfort while walking. Its symptoms may include:

  • A downward bent toe
  • Callus on the sole and corn on the toe of the foot
  • Inability to flex your foot or wiggle your toes
  • Pain while putting a shoe
  • Swelled and red colored toe joint
  • Pain on the ball of the foot
  • Cramping in a toe

What are the treatment options available to treat Hammer Toe?

Treatments are advised according to the severity of your condition. Following treatment options are suggested to treat hammer Toe:

  • Therapists may advice to wear customized toe pads or insoles in your shoes to relieve pain
  • Customized cushions and pads are prescribed to treat bunions and corns
  • Gentle Stretching exercises and Massaging may be recommended to relieve pain and as well to re-position the affected toe.
  • Ice packs are applied to treat painful swelling
  • Exercises are prescribed to restore muscular imbalance
  • Foot exercises are recommended to relax tight foot tendons
  • Manipulation and Splinting of the affected toe is prescribed
  • Exercises to stretch and strengthen the toe muscles are prescribed

Contact Active Physical Therapy for the customized treatment of any of your musculoskeletal deformities and pathologies. Our skilful and dexterous therapists craft out well coordinated and personalized treatment modules to help you to return to your normal activities as early as possible.

Do You Want To Get Relief Of Your Pain?

Have you visited doctors, tried everything, and the pain still persists?

Now days pain has turn out to be the widespread disorder, a severe and costly public health problem. Most of us suffer from severe pain in our everyday life and many people try to get relief with painkillers. It warns us that something isn’t quite right, that we should take medicine or see a doctor. Pain is often experienced by everyone and is accompanied with strain, to a certain part of the body. It is the transmission of the nerves, communicating and passing nerve messages through the neurons.

Pain is basically of two types:

Acute pain mainly results from ailment, irritation, infection or injury to tissues. This type of pain normally comes all of a sudden. The source of acute pain can usually be diagnosed and treated and the ache is limited to a given period of time and severity. Rarely it can become chronic.

Chronic pain is extensively supposed to represent disease itself. Ecological and psychological factors can make it much worse. Chronic pain persists over a longer period of time as compared to acute pain and is resistant to most medical treatments.

Pain Relief and Physical Therapy

Sometimes pain treatment can be accomplished through physical therapy. Physical therapy involves the healing and avoidance of injuries. Physical Therapy helps to lighten pain, promote healing and restore function and movement. Physical Therapy is accomplished by a professionally skilled physiotherapist under the recommendation of a doctor.

Back Pain Relief

Back pain comes in many forms such as lower back pain, upper back pain, middle back pain or neuropathic pain. Frequent back pain causes comprises of nerve and muscular troubles, arthritis and degenerative disc infection. It is reasonable to consider back pain exercises and physical therapy for back treatment. The goal of physical therapy is to reduce back pain, enlarge function, and provide knowledge on a maintenance program to avoid further recurrences.

Knee Pain Relief

The Knee Joint is the major and most complex and therefore the most strained joint in the body. Physical therapy is essential to the treatment, rehabilitation, and prevention of many of the conditions that affect the knee joint and its surrounding supporting structures. Physical therapy for knee pain often includes ice, elevation, and muscle-toning exercises.

Neck Pain Relief

Physiotherapy for neck pain focuses on growth and improving the muscles, tendons, and ligaments that support the spine. The major goals of neck therapy are to stretch and strengthen muscles in the affected areas, accelerating the healing process by dropping neck pain and inflammation and making muscles more flexible and physically powerful.

Sciatica Pain Relief

Physical therapy for sciatica pain is one of the most frequent and popular conservative medicinal cure options. Physiotherapy consists of exercises and stretches which help to re-establish function and enlarge mobility and potency. The goal of physiotherapy is to find exercise activities that reduce sciatica pain by dropping stress on the nerve.

Physiotherapists play significant role in pain management through the different types of therapies and techniques. Physical therapy can help out patients with headache, back and neck pain, chronic circumstances connected to spinal injuries and various nerve injuries that generate constant pain. Physical therapy can also help patients to be aware of what they can and can’t do so they don’t keep creating situations that are contributing to their pain.