Therapy Concepts

Therapy Concepts
11501 Granada Lane, Leawood KS

Monday, August 23, 2010

The (In) Flexible Shoulder




The shoulder is one of the most flexible joints in the human body. We can move our shoulders in directions like no other joint. Owing to it's flexibility, we can do things like paoint a ceiling or pitch a baseball.

This flexiibility comes at the price of stability. Since the shulder is held together by ligamnets and muschles, and has a lot of mobility, it is on the th most unstable joints in the body.





What's your risk?

If you have a job or play a sport that requires a lof shoulder mobility and flexibility, you may be at rick for shoulder injuries.

The following individuals, for example, are highly susceptible:

  • Overhead athlets, like tennis players, swimmers, basebal pitchers

  • Painters

  • Construction workers

  • Movers
Commom Injuries Of The Shoulder

Common symptoms include:

  • Pain when raising the arm

  • Pain that persists beyond a few days

  • Swelling or bruising around the arm

  • Pain when leaning on, or sleeping on the afected shoulder

  • Weakness in the arm that stops you from lifting a grocery bay, reaching up, or pushing opena heavy door

  • Having difficulty or being unable to carry your child

  • Inability to use the arm

  1. Overuse and trauma are the most common reson the shoulder is prone to injury. The muscles that support the shoulder - the rotator cuff muscles - can suffer from wear and tear trauma. In some cases, where there is no known cause for shoulder pain. Years of poor posture or improper movement patterns can play a role.

    Repetitive activities lead to repetitive stress injuries. Also, too much wear and tear of the shoulder muscles and the joint capsue, or even UNDERUSE of the arm itself, can lead to frozen shoulder.

    If you suffer from any ofht he symptoms mentioned above, call our office today. Relief is just a phone call away!

    Your Physical Therapist - A Shoulder To Lean On

    Stress on your shoulder is one of the most common causes of shoulder injury, but one of themost overlooked reasons for shoulder injury is inactivity. When you don't use the muscles regularly, theny become weaker. The phrase "If you don't use it, you lose it" is applicable to muscles.

    If you don't exercise the full range of your shoulder throught moderate-intesisity esericws, the risk of hurting your shoulder increases. Legaments tighten, muscles weaken, and blood flow becomes inhibited. Over time, this can accelerate joint degeneratuon and trigger shoulder pain.

    We have the solution.

    Regular exercise (power walking with good arm movement, swimming, golf, tennis) may minimize the onset of severety of shoulder pain.
  2. Proper body mecnaniscs- this can be counter-intuitive. Ask your therapist if your body mechanics need to be corrected.

  3. Strength and Flexibility - balanced muscles of the shoulder, chest, upper back, and abdominals help keep your shoulder joints well-aligned and pain free.

Remember, common sense is the best line of defense against hurting your shoulder. It is important to not push yourself too much, especially if there is discomfort. Don't do too much activity too soon. If you expereince ANY pain in your shoulder with any activity, stop! If it is MILD call your doctor of physical therapist. Don't ignore the pain.

The quicker the problems is addressed, the sooner your can begin healing and returning to your favorite activities.

We are here to serve you and help you achieve a speedy recovery as quickly as possible. We'll give yor a shoulder to lean on, so you have a healthy, pain free shoulder.






Monday, August 9, 2010

Could Physical Therapy Provide Fibromyalgia Relief

If you have fibromyalgia, simple movement may be the last thing you want to do. But simple movements through physical therapy may be just the right treatment for you. How does physical therapy provide fibromyalgia relief? The answer: With a hands-on approach to reduce fatigue, pain, stiffness and loss of strength that accompanies fibromyalgia.

Fibromyalgia is a syndrome estimated to affect 5 million Americans (mostly women) with widespread aches and pains, fatigue, sleep difficulties, anxiety, and depression. Doctors don't know what causes fibromyalgia and there's currently no known cure. There are a variety of treatment options however that relieve patients' symptoms. Standard treatments include painkillers, antidepressants, cognitive-behavioral therapy, exercise and physical therapy.

Physical therapy and exercise address the physical problems caused by fibromyalgia such as pain, fatigue, de-conditioning, muscle weakness, and sleep disturbances. Patrice Winter PTMS, physical therapist and spokesperson for the American Physical Therapy Association says, "Fibromyalgia syndrome (FMS) can be very debilitating. The fatigue associated with it varies from mild to overwhelming. Some patients can't get even out of bed. By the time many patients come to a physical therapist, they're often severely de-conditioned from lack of activity due and this compounds their fatigue."

How can physical therapy relieve fibromyalgia? Physical therapists design individual treatment plans that use a variety of passive and active treatments.

Passive treatments may include:

  • Deep tissue massage to relieve muscle tension and spasms and improve muscular and joint range of motion.
  • Soft Tissue Mobilization to treat muscle spasms, trigger points and improve range of motion.
  • Heat Therapy to relax muscles, improve circulation to affected areas, and improve the body's natural healing processes.
  • Ice Therapy to reduce inflammation.
  • Hydrotherapy (hot baths and whirlpools) to relax muscles, improve circulation and allow for gentle no-stress exercise.
  • Electric Muscle Stimulation (don't worry, it's painless) to reduce pain by increasing endorphins.
  • Ultrasound therapy (sound waves) to create heat, improve range of motion, relax muscles and improve circulation

Active Treatment may include a variety of exercises to strengthen core (abdominal), back, arm and leg muscles and increase flexibility.

Winter says, "Our best results come from addressing individual patients at the physical state they present in and working very gradually. We've seen a lot of success with developmental sequencing work, similar to the process a baby goes through in normal development.... rolling, crawling, balancing, sitting, standing. This helps reorganize the neurologic system to return it to more normal function. We address body pain and trigger points with soft tissue mobilization and manual stretching."

Once patients have improved their overall physical condition, therapists help them keep their fitness plan in motion. They might recommend yoga, Pilates, cardiovascular and strength training options. They'll also work on fundamental body issues like posture, work-related body mechanics and sleep positions to help fibromyalgia patients function at their best.

Does it Work?

In the face of a potentially disabling condition, physical therapists may get fibromyalgia patients back on their feet and moving in the right direction.

Studies show many patients report improvement in their symptoms and sense of well-being.



Sources:

Physical therapy in the treatment of fibromyalgia.
Offenbächer M, Stucki G.
Department of Physical Medicine and Rehabilitation, University of Munich, Germany.
http://www.ncbi.nlm.nih.gov/pubmed/11028838

Move Forward - the website of the American Physical Therapy Association
Fibromyalgia
http://www.moveforwardpt.com/find-your-condition/fibromyalgia/

Spine Universe
Physical Therapy for Fibromyalgia, author Kelly Rehan (3/09) for Spine Universe
http://www.spineuniverse.com/conditions/fibromyalgia/physical-therapy-fibromyalgia