How to Treat Sharp Pain In Front Right Shoulder?

Having sharp pain in front right shoulderPain experienced at the front of the shoulder may be acute or chronic. Also known as bicep tendonitis, this condition can occur from injury, strain, tear or an inflammatory response. Here is what to do when experiencing sharp pain in front right shoulder:

Reduce inflammation

The first line of treatment is to address the inflammation in the affected area. This can be done by taking adequate rest along with anti-inflammatory medication to start the healing process.

Improve range of motion

When pain starts to subside, individuals can start working on getting their range of motion back. In most cases, the overreach is affected and suffering individuals need to reclaim their overhead full flexion.

One consideration while doing so is that any tightness felt in the back of the shoulder may cause increased stress at the front of the shoulder and trigger more pain.

Build strength

As part of early recovery, individuals can try to strengthen affected muscles in the shoulder along with others in the back which support the shoulders.

When doing so, try strengthening the rotator cuff muscles as this muscle group and their tendons provide strength and stability during movement of the shoulder.

Go for functional training

Once the healing process starts and inflammation subsides, the individual can then start functional training. This step focuses on enhancing movement in a coordinated manner.

Functional training promotes proper mobility of shoulder, trunk, and scapula to allow synchronized movement.

There are a number of flexibility exercises that can help with bicep tendonitis treatment and may even help prevent the condition in the first place.

These can include the following:

  • Pec stretch
  • Rhomboid stretch
  • Inverted Rows
  • Side lying external rotation
  • External arm rotation
  • Push up to side plank

Other Bicep Tendonitis Treatment Options

Where exercise alone does not suffice, it may be paired up with other treatment options like the following:

  • Medications such as NSAIDs are typically the first option to treat the discomfort associated with the condition. The drugs can be helpful in alleviating the pain in the initial stages.
  • Icing is an elementary injury management technique and a drug-free method of relieving pain. An application of an icepack to the skin can soothe symptoms from strains, sprains, bruises as well as tendonitis.
  • Stretching on a regular basis may also help prevent tendonitis from occurring in the first place. Gentle stretches before and after workouts are highly recommended.
  • Massage is another effective way to loosen tissue and keep it from clogging muscle fibers. This therapy not only sustains the range of motion but also keeps muscles more supple to minimize the chance of further injury.

Among the different type of massages, deep tissue massage helps reduce inflammation and relieve muscle tightness. Sports massages, on the other hand, target muscle-tendon junctions to improve endurance and flexibility.

  • Surgical intervention is typically considered a last resort for people who do not benefit from other types of treatments.
  • Non-operative management involves the administration of injections to the inflamed area to manage inflammation and pain.

Are you an Athlete and injured?

Sports or athletic injuries occur during play or practice for a sports event. Such injuries may vary in their extent and severity but require timely treatment if you want to recover fully.

If you are an athlete or if you maintain an active lifestyle, read on to learn the about the common sports injuries. It will help you recognize if you have been injured.

Sprains

Sprains are the result of a ligament being stretched beyond its capacity. Wrist and ankle sprains are more common than others.

Concussions

Concussions occur due to a violent blow to the head. These are common among athletes who participate in contact sports. AT the same time, concussions can also occur as a result of a fall. Some concussions may prove serious if they are left untreated and the player continues to play.

Shin Splints

Acute pain in the shin or lower leg after prolonged running can be the result of shin splints.

Runner’s Knee

Runner’s knee, as the name indicates, is caused due to years of running and the pain in the knee due to that. It is an overuse condition in which the tendons and the cartilage, around the knee cap, are worn out.

Achilles Tendinitis

Achilles Tendonitis shows up as heel pain. It occurs when overuse causes the tendon, just above the heel, to become swollen or irritated.

What should I do if I am injured?

Since most athletes try to ensure pain and push through injury, their injuries usually become worse.

The best course of action is to seek immediate treatment if you suspect injury and experience pain. This will reduce your healing time, chance of reoccurrence, pain, and will get you back in the game quickly. Modern regenerative medicine treatments, such as PRP therapy, help to avoid surgery and allow you to recover naturally.

To learn more about PRP therapy or to consult a sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Suffering from an ACL Tear?

The ACL or the Anterior Cruciate Ligament in the knee can be injured in several ways:

  • Sudden stopping or change of direction
  • Abruptly slowing down while running
  • Landing from a jump incorrectly
  • Direct collision

ACL tear

The ACL is one of the four important knee ligaments. These ligaments hold the knee together.  It connects the thigh bone to the shin bone.

The ACL is a tough band of tissue that runs diagonally through the inside of the knee and gives the knee joint stability. An ACL tear is often a result of excessive stress due to one of the reasons explained above.

ACL Injury Symptoms

ACL injuries are often accompanies by a “popping” noise and/or the knee may feel giving out from under you. Other symptoms include:

  • Swelling and pain
  • Limited range of motion
  • Tenderness along the joint
  • Discomfort while walking

You may observe swelling within a day of the injury. In some cases, the swelling and the pain may subside on its own but if you attempt to return to activity, the knee is likely to remain unstable. This can result in further damage to the meniscus or the cartilage that cushions your your knee.

To learn more about ACL tear and treatment options or to consult an experienced knee doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333. OSPI offers modern, cutting edge treatments including minimally invasive orthopedic surgery as well as regenerative medicine, such as PRP Therapy in Gilbert, AZ.

The Continuing Relationship Between Physical Therapy and Regenerative Medicine

In regenerative medicine, stem cells are used to treat damaged or destroyed tissues and organs. These stem cells come from the patient themselves and are a “blank state” which can be turned into several different variations of cells including bone, ligament, tendon or muscle.

Given that the main goal of both regenerative medicine and physical therapy is to restore the normal functioning of a diseased or injured tissue it is only appropriate that the two therapies – physical therapy and regenerative medicine – combine forces.Regenerative medicine aims to help the body heal itself more effectively. The study of using a tissue, cellular, organ and medicine substitutes to restore biological function lost as a result of injury, disease, congenital abnormalities or age has brought together a variety of scientists – many with overlapping backgrounds – in the field of regenerative medicine.

Once the regenerative medicine is administered via injection or other procedure, patients are often encouraged to continue physical therapy – as the strength gained from the stem cell therapy enhances their ability to complete physical therapy.

Furthermore, in cases such as artificial organs and medical devices, the relationship between the two fields is also important. A major problem with organ transplant is that there is no way to know if the body will reject the organ or not, and unfortunately, there is no way to prevent it either. However, the great benefit to regenerative medicine, and specifically stem cell therapy and the like, is that the materials used to aid in the healing process are taken directly from the patient – via their blood, bone marrow, or other appropriate sample collected for the needed materials.

However, following the introduction of a new organ or a medical device – even if the organ is one grown from the own patient – physical therapy is still a vital part of the rehabilitation process. Physical therapy has the strong power to enhance the healing potential. As a result of physical therapy, the body can maximize the functional interaction between the host and the donor object – rather it is an organ or a medical device. Following a form of regenerative medicine treatment, physical therapy should be appropriately positioned so that it can optimize the patient’s post-transplant recovery.

Oftentimes, regenerative medicine treatment options are also used for problems such as back pain, knee pain, and other debilitating chronic pain. Typically, the patient was probably receiving physical therapy prior to regenerative medicine treatment options – or had at least tried it as an option. However, to continue to increase the mobility and give the stem cells the best chance at being successful, physical therapy should continue to be an important part of the patient’s regimen.

As the two fields continue to work in close contact with one another, it is also imperative that scientists and rehabilitation specialists continue to work to develop clinically relevant protocols.

When combined, physical therapy and regenerative medicine can continue to optimize the quality of life for those patients suffering from chronic pain or other ailments which have previously inhibited them from doing things.

Total Hip Replacement Rehabilitation

Total hip replacement surgery involves removing damaged cartilage and bone from a painful hip and replacing this with prosthetic components. The hip is a ball-and-socket joint, with the ball being the head of the femur (thigh bone) and the socket being a portion of the pelvic bone. Also called total hip arthroplasty (THA), hip replacement is typically done because of damage from arthritis. The main part of the hip replacement process is rehabilitation.

Before Surgery

Rehabilitation begins before your total hip arthroplasty. A physical therapist teaches you about what to expect from the surgery and gives you exercises to precondition your body. Flexibility and strengthening maneuvers are used to make your recovery easier. The therapist may do a home visit to advise you on how to make your environment safe for your recovery.

Immediately after Surgery

Right after a total hip replacement, you will have some weakness, numbness, itching, soreness, pain, and stiffness of the hip and leg. Postoperative pain can continue for up to 6 weeks. However, this is managed using a variety of techniques and medications. Right after surgery, you are monitored in the recovery area for 1-2 hours before being moved to a hospital room.

Rehabilitation continues after surgery. A physical therapist will teach you how to put weight on the affected leg, how to use an assistive device (crutches, walker, cane), and how to move from bed to chair, and up from a chair. The therapist will not allow you to turn the leg inward, cross your legs, or bend forward more than 90 degrees.

Hospital Care

While in the hospital, your physical therapist will visit you 2 times each day and help restore function and prevent injury to your new hip. The therapist continues to work with you to learn how to turn in bed, how to walk with the assistive device, and how to perform a range of motion and strengthening exercises.

Subacute Recovery

Whether you are moved to a skilled nursing facility or return home, physical therapy continues. You progress to walking, climbing stairs, transferring from a car, increasing balance, and full movement of the new hip. Specific muscle strengthening exercises are used to improve standing and walking ability.

Once your new hip is strong, you are encouraged to fully bear weight on the hip and walk more. The physical therapy sessions continue to focus on stretching, mobility, and strength. The therapist aims to return you to your pre-surgery functional status and improve your quality of life. After 6 weeks, you may be allowed to climb ladders, lightly job, pull carts, and lift objects.

Normal Activities

As soon as the orthopedic surgeon gives you the go-ahead, you can return to usual and normal activities. This means you can walk as much as you wish, swim after sutures are removed, and participate in golf, cycling, and household chores. Return to driving, sexual activity, and air travel will depend on your rehabilitation success.

You are permitted from doing some things after a total hip replacement. To ensure proper healing and prevent hip dislocation, don’t:

  • Try to pick something from the floor while sitting.
  • Cross legs at the knees for at least 8 weeks.
  • Lean forward while sitting.
  • Bend at the waist beyond 90 degrees.
  • Reach down and pull up blankets when lying in bed.
  • Turn feet inward when you bend down.

Ever too old for Knee Replacement?

If you are wondering whether you are too old for knee replacement surgery, you should know that more than 500,000 people undergo total knee replacement in the United States alone. Generally, people with chronic joint pain and debilitating arthritis are considered candidates for total knee replacement.

Total knee replacement can help these people regain lost confidence and independence. A knee replacement can go a long way in restoring your ability to lead a normal life.

Read on to know more about knee replacement surgery and get answers to the most commonly asked questions.

Arthritis and Knee Pain

The knee joint has a layer of smooth cartilage on the ends of thigh bone, shinbone and the kneecap. This cartilage cushions the gliding surface facilitating smooth knee motion. Arthritis involves wear and tear of this cartilage. This leads to bones rubbing against each other, causing pain, inflammation, swelling and stiffness.

Total Knee Replacement

Total knee replacement involves cartilage replacement with an artificial surface, using metal and plastic implants. This creates a new smooth cushion and a functioning joint that does not hurt.

Success Rates

More than 90% patients achieve good to excellent results with pain and symptom relief and improved activity and mobility.

Candidates for Total Knee Replacement

Based on your history, physical examination, X-rays and conservative treatment results, your orthopedic surgeon will discuss with you if you are a candidate for total knee replacement surgery.

In general, you may not be a good candidate if you –

 

  • have poorly-controlled diabetes
  • are an active smoker
  • are morbidly obese
  • have experienced infections in the affected arthritic joint in the past

Can a person be too old for knee replacement?

Age is not a big issue if you have good overall health and wish to continue living an active life. There are cases of patients in their 90’s who get knee replacements and do well. Your orthopedic may ask you to consult your personal physician about your readiness for surgery.

To learn more or to consult an the best knee replacement doctors in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

4 Top Reasons you can’t straighten your Knee

Knee injuries are often a result of a twisting or a direct impact injury to your leg. The severity of the injury can vary but loss of bending in the knee is common after an injury. An inability to straighten and bend your knee is a sign you have been injured badly.

Here is a look at the top reasons why you are unable to straighten your knee after an injury.

Swelling

Swelling is common after injuries that cause bleeding, inflammation and pain, making it too painful to straighten the knee.

Tendon Injuries

Injuries to the quadriceps or patella tendon do not allow you to straighten the knee and also cause significant weakness. Such injuries are more common in professional sports.

Meniscus Tear

A tear in which the torn piece of meniscus flips into the center of the knee joint, can lock your knee and prevent it from straightening.

ACL Tear

ACL tear do not cause the knee to be locked but it hurts too much to straighten it. Within a few days, the swelling will reduce and you may be able to straighten your knee. But sometimes ACL tear is accompanied by a meniscus tear. In such cases, it will be hard to straighten the knee and you should see an orthopedic surgeon.

If you have suffered an injury to your knee and are not able to straighten or bend your knee, it could be due to a severe knee injury. Consult an orthopedic surgeon to find out the root cause and begin treatment.

To learn more or to consult the best orthopedic surgeons in Mesa, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Rehab Exercises after Total Knee Replacement

Once you return home after a total knee replacement (TKR), you will need to perform certain exercises to prevent complications, improve motion of the knee, and build strength. Most people have weak leg muscles before surgery because they were not used much due to knee problems. Now that surgery has corrected this knee problem, you will need to have a regular exercise regimen.

Exercise Program

A regular exercise program is used to strengthen weak leg muscles. Your success with rehabilitation relies on your willingness to follow the exercise program developed by your physical therapist. You should perform these exercises 2-3 times each day after surgery. Each exercise must be done 10 times, starting out, and you gradually increase the repetitions by 5 times each week until you reach 20 repetitions. Your schedule will be:

  • Week 1 – 10 repetitions
  • Week 2 – 15 repetitions
  • Week 3 – 20 repetitionsheel-slides

Ankle Pumps and Circles

  • Bend both ankles up, pulling toes toward you.
  • Bend both ankles down, pointing toes away from you.
  • Rotate each foot clockwise and then counterclockwise while keeping toes pointed to the ceiling.

Heel Slides (Knee and Hip Flexion)

  • Bend the hip and knee by sliding the heel up toward buttocks while keeping the heel on the bed.
  • Slide heel back down again while keeping kneecap pointed at the ceiling.
  • Repeat with opposite leg.

Thigh Squeezes (Quadriceps Sets)

  • Tighten muscles at the front of the thigh by pushing the back of your knee down on the bed.
  • Hold for 5 seconds, then relax.
  • Repeat with opposite leg.

Leg Slides (Abduction/Adduction)

  • Slide leg out to the side while keeping kneecap pointed toward ceiling.
  • Slide leg back to the starting position.
  • Repeat with opposite leg.

Lying Kicks (Short Arc Quadriceps)

  • Lie on back with a rolled blanket under your knee.
  • Straighten knee and hold for 5 seconds.
  • Lower leg down slowly and relax.
  • Keep back of knee in contact with blanket.
  • Repeat with opposite leg.

Straight Leg Raises

  • b7a636bc5a5da7a0eafbb497fb8cac4eBend leg with foot flat on the bed.
  • Raise opposite leg up 12 inches with knee straight.
  • Hold for 5 seconds.
  • Slowly lower leg and relax.
  • Repeat with other leg.

Knee Bending (Sitting Knee Flexion)

  • Sit on a chair.
  • Bend knee back as much as you can and hold for 10 seconds.
  • Return to starting position and relax.
  • Repeat with other leg.

Sitting Kicks (Long Arc Quads)

  • Sit on a chair.
  • Lift foot and straighten knee as much as possible.
  • Keep knee level as if you are holding a tray on your lap.
  • Hold for 5 seconds.
  • Lower leg down slowly and relax.
  • Repeat with other leg.

Prolonged Knee Stretch

  • Sit on a chair.
  • Bend knee back as much as possible.
  • Scoot your body forward to increase the stretch.
  • Hold for 30-60 seconds.

Knee Straightening Stretch

  • Sit on a chair with your heel up on a footstool or chair in front of you.
  • Hold this for 30-60 seconds.
  • Repeat with other leg.

Knee Dangling/Swinging

  • Sit on a high chair or bed so that feet don’t touch floor.IMG_5017
  • Bend knees and swing surgical leg back and forth.
  • Do this for 2-3 minutes.

Heel Digs (Hamstring Sets)

  • Bend surgical knee.
  • Tighten muscle at back of thigh by digging heel into the bed.
  • Hold for 5 seconds.
  • Repeat with other leg.

Buttock Squeezes (Gluteal Sets)

  • Tighten buttock muscles by squeezing.
  • Hold for 5 seconds and relax.

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Rehab After a Total Knee Replacement

Total Knee Replacement Rehabilitation

Having a total knee replacement surgery is usually the best option for patients with severe knee arthritis. At present, more than 4.5 million people in the U.S. are living with at least one total knee replacement, and around 1.5 million people with a replaced knee are 50-70 years of age. During the last couple of decades, total knee replacement increased by 84% in the U.S. population, with the current rate 22 per 10,000 persons. The most important part the knee replacement process is rehabilitation.

The greatest demand for total knee replacement is not coming from the elderly demographics. Rather, it is younger people who have weight issues. There is a strong relationship between knee osteoarthritis and having a high body mass index. More people ages 18 to 64 years are having severe knee pain and loss of mobility related to being overweight.

General Considerations

  • Patients are weight-bearing as tolerated with a walker, crutches, or cane until they can walk without assistance.
  • Early emphasis is on developing full extension equal to the opposite leg soon as possible.
  • No active or passive flexion motion greater than 90 degrees until stitches are removed.
  • Early exercise will focus on recruitment of proper quadriceps set.
  • Keep incision site clean and dry.b7a636bc5a5da7a0eafbb497fb8cac4e
  • Avoid submerging in a pool, tub, or sauna until wounds are healed.
  • Avoid jumping, twisting, pivoting, or rigorous activities.

Week 1

  • You will return to see the Arizona orthopedic surgeon to change the dressing and review health status.
  • Icing, leg elevation, and swelling control are implemented. Swelling control can be achieved using a compression wrap and circumferential massage.
  • Soft tissue treatments and gentle mobilization are implemented by physical therapist.
  • Exercises include gluteal sets, gait training, and balance/proprioception maneuvers. Straight leg raise exercises with quad sets are began, and passive/active range of motion exercises are started.
  • Goals of therapy are to increase range of motion < 90 degrees, and to decrease swelling and pain.

Weeks 2-4

  • You will return to the Gilbert orthopedic surgeon’s office to have staples/stitches removed and for a check-up.canstockphoto7424057
  • The therapist will continue with soft tissue treatments and gentle mobilization, avoiding flexion or patella contracture.
  • Exercises are continued, including progress flexion range of motion, functional exercises, gait training, and balance/proprioception maneuvers.
  • Aerobic exercise is began as tolerated (cycling, swimming).
  • Goals include decreasing swelling and edema and range of motion < 10 degrees extension to 100 degrees.

Weeks 4-6

  • You will follow-up with the orthopedic surgeon.
  • Gentle mobilization and soft tissue treatments continue.
  • Exercises continue, such as functional exercises (weight machines and walking outside), balance/proprioception maneuvers, and swimming after incisions are closed.
  • Goals include walking without a limp and range of motion < 5 degrees extension to 110 degrees.

Weeks 6-8

  • Continue soft tissue treatments, joint mobilizations, and patellar glides to increase range of motion.
  • Add lateral training exercises, and incorporate single leg exercises as tolerated.
  • Goals include patient walking without limp, and range of motion 0-115 degrees.

Weeks 8-12

  • Continue joint mobilizations, soft tissue treatments, and patellar glides to increase range of motion.
  • Begin activity specific training, such as gardening, sports, and household chores.
  • Low impact activities after week 11.
  • Patients are weaned into a home and gym program with emphasis on their particular sport/activities.
  • Goals include return to functional activities and range of motion within functional limits.

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Resources

Health Research Funding (2016). 23 Amazing Total Knee Replacement Statistics. Retrieved from: http://healthresearchfunding.org/23-amazing-total-knee-replacement-statistics/

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