physical therapy

Grade I Hamstring Strain

Hamstrings are the three muscles at the back of the thigh. They traverse between the hip and the knee and are named semimembranosus, semitendinosus and biceps femoris. They are involved in bending the knee., tipping the pelvis back when you lean backwards, and twisting the knee when the knee is bent.

 

A hamstring injury ranges from a strain to a muscle tear.
There are three grades of hamstring injury:

  • Grade I: a mild muscle strain
  • Grade II: a partial muscle tear.
  • Grade III: a complete muscle tear or tear of an attachment.

 

Grade I injury may take a few days to heal but a grade III injury can take months. We’ll focus on grade I hamstring injury in this article.

The best way to avoid hamstring injury is to spend time working on your hamstring strength

Grade I Hamstring injuries are very common in sports, especially those that involve sprinting, suddenly stopping and changing direction, and jumping. These include football, rugby, baseball and track running. They typically happen at the end of the swing phase of running, just before the outstretched leg touches the ground, as it is at this point that the hamstring muscles have to suddenly contract to bend the knee.

 

There are multiple predisposing factors for hamstring injury, such as:

 

  • Weak hamstrings – if they are not toned up and strong enough to handle the stress, they are more likely to get injured.
  • Lack of warm-up before exertion – Hamstring muscles are less likely to be injured when they are warmed up through brief stretching/contracting exercises. Keeping the legs warm with suitable clothing while warming up also helps a lot.
  • Tiredness – if the muscle is fatigued, it is more likely to get injured. Having good fitness overall helps.
  • Previous hamstring injury – You are much more likely to have a hamstring injury if you have had a previous one.
  • Older age – you are more likely to have a hamstring injury as you get older.

 

Interestingly, being overweight is not thought to be a risk factor for a hamstring injury.

The best way to avoid hamstring injury is to spend time working on your hamstring strength. A highly trained sportsperson will tend to do this as part of their training but anybody looking to do any activities that involve these muscles is probe to grade I hamstring injury and needs to warm up as well.

There are various approaches to hamstring rehabilitation, with varying times of immobilization to the type of exercise. The goal of any hamstring rehabilitation (especially so in cases of sportspersons) is to return to the previous level of performance while attempting to minimize the rate of injury recurrence. It has been shown that Grade I (and even II) hamstring strains can be aggressively treated with brief immobilization followed by early initiation of running and isokinetic exercises. This is likely to lead to early recovery of function and a relatively low reinjury rate.

Factors and Different Treatments for the Dreaded Scoliosis

Scoliosis is a condition that causes the spine to curve forming a “C” or “S” shape. The curved spine can irritate and stretch nerves, strain joints comprised of two bones, affect the posture, and make muscles fatigued. It causes pressure on the disks between the spinal vertebrae making them inefficient shock absorbers and causes strain with pressure on facet joints of the spine. The cause is unknown and there is no cure. Managing symptoms associated with the condition is the main course of treatment.

 

The single worst symptom is pain. The condition impacts quality of life and is a long-term disability. The curve is not usually painful but when changes cause it to become painful, it is debilitating. For some patients, over-the-counter medication helps them cope with the pain and discomfort, while others require stronger pain relievers that are taken several times a day. Pain is individualized and each person perceives it differently. Pain medications are not a long-term solution because they have no impact on the source of the pain.

 

There are several factors that affect how well the nerves work to decrease pain. These factors are:

  • Genes
  • Environment
  • Medication
  • Personal beliefs or perception

Surgical intervention is generally recommended when the curve is greater than 40-degrees

The most common pain is due to muscle strain as the individual tries to compensate for the curve while completing activities of daily living. (getting dressed, taking a bath, cleaning…)

The basic treatments for muscle strain include over-the-counter pain relievers, hot packs, cold compresses for inflammation, and rest. Often a brace is worn but can be uncomfortable and burdensome. Surgical intervention depends on the progression of the condition.

 

Finding appropriate treatment(s) begin with:

  • Talking to your healthcare provider
  • Participating in alternative therapies
  • Wearing a brace for support, if able to tolerate
  • Possible surgical intervention

 

Physical Therapy can help with pain management by incorporating exercises to improve back strength and flexibility. Stretching often is recommended. If an activity causes increased pain, stop doing it and rest. Other recommended therapies and programs include Pilates and Yoga to promote balance, develop deep and superficial muscles, and relax the mind.

 

Other treatments and therapies that can help alleviate pain and improve coping skills include:

  • Chiropractics
  • Massage Therapy
  • Acupuncture
  • Hydrotherapy
  • Steroid or Anesthetic Injections
  • Counseling
  • Surgical spinal fusion

Counseling can include Cognitive Behavioral Therapy (CBT). Cognitive Behavioral Therapy allows a counselor and patient to identify ways to manage and cope with pain and limitations. It can help the individual to overcome beliefs or behaviors that aggravate or cause more spinal damage and leads to the identifying techniques, like meditation, that help with mental ability to deal with pain (coping skills).

 

Surgical intervention is generally recommended when the curve is greater than 40-degrees. It is done to ensure the curving stops. Without surgery, the spinal curve would continue to increase by 1-2 degrees annually. But surgery has risks, so alternative therapies are recommended first.

Closed Fracture Treatment and Infection Prevention

A closed fracture is a broken bone that does not break through the skin. There are four commonly seen closed fractures. These fractures include wrist fractures, hip fractures, ankle fractures and spinal compression fractures. Hip fractures and spinal compression are often seen in the elderly. Fractures require emergency treatment. If neck, back or hip injury is suspected or if there is exposed bone do not move the person.

 

Diagnosis of fractures can generally be made through physical examination and x-rays. A compression fracture or a wrist fracture may not show on an x-ray. In this case, a CT or MRI can be used to locate the fracture. Often, the fracture will only be immobilized and a repeat x-ray done in 10-14 days when the healing makes the fracture more visible. With a skull fracture, a CT may be done, rather than an x-ray, to determine if there is brain injury secondary to the fracture.

 

Factors that predispose bones to fractures are:

  • Osteoporosis
  • Advanced age
  • Endocrine and GI issues
  • prolonged use of steroids
  • inactivity
  • smoking and alcohol

 

Treatment of these fractures is dependent on the severity and can include the following:

 

  • Reduction
  • Cast, sling or walking boot for immobilization
  • External fixation – intervention used with traumatic soft tissue injury and open fracture
  • Internal fixation – Surgical intervention with placement of pins, screws, plates, or rods.

 

Additional treatment includes medications for pain and to prevent infection.

 

A cast or other form of immobilization is meant to hold the bones in proper alignment and to provide protection from additional injury. Reduction is when the bone is set back in place to heal. Some fractures are realigned and held in place through internal fixation or external fixation. External fixation is a way to hold fragments of fractured bone together using metal pins with a compression device attached on the surface of the skin.

The treatment of closed fractures is highly dependent on age, patient preference and surgeon preference

External fixation is used when:

  • there is an open fracture with soft tissue damage
  • fractures with deficient bone (osteoporosis)
  • Infection

 

Rehabilitation begins right away because long-term immobilization causes muscles to become stiff. It takes 4 to 6 weeks to heal depending on the severity of the fracture and surrounding damage. Physical Therapy begins rehabilitation and has several goals.

 

The goals of Physical Therapy include:

  • promoting circulation
  • preventing clots
  • enhances the healing process
  • Once the cast is removed, exercise in a pool is beneficial and promotes mobility. The water also relaxes muscles making movement easier.

 

Treatment of closed fractures is highly dependent on age, patient preference and surgeon preference.

Quick Recovery with New Carpal Tunnel Treatment Option

Carpal tunnel syndrome is a condition which causes numbness, weakness, and pain in wrist and hands. It is caused due to the raised pressure on the median nerve. This nerve sends sensations to the index, middle fingers and thumb. The median nerve is responsible for providing strength to the base muscles of the thumb.

Individuals who are most at risk of suffering from the carpal tunnel syndrome are people with activities or jobs involving a repetitive movement of fingers, or high force motion of wrist and hand.

Carpal tunnel syndrome is a condition which causes numbnessOther possible causes can include:

  • Wrist fracture
  • Deformity of hand or wrist
  • Thyroid imbalance
  • Diabetes
  • Tumor
  • Arthritis or gout disease
  • Pregnancy

Treatment options:

  • Non-surgical

The non-surgical treatment involves the use of anti-inflammatory drugs to relieve pain. Cortisone injections may be used to provide temporal relief, however, is not a permanent cure. Physiotherapy and a change in hand motion are recommended to alter the movement of the wrist.

  • Surgical treatments

In case non-surgical treatments do not show the result, surgery is recommended to increase the tunnel size to relieve pressure on the tendons and nerves. Carpal tunnel surgery recovery may range from six months to over a year. Patients who undergo surgical methods will have to restrict movement. The stitches are removed after 2-4 weeks (depending on the size of the incision). The skin may take more than 8 weeks to recover fully.

New innovations in treatment

A new innovation in the treatment for carpal tunnel surgery is the SX-One Microknife. It is an innovative surgical device that allows a 4-5mm long single incision and is used with the help of ultrasound-based imagery.

Dr.Cobb, a board-certified orthopedic surgeon explains in simple terms how the TCL blade is activated after positioning to release pressure from the ligament, enabling a pain-free smooth movement. The procedure involves the following steps:

  • The blade remains closed till required with the help of Stealth Microgaurds.
  • These Microgaurds prevent tissue damage and safe positioning of the scalpel around the damaged area.
  • As the procedure ends, the blade closes back up and is released from the same incision.
  • The use of SX-One technology requires no stitches, an adhesive bandage proves sufficient to heal the incision.

Benefits vs traditional surgery

  • Compared to the traditional carpal tunnel surgery which employs more than a half an inch of the incision and requires a longer time to heal, the SX-One Microknife is less invasive.

 

  • Traditional surgical methods put patients at a higher risk of tendon and blood vessel damage. In respect to that specialists believe that this new innovation in technology may be more effective.

 

  • It is cost effective and faster in both the procedure and healing.

 

In conclusion

 

An ultra-low profile device for surgery, SX-One Microknife allows surgeons to release carpal tunnel through a single 4-5mm incision. This new advancement in technology is most definitely more effective than the traditional surgical methods. Not only does it saves cost but also minimizes the period of healing. It is believed that the carpal tunnel syndrome can be effectively catered to millions of people using this less invasive tool.

What Causes Human Growth Hormone Deficiency?

Human Growth Hormone DeficiencyHuman growth hormone is an essential protein that facilitates normal physical development in humans as well as being responsible for the maturation and proper functioning of secondary sexual characteristics in males and females. Growth hormone deficiency in adults is a condition caused by issues that affect the pituitary gland in the brain that is responsible for the production of this hormone. In turn, a deficiency of this hormone in humans causes certain problems depending on the age of the affected individual. Growth hormone deficiency symptoms and signs may include the following:

Childhood 

  • Micropenis in males.
  • Jaundice (yellow discoloration of the skin and/or eyes) and/or hypoglycemia (low glucose levels) in the first few days of life.
  • Short stature with poor growth velocity.
  • Delayed bone maturation.
  • Delayed onset of puberty.
  • Slower muscular development.
  • Delayed gross motor milestones such as jumping, walking and standing.
  • The composition of fat, muscle, and bone may be disproportionate resulting in a mild to moderate chubby appearance.
  • Prominent forehead.
  • Sparse hair growth with the frontal recession.

Adulthood

Adult-onset growth hormone deficiency occurs in 1 in every 100,000 people and is caused by tumors of the pituitary gland. Signs and symptoms include:

  • Baldness in men.
  • Decreased muscle mass and strength.
  • Reduced energy.
  • Decreased bone mass resulting in osteoporosis.
  • Increased body fat especially around the waistline.
  • Increased LDL cholesterol levels.
  • Cardiac dysfunction due to a thickened inner lining of the blood vessels.
  • Memory loss and impaired concentration.
  • Infertility due to absent or decreased production of sperm and ova in males and females, respectively.

Management

Growth hormone deficiency treatment includes injecting synthetically produced growth hormone under the skin (subcutaneously) or into the muscle (intramuscularly).

The following points are made regarding treatment of childhood growth hormone deficiency:

  • Administration of growth hormone in these patients is performed on a daily basis.
  • Growth monitoring and dose adjustments are done every three to six months together with information gained from X-rays and blood tests.
  • Treatment with the synthetic medication is provided as long as the child is growing and they may need to receive the hormone for the rest of their lives if the deficiency is severe.
  • Injections sites include the stomach, biceps, buttocks, and thighs and the sites need to be rotated on a daily basis to avoid shrinking and hardening of these areas.
  • Relatively pain-free devices are used to help with compliance.

Regarding the treatment of growth hormone deficiency in adults:

  • A minimally invasive procedure known as transsphenoidal surgery is performed to remove the pituitary tumor. This involves removing the tumor through the sphenoid sinus, which is a hollow space in the skull behind the nasal passages and below the brain and is performed under general anesthesia. An image guiding system is placed on the head of the patient to help guide the surgeon. The overall success rate of the procedure when removing small tumors (microadenomas) is 90 percent and removing larger tumors (macroadenomas) is 60 percent.1
  • The majority view amongst specialists is that most adults with growth hormone deficiency do not show an adequate response to the medication and therefore do not warrant treatment with the synthetic hormone.
  • Treatment may be warranted in cases where there is a severe growth hormone deficiency, there’s major impairment of the patient’s quality of life, and if the affected individual is being treated for other pituitary hormone disorders.
  • The duration of the treatment will depend on the indication for its use.

Physical Therapy for Chronic Orthopedic Problems

Chronic pain affects millions of Americans. Many orthopedic conditions are chronic, and they cause serious pain. Physical therapy is a good way to alleviate pain and improve quality of life.

Manual Therapies

Physical therapy involves manual therapies for pain relief, as well as exercises for strengthening and flexibility. Manual physical therapy is a specialized kind of treatment delivered with the therapist’s hands as opposed to a machine or device. Many patients come to their first physical therapy appointment expecting to get ultrasound and hot packs. However, the therapist first assesses your condition before canstockphoto47029630devising a treatment plan.

The physical therapist is interested in why a muscle or structure is not functioning properly, and see back exercises as more than the driving mode of recovery. Exercise is viewed as a complement treatment to manual therapy. With manual therapy, the therapist uses his/her hands to apply pressure on muscle tissue and to manipulate joints, which is used to decrease back pain caused by tension, spasm, or joint dysfunction.

Many physical therapists have the option to use manual therapy, but many do not spend the time to become efficient in this area of practice. Patients should request manual therapy, which is used to relieve pain. However, because this treatment is not standard, insurance reimbursement may be limited.

Manual therapy is used for joint pain. Joints that do not have adequate mobility or range of motion can benefit from physical therapy. Certain musculoskeletal conditions cause limitations, which in turn, creates discomfort, pain, and altered function. Manual physical therapy involves restoring motion to stiff joints and reducing muscle tension so the patient can regain a natural movement without pain.

Types of Manual Physical Therapy Techniques

Manual physical therapy techniques are aimed at relaxing restricted joints and tense back muscles. The goal of therapy is to increase flexibility and decrease back pain. The types of movement include:

 

  • Soft tissue work – This involves application of pressure to the soft tissues, such as subcutaneous tissue and muscles. This massage maneuver and pressure relaxes the muscles, breaks up scar tissue, increases circulation, and eases soft tissue pain.

 

  • Mobilization and manipulation – This uses measured movements of varying speed (slow to fast), distances (called amplitude), and force (gentle to forceful) to pull, push, and/or twist bones and joints into position. This helps loosen tight tissues in and around the joint, helps with alignment and flexibility, and reduces pain in the joint and surrounding tissues.

Other Therapy Maneuvers

Some commonly used physical therapy maneuvers include:

 

  • Soft tissue mobilization – Muscle tension will decrease joint motion and cause muscle spasms. For these patients, the therapist will use soft tissue mobilization (STM), which breaks up inelastic or fibrous muscle tissue, such as scar tissue form a back injury, and moves tissue fluids. The therapist will localize the area with the most tissue restriction through assessment. Once this is identified, the restrictions are mobilized with STM.blog_shoulder-physical-therapy-hawkgrips-instrument-assisted-soft-tissue-mobilization-iastm

 

  • Strain-counterstrain – This technique focuses on correcting abnormal neuromuscular reflexes that cause postural and structural problems, resulting in tender points. The therapist finds these points and holds the muscle area down. Through mild stretching, this allows the body to reset its muscle to a normal tension level.

 

  • Joint mobilization – This involves loosening up a restricted joint and increasing the range of motion by providing speed (velocity) and increasing distance of movement (amplitude). These mobilizations move the bone surfaces on each other in ways the patient cannot move the joint himself.

 

  • Muscle energy techniques (METs) – These maneuvers are designed to mobilize restricted joints. METs utilize a voluntary contraction of the patient’s muscles against a controlled counterforce, which is applied by the therapist from a precise position and in a specific direction. The operator takes the joint to a new level where the patient them contracts the muscle.

OSPI offers top orthopedic services in the East Valley with Board Certified doctors. Physical Therapy is offered along with chiropractic and pain management too!

Rediscover Your Confidence with Physical Therapy in 2016

Reinvent Yourself with Physical Therapy in 2016

A healthy body is something that we crave since the first ray of sun falls on our face. We want to wake up with the freshness and positivity every day. With the science of healthcare, constantly evolving, treatments are improving and advances in the science help human to live longer. In 2016, we are sure to witness some great changes with physical therapy.
Physical therapy has witnessed some of the serious changes and now they are the accepted form of treatment for various conditions. Physical therapy able to reduce pain, improve mobility and help patients live happier and healthier lives.
These therapies have able to improve the quality of life by thorough optimization of movements. With the coming of the New Year, we get the opportunity to help people and their families to enjoy a pain-free life.

  1. Physical therapy will help you to reduce the injury


    Our therapists in Gilbert working hard will help you with a structured and progressive exercise program to reduce the injuries. There will be a combination of warm-up routines, stretches and various movement techniques. This allows you to participate in the type of activity you enjoy, without taking the risk of pain and injury.

  2. Physical therapy will help to improve strength and balance

    You will find the elderly patients, in particular, to be at risk and face a poor balance throughout. With the help of a progressive exercise program, we try to improve muscle strength and promote the balance and stabilization.

  3. Help you to curb diabetes and heart diseases

    Diabetes and heart diseases are now a great concern in Gilbert which comes associated with a number of complications. This might include impaired blood circulation, nerve problems and muscle weakness. In contrary to that, physical therapy is able to play an important role in treating conditions like heart diseases and diabetes. In Gilbert you can opt for several certified physical therapist or medical centers who have certified physical therapist. They provide you physical therapy programs in Gilbert under strict supervision which will definitely improve blood flow, nerve conduction and strength in a safe and progressive way.

  4. Physical therapy also helps to improve postures

    As we involve ourselves in daily physical movements, so they are also able to involve various types of muscle contractions joint motion and posture alignments. In the world where we have spent much time hunching over the desk, with our neck forward and shoulders in a slouching position – the postural evaluation is one of the main aspects that physical therapist at Gilbert AZ stresses much. Physical therapy is able to correct various muscular imbalances, relieve the tightness in joints and improve breathing patterns as well.

The therapists say that the key to unlocking happiness in life in movement and function. Limitation in them will definitely impact the quality of your life. This is also limit the active participation of a human in his society as well. Physical therapy thus runs to instill lost confidence in human and break the constraints that come between movement and functions of their body.
The year 2016 is going to relieve the confidence in you with the help of a physical therapist at Gilbert AZ whose healthcare professional will provide innovative treatments to help fitness freaks live a life full of energy. Looking to live a life full of energy? Contact Us

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