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SportsRelatedShoulder Pain in All Categories
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Impingement of one or a number of structures in the area of the shoulder is the principal reason that this occurs. Most commonly involved are the biceps tendon, a rotator cuff muscle (usually the supraspinatus) or a bursa.
But what causes this impingement? There are a number of reasons why this impingement occurs, while there are also some predisposing factors why some people maybe more apt to develop this problem than others.
Perhaps the most common reason for an impingement to develop is capsular tightness, which can often develop over time, secondary to limited use of the arms overhead. When the capsule becomes tight, the humeral head fails to move in a downward or backward position as the arm is raised overhead, which results in one of more tissues becoming impinged. In turn, as the individual strives to lift their arm overhead, they commonly succeed in irritating these structures which causes tendinitis and/or bursitis to develop, making the problem worse.
This form of impingement can be further complicated by the presence of a bone spur, which has developed over time, due to the wear and tear on the joint over many years, while arthritic changes in the joint are also commonly present.
Another reason for impingement is instability of the joint or weakness of the rotator cuff tendons due to an injury or a tear. In the presence of instability or a rotator cuff injury, once again the humeral head fails to move as it should when raising the arm overhead and the impingement occurs.
Individuals most likely to develop this problem, include those individuals that work with their arms repetitively overhead (such as your HVAC technicians), athletes that use their arms overhead (tennis players, swimmers, pitchers etc.,) and also individuals with poor posture (rounded shoulders) . Poor posture will commonly result in diminishing what is referred to as the sub acromial space, which heightens the possibility for an impingement to occur.
So, what can you do about this problem?
To relieve the pain, avoiding using the arm overhead, taking an anti-inflammatory medication & icing will likely help, unless you have a rotator cuff tear, whereby the relief you note will likely be minimal. However, these measures fail to address the underlying reason for the problem.
The key to overcoming this problem in the majority of cases, will be to attend for a program of Physical Therapy. At the time of your initial appointment, the therapist will pinpoint the reason for the impingement and will then design a therapy program that will improve capsular mobility and joint stability, reduce the inflammation, improve your rotator cuff strength and improve your upper quadrant posture which collectively will address the problem and provide you with long term pain relief. Of note, when there is a rotator cuff tear, a labral tear or a large bone spur, the therapy may not be successful, but the therapist is typically able to recognize this early on in your treatment (if not the 1st session) and in these instances will typically recommend diagnostic testing or an orthopedic surgery consultation.
So, if you have this problem, recognize that it is unlikely to get better over time (in fact it may get worse) and ask your physician to refer you for Physical Therapy.
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A bursa is a tiny, fluid filled sac which provides lubrication between bones and the muscles, tendons, and ligaments that slide over the bone when a joint moves. When a bursa gets irritated, it can become swollen causing a condition known as bursitis.
Joints affected by bursitis will feel achy and stiff. Movement is often very painful and the joint is tender to the touch. The joint may also be swollen and red.
Due to their large range of movement and numerous muscle and ligament attachments, the two joints most commonly affected by bursitis are the hip and shoulder.
There are many potential causes of bursitis. Repetitive motions such as reaching over head, lifting, throwing, running up and down hills or stairs can irritate the bursa. Abnormal motions like limping due to arthritis, knee, or back pain can also lead to the development of bursitis. Trauma to the joint from a fall or direct blow to the area is another common cause. Bursitis can also develop after surgery or due to bone spurs, muscle weakness and/or tightness and poor posture.
While bursitis can go away with rest alone, a physical therapist can help you recover faster in several ways. A skilled physical therapist can also help to identify and address the specific causes so that bursitis will be less likely to reoccur in the future.
The first step is to reduce pain and swelling in the joint using a variety of modalities such as ice, ultrasound, electric stimulation, stretching, and massage. The physical therapist will then help to restore normal joint motion by improving strength, flexibility and joint mobility in the affected region.
Instruction in techniques for performing activities that will reduce stress on the bursae including postural correction, lifting mechanics and gait training are also often necessary. In addition, a home exercise program is also developed specific to the individual's needs. to help speed recovery and prevent a future recurrence.
If you believe that you are struggling with bursitis, call us today to schedule a free consultation to determine how we can help you.
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Impingement of one or a number of structures in the area of the shoulder is the principal reason that this occurs. Most commonly involved are the biceps tendon, a rotator cuff muscle (usually the supraspinatus) or a bursa.
But what causes this impingement? There are a number of reasons why this impingement occurs, while there are also some predisposing factors why some people maybe more apt to develop this problem than others.
Perhaps the most common reason for an impingement to develop is capsular tightness, which can often develop over time, secondary to limited use of the arms overhead. When the capsule becomes tight, the humeral head fails to move in a downward or backward position as the arm is raised overhead, which results in one of more tissues becoming impinged. In turn, as the individual strives to lift their arm overhead, they commonly succeed in irritating these structures which causes tendinitis and/or bursitis to develop, making the problem worse.
This form of impingement can be further complicated by the presence of a bone spur, which has developed over time, due to the wear and tear on the joint over many years, while arthritic changes in the joint are also commonly present.
Another reason for impingement is instability of the joint or weakness of the rotator cuff tendons due to an injury or a tear. In the presence of instability or a rotator cuff injury, once again the humeral head fails to move as it should when raising the arm overhead and the impingement occurs.
Individuals most likely to develop this problem, include those individuals that work with their arms repetitively overhead (such as your HVAC technicians), athletes that use their arms overhead (tennis players, swimmers, pitchers etc.,) and also individuals with poor posture (rounded shoulders) . Poor posture will commonly result in diminishing what is referred to as the sub acromial space, which heightens the possibility for an impingement to occur.
So, what can you do about this problem?
To relieve the pain, avoiding using the arm overhead, taking an anti-inflammatory medication & icing will likely help, unless you have a rotator cuff tear, whereby the relief you note will likely be minimal. However, these measures fail to address the underlying reason for the problem.
The key to overcoming this problem in the majority of cases, will be to attend for a program of Physical Therapy. At the time of your initial appointment, the therapist will pinpoint the reason for the impingement and will then design a therapy program that will improve capsular mobility and joint stability, reduce the inflammation, improve your rotator cuff strength and improve your upper quadrant posture which collectively will address the problem and provide you with long term pain relief. Of note, when there is a rotator cuff tear, a labral tear or a large bone spur, the therapy may not be successful, but the therapist is typically able to recognize this early on in your treatment (if not the 1st session) and in these instances will typically recommend diagnostic testing or an orthopedic surgery consultation.
So, if you have this problem, recognize that it is unlikely to get better over time ( in fact it may get worse) and ask your physician to refer you for Physical Therapy.
Renee Cronin, PTA
Physical Therapist Assistant & LSVT BIG Certified Therapist
Mid Michigan PT Clinical Team
#CauseofShoulderPain #PainWhenReachingOverhead #HowtoRelieveShoulderPain
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A bursa is a tiny, fluid filled sac which provides lubrication between bones and the muscles, tendons, and ligaments that slide over the bone when a joint moves. When a bursa gets irritated, it can become swollen causing a condition known as bursitis. Joints affected by bursitis will feel achy and stiff. Movement is often very painful and the joint is tender to the touch. The joint may also be swollen and red. Due to their large range of movement and numerous muscle and ligament attachments, the two joints most commonly affected by bursitis are the hip and shoulder.
There are many potential causes of bursitis. Repetitive motions such as reaching over head, lifting, throwing, running up and down hills or stairs can irritate the bursa. Abnormal motions like limping due to arthritis, knee, or back pain can also lead to the development of bursitis. Trauma to the joint from a fall or direct blow to the area is another common cause. Bursitis can also develop after surgery or due to bone spurs, muscle weakness and/or tightness and poor posture.
While bursitis can go away with rest alone, a physical therapist can help you recover faster in several ways. A skilled physical therapist can also help to identify and address the specific causes so that bursitis will be less likely to reoccur in the future. The first step is to reduce pain and swelling in the joint using a variety of modalities such as ice, ultrasound, electric stimulation, stretching, and massage. The physical therapist will then help to restore normal joint motion by improving strength, flexibility and joint mobility in the affected region. Instruction in techniques for performing activities that will reduce stress on the bursae including postural correction, lifting mechanics and gait training will be utilized as necessary. To help speed recovery and prevent recurrence, a home exercise program would also be developed specific to the individual's needs.
Steven Shutt, DPT
Sports Physical Therapist
Mid Michigan PT Clinical Team
#CauseofHipandShoulderPain #IrritatedBursa #CausesofBursitis #PhysicalTherapyHelpsBurstis
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Neck pain can affect people of all ages, while according to a number of studies, approximately 35% of adults can expect to experience neck pain, whereby they seek medical advice at some point during their life.
There are multiple reasons that a person may experience neck pain or related functional limitations which include cervical spondylosis (a.k.a. arthritis) a disc bulge with nerve impingement and often simply poor neck and shoulder posture.
When a person experiences neck pain, it can often lead to a downward spiral in their energy level and well-being, as well as feeling depressed. However, it doesn't have to be this way and being reliant on medication for relief is NOT the answer. Instead, discovering and treating the root cause of the problem is the answer, while Physical Therapy is a natural and often the best solution for successfully treating the majority of neck problems.
In our daily lives, we place tremendous strain and demand on our neck and if a person has poor neck posture this will cause added stress and strain on the muscles, joints and ligaments. In fact, it has been determined that if your head protrudes forward just one inch from neutral, the strain on your neck doubles from approximately 10 to 20 pounds!
The GOOD NEWS is when a person has neck pain, it can commonly be relieved by restoring normal neck motion and alignment, while here are 5 key areas that you can focus on to reduce your neck pain:
1. Work on improving your posture – while sitting and standing
2. Restore your flexibility to the neck muscles and joints
3. Strengthen your upper back/ scapular muscles to help support your neck
4. Sleeping: Ensure your neck is in a neutral position when sleeping
5. Ask for help to relieve your neck aches and pains that last more than 1 week – while a Physical Therapist is the best health care professional to analyze your movement and posture AND to create an effective treatment program for your neck complaints.
If you have neck problems and you would like to learn more, then we encourage you to schedule a Free Consultation to see if we can help you. Simply call 517-545-3200.
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Low back pain (plus sciatica) is a common occurrence in the pregnant population with as many as 70% of pregnant females reporting low back pain or sciatica at some point during their pregnancy. Studies have shown that of these women who report back pain to their health care providers, only 15-30% of them receive treatment.
This is quite an alarming statistic as often times there are simple, straightforward exercises and tips on how to perform daily activities that can significantly help if not resolve this pain.
Why Do Women Experience Back Pain with Pregnancy?
The body has to adapt to weight gain in different areas during pregnancy, which changes the demands on the joints and muscles when sitting, laying, and standing
The pelvis becomes more mobile to prepare for delivery, which is often a source of discomfort in the lower back and pelvic areas
As the baby grows and there is more weight in the abdomen, a woman's posture changes the curve in her low back which becomes more and more exaggerated
If You are Pregnant, Tips to Decrease Pain:
Sleeping
If sleeping on your side, sleep with a pillow between your knees and arms. As your belly grows, you may also want to place a small pillow or rolled up towel under your belly for support.
When getting out of bed, log roll onto your side then let your legs hang off the side of the bed and push up to sitting. This will stress your low back much less than sitting straight up.
Lifting
Be sure to bend your knees and keep items close to your body when lifting.
If twisting, be sure to stand up straight with the item first and then twist – NEVER lift and twist at the same time.
Holding your child
Make sure you alternate and hold your child on both sides (people often hold little ones on the same side/hip and this can be a source of pain).
Low back pain and/ or sciatica can be a problem before, during, and after pregnancy, but it does not need to be a way of life! If you have any questions regarding the above information or how to minimize low back pain, during pregnancy, please call us to schedule a free consultation, so that we may help you.
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Pain in one's arm can be caused by a variety of conditions located in the upper extremity including joint sprain, muscle strain or tear, tendonitis, bursitis, arthritis, or nerve entrapment conditions such as carpal tunnel syndrome. Arm pain can also be generated from a source located away from the location of the pain, most notably, the neck. Pain generated from the neck that is felt in one or more areas of the arm is a symptom of a type of condition that is often successfully treated in physical therapy. This condition, commonly referred to as a “pinched nerve”, is called a cervical radiculopathy.
Causes: Cervical radiculopathy is caused when a nerve in the neck is compressed, irritated, or inflamed. This can occur for several reasons. Most commonly a pinched nerve results from wear and tear of the spine as we age which results in inflammation of the joints of the spine around the nerve and reduced space for the nerve to exit the spinal column. Cervical radiculopathy in younger people is often a result of a herniated disc related to a traumatic injury such as a car accident or a fall.
Anatomy and physiology: Your neck (cervical spine) consists of 7 bones, or vertebrae, that are stacked on top of each other. Each vertebrae is separated from the other by a disc in-between. A key role of the spine is to act as a sturdy column, to protect the spinal cord and its nerve branches. The spinal cord in the cervical spine branches into 8 nerve roots that exit the spinal column between two vertebrae. These nerve roots join to form peripheral nerves that course from the neck to the shoulder, arm, and hand. The job of this network of nerves is to provide movement information to the muscles of the upper extremities. They also function to provide sensory information (pain, temperature, touch, pressure) received from receptors in the upper extremity, and carry it back to the spinal cord and brain for interpretation. Cervical radiculopathy, as described above, occurs when the nerve root is compressed or irritated where it leaves the spinal column. This can cause distinct symptoms.
Symptoms: Pain felt in the arm can be described as radiating, sharp, or dull over a region. Other symptoms can include numbness, tingling (like pins and needles), loss of sensation, and potentially weakness of muscles. The location of symptoms is dependent on which of the 8 nerve roots are being pinched. Symptoms are often reproduced with movement or certain position of the neck. This information helps the healthcare provider establish an accurate diagnosis and treatment plan.
Physical therapy can help. Cervical radiculopathy is one of many nervous system conditions that can be effectively treated by a physical therapist with the goal of restoring pain free function by restoring space for the nerve. It is important to note that cervical radiculopathy can be a serious condition and seeing your doctor as soon as possible is recommended. Your doctor will help to determine if physical therapy is appropriate for you.
Nick Monday, DPT
Orthopedic Manual Physical Therapist
Mid- Michigan PT Clinical Team
#PainInArm #MisdiagnosedArmPain #MisdiagnosedArmProblem #CervicalRadiculopathy #WhatsCausingPainInMyArm
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Low back pain is a common occurrence in the pregnant population with as many as 70% of pregnant females reporting low back pain at some point during their pregnancy. Studies have shown that of these women who report back pain to their health care providers, only 15-30% of them receive treatment. This is quite an alarming statistic as often times there are simple, straightforward exercises and tips on how to perform daily activities that can significantly help if not resolve this pain.
Why Do Women Experience Back Pain with Pregnancy?
The body has to adapt to weight gain in different areas during pregnancy, which changes the demands on the joints and muscles when sitting, laying, and standing
The pelvis becomes more mobile to prepare for delivery, which is often a source of discomfort in the lower back and pelvic areas
As the baby grows and there is more weight in the abdomen, a woman's posture changes the curve in her low back which becomes more and more exaggerated
If You are Pregnant, Tips to Decrease Pain:
Sleeping
If sleeping on your side, sleep with a pillow between your knees and arms. As your belly grows, you may also want to place a small pillow or rolled up towel under your belly for support.
When getting out of bed, log roll onto your side then let your legs hang off the side of the bed and push up to sitting. This will stress your low back much less than sitting straight up.
Lifting
Be sure to bend your knees and keep items close to your body when lifting.
If twisting, be sure to stand up straight with the item first and then twist – NEVER lift and twist at the same time.
Holding your child
Make sure you alternate and hold your child on both sides (people often hold little ones on the same side/hip and this can be a source of pain).
Low back pain can be a problem before, during, and after pregnancy, but it does not need to be a way of life! If you have any questions regarding the above information or how to minimize low back pain, please call our practice (517-545-3200) and ask to speak to our Women's Health Physical Therapist, Kelly Treiber, DPT.
Kelly Treiber, DPT
Women's/Pelvic Health Physical Therapist
Mid Michigan PT Clinical Team
#PregnancyLowerBackPain #PregnantLowerBackPain #HowtoAvoidBackPainDuringPregnancy #TipstoDecreaseBackPainDuringPregnancy #
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Is back pain causing you to move a little slower and more cautiously? Back pain is one of the most common physical complaints that people experience, while it is reported that more than 80% of the population will experience and seek treatment for back pain at some point in their life. As many people know
back pain can also limit a person's ability to simply sit, stand and walk, sleep at night and perform normal daily tasks.
Why Does Back Pain Occur?
Back pain can occur for several reasons, while the most reasons include:
· Weak core muscles and weak spinal muscles
· Poor trunk posture and postural habits
· ‘Wear and tear' on the spine, resulting in arthritic (aka spondylitic) changes
· A bulging disc and associated nerve root involvement
· Sacroiliac joint dysfunction, often due to muscle imbalance.
Regardless of the reason, most people do not seek treatment soon enough and continue to suffer, while often times the problem will become worse, whereby the person may also also start to experience pain, tingling and numbness into the buttock region and legs. When this occurs, many people will take medication to reduce the severity of the pain, however this just masks the problem and does nothing to address the root cause of the problem.
The Solution For Back Pain
Successfully treating back pain, starts with determining the true cause of the problem, while usually a thorough clinical exam that includes a posture assessment, flexibility and strength testing and joint mobility testing will identify the underlying reason for the person's complaints. Then, a comprehensive plan can be formulated to resolve the person's pain complaints and get them back to their normal activities. At Mid-Michigan PT Specialists, we have the training and experience to help someone with back pain and we can commonly resolve a person's pain quickly and get them back to their normal activities sooner than they expect!
If you have low back problems and you would like to learn more, then we encourage you to schedule a Free Consultation to see if we can help you. Simply call 517-545-3200.
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BRIGHTON MI, CLINIC
7701 W. Grand River, Suite 100
Brighton MI, 48114
OUR HOURS
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.
CONTACT US
Phone: 517-579-2839
FAX: 517-579-2838
LOCATION DETAILS
Our Brighton Clinic is located approximately 1/4mile east of the Woodland Center (same side of the road) and is the next driveway after Bendix Rd.
HOWELL MI, CLINIC
2810 W. Grand River, Suite 100
Howell MI, 48843
OUR HOURS
8.00AM* to 7pm Mon-Th.
8.00AM*-5pm Fri. Sat. By Appt.
*Appts prior to 8am are often available upon request.
CONTACT US
Phone: 517-545-3200
FAX: 517-545-3236
LOCATION DETAILS
Our Howell Clinic is located approximately 1/4mile east of the Tomato Bros. Restaurant (same side of the road) and beside L.O. Eye
FOWLERVILLE MI, CLINIC
125 E. Grand River, P.O. Box 323
Fowlerville MI, 4836
OUR HOURS
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.
CONTACT US
8.00AM to 7pm Mon-Th.
8.00AM-5pm Fri. Sat. By Appt.
LOCATION DETAILS
Our Fowlerville Clinic is located downtown Fowlerville beside the Fowlerville Pharmacy and a few doors down from the Bloated Goat.
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