Category Archives: Physical Therapy

  1. Tips for Reducing, Managing Plantar Fasciitis Pain

    Studies show about three-quarters of all Americans will experience foot pain at some point in their lives. Of them, more than 2 million people who seek treatment each year will learn they suffer from an overuse condition called plantar fasciitis.

    Fortunately, most cases of plantar fasciitis are both manageable and treatable.

    Plantar fasciitis will typically present itself as sharp pain in the heel or in the arch of the foot, most often when you’re taking the first steps of the day. The pain is the result of your plantar fascia – the thick band of tissue connecting your heel to the ball of your foot – becoming inflamed due to overuse.

    The inflammation that causes plantar fasciitis can come from a sudden increase in activity levels (i.e., walking or running much longer distances) or from sports-related activities that require a lot of running and jumping. Other causes may include a lot of standing, walking or running on hard surfaces, not wearing shoes that properly support your foot type, or being overweight.

    It’s estimated plantar fasciitis affects about 10 percent of Americans at some point in their lives, with most being diagnosed after the age of 40.

    Plantar fasciitis pain may come and go for some without treatment, but we never recommend ignoring pain as this is your body’s way of telling you something’s wrong. Fortunately, there are some things you can do at home to help relieve the discomfort and hopefully keep the condition from getting worse.

    Tips for the at-home management of plantar fasciitis include:

    Rest: As with any overuse injury, rest is a key component of recovery. Decrease your distances when walking or running, and try to avoid hard surfaces.

    Stretching: Stretch the soles of your feet by gently pulling your big toe back toward your ankle and holding for 10 seconds at a time. Also, wrap a towel around the ball of your foot and, from a seated position with your heel to the floor, slowly pull your toes toward you, stretching the arch of your foot. As tight calves may also make you more susceptible to plantar fasciitis, regular calf stretches are a must.

    Massage: A tennis ball can do wonders as a massaging tool. Roll a tennis ball under the sole of your foot, applying weight as comfort allows. Rolling your foot over a frozen plastic water bottle can also work, with the added benefit of helping decrease pain and inflammation.

    Foot Support: When standing for long periods of time, stand on a thick, padded mat. And don’t take your shoes for granted. Make sure they offer good arch support and that you replace them immediately as the shock absorption begins to wear down.

    If pain persists, however, a more individualized treatment plan from a physical therapist is likely needed. A physical therapist can pinpoint the most likely triggers of your plantar fasciitis pain, then customize a treatment regimen that may include flexibility and strength exercises, footwear recommendations and/or custom shoe inserts, and the possible use of taping or splints to help maintain optimal ankle and toe positions.

  2. Strength Training Critical for Active, Independent Aging

    To the 43 million Americans who have low bone density, putting them at high risk of osteoporosis, physical therapists have an important message: exercise is good medicine. But not just any exercise – weight-bearing, muscle-strengthening exercise.

    “Essential to staying strong and vital during older adulthood is participation in regular strengthening exercises, which help prevent osteoporosis and frailty by stimulating the growth of muscle and bone,” said David Satcher, M.D., Ph.D., U.S. Surgeon General from 1998 to 2002. “Strength training exercises are easy to learn, and have been proven safe and effective through years of thorough research.”

    And while this benefit of strength training for older adults is a powerful one, it’s simply just one in a list of proven reasons why seniors should make strength training a part of their lifestyles and fitness regimens.

    While a reduction in strength is often considered an inevitable part of getting older, people of all ages should feel empowered to take charge of their overall health (including strength training) as they age.

    Along with diet and regular check-ups with both a physician and a physical therapist, an exercise regimen that includes elements of strength and resistance training can help slow some of the effects of aging – this, while also allowing one to maintain a high quality of life through activity and independence.

    “The work of scientists, health professionals, and older adult volunteers has greatly increased our knowledge about the aging process and how we can maintain strength, dignity and independence as we age,” Satcher said.

    According to reams of medical research, the many proven benefits of weight-bearing and resistance exercise include:

    Rebuilding Muscle: People do lose muscle mass as they age, but much of this can be slowed and even reversed through strength and resistance exercise. And of course, a stronger body has a direct impact on issues related to balance, fall prevention and independence.

    Reducing Fat: We also tend to more easily put on weight as we get older. Studies show, however, that while older adults gain muscle mass through strength training, they also experience a reduction in body fat.

    Reducing Blood Pressure: Studies have also shown that strength training is a great (and natural) way to reduce one’s blood pressure, even for those who “can’t tolerate or don’t respond well to standard medications.”

    Improving Cholesterol Levels: Strength training can actual help improve the level of HDL (“good”) cholesterol in the body by up to 21 percent, while also helping to reduce to levels of LDL (“bad”) cholesterol.

    Strengthening Mental Health: This goes with all exercise, including strength training. Maintaining a high level of fitness can combat anxiety, depression, issues with stress, etc. Exercise is also great for memory!

    Whether walking, jogging, hiking, dancing, etc., experts recommend 30 minutes of weight-bearing activity every day. Guidelines also suggest it’s also necessary to set aside another two to three days of strength and resistance training each week, which can include free weights, weight machines, Pilates, yoga, and so on.

    And for the sake of both health and safety, a thorough strength, movement and balance assessment should precede any new exercise regimen, especially for older adults – assessments that physical therapists are uniquely qualified to perform.

     

  3. Did You Know? National Physical Therapy Month Edition

    October is National Physical Therapy Month, and physical therapists everywhere are jumping at the opportunity to remind people about the important role improved and restored movement has on improving society.

    “Pain-free movement is crucial to your quality of daily life, your ability to earn a living, your ability to pursue your favorite leisure activities, and so much more,” states Move Forward, the official consumer information site of the American Physical Therapy Association (APTA).

    Thankfully, more than 204,000 physical therapists are currently licensed in the U.S., all practicing under a single vision statement: transforming society by optimizing movement to improve the human experience.

    According to the APTA, physical therapists are highly educated, licensed health care professionals who exist to help patients reduce pain and improve or restore mobility – in many cases without the need for expensive surgery and often reducing the need for long-term use of prescription drugs.

    “Human health and quality of life depend on the ability to move skillfully and efficiently,” the APTA states in a document titled The Human Movement System. “As a human movement system practitioner, the [physical therapist] has the expertise to examine, diagnose and treat all elements of this system to produce a meaningful change in an individual’s movement behavior and physical function.

    “The PT uses his or her integrative knowledge to establish a plan of care to maximize physical performance of people of all ages, pathologies or levels of physical function.”

    This, of course, includes post-injury/surgical rehabilitation, but physical therapy is much more than that. In fact, physical therapists are specially trained and licensed to improve people’s lives through the treatment of a number of ailments you may not have previously suspected, such as:

    Headaches: Following a thorough evaluation, a physical therapist (PT) can treat chronic tension-type headaches, the most common primary headache disorder, according to the World Health Organization. A PT can identify the cause of such headaches (e.g., muscle tension, joint dysfunction in the neck/jaw, poor posture or stress) and work to improve mobility, strength, posture, and daily work/office routines.

    Pre-Natal/Post-Partum Care: Physical therapists can offer relief for expecting mothers experiencing pain and discomfort in the back, hips and legs through treatment and exercise. After delivery, physical therapy is effective in treating back and pelvic pain while helping new moms strengthen their bodies for the rigors of motherhood.

    Balance, Dizziness & Vertigo: Physical therapists can assess a person’s balance and risk of fall, then provide treatment (e.g., strength training, flexibility or range of motion exercises, for instance) to help improve balance. Many physical therapists are also specially trained to treat positional vertigo, which can often be successfully treated in a single visit.

    Athletic Enhancement: From weekend warriors to elite athletes, physical therapists work with our most active to help them move better, train better and realize their greatest potential as competitors. PTs can provide movement analyses, establish a better training regimen, and assist with equipment selection and adjustments (e.g., shoe orthotics, for instance, or bike fitting).

    In addition, the APTA notes that most PT clients in the U.S. don’t need a physician’s referral in order directly access physical therapy services – unless, of course, such referral is required in order to bill insurance. Contact your physical therapist to learn more.

     

    RESOURCES:

    APTA: Physical Therapist Practice and The Human Movement
    http://www.apta.org/MovementSystem/

    APTA: Vision Statement for the Physical Therapy Professional & Guiding Principles to Achieve the Vision
    http://www.apta.org/Vision/

    APTA: Who Are Physical Therapists?
    http://www.apta.org/AboutPTs/

    Move Forward: Benefits of Physical Therapy
    http://www.moveforwardpt.com/Benefits/Default.aspx#.VgxhehFVhBc

    APTA: PT Careers Overview
    http://www.apta.org/PTCareers/Overview/

    Lehigh Valley Health Network: 10 Ways Physical Therapy Can Help
    http://www.lvhn.org/wellness_resources/wellness_articles/healthy_living/10_ways_physical_therapy_can_help

    Move Forward: Physical Therapist’s Guide to Headaches
    http://www.moveforwardpt.com/symptomsconditionsdetail.aspx?cid=fd8a18c8-1893-4dd3-9f00-b6e49cad5005#.VfxCyBFVhBc

    Move Forward: Benefits of Physical Therapy
    http://www.moveforwardpt.com/Benefits/Default.aspx#.VgrJARFVhBc

    World Health Organization: Headache disorders
    http://www.who.int/mediacentre/factsheets/fs277/en/

     

  4. Pools Offer Fitness and Relief for Older Adults

    While drinking plenty of water is critical to life, health and healing, simply submerging your body in water (i.e., a pool) opens up opportunities for relief and fitness for those who otherwise may have difficulty exercising.

    This is especially important for aging adults and those with chronic conditions, say physical therapists and other health care professionals.

    “When you do an exercise on land, like jogging, you get an impact on your joints,” said Torben Hersbork, an osteopath from the Central London Osteopathy and Sports Injury Clinic. “But, when you exercise in the water, you don’t have any gravity forcing your body weight down onto your joints.”

    Because of this, experts say water exercise is ideal for people dealing with issues related to strength, flexibility, balance, sore joints and pain. This includes people recovering from injury or surgery, as well as those with chronic conditions like arthritis, osteoporosis and diabetes.

    The buoyancy of waist-deep water, for example, can support around half our body weight, while neck-deep water can reduce body weight by up to 90 percent. Such reduction in weight and impact on the joints can help people who may experience difficulty standing, balancing and exercising on land to move more freely – and often with less pain.

    In addition, water offers 12 times the resistance of the air around us. Because of this added resistance, movement and exercise while submerged in a pool can help build overall strength and stability in the body.

    “If you are over 50, the American College of Sports Medicine recommends moderately intense aerobic exercise for 30 minutes a day, four times a week, plus resistance strength training, plus balance and flexibility training,” said Mary E. Sanders, a researcher at the University of Nevada (Reno). “A swimming pool provides the one place where you can do all of that at the same time without the need for a lot of machines – at your own pace and more comfortably.”

    One study published in Medicine & Science in Sports & Exercise back in 2007 showed that older women who regularly participated in a pool-based exercise program performed better in daily tasks than others who exercised similarly on land. The women in the study, for example, improved their walking speed by 16 percent, their agility by 20 percent, and their ability to walk stairs by 22 percent.

    Another study published earlier in the same publication (2002) showed that combining aqua aerobics with strength training while in the pool helped participants increase their strength by 27 percent in the quads, 40 percent in the hamstrings, and about 10 percent in the upper body.

    Even when people suffer from common chronic diseases like arthritis and osteoporosis, water exercise can help improve the use of affected joints while decreasing overall pain.

    “Exercise is an integral part of any arthritis treatment program, as it helps to strengthen and stabilize the joints, preventing further damage,” wrote Andrew Cole, M.D., an author on Arthritis-Health.com. “Water therapy is an excellent option for patients with osteoarthritis of the knees, hip osteoarthritis, and spinal osteoarthritis due to the decreased pressure placed on the joints.”

    Those who feel pool exercise or aquatic therapy may help them improve fitness levels or overall functional abilities should first contact their physical therapist for professional guidance. A physical therapist can help identify your greatest weaknesses and needs, then develop a pool fitness plan that specifically addresses these needs and your personal goals.

     

    SOURCES:

    Arthritis-Health.com: Water Therapy for Osteoarthritis
    https://www.arthritis-health.com/treatment/exercise/water-therapy-osteoarthritis

    AAPR: Making a Splash with Water Workouts
    https://www.aarp.org/health/fitness/info-2007/water_workouts.html

    AARP: Water Works Aquatic Activity: A Painless Way to Stay Fit
    https://www.aarp.org/health/fitness/info-12-2008/water_works_aquatic_activity_a_painless_way_to_stay_fit.html

    “Take It to the Pool: Benefits of Aquatic Exercise for Arthritis”
    https://fox11online.com/sponsored/osmsgb/take-it-to-the-pool-benefits-of-aquatic-exercise-for-arthritis

    Daily Mail: How Can Aqua-Exercises Help You Slim?
    http://www.dailymail.co.uk/health/article-105285/How-aqua-exercises-help-slim.html

    Cleveland Clinic: Benefits of Water-Based Exercise
    https://health.clevelandclinic.org/benefits-of-water-based-exercise/

    CDC: Health Benefits of Water-Based Exercise
    https://www.cdc.gov/healthywater/swimming/swimmers/health_benefits_water_exercise.html

    WebMD: Water Exercise for Seniors
    https://www.webmd.com/healthy-aging/features/water-exercise-seniors#1

     

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