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Do you have an ache in your shoulder every time you reach forward or overhead? Do you have trouble sleeping on your side? Is your shoulder limiting you from participating in your favorite activities? We are here to help. As the most mobile joint in the body, the shoulder is subject to a lot of stress from a number of potential sources. The shoulder itself is composed of several joints and has a direct working relationship with the neck, mid back, ribs, and more. Have you considered that your shoulder pain may be a result of your stiff hip? Do not worry if you have not taken this under consideration... that is our job.
As one of the most dynamic and high force-transferring joints in the body, the hip is subject to increased wear and tear in the presence of dysfunction. It is the main movement and force transfer station between the upper and lower body. Unfortunately, hip pain is on the rise. Our modern lifestyle including sitting at home, work, or in the car does not help. Often, decreased hip strength, control, and range of motion contribute to pain and dysfunction elsewhere such as the low back and knees. However, when the hip is hurting compensations will likely abound, contributing to possible pain and dysfunction in joints above and below. Saying that your hips are important for function is an understatement. Whether you are having hip and thigh pain walking, during that long ride home from work, or when performing a squat at the gym, let us perform a proper evaluation of that nagging pain before it turns into something more.
Painful knees can be quite limiting. They stop us from enjoying our daily life and being active, including running, exercising, and working. Stuck between the feet and hips they are under a lot of stress and demand. Research is more than ever suggesting that knee pain is a result of limitations from structures above and below. At Move Physical Therapy, we have helped alleviate painful knees by addressing the hips, feet, and more with little attention to the knees themselves. That is not to say that the knees are not the problem. Let us determine the cause of that nagging knee pain before it gets worse.
The cause of arm pain is highly variable and likely from multiple sources. As physical therapists, we are challenged with determining whether arm, wrist, or hand pain is coming from the neck, upper back, or within the structures themselves. Often, it may be a combination of all the above. For example, decreased activation and control of muscles between your upper back and shoulder blade may be contributing to that nagging elbow pain. Pain in your hand, such as symptoms consistent with carpal tunnel syndrome, may actually be coming from anywhere between your neck and wrist. At Move Physical Therapy, we take a closer look at all the regions that may be playing a role in your arm, wrist, or hand pain.
Whether they are occasional tension-type or chronic migraines, headaches can put a serious damper on you day. The pain can stem from several places in your upper body including your neck, upper back, shoulder, ribcage or directly from the skull itself! While migraines are neurological in nature, their triggers are often traced to structures that can be manually treated. Without the triggers, migraines don’t happen! At MOVE we take a systematic approach to evaluate and treat theses structures to provide relief to the most stubborn of headaches – no pills or potions needed.
The neck and low back get all the attention in terms of pain and disability, while the upper back is blamed as a contributor. So what happens when your upper back, also known as your thoracic spine, is painful and causing limitations? Situated below the neck, between the shoulders, above the low back, and in between the ribs, the thoracic spine is a major player in stability and movement of the upper body. When the upper back is effected, our ability to move and function globally becomes quite limited. This region may be exacerbated with activities such as sitting at a desk, working on a computer, washing dishes, and standing for long periods of time. Concomitant neck and shoulder pain is common with upper back pain, as there are direct connections between the thoracic spine, cervical spine, and shoulder blades. Let us evaluate and treat the cause of your upper back pain before pain and dysfunction spreads to other neighboring regions.
Low back pain is the number one cause of disability worldwide, effecting one out of every 10 people. How one experiences low back pain is highly variable, with the cause likely from multiple sources throughout the body. As such, a system-wide approach is crucial in determining possible dysfunctional regions that may be contributing. Limited hip range of motion and muscle weakness, mobility deficits in the mid back, or pelvic dysfunction are all possible causes. These are only starting points. Contributors to your pain may involve anything from your feet to your head. Let us help determine what is leading to your low back pain.
From addressing acute, fresh ankle sprains to chronic, long-standing ankle pain, we are here to help. Chronic pain and instability following an ankle sprain are quite common and yet unique to each individual. There are a number of possible reasons for your nagging pain and dysfunction. A thorough assessment is important for determining what is contributing to your limitations. Symptoms are likely coming from more than one source including limited joint range of motion, soft tissue restrictions, and strength and control deficits. We can help sort these out and treat accordingly so that you can get back on your feet.
Ankle sprains are among the most common injuries sustained in sports and recreational activities. While there are a few types of sprains, by far the most common is the inversion sprain. This is where the foot rolls outward and injures the ligaments on the outside of the ankle. If this injury occurs once, it is about 5-times more likely to happen again… unless it is treated properly!
Similar to tendinitis, if therapy is only directed at the injured tissue we do not get a complete recovery and we miss the opportunity to prevent future sprains. Whether the injury is mild or severe, acute or chronic, there are usually multiple parts of the foot and ankle that become less mobile and stiff. This cannot be effectively managed with simple stretching, as these structures are usually not short, but they are tight. (what’s the difference?) The tightness in the joints and soft tissues around the foot and ankle are what usually continues to put stress on the injured tissues, which delays healing and increases the probability of another sprain.
How we treat it:
Once swelling and pain are acutely controlled with laser, electric-stimulation and ice, mobility must be restored. However, this is rarely accomplished through standard calf stretching. The Manual Therapist must assess each component of this complex area to ensure efficient mechanics are restored. As mobility is regained, patients are given activities to reteach the foot and ankle how to function in each new position. After a patient demonstrates good control over the foot and ankle in a more efficient state, weight-bearing and functional exercises are performed specific to the patient’s goals and activities. It is not uncommon for our patients to report that their “bad ankle” becomes their good side!
The feet play a vital role in our daily function. They act as shock-absorbers and power generators all at once as they link our legs and trunk to the ground. When something higher in the chain, such as the hips or pelvis, disrupts this linkage our feet will let us know. If the feet lose their ability to efficiently serve us, the knees and low back are usually the first to take some of the stress. We will assess and treat your foot symptoms while simultaneously addressing the cause or compensation associated.