The Essential Guide to Motor Planning in Physical Therapy

Leave a Comment / Injury Assessment, Sports Medicine, Treatments / balancedAdmin

Understanding Motor Planning and Its Crucial Role in Physical Therapy

Motor planning, also known as praxis, is a fundamental aspect of human movement and function. It involves the ability to conceive, organize, and carry out a sequence of unfamiliar actions. This cognitive process is essential for everything from daily activities to complex athletic performances. In the realm of physical therapy, understanding and addressing motor planning is vital for helping patients regain and enhance their functional abilities.

What is Motor Planning (MP) ?

Motor planning is the brain’s ability to conceptualize, plan, and execute a series of movements. It involves several steps:

Ideation: Formulating the idea of the movement.
Planning: Organizing the sequence of steps required.
Execution: Carrying out the planned movement with coordination and timing.

Motor Planning

Motor planning is a higher-level cognitive function that integrates sensory information, motor skills, and cognitive processes. It requires the involvement of various brain regions, including the frontal lobes (responsible for planning and decision-making), the parietal lobes (processing sensory information), and the cerebellum (coordinating movement and balance).

Why is Motor Planning Important in Physical Therapy?

Movement Efficiency: Proper motor planning ensures movements are smooth, coordinated, and efficient. Poor MP can lead to clumsy, awkward, or inefficient movements, which can impact daily functioning and increase the risk of injury.
Skill Acquisition: Learning new motor skills, whether it’s a sport-specific movement or an activity of daily living, relies heavily on motor planning. Physical therapy often involves teaching patients new ways to move or compensating for lost abilities, making MP essential.
Rehabilitation: For patients recovering from injuries or surgeries, regaining efficient motor planning is crucial for a successful return to normal function. This is particularly important for athletes who need precise and complex movements.
Neurological Conditions: Conditions like stroke, Parkinson’s disease, and cerebral palsy can impair MP. Physical therapists work to retrain the brain and body to improve motor planning and execution in these populations.
Prevention of Injury: Proper MP helps distribute physical stress evenly across the body, reducing the risk of overuse injuries and improving overall biomechanics.
Development in Children: MP is crucial for developmental milestones in children. Physical therapy can support children with developmental delays or disabilities in achieving these milestones.

The Role of Physical Therapy in Enhancing Motor Planning

Physical therapists play a critical role in assessing and improving motor planning abilities. Here are some ways they address motor planning:

Assessment

Physical therapists use various assessment tools to evaluate motor planning abilities. These can include functional movement screens, standardized tests, and observational analysis. Assessments help identify areas of weakness or dysfunction in motor planning and guide the development of personalized intervention plans. To ensure a thorough evaluation and tailored treatment, consider scheduling an assessment with Dr. Robert or Dr. Tori at Balanced Physical Therapy. Their expertise can help you navigate your path to improved mobility and function.

Exercises and Activities

Therapists design exercises and activities that target MP skills. These activities often focus on improving the coordination, timing, and sequencing of movements. Examples include:

Task-Specific Exercises: Practicing specific tasks that the patient needs to perform in daily life or sports.
Obstacle Courses: Navigating through obstacles to improve planning and coordination.
Mirror Therapy: Using a mirror to help patients visualize and plan movements.

Repetition and Practice

Repetition is key to reinforcing motor planning and creating more automatic responses. Physical therapists encourage patients to practice movements repeatedly to enhance their MP abilities. Over time, this helps build muscle memory and improve overall movement efficiency.

Visual and Verbal Cues

Visual aids and verbal instructions can be highly effective in aiding motor planning. Physical therapists often use these cues to help patients understand and execute movements. For example, demonstrating a movement or providing step-by-step verbal instructions can make it easier for patients to plan and perform complex actions.

Sensory Integration

Motor planning is closely linked to sensory processing. Physical therapists may incorporate sensory integration techniques to help patients better process and respond to sensory information. This can involve activities that stimulate different senses, such as balance exercises, tactile stimulation, or proprioceptive feedback.

Motor Planning in Different Populations

Pediatric Physical Therapy

In children, motor planning is essential for achieving developmental milestones such as crawling, walking, and fine motor skills. Children with developmental delays or conditions like autism spectrum disorder may struggle with MP. Physical therapists use play-based activities and exercises to enhance MP in a fun and engaging way. These interventions help children develop the necessary skills for daily activities, school participation, and recreational play.

Geriatric Physical Therapy

For older adults, motor planning is important for maintaining independence and preventing falls. Age-related changes in the brain can impact MP, leading to difficulties with coordination and balance. Physical therapists work with older adults to improve MP through exercises that enhance strength, balance, and coordination. These interventions can help seniors maintain their mobility and reduce the risk of falls.

Neurological Rehabilitation

Motor planning is often affected in individuals with neurological conditions such as stroke, traumatic brain injury, multiple sclerosis, and Parkinson’s disease. Physical therapists use a variety of techniques to retrain the brain and body. This can include constraint-induced movement therapy (CIMT), where the unaffected limb is restrained to encourage the use of the affected limb, or task-specific training that focuses on relearning daily activities.

Sports Rehabilitation

Athletes rely heavily on motor planning for precise and complex movements. Injuries can disrupt MP, affecting an athlete’s performance. Physical therapists work with athletes to restore MP through sport-specific drills and exercises. This not only helps in recovering from injuries but also enhances overall performance and reduces the risk of future injuries.

Sports Rehab & Motor Planning

Case Studies: Motor Planning in Action

Case Study 1: Post-Stroke Rehabilitation

John, a 55-year-old man, experienced a stroke that affected the right side of his body. He had difficulty with MP, particularly in using his right arm and leg. His physical therapist conducted an assessment and developed a personalized intervention plan that included:

Task-Specific Training: Practicing activities of daily living, such as dressing and grooming.
Mirror Therapy: Using a mirror to visualize and practice movements of the affected limbs.
Balance Exercises: Improving coordination and stability through balance activities.

Over several months, John showed significant improvements in his motor planning abilities, regaining much of his independence.

Case Study 2: Pediatric Therapy for Developmental Delay

Emily, a 5-year-old girl, was diagnosed with developmental coordination disorder (DCD). She struggled with motor planning, impacting her ability to perform everyday tasks and participate in play activities. Her physical therapist incorporated:

Play-Based Activities: Using games and toys to make MP exercises enjoyable.
Obstacle Courses: Navigating through different obstacles to improve planning and coordination.
Sensory Integration: Activities that engage multiple senses to enhance sensory processing and motor planning.

With consistent therapy, Emily made significant progress, improving her MP skills and gaining confidence in her abilities.

Conclusion

Motor planning is a critical component of human movement and function. It plays a vital role in everything from daily activities to athletic performance. In physical therapy, addressing motor planning is essential for helping patients achieve their rehabilitation goals and enhance their overall quality of life. Whether working with children, older adults, or individuals with neurological conditions, physical therapists use a variety of techniques to assess and improve motor planning abilities. Through personalized interventions, repetition, and practice, patients can improve their motor planning skills, leading to more efficient and effective movement.

By understanding the importance of motor planning and its role in physical therapy, patients and therapists can work together to achieve optimal outcomes. This collaborative approach not only supports recovery and rehabilitation but also empowers individuals to live more active and fulfilling lives.

The Essential Guide to Motor Planning in Physical Therapy Read More »

Instrument Assisted Soft Tissue Massage for neck and shoulder pain

The Benefits of One-on-One Physical Therapy with a Doctor of Physical Therapy

Leave a Comment / Health & Wellness, Injury Assessment, Treatments / balancedAdmin

The Benefits of One-on-One Physical Therapy with a Doctor of Physical Therapy

Physical therapy is an essential component of recovery and rehabilitation for many individuals, whether they are athletes recovering from an injury, post-surgical patients, or those dealing with chronic pain. The structure of physical therapy services can significantly impact the quality and effectiveness of care. One approach that has shown substantial benefits is working directly with a Doctor of Physical Therapy (DPT) in a one-on-one clinic setting. This method contrasts with a more traditional approach, where patients may be passed between a DPT, Physical Therapist Assistants (PTAs), and physical therapy aides or techs. Here’s why the one-on-one model with a DPT is superior.

1. Comprehensive Expertise and Training

A Doctor of Physical Therapy undergoes extensive education and training, including a doctoral degree, clinical residencies, and often, additional certifications in specialized areas. This level of education equips them with a deep understanding of human anatomy, biomechanics, and the latest evidence-based practices in physical therapy.

Workers Comp Physical Therapy

When you work one-on-one with a DPT, you benefit from their comprehensive expertise from the initial assessment to the treatment process. Unlike PTAs or aides, who may have more limited training and scope of practice, a DPT can offer a more nuanced and sophisticated approach to diagnosing and treating complex conditions.

2. Personalized Treatment Plans

Personalization is key to effective physical therapy. A one-on-one setting with a DPT ensures that the treatment plan is tailored specifically to your individual needs, goals, and progress. The DPT can continuously adjust the plan based on your response to treatment, ensuring that you are always on the most effective path to recovery.

In a more fragmented care model, where a patient might see a DPT for an initial evaluation and then be passed to PTAs or aides for subsequent sessions, the continuity and personalization of care can suffer. The nuanced adjustments that a DPT might make based on subtle changes in your condition might not be captured as effectively when care is divided among multiple providers.

3. Consistency and Continuity of Care

Consistency is another crucial factor in the success of physical therapy. Working exclusively with a DPT ensures that you have a consistent therapeutic relationship. This continuity fosters better communication, trust, and a deeper understanding of your unique condition and progress.

Cuppin Therapy for shoulder pain

In a model where different practitioners see patients, miscommunication and inconsistency are risks. Each handoff between a DPT, PTA, or aide can lead to variations in care, potential oversights, and a lack of cohesive strategy, ultimately slowing down your progress.

4. Advanced Clinical Decision-Making

Clinical decision-making in physical therapy involves choosing the right interventions at the right times based on the patient’s evolving condition. With their advanced training, a DPT is adept at making these critical decisions. They can recognize subtle signs that might indicate a need for a change in treatment strategy, whether it’s altering an exercise, adding a new modality, or addressing a potential complication early.

While valuable healthcare team members, PTAs, and aides may not have the same level of training or autonomy in making these decisions. This can lead to delays in modifying treatment plans and potentially less effective outcomes.

5. Enhanced Patient Education

Education is a fundamental component of physical therapy. Understanding your condition, the rationale behind specific treatments, and how to manage symptoms independently can empower you to actively participate in your recovery. A DPT is well-equipped to provide this education, ensuring you are well informed and confident in managing your health.

One-on-One Physical Therapy With A DPT

In a one-on-one setting, a DPT can spend more time educating you about your condition, the exercises you need to perform, and strategies to prevent re-injury. This personalized attention ensures that you fully understand and are able to comply with your treatment plan, which is crucial for achieving the best outcomes.

6. Improved Outcomes and Patient Satisfaction

Research has consistently shown that patients who receive one-on-one care from a DPT report higher satisfaction levels and better outcomes. This is likely due to the combination of expert care, personalized treatment, and consistent therapeutic relationships.

Patients are more likely to adhere to their treatment plans when they feel understood, valued, and supported by a single provider. This adherence is critical for the success of physical therapy, as it ensures that patients are performing their exercises correctly and consistently, both in the clinic and at home.

7. Reduced Risk of Injury and Complications

One-on-one care with a DPT can also reduce the risk of injury or complications during rehabilitation. The DPT’s advanced knowledge and constant supervision mean that exercises and treatments are performed correctly and safely. They can quickly identify and correct improper techniques, adjust the difficulty of exercises as appropriate, and monitor for any adverse reactions to treatment.

These risks can be higher in settings where multiple practitioners are involved. Miscommunication or a lack of specialized knowledge might result in less effective supervision and a higher likelihood of injury or complications.

8. Efficient Use of Time

Your time is valuable; one-on-one sessions with a DPT can make your rehabilitation process more efficient. You can make the most of each session without repeated explanations to different practitioners and with a more streamlined approach to treatment. This efficiency can lead to faster recovery times and a quicker return to normal activities.

9. Emotional and Psychological Support

The rehabilitation process can be physically and emotionally challenging. Having a consistent and supportive relationship with a DPT can provide significant emotional and psychological benefits. The trust and rapport developed in a one-on-one setting can enhance your motivation and confidence, both of which are important for a successful recovery.

Physical Therapy Exercises

10. Integration of Advanced Techniques and Modalities

A DPT is often trained in various advanced techniques and modalities that can enhance the effectiveness of treatment. These might include manual therapy, dry needling, ultrasound, electrical stimulation, and more. In a one-on-one setting, a DPT can integrate these advanced treatments into your personalized plan, providing a more comprehensive approach to rehabilitation.

In contrast, PTAs and aides might not be trained or authorized to use certain advanced modalities, limiting the scope of treatments available to you in a more fragmented care model.

Conclusion

The advantages of working one-on-one with a Doctor of Physical Therapy are clear. From the depth of expertise and personalized care to the consistency and advanced clinical decision-making, a one-on-one setting with a DPT offers a superior approach to rehabilitation. This model enhances the effectiveness of treatment and improves patient satisfaction and overall outcomes.

If you seek physical therapy, consider choosing a clinic like Balanced Physical Therapy that prioritizes one-on-one sessions with a DPT. This investment in your health can lead to a faster, safer, and more satisfying recovery journey. The expertise, personalized attention, and continuity of care a DPT provides in a one-on-one setting are unparalleled, ensuring you receive the highest quality of care throughout your rehabilitation process.

The Benefits of One-on-One Physical Therapy with a Doctor of Physical Therapy Read More »

Muscle Imbalances: A Comprehensive Guide From A Physical Therapist

Leave a Comment / Back Pain, Hips and Pelvis, Injury Assessment, Neck Pain, Shoulder / balancedAdmin

Understanding and Addressing Muscle Imbalances

Muscle imbalances occur when there’s a significant difference in the strength or size of muscles on opposite sides of the body or within different parts of the same muscle group. These imbalances can compromise our body’s ability to perform efficiently and effectively, leading to a heightened risk of injuries and a potential decrease in overall physical performance. Recognizing and addressing these imbalances is crucial for anyone looking to maintain optimal body function, whether you’re an athlete, a weekend warrior, or someone navigating the challenges of everyday activities. This comprehensive guide explores the causes, symptoms, impacts, and corrective strategies for muscle imbalances, emphasizing the pivotal role of physical therapy in managing this widespread issue.

What Causes Muscle Imbalances?

Muscle imbalances can arise from various factors, often interlinked, ranging from everyday habits to more complex health conditions. One of the primary culprits is poor posture, especially given the increasing prevalence of sedentary lifestyles that promote sitting for prolonged periods. This lifestyle can lead to the weakening of postural muscles and the overuse of their opposites, setting the stage for imbalance. Incorrect exercise techniques or an unbalanced focus on certain muscle groups can further exacerbate these imbalances. For example, consistently favoring chest exercises while neglecting the upper back can lead to a forward-hunched posture, a common imbalance scenario. Additionally, inherent physiological conditions, such as scoliosis (a curvature of the spine) or discrepancies in limb lengths, can predispose individuals to developing muscle imbalances from an early age.

Recognizing the Signs of Muscle Imbalances

Spotting muscle imbalances involves paying attention to several key indicators. Uneven muscle size or strength between the left and right sides of the body can be a clear sign, as can persistent joint pain or discomfort that doesn’t stem from acute injury. A limited range of motion and a noticeable decrease in strength or stability on one side can signal an underlying imbalance. These symptoms are physical markers and can lead to compensatory patterns, where the body adjusts in potentially detrimental ways to maintain function. Given these complexities, professional diagnosis becomes crucial. A physical therapist can assess your condition through a detailed examination, identifying specific imbalances and crafting a tailored plan for correction.

Top 5 Muscle Imbalances Treated by Physical Therapists

Physical therapists encounter a wide range of muscle imbalances in their practice. Here are five of the most common imbalances we treat, which underscore the diverse impact these issues can have on the body:

Upper Crossed Syndrome (UCS) is characterized by tightness in the upper back and neck muscles and weakness in the front of the chest and shoulders. It is commonly seen in individuals who spend long hours sitting, leading to a forward head posture and rounded shoulders.
Lower Crossed Syndrome (LCS): This imbalance involves tightness of the lower back and hip flexor muscles and weakness in the abdominal and gluteal muscles. LCS often manifests as an exaggerated lumbar curve, contributing to lower back pain.
Anterior Pelvic Tilt: This condition stems from tight hip flexors, lumbar erector muscles, and weakened abdominal and gluteal muscles. It leads to a forward tilt of the pelvis, potentially causing lower back discomfort and altered posture.
Lateral Pelvic Tilt: Caused by an imbalance in the muscles that control the pelvis’s side-to-side movement, resulting in one hip being higher than the other. This imbalance can contribute to uneven stress distribution across the lower back, hips, and knees.
Shoulder Impingement Syndrome: This condition often results from imbalances in the shoulder muscles. Tightness in the chest and weakness in the upper back and rotator cuff muscles narrow the space for shoulder movement, which can cause pain and restrict the shoulder’s range of motion.

The Impact of Muscle Imbalances on Daily Life

The consequences of untreated muscle imbalances extend far beyond the gym. They can alter how you walk, run, or engage in any physical activity, increasing the risk of injuries by forcing the body into unnatural compensation patterns. Over time, these imbalances can lead to chronic pain, reduced mobility, and a diminished quality of life, affecting everything from your ability to perform daily tasks to your overall well-being.

Strategies for Correcting Muscle Imbalances

Addressing muscle imbalances requires a multi-faceted approach, ideally under the guidance of a physical therapy professional. Treatment strategies often include a combination of strengthening exercises for underused muscles, stretching and flexibility routines for overused or tight muscles, and modifications to everyday activities to prevent further imbalance. Physical therapy is critical in this process, offering personalized assessments and recommendations based on your unique needs and goals. Techniques such as targeted exercises, manual therapy, and education on proper posture and movement patterns can all contribute to restoring balance and function.

Preventing Muscle Imbalances

Prevention is equally as important as correction. Maintaining a balanced exercise regimen that includes strength training and flexibility work can help prevent muscle imbalances. Regular physical activity, proper exercise techniques, and good daily posture are fundamental to prevention. Additionally, periodic check-ups with a physical therapist can help catch and address any emerging imbalances before they develop into more significant issues.

Conclusion

Muscle imbalances, while common, can significantly impact your quality of life and physical performance if left unchecked. You can ensure that these imbalances don’t hold you back through early recognition, understanding the root causes, and taking proactive steps toward correction and prevention. Remember, seeking the expertise of physical therapy professionals is crucial in navigating the path to a balanced, healthy body. Whether you’re looking to enhance your athletic performance or move through life with greater ease, addressing muscle imbalances is a step in the right direction toward achieving your health and fitness goals.

Become A Patient

Schedule an Appointment

Muscle Imbalances: A Comprehensive Guide From A Physical Therapist Read More »

Barbell Rehab Method: Injury Rehab & Managing Chronic Conditions

Leave a Comment / Health & Wellness, Back Pain, Hips and Pelvis, Injury Assessment, Knee, Mobility, Pain Management, Shoulder, Sports Medicine, Treatments / balancedAdmin

Barbell Rehab Method (BRM)

The Barbell Rehab Method is an approach to physical therapy that integrates principles from strength training and rehabilitation to help individuals recover from injuries or manage chronic conditions. It emphasizes using barbell exercises to improve strength, mobility, and function while addressing specific movement dysfunctions or imbalances.

Barbell Rehab Method In Action

The Barbell Rehab Method is typically used in physical therapy during:

Assessment: The therapist assesses the individual’s movement patterns, strength deficits, range of motion, and any specific impairments related to their injury or condition. This assessment helps tailor the rehabilitation program to the individual’s needs.
Exercise Prescription: Based on the assessment findings, the therapist prescribes specific barbell exercises designed to target areas of weakness or dysfunction. These exercises may include squats, deadlifts, presses, rows, and other compound movements that engage multiple muscle groups.
Technique Instruction: Proper technique is crucial to prevent further injury and maximize the effectiveness of the exercises. The therapist provides detailed instructions on performing each exercise safely and effectively, paying close attention to posture, alignment, and movement mechanics.
Progression: As the individual progresses in their rehabilitation, the therapist gradually increases the intensity, load, or complexity of the exercises to continue challenging their strength and mobility. This progressive approach helps promote ongoing improvement and prevents plateaus in recovery.
Individualization: The Barbell Rehab Method is highly individualized, considering each person’s unique goals, abilities, and limitations. The therapist may modify exercises or incorporate additional strategies, such as mobility drills or accessory movements, to address specific needs and optimize outcomes.
Education and Empowerment: Throughout the rehabilitation process, the therapist educates the individual on proper body mechanics, injury prevention strategies, and self-management techniques to support long-term health and wellness. The Barbell Rehab Method promotes independence and self-efficacy by empowering individuals to actively participate in their recovery.

The Barbell Rehab Method offers a comprehensive and evidence-based approach to physical therapy that integrates strength training principles with rehabilitation principles to promote optimal recovery and functional outcomes.

Barbell Rehab Method For All Ages & Activity Levels

The Barbell Rehab Method can be applied to individuals of different age groups and activity levels by tailoring the rehabilitation program to meet each individual’s specific needs, goals, and capabilities. Here’s how it can be adapted for different populations:

Young Adults and Athletes:

- Young adults and relatively active athletes with a higher fitness level may focus on restoring strength, mobility, and function to facilitate a safe return to sports or other high-intensity activities.
- The rehabilitation program may include more advanced barbell exercises and progressions, such as plyometric variations, dynamic movements, and sport-specific drills, to challenge their strength and athleticism.
- Through targeted strength and conditioning protocols, emphasis is placed on optimizing movement mechanics, enhancing performance, and reducing the risk of future injuries

Barbell Rehab Method: Physical Therapy For Young Adults & Fitness Athletes

Middle-Aged Adults:

- - Middle-aged adults may benefit from the Barbell Rehab Method to address age-related changes, musculoskeletal issues, or injuries related to work, daily activities, or recreational pursuits.
  - The rehabilitation program focuses on improving functional capacity, reducing pain, and enhancing overall quality of life by targeting weakness, stiffness, or dysfunction areas.
  - Exercises are selected and modified based on individual capabilities and goals, emphasizing improving movement patterns, joint mobility, and muscular strength to support daily activities and maintain independence.

Older Adults:

- The Barbell Rehab Method can help older adults address age-related strength, balance, and mobility declines and manage chronic conditions such as osteoarthritis or osteoporosis.
- The rehabilitation program emphasizes safe and effective exercises that improve muscular strength, bone density, joint stability, and functional capacity to support healthy aging and prevent falls or injuries.
- Exercises are selected and progressed cautiously, considering factors such as joint health, balance impairments, and mobility limitations. Modifications may include using lighter weights, incorporating balance training, and focusing on functional movements relevant to daily activities.

Sedentary or Deconditioned Individuals:

- Sedentary or deconditioned individuals may benefit from the Barbell Rehab Method to improve overall fitness, health, and well-being and manage chronic conditions such as obesity, diabetes, or cardiovascular disease.
- The rehabilitation program focuses on gradually reintroducing physical activity, building foundational strength, and improving movement mechanics to support long-term adherence and sustainable lifestyle changes.
- Exercises are selected and progressed based on individual fitness levels and tolerance, emphasizing gradual progression, proper technique, and personalized support to overcome barriers and build confidence in physical activity participation.

The Barbell Rehab Method can be adapted to individuals of different age groups and activity levels by customizing the rehabilitation program to address their unique needs, capabilities, and goals. Whether recovering from an injury, managing a chronic condition, or striving to improve overall health and fitness, strength training and rehabilitation principles can be effectively applied to promote optimal outcomes and enhance quality of life across the lifespan.

Become A Patient

Schedule an Appointment

Barbell Rehab Method: Injury Rehab & Managing Chronic Conditions Read More »

Stabilizer Muscles: Key To Injury Prevention & Optimal Function

Leave a Comment / Health & Wellness, Back Pain, Hips and Pelvis, Injury Assessment, Knee, Neck Pain, Pain Management, Sports Medicine / balancedAdmin

What are Stabilizer Muscles?

Stabilizer muscles are crucial for optimal movement, injury prevention, and long-term physical health. Compared to prime muscle mover muscles such as the biceps/triceps (arms), pecs (chest), and quadriceps (upper thigh), the stabilizers are generally deeper within the body and closer to the joints they stabilize. Their primary function is to provide support and stability to joints during movement.

Why Stabilizer Muscles are important

Why Stabilizer Muscles Are Important For Everyone

Regardless of age or activity level, for several reasons:

Injury Prevention: Stabilizer muscles help maintain proper joint alignment and stability during movement, reducing the risk of injury. This is crucial for athletes engaging in sports that involve dynamic movements and sudden changes in direction, as well as for older adults who may be more prone to falls and injuries due to age-related changes in balance and coordination.
Improved Balance and Coordination: Stabilizer muscles play a key role in balance and coordination by providing support and stability to the body during various activities. By strengthening these muscles, individuals can improve their balance and coordination, which benefits athletes looking to enhance their performance and older adults aiming to reduce their risk of falls.
Enhanced Functional Movement: Stabilizer muscles are essential for maintaining proper posture and performing everyday tasks such as walking, lifting, and reaching. Strengthening these muscles can improve overall functional movement patterns, making it easier for individuals to carry out daily activities efficiently and easily.
Joint Health: Stabilizer muscles help stabilize the joints, protecting them from excessive stress and reducing the risk of joint injuries and degenerative conditions such as osteoarthritis. This is particularly important for older adults and individuals with joint-related issues or previous injuries.
Improved Athletic Performance: Strong stabilizer muscles contribute to better movement mechanics, agility, and power generation in athletes, which can translate to improved athletic performance and reduced risk of sports-related injuries. Targeting stabilizer muscles in training programs can help athletes optimize their performance and excel in their respective sports.
Functional Independence: For older adults and individuals with mobility limitations, maintaining strong stabilizer muscles is essential for preserving functional independence and quality of life. By improving stability, balance, and coordination, individuals can maintain their ability to perform daily tasks and activities without assistance for as long as possible.

10 Important Stabilizer Muscles

Some of the most essential stabilizer muscles throughout the human body include:

Transverse Abdominis:

This deep core muscle wraps around the abdomen and acts like a natural weight belt, providing the spine and pelvis stability.

Transverse Abdominis Stabilizer Muscle

Multifidus:

These small muscles run along the spine, and help stabilize the vertebrae, supporting proper posture and movement.

Multifidus Stabilizer Muscle

Rotator Cuff Muscles:

These muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) stabilize the shoulder joint, ensuring proper alignment and movement of the arm.

Rotator Cuff Stabilizer Muscles

Gluteus Medius:

Located on the outer hip, this muscle helps stabilize the pelvis and maintain balance, particularly during single-leg movements like walking and running.

Gluteus Medius Stabilizer Muscle

Quadratus Lumborum:

This muscle on either side of the lower back helps stabilize the pelvis and spine during activities like lifting and bending.

Quadratus Lumborum Stabilizer Muscle

Obliques:

Both internal and external obliques help with spine rotation and lateral flexion, contributing to core stability and preventing excessive strain on the lower back.

Obliques

Deep Neck Flexors:

These muscles support the head and neck, promoting proper alignment and reducing strain on the cervical spine.

Deep Neck Flexors

Hip Abductors/Adductors:

Muscles such as the tensor fasciae latae and adductor longus help stabilize the hip joint during walking and standing.

Hip Abductors/Adductors

Scapular Stabilizers:

Muscles such as the serratus anterior, rhomboids, and trapezius help stabilize the shoulder blades, allowing for proper shoulder function and reducing the risk of shoulder injuries.

Scapular Stabilizers

Pelvic Floor Muscles:

These muscles support the pelvic organs and help stabilize the pelvis, contributing to core stability and preventing issues such as urinary incontinence.

Pelvic Floor Muscles:

Stabilizer Muscles: Key To Injury Prevention & Optimal Function Read More »

Understanding Tendinopathy: Insights from a Physical Therapist

Leave a Comment / Uncategorized / balancedAdmin

What is Tendinopathy?

Many athletes, people over 40, and workers who perform repetitive tasks experience some degree of Tendinopathy during their lives. Starting out, a healthy tendon is a flexible, rope-like tissue that attaches muscles to bones and allows for movement. Then, at some point, either from a sudden injury or repeating a task countless times, a tendon becomes damaged and causes a person pain, swelling, or movement dysfunctions (tendinopathy).

One of the main problems we see as Physical Therapists when it comes to Tendinopathy is that most people need to recognize how minor or severe the damage to their tendon actually is. Without a proper diagnosis and treatment plan, mild discomfort and stiffness can quickly turn into more chronic pain and disability. For this reason, we decided to provide a comprehensive and easy-to-follow look at Tendinopathy. This article will include:

The four stages of tendinopathy
Tendinopathy pathology and related symptoms
The five most common types of tendinopathies we see at Balanced Physical Therapy
How Physical Therapists can treat tendinopathy
As well as general guidelines for exercise when dealing with a tendon injury

Tendinopathy Review

Stages of Tendinopathy

As previously mentioned in the intro, a healthy tendon is firm, not painful, has no swelling, and has an average temperature (not warm/hot to the touch). As damage to a tendon begins and continues to compound, a person will experience one or more of the Four Stages of Tendinopathy.

Stage 1: Reactive Tendinopathy

This initial stage occurs when the tendon is exposed to excessive or repetitive stress or sudden increases in physical activity.
Microscopic changes in the tendon structure occur, including collagen disorganization and increased cell activity.
Symptoms may include mild pain, stiffness, and discomfort in the affected area.
In this stage, the tendon may still have the potential to heal and recover with appropriate rest and conservative treatment.

Stage 2: Tendon Disrepair

If the stress or strain on the tendon continues without adequate rest or treatment, the condition may progress to the disrepair phase.
In this phase, there is more significant damage to the tendon tissue, including further collagen disorganization, the accumulation of abnormal blood vessels, and ongoing cell proliferation.
Pain and functional impairment may become more noticeable and persistent.
Treatment at this stage typically involves a combination of rest, physical therapy, and possibly medications to manage pain and inflammation.

Stage 3: Degenerative Tendinopathy

In this stage, there is a more pronounced breakdown of tendon tissue, with the development of degenerative changes, including the formation of tendon nodules or areas of tissue thickening.
The tendon structure becomes further compromised, and the tendon may lose some of its elasticity and strength.
Pain and functional limitations can be more severe at this stage.
Treatment may require more intensive physical therapy focused on eccentric exercises, other specialized techniques, and potential interventions like corticosteroid injections or other regenerative therapies.

Stage 4: Tendon Rupture

The final stage of tendinopathy is tendon rupture, where the tendon may partially or completely tear.
This can result from the cumulative damage and weakening of the tendon over time.
A complete tendon rupture often requires surgical intervention to repair, while partial tears may be managed conservatively or surgically depending on their severity.
Recovery from a tendon rupture can be lengthy, and rehabilitation is crucial to restore function and strength.

Most Common Types of Tendinopathies

At Balanced Physical Therapy, the four most common types of tendinopathies that we treat include:

Shoulder/Rotator Cuff Tendinopathy

Supraspinatus Tendinopathy is a specific tendinopathy that affects the supraspinatus tendon (part of the shoulder rotator cuff). It often leads to pain and limited shoulder mobility, especially when raising the arm.
This type of injury risk factors include poor shoulder mechanics (especially with weight lifters), getting older (risk typically begins at age 40 and peaks around 80), previous shoulder dislocations, or chronic shoulder impingement.

Elbow Tendinopathy

Tennis Elbow (Lateral Epicondylitis) is tendinopathy that affects the outer part of the elbow. It is often caused by repetitive arm motions, such as those in tennis or other racquet sports. Pain and weakness in the forearm are common symptoms.
Golfer Elbow (Medial Epicondylitis) is similar to tennis elbow but affects the inner part of the elbow. It often occurs due to repetitive gripping or wrist flexion, leading to pain and weakness in the forearm.

Achilles Tendinopathy

This affects the Achilles tendon, which connects the calf muscles to the heel bone. It often results from overuse or excessive strain and can cause pain and stiffness in the back of the ankle.
This injury is most often a result of a sudden increase in physical activity, overuse, foot pronation, obesity, or excessive training that includes hills and poor shock absorption.

Tendinopathy Progression In Achilles

Patellar Tendinopathy ( Jumper’s Knee)

This condition affects the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). It is common in athletes who engage in jumping sports and can cause knee pain, especially just below the kneecap.

Biceps Tendinopathy

The long head of the biceps tendon runs through the front of the shoulder and can be susceptible to tendinopathy. This condition may cause pain and discomfort in the front of the shoulder and upper arm.

Rehabbing a Tendon Injury

If you caught your tendinopathy symptoms early on, either in Stage 1 or 2 of Tendinopathy, you can fully recover as quickly as a few days or weeks. More severe tendinopathies can sometimes take anywhere between two to six months. The good news for many people with tendinopathy is that they can fully recover without surgery.

Because tendinopathy is a progressive condition, early diagnosis and appropriate treatment will be vital in reaching favorable outcomes. Suppose you are experiencing pain (especially when moving), swelling, stiffness/restricted mobility, muscle weakness, and/or burning/warm sensation. In that case, you should see your primary care physician, physical therapist, or any other specialist who works with muscle and bone injuries.

Your doctor may recommend some self-care treatments that include pausing the activity that triggered your symptoms, decreasing the intensity of the activity causing you problems, and/or icing your affected area to help reduce swelling/pain.

For others, a more professional approach, like physical therapy, may be necessary to rehab a tendon injury. Specific physical therapy treatments for tendinopathy can vary depending on the location and severity of the condition, but some common approaches include:

Education and Activity Modification: The first step is often educating the patient about their condition and how to modify their activities to reduce stress on the affected tendon. This may involve avoiding specific movements or activities that exacerbate symptoms.
Pain Management: Physical therapists may use modalities such as ice, heat, or ultrasound to help manage pain and reduce inflammation in the affected area.
Stretching and Range of Motion Exercises: Gentle stretching exercises can help improve the flexibility of the tendon and the surrounding muscles. Range of motion exercises are also essential to maintain joint mobility.
Strengthening Exercises: Gradual strengthening of the muscles around the affected tendon is crucial. Strengthening exercises help support the tendon and promote healing. This may involve eccentric exercises, where the muscle is lengthening while under load.
Manual Therapy: Hands-on techniques, such as massage, myofascial release, and joint mobilizations, can help reduce muscle tension and improve blood flow to the affected area.
Taping and Bracing: Taping techniques like kinesiology tape or braces may support the affected tendon and help reduce strain during movement.
Ergonomic and Biomechanical Assessments: Evaluating and correcting any ergonomic or biomechanical issues that may contribute to tendinopathy is essential. This can involve analyzing posture and movement patterns and making adjustments as needed.
Modalities: Depending on the specific case, other modalities like electrical stimulation, ultrasound, or laser therapy may be used to promote healing and reduce pain.
Functional Training: As the patient progresses, functional exercises that mimic real-life activities may be incorporated to ensure that the individual can safely return to daily activities and sports.
Home Exercise Program: Physical therapists often provide patients with a tailored home exercise program to continue their rehabilitation outside clinic visits.

Understanding Tendinopathy: Insights from a Physical Therapist Read More »

Injury Prevention: Strong Legs Is The Key To Staying Healthy

Leave a Comment / Health & Wellness, Injury Assessment, Knee, Pain Management / balancedAdmin

Preventing Injuries By Building Leg Strength

In the pursuit of leading healthy, active lives, injury prevention is a paramount concern for everyone. Whether you’re an athlete, a fitness enthusiast, or simply someone who enjoys staying active, understanding the importance of having strong legs is crucial to safeguarding yourself against potential injuries. Strong legs not only contribute to enhancing your physical performance but also play a pivotal role in providing stability, balance, and resilience to your entire body.

Strong Legs For Preventing Injuries

Strong Legs Are The Foundation of Stability

At the core of injury prevention lies the foundation of stability, which is firmly rooted in strong legs. The lower body muscles, including the quadriceps, hamstrings, glutes, and calves, form a robust support system that helps maintain balance during daily activities and physical exercises. By enhancing the strength of these leg muscles, individuals can significantly reduce the risk of falls, slips, and other mishaps that might lead to injuries.

Absorbing Impact and Reducing Strain

Life is full of unexpected movements and physical challenges. Whether it’s jumping, landing, or running, our legs bear the brunt of these activities. Strong leg muscles can efficiently absorb and distribute impact forces, protecting vulnerable joints such as the knees and ankles from excessive strain. When these muscles are well-conditioned, they act as shock absorbers, diminishing the impact on joints and preventing common injuries like sprains, strains, and ligament tears.

Injury Prevention: Absorbing Impact and Reducing Strains With Strong Legs

Enhanced Athletic Performance

For athletes and sports enthusiasts, having strong legs is not just about injury prevention but also about enhancing overall athletic performance. Explosive movements, quick changes of direction, and agility are all heavily reliant on leg strength. A powerful lower body not only boosts performance in specific sports but also aids in developing greater endurance and stamina for more extended training sessions.

Posture and Alignment

Maintaining proper posture and alignment is essential to prevent injuries, especially in the back and neck regions. Strong leg muscles work in tandem with the core and back muscles to support a healthy alignment, preventing overuse injuries caused by poor posture. Additionally, well-conditioned legs contribute to a balanced body, reducing the risk of muscle imbalances and related injuries.

Reducing the Risk of Overuse Injuries

Repetitive motions or overuse of specific muscles can lead to injuries that can hinder daily activities and athletic pursuits. Strong legs can alleviate the burden on other body parts, such as the lower back and hips, by distributing the load more evenly during movement. This balance reduces the risk of overuse injuries and allows individuals to engage in physical activities with reduced strain on the body.

To learn more about overuse injuries and the signs that are often associated with them, read our “Preventing Overuse Injuries” here.

Injury Prevention in Different Age Groups

The significance of strong legs in injury prevention extends across all age groups. For children and adolescents, developing leg strength is essential for supporting their growth spurts, improving balance, and reducing the risk of sports-related injuries. As we age, maintaining strong legs becomes even more critical. Strong leg muscles can prevent falls, fractures, and other age-related injuries, enabling older adults to lead active, independent lives.

One key finding that supports the importance of leg strength is the Health, Aging, and Body Composition Study (Health ABC Study) found that participants (over 3,000 men and women ages 70-79) who exhibited higher leg strength had a lower risk of disability and early death.

The Role of Physical Therapy

Physical therapy plays a pivotal role in helping individuals build and maintain strong legs. A skilled physical therapist can create personalized exercise programs that target specific leg muscles, taking into account individual needs and existing health conditions. Through a combination of strengthening exercises, stretching routines, and proprioceptive training, physical therapy can enhance leg strength, flexibility, and overall stability.

Conclusion

In conclusion, having strong legs is not only advantageous for athletes and fitness enthusiasts but is crucial for injury prevention in all aspects of life. The stability, impact absorption, and enhanced performance provided by strong leg muscles significantly reduce the risk of injuries in daily activities and sports. Additionally, strong legs contribute to maintaining proper posture, alignment, and balanced muscle development, mitigating the likelihood of overuse injuries.

Investing in the strength and resilience of your legs through regular exercise and physical therapy can offer a multitude of long-term benefits. Whether you’re a professional athlete, a recreational enthusiast, or someone looking to lead a healthy lifestyle, prioritizing leg strength will undoubtedly pave the way for a safer, more active, and injury-free journey. Remember, it’s never too late to start working on your leg strength, so take that first step towards a more robust and injury-resistant future today.

Injury Prevention: Strong Legs Is The Key To Staying Healthy Read More »

Selective Functional Movement Assessment (SFMA)

Leave a Comment / Treatments, Injury Assessment / balancedAdmin

SFMA Is An Evaluation Technique

Selective Functional Movement Assessments (SFMA) is a system used by healthcare professionals, including physical therapists, to evaluate and treat musculoskeletal pain and dysfunction. This system is based on the concept that the body’s movement patterns are interconnected and that movement dysfunction in one area can lead to pain or dysfunction in another.

The SFMA evaluation is a comprehensive assessment that consists of seven basic movement patterns. These include the cervical spine, shoulder mobility, multi-segmental flexion, multi-segmental extension, rotary stability, single-leg stance, and overhead deep squat. These movements are evaluated by a trained healthcare professional who assesses the quality and efficiency of the movement patterns.

Selective Functional Movement Assessment (SFMA) For Upper Body Injury

Selective Functional Movement Assessment (SFMA) For Lower Body Injury

The SFMA system helps identify and treat underlying issues causing pain or dysfunction. It provides healthcare professionals with a holistic view of the body, allowing them to understand how movement patterns in one area of the body may affect other areas.

SFMA Is Beneficial For Many Types Of Injuries and Conditions

The SFMA system is not a one-size-fits-all approach but a customized evaluation tailored to the patient’s unique needs. When developing a treatment plan, the healthcare professional considers factors such as the patient’s age, health history, and lifestyle.

The SFMA evaluation also identifies compensations, restrictions, or pain in the body’s movement patterns. The healthcare professional will observe and analyze the patient’s movements for these issues. Once identified, the healthcare professional can develop a treatment plan that addresses the root cause of the problem.

One of the benefits of the SFMA system is that it can identify movement dysfunction in individuals who are not experiencing pain or discomfort. This can be useful for identifying potential issues before they become more severe. It is a valuable tool for evaluating and treating musculoskeletal pain and dysfunction in individuals of all ages and activity levels.

In addition to identifying movement dysfunction, the SFMA system can also be used to evaluate the effectiveness of treatment. By re-evaluating the patient’s movement patterns after treatment, healthcare professionals can determine whether the treatment plan is working and make adjustments as needed.

SFMA As A Physical Therapy Tool

Physical therapy is one area where the SFMA system is commonly used. Physical therapists use the SFMA evaluation to assess the quality and efficiency of movement patterns in patients with musculoskeletal pain or dysfunction. Based on the findings of the evaluation, the physical therapist can develop a customized treatment plan that addresses the patient’s unique needs.

Physical therapy treatments for musculoskeletal pain and dysfunction may include exercise, manual therapy, and modalities such as heat, ice, and electrical stimulation. Physical therapy aims to restore function, mobility, and quality of life to the patient.

Physical Therapy Evaluation

Summarizing A Selective Functional Movement Assessment

In conclusion, the Selective Functional Movement Assessment (SFMA) system is a comprehensive tool healthcare professionals use to evaluate and treat musculoskeletal pain and dysfunction.

The SFMA evaluation provides critical information about the quality and efficiency of movement patterns, allowing healthcare professionals to develop customized treatment plans that address the root cause of the problem.
This system is not a one-size-fits-all approach but rather tailored to the patient’s unique needs.
The SFMA system can be used by various healthcare professionals, including physical therapists, to evaluate and treat musculoskeletal pain and dysfunction in individuals of all ages and activity levels.
Physical therapy treatments for musculoskeletal pain and dysfunction may include exercise, manual therapy, and modalities such as heat, ice, and electrical stimulation.
Physical therapy aims to restore function, mobility, and quality of life to the patient.

Contact Balanced Physical Therapy

Get an accurate diagnosis and the best treatment by scheduling an appointment with Dr. Robert Litzenburg, PT, DPT, or Dr. Tori Gasperoni, PT, DPT, ATC, BRM. We work individually with all of our patients to ensure you and your family the safest and most professional care in Macomb Country, Michigan.

Selective Functional Movement Assessment (SFMA) Read More »

Joint Pain: Causes, Relief, and Treatment

Leave a Comment / Pain Management, Treatments / balancedAdmin

Joint Pain & PT

Joint pain can be a debilitating condition that affects people of all ages and backgrounds. It can make moving, walking, or even carrying out simple tasks difficult. In this blog, we will explore some common causes of joint pain, the role of physical therapy in treating joint pain, and some of the most effective joint pain relief strategies.

Causes of Joint Pain

There are many possible causes of joint pain. Some of the most common causes include arthritis, injury, overuse, and infection. Arthritis is a condition that causes inflammation in the joints. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.

Joint Pain From Osteoarthritis

Osteoarthritis is caused by wear and tear on the joints over time. It is more common in older adults and can affect any joint in the body.

Osteoarthritis is a degenerative joint disease that affects millions of people worldwide. The condition is characterized by the gradual breakdown of joint cartilage, which can cause pain, stiffness, and reduced range of motion. The physiology behind osteoarthritis and joint pain is complex and involves several factors.

The joint comprises several components, including bones, cartilage, synovial fluid, ligaments, and tendons. The articular cartilage, the smooth, shiny surface covering the bones’ ends, helps reduce friction and absorb shock during movement.

In osteoarthritis, the articular cartilage begins to break down, which can cause the bone to rub against the bone. This can lead to the formation of bone spurs, which can further exacerbate joint pain and inflammation.

Joint pain in the knee from osteoarthritis

Several different factors can contribute to the development of osteoarthritis and joint pain. Some of the most common factors include the following:

Aging: As we age, the cartilage in our joints may begin to break down, which can increase the risk of osteoarthritis.
Genetics: Some people may be more susceptible to developing osteoarthritis due to genetic factors.
Obesity: Being overweight or obese can put extra stress on the joints, which can increase the risk of osteoarthritis.
Injuries: Joint injuries, such as a torn ligament or a broken bone, can increase the risk of developing osteoarthritis.
Repetitive stress: Repetitive stress on a joint, such as overuse or engaging in certain sports or activities, can increase the risk of osteoarthritis.

In addition to these factors, several physiological processes can contribute to developing osteoarthritis and joint pain. These include:

Inflammation: Inflammation plays a key role in the development of osteoarthritis. When the articular cartilage begins to break down, the body’s immune system may respond by releasing inflammatory chemicals, which can cause pain and swelling in the affected joint.
Mechanical stress: Mechanical stress on the joint can also contribute to the development of osteoarthritis. When the joint is subjected to repetitive stress, the cells within the articular cartilage may become damaged, leading to cartilage breakdown and osteoarthritis.
Altered biomechanics: Altered biomechanics, such as abnormal joint alignment or muscle imbalances, can also contribute to the development of osteoarthritis. These factors can put extra stress on the joint, which can accelerate the breakdown of the articular cartilage.

Joint Pain From Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that affects the joints and causes joint pain, stiffness, and swelling. It can affect people of any age and often affects the small joints in the hands and feet.

In RA, the body’s immune system mistakenly attacks the synovium, which is the tissue that lines the joints. This attack leads to inflammation and thickening of the synovium, causing it to produce more synovial fluid than normal. As a result, the joint swells and becomes stiff, leading to joint pain and reduced mobility.

Joint pain in knee from rheumatoid arthritis

In addition to inflammation, RA can also cause damage to the cartilage, bones, and other tissues within the joint. This damage occurs due to persistent inflammation, which can wear away at the cartilage and erode the bones.

Injury is another common cause of joint pain. This can include acute injuries, such as sprains or fractures, and chronic injuries, such as repetitive strain injuries. Overuse can also cause joint pain, especially in people who engage in repetitive activities or sports.

Physical Therapy for Joint Pain

Physical therapy can be a highly effective way to manage joint pain. Physical therapists are trained to evaluate and treat musculoskeletal conditions, including joint pain. They can work with patients to develop a personalized treatment plan that includes exercises and other interventions to help reduce pain and improve function.

Physical therapy can be very helpful for patients with joint pain, as it can address the underlying causes of the pain and help improve joint mobility and function. Some ways physical therapy can help patients with joint pain include:

Pain management: Physical therapists can use various techniques such as heat/cold therapy, manual therapy, and electrical stimulation to reduce pain and inflammation in the affected joint.
Strengthening exercises: Physical therapists can prescribe specific exercises to help strengthen the muscles surrounding the affected joint. Stronger muscles can help support the joint and reduce stress, which can help reduce pain.
Range of motion exercises: Joint pain can sometimes cause stiffness, making it difficult to move the joint. Physical therapists can help patients improve their range of motion with exercises designed to increase flexibility and decrease stiffness.
Education: Physical therapists can educate patients on reducing stress on the affected joint in their daily activities. For example, they can teach patients proper body mechanics, posture, lifting, bending, and carrying techniques.
Assistive devices: Physical therapists can recommend using assistive devices such as braces, splints, or crutches to help support the affected joint and reduce pain.

Overall, physical therapy can be a very effective treatment option for patients with joint pain. By addressing the underlying causes of the pain and improving joint function, patients can often experience significant pain relief and improved quality of life.

Joint Pain Relief Strategies

Many other strategies can also be used to help relieve joint pain. Some of the most effective strategies include:

Exercise: As mentioned earlier, exercise can be an effective way to manage joint pain. Working with a physical therapist or primary healthcare provider is important to develop an exercise program that is appropriate for your specific condition and needs.
Weight management: Being overweight can put extra stress on the joints, which can lead to pain and inflammation. Losing weight can help to reduce this stress and improve joint function.
Heat and ice: Applying heat or ice to the affected joint can help to reduce pain and inflammation. Heat can help to increase blood flow to the joint, while ice can help to reduce swelling.
Massage: Massage can help to reduce muscle tension and improve circulation, which can help to reduce pain and inflammation in the affected joint.
Medications: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can effectively manage mild to moderate joint pain. Prescription medications, such as corticosteroids or disease-modifying antirheumatic drugs (DMARDs), may be needed for more severe cases.

Joint Pain: Causes, Relief, and Treatment Read More »

7 Types Of Pain In The Back and Neck

Leave a Comment / Pain Management, Back Pain, Neck Pain / balancedAdmin

Pain and Physical Therapy

Physical Therapy is considered one of the best ways to treat multiple types of pain because it focuses so much on treating the root cause and not just the symptoms. Combining hands-on treatments like orthopedic manual therapy with proven pain management techniques like dry needling while progressing through therapeutic exercises brings patients better long-term relief.

The International Association for the Study of Pain (IASP) describes pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.” When we are presented with something that causes pain, if capable, we rapidly or reflexively pull out. The tactile sensation of pain is called nociception.

Pain is an awkward inclination that lets you know something might be wrong. It may be consistent, pounding, wounding, throbbing, squeezing, or depicted in many other ways. Now and again, it’s simply an annoyance, like a migraine. At different times it tends to be debilitating

According to John Hopkins, medical pain can bring about other physical symptoms, like nausea, dizziness, weakness, or drowsiness. It can generate emotional consequences like anger, depression, mood swings, or irritability. In certain cases, pain could completely change your way of life and affect your job, relationships and independence.

There are two categories to classifying pain

Acute Pain
Chronic Pain

Types Of Pain

Acute Pain

It usually happens rapidly and disappears. Acute pain generally comes on abruptly and is brought about by something explicit. It is sharp in quality. For the most part, intense agony doesn’t endure longer than a half year. It disappears when there could be, at this point, not a basic reason for the aggravation. Acute pain ordinarily begins unexpectedly after a physical injury, a cut, wound, or muscle injury. Acute pain can likewise be brought about by fever, inflammation, and menstrual cramps. Acute pain is regularly treated by educating the patient, medication, exercise-based recuperation/physical therapy, chiropractic massage, or dynamic development programs.

Chronic Pain

Chronic pain is continuous and, as a rule, endures longer than a half year. This pain can continue even after the injury or disease that caused it has recuperated or disappeared. Certain individuals experience chronic pain in any event when there is no previous injury or issues. According to Cleveland Clinic, Chronic pain is linked to conditions that include:

Headache
Arthritis
Cancer
Back pain

Chronic pain is normal; it influences 1 of every 5 grown-ups and is the number one cause of disability globally. Chronic Pain is a quiet pestilence that diminishes personal satisfaction, adversely impacts connections and occupations, and causes depression. (Sessle, 2012).

Types of Back Pain

According to the Health Policy institute, back issues are patients’ most regular complaints to their primary care physicians. Almost 65 million Americans report a new episode of back pain. Approximately 16 million grown-ups – 8% of all grown-ups – experience industrious or constant back pain, which has restricted them from carrying out certain activities in their everyday life. Back pain is the 6th most exorbitant condition in the United States.

There are three types of back pain; Axial Pain, Referred Pain, and Radicular Pain.

Axial Pain:

Also known as mechanical pain. Axial pain is usually restricted to one specific spot or region in the lower back area. Axial pain is patients’ most common type of lower back pain.

Axial Back Pain

Referred pain

This is a type of pain that is not restricted to one specific region it tends to move around, and the intensity of the pain often varies. Referred pain is the type of pain that a patient faces in one part of the body which is influenced by an injury or discomfort in another part of the body.

Radicular Pain

According to spine health, radicular pain can be described as electric shock-like or burning; radicular pain follows the way of the spinal nerve as it leaves the spinal canal. This sort of aggravation is brought about by pressure as well as irritation to a spinal nerve root. In the lower back (lumbar spine), radicular pain might go into the leg. Different expressions for radicular pain are sciatica or radiculopathy (when joined by shortcoming or potentially deadness). It very well may be brought about by conditions, for example, a herniated plate, spinal stenosis, or spondylolisthesis.

Sciatica Back Pain

Click here to read more about Sciatica

Types of Neck Pain

Neck pain is torment in or around the spine underneath your head, known as the cervical spine. Neck pain is a typical side effect of previous injuries. According to the Cleveland Clinic, Neck pain is extremely normal. It happens in around one out of three individuals no less than one time each year. It is more normal in ladies than in men, and the possibility of developing neck pain increases with age.

According to UpToDate Patient education: Neck pain (Beyond the Basics), The most common causes of neck pain are Cervical strain, Cervical spondylosis, Cervical discogenic pain, Cervical facet syndrome,

Cervical Strain

A cervical strain is one of the most common issues that is being faced today. This usually occurs the neck muscles suffer an unusual injury. Cervical strains are usually caused due to sports-related injuries with heavy impact and physical/mental stress in everyday life, including poor nutrition and poor posture. Cervical strains last up to 4-6 weeks; neck muscles’ most common cervical strain symptoms are stiffness and tightness.

Cervical Spondylosis

Cervical Spondylosis is a condition brought about by unusual cervical spine tears (degenerative changes). The most common symptoms of cervical spondylosis are neck pain, headaches, numbness, and little to no neck mobility.

Cervical Neck Pain

Cervical Discogenic Pain

This type of neck pain might be the most widely recognized reason for neck pain. It is brought about by degenerative changes in the structure of at least one of the discs in the middle of the cervical vertebrae. The most common symptoms are pain in the neck while turning or shifting your head.

Cervical Facet Syndrome

The facet joints are situated on the sides of the vertebrae, and arthritis in this space can cause pain in the center or side of the neck; certain individuals additionally notice pain in the shoulders, around the shoulder blades, at the foundation of the head, into the ear and jaw, or in one arm. A typical reason for cervical facet syndrome incorporates a task requiring an individual to expand the neck repeatedly in their daily life.

Diagnose and Treating Your Pain

There are endless possibilities to modify a physical therapy treatment program in order to relieve your specific back or neck pain. At Balanced Physical Therapy, our Doctors are licensed and certified to diagnose the exact cause of your pain symptoms. We take a unique 1-on-1 approach to each treatment session to ensure that all our patients receive our undivided attention and are properly progressing throughout all phases of the rehabilitation. Visit our contact page to schedule an evaluation or to find out more about our doctors, treatments, and network of insurances.

7 Types Of Pain In The Back and Neck Read More »