Deficits in the shoulder’s ability to rotate both internally and externally occur in patients with shoulder pain all of the time. Today we will be talking about internal rotation deficits. This is clinically referred to as “GIRD” (Glenohumeral Internal Rotational Deficit). The following photos illustrate how GIRD presents. Note that with the patient’s attempt to […]
Hip Labral Repair Rehabilitation: What To Expect
The hip labrum is a cartilaginous ring that extends around the outside of the hip socket as seen in the illustration below. Hip labral tears manifest as sharp, nagging pain deep in the hip or the groin areas. Pain associated with a hip labral tear may also refer down the thigh towards the knee. Car […]
Do Your Ribs Move?
The ribs and the ribcage have many purposes. They protect many of the internal organs; they serve as attachment sites for many muscles that control the arms, pelvis, and neck; and they assist in the breathing process. Your ribs must be able to move fluidly in order to assist in all of these tasks. In […]
Post-Surgical Ankle Boot? Please Get a Lift For Your Other Shoe!
Many of us know someone who has suffered trauma to the ankle or foot (fractures, surgeries etc.) that requires the usage of a giant, cumbersome immobilization boot. Ankle boots are a necessary evil: They protect the joints and bones of the lower leg and allow for bones and soft tissues to heal. The problem that […]
Shoulder Surgery: When Can I Get Rid of My Shoulder Sling?
Rotator cuff repairs, shoulder labral repairs, acromioplasty, humeral fractures, and other shoulder surgeries inevitably require the usage of a shoulder sling as a means of protecting the surgeon’s work and allowing early healing of the involved tissue. I have yet to meet a surgeon who does not prescribe the usage of a shoulder sling immediately […]
Why Are My Ring Finger & Pinky Finger Numb?
Have you ever awoken to a numb hand? This is the result of one or more of the nerves in the arm being either clamped or stretched due to sleeping position. One of the most common nerves involved in this type of numbness is the ulnar nerve, as it passes around the elbow joint in […]
Why Should I Stretch My Back on a Foam Roll?
Too many of us sit at a desk all day. The effects of focusing on a monitor and reaching for a keyboard over time can be devastating. Fortunately, there is a simple stretching exercise that can help to counteract our imposed postural duress. There are two major benefits of lying on a foam roller. The […]
Two Long-Term Effects of Ankle Sprains
Most athletes, high-heel shoe addicts, and the chronically clumsy have encountered ankle sprains. The swelling and pain that result from turning one’s ankle can last for months and be very limiting in the short term. What most people do not address, however, are the long-term effects of ankle sprains. I have seen patients with lower […]
When Can I Start Working Out After Shoulder Surgery?
At PhysioDC, we hear this question all of the time. It is a vague question, because it depends entirely on what type of procedure/repair you had on your shoulder. IN GENERAL, here is a basic protocol for many types of rotator cuff repairs, labral repairs, bankart repairs, and acromioplasty. It goes without saying that you […]
Managing Expectations When Recovering from a Labral Repair
This article was originally written in 2011, and the content still rings true! Our author had gone through multiple shoulder labral repair surgeries and has some great advice in terms of the realistic time frames for rehabilitation and goals. In the physical therapy clinic, the post-operative protocols that came out around 2005-2010 are holding up […]
Sleeping Comfort after Shoulder Surgery
Rotator cuff repairs, labral repairs, acromioplasties, and shoulder replacement surgeries are performed on countless patients every day in the United States. Although rehabilitative protocols differ depending on the surgery, there is one common complaint shoulder patients have regardless of the type of surgery. Most patients are not equipped to deal with the pain associated with […]
I Can’t Open My Hand All the Way: A Look at Dupuytren’s Disease
Why can’t I open my hand? There is an interesting phenomenon in the world of hand illness called Dupuytren’s disease. It is a progressive illness that causes a contracture on the palm of the hand, making it difficult to fully open. This causes many problems including the following: difficulty being able to grasp difficulty with […]
My Shoulder Blades Are Not Even!
Take a look at anyone’s resting shoulder blade position from behind the next time you are at the pool or at the beach. If you look closely, you may notice that many people’s shoulder blades, or scapulae, do not sit evenly. Two common observations to see are one shoulder blade sitting higher than the other […]
Meniscus Surgery: What Can I Expect?
Meniscal surgery is the “bread and butter” procedure performed by most orthopedic surgeons in the country. In my physical therapy practice, it is one of the most common post-surgical diagnoses that we see. A short anatomy lesson: there are two (2) menisci that are found in each of your knee joints. They are horse-shoe shaped […]
How Do I Stabilize an Unstable Shoulder?
A significant percentage of the population has “unstable” shoulders, or shoulders that have the ability to move into ranges that place one at risk for orthopedic injury. Also known by the medical community as “multi-directional instability,” loose shoulders are fairly easy to identify. If you suspect that you have an unstable shoulder, ask yourself the […]
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