Here is a basic list that tries to answer the epic question: Ice or Heat? 1. Ice is generally advised for acute injuries, particularly during the first two weeks following tissue damage. Ankle sprains, sports injuries, back spasm, or most sudden orthopedic injuries that cause swelling and inflammation are a few examples. 2. Heat is […]
What Does a Partial Rotator Cuff Tear Mean?
The rotator cuff muscles provide stability to the shoulder joint and are responsible for coordination of the fine movements of the shoulder. The rotator cuff muscles originate on the scapula (aka shoulder blade) and taper down into tendons as they attach onto the head of the humerus. When we hear the term “rotator cuff tear,” […]
Addressing the Inflammatory Process of your Injury
Often times when people have an orthopaedic injury, it is accompanied by pain. Pain is message of discomfort that is brought to our attention by our nervous system from a specific type of nerve. Pain has many different types of sensations or characteristics including, but not limited to, sharp stabbing, dull ache, burning, tingling, or […]
What to Expect from Physical Therapy: Team Players Do Better!
You’ve waited on dealing with an injury for quite some time, because you’ve heard the jokes about physical therapy that don’t make it sound so appealing. “Don’t you know that PT stands for pain and torture?” Because of either pain or loss of function, you finally find yourself in physical therapy. What can you expect? […]
What Is Functional Dry Needling?
Functional dry needling is a modality that is becoming more commonly used in treatments for musculoskeletal injury. But what is it? Often times patients may see dry needling happening in the physical therapy office and say, “Wow, I didn’t know you guys do acupuncture!” Well, we do not provide acupuncture at PhysioDC, but we do […]
Musicians & Complex Motor Programming of The Hands
I have always marveled at the complexity of the sensorimotor programming of the hands. From an evolutionary standpoint, we developed the ability to oppose, circumduct, flex, extend, and abduct the thumb. This allowed us to effectively grasp objects and tools. Our remaining fingers have a complex network of both intrinsic and extrinsic muscles that provide […]
Frozen Shoulder: What should I do?
A forty-year old woman ”Jane” came in to the clinic last week with a look of exasperation on her face, clutching her left arm. A month ago she had reached behind her to get something out of the back seat of her car and felt a sudden, jarring pain in her shoulder that she described […]
Momentum, Collisions, Car Accidents, and the Advantage of Playing Sports Drunk?
That is indeed a very long title. And, no, we as physical therapists would never advocate playing sports under the influence of alcohol. Where to start… A few weeks back a patient and I were discussing the concept of momentum and collisions. My patient was involved in a motor vehicle accident and was hit by […]
Information on Stroke Recovery
In a nutshell, strokes are awful. Strokes affect upwards of 800,000 people per year in the U.S. and cost our healthcare system a massive amount of money. There is a huge range of severity involved with strokes. For example, my grandfather had a small stroke that resulted in lost vision in one of his eyes. […]
Concussions & Repeated Minor Head Traumas
The effects of concussions have rightfully been the focus of an increasing amount of press over the last several years. Some stories are particularly disturbing: the motor deficits seen with boxer Muhammed Ali, incidences of suicides and depression suffered by professional and college level football players, and the recent plight of NHL star Crosby are […]
Internal Rotation of the Shoulder: The Under-Prescribed Exercise!
In clinical physical therapy practice, I have noticed that rotator cuff exercises tend to have more of a bias towards external rotation rather than internal rotation. Why is this? Here is an example of external rotation (see video below). This can be done either on one’s side as in the first video or standing with […]
What is Cupping and Does It Work?
In 2016 everybody saw Michael Phelps and the polka dots on his shoulder at the Rio Olympics. And just like that, cupping became the topic of conversation just as kinesiology tape did after seeing athletes compete in the 2008 Olympic games with various colorful strips of tape all over their body. Kinesiology tape, which at […]
Why Are My Legs Different Lengths?
“My tailor told me that one of my legs is longer than the other when he measured me for my pants.” I have heard that quote countless times in my clinic from patients. Once people have this idea of “uneven leg lengths” ingrained in their minds, they think that it is an unfortunate permanent fixture […]
Reacquaint Yourself With “Straight Leg Raises”
The straight leg raise is the most commonly prescribed exercise in physical therapy for patients with knee pain. Unfortunately, it is probably the exercise that is most frequently performed incorrectly!! How can something that looks so simple be done incorrectly? The answer lies in successful recruitment of that pesky portion of the quadriceps known as […]
Why Do I Have a Forward Head?
Behold, the dreaded forward head. (See pic) A forward head is commonly defined by what we therapist nerds call a “plumb line” that is dropped from the hole in the ear (aka the external auditory meatus) directly downwards. Under ideal circumstances, the plumb line that drops from the ear should pass through the anterior portion […]
Road Trip Tips from a Physical Therapist
The weather is getting nice and people are going to start wanting to drive out a few hours to get to the beach or to the mountains to go camping. It’s road trip time! Any physical therapist would request that an office worker not sit for more than a 1-2 hour duration, and the same […]
Self-Massage & the Importance of Mobility Practices with Exercise
During formal rehabilitative sessions, patients spend portions of their treatments doing exercise, getting various modalities (hot/cold packs, ultrasound, electric stimulation), and spend time on a table where the therapist may be doing joint mobilization or soft tissue mobilization. Physical therapists are always stressing the importance of strengthening, stretching, and achieving functional range of motion. Often […]
How Stress Affects Your Healing
It is clear that we live in a world full of stressers. There is work stress, home-life stress, parenting stress and, often times, unnecessary stress. Many people are unaware of the actual physical demand that stress places on the body. Our body has various systems that are always trying to work harmoniously, but when we […]