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What Is Juvenile Arthritis? Understanding This Childhood Condition

July 15, 2025

When people think of arthritis, they often picture an older adult with stiff joints. But arthritis isn’t just a condition that affects the elderly — juvenile arthritis (JA) is a real and often misunderstood condition that affects thousands of children and teens every year.

What Is Juvenile Arthritis?

Juvenile arthritis is an umbrella term used to describe autoimmune and inflammatory conditions that develop in children under the age of 16. The most common type is juvenile idiopathic arthritis (JIA), which means the cause is unknown.

In JA, the immune system mistakenly attacks healthy tissues in the joints, causing inflammation. This inflammation can lead to pain, swelling, stiffness, and reduced movement in the joints. In some cases, it can also affect the eyes, skin, and internal organs.

Types of Juvenile Arthritis

There are several types of JA, including:

  • Oligoarticular JIA: Affects four or fewer joints (often knees or ankles). It’s the most common and may also involve eye inflammation.

  • Polyarticular JIA: Affects five or more joints and is more likely to be symmetrical (both sides of the body).

  • Systemic JIA: Involves the entire body, including fever, rash, and inflammation of internal organs, in addition to joint issues.

  • Enthesitis-related arthritis: Involves inflammation where tendons attach to bones, often in the legs and spine.

  • Psoriatic arthritis: Combines joint inflammation with psoriasis, a skin condition.

What Causes Juvenile Arthritis?

The exact cause is unknown, but JA is believed to be triggered by a combination of genetic and environmental factors. It is not caused by injury or something a child or parent did. It’s an autoimmune condition, meaning the body’s defense system goes awry and attacks its own tissues.

Symptoms of Juvenile Arthritis

Symptoms can vary by type, but common signs include:

  • Swollen, warm, or painful joints

  • Stiffness, especially in the morning or after naps

  • Limping or difficulty using a limb

  • Fatigue or tiredness

  • Fever or rash (in systemic types)

  • Eye inflammation (often without obvious symptoms)

Because symptoms can be subtle or mimic other conditions, JA is sometimes difficult to diagnose.

How Is It Diagnosed?

There’s no single test for juvenile arthritis. Diagnosis typically involves:

  • A detailed medical history and physical exam

  • Blood tests (to check for markers of inflammation or autoimmune activity)

  • Imaging studies like X-rays or MRI

  • Eye exams (since eye inflammation is common in some types of JA)

Early diagnosis is key to preventing joint damage and other complications.

Treatment and Management

While there is no cure for juvenile arthritis, early and consistent treatment can help manage symptoms and prevent long-term damage. Treatment options may include:

  • Medications: Such as nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologics to control inflammation

  • Physical therapy: To maintain flexibility, strength, and joint function

  • Occupational therapy: To help with daily tasks and school activities

  • Regular eye exams: To monitor and treat potential eye inflammation

  • Healthy lifestyle habits: Including regular exercise, a balanced diet, and adequate rest

Living with Juvenile Arthritis

A diagnosis of JA can be challenging for children and families, but many kids with juvenile arthritis lead full, active lives. School, sports, and play may require some adaptations, but with the right support, children with JA can thrive.

Emotional support is also important. Connecting with other families, support groups, and counselors can help kids cope with the ups and downs of living with a chronic condition.

Final Thoughts

Juvenile arthritis is more than “just sore joints.” It’s a serious condition that requires medical attention, a personalized treatment plan, and ongoing support. The good news is that with early intervention and proper care, most children with JA can manage their symptoms and enjoy a high quality of life.

Staying on Track: Tips to Keep Up with Your Physical Therapy Home Exercise Program While on Summer Vacation

July 8, 2025

Summer vacation is the perfect time to relax, explore new places, and spend quality time with family and friends. But if you’re recovering from an injury or managing a chronic condition, it’s important not to let your physical therapy home exercise program fall by the wayside. Staying consistent with your exercises helps maintain progress and prevents setbacks—even while you’re away from home.

Here are some simple and effective tips to help you stay committed to your PT routine during your summer travels:


1. Plan Ahead and Pack Smart

Before you leave, talk to your physical therapist about your travel plans. They can help you adjust your home program to fit your schedule and available space. Be sure to pack any lightweight equipment you’ll need, like resistance bands, a yoga mat, or a lacrosse ball—these are travel-friendly and can be easily stowed in a suitcase or carry-on.


2. Stick to a Routine

Try to keep a consistent time each day for your exercises, just like you would at home. Whether it’s first thing in the morning, after a beach walk, or before dinner, creating a routine makes it more likely you’ll follow through. Set a reminder on your phone if needed!


3. Modify Based on Your Surroundings

You don’t need a gym to get your exercises done. Use a towel in place of a stretch strap, a wall or chair for support, and your own body weight for resistance. If you’re staying at a hotel or Airbnb, scope out a quiet space where you can move freely and safely.


4. Make It a Group Activity

If you’re traveling with family or friends, invite someone to join you. Having a partner can keep you motivated and make the experience more fun. Plus, it’s a great way to show others the importance of staying active and taking care of your body—even on vacation.


5. Stay Hydrated and Listen to Your Body

Warm weather and increased activity levels can lead to dehydration and fatigue. Make sure you’re drinking enough water and not pushing yourself too hard. It’s okay to scale back slightly while traveling—but consistency is key.


6. Use Travel as an Opportunity

Vacation often means more time walking, swimming, or hiking—all of which can complement your therapy program. Ask your physical therapist which activities are safe for you, and find ways to weave them into your days for extra benefit.


7. Track Your Progress

Bring a printed or digital copy of your exercise checklist and mark off each day’s session. Seeing your consistency can be motivating and help you stay accountable, even when your schedule is more relaxed.


Final Thoughts

Summer vacation is a time to recharge, but your healing and mobility goals don’t take a break. With a little preparation and creativity, you can continue your physical therapy home exercise program while still enjoying all the fun and freedom summer has to offer.

Your body—and your therapist—will thank you when you return!

How Physical Therapy Can Help People with Juvenile Arthritis

July 1, 2025

Juvenile arthritis (JA) is a chronic condition that affects nearly 300,000 children in the United States. It can cause persistent joint pain, swelling, stiffness, and limited range of motion. Living with JA can be challenging—not just physically, but emotionally and socially as well. Fortunately, physical therapy (PT) plays a vital role in managing symptoms, preserving joint function, and helping kids with JA stay active and independent.

Understanding Juvenile Arthritis

Juvenile arthritis is an umbrella term for several autoimmune and inflammatory conditions that affect children under the age of 16. The most common type is juvenile idiopathic arthritis (JIA), where the immune system mistakenly attacks healthy joint tissues. Symptoms can vary from mild to severe and may involve one or multiple joints.

JA can interfere with normal growth, development, and everyday activities such as walking, playing, or writing. Without proper treatment, it can lead to joint deformities and long-term disability.

The Role of Physical Therapy in Juvenile Arthritis

Physical therapists are movement experts trained to assess and address the unique challenges of children living with arthritis. Through personalized exercise programs and supportive interventions, PT can provide lasting benefits:

1. Improved Joint Mobility and Flexibility

Joint stiffness is a hallmark of juvenile arthritis, especially after periods of rest. Physical therapists use stretching exercises and gentle joint mobilizations to maintain or improve flexibility and range of motion, helping children move more freely and comfortably.

2. Muscle Strengthening

Inflammation and inactivity can lead to muscle weakness. PT incorporates safe, age-appropriate strengthening exercises that support and stabilize the joints, reducing strain and preventing further damage.

3. Pain Management

While medication is often necessary to manage inflammation, PT provides additional pain relief through techniques such as:

  • Manual therapy

  • Aquatic therapy (warm water exercises)

  • Therapeutic modalities 
    These approaches can reduce discomfort and increase function without added medication.

4. Enhanced Endurance and Coordination

Children with JA may experience fatigue or reduced stamina. PT helps build endurance through gradual aerobic activities that are fun, engaging, and aligned with each child’s interests. Improving coordination and balance also reduces the risk of falls and injuries.

5. Support for Daily Activities

Whether it’s tying shoes, carrying a backpack, or playing on the playground, PT teaches adaptive techniques and ergonomic strategies to make everyday tasks easier and less painful.

6. Promoting Independence and Confidence

Beyond the physical benefits, PT empowers kids with JA to take control of their health. Therapists often work closely with families, teachers, and doctors to create supportive environments and establish long-term wellness habits.

When to Consider Physical Therapy

If your child has been diagnosed with juvenile arthritis and is experiencing joint pain, stiffness, reduced mobility, or fatigue, talk to your pediatrician or rheumatologist about a referral to physical therapy. Early intervention can prevent complications and support healthy development.

A Team Effort

Managing juvenile arthritis requires a collaborative, multidisciplinary approach. Physical therapy is a key component of that team—working alongside doctors, occupational therapists, and families to help children thrive despite their diagnosis.


Conclusion

Physical therapy offers hope and practical solutions for children living with juvenile arthritis. Through targeted exercises, hands-on techniques, and a caring, individualized approach, PT helps children reduce pain, preserve joint function, and enjoy a more active, fulfilling life.

If your child is struggling with juvenile arthritis, don’t wait—reach out to our pediatric physical therapist, Natosha,  and take the first step toward better movement and brighter days.

 
 

Stay Active and Injury-Free This Summer!

June 24, 2025

 

Summer is a great time to get outside and enjoy activities like running, hiking, and swimming. Moving your body is great for your health!

But sometimes, fun activities can lead to aches and pains. The good news is that many common summer sports injuries can be avoided. As physical therapists, we want to help you stay active and safe.

Studies show that programs to prevent injuries really can work. Taking a few simple steps before, during, and after your activities can make a big difference.

Before You Go: Warm Up Your Body

Think of a warm-up as a gentle wake-up call for your muscles. It gets your blood flowing and prepares your body for more activity. This can help lower your chances of getting hurt.

 

  • For Running & Hiking:
    • Start with 5-10 minutes of light cardio, like brisk walking or jogging in place.
    • Try some dynamic stretches – these are stretches where you move:
      • Leg Swings: Hold onto something stable and gently swing one leg forward and back (10 times), then side to side (10 times). Repeat with the other leg.
      • Arm Circles: Make big circles with your arms forward (10 times) and then backward (10 times).
      • Walking Lunges: Step forward into a lunge, keeping your front knee over your ankle. Alternate legs for 10-12 lunges.
    • For Swimming:
      • Begin with a few minutes of easy swimming at a slow pace.
      • Do some gentle arm and leg movements in the water or on the pool deck:
        • Arm Swings: Similar to above, swing your arms forward and backward.
        • Shoulder Rolls: Roll your shoulders up, back, and down (10 times).

 

Smart Moves to Avoid Common Injuries

Each activity has its own set of common issues. Here’s how to protect yourself:

  • Running:
    • Common Issues: Runner’s knee, shin splints, and ankle sprains.
    • Stay Safe:
      • Wear good running shoes that fit well and replace them when they wear out.
      • Increase your running distance and speed slowly. Don’t do too much, too soon.
      • Run on softer surfaces when possible.
    • Hiking:
      • Common Issues: Ankle sprains, blisters, and knee pain.
      • Stay Safe:
        • Wear sturdy hiking shoes or boots with good ankle support.
        • Use hiking poles, especially on uneven ground, to help with balance.
        • Pay attention to the trail and where you are stepping.
        • Drink plenty of water, especially on hot days.
      • Swimming:
        • Common Issues: Swimmer’s shoulder and neck pain.
        • Stay Safe:
          • Focus on good swimming form. If you’re unsure, a lesson could help.
          • Don’t overdo it with training equipment like hand paddles too soon.
          • Listen to your body. If your shoulder or neck hurts, take a break.

 

After Your Activity: Cool Down and Recover

Just like a warm-up, a cool-down helps your body. It allows your heart rate to return to normal slowly and can help reduce muscle soreness.

 

  • Cool Down (All Activities):
    • Finish with 5-10 minutes of slower activity. For example, walk after a run or hike, or do some very easy swimming.

 

  • Recovery Tips:
    • Gentle Stretching: Hold stretches for 20-30 seconds. Focus on the muscles you used. For example, stretch your hamstrings (back of thighs), quadriceps (front of thighs), and calves after running or hiking. For swimming, stretch your shoulders and chest.
    • Hydrate: Drink water to replace fluids you lost while sweating.
    • Eat Well: Have a balanced snack or meal with some protein and carbohydrates to help your muscles recover.
    • Rest: Make sure you get enough sleep. This is when your body does a lot of its repair work.
    • Listen to Your Body: If something feels wrong or you have pain that doesn’t go away, don’t ignore it.

 

Enjoy your summer activities! Take these simple steps to help keep yourself injury-free and feeling your best. If you do experience pain or an injury, remember that physical therapy can help you get back to doing what you love. Contact us to learn more.

References:

Research:

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC7353668/
  2. https://meridian.allenpress.com/jcep/article/10/3/106/470461/Effects-of-Stretching-on-Injury-Risk-Reduction-and
  3. https://www.sciencedirect.com/science/article/pii/S2095254620301526

Articles and Content:

Proper Warm-Up and Cool-Down for a Golf Round

June 17, 2025

Whether you’re an avid golfer or a weekend warrior, a proper warm-up and cool-down routine can significantly impact your performance and recovery. Especially in the heat of summer, preparing your body before hitting the first tee — and caring for it afterward — is essential to avoid injury, maintain energy, and play your best game.

Why Warming Up Matters in Golf

Golf may not be high-impact, but it requires coordinated movement, flexibility, and power — especially during the swing. Warming up primes your muscles, increases blood flow, and improves your range of motion, all of which help reduce the risk of strains or tightness.

Quick and Effective Warm-Up Routine (10–15 Minutes)

1. Light Cardio (3–5 minutes)

Start with a brisk walk, light jogging in place, or jumping jacks to raise your heart rate. This gets your muscles warm and your body ready to move.

2. Dynamic Stretching (5 minutes)

Focus on mobility and flexibility with these golf-specific moves:

  • Arm circles and shoulder rolls – loosen the upper body

  • Torso twists – activate the core and mimic swing rotation

  • Hip swings and lunges – loosen up hips and legs

  • Neck rolls and wrist stretches – help with putting and grip

3. Practice Swings (2–5 minutes)

Use a mid-iron or driver to take 10–15 easy swings. Gradually increase speed and range of motion. Start with half-swings, then build to full swings. This helps your nervous system get dialed into your mechanics.

Don’t Skip the Cool-Down

After 18 holes, your body has walked miles, swung hundreds of times, and braved the heat. A cool-down helps transition the body back to a resting state, reduces soreness, and speeds up recovery.

Simple Cool-Down Routine (5–10 Minutes)

1. Walk It Out (2–3 minutes)

Spend a few minutes walking at a slower pace. Let your breathing and heart rate return to normal gradually.

2. Static Stretching (5–7 minutes)

Now’s the time for longer holds (20–30 seconds) to release tightness:

  • Hamstring and quad stretches – counteract walking and standing

  • Shoulder and triceps stretches – ease tension from swinging

  • Spinal twist or seated trunk stretch – relieve lower back strain

  • Forearm and wrist stretches – reduce stiffness from gripping the club

Hydration and Recovery Tips for Summer

  • Drink plenty of water before, during, and after your round.

  • Wear moisture-wicking clothing and a hat to protect from sun exposure.

  • Use sunscreen — your skin is an important part of your health, too.

  • Consider light snacks like fruit or a protein bar post-round to refuel.


Final Thoughts

Golf in the summer can be both relaxing and demanding. A proper warm-up gets your body ready to swing freely and perform at its best. A cool-down helps you recover faster and stay injury-free, so you’re ready to enjoy your next round. Treat your body like the finely tuned machine it is — and it’ll reward you on the fairway.

Play smart. Swing smooth. Stay cool. 🏌️☀️

The Power of Physical Therapy: Why Men Should Make It a Priority

June 10, 2025

When most men think about health, they often focus on diet, exercise, and maybe the occasional check-up. But there’s one vital component that’s often overlooked: physical therapy. Traditionally associated with post-injury recovery, physical therapy has evolved into a proactive tool for maintaining and improving men’s health across all ages.

What Is Physical Therapy?

Physical therapy (PT) involves guided movements, manual techniques, and individualized exercises designed by licensed professionals to improve mobility, reduce pain, and restore function. While it plays a key role in rehab, it also serves as preventive care and performance enhancement.

Benefits of Physical Therapy for Men’s Health

1. Injury Prevention and Recovery

Whether you’re an athlete, a weekend warrior, or someone who works a physically demanding job, PT can help reduce the risk of injury. Therapists identify movement imbalances and help correct posture, flexibility, and strength issues that might otherwise lead to strains, sprains, or chronic injuries.

2. Improved Athletic Performance

Many men engage in sports or fitness routines, and PT can optimize performance by enhancing range of motion, muscle control, and functional strength. Physical therapists tailor programs to specific sports or goals, helping you move better and recover faster.

3. Support for Prostate and Pelvic Health

Men often overlook pelvic floor issues, yet they can lead to problems such as urinary incontinence, pain during intercourse, and post-prostate surgery complications. Physical therapists trained in pelvic health can guide men through safe, effective exercises to strengthen these critical muscles.

4. Chronic Pain Management

Back pain, joint stiffness, and tendonitis are all too common. Instead of relying on medications or “toughing it out,” physical therapy offers targeted treatment strategies that address the root cause, not just the symptoms.

5. Post-Surgery Rehabilitation

From ACL repairs to rotator cuff surgeries and joint replacements, PT is essential for regaining mobility and strength. A structured rehab plan reduces complications and speeds up return to normal activity.

6. Better Posture and Flexibility

Desk jobs and repetitive tasks can wreak havoc on posture, leading to neck, shoulder, and back issues. PT helps realign your body and strengthen underused muscles, promoting better posture and reducing daily discomfort.

7. Mental Health Boost

Physical activity is a known mood enhancer. Physical therapy can improve confidence by restoring your ability to move freely, reducing pain, and helping you get back to doing the things you love—all of which support mental well-being.

Who Should Consider Physical Therapy?

  • Men with recurring joint or muscle pain

  • Athletes of all levels

  • Men recovering from surgery or injury

  • Those experiencing pelvic floor or urinary issues

  • Anyone looking to improve mobility and prevent age-related decline

Taking the First Step

You don’t have to wait until you’re sidelined with pain to benefit from physical therapy. Many clinics offer evaluations without the need for a referral. Think of PT as part of a holistic strategy for longevity and quality of life.


Bottom Line:

Physical therapy isn’t just for the injured—it’s a powerful tool for every man looking to stay strong, mobile, and pain-free. Prioritizing your physical health now can save you from discomfort and complications later. So whether you’re lifting weights or lifting grandkids, make physical therapy part of your routine.

How Physical Therapy Can Help Relieve Headaches and Migraines

June 3, 2025

Headaches and migraines are more than just a nuisance — for many, they’re a debilitating part of daily life. From tension headaches to chronic migraines, these conditions can significantly impact quality of life, productivity, and emotional well-being. While medications are often the first line of defense, physical therapy is emerging as a powerful, non-invasive tool in the fight against head pain.

Understanding the Root Cause

Not all headaches are the same, and neither are their causes. Tension-type headaches are frequently linked to poor posture, muscle tightness, or stress. Migraines, on the other hand, often have neurological roots but can be aggravated by musculoskeletal issues — especially in the neck, shoulders, and upper back.

That’s where physical therapy comes in.

How Physical Therapy Helps

Physical therapists specialize in identifying and addressing the physical triggers that contribute to headaches and migraines. Here are several ways physical therapy can offer relief:

1. Postural Correction

Poor posture — especially from prolonged sitting or screen time — can place excessive strain on the neck and upper back muscles. Over time, this can lead to tension headaches. Physical therapists assess posture and teach patients how to correct alignment through strengthening and stretching exercises, reducing the mechanical stress that contributes to head pain.

2. Manual Therapy

Hands-on techniques like soft tissue mobilization and joint manipulation can relieve muscle tension and restore mobility in the cervical spine (neck), a common source of referred pain in tension and cervicogenic headaches. Studies have shown that manual therapy can reduce headache frequency and intensity over time.

3. Neck and Shoulder Strengthening

Weakness in the neck and shoulder muscles can lead to instability and strain, triggering headaches. Targeted strengthening exercises help stabilize these regions and reduce the likelihood of headache-inducing muscle fatigue.

4. Trigger Point Therapy/Dry Needling

Trigger points — tight knots in muscles — often refer pain to other areas, including the head. A physical therapist can locate and treat these points, relieving pain and reducing headache episodes.

5. Stress Management Techniques

Many physical therapists incorporate relaxation techniques such as diaphragmatic breathing, progressive muscle relaxation, and mindfulness-based exercises. These help manage stress — a major trigger for both tension headaches and migraines.

6. Education and Lifestyle Modifications

Physical therapy also includes educating patients about ergonomics, activity pacing, and lifestyle habits that can reduce headache triggers. This empowers individuals to take an active role in their recovery.

Evidence-Based Relief

Clinical research supports the use of physical therapy for headache relief. A 2020 systematic review published in The Journal of Headache and Pain found that manual therapy and exercise interventions significantly reduced the frequency and intensity of tension-type headaches and migraines. While results can vary from person to person, many patients report noticeable improvements after just a few weeks of consistent therapy.

When to Consider Physical Therapy

You may benefit from physical therapy if you experience:

  • Frequent tension headaches or migraines

  • Headaches that begin in the neck or after long periods of sitting

  • Poor posture or neck stiffness

  • A desire to reduce reliance on medication

Final Thoughts

Physical therapy offers a holistic, drug-free approach to managing and preventing headaches and migraines. By addressing the musculoskeletal imbalances and lifestyle factors that contribute to head pain, physical therapy empowers you to take control of your health and live with less discomfort.

If headaches are interfering with your life, consider speaking with a physical therapist. Relief could be closer — and more natural — than you think.

Prevent Falls and Stay Independent: Your Guide to Safer Living

May 27, 2025

Why Balance Matters

As we age, staying on our feet becomes more than just a goal – it’s a key to living well. One in four older adults falls each year. But falls are not a normal part of aging. You can take steps today to keep your balance strong and stay safe.

Know Your Fall Risk

Ask yourself:

  • Do you feel unsteady when walking?
  • Have you fallen in the past year?
  • Do you hold onto walls or furniture when moving around your home?
  • Do you worry about falling?

If you said yes to any of these, talk to your physical therapist about a fall risk check-up.

Simple Tips to Prevent Falls

  • Keep moving daily. Walking, aquatic exercise, resistance training, or tai chi can make your legs stronger and help your balance.
  • Check your home. Remove things you could trip on like throw rugs or extension cords. Add grab bars in the bathroom. Make sure all of your rooms have good lighting.
  • Get your eyes checked once a year. Poor vision can lead to falls.
  • Review your meds. Some medications can make you dizzy or sleepy. Ask your doctor or pharmacist to look at all your meds, even over-the-counter ones.
  • Wear good shoes. Choose low-heeled shoes with non-slip soles. Skip the slippers and avoid walking in socks.

How Physical Therapy Helps

A physical therapist can be your best ally in fall prevention. Your PT will:

  • Test your strength and balance
  • Assess your specific fall risks
  • Create an individualized plan
  • Teach you exercises to help you stay strong
  • Show you how to get up safely if you do fall

Take Action Now

Don’t wait for a fall to happen. This Older Americans Month, take the first step to improve your balance. Call our office to set up a fall risk check-up. Our team can help you build strength, improve your balance, and keep doing the things you love.

Remember: Falls can be prevented. Small changes today can help you stay safe, strong, and independent tomorrow.

 

 

How Physical Therapy Can Help Manage Chronic Fatigue Syndrome – Rebuilding Energy, Function, and Hope….One Step at a Time

May 20, 2025

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME/CFS), is a complex and often misunderstood condition that affects millions of people worldwide. Characterized by profound fatigue, cognitive dysfunction, sleep disturbances, and physical pain, CFS can significantly disrupt daily life.

There’s no known cure for ME/CFS, but that doesn’t mean there’s no hope. Among the supportive treatments available, physical therapy has emerged as a valuable approach to help patients manage symptoms, improve function, and regain a sense of control over their bodies and lives.


What Is Chronic Fatigue Syndrome?

Before diving into how physical therapy helps, it’s important to understand what makes ME/CFS so challenging:

  • Debilitating Fatigue that isn’t relieved by rest

  • Post-Exertional Malaise (PEM) – worsening of symptoms after physical or mental effort

  • Sleep disturbances

  • Muscle and joint pain

  • Cognitive issues (often called “brain fog”)

Many people with ME/CFS are forced to limit their activities, and in severe cases, may be house- or bed-bound.


The Role of Physical Therapy in ME/CFS

Unlike traditional rehab where “pushing through” is encouraged, physical therapy for ME/CFS requires a gentle, individualized approach. The goal is not to increase fitness in the traditional sense but to restore function and prevent deconditioning—all while carefully respecting energy limits.

Here’s how physical therapy can help:


1. Pacing and Energy Management

Physical therapists help patients understand pacing, a core strategy in managing ME/CFS. Pacing teaches patients to balance activity with rest to avoid triggering PEM.

  • Activity logs can help track energy levels and identify patterns

  • Therapists may introduce heart rate monitoring to keep exertion below anaerobic thresholds, reducing the risk of symptom flares


2. Gentle Movement and Stretching

While traditional exercise might not be appropriate, gentle movement—like range-of-motion exercises, light stretching, or even bed-based therapy—can maintain joint mobility and muscle health without triggering crashes.

These activities can:

  • Improve circulation

  • Prevent stiffness and muscle loss

  • Support better posture and reduce pain


3. Breathing and Relaxation Techniques

CFS often coexists with anxiety, poor sleep, and shallow breathing. Physical therapists may incorporate:

  • Diaphragmatic breathing

  • Guided relaxation or mind-body techniques

  • Postural training to support better breathing mechanics

These techniques can help reduce the sense of overwhelm and promote calm in the nervous system.


4. Education and Empowerment

Education is power. A physical therapist provides more than just exercises—they offer support, validation, and guidance. Understanding the body’s signals, learning to say no to overexertion, and celebrating small wins are all part of the therapeutic journey.


What About Graded Exercise Therapy (GET)?

It’s important to note that Graded Exercise Therapy, once a standard recommendation for CFS, has become controversial. Many patients reported worsening symptoms. New guidelines (such as those from the UK’s NICE in 2021) have withdrawn support for GET and now emphasize activity management over progression.

A knowledgeable physical therapist will avoid rigid “exercise prescriptions” and instead focus on function-first, patient-centered care.


A Holistic, Patient-First Approach

Every person with ME/CFS is different. Some may benefit from basic movement guidance, others from breathing work, and many from simply learning how to better manage their limited energy.

The key to success with physical therapy is a tailored, compassionate approach that respects the realities of ME/CFS.


Final Thoughts

While ME/CFS remains a complex and chronic illness, physical therapy offers a beacon of hope—supporting patients in maintaining what function they can, reclaiming aspects of daily life, and preventing further deterioration. It’s not about pushing harder, but about moving smarter.

If you or someone you love is struggling with ME/CFS, consider connecting with a physical therapist who has experience in treating complex chronic conditions. The right support can make a meaningful difference.

How Physical Therapy Can Help with Osteoarthritis: Move Better, Live Better

May 13, 2025

Osteoarthritis (OA), the most common form of arthritis, affects millions of people worldwide. It’s a degenerative joint disease that occurs when the protective cartilage that cushions the ends of your bones wears down over time. Common symptoms include joint pain, stiffness, and decreased mobility—particularly in weight-bearing joints like the knees, hips, and spine.

While there is no cure for osteoarthritis, there is hope for managing symptoms and improving quality of life. One of the most effective, non-invasive treatments is physical therapy. It plays a crucial role in maintaining joint function, reducing pain, and helping individuals stay active.


What Is Physical Therapy?

Physical therapy (PT) involves the use of targeted exercises, manual techniques, and patient education to restore movement and function. For people with OA, a physical therapist creates a personalized plan based on the severity of the condition, affected joints, lifestyle, and goals.


How Physical Therapy Helps with Osteoarthritis

1. Pain Reduction

Therapists use techniques such as manual therapy, ice/heat application, ultrasound, or electrical stimulation (like TENS) to help decrease pain and inflammation in affected joints.

2. Improved Joint Mobility

Stiffness is a major issue in osteoarthritis. PT focuses on gentle stretching and range-of-motion exercises to keep joints flexible and maintain function.

3. Strengthening Surrounding Muscles

Stronger muscles support joints better. For example, strengthening the quadriceps can take pressure off arthritic knees. Physical therapists design low-impact, joint-friendly strength routines that build stability and reduce joint stress.

4. Better Balance and Coordination

Osteoarthritis can affect balance, especially in the hips, knees, and ankles. PT incorporates exercises that improve proprioception (your body’s ability to sense movement and position), reducing the risk of falls and further injury.

5. Increased Activity and Independence

Staying active can be difficult with chronic pain, but inactivity often worsens symptoms. A physical therapist guides patients through safe and appropriate activity levels, promoting a more independent and confident lifestyle.

6. Education and Joint Protection Strategies

PT isn’t just about exercises—it’s also about empowering you with knowledge. Patients learn how to move safely, use assistive devices if needed, and adopt healthy habits that reduce joint strain during daily tasks.


Realistic Results: What to Expect

Physical therapy doesn’t reverse joint damage, but it can significantly improve comfort and function. Many people report:

  • Reduced reliance on pain medications

  • Better sleep due to decreased discomfort

  • Improved participation in daily and recreational activities

  • Delayed or avoided need for surgery

Consistency is key—those who stick with their PT plans often experience the greatest benefits.


When to See a Physical Therapist

If you’ve been diagnosed with osteoarthritis or suspect you may have it, consult a healthcare provider or directly seek a licensed physical therapist (depending on your region). Early intervention can prevent worsening symptoms and help you maintain an active, fulfilling life.


 

Osteoarthritis doesn’t have to mean giving up the things you love. With the right guidance and commitment, physical therapy offers a path to better movement, less pain, and more freedom. Whether you’re newly diagnosed or have been managing OA for years, a physical therapist can help you take the next step toward feeling stronger and living better.