Louisville, Plattsmouth & Hooper Ne 68031

Bursitis

August 10, 2021

What is it?

                Bursitis is the inflammation of a bursa. A bursa is a small fluid filled sac that sits between muscles, tendons and bones to reduce friction. Bursitis can occur in the shoulder, elbow, hip, and knee.

Information and causes?

When a bursa sac gets inflamed, it swells and can cause friction in the joints causing pain and more inflammation.

Bursitis can be caused by a variety of factors including:

  • Overuse from vacuuming for hours (for example)
  • Repetitive strain such as lifting heavy boxes at work
  • Trauma from falling on the joint
  • Pressure from leaning on the elbow for instance when working at a desk
  • Infection from an unattended wound
  • Inflammatory disease, such as gout, which could for in the bursa

                Bursitis is typically caused by repetitive friction which can take place due to tight muscles during activity. It often occurs in conjunction with tendonitis. It can also occur after a forced period of rest.

The signs and symptoms?

The signs and symptoms of bursitis can vary based on the location of the bursitis.

With hip bursitis, you may experience:

  • Pain on the outer side of the hip, thigh, buttock, or outside of the leg.
  • Pain when you push on the outer side of the hip with your fingers.
  • Pain when lying on the affected hip.
  • Pain when climbing stairs.
  • Pain that worsens when getting up from sitting, such as from a low chair or car seat.
  • Pain when walking or running.
  • Pain when lifting the leg up to the side.
  • Pain when sitting with legs crossed.

With knee bursitis, you may experience:

  • Swelling on the front of the knee
  • Redness on the front of the knee
  • Pain when you push with your fingers on the front of the knee
  • Pain when kneeling
  • Stiffness in the knee joint, or difficulty straightening or bending the knee

With shoulder bursitis, you may experience:

  • Pain on the outer side or tip of the shoulder
  • Pain when you push with your finger on the tip of the shoulder
  • Pain when lying on the affected shoulder
  • Pain that worsens when lifting the arm to the side
  • Pain when rotating the arm
  • Pain when pushing or pulling open a door

With elbow bursitis, you may experience:

  • Swelling on the tip or back of the elbow
  • Redness on the tip of the elbow
  • Pain when you push with your fingers on the tip of the back of the elbow
  • Pain when leaning on the arm, as when the arm is resting on an armrest or on the edge of a desk or table
  • Stiffness in the elbow joint, and difficulty bending the elbow

 

Treatment?

For someone with bursitis, it is best to learn more about the disease itself and management to help gain control of your personal health. Physical therapy is one of the main treatments of bursitis. Although it is not a “quick fix”, physical therapy can help you gain control of your physical health and learn how to prevent the bursitis from coming back.

Physical therapy will initially focus on educating the patient about the disease. Research shows that people who are knowledgeable about their condition have better coping abilities. This education can include learning how the body perceives pain and how to take control of the pain. Pain management through various types of exercises such as aerobics, manual therapy, stretching, and deep breathing can help improve overall function, general health and sleep quality in patients with fibromyalgia. Your physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve muscle activation, core activation and stabilization.

 

Sources:

Image: https://www.msk.org.au/bursitis/

https://www.physio-pedia.com/Bursitis

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-hip-bursitis

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-knee-bursitis

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-shoulder-bursitis

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-elbow-bursitis

Neuropathy and Physical Therapy

August 3, 2021

What is it?

Peripheral neuropathy (PN) is a condition affecting the nerves of the body that results in a variety of symptoms including pain, changes in sensation, and changes in muscle activity. PN typically affects nerves in the extremities such as the lower legs and feet.

Information and causes?

PN can be associated with other diseases such as diabetes, injury, and overuse. It can also be associated with medication use. Neuropathy can also occur for reasons unknown. Some of these symptoms have been shown to improve over time, but many do not. It can affect the nerves in the body in various ways. It is generally classified by the number of nerves affected. The more nerves affected, the more severe the case.

Examples:

  • Mononueropathy affects 1 nerve. For example, carpal tunnel affects the median nerve resulting in altered sensation and weakness in the hand.
  • Polyneuropathy affects 2 or more nerves. This is usually caused by a disease process and can affect nerves in multiple body parts, on both sides of the body.
  • Neuritis results from nerve inflammation. This can be caused by infection or injury. It can even be caused by chemical exposure.

The signs and symptoms?

The signs and symptoms of PN can vary. The location and type of nerves affected determine the symptoms. Those with PN may experience:

  • Numbness and tingling sensations typically beginning in feet and hands, and can spread up into legs and arms
  • Loss of sensation (inability to feel objects you encounter)
  • Increased sensitivity to light touch
  • Pain (burning, sharp, electric)
  • Falls
  • Poor wound healing
  • Decreased ability to participate in usual functional activities
  • Weakness and paralysis of muscles
  • Clumsiness and decreased coordination
  • Decreased balance

Treatment?

Treatment by a physical therapist can help reduce symptoms of PN in some cases and reduce the effect the symptoms have on movements and activities to improve an individual’s quality of life. Because the cause, type, and symptoms of PN can vary, the therapeutic approach will also vary. For instance, if you have loss of sensation in your feet, education and recommendations about proper footwear is imperative if not already addressed by another provider.

It is key that a person receive physical therapy as soon as possible after being diagnosed, particularly if physical function is impaired. The Physical Therapist will initially focus on educating the patient about the condition and expectations. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease any pain and improve mobility and gradually improve strength and function to return to life pain free and with full function. The physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization. These can include but are not limited to nerve gliding techniques to improve nerve function, exercise as tolerated to improve strength, balance and coordination training to reduce fall risk and improve function.

References

https://www.news-medical.net/health/Peripheral-Neuropathy-Symptoms.aspx

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-peripheral-neuropathy

Parkinson’s Disease

July 27, 2021

What is it?

Parkinson’s Disease is a neurodegenerative disorder that affects dopamine producing neurons in a specific area of the brain. Symptoms develop slowly over time and can vary from person to person.

Information and causes?

In Parkinson’s disease, certain nerve cells (neurons) in the brain gradually break down or die. Many of the symptoms are due to a loss of neurons that produce a chemical messenger in your brain called dopamine. When dopamine levels decrease, it causes abnormal brain activity, leading to impaired movement and other symptoms of Parkinson’s disease.

Though the cause for Parkinson’s is unknown, treatments are available to help slow the progression of the disease. According to the Centers for Disease Control and Prevention, complications related to Parkinson’s is the 14th cause of death in the United States. It is important that those with Parkinson’s are educated in the treatments available to them for the best quality of life possible.

The signs and symptoms?

  • Resting tremors
  • Bradykinesia (slowness of movement)
  • Limb rigidity
  • Gait and balance difficulties

Treatment?

For someone with Parkinson’s, it is best to learn more about the disease itself and management to help gain control of their personal health. There are many treatments of Parkinson’s Disease and physical therapy is one of them. Although it’s not a cure, therapeutic exercise has been clinically shown to significantly slow the progression of Parkinson’s Disease symptoms. A recent study showed that early and regular physical therapy helped improve physical function and decreased disability (DOI: 10.1055/s-0041-1725133).

Physical therapy will initially focus on educating the patient about the disease. Research shows that people who are knowledgeable about their condition have better coping abilities. This education can include learning how the body perceives pain and how to take control of the pain. Pain management through various types of exercises such as aerobics, manual therapy, stretching, and deep breathing can help improve overall function, general health and sleep quality in patients with fibromyalgia. Your physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve neurodegenerative symptoms, core activation and stabilization.

 

Sources:

https://www.apdaparkinson.org/resources-support/living-with-parkinsons-disease/physical-therapy/

https://pubmed.ncbi.nlm.nih.gov/33742432/

https://www.mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-

https://photodune.net/item/happy-older-people/20067522?irgwc=1&clickid=36S1XIX%3AExyLWRmUfcT1PR0YUkBUnp3jSTwd0I0&iradid=275988&irpid=1259333&iradtype=ONLINE_TRACKING_LINK&irmptype=mediapartner&mp_value1=&utm_campaign=af_impact_radius_1259333&utm_medium=affiliate&utm_source=impact_radius

Patellofemoral Pain (or Kneecap Pain!)

July 22, 2021

What is it?

Patellofemoral pain is a chronic condition located at the front of the knee under and around the knee cap. However, the pain can be felt in any area of the knee, including the back of the knee. It is one of the most common types of knee pain in the United States accounting for 20-25% of all reported knee pain.

PFP can occur after sudden increases in physical activity, particularly running or jumping. The knee is unable to adapt as quickly as the new activity levels. PFP does not go away on its own!

Information and causes?

PFP can be caused from weakness in the thigh muscles, engaging in specific sports or activities that require repetitive movements, and hip/knee discoordination during running or jumping. PFP can also be caused from muscular imbalances that include a combination of weakness, decreased flexibility, and increased flexibility.

The signs and symptoms?

                Experience pain:

  • When walking up or down stairs and inclines
  • When playing sports
  • With deep squats
  • When walking on uneven surfaces
  • Sitting with the knee bent

Pain typically improves with rest.

Treatment?

It is key that a person receive physical therapy for patellofemoral pain to properly restore strength and mobility. The Physical Therapist will initially focus educating the patient about the condition. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease pain and improve mobility and gradually improve strength and function for sport or occupation. The physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

 

References:

https://www.physio-pedia.com/Patellofemoral_Pain_Syndrome

https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-patellofemoral-pain

Post Surgical Pain and Rehab

July 13, 2021

What is it?

It is best to try physical therapy before having surgery. In some case, surgery cannot be avoided, and physical therapists are here to help. Often physical therapists will work with patients following surgeries including rotator cuff repair, joint replacements, scopes, and any other surgery that disrupts the musculoskeletal system. Physical therapy is commonly used to help get you back on your feet after surgeries.

Information and causes?

Typically, surgeries such as knee replacements take place to improve joint pain and function after other measures have no longer helped.

Surgeries can heal on their own without a physical therapist. However, the outcomes will not be as successful. For instance, after a knee replacement, it is typical for the body to respond with compensations during activities such as walking, this can continue even after removal of crutches. A physical therapist will be there to guide you as you learn to walk again (correctly!)

The signs and symptoms?

The signs and symptoms following surgery can vary. Here is a list of the most common symptoms:

  • Pain in the surgical area or other areas due to overcompensating
  • Swelling and bruising
  • Stiffness
  • Difficulty walking
  • Difficulty performing usual activities
  • Scar healing at the incision site

Treatment?

It is key that a person receive physical therapy shortly after surgery to restore strength and mobility early on. The Physical Therapist will initially focus on educating the patient about the surgery and expectations. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease pain and improve mobility and gradually improve strength and function to return to life pain free and with full function. The physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

 

References

https://www.choosept.com/didyouknow/detail/arthroscopy-not-recommended-degenerative-knee-dise

Workplace Injuries and Physical Therapy

July 6, 2021

Workplace injuries are common among all ages. In many cases an employee who is injured on the job can receive worker’s compensation to allow for a means to pay the bills and live comfortably during recovery. Physical therapy is commonly used to help get you back on your feet after a work injury.

These injuries typically resolve quickly. However, many workers do not take proper steps to get well or over-do it which can lead to more serious problems down the road and a longer healing time frame.

Workplace injuries are typically caused by overuse through repetitive movements performed during work. Other injuries can include falls, injuries following equipment malfunction, and vehicle related accidents.

The signs and symptoms of workplace injuries vary widely due to different types of workplace injuries. These can include, but are not limited to:

  • Pain in any area of the body due to repetitive overuse
  • Swelling and bruising
  • Stiffness
  • Difficulty walking
  • Difficulty performing your usual work activity

It is key that a person receive physical therapy shortly after a work injury to restore strength and mobility early on. The Physical therapist will initially focus on educating the patient about the injury. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease pain and improve mobility and gradually improve strength and function to return to work pain free and with full function. The physical therapist will design a program that is right for you and your goals.

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

Physical Therapy Can Keep You Healthy For Life!

The following blog is being re-shared from the PPS APTA website:

 

You know that physical activity is good for you. The benefits are well researched and the list is impressive. Here’s just a sampling:

  • Releases endorphins to make you feel good and fight depression
  • Helps control weight
  • Prevents diseases like stroke, diabetes and some forms of cancer
  • Improves sleep
  • Helps you live longer

Recent studies even show that physical activity strengthens your immune system, with a protective effect against COVID, and that staying active through middle age protects your brain as you age.

Physical activity is a wonder drug. If it was a pill, you’d buy it and take it every day. But even though activity is free, less than 25% of Americans meet the CDC recommendations for activity. We clearly need help.

Physical Therapists Are The Experts in Human Movement

To be active, you need to be able to move. Physical Therapists do more than help you recover from surgeries or major injuries. They are the experts in human movement. Sure, you could see a strength coach to lift weights, hire a personal trainer, go to a yoga class to work on your flexibility and balance, and see a chiropractor for adjustments. But that seems like a lot of people when a PT can help you with all of these things and more. Nobody knows more about human movement or looks at your health the same way a PT does. Your PT can help you with every aspect of movement including strength, range of motion, flexibility, endurance, balance and coordination.

 

As medical professionals they can help you with injuries or other issues. Your PT can work with your doctor to help use activity to manage things like diabetes, cholesterol levels or blood pressure instead of prescriptions. Your PT is also trained to work with people of all ages, so you can develop a long-term relationship and they can continue to adjust and modify your routine as you age or your goals change.

Stay Healthy For Life

Staying active has a long list of benefits both now and in the future. But chances are you’re not moving enough to make the most of those benefits. Most people need help. Physical therapists are the most qualified professional in existence to help keep you healthy now and in the future. So don’t think of your PT as someone you see when you need help with pain or an injury. Think of them as your partner and coach working to help you stay healthy for life.

Hip Pain

June 22, 2021

What is it?

Hip pain can be caused by a variety of things which can lead to inflammation, pain, and, ultimately, dysfunction in the hip joint or surrounding area.

Information and causes?

Hip pain can have various causes such as bursitis, arthritis, poor posture, overuse injuries, sprains/strains, weakness, and obesity.

The signs and symptoms?

The signs and symptoms of a hip pain include the following:

  • pain and tenderness in the front, side, or back of the hip
  • tenderness to palpation
  • stiffness, particularly after long periods of rest
  • pain, poor gait and balance when walking or running
  • pain sitting with legs crossed
  • pain lifting the leg to the side

Treatment?

It is key that a person receive physical therapy for their hip pain to properly restore strength and mobility. Many people with hip pain may think there is no cure. For instance, arthritis has no cure, but there are treatments which include physical therapy to improve quality of life. The physical therapist will initially focus on educating the patient about the sprain. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease pain and improve mobility and gradually improve strength and function for sport or occupation. The physical therapist will design a program that is right for you and your goals.

Expectations?

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

References:

www.vanthielmd.com/unexplained-hip-pain

Knee Pain and Sprains

June 15, 2021 – Knee pain can be caused by a variety of things which can lead to inflammation, pain, and, ultimately, dysfunction.

A knee sprain happens when the ligaments in the knee are overstretched and tear to a certain degree. There are three degrees of a sprain: mild, moderated, and severe. Ligaments are fibrous tissue cords that attach the upper leg bone to the lower leg bones.  

What causes knee pain and sprains? Knee pain can have various causes such as arthritis, overuse injuries, sprains, weakness, and obesity.

Knee sprains can lead to knee pain no matter what degree of tear you may have. Many people think of a knee sprain as being caused by overuse or trauma injuries in sports. These things can happen outside of sports as well. Weakness, poor flexibility, poor balance, improper gait or running form are among some of the causes of knee sprains. Without proper training for a sport or daily life, a sprain is more likely to happen. Improper footwear, prior sprains, and contact sports can increase your chances of sustaining a sprain.

The signs and symptoms or a sprain include the following:

  • pain and tenderness in the knee
  • stiffness, bruising, and swelling in the knee
  • instability when walking
  • “popping” noise at the time of injury

How can these be treated? It is key that a person receive physical therapy following a knee sprain to professionally restore strength and mobility. The Physical therapist will initially focus educating the patient about the sprain. Research shows that people who are knowledgeable about their condition have better coping abilities. Furthermore, your therapist will work to initially decrease pain and improve mobility and gradually improve strength and function for sport or occupation. The physical therapist will design a program that is right for you and your goals.

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

 

References:

https://www.sports-health.com/sports-injuries/knee-injuries/what-knee-sprain

https://www.thedigitalwatch.com/wp-content/uploads/2021/06/knee-pain

Fibromyalgia

June 8, 2021 – Fibromyalgia is a complex syndrome involving many signs and symptoms. It presents as multiple painful areas in the body. It can also be accompanied by general fatigue, weakness, and a lack of energy or motivation.

The root cause for fibromyalgia is unknown. However, it is thought to be due to changes in the nervous system and how it perceives pain. This can be triggered by a trauma, surgery, infection, or major emotional event, and can progress over time.

The signs and symptoms include widespread pain often described as a dull ache, multiple points of tenderness in the body, muscle stiffness particularly in the morning, headaches, “brain fog”, fatigue, depression, anxiety, pain or cramps in the abdomen or pelvis, irritable bowel and bladder, disturbed sleep, jaw pain, and numbness or tingling. Most often, life’s stresses cause the pain to become worse.

Physical therapy will initially focus educating the patient about the syndrome. Research shows that people who are knowledgeable about their condition have better coping abilities. This education can include learning how the body perceives pain and how to take control of the pain. Pain management through various type of exercises such as aerobics, manual therapy, stretching, and deep breathing can help improve overall function, general health and sleep quality in patients with fibromyalgia. Your physical therapist will design a program that is right for you and your goals.

At your first visit you should expect a physical therapist that is there to get to know you, your current complaints, and your goals. Using this information and the information they gather during their evaluation they will set up an individualized treatment plan that will help you reach your goals and get back to your life faster. Treatments could include modalities for pain control, manual therapy to help relieve muscle tension and promote healing, exercises to restore strength and motion, and muscular retraining to improve core activation and stabilization.

Witte Physical Therapy has the therapists and tools to treat fibromyalgia. From manual therapy and exercises to our aquatic therapy programs we can help you cope with your fibromyalgia. Give us a call to schedule your free consultation today!

References: