What are the Different Types of Shoulder Pain?

July 7, 2020 – A common problem a lot of us get is that our shoulder hurts. Outside of back pain, shoulder and knee pain are the next more common ailments we may experience. In this month’s blog series, we are going to dive deeper into shoulder pain.

This week we are going to investigate what the different causes of shoulder pain could be. But first we must understand why these things can happen to our shoulder. The main issue is that our shoulder has so much mobility in it that it is not that stable. We have all the motion we could want in our shoulder which allows for us to do a variety of things with it. However, to have that much motion we cannot have a lot of bony structures in our way. This creates little static stability, meaning that our ligaments and tendons have to work extra hard to keep our shoulder joint in place and avoid dislocation.

normal shoulder anatomy

The different types of shoulder pain are:

    1. Bursitis: Inflammation of the bursa sacs that protect our ligaments and tendons from rubbing abnormally on bones. If this rubbing becomes abnormal or excessive these sacs can get inflamed making shoulder movements painful.
    2. Tendonitis: Inflammation of a tendon in the shoulder that causing pain. The most common tendons are the four rotator cuff tendons and the long head of biceps tendon.
    3. Impingement: Caused by the acromion of your shoulder blade putting pressure into the tendons of your shoulder. It can be caused by a bony abnormality or tendonitis.
    4. Tendon Tears: Often called a rotator cuff tear. This a tear of a tendon of the rotator cuff that helps to provide dynamic stability to the shoulder. These tears make it difficult to do things overhead or to move your elbow away from your side. The long head of biceps can also be a common tendon tear.
    5. Instability: Caused by a variety of factors include tendon or ligamentous issues. Often leads to positions or situations where it feels like your shoulder is going to dislocate.
    6. Arthritis: As discussed in May, arthritis is a condition where the cartilage on the ends of your bone deteriorates causing the two bony ends to rub together. This is often painful and makes any motion difficult.
    7. Fracture: This is caused by a broken humerus or scapula.

The good news is that many of these conditions can be treated and improved on without surgery. Not every rotator cuff tendon tear requires surgery. If you are having shoulder pain give us a call at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth to schedule a free consultation with a therapist to learn more about what is going on and what your next steps should be to help your pain improve.

References: https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-pain-and-common-shoulder-problems/

How Can I Make Uncle Arthur Stay Away?

May 19, 2020 – The last two weeks we have learned what arthritis is and what the different types of arthritis are. Now that we know these grim facts a lot of us may be asking one big question. What can we do to prevent an unwanted visit from “Uncle Arthur”?

Some of the risk factors that we associate with the different types of arthritis are not preventable. These include family history, age, and sex. We know that if we have a family history of arthritis and/or are wiser in our years we are more likely to get arthritis. If we are female, we are more likely to get rheumatoid arthritis and if we are male then we are more likely to develop gout.

However, some factors can be controlled. First, our weight plays a big role in the development of arthritis. The closer we are to our ideal weight the less stress our joints will endure daily. This will cause the wear and tear on the cartilage in our joints to be at the lowest possible. Previous joint injury also plays a role in the onset of arthritis. If we can protect our joints by being as strong as possible and participating in situations that we can control our chance of having a joint injury is decreased. Unfortunately, things happen and even an ankle sprain can cause arthritis to start to set in.

Osteoarthritis Risk Factors

At Witte Physical Therapy and Witte 24/7 Wellness we have the expertise and the programs to help you manage some of the risk factors that could cause arthritic issues in the future. You can reach out to us to start your therapy or wellness journey and we can develop a plan that is personalized to what you need to reach your goals and lower your risk. Call us in Louisville at 402-234-3333 or Plattsmouth at 402-298-4747 for a free consultation to assess and discuss your questions and options about arthritis issues.

Your Witte Physical Therapy team

#homegrown #backtolife





Uncle Arthur comes in many forms!

May 12, 2020 – Last week we discussed what arthritis is and now we need to understand what types of arthritis could affect us. Not all our “Uncle Arthur’s” are the same!

Osteoarthritis: This is the most common type and is the type of arthritis that most of us think of. It is usually localized to one joint at a time (but it can be present in more than one joint) and involves the breakdown the cartilage found inside the joint. The damage caused can be managed conservatively and/or surgically, but once the damage has occurred it cannot be reversed.

Rheumatoid Arthritis: The is the second most common type of arthritis. It is an autoimmune disorder that causes chronic inflammation in several joints throughout the body at the same time. It is systemic and causes a break down of the bony lining causing pain and deformation in the smaller joints of the body, like your hands for example.

Picture of Osteoarthritis(from www.medicinenet.com)

Several other types of arthritis include ankylosing spondylitis, psoriatic arthritis, gout, etc. These are much less common and can be managed either conservatively and/or surgically.

We would also like to wish a Happy Mother’s Day to all mothers out there. We are especially grateful for the mothers of our staff and patients and our staff and patients that are mothers. We are very, very thankful for all that you do!

Image may contain: possible text that says 'mother (n.) a selfless and loving person who willsacrifice anything for her children. Happy Mother's Day Witte PHYSICAL THERAPY'

Your Witte Physical Therapy team

#homegrown #backtolife





Uncle Arthur why are you always coming around?

May 5, 2020 – Of all the uncles that come and visit why does Uncle Arthur stay the longest? Have you ever asked yourself this question? Why does arthritis happen? Why does arthritis cause pain?

According to mayoclinic.org, arthritis is described as the swelling and tenderness of your joint. This is caused by the breakdown of the cartilage that surrounds the end of your bones. This cartilage helps protect your bones from abnormal friction and force which can increase abnormal bony formations causing your joints to become bone on bone. Of course this change in joint alignment can cause pain.

There are many types of arthritis and we will discuss those in next week’s blog. For the month of May we are going to explore the types of arthritis, what you can do to try to decrease your chance of arthritis, and how to manage your arthritis pain.

Comparing rheumatoid arthritis and osteoarthritis

Yesterday was an important date for many of our patients. May the Fourth has become a celebration of all things Star Wars. Today is the 5th of May, or Cinco de Mayo. We are want to wish a Happy May the Fourth and Cinco de Mayo to all of our patients!

Your Witte Physical Therapy team

#homegrown #backtolife



Are You Safe to be Outside?

March 10, 2020 – March is patient safety month so let’s take some time to explore many different aspects of safety. This week we are going to focus on how to be safe in your community environment.

Many of us, especially as we get wiser in our years, have issues or concerns as we go out for our daily tasks. These issues can include navigate curbs, going through a crowd, the length of the walk to and thru the store, driving in traffic, among other items.

How do we navigate through these obstacles? Is it ok to feel like we should be avoiding these things for our safety? These are great questions that we are going to answer.

First, navigating through these obstacles is very much attainable. Using a suitable assistive device can help us navigate curbs and work in a crowd. Staying close to objects for stability can also help. Getting a shopping cart to help us make the walk into and thru the store can make that trip not seem too long. Avoid busier traffic times may also help.

We should never feel like we need to stay in and avoid what we want to do in order to be safe. There are always ways to make these activities and others that make us feel unsafe a better situation for us. These include things that we can help you address in physical therapy. Call us at 402-234-3333 in Louisville and at 402-298-4747 in Plattsmouth.

Your Witte Physical Therapy team #homegrown #backtolife

How Safe is Your Home?

March 3, 2020 – March is patient safety month so let’s take some time to explore many different aspects of safety. This week we are going to focus on how to be safe in your home.

Image result for patient falls

First we must identify what safety hazards can be found in your home. These items are very commonly found in many of our houses and they are not often thought of as safety hazards.

  1. Rugs: The bumps and uneven surfaces can catch our feet
  2. Pets: These can become tripping hazards as they run around our feet or jump up on us
  3. Darkness: Poorly lit walkways, especially if we wake up at night, can cause issues with our balance and safety
  4. Cords: Any exposed cords can be tripped on
  5. Stairs: Any stairs that are too steep or too narrow can be difficult to navigate
  6. Low Stools or Chairs: Toilet seats, kitchen chairs, or bar stools can be difficult to sit down on with control and to stand up from with good balance and strength

Making simple changes to these items or eliminating those items that we can (of course we wouldn’t eliminate our pets) can be a big step forward in preventing a fall and causing further medical issues such as a hospitalization or a stay in a nursing home.

If you are worried about these issues or falling in general please call us in Louisville at 402-234-3333 or in Plattsmouth at 402-298-4747.

Your Witte Physical Therapy team #homegrown #backtolife

What is Vital about your Vital Signs?

February 25, 2020 – When we all visit our physician, we also get our vital signs taken. They like to see what our pulse, blood pressure, and oxygen levels are. What is considered a healthy range for these numbers?

Body Temperature

  1. Normal range is 97.8 to 99 degrees
  2. If measured under the arm the amount is usually about 0.5 degrees lower than by your mouth
  3. Can be measured on your forehead or ear with the correct thermometer

Pulse Rate

  1. Normal range is 60-100 beats per minute for most adults
  2. Healthy and active adults can have pulse rates below 60 beats per minute and still be healthy and without any problems
  3. Pulse can be taken with monitors or by using your index and middle finger and finding your pulse on the palm side of your wrist just below your thumb and wrist crease

Respiration Rate

  1. Normal range is 12-16 breaths per minute for most adults

Blood Pressure

  1. Normal is usually between 100 and 120 mmHg on the top number and 60 to 80 mmHg on the bottom number
  2. The top number measures the pressure of the blood in the artery when the heart is pumping, and the bottom number measures the pressure of the blood when the heart is filling

Understanding these simple numbers can help you screen yourself at home for any early signs of potential problems. A thermometer and a simple electronic blood pressure cuff can be purchased inexpensively and can be great life saving tools for you to keep around your house. If you ever have any questions or concerns about what you are measuring, you can contact us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth for guidance.

Your Witte Physical Therapy Team #homegrown #backtolife

How to Feed your Hungry Heart!

February 18, 2020 – How does that cheeseburger and side salad affect your heart health? Can you have that fruit smoothie and not have to worry about your heart? We probably don’t think too often about our diet and how it affects our heart health, but since February is Heart Month it is important to understand how hard we can work our heart physically and through the food we eat.

Foods that we should eat include:

  1. Cooking in extra virgin olive oil and not other vegetable oil
  2. Eating more berries for our fruit intake
  3. Making sure we are eating enough nuts per day, but not too many
  4. Green leafy vegetables are the best vegetables
  5. More plant-based proteins than animal based protein

Image result for images of heart healthy foods

Foods that we should limit or avoid include

  1. High dose antioxidant supplements
  2. Juicing of fruit or vegetables with pulp removal
  3. Foods containing gluten
  4. Eggs
  5. Southern diets (fried foods and processed meats)

Planning out what you are going to eat ahead of time will make following these changes easier. We can try to exercise our heart better (see previous blog posts), but if we don’t eat right then we are only going to see partial results. This works in the opposite way as well, eating right and sitting on the couch won’t get us the results we want. Our heart health is very important to a long a health life.

For further guidelines or questions please contact us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth.

Your Witte Physical Therapy team #homegrown #backtolife


January 21, 2020 – We have all had headaches at some point in our life. These headaches can be very hit and miss, related to a cold, or even worse be a migraine. Migraines can be the most frustrating types of headaches as they tend to be more consistent and stronger and tend to not respond to basic over the counter treatments.

Image result for headache pictures

Migraines can cause us to see different objects, lose sight temporarily in an eye, feel like we are having a stroke, feeling like we are having a burning sensation around our eyes, or be caused by an issue with our neck. Physical therapy can help with some of these issues, but the most common headache problem we treat are those that are caused by a neck issue.

As we have discussed in our last two blogs, posture is very important. If we have inadequate posture it can put extra strain on our cervical spine, causing our cervical paraspinals and upper trap muscles to become tight, and increase tension through our TMJ that can cause headaches in our temples or ones that radiate from the back of our head.

Physical therapy can help treat the above symptoms with a variety of manual therapy techniques, exercises, and modalities to decrease muscle tone, improve segmental mobility, improve ROM, and work on postural strength and awareness. For more information call us at 402-234-3333 in Louisville or 402-298-4747 in Plattsmouth.

Your team at Witte Physical Therapy #homegrown #backtolife

Happy New Year!

Happy New Year’s Eve! We have survived 2019! For everyone I am sure there has been ups and downs this year, but this day and New Year’s Day provides us an opportunity to wipe the slate clean and set goals for 2020.

As we all start to think about our resolutions for 2020 we need to think about a few things. First, we need to write down these goals and post them somewhere that we will see them daily. Second, we need to cover a variety of topics that are important to us. This could be financial, spiritual, health related, etc. Finally, we need to understand that these lifestyle changes take time and we need help. Reach out to resources in the community that can help you reach your goals and remember it takes several weeks of sticking with these changes to make them part of our normal routine.

Your insurance benefits are also likely starting over. If you have questions about what your benefits are for 2020 please reach out and ask questions. We can check your deductible amounts, co-insurance and copay benefits, and how many visits of physical therapy you have for 2020.

Happy New Years from Witte Physical Therapy

#homegrown #backtolife