The physical therapy goals in the conservative management of scoliosis include halting curve progression and preventing surgery, addressing spinal pain syndromes, managing respiratory dysfunction, improving aesthetics and body image. In addition to Schroth physical therapists employ an array of manual techniques including joint mobilization, myofascial release, soft tissue mobilization, crainosacral therapy, visceral mobilization and neuromuscular stretching techniques.
Even with ligamentous and muscular support in place, the hip is a common area that is susceptible to pain and irritation. While there is no singular explanation for hip pain aside from direct trauma, we can point to a myriad of different causes associated with pain, such as faulty movement patterns, imbalances within the body due to underlying muscle weaknesses, or abnormal joint motion within the hip or neighboring areas of the body, such as the low back.
Given what we now know of the role of the pelvic floor muscle network, it would make sense that dysfunction could vary widely in presentation and that the avenues for treatment equally as numerous. Direct dysfunction of these muscles can contribute to loss of bowel/bladder control, constipation, urinary and bowel urgency/frequency, pelvic pain, diminished sexual appreciation or pain with intercourse, pelvic organ prolapse, and lumbo-pelvic-hip control issues.
Habitual postures can also lead to muscle imbalances. A person may be sitting at their desk all day slouching forwards, which can lead to tight hip flexors and lengthened/weak glute muscles. Tight hip flexors can lead to a lack of hip extension range of motion, thus driving an issue at the back. Because the body likes to find ways around restrictions, this person might compensate with excessive mobility at the low back joints to make up for that lack of hip mobility. Over time, changes in these tissues structures can ultimately become a source of pain.
There are numerous Parkinson’s research groups that are dedicated to improving the lives of individuals with PD. Regardless of which Parkinson’s research group that you follow, be it the LSVT BIG group, the POWER group, etc., much of the research on Parkinson’s Disease points to the same conclusion: a target-specific exercise program may be essential in delaying the progression and deterioration of function that may develop with PD. Early intervention is one of the key components to promoting a long and healthy lifestyle.
The genesis for this blog occurred after I attended a birthing preparation course taught by Ashley Brichter at Birth Smarter. This organization has virtual and in person childbirth education classes for expectant parents and professionals. Despite being 5 years removed from having children myself, I found the educational review helpful for my professional practice. It reminded me that understanding the anatomy of a vaginal childbirth can gift the expectant parent with tools to improve the birthing experience.
You may have never heard of Myofascial Decompression (MFD), but you have probably seen it. You might recall seeing Olympic Gold Medalist Michael Phelps with bruises in perfect circles around his back and shoulders during the 2016 Olympic Games in Rio De Janeiro. Even though the art of cupping has been traced as far back as ancient Egypt, it was popularized in athletics after Michael Phelps displayed it on the world’s stage (similar to Olympic Gold medalist in Volleyball, Kerry Walsh and Kinesiotape). Oftentimes, people do not understand the difference between “Cupping” and “Myofascial Decompression” so let’s dive deeper. Cupping Myofascial Decompression Who does it? Traditionally performed by acupuncturists Traditionally performed by physical therapists and other rehab professionals Goal of Treatment Targets stagnation of blood and Qi Targets connective tissue, trigger points, fascial adhesions, mechanoreceptors, and tight muscles Background Traditional Chinese Medicine : meridians, balance between Yin and Yang, Flow of Energy (Qi) Anatomy, Physiology, Biokinesiology Tools Used Small glass cups with a flame Small plastic cups with a suction pump Treatment Usually passive in nature: patient lays on the table for a period of time with the cups on Active treatment: the patient is performing neuromuscular reeducation exercises, […]
Personalized Blood Flow Restriction (BFR) Rehabilitation is a type of Physical Therapy treatment that integrates the use of a personalized tourniquet system to restrict blood flow to an injured limb during active recovery training. Often, after an injury or surgery, a patient does not have the ability to lift heavy weights/loads thereby slowing down their overall recovery. Studies find BFR rehabilitation allows the patient to begin strength training using lesser weights/loads that won’t stress their joints or soft tissues, while still being able to gain the muscle strength, hypertrophy and endurance comparable to that of a heavy load lifting program. (Slysz et al 2015) While initially used in the treatment and recovery of service members who were wounded in Iraq and Afghanistan, it is now being used with the training and rehabilitation of elite athletes and in orthopedic clinical settings. Clinical trials have shown advancement in the rehabilitation of total knee replacements, wrist fractures, tendinopathies, cartilage injuries and chronic weakness after surgery. This technique is particularly successful in assisting injured and/or post-surgical patients who are struggling with muscle mass loss and weakness. When a limb is injured, it cannot tolerate the heavy lifting necessary to prevent and reverse the loss […]
The CNN segment that we filmed at Thrive a few months back is now online. Have a watch as practice owner Tamar Amitay, PT, MS and physical therapist Amy McGorry, PT, DPT, MTC, talk about and demonstrate manual therapy techniques on a patient. Here at Thrive Integrated Physical Therapy, PC, our physical therapists identify the faulty mechanics and movement patterns that contribute to and drive one’s pain. We’ve found that manual therapy coupled with an appropriate therapeutic exercise program really makes a difference. At Thrive we look for the root cause as well as underlying movement dysfunctions to base our interventions. We are dedicated to getting our patients back quickly in the game of life!
When practiced together, Pilates and physical therapy can truly be the cornerstone of an overall recovery and health plan. With a shared focus on eliminating pain and restoring function through personal attention, the two modalities are not just complimentary but collaborative. When both practitioners are working in collaboration they can more effectively re-educate patients away from movement compensations that may cause a return of pain and dysfunction. We have found at Thrive PT and Mongoose Bodyworks Pilates that an open dialogue between PT and Pilates instructor has guaranteed the success of our patients and clients.