Adhesive capsulitis, or as it is more commonly referred to, frozen shoulder, is a severe and long-term problem. It affects 3-5% of the general population, women slightly more than men, typically between 40-60 years old, and is 4x more likely in people with diabetes. The cause of primary adhesive capsulitis is unknown, but secondary adhesive capsulitis occurs when there is already known primary injury to the shoulder. However, the recovery process can be faster with physical therapy, and you can return to your previous full function. There are three phases of frozen shoulder: freezing, frozen, and thawing.
Imagine a scene that may be familiar to you: You are moving through your day when suddenly, a migraine hits. You may have to call into school or work. You may become nauseous or dizzy. You feel pain in your head and neck. You may even only be able to feel better if you lay down in a dark, soundless room alone and wait for the migraine to pass or your medication to begin working. Migraines are a debilitating condition with over 3 million US cases each year and become very common from age 6 to above 60. But did you know there are more options for you than just medications and lifestyle changes? Physical Therapy is a worthy option to assist in the treatment and may even help you get better faster.
Athletico is committed to promoting clinical excellence and inspiring professional growth. As an opportunity for specialized post-professional training, we partner with the Institute of Manipulative Physiotherapy & Clinical Training (IMPACT) to deliver the advanced certification of Certified Manual Physical Therapist (CMPT). This certification advances clinical competency in manual physical therapy, and enhances clinical decision-making and differential diagnosis to improve patient outcomes and satisfaction. Our clinicians are in dedicated cohorts of 15-20 clinicians in a structured program consisting of a didactic, lab, and online curriculum over 12-24 months. The achievement of CMPT is awarded in the successful passing of rigorous oral and practical proficiency testing. By earning this certification, these Athletico physical therapists join the elite ranks of less than two percent of therapists in the United States.
One of the most common questions physical therapists receive is if “pops” and “cracks” are good or bad for your joints.
First of all, we need to understand what causes the popping and cracking in our joints.
Physical therapists are trained to be able to safely and intentionally create a pop or a crack through what we call manipulations. Manipulations are maneuvers that involve a high velocity and low amplitude thrust (HVLAT) force to a joint. This can be applied to different body parts including most commonly the neck and back areas. Some people are able to self-manipulate and get a pop on their own, such as cracking their neck or knuckles. The pop that we hear with a manipulation is the release of intra-articular gasses due to a quick release of pressure within the joint.1 It is also important to note that there is no evidence that pops and cracks in the joints result in early arthritis or any future problems.2
At a recent patient evaluation, I read a prescription that stated the patient needed physical therapy for his “pubic floor.” I asked the patient if he meant pelvic floor and he confirmed that was what his wife had told him. This basically sums up how we as men view our pelvic floor, we are not cognizant it exists.
Pain, numbness, and tingling down the leg is both something I treat daily and something I myself have experienced. Feeling concerned that these symptoms are here to stay and there is little you can do about these symptoms is common. Fortunately, physical therapy can be very effective in treating these symptoms most of the time. I am pain free and many of you suffering with sciatica-type symptoms can be too. (more…)
As a physical therapist I often hear people make the statement “My knee hurts today, but it always does; I have arthritis” or “Physical therapy can’t help me because my pain is from arthritis.” Once a joint is showing arthritic changes or degeneration, it’s true that degeneration will not reverse. However, research is showing more and more how physical therapy can often make changes in the pain you experience from a joint that is diagnosed with arthritis. Isn’t that great news?! (more…)