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Labrum Issues

December 7, 2020 by Gabby Leave a Comment

The Labrum

The labrum is a cup-like structure in the shoulder that reinforces the socket portion of the ball-and-socket joint. The joint in the shoulder is rather shallow. This causes it to rely on the labrum as well as the surrounding rotator cuff muscles. It is composed of fibrocartilage which doesn’t easily regenerate on its own.. Damage to the labrum occurs from repetitive stress to the area. An injury to the bicep which attaches to this part of the shoulder, as well as dislocations to the shoulder joint can cause damage as well.

Tears

A labral tear is most commonly seen in overhead athletes. These are athletes such as volleyball or baseball players, or to those who have repetitive dislocations of the shoulder. A SLAP tear happens when you tear the upper part of your labrum from forward to back. This high energy, quick movement can cause this to happen as it puts unwarranted stress on your bicep and labrum. A Bankart tear happens when there are recurrent dislocations of the shoulder joint. This can tear the lower portion of your labrum. This causes shoulder instability over time, which causes the shoulder to dislocate multiple times.

Symptoms

Symptoms of a labral issue include shoulder instability and weakness. You may also experience pain in the shoulder joint. Other symptoms can include grinding, clicking, or catching when you move your shoulder. Depending on the severity of the injury, you may need surgery to help correct it. As mentioned before, there is little to no regeneration of this part on its own. However, physical therapy and cortisone injections will help restore the mobility and strength. If physical therapy fails or if the initial injury is severe enough, surgery may be warranted to correct the torn labrum. This surgery can include arthroscopic cleaning of the joint, removing the torn areas, and/or relocating the bicep to prevent further stress to the area. The surgeon will determine that based on the patient situation and injury severity.

Treatment

Physical therapy is an integral part of rehabilitation of a labrum injury. This is true whether surgery is needed or not. If you have had a sports related injury, multiple shoulder dislocations or any of the symptoms above, please do not hesitate to contact our office for further evaluation.

Written by: Casey Badder PT

If You’re Snappy and You Know It

May 31, 2020 by Gabby Leave a Comment

Snapping Hip Syndrome

This syndrome gets its name from the snapping sound made in the hips from those who suffer from it. It also gets called Dancer’s hip, since it’s a common issue experienced by dancers and certain athletes. It is usually caused by the tendons of the iliotibial band and gluteus maximus snapping over the greater trochanter of the femur. But unless you’ve been taking some serious anatomy classes, that likely means nothing to you. Basically, things get too tight in your hips and some parts slide over other parts making a snapping sound.

(The bend and snap move can be a cause of snapping hip syndrome)

Whose Hips are Snapping?

Snapping hip affects approximately 5% to 10% of the population. The majority of patients experiencing painless snapping. It is slightly more common in women than in men. People typically affected include those who do repetitive extreme hip motions, including ballet dancers, weight lifters, soccer players, and runners. It can be painless sometimes, other times there can be pain involved. Either way it’s a troubling experience. But if you are experiencing a snapping hip, there is hope!

Treatment

Snapping Hip is something we can treat in our offices. One major part of solving your snapping hip woes will be stretching. Here are a couple of stretches you can do on your own.

First, the ITB stretch:

Stand next to a wall for support
Cross the leg closest to the wall behind your other leg
Move your hip toward the wall – you should feel a stretch at the outside of your hip. Hold for 30 seconds.
Repeat on the other side.

Next, the Piriformis stretch:

Lie on your back and cross the foot of the affected hip over the opposite knee.
Clasp your hands behind your thigh.
Pull your thigh toward you until you feel the stretch in your hip and buttocks. Hold for 30 seconds.
Repeat on the opposite side.

If you’ve got a hip that won’t stop snapping, come see us in one of our offices. We can stretch you out and set up with a plan of care that will stop the snap.

Written by Travis Rohner, PT

Oh, Cramp!

February 10, 2020 by Gabby Leave a Comment

Cramps

One topic which has come up a lot with my patients lately is the issue of muscle cramps. You probably have experienced cramps yourself. You are sleeping peacefully and all of the sudden there is an extreme pain in your leg, or your back. Suddenly, you have a spasm where it becomes difficult for you to move. This can be very irritating and painful and it may take a little while for you to return to normal. Why does this happen?

I myself experienced some bad cramping after a particularly difficult workout while I was swimming. I had pushed off the wall doing several laps and that night I woke up in agony. This can occur when there has been an overuse of your muscles. My body was not used to this repeated activity. In a measure to protect itself, my body decided to contract the muscles I had overused. To put it simply, I had cramps.

What is the cause?

There can be other reasons you might develop cramps as well.

Poor Blood Supply: Cramps can occur due to inadequate blood supply. Narrowing of your arteries can cause cramp like symptoms in your legs or feet. This usually happens when you are in motion and generally stops once you stop exercising.

Neurogenic claudication: This is a condition which has similar symptoms as those listed above, however it is due to issues in the neurological system. Stenosis, or a narrowing of the opening where your nerves exit the spinal cord, can cause pain in your legs while you are moving and exercising. This can also mimic sciatica or radiate pain down your legs. In any case, it is very painful.

Dehydration: Dehydration can lead to a poor balance of potassium, calcium or magnesium in your system which can also cause cramps. Some medications can deplete these minerals.

Those who are most affected by this are people with certain medical conditions such as high blood pressure, the elderly (who are prone to dehydration), athletes who do not properly hydrate during activity, or those who live in a hot climate. Pregnancy is also known to lead to uncomfortable cramps.

How Can I Stop the Cramps?

What can be done to avoid and overcome these things? Well, the most important thing is to keep yourself hydrated. Drinking plenty of liquids is essential to your health. What is the right amount? Well, that depends on your age, activity level, medical condition or the weather where you live. It is best to speak with your health care provider in order to come up with the answer. Another thing you can do is stretch your muscles which are the most prone to cramping. Your calves and your hamstrings are major offenders when it comes to cramps. There are several stretches for your calves which are good but I have one favorite. It looks like this:

Roll up a towel and step on it, keeping it on the front 1/3 of your foot. Hold this stretch for about 30-35 seconds and do it about 3 times. This supports the plantar fascia and stretches your calves very safely. Do this after activity, or before bed if you often get cramps at night.

Always seek medical attention if your symptoms are extremely severe, or if the pain is associated with swelling, extreme tenderness, or skin changes. Also, if you have weakness that you cannot explain. If you have any questions, please see your doctor or another health care practitioner. We are happy to answer any additional questions you may have.

Post written by Rod Walker, PT

TMJ: A Real Mouthful

February 4, 2020 by Gabby Leave a Comment

TMJ

The temporomandibular joint (See why it’s abbreviated?), also known as the TMJ, is the joint that connects your jaw to your skull. The mandible attaches to the temporal bone which is part of the skull. The joint is located just in front of your ear and is surrounded by muscle, bones, blood vessels and nerves. Problems in this area can often lead to neck pain and headaches, ear and face pain, or your jaw locking or snapping while you chew. This is known as temporomandibular dysfunction (TMD). Studies are unclear as to why, but the research shows that more females have TMD than males. Go figure.

Causes

The most common causes of TMD include trauma and osteoarthritis. Grinding your teeth is the most common type of trauma. This can result in inflammation of the joint and spasms of the surrounding muscles which help you chew. This occurs most often at night while you sleep and can be difficult to control. This inflammation of the joint can also happen with clenching habits such as chewing gum or fingernails, usually stress habits. Degeneration of the joint can also occur, as it can with other joints in the body such as the knee and hip.

A final cause of TMD includes rheumatoid arthritis which can again cause inflammation in the joint and deterioration of the cartilage in the area. As mentioned previously, symptoms may include your ear ringing, headaches, neck pain, dizziness, facial pain and difficulty opening the mouth completely. Another common symptom is lock jaw, when the jaw either cannot open all the way or when the jaw is stuck in an open position. Not a very fun symptom.

Treatment

So how do we treat TMD? The treatment for this disorder is multifaceted. It involves the physical therapist, primary physician and dentist, all of which play an integral role. Your doctor can prescribe anti-inflammatories to help control the inflammation in the localized area. Your dentist may recommend a night splint or mouth guard created to help stop you from grinding your teeth at night. Finally, a physical therapist assists with soft tissue work both inside the mouth and outside the jaw in order to prevent and decrease spasms of the muscles for chewing. Joint mobility to the mandible will also help with improved biomechanics and smooth motion of your TMJ.

If you have significant TMJ pain, it’s important to take steps to alleviate it before it gets worse. Don’t hesitate to come in and let us help you start a plan to become pain free.

Post written by: Casey Badder, PT

Home is Where the Recovery Is

November 19, 2019 by Gabby Leave a Comment

Part of your physical therapy treatment will be what we refer to as manual therapy, which is when your soft tissues are massaged and stretched directly. By hand, or with the aid of rollers or specialized tools, your licensed therapist will perform these treatments as a part of your visit. Along with office treatments, there are also some manual techniques you can do at home. These simple techniques can provide pain relief and speed up your recovery. Patients who see the most successful results from their physical therapy are those who diligently follow their home exercise program. Having said that, here are three techniques you can do at home all on your own to get relief.

This first technique focuses on the glutes and makes use of none other than a tennis ball. Patients with tight glute muscles, sciatica, or piriformis syndrome can benefit greatly from this exercise. First, get a tennis ball and place it on the floor. Remember when you used to do a crab walk when you were in fourth grade? You’ll need to hoist yourself into this “crab” position with the ball beneath you. Lower yourself down on to the ball to apply medium pressure as you allow the ball to roll over the entire glute area on one side. This may look a little silly, but it can provide some serious relief!

For the second technique you’ll need a foam roller. If you don’t happen to have one of these already laying around the house, they are available to buy online or can be found at retailers like Target. Using a foam roller like this will help to alleviate hip pain and loosen up the IT band. Placing the foam roller on the floor, sit down on the roller and extend one hand behind you. Your other hand will rest on your thigh. Position the outside of your hip on the roller. Extend your legs out, placing one foot slightly in front of you, planted on the floor. Begin rolling your body back and forth over the foam roller.

The last exercise utilizes something that is likely in your kitchen, a rolling pin. This technique can actually help relieve pain from plantar fasciitis and loosen the calf muscles. While sitting on the floor with both legs in front of you, bend the knee of one leg and plant that foot down on the floor creating a space for your rolling pin. Use the rolling pin to apply pressure rolling up and down your calf muscle. This technique feels great and can actually provide a lot of relief for pain in your foot! Additionally, the rolling pin can also be used on the arch of your foot to relieve pain associated with plantar fasciitis. To do this, simply place the rolling pin on the floor, put your foot on the pin and roll it back and forth.

Post written by: Tom Farnsworth, PT

Cup, Cup, and Away!

October 28, 2019 by Gabby Leave a Comment

Back in the summer of 2016, Michael Phelps was ending his decorated career as an Olympic swimmer. He won more gold medals at the Rio de Janeiro Olympics than 66 other countries participating that year. Despite his amazing accomplishment, all people wanted to talk about were the purple dots on his back. Did he have a fancy new tattoo? Or perhaps leprosy? Maybe he got in an argument with a vacuum cleaner? As it turned out, the purple dots on Michael’s skin were the result of an ancient Chinese healing practice called cupping.

Known in the medical field as myofascial decompression, cupping actually began as early as 400 BC in Greece. The Chinese made the technique more common, using cupping to treat internal disease, structural issues, and certain illnesses. They heated up glass cups with a flame and placed them over the body, causing fluid to rise toward the surface of the skin.

While some therapists still use fire, nowadays it is more common to use an air pump device to create suction. This device uses suction to pull the skin up, causing the decompression effect. After just a few minutes, the capillaries beneath the surface begin to rupture, potentially creating a circular bruise. Sort of like a medically induced hickey, for lack of a better term. Reduced soreness and a quicker healing process are just two of the benefits of this process. Because of this, all varieties and ages can benefit from cupping, including athletes, geriatrics, and everyone in between. Please call our office with any questions you may have about cupping and we will be happy to assist you,

Post written by: Casey Badder, DPT

Uncategorized

Labrum Issues

The Labrum

Tears

Symptoms

Treatment