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Farnsworth Orthopedic Physical Therapy

Orthopedic Physical Therapy

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Julie

Home is Where the Recovery Is

November 19, 2019 by Julie

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

Filed Under: home exercise, Uncategorized Tagged With: foot pain, hip pain, home exercises, sciatic pain

Piriformis Syndrome

November 11, 2019 by Julie

The Piriformis muscle is located in the buttocks area, underneath the gluteus maximus. It’s one of the muscles that helps rotate the thigh bone outward, like you do when you cross your ankle over your knee. The muscle runs from the tail bone and attaches at the hip bone.The sciatic nerve is a major nerve that begins in the low-back area and travels down the back of the thigh and continues down, branching off in the lower leg and foot. The sciatic nerve usually runs directly through the Piriformis muscle, although it may lie above or under the Piriformis.

The cause of Piriformis Syndrome is not entirely clear and may be a result of several different things. It is often associated with sacroiliac (SI) problems. Trauma, such as falling on the buttocks may incite the symptoms. Extended sitting can be a factor, as in the case of professional drivers or office workers. Other problems, such as hip bursitis, back strains, or gluteal tendonitis may bring on the condition.

Symptoms include pain and tenderness in the buttocks area. The problem may be on one or both sides. Sitting is often uncomfortable. Walking, running, and climbing or descending stairs is often painful. In some cases radiating pain may shoot down the back of the thigh and into the lower leg because of irritation to the sciatic nerve.

There are many treatment options for Piriformis Syndrome. Moist heat can help relieve and control pain. Ultrasound may be beneficial since it is a method of deep heating. Certain therapeutic exercises may greatly help to recondition the muscle. There are several stretches for the muscle that can help relieve the tightness. Avoidance of irritating factors is crucial. Manual techniques such as soft tissue mobilization are often helpful. In severe cases, anti-inflammatory injections may be needed.

With proper treatment and follow through, this condition can be resolved. In some cases it will resolve quickly, while in others it may be a lengthy rehabilitation. For more information consult your physical therapist.

Post written by Travis Rohner, DPT

Filed Under: desk job, pain, piriformis syndrome, sciatica, treatment Tagged With: back pain, leg pain, piriformis, sciatica

Get Your Body Moving… Correctly

November 6, 2019 by Julie

Using proper body mechanics can prevent back injury, help speed up recovery if you are already injured, and prevent further injury after your back has healed. Here are some suggestions that you may use with daily activities.

When getting out of a car, first open the door completely, then swing your legs out to the side and pivot on the buttocks so your entire body moves as a unit. Do not twist your low back. Place one hand on the seat and the other hand on the car frame. Scoot forward and place feet under the hips, lean forward, and push with one hand while pulling with the other hand, and use the leg muscles to come up to a standing position. To sit down, reverse the procedure.

When retrieving things from a low shelf, instead of bending over and twisting, it is better to kneel down or squat in front of the shelf, pick up the objects holding them close to the body, and then stand up using the strong leg muscles and keeping the back straight.

Activities such as brushing your teeth, ironing, washing dishes, or folding laundry require standing for extended periods of time. To avoid fatigue, try to break these duties up into smaller time periods. When standing, place one foot on a step or ledge. Do not bend at the waist; instead bend at the knees and keep back straight. To provide support, use one hand to brace yourself. Always try to do the activity at a comfortable height.

While doing activities like washing windows, painting, changing light bulbs, or hanging pictures, ALWAYS USE A STABLE STEP STOOL. This will help ensure that these activities are at a better level rather than being above your head. Another alternative is to use a long-handled tool to reach the overhead area.

When performing duties such as vacuuming, sweeping, shoveling, or raking, do the following: stay close to the work area; use the arm and leg muscles while keeping the back straight; avoid twisting movements; and use body weight to help with the job.

Filed Under: back Tagged With: back pain, bending, body mechanics, lifting

Cup, Cup, and Away!

October 28, 2019 by Julie

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

Filed Under: pain, treatment, Uncategorized Tagged With: cupping, injury, treatment

But I Don’t Even Play Tennis…

October 21, 2019 by Julie

Aches and pains are a common problem in life, regardless of our activity level. In fact, most of us can point out something that is bothering us right this very second. Pain caused by repetitive stress is more common than that caused by a traumatic injury. Repetitive stress can occur in a lot of places on the body. Because we use our hands a lot during the day, especially in our work lives, it can cause discomfort in the elbow. Whether you have a desk job in an office, or if you’re an electrician, or a hair stylist. Our hands are very important and are essential to completing every day tasks.

Most of the muscles in our wrist, fingers, and forearm originate on the lateral aspect of our elbow. The everyday trials of life can often cause overuse of these muscles, causing us to feel pain. This is called Lateral Epicondylitis, but the more common term is “Tennis Elbow”. Tendons are at the ends of our muscles, attaching them to the bone. Despite the name, you don’t have to be a tennis player to have this problem. Anybody who uses their arms, especially their dominant arm, can be at risk. This condition usually causes pain when you grip or carry items, or rotate your wrist and forearm. Because this is typically an overuse injury, these muscles can weaken, which causes pain and makes it difficult to perform everyday tasks.

That feeling when you realize your elbow pain isn’t going to get better on its own.

 One of the problems with this type of injury is that people tend to just grin and bear it until they can’t stand it anymore. Rather than seeking treatment, they reduce the pain with Advil. This is not a bad idea, but there are many additional ways to address the issue. Modalities like ice are good to reduce pain due to the anti-inflammatory properties they provide. Braces called Chopat Straps help to reduce daily pain with activity. Correct application of stretching is extremely helpful. To improve strength in the elbow, exercises can be performed. Posture and correct form are also very important. Another thing that can be extremely helpful is a treatment called ASTYM. This treatment is performed by a skilled physical therapist to help heal and remodel the soft tissue.

Regardless of what the underlying specific causes are, I recommend talking to a physical therapist. They can evaluate your symptoms and help you address them by setting up a plan of care that is specific to your injury. If you would like additional information, we would love to assist you and get you feeling better!

Post written by: Rod Walker, DPT

Filed Under: desk job, lateral epicondylitis, pain, treatment Tagged With: astym, elbow pain, hand pain, tennis elbow

Ice, Ice, Baby

October 14, 2019 by Julie

Unlike the characters in The Year Without a Santa Claus, heat and ice can work together to help you heal quicker.

Heating and Icing are important tools in your recovery.  They can reduce pain and inflammation and help your body to heal.  Icing and heating are mild, drug-free treatments that will likely be a part of your treatment.  Applying ice helps to calm down damaged tissues, lower your pain level, and reduce swelling.  Using heat relaxes muscles, reduces stress, and relieves stiffness.

Though heat and ice are a part of the treatment you receive in the office, they are also tools you can use at home. Injuries typically hurt most in the morning when your body is stiff. Because of this, we recommend heating the injury right when you wake up. If you don’t have a heating pad at home, don’t worry! You can heat the affected area by taking a warm shower. It is important to ice your injury whenever you have pain or swelling. These are typically symptoms that occur at the end of the day. Try icing your injury for ten minutes after dinner while you watch your favorite tv show. If you don’t have an ice pack, you can fill a plastic bag with ice cubes.

Sometimes it is tempting to leave the heat or ice on for extended periods of time. Be careful of this, as too much can sometimes be a bad thing. We recommend using heat and ice for ten minutes at a time. If needed, you may do this once every hour.  It is important to remember to put a buffer between your skin and the ice pack. Try wrapping the ice pack in a pillowcase, t-shirt, or towel to avoid an ice burn. Likewise, if using a heating pad, there should also be some material between the pad and your skin to avoid burning.

Do you know when to ice your injury and when to use heat? Should you use both?  Generally, ice is used to treat injuries, especially a recent injury, while heat is used for chronic pain and tension, but there are exceptions!  Your therapist will evaluate your injury or ailment to discern whether you need icing, heating, or a combination of both.

Post written by: Tom Farnsworth, PT

Filed Under: pain, treatment Tagged With: heat, ice, injury, treatment

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50 years of experience has brought us a lot of patients, with a wide variety of problems. We have experience diagnosing and treating all types of injuries, but here are some of the most common:

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Mesa, Gilbert, Chandler, Phoenix, Queen Creek, Apache Junction, Tempe, Globe, Gold Canyon

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730 N. Greenfield Rd.
Gilbert, AZ 85234

Phone: (480) 633-0666

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342 N Val Vista Dr. Suite 106
Mesa, AZ 85213

Phone: (480) 325-3310

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