Farnsworth Orthopedic Physical Therapy

Orthopedic Physical Therapy

pain

Bunions Are Not Like Onion Bagels

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What is a bunion anyway?

What comes to mind when you hear the word bunion? Bunions always make me think of onion bagels for some reason. Many people think that bunions are callous-like spots that form on the bottoms of your feet, but this is not the case. They’re actually a bony projection that develops on the joint at the base of your big toe. Bunions are a very common ailment. There are more than 3 million cases per year in the US alone. Bunions are more common in females, and can last several months or years.

(Those are not bunions)

Symptoms

Common symptoms may include an outward bulge or bump at the base of the big toe, and corns or calluses on your toes. Swelling and redness on the skin around the big toe joint, and pain near the swollen area are also common problems that occur where bunions are present. This problem may result in limited mobility in the big toe, and general foot pain.

Diagnosis

Bunions must be properly diagnosed by a physician. Typically, an x-ray of the foot is taken to identify the cause and severity of a bunion. In some cases, blood work may also be ordered to see if there is also arthritis present. The exact cause is unknown. However, several factors can contribute to this unpleasant ailment, including pressing of your big toe against your second toe. They can also be caused by wearing narrow or tight shoes, arthritis, and stress or injury to the foot.

Treatment

In severe cases, a surgery called a bunionectomy or osteotomy may be performed. Treatment other than surgery may include anti-inflammatory medications, a change in footwear, and adding padded footwear to your shoes.You can also ice the area which reduces pain, soreness, and inflammation. If you need surgery, it’s likely that you will benefit from having physical therapy after your operation to help heal and strengthen your foot. We’ll have you feeling like you’ve got brand new feet in no time.
Written by Tom Farnsworth PT

Shin Splints

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A Familiar Pain

This recent pandemic has led a lot of people to re-evaluate their health.  One thing that a lot of people have turned to over the past year in order to improve health is to begin exercising more. In some, this has led to some injuries. This may be a pain along the front of their lower leg. Most of us know what this means. Shin splints is a very well-known term that indicates some sort of damage to our lower leg. This pain is due to an overworking of the musculature on the anterior portion of the lower leg. Another possibility is too much stress on the tibia, otherwise known as the “shin bone.” Those most at risk are the following:

  • Those new to or recently trying high impact activities, such as running.
  • People performing activity over uneven or abnormally hard terrain.
  • Those with old, worn out, or ill-fitting shoes.
  • Those with low or abnormally high arches.
  • Those who use poor form in certain activities.
  • People with weakness in the ankles, hips or core.

This overwork can lead to problems in the musculature, or can even cause stress fractures of the tibia.

The good news is shin splints may go away on their own if you take time off from the irritating activity and let the problem calm down. The problem comes from when you start the activity again, you may suffer from the same pain.

What can be done?

Many times, the problem can be addressed by simply icing your shins and resting. If you are unable to independently manage the pain in your leg, seek assistance from you physician or physical therapist. A physical therapist is uniquely qualified to address any and all contributing factors. One extremely important factor is footwear. Shoes that fit your specific foot are extremely important. Whether you have high, or low arches, or a normal arch, there is a specific shoe which is correct for your foot. If you have incorrect shoes, this can cause problems. A physical therapist or a local shoe store such as Road Runner or the Arizona Walk Shop can evaluate your gait and make recommendations which shoe is correct for you. This is extremely important.

What can a PT do?

Physical therapists specialize in evaluating and treating all injuries and abnormalities of the musculoskeletal system. A therapist can evaluate your gait, test your strength, and find all problematic aspects which may be causing you issues. If you have questions, make sure to make an appointment to get you back on the road to recovery.

 

Written by Rod Walker PT

Hamstrings

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Why are hamstrings important?

The hamstring muscles are a group of three muscles that sit in the back side of your upper leg, or thigh. These muscles often have limitations, either in mobility or strength. This can alter normal biomechanics during your regular daily activity or sports related activity. Some common hamstring injuries include a tear or strain of the muscle or tendon. Your hamstring muscles are also essential in low back health as you age. They are muscles that will constantly need work. They also assist in extension of your hip as well as flexion of the knee.

Issues

The attachment point of the hamstring muscles is the ischial tuberosity, which is part of your pelvis.  Tension is quite common in your hamstrings. This leads to a pulling in your pelvis. This will case a pelvic tilt and consequently, a flat back posture, which affects the normal curvature of your spine. We find this most commonly in the elderly. This can lead to weakness of the lumbar spine when your muscles are not able to contract properly and can lead to further back injuries. Stretching will improve the mobility of your hamstring muscles.  This also decreases the potential for further injury in your low back or legs.

Another common issue for your hamstring includes a muscle imbalance, in which there is a decreased strength of the hamstrings or an increased strength of the quadricep muscles. Research shows that quadricep muscles are often more powerful than the hamstrings. The hamstrings seem to fatigue quicker than the quadriceps. This can often lead to a muscle strain and occurs most commonly in the athletic population. Strengthening the hamstring muscles will help create a 1:1 ratio of strength in these muscles and decrease a risk for injury.

Come in and see us.

There are plenty of issues that occur in the hamstring which can lead to serious injury. It is important to assess the hamstrings and determine if flexibility or strengthening is better for you and to proscribe an appropriate exercise program. If you are experiencing any of these issues or feel that you could benefit from our services, please contact us.

Casey Badder PT

Clavicle Injuries

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Better Know Your Clavicle

The clavicle is the medical term for your collarbone. On one end, the collarbone attaches to the top of your sternum (the “breastbone”). The other end attaches to a bone of the shoulder blade. The clavicle provides considerable support for the shoulder. In fact, the clavicle is the only direct bony attachment that your shoulder has to the rest of your skeleton. The clavicle attaches to the sternum and shoulder blade by ligaments (strong fibrous bands of tissue). It has very few muscles to help contribute to the support.

 

Injuries

Clavicle injuries usually happen because of a trauma such as a car accident. They can also happen when you fall on your shoulder or outstretched arm. The result is either a broken clavicle or a ligament tear.

When a clavicle gets inured, you will feel pain at your shoulder blade attachments or at your sternum. Your shoulder may also have what is known as a “drop off.” This means your shoulder is lower than the other shoulder and has a noticeable step off rather than a rounded appearance. The pain may increase as your shoulder is lifted, especially when lifting over your head.

This clavicle here is broken very badly.  Ouch!

Treatment

In either case, the first treatment is to brace and support the shoulder for a period of time to allow the fracture or the ligament injury to heal. In severe or complete fractures, a doctor will need to set your fracture. The amount of time of immobilization depends on your physician’s opinion and the degree of the injury. In severe injuries, you may need surgery.

After a period of immobilization, you’ll need a more active rehabilitation program. Avoid lifting objects with your injured-side arm. Also, you will need to avoid carrying items such as purses or backpacks. At first, modalities such as ice, ultrasound or anti-inflammatory procedures may be used to help decrease the pain and reduce inflammation. Gentle range-of-motion exercises are helpful, usually in the lower ranges, avoiding overhead activity. As your range improves and your pain is reduced, the exercise program transitions to a strength program with range-of-motion overhead exercises.

Decreasing your pain level is key.

Patience Is a Virtue

Clavicle injuries may be difficult and painful to rehabilitate, depending on the severity of the injury and ligaments injured. Ligaments can be slow to heal, so rehabilitation may be slow and relatively long. It is important to have patience and not become frustrated during this time. In most cases the outcome is good. Consult your doctor or health professional for the details of your injury.

Written by Travis Rohner PT

Labrum Issues

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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

Sever’s Disease

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Sever’s Disease

Sever’s disease is a painful condition that can happen to children as they grow. It happens when the tendon that attaches to the back of the heel (your Achilles) pulls on the growth plate of the bone of the heel. The stress over and over again on the growth plate causes pain and inflammation.

It happens most often to physically active children between the ages of 8 and 14. This pain is often made worse by lots of physical activity or when the Achilles tendons are tight. Pain can also be worse during a growth spurt, when the bones grow faster than the tendons. This increases how much the tendon pulls on the heel.  While it is painful, Sever’s disease is not a serious condition. It doesn’t cause long term damage or arthritis and often resolves once the growth plates close.

How do I know if my child has it?

The following are some signs that your child may have Sever’s disease:

  • Heel pain in one or both heels, which often comes and goes
  • Pain that gets worse when doing activities activities, especially with new or strenuous activities
  • Pain may cause limping or walking on toes to avoid putting pressure on the heels
  • Pain that is worsened by running or jumping
  • Pain with pressing on the back of the heel
  • Pain is worse upon waking

What helps Treat it?

Ice: Ice their heel for 15 to 20 minutes when the have pain or after activities. Remember not to put the ice directly on skin. Use a towel or other cloth between the ice and their skin.

Rest: Rest from physical activities, especially running and jumping, while having pain. Take rest breaks between activities.

Shoes: Always have your child wear a well-cushioned pair of supportive shoes. Don’t allow them to walk around in bare feet. In some cases, special gel inserts for the shoe called heel cups may help.

Pain Relief: Anti-inflammatory medicines, such as ibuprofen can be used as needed for pain and swelling. Be sure to read the directions on the bottle in order to give the correct dosage for your child’s height and weight.

Stretching: Stretching their calf muscles can help loosen tight Achilles tendons and help decrease the pull of the tendons on the growth plates.

Road to Recovery

In most cases, Sever’s disease goes away on its own. The important thing is to make sure your child gets rest, treatment, and time to heal. Symptoms might get worse if your child tries to play through the pain.  Your child can gradually increase the amount of activities they do when they don’t have symptoms. Remember, this is a disease that can come and go.  Sever’s disease usually goes away completely when their growth plates close.

Written by Travis Rohner PT

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Areas Served:

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

Postal Address

Gilbert Office
730 N. Greenfield Rd.
Gilbert, AZ 85234
Phone: (480) 633-0666

Mesa Office
342 N Val Vista Dr. Suite 106
Mesa, AZ 85213
Phone: (480) 325-3310