A little Q and A about the Soleus Strain

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soleus-strain

Soleus Strain is most frightened term for a runner. Have you ever been racing or jogging and unexpectedly feels as if something jumped and bite in the calf. It is like severe pain or cramp deep in the lower leg. The worst part is – this abrupt outbreak of sharp, piercing pain enforces runners to hold back their run and get back to home. A single step can be harrowing and deflating.

The soleus is a strongest muscle in the lower back leg. It is also the largest muscle in the calf that runs from below the knee to the heel. It is located underneath the gastrocnemius muscle. This muscle plays a major role in standing and walking. The soleus and gastrocnemius muscles are closely connected, with their fibers overlapping. The sharp pain of soleus strain is always felt deeper in the calf. The piercing pain is usually over a broad area because this injury causes many fibers inflamed and strained.

The heart crushing truth about the soleus strain is – it last longer than most muscular injuries leaving you in painful condition that you cannot even stand properly. This injury mostly occurs especially to those who run hilly courses.

How and Why Soleus Strain Occurs? To injure soleus muscle it takes quite a lot of pressure on the muscle. As previously pointed out, running uphill is the greater probability for soleus strain to happen. The ground cause behind the fact is – while running uphill you probably bend your knees more than usual putting the extra pressure on the soleus muscle. The same is the case when you do high jumping or run harder. When you don’t roll through the foot while you land from the jump, and instead you land on the balls of the foot with the knees bent putting a lot of pressure on the soleus muscle. Now, repeating this wrong way exercise leaves the soleus ultimately injured.

How the soleus strain should be treated? Our first advice to you is, you must avoid stretching and overloading in such stage. Within 48-72 after the occurrence of injury apply ice and cold pack to numb the nerves for relief. Using a foam roller will also help. We recommend do not use Nonsteroidal Anti-inflammatory Drugs (NSAIDs) in the initial stage. Later 72 hours of injury if you still feel the presence of pain and bruises, immediately visit a MD or Physical Therapists for a proper evaluation of your condition. May be your condition needs intense care and a planned treatment. Treating at your own may do more damage than good.

If you are a runner and have a race in few weeks, can you continue to run? Absolutely No. It can worsen your condition. No racing, jogging or jumping or any sort over-stretching until or unless walking and stairs are pain free. PT will recommend the necessary exercises that will help to strengthen the muscle and that too after you are painless. So, no questions about racing as it can do more damage.

How to get relief and how to prevent this injury in future? As mentioned, a MD or PT must be consulted to evaluate like what are you running habits, how you run or jump, since that may have been the primary cause of your injury. Once you get on to your feet again pain free, raising calf with knees straight and bent with a focus on the eccentric, or lowering could be an exercise to strengthen the muscle weekly 2-3 times. The seated calf raise machine is the easiest and best way to strengthen the soleus muscle.

Important to know: Always listen to your body, don’t keep pushing in such a condition it will do more damage. Not seeking the professional advice, you are straight way risking the injury much worse which may put you to rest and pain far longer than just skipping a day.

Conclusion: The soleus muscle injury is cause due the over stress to the muscle so, to repair it need great patience. You need to relax and rest. For the best and quick relief you need the combination of friction therapy, massage therapy, and strengthening and stretching exercise routine recommended by PT. Also, to prevent this injury from happening in future, let the PT evaluate any alignment problems.

Why to come to Alliance Physical Therapy VA? At Alliance Physical Therapy we provide 24/7 access to online appointments, with most of the requests scheduled in less than 48 hours. With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We have years of experience and we hope we can help you feel whole and pain-free once again.

At Alliance Physical Therapy, we create individual plan that address your symptoms so that you can be quickly healed. To create effective plan we listen to your concerns, needs and situation carefully. We knew the path to recovery so you can move forward with confidence.

Where Can You Find Us?

With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We are located in Alexandria / Near Alexandria Hospital, Alexandria / Mount Vernon, Fairfax, Richmond / Willow Lawn, Richmond / Colonial Heights, Springfield, Stafford, Tyson’s Corner, Woodbridge, Woodbridge / Opitz Blvd. and downtown Washington DC.

All You need to know about Physical Therapy

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whatispt

Despite The Advancing Science Of Medicine, Patient Care Still Involves A Great Deal Of Art And Heart.

Physical therapy has become a fundamental part of healthcare services in the current times. This vital profession is committed to recognize and seeking the highest level of functional potential of the human body and yearning to accomplish the mission with all the possible means.

Who Are Physical Therapists?

At Alliance Physical Therapy VA, we have licensed and highly educated health care professionals. When it comes to the body mechanism and kinesiology, our therapists knows all the stuff. But in true sense education and licensing is just the first step to our profession. A lot of experience is required to get the life in mobility once it was before the occurrence of pain. Our highly skilled therapists are proficient in the treating the body, from the acute to chronic conditions. Bottom line is physical therapists are the licensed, highly educated, and very skilled and well experienced professionals with one motive in their mind to strengthen the body muscles and gifting flexible and healthy life that was once lived by the patient.

What Do Physical Therapists Do?

When your doctors pronounce that one of your body parts is ‘out of order’, what does that mean exactly? What are the reasons for behind that condition? As a physical therapists, we actually analysis why and what is causing you the pain. PT’s are actually body detectives. Our motto is not only to relieve your pain but to get answer for all buts and whys responsible for your chronic condition.

Our profession is often combined with surgery, but there is need to realize the profound effect it can have on those who are suffering from chronic conditions such as low back pain. Nearly 85% of the population is living with this pain and treating it as permanent partner in their life, and for temporarily relief getting used of sprays, shots, painkillers, and medications without knowing the other possible side effects.

The responsible reason behind the unwanted and chronic condition is an imbalanced body. After a keen examine PT’s have concluded that the way all of us move and don’t move in the world, with too much sitting and wrong posture, our body muscles become weak and stiff; restricted and then finally shut down. All the muscles attached at the spine such as lats, quadratus lumborum, paraspinals, glutes and abdominals become inflexible and affects the spine due to the aforesaid imbalance in the body.

To understand better and more about the bad effects of imbalanced body mechanism, just think about if your car gets out of alignment, what will happen to the car. Your car start to fall apart, tires will wear out faster, clutch plates, breaks will be affected badly. Now, unlike a car, the body parts of the human body cannot be replaced easily. So, the need is to understand don’t let your body get out of alignment otherwise you will wear off something down until it is broken.

To eradicate the pain permanently PT’s works on the root cause. Physical therapists release the restrictions to the stiff muscles and makes them flexible and provide strength to the weak muscles and thereby furnishing mobility, flexibility and stability to our muscles. This way PT’s helps to relieve chronic pain in the way it should be having long lasting effects.

While your main motto to visit a PT is possibly to get rid of the chronic pain, our motto is not only getting you back just to your routine life but with more efficient movement. Our main motive is to increase your mobility with strengthening your body muscles. This is what and how we attain our goal and mission.

Where Can You Find Us?

With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We are located in Alexandria / Near Alexandria Hospital, Alexandria / Mount Vernon, Fairfax, Richmond / Willow Lawn, Richmond / Colonial Heights, Springfield, Stafford, Tyson’s Corner, Woodbridge, Woodbridge / Opitz Blvd. and downtown Washington DC.

Why to come to Alliance Physical Therapy VA? At Alliance Physical Therapy we provide 24/7 access to online appointments, with most of the requests scheduled in less than 48 hours. With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We have years of experience and we hope we can help you feel whole and pain-free once again.

At Alliance Physical Therapy, we create individual plan that address your symptoms so that you can be quickly healed. To create effective plan we listen to your concerns, needs and situation carefully. We knew the path to recovery so you can move forward with confidence.

Tips for Relieving Your Back Pain

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backpain

Be heartened; and don’t live with the pain. You are absolutely not alone who is suffering from back ache, nearly everyone suffers from this agony at some point in his/her life.

Feasibly, you have played or worked harder; or possibly you have been hooked over your work, battling a deadline or lifted something beyond your capacity or a bit enthusiastically. The reason could be any, but now your back is aching and you are praying for something or anything, which will put an end to the unbearable pain.

 Undoubtedly, you must be panicking about the pain and all the complications. A dreading question surrounding you all the times – what if it never goes away? Now, this is the appropriate time to let you know what our doctors can do to get you back to mobility. Our first word and advice to you is, RELAX; lower back pain is very common. Around more than 75% of Americans miss their work at some point because of it. We assure you, it’s not permanent, 95% of backaches get eliminated within six weeks when treated well.

Go through the article and you will come to know all about back pain and how to relieve it:

Heat Therapy: Using heat in therapy to relive pain and reduce stiffness in muscles is known as Heat Therapy or Thermotherapy. Hot cloth, hot water, ultrasound, heating pad, hydro collator packs, whirlpool baths, cordless FIR heat therapy wraps, are all examples of thermotherapy. Heat therapy is greatly beneficial to the patients with arthritis and stiff muscles and injuries to the deep skin tissues. It is also an effective treatment for conditions such as rheumatoid arthritis.

Cold Therapy: Cold Therapy effectively reduces pain and swelling if applied timely. Cold packs actually numb the affected nerves immediately relieving the patient and distract the mind from the source of pain. It should be noted that icing for too long can cause stiffness, so our therapists at Alliance Physical Therapy VA recommends application of cold packs for no more than 15-20 minutes at a time. To avoid damage to the skin and stiffness, always put a towel between your skin and the cold pack. Also, cold therapy is more effective in the first 24 to 48 hours after pain starts.

Physical Therapy: Physical therapy helps in strengthening muscles. Using Physical therapy for lower back pain provides strength to the spine and thereby relieving the back from stiffness and pain. At Alliance Physical Therapy VA, our Lower Back Program uses a standardized, functional and outcomes-oriented approach to care that focuses specifically on the lower back. Through an active and educational continuum of treatment, our therapists assist the patient in returning to normal, daily activities as soon as possible. By providing comprehensive education in anatomy, pathology and care of the lower back, the patient is empowered to participate in his or her recovery and in the prevention of future injury.

Water Exercise: To stretch and strengthen your back muscles, warm water is the best place to exercise. Warm water actually allows your muscles to relax and acts as resistance to help build muscle strength. Buoyancy, the ability to float in a liquid, the upward thrust acting in the opposite direction to the force of gravity, makes it easier and comfortable to exercise. Buoyancy in water can ease rehabilitation by reducing the effects of gravity. Access to a heated pool, your own tub, spa or whirlpool bath is required to get full-body workout in the warm water.

Massage Therapy: patients receiving 30-45 minutes massage session twice a week for five –six weeks reported benefit to relive their back pain, anxiety and depression and thereby providing better sleep. Such patients also demonstrated better low back flexibility and had higher levels of pain-relieving hormones.

Weight Loss: The excessive weight definitely affects the back muscles by putting unnecessarily pressure on the spine. The over-weighted needs to understand that the excess weight is contributing to back ache. So, loss of weight reduces the stress on the spine muscles and correspondingly reduces the back pain too. Remember weight loss does not mean to decrease the amount to eat; weight loss actually can be achieved through exercise quality food. Losing weight does not mean loss of energy. It is not just losing the extra chunks only; it is to gain well-being and optimum health.

Be Careful To Dress Your Feet: take a look at your shoes, if you were having back pain after standing or walking. Possibly wearing high heels throw off your posture and put unnecessary pressure on your spine – and your knee joints as well. So, you need to take care of your feet.

Why to come to Alliance Physical Therapy VA? At Alliance Physical Therapy we provide 24/7 access to online appointments, with most of the requests scheduled in less than 48 hours. With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We have years of experience and we hope we can help you feel whole and pain-free once again.

At Alliance Physical Therapy, we create individual plan that address your symptoms so that you can be quickly healed. To create effective plan we listen to your concerns, needs and situation carefully. We knew the path to recovery so you can move forward with confidence.

Our Locations: With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We are located in Alexandria / Near Alexandria Hospital, Alexandria / Mount Vernon, Fairfax, Richmond / Willow Lawn, Richmond / Colonial Heights, Springfield, Stafford, Tyson’s Corner, Woodbridge, Woodbridge / Opitz Blvd. and downtown Washington DC.

ACCIDENT REHABILITATION

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accident-rehabilitation

Following an accident, Rehabilitation is the way to restore to good health and useful life.

After you being injured in an accident, rehabilitation put you on the road to recover and move on with your life.

Getting on with your life sooner after being injured in an accident is not that simple. After all, wounds and injuries do take time to heal and you might find that you are not able to get back to your normal routine, whether that be at work or at home, for longer than you thought it would take. In a situation like this, post-accident physiotherapy can help to shorten the length of time you take to recover as well as helping towards a full recovery.

Even after the doctors recover you from the initial pain, the stiffness of your legs, back and neck ache from whiplash, numbness and tingling in your hands and arms never let you to walk as smoothly as you once did. To get back to the life you once lived, Alliance Physical Therapy VA gets you on the road to the recovery path to regain your strength, relearn skills or find new ways of doing things you did before the accident.

At Alliance Physical Therapy VA, our treatment is often used in conjunction with other treatments, such as surgery, and as part of a complete rehabilitation plan.

ACCIDENT FACTS

  • Soft tissues (muscles, tendons and ligaments) injuries don’t show up on x-rays.
  • Soreness and muscle pain from whiplash is a signal a soft-tissue injury that may not heal on its own.
  • Neck and back pain commonly doesn’t surface until hours or days after the accident.
  • The auto insurance’s personal injury protection can pay 100% of accident rehabilitation program expense – without any deductions.

Who is a candidate for PHYSICAL THERAPY after an accident?

  • People having pain or discomfort in any area of the body that was not present prior to your accident.
  • People suffering from stiffness in neck, back, shoulders or any other area that was not stiff prior to your accident.
  • The one who is having numbness or tingling in any part of your body that was not present prior to your accident.

Why do you need early PHYSICAL THERAPY?

The sooner you see a physical therapist the faster you will heal. The early intervention with physical therapy results in faster healing time compared with those who wait longer to begin their medical treatment.

At Alliance Physical Therapy VA, our goal is to bring Structure and Function into Alignment

  • RELIEF – to provide you with immediate relief on your first visit. Using various therapeutic techniques we can provide the relief that you need.
  • RESTORATION – as your body heals and your pain subsides, the next steps are to increase your flexibility, strength, and endurance. Our goal is to return you to the activities that you enjoy doing as soon as possible.
  • MAINTENANCE – as the saying goes, “once you hurt yourself there is always a weak link.” We will give you customized exercises and stretches that will keep that ‘weak link’ strong and prevent the injury from recurring.

Alliance Physical Therapy VA‘s individualized treatments may include:

  • Massage to relieve pain and stiffness in your aching muscles.
  • Gentle stretching & exercise to improve range of motion.
  • Pain management to help to live and sleep with less pain
  • Modalities to reduce inflammation and spasms which will allow your joints to move easier.
  • Home Exercises to help feel better at home

EVALUATION and TREATMENT

THE EVALUATION: To get better understanding of your difficulties and limitations, at Alliance Physical Therapy VA, one-on-one time will be spent with a qualified physical therapist.

THE TREATMENT: Once the limitations are determined we will develop and provide the individualized therapy plan to address the issues. You will have the opportunity to be involved in developing the treatment plan.

Why to come to Alliance Physical Therapy VA? At Alliance Physical Therapy we provide 24/7 access to online appointments, with most of the requests scheduled in less than 48 hours. With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We have years of experience and we hope we can help you feel whole and pain-free once again.

At Alliance Physical Therapy, we create individual plan that address your symptoms so that you can be quickly healed. To create effective plan we listen to your concerns, needs and situation carefully. We knew the path to recovery so you can move forward with confidence.

Our Locations: With eleven convenient locations in the Metro Area, we are able to serve the Northern VA and DC region. We are located in Alexandria / Near Alexandria Hospital, Alexandria / Mount Vernon, Fairfax, Richmond / Willow Lawn, Richmond / Colonial Heights, Springfield, Stafford, Tyson’s Corner, Woodbridge, Woodbridge / Opitz Blvd. and downtown Washington DC.

Physical Therapy: Post Below- Knee Amputation

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Below-knee amputation or lower–knee amputation is a surgical process conducted to remove a limb damaged due to any injury, trauma or disease. The process of amputation can be performed at any age, but is more prevalent among the age group of 65 years and older.

What do we mean by Below-Knee Amputation?

Below-Knee Amputation or BKA is a surgical process to remove the damaged or diseased limb. The main reason behind BKA (Below-Knee Amputation) is peripheral vascular disease or poor circulation in the lower limb. Due to poor circulation; immune or healing responses to injury limit and foot or leg ulcers may form that do not heal. These damaging ulcers may develop infection spreading to bones. Amputation is conducted to remove these diseased tissues and to prevent further infection.

During  BKA, an orthopedic or vascular surgeon removes the diseased limb while saving as much of healthy bone and tissue as possible. The remaining limb is then shaped up, so that it can be used for a prosthetic leg.

How can a Physical Therapist help?

Below-knee Amputation is a very difficult and challenging phase, both emotionally and physically. More energy and strength is required to walk with a prosthesis than normal walking. Your physical therapist can  develop an individualized exercising regime which will not only increase your overall strength, range of motion and flexibility, but will also expedite your recovery and reduce time between amputation and first step with a prosthesis.

Post Amputation Rehabilitation:

Physical Therapist will start your routine as soon as your condition stabilizes and doctor clears you. Your initial treatment may include:

  • Range-of motion and gentle stretching exercises
  • Instructions to roll on the bed, sit on the bedside and safely moving to the chair
  • Educating about the proper positioning of limb to prevent contractures
  • Educating to move about in a wheel chair and to walk and stand with a supportive device.

 Preventing Contractures:

Contractures mean the development of tightness of the soft-tissues which further limits the mobility and motion of the joint. After BKA,  the most common contracture that follows is, at the knee when it becomes flexed and it is difficult to straighten it. If these contracturers are not dealt with, they make it difficult for you to walk properly or wear prosthesis and as well increase the need of supportive device like a walker. Your physical therapist will help you to:

  • Maintain normal  posture and range of motion at your knee and hip
  • Position your limb properly and prevent developing contracture
  • Maintain normal range of motion through stretching and positioning exercises.

Swelling:

Experiencing post-operative swelling is normal. Compression will be maintained by the therapist in order to protect your residual limb and to lessen and control your swelling. The physical therapist will accomplish compression by:

  • Wrapping the limb with elastic bandages
  • Making you wear elastic Shrinker sock.

This also helps to shape the limb in order to prepare it to fit it in prosthetic leg. Your physical therapist will monitor the fit of these devices and as well educate you to use them properly.

Managing Pain:

Your physical therapist will also help you to manage pain in several ways involving:

  • TENS and electrical stimulation may be used where pain is relieved by blocking nerve signals.
  • Manual therapy; involving joint manipulation and massages may be used to improvise circulation and joint motion.
  • Stump management is instructed which includes skin care and stump sock use.

  Other Management Techniques:

  • Your Physical therapist will work with prosthetist in order to prescribe best fit prosthesis for you. Initially, you will receive a temporary prosthesis while your residual limb is healing; thereafter, it will be modified according to your need & requirement
  • Your physical therepist will help you to master using wheel chair and walking with a supportive device like cruthes or walker.
  • Therapist will educate you about using your prosthetic limb successfully and will also make you learn how to take care of your resideual limb with regular skin and hygiene checks, exercising and correct positioning.
  • Therapist will also educate you how to put new prosthesis and take it off.
  • Therapist will also help you to build up tolerance for wearing your prosthetics for longer times while protecting skin intergrity of residual limb.
  • Prosthetic training takes time and physical therapist make you learn to stand, balnce and walk with a prosthetic limb. You may progress gradually and eventually learn to walk independently, without using any supportive device.
  • Your therapist will also continue with stretching and strengthening exercises unless you achieve your fullest potential and become able to perform the activities you used to before amputation.

Contact Alliance Physical Therapy for thorough and agile post below knee amputation rehabilitation. Our professional physical threrapists are experienced at treating patients with amputation conditions. Our dedicated therapists have advance knowledge and are experienced at providing prosthetic training.

Physical Therapy Treatments for Running & Jogging Injuries

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Running Injury Physical Therapy Treatment

Running seems simpler and easier to everybody as all of us start running as toddlers and many of us continue with this activity throughout either for play, sports or exercise. But if the correct form is not maintained, this simple act can lead to serious injuries.

What causes running injuries?

When you start running for fitness, you particularly become prone to running injuries. There are certain stages at which you become more vulnerable to running injuries, like:

  • During the initial 4 to 6 months of running
  • Returning to running after injury
  • Increase in distance of running
  • Increase in speed

But the fact is, during these vulnerable stages, most of the injuries occur due to the training errors. Apart from these, there are several other factors that also contribute towards the running injuries. These are the factors that runners can avoid or prevent:

Training Errors: The most common cause of running injuries is the erroneous training regime. Inadequate stretching, frequent changes in mileage, heightened hill training, interval training and inadequate rest between training sessions all together make up for training errors.

Defective Running Shoe: An athlete should always select the footwear that fits comfortably and can accommodate his particular foot anatomy. You should replace your shoes after its mileage exceeds 500-600 miles.

Surfaces for running: The surface on which you run needs to be smooth, flat, soft and adaptable. Try to avoid concrete or rough road surfaces. Moreover, try to avoid hills initially as they place stress on knees and ankles.

What are the Common Running Injuries?

Most of the running injuries cause by applying repeated force over a long period of time. Whether you are a newbie or vet; sudden changes in training volume can cause any of the following injuries:

Runner’s Knee: When you experience a consistent tender pain around or behind the kneecap; it is a sure sign of patella femoral pain syndrome or runner’s knee. The repetitive force, downhill running, muscular imbalance and weak hips putting stress on the knee cap can cause the condition.

Achilles Tendinitis: The swelling of tissues connecting your heel to lover-leg muscles is known as Achilles Tendinitis. Rapid increase in mileage, improper footwear, tight calf muscles and flat foot contribute towards the condition.

Plantar Fasciitis: Inflammation, irritation or tearing of plantar fascia; tissue on the bottom of the foot is known as plantar fasciitis. Runners experience extreme stiffness or pain in the arch of the foot due to the condition.

Shin Splints: When the muscles and tendons covering the shinbone become inflamed and runners experience stabbing sensations in the shin; the condition is called shin splints.

Stress Fracture: Stress Fractures are the tiny cracks in the bones that occur due to repeatedly applying the greater force than the legs can bear.

Patellar Tendinitis: It is an overuse injury which leads to tiny tears in patellar tendon that connects kneecap to the shin bone.

Pulled Muscles: When due to overuse or inflexibility, a muscle is overstretched, it can tear fibers and tendons causing pulled muscles

Side stitches: Awful pain on the side of the stomach formally known as exercise-related transient abdominal pain (EJAP) caused due to diaphragm spasm because of overwork or poor running posture

Bursitis: Bursitis of hip develops because of the inflammation of a bursa between the hip and the tendon.

What are the Physical Therapy treatments suggested for Running Injuries?

A physical therapist begins treating an injured runner by conducting physical evaluation and asking questions about his running habits, regime, equipments and techniques. The therapists usually begin by suggesting patients to take rest and modifying his/her running habits. In order to prevent recurring injuries; physical therapists develop pre-and post-workout routines for them with strength work, warm-ups, stretches and cool-downs. Other specific treatments may include:

For knees: Physical therapists may suggest stretching and strengthening of hamstring, quadriceps and hip musculature along with cold therapy. Modalities like ultrasound and supportive or corrective taping techniques may also be applied.

For ankle pain and sprains: Physical therapists may suggest strengthening exercises to enhance stability. Foot orthotics may be suggested. Moreover physical therapists may also suggest massage, ice, ultrasound or electrical stimulation for tissue healing.

For Achilles Tendon Pain: Most of the times, therapists suggest rest and limited use as these are best to treat the problem. Apart from this, a therapist may also suggest heat and cold therapy, ultrasound and massage therapy to reduce swelling.

For Foot: Special shoe inserts or foot orthotics and other modification are suggested so that shoe fits properly. Therapeutic exercises accompanied by modalities like manual treatment techniques and ultrasound may also be suggested.

For Shin Splints: Deep tissue massage may be used to reduce inflammation. Supportive taping may also be applied to alleviate stress within the affected region.

For Plantar Fasciitis: Arch supports, soft-tissue massage are used to alleviate pain. Calf stretches before and after workouts may also help.

For Bursitis: Therapists will suggest stretches to restore full hip motion and to reduce friction.

Contact Alliance Physical Therapy for the expert diagnosis and state of art treatment of your pain and injuries. Our diligent team of physical therapists use patient-proven techniques and state-of-art technologies to make you as healthy and fit as before.

Physical Therapy Treatment for Spinal Stenosis

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back-pain-bannerAccording to a study made, as many as 75% of us suffer from back pain or neck pain at some point of our lifetime. Spinal Stenosis is also one of such causes of back pain that affects the bones of your back by narrowing the openings within the bones.

What do we mean by Spinal Stenosis?

Spinal Stenosis is a condition causing the narrowing of spinal canal which in turn puts too much pressure either on the spinal cord or the nerve roots. Staying active and exercising regularly is the most efficient way to treat Spinal Stenosis. This condition can occur both in the neck or the lower back.

What are the most common causes of Spinal Stenosis?

Most of the major causes of Spinal Stenosis are related with the ageing process of spine. It may occur due to:

  • Gradual degenerative ageing process of spine
  • Thickening and calcifying of spinal ligaments
  • Bone spurs due to the enlargement of bones and joints that occurs due bone stress
  • Dehydration of spinal discs between the vertebrae due to age
  • Spinal osteoarthritis that is accompanied by the overgrowth of bone formation or bone spurs
  • Flattening of discs due to normal ageing and wear and tear
  • Spinal injuries, tumors and bone diseases like (Paget Disease) may also lead to Spinal Stenosis

What are the signs and symptoms of Spinal Stenosis?

Spinal Stenosis may cause the following symptoms including:

  • Weakness, pain, tingling or numbness in the arms, legs, trunk or shoulders
  • Muscle weakness
  • Diminished reflex cramping in the arms or legs
  • If your Lumbar Spine is stenotic, you may feel pain radiating from the low back and into the buttocks and legs
  • If a nerve root is being pushed on due to the narrowing of space within the spine, you may feel pain radiating to nerve which reduces with sitting

What are the Physical Therapy treatment options opted to treat Spinal Stenosis?

Your physical therapist will design treatment program for you depending upon the evaluations’ and your personal goals as well. He will suggest a treatment program that will be a combination of different exercises:

  • Stretching exercises may be suggested to eliminate stress on joints and to improve flexibility as well
  • Work ergonomics to improve your posture at work
  • Strengthening exercises may be recommended to support your spinal joints for strong arms’ and legs’ muscle
  • Manual therapy may be administered to improvise joint mobility
  • Deep tissue massage therapy may be used to release tension in the soft tissues
  • Hot and cold therapies may be applied alternatively to eliminate inflammation, muscle spasms, pain and swelling
  • TENS and Ultrasound therapy may be used to treat muscle cramping, stiffness and pain
  • Aquatic exercises may be suggested to help your body to exercise without putting pressure on the spine

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your musculoskeletal problems or diseases. Our professional and diligent Physical Therapists use patient-proven methods and top-notch techniques to treat your problems and help you to get back to your work as early as possible.

Piriformis Syndrome: Causes, Symptoms and Treatment

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Sciatica Pain Treatment

Piriformis muscle is a flat and band like muscle that is located in buttocks near the top of the hip joint. This muscle helps in the movement of the lower body as it makes the hip joint stable and as well lifts and rotates the thigh.

What do we mean by Piriformis Syndrome?

Piriformis Syndrome is an uncommon neuromuscular pathology which occurs when the sciatic nerve is compressed by the piriformis muscle. This compression causes pain, tingling and numbness in the buttocks and along the sciatic nerve path going down the thigh into the leg.

What are the potential signs and symptoms of Piriformis Syndrome?

  • Pain in lower back or buttocks
  • Painful to sit on the affected buttock
  • Pain or tingling sensation down the back of legs
  • Pain down the back of calf & foot
  • Pain while mounting and inclining stairs
  • Pain increases with prolonged sitting
  • Reduced range of motion of the hip joint

What are causes of Piriformis Syndrome?

Piriformis Syndrome usually develops in the athletes who are engaged in forward-moving activities like runners or bicyclists. This syndrome generally occurs due to:

  • combination of weak abductors with the tight abductors
  • Stiffness or hypo-mobility of the sacroiliac joints
  • Overporonation of the foot
  • Overworking of Piriformis muscle
  • Dysfunctioning of the adjacent SIJ or hip joints
  • Work hip stability muscles

What are the Physical Therapy treatments suggested to cure Piriformis Syndrome?

Depending upon the severity of condition, pain and other symptoms, number of physical therapy treatments may be suggested:

  • Stretching exercises are prescribed to relieve sciatic nerve irritation.
  • Heat treatment is suggested to relax the piriformis muscle.
  • Ultrasound treatment is advised for the deep heating in buttock area.
  • Hands-on treatment like deep-tissue massage or soft-tissue mobilization is administered to relax nerve signals to the piriformis.
  • Strengthening of abductors and abductor muscles may be suggested.
  • Myofascial release and thrust techniques may be suggested to address the somatic dysfunction in the patients.
  • Osteopathic manipulative treatment (OMT) may be advised to restore patients’ normal range of motion.
  • Pelvic and spine re-alignment techniques are suggested.
  • Foot orthotics or exercises are advised to restore foot and lower extremity alignment.

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your neuromusculoskeletal problems or deformities. We use patient proven methods and techniques to get you back to your daily routine as soon as possible and make you as sturdy and healthy as before.

Foot Drop: Causes, Symptoms and Treatments

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Foot Drop Physical Therapy TreatmentWhat do you understand by Foot Drop?

Foot Drop, also referred to as ‘drop foot’ is a gait abnormality, where person is unable to lift his/her forefoot and hence walking becomes challenging for such persons. Foot drop is not a disease in itself but rather a sign of underlying foot disorder that can be neurological, muscular or anatomical. Foot Drop can affect one or both the feet and as well be temporary or permanent depending upon its cause.

Under this condition, patient loses partial or total control over the foot. The toes of such patients either point towards floor when they lift up the foot from the ground or they tend to drag the foot along the ground while walking.

What conditions give rise to Foot Drop?

Generally, foot drop occurs due to the weakness or paralysis of the muscles lifting the foot. Apart from this, there may be some other causes including the following:

  • Muscular Disorders
  • Nerve injury
  • Brain or Spinal disorders
  • Injury to peroneal nerve
  • Sports injuries
  • Diabetes, hip or knee replacement surgery
  • Sitting cross-legged or squatting for sustained hours
  • Neurological conditions like; stroke, multiple sclerosis, cerebral palsy
  • Muscular dystrophy, polio
  • Tear of the anterior tibialis tendon
  • Anterior compartment syndrome

What are the signs and symptoms of Foot Drop?

Foot drop is debilitating for the patients as it affects their mobility to a greater degree. The persons suffering from foot drop may exhibit the below mentioned signs and symptoms:

  • Difficulty in lifting the forefoot or toes off the floor
  • Pain, weakness & numbness in the foot
  • Slap foot on the floor while walking
  • Drag the foot while ambulating
  • Raise the leg while walking

What are the physical therapy interventions employed to treat Foot Drop?

Physical Therapy is the most effective treatment for the foot drop, as most of patients regain significant function and mobility after observing a regular physical therapy regime. Physical therapists use the following techniques to manage foot drop:

  • Strengthening exercises are practised to strengthen and stretch foot and to mobilize the ankle.
  • Stretching exercises are administered to help stretch the calf and foot muscles
  • Leg flexes and toe curls are advised and practised to stimulate the muscles
  • Treatment regime including electrical stimulations of nerve and muscle fibres’ may be advised to enhance the tone and contractility.
  • Gait training is recommended to help the patients walk more efficiently and to improve their stability
  • Use of ‘AFO’ (Ankle-Foot-Orthosis) braces may be recommended to support the ankle and foot function
  • Manual Therapeutic techniques including; soft tissue massage, deep friction massage, manual stretching and joint mobilization is employed by therapists to help patients regain range of motion
  • Neuromuscular Re-education including; movement techniques and mechanics is provided to restore stability and retain lower extremity in daily chores
  • Home program including; strengthening, stretching and stabilization exercises and instructions is designed to help patients to perform daily tasks.

Contact Alliance Physical Therapy for the efficient treatment of your neurological and muscular disorders. Our dedicated and diligent physical therapist will help you walk the road to recovery.

How to Avoid Back Pain during Gardening Season?

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Avoid Back Pain During Gardening Season

Avoid Back Pain During Gardening Season

Warming up of weather and occasional glimpses of yellow orb in the sky excites most of us to get out in our gardens and make preparations for the spring time. Gardening is an excellent and vigorous outdoor and therapeutic activity but it also sends many of us to the doctors and physical therapists. Back Pain is the most common symptom among the people with gardening habits.

Gardening can be compared to athletic activities which involve lot of twisting, lifting and bending. So before getting your hands into plants warm-up properly, follow these easy quick tips and get ready for the day in dirt:

  • Warm up with light movements and go for a brisk walk to increase your flexibility.
  • Do not bend repeatedly. Try to do your work by kneeling or sitting.
  • Lift the gardening tools and equipments carefully. Instead of putting pressure on your back and hips, let your arms, leg and thighs carry the load by bending properly at your knees.
  • Make use of long-handled tools for proper grip and to eliminate back strain.
  • Practice proper and good body mechanics i.e. do not work in the similar position or posture for long time.
  • Keep your back in the proper alignment to reduce unnecessary strain.
  • Use stools and upside down buckets to sit comfortably and use pad to kneel to avoid knee pain.
  • Take frequent breaks, Stand up and walk around in-between the gardening activities.
  • Never bend and twist your back at the same time.
  • Stand up like you are getting out of the chair, i.e. keeping your back straight.
  • If you feel pain in certain area, apply ice or cold pack to the affected area and do not resume the activity till the pain subsides.
  • Concentrate on your legs and core while lifting heavy bags of soil, digging with a shovel and carrying water hoses.
  • To lift heavy items like; dirt bags, garden tools or planting material, use garden cart or wheel barrel
  • Use joint friendly tools so that you can stand straighter and can easily grip the handles as well

Contact Alliance Physical Therapy for the expert diagnosis and state of art treatment of your pain and injuries. Our diligent team of physical therapists use patient-proven techniques and state-of-art technologies to make you as healthy and fit as before.