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Preventive Physical Therapy for School Athletes

Preventive  Physical Therapy for School Athletes
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Do you have a child signed up for a sports team? Or perhaps you are in a team yourself. Chances are, he or she may acquire some type of injury during their sports activities. If one will train their coordination, balance, and motor control based on their sports – preventative physical therapy can help avoid injury or lessen the degree of injury with a faster recovery rate.

It is very common to have injuries among athletes. Some of the most common injuries are rolled ankles, strained hamstrings, and rotator cuff tears. These can occur because of wear & tear, repetitive movements through non-optimal motions of specific joints, over-training and/or not enough rest in between training.

Rolled ankles – common in any sports that involve running and jumping. Once a rolled ankle occurs, it is quite easy to re-injure the same ankle because most of the time, the athlete often needs to get back into the get sooner than the body demands.

In order to prevent this, one would train in balance and reflex movements as well as strengthening the lower extremities and the core muscles. An example of balance training would be standing on one leg for 10 seconds and increasing the time as he or she gets stronger. Another form of advanced balance exercise can be standing on a Bosu ball or a balance board.

In preventing hamstring strains, the athlete would need to strengthen the hamstring muscle, increase flexibility in the quadriceps muscle, and train instability and core. Training stability can be done by balance exercises such as standing on one leg, same as for the ankles. You can also perform lunges which trains both hamstring and quadriceps muscle at the same time.

For rotator cuffs, it is important to strengthen in different planes of motions of the shoulder as well as for the surrounding muscles.
Exercises using the elastic bands are a great way to strengthen the shoulders – moving in external and internal rotation, abduction and adduction, flexion and extension, and even doing hand walks on the wall moving in different directions with the bands around the wrists are great ways to strengthen the rotator cuffs.

In Physical Therapy New York, NY, your physical therapist will work on the athlete based on the need of the athlete as well as adding different and complex activities to involve specific movements for the specific sports. Your insurance may not cover for preventative physical therapy. You can call your physical therapist to ask for specific pricing for preventative physical therapy and ask what they can do for your child or for yourself.

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Physical Therapy for Bell’s Palsy

Physical Therapy for Bell’s Palsy
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Bell’s Palsy

Bell’s palsy is a sudden paralysis of the facial muscles from damage to the cranial nerve. The exact cause of this is not yet fully known however, it can result from different conditions.

Who Can Bell’s Palsy Affect?

It can occur in people who have diabetes, pregnancy, a viral infection, or other neurological disorder that causes paralysis or certain inflammatory diseases.

When a person gets Bell’s palsy, the facial paralysis can go away in a few months but it can last longer. It’s important to check with your doctor first to get the right diagnosis for your treatment and let it heal correctly.

What Can Happen?

It can be problematic with your daily life when you do get Bell’s Palsy. One of the issues is the drooping of the face, leading to discomfort and impediment in speech. Not only that, the mouth can also drool since it’s drooping.

The eye can also dry out because your eyelid may not close properly. Your doctor will then prescribe some eye drops for you to use to keep it lubricated.

These are some of the problems that can get in the way of a person’s social/work life.

How can Physical Therapy help?

Your physical therapist of Physical Therapy New York, NY will work on the affected muscles manually and stimulate the facial muscle using a specific machine as needed. He or she will help you with certain facial movement exercises in order to correct and strengthen your facial muscles. 

You can also do the exercises prescribed by your physical therapist at home as well. Combination with physical therapy and exercise will lead to a quick recovery and less suffering than going through with it blindly for months at a time.

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How to Fix Your Rounded Shoulders?

How to Fix Your Rounded Shoulders?
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If you work or play long hours in front of the computer, the desk, or on the phone, chances are you may have rounded shoulders. The problems that can arise from this can be headaches, shoulder pain, back pain, or even nerve pain.

How Can I Fix My Rounded Shoulders?

Through exercise!

Prepare to get on the floor with a rolled-up towel. For these exercises, you will lay down face down with the rolled-up towel underneath your forehead.

T’s: You will spread your arms to form a T with your torso. Lift your thumbs towards the ceiling and raise you arms up and down. Squeeze for a good second at the top and come back down. Perform 10 – 20 reps, 3 – 5 sets. Start with low reps and work your way up.

Y’s: Same way but with your arms forming a Y with your torso. Lift your arms up and down towards the ceiling with a good second at the top and come back down. Perform 10 – 20 reps, 3 – 5 sets.

W’s: Form a W. Lift your thumbs up and down with the ceilings. Perform 10 – 20 reps, 3 – 5 sets.

I’s: Start the same with your arms straight up next to your ears moving your arms up and down. Perform 10 – 20 reps, 3 – 5 sets.

Swimmers: With just your arms, start with palms facing down with arms next to your ears. As if you are swimming, wave your arms towards your hip, with both hands ending up behind your lower back, palms facing towards the ceiling. Then return to starting position. Perform 10 – 20 reps, 3 – 5 sets.

Alternating arm and leg: Start on your hands and knees. Extend your right arm forward next to your ear and at the same time extend your left leg until it’s straight. Hold for a good second. Repeat on the other side. Perform 10 – 20 reps, 3 – 5 sets.

Shoulder Shrugs: Just as it’s stated, you will stand with both arms on your sides at a relaxed position and raise it up to a shrug. Then come down to the relaxed position in a controlled manner instead of dropping them straight down. Perform 10 – 20 reps, 2 – 5 sets.

Shoulder Retraction: Start with elbows bent at your sides. You will extend your arms forward, then bring them back so your hands are by your side, right underneath your chest level. The motion is like performing rows with a cable machine or as if you are skiing. Remember to retract your shoulders when you pull back – imagine there is a pencil between your shoulder blades and you are squeezing it in place. Perform 10 – 20 reps, 2 – 5 sets.

Open Book: Start by laying down on your back with your knees bent. Then turn to the left. Your knees should still be bent, with your left leg and left arm on the floor. Your left arm should be in front of you extended out. Your right arm should lay on top of the left arm, palms touching each other. Then slowly turn your arms out towards the right as if you are turning a page. Do this nice and slow to feel the motion and stretches. Perform 10 reps. Next, turn on your right and repeat the same thing you did with the left, 10 reps. Do this 3 – 5 sets.

Pec stretch: At the doorway, have your forearms touching the doorway, elbows bent at 90 degrees. Step forward with one foot. You will feel a stretch on your chest. Hold this position for 20 – 30 seconds. Perform 3 – 5 reps. Note: if your doorway is too big, you can do this one side at a time. If you are using your right forearm on the edge of the doorway, then use your right foot to step forward.

Do these exercises every day. You should start to see some improvements little by little. Remember, it can take a long time depending on how long you’ve had shoulders and how flexible you are. 

If you experience any sharp pain during or after exercise, stop and consult your doctor first. There could be other underlying issues that need to be addressed first. Otherwise, you may need supervision by a physical therapist of Physical Therapy New York, NY to modify the exercise or manipulate the joints and muscles to get the right results.

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How to Reactivate Your Glutes?

How to Reactivate Your Glutes?
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Glute Amnesia is the inability to contract or activate your glutes. Having inactive glutes can lead to back, hip, and/or knee pain. One of the reasons why that it can occur is because of the lack of the right muscles in the area. 

There is tightness in certain back and hip muscles, and weakness in the deeper core and glute muscle group. This can lead to problems in your lower back and hip area, commonly known as Lower Cross Body Syndrome. 

The hamstrings become the dominant muscle in movement, leading to tight or restrictive hip flexor muscles – which in turn can lead to knee and low back pain because of the muscles connected to them. 

Hamstrings can become dominant because of prolonged periods of sitting and other various reasons. This will interfere with developing the glute muscle – as both glutes and hams are primary drivers of any hip extension action – e.g. squats, deadlifts, lunges, step-ups, pelvic bridges, hip thrusts, etc. When you remove glutes from the equation you end up overworking the hams.

If your hamstrings are tight or short, they will limit hip joint mobility. The compensation pattern we see as a result of this tightness is the toe-touch pattern – which is when more movement is forced to come from your lower back instead of a hip extension. 

You can combat dominant hamstring by ham lengthening movements before moving onto gluteal activation exercises which allows increasing the range of motion in your hips for optimal gluteal exercise. 

1. Hams Stretch: You can begin by laying down on your back. You can grab a towel or a belt around one foot and lifting that leg until you feel a stretch. You can hold this for 20 – 30 seconds, 3 – 5 times. 

2. Choose exercise that will create strength and/or stability in a greater range of motion

3. Active Leg Lower – great for stimulating hams length while simultaneously causing you to engage your core to provide better pelvic stability 

4. Perform at a Doorway: Lay down face up w/ one leg leaning straight up against the wall while the other legs go out through the doorway but start with the leg bent. Extend the bent leg straight down on the floor to start. Then lift the straightened leg towards the other leg. It may not reach all the way.

There are other exercises you can do to increase gluteus activation. Consult with your physical therapist of Physical Therapy Queens, NY to find out if you have glute amnesia or other conditions. 

They will have a better understanding of how your body works, release any other tightness in the area that you may not be able to do take care of by yourself through manual therapy, and will modify exercises to fit your body’s need.

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What is Benign Paroxysmal Positional Vertigo (BPPV)?

What is Benign Paroxysmal Positional Vertigo (BPPV)?
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Vertigo is when you feel everything is spinning around you or on the inside of your head, which happens abruptly. Benign Paroxysmal Positional Vertigo (BPPV), is one of the most common causes of vertigo. It can arise when there is a physical issue inside the ear canal with crystals. 

To look at it closely, there are structures called the otolith organs which have crystals inside to make them sensitive to gravity. The organs utilize these crystal’s positions in regards to gravity to let us know what position our head is at. 

When the crystals get displaced from their main location, they can travel down to the semicircular canal and make us sensitive to changes in our head’s position that can make us feel very dizzy. 

It commonly happens when a person gets out of bed in the morning or looks under the table/bed. Changing sudden head position with rotation can reproduce symptoms.

Vertigo can be debilitating to your daily life if it is left untreated. In some cases, it can be very severe and the person can fall to the floor or lead to vomiting during the episodes. 

If you have been diagnosed with BPPV specifically, it is wise to turn to a physical therapist. He or she will evaluate you and may perform an Epley Maneuver to correct what’s going on inside your ear. It is best not to eat anything 3 – 4 hours prior to your physical therapy in order to avoid nauseating feelings. 

Your physical therapist of Physical Therapy New York, NY will also give you specific exercises to build a tolerance to different head positions and to work on your balance. 

If you do have other symptoms in addition to vertigo such as a really bad headache, loss or weakening of other senses, tingling or numbness in your limbs, please seek your doctor immediately as it may be something more serious. Take note of what happens when you are experiencing these sensations and let your physician know.

Otherwise, you can still go to your doctor to find the right diagnosis. If it is BPPV, it is easily solved with physical therapy in few visits. 

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Golfers and Foot Injuries

Golfers and Foot Injuries
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Golf involves several mechanics in different parts of your body. In a golf swing, the shoulders move in an arc, the le and the right foot moves differently during each part of the swing, as well as the amount of pressure being applied to each foot, and the way the hip and knees move can lead to different injuries depending on your form.  

Today we will focus on the 2 most common foot injuries related to golf. Lateral ankle sprains and intermetatarsal neuromas.  

A lateral ankle sprain can occur when the leg is gliding over the ankle, as in a golf swing. Through repave and excessive moon, the lateral ankle ligaments can become “loose” which can make it easier to sprain it. 

When pain and inflammation first occurs, the doctor usually will prescribe some an-inflammatory medications, as well as icing the area and perhaps even braces or orthotics to give it some stability.  

But once it’s sprained, physical therapy is recommended to allow the physical therapist through manual therapy for proper healing, as well as strengthening the surrounding muscles to increase stability in the ankle and even work on loading the ankle with the right amount of force and range to correct your form during your swing.  

An intermetatarsal neuroma is a benign growth of the nerve issue that is caused by constant irritation from repaving force applied on the nerve in the 3rd interspace. This happens not in the foot that drives the swing but the non-dominant foot. 

So the le foot for the rights and the right foot for the lies. If you have an intermetatarsal neuroma, you will most likely feel a burning, numbing, and shooting pain to your toes. As with the lateral ankle sprain, the doctor will recommend a variety of treatments to reduce inflammation. 

Your Physical Therapy New York, NY will work with you on your goals for proper healing as well as fixing your mechanics for your swings to prevent further injury.  

If you have ever felt pain in your ankles or feet during or are golfing that is not going away, it is probably best to see a physical therapist to assess what may be happening in your lower extremities that may be causing the problem. When these issues are addressed early and corrected, the recovery me is faster and you would avoid any future injuries. 

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Working/Schooling from Home and De Quervain’s Tenosynovitis

Working/Schooling from Home and De Quervain’s Tenosynovitis
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Since COVID-19, there has been an increase in computer use…

De Quervain’s tenosynovitis, also known as radial styloid tenosynovitis is pretty common in those working in front of the computer

The common Misconception with Computer Use and Carpal Tunnel Syndrome

Studies have found that computer use is not linked with CTS. However, it doesn’t mean that it does not cause disorders of the arm. Most likely you would have developed De Quervain’s tenosynovitis OR you would already have CTS but have been exacerbated recently in addition to the computer user.

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome is caused by pressure on the median nerve at the base of the palm. 

The carpal tunnel is a channel on the palm side of the wrist that protects the nerve and the tendons that bend your fingers. Added pressure to the nerve can cause pain and weakness in your wrist and hand. 

Inflammation and swelling of the surrounding wrist’s tendons can contribute to the pressure on the median nerve which can lead to CTS. 

Extreme wrist positions, as well as a lot of finger use, especially with a lot of force or vibration, can all contribute to CTS. 

Symptoms of Carpal Tunnel Syndrome

It usually starts with burning, tingling, or numbness in the palm and fingers which are often noticeable at night. As it progresses, the symptoms are noticeable in the day and often worse when holding items. 

The weakness of the hand and more constant numbness if the pressure on the nerve continues. You may see that you lose something unexpectedly or have a weakness in your grip. 

What is De Quervain’s Tenosynovitis?

It’s a condition affecting the tendons on the thumb side of your wrist. It hurts to lift any pots of pan, doing any heavy household chores. Any exercise that relies on constant hand or wrist movement can make it more immoral. 

Symptoms

Pain and swelling near the base of the thumb. Difficulty moving the thumb or wrist while making grasping or pinching motion

What can I do When Using the Computer?

Keep your wrist in on neutral position when working with a keyboard or mouse.

Setting up your keyboard so that your elbows are bent at 90 degrees and forearms parallel to the floor will be the ideal position. That goes the same with the mouse as well. 

Swelling

You can also try using ice packs to reduce the swelling/inflammation in the area as well as trying to give your hand a rest when you don’t need to use the computer.

Physical Therapy

Visit Physical Therapy New York, NY and a physical therapist will evaluate you and will determine if you have De Quervain’s tenosynovitis. Your treatment will involve various stretches and exercises you can do at the clinic as well as at home. 

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Exercises You Can do While Working in Front of the Computer

Exercises You Can do While Working in Front of the Computer
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It’s important to move your body if you are sitting all day long. Set an alarm for every 50 ~ 60 min to get those stiff joints moving. Sitting for too long can make you susceptible to cardiovascular diseases. Go and get some cup of water, go to the bathroom, and do some stretches.

Wrist flexion/extension Stretch:

Hold your hand out as if to say “stop.” With the other hand, pull the 1st hand toward you and hold the stretch for 20 – 30 seconds. Repeat 3 times With the 1st hand bring in down and pull on the back of the hand and hold the stretch for 20 – 30 seconds. Repeat 3 times

Seated Double-Knee to Chest:

While seated, spread your legs apart and reach down to the floor. Hold the position for roughly 20 – 30 seconds. Repeat 3 times

Seated Upper Back Stretch:

Reach down to the floor with both hands. With the left hand lift it to the side all the way up. Do the same with the right side. Hold the stretch for 20 – 30 sec, 3 times.

Sit-to-stands:

As the name implies, sit and stand from your chair 10 – 20 times. If it is too easy for you, perform a squat instead by not completely sitting but remaining in the air and coming back up.

Calf Raises:

Behind the chair, grab the headrest and lift your heels up and down. If there is no issue with your balance, perform without grabbing onto anything

Jumping Jacks:

It’s important to keep your heart pumping throughout the day. It’s tough when you are sitting all day long. Start by standing with arms to your side and feet nice and square. Then jump and spread your legs wide while at the same time reach your arms up on the side.

Your hands do not necessarily need to touch but close enough. Then quickly jump back to starting position. Begin with 10 – 20 at a time.

Please note that not everyone will be able to perform this exercise. It depends on your current ability and any concurrent joint disorders you may be.

Door stretch:

Since you are constantly looking at the computer, your shoulders can protract and make the chest tight as well. Go by the doorway and put one arm on the wall while you step one foot (the same side forward and slightly turning towards the opposite direction.

You will feel a stretch on your pectoralis muscle. Depending on the angle of your elbow, it’ll stretch different aspect of your chest. Your can start with 90 degrees and work your way up.

If your doorway is small enough, you can perform with both arms at the same time.

Hold the stretch for 20 – 30 seconds, 3 times.

Chin Tucks:

You may also be prone to have a forward head posture. Stand with your back against the wall. Tuck your chin back as if pulling your whole head towards the wall. Remember not to force it too much. It should not hurt. Start by holding for 2 seconds, 10 times. You can work your way up by holding 5 seconds, then to 10 seconds.

Cervical Isometrics:

Press your head gently into your left hand and vice versa and hold for 5 seconds (without letting the head be pushed over). Do the same on the right side. Then use both hands into the back of your head. Repeat the cycle 10 times.

It’s okay not to be able to do the exercises perfectly in the beginning. Remember to listen to your body when doing certain exercises. If you have certain pain or discomfort while doing an exercise, speak to your doctor Physical Therapy Queens, NY before proceeding.

Movement is important in our daily life. Don’t give into a sedentary lifestyle. It’s up to you to let your body function as optimally as you can as long as you can.

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Physical Therapy for “Colles’ Fracture”

Physical Therapy for “Colles’ Fracture”
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What is “Colles’ Fracture“?

A Colle’s fracture is a break in one of the bones of the forearm near the wrist. The fracture can occur if you fall with an outstretched hand, with the end of your radius bone breaking and getting pushed toward your inner wrist. This fracture is one of the most common but most challenging outpatient fracture. This is most common in people with osteoporosis or elderly women.

Common Signs of a Colles’ Fracture

If you have suffered trauma to your wrist or have fallen onto your hand or wrist, you may have a Colle’s fracture. Common signs and symptoms of a wrist fracture or Colles’ fracture include:

– Pain and swelling in the arm, wrist or hand

– Bruising

– Decreased mobility in the wrist

– Visible lump on the back side of your forearm

Initial Treatment

If you suspect you have a Colles’ fracture, you should seek medical attention right away. Otherwise, it may result in serious complications with permanent loss of arm and hand function.

Because of the pain and swelling that occurs with a fracture, you may wish to put ice on your wrist and hand until you get to your doctor or emergency room.

It is important to have the fracture reduced. Your doctor situates the broken bone or bones manually in the correct position so that appropriate healing can take place. Another option is to have a surgical procedure call open reduction internal fixation (ORIF) when the case is severe.

Once it’s been reduced, it must be immobilized with a cast or a brace and may be required to wear a sling. You may need to visit a physical therapist to learn how to properly wear your sling. It is essential to keep the bones immobilized so that proper healing can take place.

How Can a Physical Therapist Help?

After about four to six weeks of immobilization, your doctor may remove the cast and be referred to physical therapy. The physical therapist will evaluate your strength, function, range, pain and swelling. If you had an ORIF procedure, the therapist will assess your surgical scar tissue.

Your physical therapist will develop an appropriate plan to improve the impairments and functional limitations that you may have. Your PT may prescribe a specific exercise program after your Colle’s fracture such as:

– range of motion exercises for the hand, wrist, and elbow

– strength exercises that focus on hand, wrist and elbow.

– various treatments and modalities to help decrease the swelling and pain.

– scar tissue massage and mobilization to help improve the mobility of your scar

You should notice that your mobility, strength, and function are improving while your pain and swelling are decreasing after a few weeks of physical therapy. While the fracture should be fully healed six to eight weeks after injury, you may still be limited for up to 12 to 16 weeks.

A Colles’ fracture can be a scary experience as you will have limitations in your basic abilities as well as your recreational activities. Physical Therapy Queens, NY can help you improve your functional mobility to ensure you can quickly and safely return to normal activity.

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Coronavirus (COVID-19) – Our Commitment to the Health & Safety of People

 

At New Age Physical Therapy, the health and safety of our patients is our top priority. We are diligently monitoring updates to the Coronavirus (COVID-19). We understand this is a challenging time for us, but want to reassure you that we are committed to using preventive measures such as disinfecting our equipment and exercise tables, washing our hands frequently, using alcohol-based sanitizer, and keeping 1 patient per room for social distancing to prevent the spread of Corona virus, as well as cold and flu.

In addition, we are emphasizing and encouraging proper hand hygiene among our patients, have strategically placed hand sanitizers and wipes throughout our clinic, as well as advising anyone who is sick or having any symptoms to stay home for the required 14-day period. Our therapists and staff are happy to employ the use of gloves upon request or when necessary.

We kindly ask that if you are experiencing any of the common cold or flu-like symptoms, that you allow our receptionist to reschedule your appointment when you are feeling better. We will continue to monitor the latest Corona virus updates and will make any changes necessary to help keep our patients and staff safe and healthy.

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