Patellofemoral Pain Syndrome (PFPS)

10 Dec 2018 Physical Therapy

 

What is Patellofemoral Pain Syndrome (PFPS)?

PFPS is one of the most common causes of chronic knee pain. It is most common among young athletes, runners, bicyclists and less-active teenage females. However, anyone is at risk, especially those who tend to be more “knock-kneed” or overweight. It occurs when the outside of your hips are weaker than the inside of your hips and the front of your thighs. This muscle imbalance causes the knees to come together more than they should.

What are some of the symptoms of Patellofemoral Pain Syndrome (PFPS)?

Usually, pain is on the front of the knee, around and behind the kneecap. Sometimes there is popping and crackling, and in severe cases the knee may buckle. Chronic PFPS may lead to patellofemoral osteoarthritis

Symptoms are triggered by activities that load the knee-cap such as:

  • Going Up/Down stairs
  • Jumping
  • Running
  • Squatting
  • Prolonged sitting with the knees bent

What can I do to help resolve or prevent Patellofemoral Pain Syndrome?

  • Strengthen your hips! Your side hip muscles, called the abductors and external rotators are part of your glute muscles. These muscles balance your knee joint angle, bringing the knees out to reduce the pull of your inner leg muscles on your kneecap, which reduces pressure on the knee joint. These muscles also help stabilize your trunk when you walk and help with balance and strength on one leg, such as when you run, go up/down stairs, and jump during sports. Keeping them strong will help you rise from a chair, assist with climbing stairs, and help you walk faster. Exercises such as single leg balance and squatting, walking sideways with resistance bands, side-lying leg raises, or side planks can all help engage these muscles. Squatting by sending your hips far back and keeping the toes turned out with a wide stance target the side glute muscles as well.
  • Strengthen your front leg muscles! Your front thigh muscle, the quadriceps, help to decrease load and absorb forces through the knee joint. Work on strengthening the quadriceps by exercises such as squatting, lunging, leg press, straight leg raises, forward planks, terminal knee extensions, and step-ups are just a few ideas.
  • If you are overweight, trim off the fat! Focus on shedding excess weight with healthy eating choices and exercise. When walking, the forces going through your knee can be at least 1.5 times your body weight on even ground. So losing a few pounds can greatly help decrease the compression forces, and pain, in your knee.
  • Wear good shoes! Shoes that are worn down, don’t fit well or that aren’t supportive increase the stress to your knees. Pick up your shoe and look at the bottom of it. If one area is really worn down than other parts, consider it time to invest in a new pair of shoes to help your foot hit the ground evenly again. When your feet turn in towards each other, it changes the angle of your knees to come in together more, causing PFPS.
  • Warm up! Before doing more aggressive activities, warm up your body for 5-10 minutes to increase blood supply to your muscles. You are less likely to cause injury when muscles are more pliable and warm.
  • Plyometrics! Once your hips and thighs are strong enough, you can move into higher level activities such as jumping/hopping exercises called plyometrics.
  • Strengthen your core! Slowly stepping up and down a high step with mindful control, or holding a plank on elbows and toes are all great for strengthening both the core and hips.
  • Watch yourself! Using a mirror is helpful to ensure your knees are aligned properly because good form is key to strengthen the hips and thighs properly.
  • Ice! Ice your knees 15 minutes after activity to reduce the onset of inflammation that could lead to pain.

 

How Can Physical Therapy Help to Avoid Surgery?

5 Jan 2018 News And Events, Physical Therapy , , , ,

While surgery is sometimes the only way to treat a physical condition, the more conservative approach is to first try physical therapy. If physical therapy eliminates your pain or helps you heal from injury, there may be no need for surgery. And, if you do need to undergo surgery, pre-surgical physical therapy can often put you into better physical condition to withstand the surgery, and possibly help provide a better recovery outcome.

Surgery and Other Invasive Procedures Carry Risks

The fact is, anytime an invasive procedure is performed on a patient, there are risks. Although the exact risks often depend on the exact type of surgery you are having, here are just a few general risks surgery exposes you to:

·        Whenever your body is cut open, it exposes you to the possibility of infection

·        Bleeding problems can occur during surgery

·        Blood clots can be caused by surgery

·        Occasionally, complications from the anesthesia may occur if the patient has a reaction to   anesthesia drugs.

·        Anesthesia can cause aspiration, or breathing food or fluid into the lungs. This can be serious.

·        Anesthesia can cause elevated heart rate and blood pressure in some patients during surgery

Physical Therapy Benefits

Physical therapy has long been used as a conservative treatment before surgery is considered. Now, medical studies are showing that physical therapy can sometimes be as effective as surgery:

·        Studies have shown that physical therapy can be as effective as surgery in providing pain relief for some lower back conditions, such as spinal stenosis.

·        The New England Journal of Medicine published a study that found physical therapy to be as effective as surgery for treating meniscal tears and knee osteoarthritis.

·        A study conducted at Thomas Jefferson University Hospital found that patients with degenerative disk disease responded as well to physical therapy as to surgery.

·        Physical Therapy has been found to successfully treat patients suffering from carpal tunnel syndrome

As more studies are completed, many doctors believe physical therapy may provide a non-invasive method of treatment for many patients, allowing them to avoid surgery.

Physical Therapy Helps Your Body Heal Itself

Our bodies are designed to heal themselves of certain conditions, given the proper treatment options and nutrition. Surgery should rarely be the only treatment offered, unless it is an emergency situation.

Doctors are recognizing that physical therapy treatment plans are effectively helping their patients. Part of this is because treatment plans can be custom-designed for the patient’s individual goals, needs, and challenges.

As researchers discover the positive impact of physical therapy on patients’ conditions, instead of undergoing surgery, more doctors are recommending physical therapy, first, as a non-invasive, more gentle way of healing the body.

If you are considering surgery, and are looking for less invasive treatment options, contact the Tucson Orthopaedic Institute to schedule an appointment today. Visit one of our several area locations, to be examined by one of our highly qualified, board certified orthopedic surgeons. Our goal is to provide the most appropriate, least invasive treatment necessary for your condition.

Can Physical Therapy Help Your Back Pain?

29 Dec 2017 Back Pain, News And Events, Physical Therapy ,

Surprising Results When a Scientific Study Compared Surgery with Physical Therapy (Exercise) for Back Pain Treatment

A study on patients suffering from lower back pain due to lumbar stenosis (a narrowing of the space inside the lowest part of the spinal canal) was conducted on 169 Pittsburgh-area men and women with lower back pain due to lumbar spinal stenosis. All agreed to have surgery. Half would have surgery immediately, while the other half would wait. While waiting, the second half of the study group participated in a specifically designed physical therapy program, rather than going through with the scheduled surgery.

Both groups showed the same benefits throughout the recovery period, from 10 weeks after surgery to two years later. Both groups had no difference in pain levels and physical function.

Meanwhile, the surgery group had twenty-two participants (25%) who experienced surgery-related complications like repeat surgery or a surgery-related infection, while eight of those in the physical therapy group (10%) reported worsening symptoms as a complication.

This study shows that physical therapy, or exercise, is as effective as surgery for many patients with certain low back pain.

Standard Care: Conservative Treatment for Back Pain, Before Considering Surgery

Usually, doctors will try to initially treat back pain with conservative measures. Some of these treatment methods include:

·        Pain relievers

·        Anti-inflammatory medications

·        Injections of corticosteroids

If these methods fail, they will most often recommend surgery to their patients.

Many Doctors Now Consider Physical Therapy/Exercise as Part of Treatment Plan to Treat Back Pain Patients

Many doctors now consider a well-designed physical therapy program as an important step to treat patients with back pain, before making any final step toward surgery.

This, of course, depends on the cause of the back pain, and the overall condition of the patient’s health. For instance, immediate surgery may be necessary if there is so much pressure on the nerves that:

·        It becomes difficult to control bladder or bowel function

·        Muscles around the pelvis or upper legs become weak

·        Pain can’t be controlled with strong medicine

In these cases, surgery may be the only option for relief.

 

What to Expect If Your Doctor Recommends Physical Therapy or Exercise

If your physician considers you to be a good candidate for physical therapy or exercise to relieve your back pain, there are a few things you should know.

First, congratulations. You may be able to avoid surgery or medication to treat your back pain. Surgery may seem like the definitive fix, but it’s never a guaranteed success, and there is always a possibility for complications with any surgical procedure.

Second, any exercise or physical therapy program will not only be difficult at first, it is likely to cause pain. This is because your back pain may have caused you to limit certain movement. When your therapy has you begin to move all those muscles and ligaments again, they will be stiff and sore. It is the old story of “no pain, no gain”.

Also, if patients do not perform all recommended exercises or do not devote enough time to their program, physical therapy or exercise is not likely to alleviate pain.

However, if you commit to your physical therapy or exercise program, you should eventually find relief, just like the participants in the scientific study. Also, you will find continued exercise beyond the assigned therapy time may, in fact, further strengthen you back and help you to maintain better posture, which should help to prevent recurring pain.

Lastly, never engage in any physical therapy or exercise program when you are experiencing back pain without your doctor’s approval. This is very important, as your doctor will be able to determine exactly what you should, and should not do with your back.

If you are experiencing back pain, request an appointment at the Tucson Orthopaedic Institute at the location nearest you, to be examined by one of their highly qualified, board-certified orthopedic surgeons. They will use the latest diagnostic tools and years of experience to determine the cause of your pain, and suggest the best treatment options available. You deserve to live a pain free life.

You Could Be Suffering From Plantar Fasciitis

15 Dec 2017 Foot Pain, News And Events , , ,

If you are experiencing these types of symptoms, you may be suffering with Plantar Fasciitis.

What is Plantar Fasciitis?

Plantar fasciitis is the most common cause of pain in the heel and bottom of the foot.  It is estimated to affect 1 in 10 people at some point in their lifetime, and most commonly affects people between 40-60 years of age.

Running along the bottom of your foot is a thick band of tissue, a ligament that connects your heel bone to your toes. This is called the plantar fascia. The plantar fascia supports the arch of your foot.

Plantar fasciitis is an inflammation of the plantar fascia. This inflammation is thought to be caused by tiny, microscopic tears that occur in the fibrous tissue by straining that ligament. It is more common in people who are overweight, and those who wear shoes with inadequate support. If you have plantar fasciitis, you may notice that the sole of your foot hurts more as the day goes on, hurting the most when you climb stairs or stand for an extended period.

Even More Risk Factors

Repeated strain on the plantar fascia ligament can cause pain and swelling. This is more likely to happen if:

·        Your feet roll inward too much when you walk (excessive pronation)

·        You have high arches or flat feet

·        You are overweight

·        You wear shoes that don’t fit well, or are worn out

·        You have tight Achilles tendons or calf muscles

 

 

Treatment for Plantar Fasciitis

The cost of treating plantar fasciitis in the United States has been estimated at about $284 million each year. And, since plantar fasciitis is caused by stress placed on the foot by the mechanics of walking, no single treatment works best for everyone. Fortunately, about 90% of plantar fasciitis cases will improve within six months with conservative, non-invasive treatment. Some of the more common treatments include:

·        Rest

·        Applying heat

·        Applying ice

·        Calf-strengthening exercises

·        Techniques to stretch calf muscles, Achilles tendons, and plantar fascia

·        Weight reduction in the overweight or obese

·        Nonsteroidal anti-inflammatory drugs (NSAIDS)

·        Custom-fit orthotics/shoe inserts

It is important that you receive a specific diagnosis and subsequent treatment for plantar fasciitis from your doctor, as ignoring this condition may result in chronic heel pain that hinders your regular activities. Implementing your own, unscientific methods of minimizing the pain, like altering the way you walk, might lead to foot, knee, hip or back problems.

 

If you suspect you may have plantar fasciitis, request an appointment online to visit Tucson Orthopaedic Institute. Come visit the ortho specialists to diagnose your foot pain, at one of our several area locations. You deserve to continue your life with full mobility, and pain free feet will help keep you going!

Could Your Foot Pain Be Caused by a Problem With Your Back?

8 Dec 2017 Foot Pain, News And Events ,

While it doesn’t seem like there should be such a connection, considering how sensitive and large the back is, foot pain can in fact be related to your back. It is not uncommon to have pain in the legs or feet without any significant lower back pain, yet the problem is still originating in the lumbar region of the lower back. Blame the funny way our nerves work sometimes, sending signals all over the place.

 

You might blame that foot pain on the sciatic nerve

If a nerve root in the lower back – or lumbar area of the spine – is irritated or compressed, this lower back condition can cause pain to radiate along the sciatic nerve all the way to the patient’s foot.

The sciatic nerve is a large nerve that begins near the base of the spine, extending downward through the lower extremities, traveling through the hips, buttocks, and legs, before coming to an end in the feet near the toes.

 

Symptoms of Sciatica

As we age, the lumbar spine begins to deteriorate and weaken. This can impact the sciatic nerve, and lead to symptoms of sciatica, including:

·        Pain

·        Numbness

·        Tingling

·        Weakness

·        Slower reflexes

·        Muscle spasms

The sciatic nerve is very important, as it sends sensory and motor information to much of the lower body. The sciatic nerve is what sends the commands which allow for basic movement, such as walking and sitting. When this nerve becomes constricted, inflamed, or compressed in the lumbar spine, often due to degenerative spine conditions that develop in the lower back, the set of symptoms is known as “sciatica”.

 

Conditions that can cause sciatica

There are several degenerative spine conditions which can lead to the impingement or compression of the sciatic nerve, including:

·        Lumbar degenerative disc disease

·        Facet disease

·        Lumbar spinal stenosis

·        Lumber herniated disc

·        Foraminal stenosis

·        Isthmic spondylolisthesis

·        Osteoarthritis

 

Treatment Options

Once your doctor diagnoses the cause of your pain as sciatica, a series of conservative treatment options may be recommended. Often, a combination of these treatments can sufficiently manage the problem. These may include:

·        Activity modification

·        Oral nonsteroidal anti-inflammatory medications

·        Epidural injections

·        Low-impact exercises

·        Stretching techniques

·        Physical therapy

When these conservative approaches to managing sciatica fail, it may be necessary to consider addressing the underlying cause with surgery.

 

If you are experiencing pain in your foot, or lower extremities, contact the Tucson Orthopaedic Instituteat one of their several area locations. You can schedule an appointment online, to be examined by one of their highly qualified, board-certified orthopedic surgeons. At Tucson Orthopaedic Institute, there are many non-invasive treatment options for diagnosing and treating sciatica, and we will work with you every step of the way until your pain subsides.

Popular Physical Therapy Methods

10 Nov 2017 Physical Therapy , , , , , ,

Whether it’s a short-lived pain from a sporting injury or long-term pain from conditions like arthritis, pain can be difficult to live with and manage. From helping arthritic pain and bursitis, to the recovery from broken and fractured bones, and sprains and strains, physical therapists are highly educated healthcare experts in the movement and function of the human body, called kinesiology.

Physical therapists have a special aptitude for assessing the human body and helping restore it back to optimal performance after injury or surgery. Many people experience pain at some point in their lives, whether it is acute or chronic. Physical therapy has been known to improve function for patients experiencing hip, knee, shoulder, and lower back pain. It may also be an effective method in reducing pain for patients with conditions such as tendonitis.

Armed with cutting edge equipment and a huge background of knowledge, PTs can help diagnose and treat many common conditions and disorders affecting movement and function, which often disrupts and affects someone’s ability to live their life normally. Often, doctors turn to physical therapy methods to try and relieve pain and restore function, before turning to surgery as a last resort.

Therefore, armed with cutting edge equipment and a huge background of knowledge, physical therapists can help diagnose and effectively treat many common problems, and most importantly improve or restore mobility, relieve pain, and reduce the need for surgery and prescription drugs.

Physical therapy is an essential part of total patient care, especially when recovering from injury or surgery. Having a good quality of life depends on our health, and if people are in constant pain and suffering, life can be difficult to navigate. That’s why physical therapists can make all the different in your treatment and recovery process. Attitude and motivation are two important psychological factors that often affect the outcome of a situation. PT’s are trained to encourage their patients, helping them reach their goals, whether they are long-term or short-term.

Physical therapist’s work with their patients on a one-on-one basis, track their progress through treatment, and really make a difference in their lives, by getting them back on their feet, and lifting their spirits, encouraging the patient to keep moving forward. Whether the patient’s problem is a result of injury or disease, the physical therapist is a rehabilitation specialist with one goal in mind: helping patient’s recover by restoring optimal function and mobility, and preventing further disability.

Your PT will complete a full evaluation before making an accurate diagnosis.

Therapeutic exercise and functional training are the cornerstones of a physical therapy treatment plan. Depending on the particular needs of a patient, in order to promote proper movement and function, physical therapists will work with individuals to prevent loss of mobility by developing fitness and wellness oriented programs, for healthier and more active lifestyles.

Popular physical therapy methods include:

  • Ice and heat therapy: Ice is best for swelling and inflammation, while heat is best for muscle spasms and tightness
  • Manual Therapy:  Manual therapy includes dry needling, cupping therapeutic taping, and other techniques such as soft tissue mobilization and IASTM. These techniques can be helpful in restoring tissue mobility, improving muscle and joint function, decreasing inflammation, improving stability, and facilitating weak muscles.
  • Exercises: Exercise is a main go-to strategy to treat and prevent pain. These aren’t just exercises like you do at the gym, PT exercises are specially chosen and specifically tailored to help treat the patient’s specific problem. These exercise techniques are hand-picked to help patients move better by strengthening certain muscles, and addressing any imbalances that may exist.

To learn more about the popular physical therapy methods, call us in East Tucson at (520) 784-6570, Northwest Tucson at (520) 382-8201, or Oro Valley at (520)382-8180, or request an appointment online.

Why Does My Elbow Hurt? When to See an Elbow Specialist

6 Nov 2017 General , , , ,

We are all busy people. No matter what our profession or responsibilities, we sometimes have a way of filling up our schedule to the point that health takes a back seat. For instance, if your elbow hurts, you are going to ignore it for as long as possible. Sometimes we think that a little movement, stretching, or rest can work out the kinks. But if it doesn’t get better on its own, when is it time to see an elbow specialist?

Whether the pain is sharp, following some trauma like a fall or other accident, or it has been a steady ache that eventually interferes with movement, elbow pain can hold you back from fully participating in your life and activities. These are some of the common elbow injuries that people experience:

 

·       Sprains, or an injury to the tendons within the elbow

·       Strains, or a pulled muscle caused by overstretching or over-exertion

·       Muscle tears caused by an accident or overuse

·       Fractures to the bones of the arm that meet in the elbow (humerus, radius, or ulna)

·       Dislocation to the joint when it comes out of position and prevents smooth movement

·       Bursitis, swelling behind the elbow due to overuse

·       Tendonitis, when the tendons in the elbow joint become inflamed (includes tennis elbow, golfer’s elbow, or Little League elbow)

·       Pinched nerve within the joint that can cause pain or numbness and tingling down the arm.

·       Torn ulnar collateral ligament (UCL), the most common elbow ligament injury for people who throw balls

 

Because many of these injuries need a correct diagnosis and proper treatment to heal, it is vital that you see an elbow specialist, or orthopedic surgeon who specializes in elbows and other upper body parts. Tucson Orthopaedic Institute in Southern Arizona features Ortho Fast Track to serve patients with acute injuries like broken bones within a few days of the injury. Even same day appointments are available with a physician referral. Our conveniently located facilities have the latest in diagnostic equipment to save valuable time. If your elbow hurts, don’t wait until the pain is unbearable. Call the office closest to you with your questions, or schedule an appointment online today.

Causes of Low Back Pain

13 Oct 2017 Back Pain , , ,

Low back pain is something that most people experience at some time in their lives. From herniated discs to pulled muscles or pinched nerves, there are many possible sources and types of lower back pain. Most of the time, low back pain can be traced to one of a few causes.

Your lower back must bear the weight of your upper body all of the hours you spend upright, not to mention the stress it endures while sleeping or sitting in certain positions. Over the years, bad habits like poor posture and too much time sitting at a desk can contribute to pressure that builds between the vertebrae.

The discs between vertebrae are meant to act as shock absorbers. They are made of tough but spongy cartilage, that will often wear down or become compressed as you get older. Arthritis is the result of the bones in your spine making contact, and painfully rubbing together.

Consistent pressure or a traumatic injury can cause a disc to bulge in the middle, called a herniated disc. Your spine is constructed to protect the nerves within it, but herniated discs can cause intense, shooting pain when nerves are pinched.

In everyday life, muscles in your lower back can be strained or pulled from activity. Lifting heavy things during a move, shoveling snow, bending with your back instead of your knees – these can all cause the soreness we’re all familiar with. However, while low back pain is a common complaint for many people, it is something that can be remedied by taking the proper steps.

In some cases, back pain goes away on its own with a little rest. Muscles heal, and even nerve pain is usually intermittent. But when the pain lasts for several weeks or longer, the frustration of chronic back pain sets in. Exercises learned in physical therapy can often help relieve or eliminate chronic back pain, as the muscles surrounding the affected area are strengthened. In rare cases, surgery may be necessary to correct back pain.

If you suffer from chronic lower back pain, the orthopedic physicians and physical therapists at Tucson Orthopaedic Institute can help. With expert diagnostic capabilities and experience with the full range of possible back ailments, our spine specialists will help determine the best treatment for your condition. Treatment could be as simple as making minor adjustments to posture, changing sleep position, and a little massage or physical therapy. There are plenty of treatment options available, so you shouldn’t feel resigned to having to choose between pain medication or a surgical procedure. Contact one of our convenient locations in the Tucson, Arizona area for an appointment today, or request one online.

The Training Required for a Physical Therapist

6 Oct 2017 Physical Therapy , , , ,

Physical Therapists (PT) help people regain strength and movement and alleviate pain, often through modalities such as stretching and exercise. A rehabilitation plan following an injury or to correct an orthopedic condition often includes physical therapy as an important part of the treatment and/or recovery process. Licensed Physical Therapists are highly-trained professionals with many years of study and experience to understand how the body moves and works, to help people feel better and live better lives.

Physical therapists are required to have a Doctor of Physical Therapy (DPT) degree from a program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). DPT degrees usually take about three years to complete.

Acceptance into a DPT program requires a bachelor’s degree and relevant coursework, which may include anatomy, biology, physics, and chemistry. The DPT program includes study in the areas of physiology, neuroscience, pharmacology, biomechanics and psychology. The degree requires 30 weeks of clinical experience under the supervision of licensed PTs.

Following graduation as a Doctor of Physical Therapy, PTs complete a one-year residency for additional experience in various areas of care, such as for acute injuries like bone fractures, spinal cord injuries, as well as for conditions usually affecting older patients, such as arthritis. PTs also help people with genetic disorders affecting movement. Fellowships are available to further specialize a physical therapist’s area of expertise following his or her residency. DPTs can be board-certified by The American Board of Physical Therapy Specialties.

Licensing of physical therapists is administered at the state level, and requirements vary by state. However, every state requires that PTs pass the National Physical Therapy Examination. This extensive training and licensing program prepares a physical therapist to be an integral member of a patient’s healthcare team during recovery from an injury or illness.

Physical therapists at Tucson Orthopaedic Institute work directly with physicians to develop a treatment plan that is customized for each patient to maximize therapeutic benefit and produce the best possible outcome. Our physical therapists are an integral part of the practice, and orthopedic treatments often cannot be fully realized without their expertise. Contact one of our fully equipped and state-of-the-art Tucson physical therapy centers today for a consultation. You can also request an appointment online right now.

What is Neuropathy?

29 Sep 2017 Spine , , , , ,

When the nerves connecting the spinal cord to the rest of your body become damaged or disrupted from carrying signals, it can result in a group of symptoms called peripheral neuropathy (or just neuropathy). It’s not an uncommon condition, with an estimated 2-3% of the population affected.

The nervous system brings information to and from your brain. When the nerves are affected by an injury, infection, autoimmune condition or something that blocks or puts pressure on them, they can’t properly conduct sensory information.

Some symptoms of neuropathy include:

  • Numbness, especially in the hands or feet
  • Tingling or prickling sensation
  • Sharp or jabbing pain, as if from a knife
  • Burning feeling, similar to sunburn without the heat
  • Freezing sensation
  • Ultra-sensitive to touch
  • Lack of balance or coordination

Diabetes is a major cause of neuropathy, especially in the feet. Increasing circulation through exercise can help relieve or prevent symptoms. Decreased or lack of feeling in the feet and toes can lead to life-threatening infections or amputation. For those diagnosed with diabetes, the importance of monitoring foot health cannot be overstated enough.

When peripheral neuropathy causes muscle weakness or instability, physical therapy can help strengthen these muscles or the surrounding area, to ease pain and increase mobility. Your doctor can monitor your progress and make recommendations for alterations in a physical therapy plan that best addresses your needs.

Making lifestyle changes, including diet and exercise, may address the underlying cause of neuropathy to relieve or eliminate symptoms. The nervous system in your body is both intricate and complex, and may be affected by multiple influences, both environmental and genetic. Developing a treatment plan with your doctor is the first step to recovery.

The orthopedic physicians at Tucson Orthopaedic Institute are experienced in the diagnosis and treatment of conditions affecting the nerves, including neuropathy. They work together with our physical therapists to ensure each patient has the best possible treatment outcome.  If you have nerve pain or other symptoms of peripheral neuropathy, contact one of our convenient locations in the Tucson, Arizona area for an appointment today, or request an appointment online.

Physical Therapy vs. Surgery

15 Sep 2017 Physical Therapy , , ,

There are different types of injuries and conditions that affect muscles, bones, tendons, and the way they connect in your body. These are orthopedic conditions or injuries, and they can be acute, like a sports injury or accident; or chronic, like arthritis. Virtually any injury to muscles or tendons can benefit from physical therapy. And in many cases, your orthopedic physician will recommend a conservative course of treatment that focuses on physical therapy, long before surgery is even brought to the discussion.

 

When you begin a treatment plan, your physician will provide details of your health history and condition to your physical therapist. They will develop a plan that may include manual (hands-on) therapy, modalities, and a custom exercise plan. You will have checkups with your physician to evaluate your progress and determine if there needs to be an adjustment to your treatment plan.

 

Studies have shown that patients who had physical therapy vs. surgery for treatment of osteoarthritisof the knee combined with a torn meniscus showed favorable results. The same result was found for patients suffering from lumbar spinal stenosis. Surgery can result in serious complications, and usually requires downtime for healing. The decision to undergo a surgical procedure should never be taken lightly, however in some cases surgery may be the only good option left.

 

At Tucson Orthopaedic Institute, our orthopedic surgeons always explore conservative treatment options before recommending surgery to treat an injury or chronic condition. We have several physical therapy facilities in the Tucson, Arizona area with experienced and caring certified physical therapists. If you need care for an orthopedic injury or condition, contact one of our fully equipped and state-of-the-art Tucson physical therapy centers today for a consultation. We are experts in treating sports injuries, injuries from auto accidents, chronic conditions, and more. Call today, or request an appointment online.

Digital X-rays vs. Traditional X-rays

18 Aug 2017 General , ,

Something so simple as switching to digital format from traditional film can actually have a positive impact on patient care and satisfaction. Digital X-rays have improved the speed, accuracy, and safety of diagnostic imaging in orthopedics. Getting an accurate diagnosis more quickly means that you can begin treatment sooner, and avoid pain and complications that may come from delaying treatment.

 

X-rays rely on radiation to create images of internal structures in the body, most notably bones. The density of bone material relative the surrounding soft tissues are what makes it visible through an X-ray. This enables your doctor to determine whether your bone is broken, or fractured. With digital X-rays, there are several advantages to the newer technology.

 

Safe. Abundant radiation exposure can cause cancer. Fortunately, digital X-rays produce much less radiation than traditional X-rays. Your doctor will order diagnostic imaging such as X-rays if the benefit (pictures of the inside of your body) outweighs any negative health risk. If you are injured, your doctor needs to see inside your body to determine which treatment will best help your body heal.

 

Accurate. Digital X-rays provide clearer images with higher resolution than traditional X-rays. The images can be enlarged or otherwise manipulated to see the area of interest. Traditional X-rays were sometimes not clear enough and the patient would need to have another set taken.

 

Fast. With no need for development onto film, digital x-rays are available right away and can be sent to the doctor making a diagnosis quickly and electronically. Digital x-rays can also be provided to you or another physician who needs your health history quickly and easily. Traditional x-rays had to be copied onto film.

 

Green. Digital X-rays eliminate the need for a dark room to develop films. Equipment is generally smaller and takes up less space. The chemicals used to develop traditional X-rays were bad for the environment. Digital X-ray imaging does not require any chemicals, and has the added benefit of being able to easily be shared electronically.

 

Tucson Orthopaedic Institute offers onsite medical imaging for the diagnosis of musculoskeletal conditions, including digital X-rays. We save patients valuable time by providing advanced diagnostics right in our facilities. For an appointment in the Tucson, Arizona area, contact one of our conveniently located offices today. Call our East Tucson office at (520) 784-6200, Northwest Tucson office at (520) 382-8200, or Oro Valley office at (520) 544-9700. To schedule an appointment, you can call or use our secure online appointment request form.

The Role of Physical Therapy in Spinal Cord Injuries

11 Aug 2017 Physical Therapy , , , ,

A spinal cord injury can be as devastating as it sounds – it often means a permanent change in your body’s sensation and capabilities. The extent and duration of the injury is often impossible to determine, but physical therapy and exercise have been shown to have a universally positive effect.

 

The spinal cord conducts nerve impulses from the extremities to your core and everything in between, back and forth from the brain. Along with the brain, te spinal cord is the most integral part of the central nervous system. Among other sensory information, the primary motor cortex in the brain sends signals through the spinal cord that tell the body how and when to move. This is voluntary movement, not movement involved in life sustaining activities like breathing and blood circulation. When the spinal cord is damaged by an accident, communication with the nerves from the point of the injury downwards is disrupted. The signals that indicate sensation cannot reach the brain, and the brain cannot reach the muscles through the nervous system to cause movement.

 

Physical and occupational therapy begin almost immediately following a spinal cord injury. If there is any paralysis, whether temporary or permanent, the patient needs to strengthen muscles and learn alternate means of completing daily tasks. If the patient needs the assistance of a walker or wheelchair, physical therapy and exercise increase the ability to move independently.

 

Some benefits of physical therapy on spinal cord injury rehabilitation include:

·       Minimizing muscle atrophy

·       Improving breathing and circulation

·       Increasing mobility

·       Reducing feelings of depression and anxiety

·       Empowering patients to make a positive impact on their health

 

At Tucson Orthopaedic Institute, certified physical therapists work directly with physicians to develop a custom treatment plan that changes with any alteration in health or situation during the recovery period. Techniques that may be included in a treatment plan are manual therapy, aquatic therapy, electrophysiological agents, and more. Contact one of our convenient Tucson physical therapy centerstoday for a consultation, or request an appointment online.

Physical Therapy and Lymphedema Care: After a Mastectomy

4 Aug 2017 Physical Therapy , ,

At the Tucson Orthopaedic Institute, we understand the need to heal after a major surgery. Our dedicated physical therapists have the compassion, training, and skills to help you move past pain while increasing function and range of motion. Physical therapy is a part of healing, but it is especially important to women who are undergoing physical therapy and lymphedema

(swelling) care after a mastectomy. Lymphedema (swelling of the arm) is a common side effect after a mastectomy.

Why is Lymphedema and How Does Physical Therapy Help?

 

Lymph glands, which normally transports lymph, a vital fluid containing white blood cells and other infection fighting components, are often taken out during a mastectomy in order to remove cancerous tissues. This can cause a condition known as secondary lymphedema, in which excess fluid collects beneath the skin. Without the ability to drain, excess fluid can build up (edema), causing swelling of the affected area.

 

The excessive collection of fluid can prevent proper blood flow and oxygenation and make a person susceptible to certain kinds of infection in the swollen areas. Following a mastectomy, physical therapy can help to drain the tissues because exercise and movement, along with compression and targeted massage, aids in the removal of excess fluid, toxins, and waste. Lymphedema can range from mild to severe, depending on the number of lymph nodes that have been removed or damaged. Symptoms of lymphedema can include:

 

·      Tightness, heaviness or feelings of fullness in the affected chest, armpit, arm area

·      Aching or pain in the affected limb

·      Swelling of the hand(s)

·      Difficulty bending the affected limb due to swelling

·      Arm weakness

·      Inability to fit into clothing such as bras, blouses and jewelry that were previously wearable

 

The treatment for lymphedema often includes physical therapy, exercise, and massage therapy. It may also require compression bandages to prevent fluid buildup, diet and weight management, and elevation of the affected arm. It is also very important that you keep the skin healthy by preventing it from drying out or cracking. This can lead to serious infections because the bacteria can often thrive in the areas where lymph glands have been removed.

 

Your doctor and physical therapist can advise you further as to which diet, exercise, medications and therapies are right for you. If you, or someone you love needs exceptional after care following a mastectomy, or any form of orthopedic care, or to learn more about our Ortho Fast Track program, please call us in East Tucson at (520) 784-6200, Northwest Tucson at (520) 382-8200, or Oro Valley at (520) 544-9700, or request an appointment online.

Can Physical Therapy Help Avoid Surgeries

28 Jul 2017 Physical Therapy , ,
Can Physical Therapy Help Avoid Surgeries

Our bodies are designed to heal themselves, and this natural healing process works best when paired with proper nutrition, healthy exercise, and the right forms of rehabilitation and treatment. When people are suffering with pain from recent injury or a chronic condition, the first thought that comes to mind is often relying on surgery or medication for treatment. The truth is, physical therapy is equally, if not more, effective; and may even prevent the need for surgery in the first place.

Physical therapy helps restore function, improve range of motion, and alleviate pain. Many patients with problems including back pain, neck pain, and painful conditions such as arthritis, carpal tunnel, tendonitis, sprains and strains, and other injuries, can benefit from rehabilitation via physical therapy.

Going through physical therapy first to try to prevent surgery is usually recommended by doctors, including orthopedic surgeons and pain specialists. Even if you already had surgery, it’s important to implement a physical therapy treatment plan to increase your success of regaining optimal strength, mobility and balance, after recovery.

The job of a physical therapist is to treat any disability resulting from disease or injury, from sore shoulders to spinal cord injuries. The focus is on the development of a comprehensive program for putting the pieces of a person’s life back together after injury or disease, without surgery. There is a specific science and pattern that the muscles of the body move to, and a licensed physical therapist has trained to have a keen understanding of body mechanics.

Physical therapists develop treatment plans designed and tailored specifically for the patient, based on their diagnosis, goals, needs, and challenges. PT can help you rehabilitate from an injury, or alleviate the symptoms and pain caused by a condition, and most importantly help to avoid surgery. Studies have shown that surgery has been known to possibly cause more pain, especially in some cases where PT was not followed through afterward.

Physical therapy is a direct form of treatment, and can help target and treat the underlying source of your pain, whether it’s arthritis or another condition, and will help chronic pain improve over time. Your therapist will also provide individualized exercise routines, for both in office and at home. Doing physical therapy sessions allows you to become stronger every day, and teach you the right way to exercise to alleviate pain, not increase it. It is important to note, that the main goal of physical therapy is to restore your function and mobility, and eliminate or minimize your pain so you can get back to your active lifestyle.

Remember, that physical therapists are experts in improving and strengthening your mobility and motion to improve your quality of life. Your recovery will all depend how motivated and determined you are to power through your injury, and do your PT sessions. It is not going to be comfortable, but the more you do it, the more successful your outcome will be.

Talk to one of our experienced doctors at Tucson Orthopaedic Institute, about working together to develop an individualized treatment plan to help you to either avoid surgery, or achieve an optimal post-operative recovery if surgery is necessary. To learn more about physical therapy and how it can help you avoid surgery, call Tucson Orthopaedic Institute at (520) 784-6200, to request an appointment, or use our secure online appointment request form.

What to Expect in Your First Physical Therapy Visit

21 Jul 2017 Physical Therapy , ,

The common use of certain physical therapy techniques goes back to the twentieth century, during World War I. Back then, physical therapists were trained to work with soldiers who were returning from war. In present day, physical therapists often help people who suffer from musculoskeletal problems, looking to reduce pain and regain function. Physical therapists also provide assistance for patients who may be recovering from a stroke, and need to learn how to use their limbs and walk again. Physical therapy is also commonly utilized as part of the recovery process after many types of surgery, helping strengthen the body and reduce the buildup of scar tissue.

As experts in the way the body moves, physical therapists are healthcare professionals who offer effective treatment to improve or restore mobility and relieve chronic pain, reduce the need for surgery and prescription drugs, allowing patients to participate in a recovery plan designed for their specific needs.  A customized physical therapy program can help individuals return to their prior level of functioning, and encourage activities and lifestyle changes that can help prevent further injury and improve overall health and well-being.

During your first physical therapy appointment, your therapist will evaluate you and then provide you the necessary treatment. Your PT will advise you on how to perform exercises both in office or at home, and how to best manage your symptoms that you experience. Patients are typically involved in an active exercise program at home and are educated in ways to speed recovery and prevent recurrence of the problem.

Depending on your injuries and the evaluation, treatment may consist of a variety of exercise techniques and pain reducing modalities, such as ice, heat, ultrasound, and electrical stimulation, such as a TENS unit. Treatments in physical therapy, are designed to increase motion and strength, reduce pain, and most importantly, restore function.

Your physical therapist during your first visit will ask a lot of questions about your health, and can give you a detailed outline of your condition and what would best suit you for treatment. Most importantly, before your visit, jot down questions to ask your therapist, and remember that they are there to guide you along the way to achieve your goals.

To learn more about physical therapy and how to prepare for your first visit, call Tucson Orthopaedic Institute at (520) 784-6200, to request an appointment, or you can call or use our secure online appointment request form.

On-Site Diagnostic Imaging

21 Jul 2017 General ,

It is not an overstatement to say that diagnostic imaging scans have revolutionized medicine in recent decades, allowing doctors to peer into the human body to the hidden, underlying structures without needing a scalpel. At the Tucson Orthopaedic Institute, we understand the value of advanced on-site diagnostic imaging. That’s why we offer convenient digital X-rays, computed tomography (CT), a sophisticated bone density scan, and a magnetic resonance machine (MRI), all on-site. No more running around town, because we are a one-stop, full service orthopaedic practice.

 

Diagnostic Imaging Scan Capabilities

 

·      Computed Tomography (CT) scan: uses a sophisticated form of X-rays to create detailed 3D images that help detect injures such as torn tendons and ligaments.

·      Magnetic Resonance Imaging (MRI): harnesses a powerful magnetic field combined with radio waves to build digital images of organs and soft tissues of the body

·      Bone density Scan: helps to diagnose bone issues such as osteoporosis. A bone density scan can estimate the mass and density of your bones

·      Digital X-rays: superior to film X-rays in quality, storage, and they require 90% less radiation exposure for the patient. They also provide a much quicker image than previous X-rays.

 

We believe in patient centric care, built around your specific needs and lifestyle. That’s also why we offer exceptional specialty care such as: pediatric orthopedics, specialized elbow, shoulder, hand, and foot care, in addition to superior non-surgical, rehabilitative, joint replacement, and spinal care, alongside our onsite diagnostic imaging.

 

We proudly serve our valued patients with extended hours, multiple convenient locations, online bill pay, durable medical equipment (such as walkers, braces, crutches and more), extended hours, and a leading clinical research center, putting our practice at the forward edge of orthopedic medicine.

 

Whether you need bracing, a dedicated hand or foot specialist, a complete joint replacement, on site diagnostic imaging, or you choose us for our sophisticated interlocking treatment approach to care, we have the exceptional care you need, that fits into your busy life, because at Tucson Orthopedic Institute, we are proudly different by design.

 

If you, or a loved one, would like to know more about our on-site diagnostic imaging tools, or if you would like to schedule an appointment at any of our offices, please call us in East Tucson at (520) 784-6200, Northwest Tucson at (520) 382-8200, or Oro Valley at (520) 544-9700, or request an appointment online.

Physical Therapy Before and After Surgery

14 Jul 2017 Physical Therapy , , , ,

No athlete wants to think about what it’s like having a serious injury, let alone the potential surgery and recovery period that follows. Unfortunately, sometimes accidents and injuries are out of our control, and depending on the circumstances, they may require surgical intervention. You will most likely have many questions regarding how your injury should be treated before and after surgery. Depending on what surgery is going to be performed, physical therapy is suggested, and is actually beneficial both pre-operatively and post-operatively.

As experts in the way the body moves, physical therapists help people of all ages and abilities reduce pain, improve or restore mobility, and stay active and fit throughout life. The main goal of physical therapy is to restore your function and mobility, and eliminate or minimize your pain so you can get back to your active lifestyle. Physical therapy is actually a required part of the recovery process for many orthopedic injuries and surgical procedures.

A customized physical therapy program can help individuals return to their prior level of functioning, and encourage activities and lifestyle changes that can help prevent further injury and improve overall health and well-being. Primary care doctors often refer patients for physical therapy at the first sign of a problem, since it is considered a traditional approach to managing problems. For example, the first treatment for low back pain is often physical therapy, because the body has gotten out of shape and structure.

Physical therapists are healthcare professionals who offer cost-effective treatment to improve mobility and relieve pain, reduce the need for surgery and prescription drugs, allowing patients to participate in a recovery plan designed for their specific needs. If you’re already an athlete or physically active, then you will probably be more familiar with some of the treatment plan. If you’re not regularly active, physical therapy can open the door for a more active and energetic lifestyle.

Rehabilitation prior to your surgery is important for many reasons. Physical therapy will help minimize pain, reduce swelling, and especially help with range of motion. Physical therapy after surgery will help educate the patient on how to return to the activities they once did before, but hopefully even stronger. Not doing physical therapy after surgery can cause lack of mobility, increase the buildup of scar tissue, and even have psychological effects. Having done physical therapy beforehand and after will help you immensely after surgery, and help speed up your recovery process.

To learn more about physical therapy and its importance both before and after surgery, call Tucson Orthopaedic Institute at (520) 784-6200 to request an appointment, or you can use our secure online appointment request form.

Should you Consider Participating in a Clinical Trial?

30 Jun 2017 General , , ,

Did you know that clinical trials help medicine move forward? Without them, we would miss out on new procedures, medications, new medical devices, more effective ways to diagnose disease, and other advances. Clinical trials are a way to prove new forms of treatments have value towards patient care. Some people participate in clinical trials because, even though they are healthy, they want to give back. Others have a certain disorder and might benefit from treatment. Below are some things you should understand and consider before participating in a clinical trial.

 

What Happens in a Clinical Trial?

 

Clinical trials are a form of medical research. After what may be years or even decades of laboratory work, which often involves animal studies, promising research is then greenlighted to start testing the effectiveness of a given experimental treatment or diagnostic procedure on humans. A protocol (clinical plan) is developed that lays out the groundwork of how the testing will be done, who can or cannot participate (age, weight, patients with or without a certain disorder or condition), what they are seeking to prove, how the information will be gathered and tracked, as well as how long the study will take.

 

While every precaution is taken to ensure trial participant is safe, by its very nature, clinical trials include some inherent risk. That is why the law requires what is known as informed consent. Basically, it means that the researchers creating the study must explain any relevant facts and potential risks to anyone who is going to participate. This is not a one-time requirement either, as informed consent is required throughout the clinical study. Researchers have to explain what will be done, any potential benefits and risk, where and how research will be conducted, and how long the participants can expect the trial to run.

 

Medical personnel monitor trial participants and gather feedback about any responses, unexpected reactions, and the health of those in the trial. In the US, most trials are monitored and reviewed by the Institutional Review Board (IRB). The IRB helps to create and enforce any rules and guidelines to ensure that the trials are conducted ethically and that the individual rights of clinical trial participants are protected. Before participating in a clinical study, consider this information carefully and make sure that the research is approved and monitored by the IRB.

 

Clinical trials are completed in phases, with different facets and research goals. There are also different kinds of clinical trials. These include: quality of life trails, screening trials, treatment trials, prevention trials, and diagnostic trials. If you would like to know more about participating in a clinical trial, or to make an appointment with one of our outstanding orthopedic physicians, please call Tucson Orthopaedic Institute, in East Tucson at (520) 784-6200, Northwest Tucson at (520) 382-8200, or Oro Valley at (520) 544-9700, or request an appointment online.

What is the Ortho Fast Track at Tucson Orthopaedics?

22 Jun 2017 General , ,

Tucson Orthopedics is pleased to offer Ortho Fast Track for our patients. As the name implies, Ortho Fast track is a program designed to help our patients recovering from orthopedic injuries as quickly as possible. Most patients accepted for the Ortho Fast Track are seen within 24-48 hours, and services are streamlined for faster treatment. Patients with chronic or long-standing conditions, simple sprains and other minor injuries that do not require surgery are seen on the regular next available basis.

 

The Ortho Fast Track option is not available for some conditions such as open wounds, injuries over two weeks old and auto accidents. It is an option for most patients with conditions and injuries such as broken or dislocated bones, torn ligaments and tendons, minor foot or hand trauma, and other, urgent, but not life-threatening orthopedic injuries.

 

For instance, if you are a professional or amateur athlete with a dislocated shoulder or a damaged Achilles tendon, you might be ideal for our Ortho Fast track program (Non-athletes can also qualify for our Ortho Fast Track program). In order to qualify for Ortho Fast track, you will need:

 

·      A referral from your primary or urgent care doctor

·      Any X-rays (If you do not yet have X-rays, please call out office to determine if you qualify for Ortho Fast track services)

·      Insurance information (We accept most insurance as well as workers’ compensation)

·      A scheduled appointment (before two weeks have elapsed since the injury)

 

Please be sure to arrive at least fifteen minutes before your appointment. If the patient is a minor or older adult that requires assistance, please have them accompanied by a responsible adult.

 

At Tucson Orthopaedic Institute, we understand that you have a life you need to get back to. Whether you need help for a severe sprain, dislocation, fracture, or torn ligament, we have the speedy, supportive care you need, when you need it.

 

If you, or a loved one, has a non-life threatening, non- auto accident related urgent care need,  or you would like to know more about our advanced Ortho Fast Track program, or you would like to schedule an appointment at any of our offices, please call us in East Tucson at (520) 784-6200, Northwest Tucson at (520) 382-8200, or Oro Valley at (520) 544-9700, or request an appointment online.

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