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.

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.

Treating Rheumatoid Arthritis

20 Oct 2017 Rheumatoid Arthritis , , , ,

Rheumatoid arthritis (RA) is an autoimmune disorder for which there is no cure. RA causes painful, swollen joints, and can lead to permanent deformity and loss of joint movement if not treated in time.

However, early detection and treatment can slow or even prevent the progression of this disease. The treatment for rheumatoid arthritis may involve trying several strategies, and can change over the course of the disease.

Treatment focuses on reducing or eliminating inflammation. There are several types of drugs that have been shown to be effective. Because of the possible side effects of some drugs, doctors recommend more conservative treatments and shorter courses of drug treatments. Since rheumatoid arthritis is a life-long condition, treatment needs to be appropriate for the long haul.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are commonly recommended to alleviate symptoms of RA, and are available over the counter or by prescription.

Steroids can slow the progression of rheumatoid arthritis, but can cause serious side effects such as cataracts, elevated blood sugar levels, osteoporosis, and others. Although extremely effective, steroids are usually used as a short-term treatment to get symptoms under control.

Disease-modifying antirheumatic drugs (DMARDs) are an extremely effective class of medication that halt inflammation. Some have an inadvertent weakening effect on the immune system, but there are new drugs being developed that act with precision on RA-affected joints.

Physical therapy can help patients at any stage in RA. Exercises can help maintain range of motion and alleviate needless stress on the joints by learning new ways to accomplish tasks. Surgery to remove affected tissue or to replace joints such as the knee of hip may sometimes be indicated if the joint is severely damaged. And last but not least, certain diet and lifestyle choices can have a profound effect on treating the symptoms of RA.

Tucson Orthopaedic Institute’s orthopedic physicians are experienced in the diagnosis and treatment of joint damage. They work with our own certified physical therapists to help patients keep moving with as little pain as possible. Expert care is available to all our patients. Contact one of our convenient locations in the Tucson, Arizona area for an appointment today, or request an appointment 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.

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.

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.

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.

The Differences Between a Physiatrist and a Physical Therapist

2 Jun 2017 Physical Therapy , , , , ,

The road to recovery from an illness or injury often involves pain or disability, and help from a team of highly trained professionals is usually necessary. Two key players on this team are the physiatrist and the physical therapist. While their names sound similar, they have two very distinct roles.

A physiatrist is a physician who is trained in the diagnosis, treatment and management of debilitating conditions that affect the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. Some of the illnesses and conditions that they are experts in are spine problems, chronic pain, sports injuries, brain and spinal cord injuries, arthritis, work injuries and fibromyalgia. Otherwise known as physical medicine and rehabilitation physicians, their focus is to improve function and minimize pain.

Along with consulting with other physicians, a physiatrist leads a team of healthcare professionals such as physical therapists, occupational therapists, speech therapists, dieticians, and nurses, to help patients adapt to limitations and regain as much function as possible.  In this role, they may prescribe exercise, prosthetics (artificial limbs), orthotics (inserts or braces), and other equipment that help patients complete their daily tasks and live independently. They do not perform surgery, but they do perform procedures that either help in the diagnosis or the treatment of illness or injury.

Some common procedures include EMG (electromyography) to identify the source of muscle weakness, nerve conduction studies to identify nerve damage, peripheral joint injections to diagnose and treat joint disorders, trigger point injections or spinal injections for pain control, and a number of image-guided spinal procedures to reduce back pain. They also specialize in treating spasticity from neurological injuries related to illnesses such as stroke or cerebral palsy.

A physical therapist is a highly-skilled and educated, licensed health care professional that works directly with patients who are experiencing pain or debility from an illness or injury. After a thorough evaluation, they develop individual plans of care that will help patients regain as much function as possible, minimize pain, and prevent future injuries and disability. These plans may include exercise, manual therapy and manipulation, mechanical traction, education, heat or cold therapy, electrical stimulation, ultrasound, and teaching patients to work with assistive devices such as walkers or canes and artificial limbs.

They not only physically provide treatments and assist patients in performing exercises, but also teach them how to continue exercising after their treatment is complete, to stay healthy and prevent future injury. They work with patients who have experienced a wide range of illnesses and injuries, but their goal is always to help the patient live as independent and pain-free as possible. Examples of patients who will benefit from physical therapy are those who have experienced fractures or orthopedic surgery, strokes, sports injuries, accidents, neurological injuries or illnesses, pain from arthritis, and back injuries.

Patients who have experienced a long-term illness and may have grown weak also benefit from physical therapy to improve strength, balance, and endurance. Physical therapy is a proven way to decrease disability and pain, and to improve long-term health after an illness or injury.

To learn more about the services offered by both physiatrists and physical therapists, call Tucson Orthopaedic Institute at our East Tucson office at (520) 784-6200, Northwest Tucson office at (520) 382-8200, or Oro Valley office at (520) 544-9700. To request an appointment, you can call or use our secure online appointment request form.

Don’t Be Scared of Physical Therapy Equipment

19 May 2017 Physical Therapy , ,

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 normally active lifestyle. In fact, 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. While some people might that the tasks are daunting, or the equipment difficult to use, the overwhelmingly positive results for patient recovery should soften any fears about physical therapy.

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 and non-invasive approach to managing problems.

Most physical therapy uses a combination of techniques to relieve pain and boost coordination, strength, endurance, flexibility, and range of motion. Physical therapists (PTs) often ask patients to use exercise equipment like bikes and treadmills. However, other equipment like using resistance bands, medicine balls, and foam rollers can be confusing if someone doesn’t instruct you on what they are and how to use them. Here is a guide on physical therapy equipment, and why it is not scary once you know how to use it.

1. Medicine Ball: The importance of a medicine ball is that it helps with strength, coordination, and balance. The medicine ball comes in a variety of colors, sizes, and weights. It is beneficial to start with the lightest and move up in weight as you get the hang of it while doing your exercises.

2. Foam Roller: In physical therapy, foam rollers are a crucial part in relieving tension and pain. If you have sore muscles, the foam roller gets out all the tension. The foam roller comes in different sizes and colors. Most importantly, it’s important to understand that foam rolling is uncomfortable at first, essentially due to getting knots out of your body. Listen to your body, and know your limits.

3. Resistance bands: Resistance bands are lightweight and can be taken anywhere. During physical therapy, resistance bands vary in tension, color, and thickness. Whatever style and color you use in physical therapy should be the one to use at home, if instructed.

Always consult your physical therapist at Tucson Orthopaedic Institute on how to use your new equipment before using it yourself. Exercising freely whenever you want in your home can be tantalizing, but exercising improperly could set you back weeks on your path to recovery. Mastering these tools will accelerate your recovery and get you back to your old self.

To learn more about physical therapy and the equipment used, call Tucson Orthopaedic Institute at our East Tucson office at (520) 784-6200, Northwest Tucson office at (520) 382-8200, or Oro Valley office at (520) 544-9700. To request an appointment, you can call or use our secure online appointment request form.

The Benefits of Coordinated Care & Physical Therapy

5 May 2017 Physical Therapy , , ,
“Coordinated care” means that all healthcare professionals work together to help make sure patients get the right care at the right time. Coordinated care aims to make sure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. You’ll benefit when your doctor, health care provider, or hospital coordinate your care, working together to give you the right care at the right time in the right setting.

Rehabilitation is an important process after surgery or injury that involves many different healthcare professionals. Of course, the main purpose of a rehabilitation center is to prepare patients to return home. Physical and occupational therapists work together in this effort. As part of this process, the nursing staff also coordinates the details of planning services and patient care.

When everyone works together to coordinate a patient’s care, the result can be happier, healthier patients, faster recovery by those who are ill or hospitalized, and improved quality of life for those with serious and chronic conditions.

Benefits of Coordinated Care

·       Develop a plan to help achieve personal health goals

·       Family support and knowledge growth through individual visits and group seminars

·       Coordination of complex health care needs

·       Increased access to information related to medication, procedures, and diagnoses

Physical therapy has the potential to help restore independence to a homebound patient. Therapy emphasizes addressing mobility tasks and deficits in the skills that a patient has difficulty with or cannot perform without assistance. Through the incorporation of therapeutic exercise and functional training, patients will experience improvements with pain, range of motion, strength, endurance, balance, and mobility.

To learn more about coordinated care and physical therapy, call Tucson Orthopaedic Institute at our East Tucson office at (520) 784-6200, or our Northwest Tucson office at (520) 382-8200.

8 Key Questions to Ask Your Physical Therapist Prior to Treatment

24 Feb 2017 Physical Therapy , , , ,

If you’ve never been to orthopedic physical therapy before or you’re starting PT at a new and unfamiliar place, there are some fundamental questions you should ask prior to your first appointment to make sure you will be comfortable at the facility and confident in the care you will be receiving.

1. Who will be providing my care?

Orthopedic physical therapy clinics may employ a number of different types of healthcare professionals, including physical therapists, physical therapist assistants, occupational therapists, occupational therapist assistants, or certified hand therapists. The type of therapist you see will typically depend on your diagnosis.

2. What qualifications and experience do your providers have?

Physical and occupational therapists have advanced degrees and typically pursue continuing education courses throughout their career. In addition, many therapists obtain additional certifications such as:

  • Orthopedic Certified Specialist (OCS)
  • Sports Certified Specialist (SCS)
  • Certified Hand Therapist (CHT)
  • Geriatric Certified Specialist (GCS)
  • Certified Lymphedema Therapist (CLT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Certified Exercise Expert for Aging Adults (CEEAA)
  • Certified Mechanical Diagnosis and Treatment (CMDT) of the Spine
  • Certified Orthopaedic Manual Therapist (COMT)

These certifications indicate the provider has taken post-graduate courses and passed an examination assuring a minimal competency level in the specific area.

At TOI, many of our therapists have these or other certifications. They also specialize in areas such as vestibular rehabilitation, balance and fall prevention, aquatic therapy, cranial sacral therapy, myofascial release, functional rehabilitation, kinesio taping, trigger point dry needling, instrumented soft tissue mobilization, movement analysis, and manual therapy.

3. Will I see the same physical or occupational therapist each time?

To build rapport and trust with your provider and ensure consistency of care, it is important for the same provider to treat you or supervise your care at each session. There may be times you are treated by a physical or occupational therapist assistant (PTA/OTA), but they are always overseen by the primary PT or OT and will follow the established treatment plan.

4. How many therapy sessions will I need and how long will they be?

This will depend on your diagnosis and compliance with your treatment plan. Your therapist will discuss a treatment plan with you in detail at the initial consultation.

5. What will a typical therapy session entail?

Your first PT visit includes a comprehensive evaluation. You will describe your medical history, your current problems and level of pain, what aggravates and eases your problem, how your pain or lack of mobility impacts or limits your daily activities, and what your goals are for physical therapy.

Your therapist will perform a physical evaluation including palpation, range of motion testing, muscle testing, neurological screening, and perhaps other tests to confirm or rule out other problems. He or she will then create a treatment plan with your input and explain what you can expect from each visit.

This typically includes therapeutic exercise (range of motion, strengthening, stretching) and functional training, as well as hands-on care, manual therapy, joint mobilization, modalities (heat, ice, ultrasound, electrical stimulation, and more), and reviewing your home exercise program.

Depending on your diagnosis, your rehab may also include aquatic therapy, vestibular therapy to treat dizziness, balance and gait training, sport-specific exercise, or other treatment to address your specific problem(s).

6. Will physical therapy be painful?

People are referred to physical therapy for pain relief or to improve mobility. Your therapist will devise a treatment plan to address your specific complaints and goals for therapy. In some cases PT may be painful, especially after surgery. If you do experience pain during your therapy sessions, it is important to communicate this to your therapist, noting the intensity, frequency, and duration of pain. Your therapist will then adjust your treatment plan to work around or through the pain.

7. Do you accept my insurance?

This will typically dictate which physical therapy facility you can visit. Be sure the facility clarifies your insurance coverage prior to scheduling your initial appointment.

8. What are your hours of operation?

Convenience is key to ensuring you attend all your therapy sessions. Make sure your PT provider offers hours that are compatible with your schedule. Many offer early morning or evening hours to accommodate working patients.

Tuscon Orthopaedic Institute offers physical and occupational therapy in two convenient locations. Collectively, our therapists have over 220 years of combined orthopaedic rehabilitation experience. Learn more about the orthopedic rehabilitation services we provide and our highly qualified therapists, then call us to schedule your appointment.

Tucson Orthopaedic Institute Expands Physical Therapy Access

5 Jan 2017 General, Media, Physical Therapy , ,

Tucson Orthopaedic Institute opens a third physical therapy location inside fitness gym, FIT at the River. Starting in January 2017, the new clinic will offer patients additional access to physical therapy treatment.

Open Monday – Friday

Monday, Wednesday (8am-5pm); Tuesday, Thursday (7:30am-3:30pm); Friday (7:30am-12:30pm)

2404 E. River Rd., Bldg. #1

Tucson, AZ 85718

At this location is physical therapist Golsa Lotfioff, PT, DPT. Lotfioff received her Doctorate of Physical Therapy in 2014 and now specializes in outpatient orthopedics, sport medicine rehabilitation, manual therapy, aquatic therapy, and pediatric rehabilitation.

Patients can now benefit from receiving physical therapy treatment in a convenient location for rehabilitation from injury or post-surgery recovery. The FIT at the River clinic provides the same quality of care and comprehensive physical therapy services as all Tucson Orthopaedic Institute physical therapy locations.

Tucson Orthopaedic Institute physical therapy locations also include the Northwest office, 6320 N. La Cholla Blvd, #200; and East office, 2424 N. Wyatt Drive, #130. For scheduling information, call (520) 784-6570 or visit www.tucsonortho.com.

Did You Know? 8 Interesting Facts about Physical Therapy

21 Dec 2016 General, Physical Therapy , , , ,

If you have a musculoskeletal injury or condition, physical therapists can help you recover by improving your mobility, reducing your pain, and restoring your function. While this is widely known, here are some interesting things you might not know about physical therapy (PT).

How did it all begin? The profession of physical therapy began during World War I in response to the need to treat injured soldiers. The benefits of PT have since been proven so great that it is now an integral part of strengthening and recovery. 8 Interesting Facts About Physical Therapy

Where do physical therapists work? Besides physician practices like Tucson Orthopaedic Institute, physical therapists can work in a number of other settings, including outpatient clinics, hospitals, inpatient rehabilitation facilities, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes.

What else do physical therapists do? Most people probably associate PT with orthopedic rehabilitation, but there are several other types of physical therapy, including neurologic rehabilitation (e.g., working with stroke patients and spinal cord injuries), acute care, post-operative care, cardiovascular and pulmonary rehab, lymphedema management, pelvic floor therapy, and burn/wound care.

Can physical therapists treat anything other than musculoskeletal disorders? Besides disorders of the bones, muscles, and joints, physical therapists can treat balance problems such as dizziness and vertigo (a dysfunction of the vestibular system in the inner ear), headaches, concussions, jaw pain (such as TMJ), lymphedema, urinary incontinence, COPD and other cardiopulmonary conditions, cerebral palsy, and multiple sclerosis and other neurological disorders.

What kind of credentials do physical therapists have? When physical therapy was first recognized as a profession, PTs only had to have a bachelor’s degree to practice. Today PTs have advanced degrees. Masters degrees became the required norm during the 1990s, while most of today’s PT graduates obtain a doctoral degree (DPT).

Do physical therapists do massage? Physical therapy is a hands-on therapeutic treatment. While PTs are trained in massage, it is not the type of massage you may have received from a massage therapist at a spa. Physical therapists use massage to reduce tightness and improve mobility of the muscle, soft tissue, or joint that is inflamed or in pain. It is typically referred to as manual therapy, manipulation, or mobilization. So massage is part of the therapy process to reduce pain and increase mobility.

How many physical therapists are there? In 2014, there were 210,900 PTs in the US. This number is expected to rise by 34% through 2024. (Source: Bureau of Labor Statistics)

Do I need a referral to receive physical therapy? It depends on where you live. Arizona and 21 other states allow unlimited direct access to PT. This means that you can see a physical therapist as often as you want for as long as you want without a referral from a doctor. However, you should check with your health insurance company first to make sure they will reimburse you for your physical therapy sessions.

For orthopedic physical therapy in Tucson, call Tucson Orthopaedic Institute today. We offer physical therapy in East Tucson [(520) 784-6570] and Northwest Tucson [(520) 382-8201]. Contact your preferred location to make an appointment.

The Benefits of Physical Therapy after a Car Accident

18 Nov 2016 General, Physical Therapy , ,

If you’ve been in a car accident, the odds are high that you sustained some kind of injury. Depending on how serious the accident is, you might have only minor injuries such as cuts, bruises, or a sprain. More serious injuries might include broken bones, herniated discs, whiplash, brain injury, or damage to internal organs. What’s more, many people are in a state of shock after an accident, and may not notice certain muscle or joint pains right away.

Regardless of the severity of your auto accident injuries, the pain can interfere with your life and progress over time.

If you sustain any musculoskeletal-related injuries from an auto accident such as back or neck pain, arm or leg pain, pinched nerves, muscle pain, or fractures, you should see your primary care doctor or go directly to an orthopedist and request a referral for physical therapy.

Some of the benefits you’ll experience from therapy include:

Pain relief. Physical therapists can help relieve muscle, joint, ligament, tendon, and nerve pain using manual (hands-on) therapy techniques, modalities such as TENS, or therapeutic exercise.

Minimize use of pain medications. The pain relief you experience from physical therapy may help decrease your need to take pain medication or shorten the length of time you need it.

Accelerate your recovery. Physical therapy promotes healing by restoring function and mobility. Your physical therapist will work with you to improve your flexibility, strength, and range of motion.

Prevent chronic symptoms. Injury symptoms may worsen over time, even lingering for months or years after the car accident. Accident victims who do not receive physical therapy are more likely to experience chronic pain as well as degenerative disc disease later in life. That’s why it’s vitally important to begin physical therapy sooner, rather than later.

Avoid or delay the need for surgery. Depending on your injury, physical therapy can help you heal to the point that surgery is not necessary. If you do end up needing surgery, physical therapy may make it possible for the orthopedic surgeon to use a less invasive approach. Plus, therapy both before and after surgery will speed your post-op recovery.

At Tucson Orthopaedic Institute, our physical therapists are skilled in treating a spectrum of car accident injuries, and they work closely with our doctors to help relieve your pain. Call today to schedule your physical therapy appointment in East Tucson: (520) 784-6570 or Northwest Tucson: (520) 382-8201.

Do’s and don’ts for aging athletes

21 Jun 2016 General , ,

Image Source: BreakingMuscle.com

Being athletic will keep your body looking and feeling young for many years, but the natural process of aging will eventually catch up with you. When your body is 50 or 60 years old, it does not heal the same as your younger body could. If you want to stay athletic as you age, a little extra TLC can go a long way toward preventing injuries and recovering from workouts.

Here are some do’s and don’ts to keep you fit and active for many years to come.  

DO NOT assume you are immune to injury because you are physically fit. Even the most seasoned athletes still need to be careful. Your muscles and hormones change as you age, and these changes affect your strength and endurance. If you have concerns, a physical therapist or athletic trainer can evaluate your performance and recommend injury prevention strategies.

DO rest your muscles after a workout. Strength training is important for aging athletes, but don’t overdo it. Older athletes are more prone to overuse / repetitive motion injuries than are younger athletes. Take a little more time to recover, and your body will thank you for it. You may also want to increase antioxidants like vitamin C and E to reduce muscle soreness.

DO hydrate your body every day. Try to drink at least 64 ounces (2 L) of water daily. This is good for healthy muscles, healthy skin, and healthy cells.

DO NOT continue working out when your body hurts. Pain is your body’s way of telling you when to stop. One advantage of growing older is that you can recognize your body’s cues.

DO take injuries seriously. Even minor injuries can become major if they are not addressed properly. If you ever need an expert opinion, talk to one of our orthopedic specialists.

DO take time for a warm up and cool down, and stretch every day. Loss of flexibility is a natural part of aging.

DO NOT train hard all season. Follow a routine that focuses on different levels of intensity each week. One week on, one week off is a good strategy for aging athletes. And remember to balance intense muscle-building workouts (anaerobic exercise) with cardio and endurance (aerobic exercise).

DO get up early to train. Life gets busy as you get older. The last thing you feel like doing is a 30-minute work out before bedtime. Instead, go to bed early so you can rise earlier. Start your day with a healthy breakfast and workout.

Many of our patients lead an active, healthy lifestyle. You rely on us to keep your bones and muscles healthy, so you can enjoy hiking, cycling, kayaking, or rock climbing at any stage in life.

https://svcdn.simpleviewinc.com/v3/cache/default/443D471AC45A70D32009DAD06043FADC.jpg

Image Source: Visit Tucson

For personalized advice for staying athletic as you age, schedule a consultation at a Tucson Orthopaedic Institute office near you. We can customize a training plan to keep you feeling 10 years younger.

Cure For Common Foot Problems, Without Surgery

9 Oct 2015 Doctors, Scott Evans , , , , , , ,

As more people experience painful problems with their feet, podiatrists are recommending they consider a range of nonsurgical treatments before choosing to go under the knife.

Many patients have a misconception that most foot ailments can only be treated with surgery, experts say. Instead, depending on the severity of the problem, nearly all foot ailments can be treated without surgery, they say. Among these are bunions, plantar fasciitis, hammertoes and metatarsalgia, or pain in the ball of the foot.

“I think people come in wanting surgery because they want a quick fix and want to be back to normal,” says Norman Turner, an orthopedic surgeon at the Mayo Clinic in Rochester, Minn. “Unfortunately, in most cases surgery isn’t a quick fix because it can take just as long, or longer, to get back on your feet.”

When Floria Antell, 76, developed a bunion on her left foot two years ago, her podiatrist suggested a surgical procedure that involved cutting out part of a bone in her foot and resting for eight weeks. But Ms. Antell, who does Pilates three times a week and walks her dog 2 miles a day, didn’t want to spend months on the couch.

Another physician referred her to the Nonsurgical Foot and Ankle Service at New York’s Hospital for Special Surgery. Rock Positano, the director of the clinic, told Ms. Antell to wear wider shoes. He prescribed custom foot insoles intended to relieve the pressure on her bunion and help correct her flat feet, which he says were making the bunion worse. Dr. Positano also gave her anti-inflammatory medicine and shock wave therapy. Ms. Antell says she didn’t have to give up her daily walks and exercise regimen and after six months of treatment considered herself “fully healed.”

“It was so important to me that I didn’t have to be in bed for months, but I also learned how to take care of my feet better,” Ms. Antell says.

Doctors say foot ailments are becoming more common, especially as the population ages and people remain physically active for more years. “Just compare what people in their 60s and 70s do today with what our grandparents did when they were that age,” says Dr. Turner, of the Mayo Clinic. Walking on hard surfaces, such as concrete, is hard on the joints, and the growing incidence of obesity creates more wear and tear, he adds.

All surgeries carry risks of complications, such as infection, Dr. Turner says. And even when nonsurgical treatments don’t fully fix a problem, they often delay the need for surgery, which is helpful because some surgical procedures don’t last forever, he adds.

Artificial ankle replacements, for example, can wear out. And problems like bunions can reappear years later if the cause, which is often linked to poor walking patterns, isn’t corrected.

Foot insoles and physical therapy are generally the first line of treatment, says Dr. Positano. Many issues stem from what he calls a “pathological foot type,” such as flat feet or too-high arches, which cause people to put too much pressure on parts of the foot.

Foot insoles, or orthotics, can change the foot type by putting stresses in different areas, balancing it differently or working as a cushion. Ankle braces are also frequently used temporarily to take pressure off the ankle.

A type of shock wave therapy called extracorporeal pulse activation treatment, or EPAT, is increasingly popular in the world of sports medicine and is now often used for foot problems like plantar fasciitis, tendinitis and shin splints. During the procedure, the doctor applies gel to the affected area and massages it with a special wandlike device that delivers acoustic pressure to the area and stimulates the blood flow to accelerate healing of injured tissues.

For issues such as arthritic big toes, ankle problems and heel pain, ultrasound-guided injections are another option. “The ultrasound-guided injections are very precise,” making the treatment more effective, Dr. Positano says.

Physical therapy is helpful both as treatment and for preventing ailments, Dr. Turner says. Touching the toes and stretching the Achilles tendon and hamstring keep the body limber and ward off injuries. Something as simple as standing on one foot at a time strengthens balance, which will minimize the tendency to roll and create ankle strain.

To keep the foot itself flexible, Dr. Turner recommends people trace the letters of the alphabet with their feet. In the course of making the shapes of A to Z, the foot will go through the entire range of motion.

Another popular strengthening exercise uses TheraBands, the resistance tool popular with athletes and dancers. People should sit on the floor with their legs straight out in front. Wrap a TheraBand around the sole of the foot then flex and point. Moving against the band’s resistance is good for the muscles in the sole and the top of the foot.

Christopher Hubbard, chief of the foot and ankle service at Mount Sinai Beth Israel in New York, says roughly 90% of common foot ailments can be treated without surgery.

“There are some issues, like tendon tear, that lead to a progressive deformity with the foot that needs surgery,” he says. “But even in these cases, there is almost always some issue that can be treated initially through nonsurgical means.”

By Angela Chen, September 1, 2015

Original source: National College of Physicians Journal of Medicine

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