Orthopedic post-surgical protocols & Physical Therapy

If you have the misfortune of needing to have an elective orthopedic surgery, you will likely be referred to Physical Therapy following the surgery. You will likely follow a post –surgical rehabilitation protocol. Orthopedic surgeons and Physical Therapist have developed standard protocols for each surgical diagnosis or surgical procedure. The protocol will outline the step…

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Joint Sounds and Noise

Sounds often are used to assist a healthcare professional in making a diagnosis. The characteristic sounds and noise coming from the heart or lungs provide clues to determine whether something is wrong. Listening to the sounds of the stomach and bowels is an important clinical tool in diagnosing bowel obstructions. Sounds and noise coming from…

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Gait Retraining – Key Concepts

Gait retraining has become popular among avid runners and Physical Therapists. The proponents of gait retraining advocate if you improve the walking/running form you can walk/run faster, farther, and injury free. Many questions remain regarding gait retraining. Who can benefit from gait retraining injured individuals, non-injured, or both (Heiderscheit, B 2011)? When is the best…

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Sooner is Not Always Better than Later – Healing Recovery from Injury

Sooner is not always better than later when recovering from an injury. Biological tissues adapts to physical stress in a predictable way. There is a threshold where physical stress results in a positive adaptation of the tissue, that is, tissue grows larger and stronger. Conversely if there is insufficient physical stress tissue wastes away gets…

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Stiffness – Resistance to Change: Good or Bad?

In the realm of health and fitness, the term stiffness often has a bad connotation. In reality, being stiff can have positive benefits.   When something is stiff, it is difficult to change. When the range of motion of a joint is limited, it is also described as stiff. There is an optimal range of motion…

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Selfish Athlete Syndrome

Irish Runner and double Olympic medial winner Noel Carroll said “Runners may make better lovers but sometimes (there’re) lousy spouses”.   Exercising for health is different from training for a marathon, Ironman Triathlon, or double-century bike ride. Exercising for health requires 3 hours a week. Training for competitive sports can require 14 plus hours a…

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Muscles and Stretching

What is known about benefits of stretching and flexibility exercises continues to evolve. Some commonly held beliefs are being supported with new research and some beliefs are being proven false. Common beliefs about stretching exercises are that stretching exercises decrease risk of injury, relieves pain associated with stiffness, and improves sports performance. Stretching exercises are…

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Osteoarthritis – Cartilage and Exercise

  Osteoarthritis is primarily a degeneration, or wear and tear, of the hyaline cartilage that covers the end of the joint surfaces. Osteoarthritis occurs as a result of “the parents you choose” (genetic influence) or as a sequel to a prior joint trauma or injury. There is a great deal of information dealing with the…

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Hamstring, Buttock, Back, Neck Pain and the Car Seat

I frequently hear from my patients that their hamstring started hurting after they ran a marathon or that their back pain developed after they went body surfing at the beach. After closer questioning I discover that the problem did not occur during the marathon or while body surfing, but that it occurred afterwards during the…

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Gait Analysis – Examination and Treatment of Shin Splints

The manner in which you walk or run can be a factor contributing to a repetitive use injury of the lower extremity. Pain in the lower leg, commonly called shin splints, occurs in response to a variety of activities including dancing, jumping rope, walking, and running. Novice runners and individuals with poor fitness level frequently…

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