Men’s Health and How it Relates to Injury

By Teresa Lindell, DPT, OSC

 

Everyone gets hurt whether they are male or female.  Did you know though that men are more susceptible to certain types of injuries than women?

 

 

  • Achilles tears: Men are three times more likely to tear this powerful tendon in the back of the leg. This is usually a result of playing sports and is most common in men in their 30s and 40s.  This is often repaired surgically and takes several months to return to sports.
  • Finger and Hand fractures: Men are also more likely to sustain fractures of the hand and fingers, usually due to a fight with yard or work equipment, or commonly in a fight with another person or wall when angry. The best way to prevent these types of injuries is to obviously avoid the cause of the situation.
  • Muscle tears: While women tend to have more problems with bone injury, men’s muscles and tendons tend to tear more under stress. This typically has to do with sport and recreation activities as well
  • Pelvic health: While men and women both have problems with pelvic pain at times, it can occur specifically in men after treatment for prostate cancer. Many men don’t realize that a physical therapist who specializes in pelvic floor rehab can make a really positive change for this population.

 

 

Physical therapy can help to prevent and treat many of these conditions and return men to their full participation in work, life, and sports.

June: Alzheimer’s and Brain Awareness Month!

By: Melissa Patnella, SPT

 

 

What is Alzheimer’s Disease?

 

Alzheimer’s Disease is a form of dementia that occurs due to degenerative neurological changes in the brain and primarily affects those who are over the age of 65. The most prominent effects caused by Alzheimer’s are loss of memory, confusion, difficulty problem solving, trouble speaking and writing, and withdrawing from social activity.

 

 

 

 

How do I know if I have Alzheimer’s Disease?

 

 

Only 16% of adults over the age of 65 are receiving cognitive assessments during their annual check-ups. If you believe you are experiencing the early signs of Alzheimer’s Disease, tell your primary care physician. You may see exams on the internet that claim to test for Alzheimer’s but speaking to your doctor is the best way to receive an accurate diagnosis.

 

 

 

What do I do if I have Alzheimer’s Disease?

 

 

  • Be Open and Direct: Receiving an Alzheimer’s diagnosis can be an emotional experience. Create open conversation about your condition with your loved ones. Advocation for yourself and your feelings are important to open communication and mental well-being.

 

  • Seek Support: 8 million Americans are living with Alzheimer’s, so you are not alone. Find local or online groups for emotional support and social activity with others with Alzheimer’s. In addition, push yourself to avoid withdrawal from your family and friends.

 

  • Use Your Voice: The number of people affected by Alzheimer’s is increasing. Your voice is important and powerful in educating those around you about your condition. Education can lead us closer to a cure.

 

 

 

What do I do if I have a loved one with Alzheimer’s Disease?

 

 

  • Create a Support System: If you are a care taker, remember that care taker burnout is a very real thing. Take advantage of online and local resources to ensure that you are adequately supported. You are taking care of someone in need; there is no shame in needing some support through your journey.

 

  • Stay connected: Maintaining family and friend relationships is important for caretaker mental and emotional health. Make time to socialize and stay active in the things that you love.

 

  • Use technology: MedicAlert+Alzheimer’s Safe Return is a technological device for your loved one with Alzheimer’s to wear. This allows their location to be tracked at all times and if they are lost they (or a person who finds them) can press the button and it will send an alert to you, as well as emergency services.

 

 

 

Resources for those who have Alzheimer’s:

 

  • 1-800-272-3900: Free confidential 24/7 helpline for those with Alzheimer’s Disease to refer to local programs and provide education, crisis assistance, and emotional support.

 

  • Alzconnected.org: Free online community for those affected by Alzheimer’s.

 

 

 

Resources for caretakers of those with Alzheimer’s:

 

 

  • 1-800-272-3900: This is a free, confidential 24/7 helpline for caretakers of those with Alzheimer’s disease to refer them to local support groups and provide education and emotional support.

 

 

 

 

References:

https://share.upmc.com/2017/01/alzheimers-vs-dementia/

http://alz.org

http://alzheimers.net

 

Arthritis Awareness

By Kevin Brown, DPT

 

Approximately 50 million Americans are affected by arthritis and it has become one of the leading causes of pain and disability world-wide. With May being “Arthritis Awareness Month”, it seems appropriate to discuss a few areas of this condition. As a physical therapist at Sports Physical Therapy in New York, I have become extremely familiar with this disease and its progressive nature. 

 

 

It has become a common misconception that there are no effective treatments for arthritis. Unfortunately, many people become content with it and do not seek other options. One of the worst things people can do with this diagnosis is avoid exercise in fear of worsening their pain. Physical therapists need to educate people with arthritis on coping mechanisms including activity modification. For instance, people who are no longer able to run due to pain can still achieve the benefits of aerobic exercise by swimming, biking, or other exercises that reduce the impact through a joint. Education should also include the role of a diet on arthritis. Physical therapy can have a more direct role as well; manual therapy techniques provided within a PT clinic and an extensive home exercise program have both been shown to significantly improve symptoms associated with arthritis.  

 

 

One of the most common phrases I hear in the clinic is “I am bone on bone”. People often mistakenly accept this and give up on exercise all together. As I mentioned previously there are still treatment options. My best advice is to not give up and become complacent. Seek alternatives and stay as active as possible. You must consider other aspects of your physical well-being, and avoiding exercise has a tremendous impact on your cardiovascular health, mood, weight, other joints, etc. Mental health can also be significantly affected; depression is very prevalent in individuals with arthritis. When people are deprived of participating in their favorite activities it can be very debilitating.

 

 

Of course, there are cases in which arthritis is extreme and surgery is indicated such as total joint replacements. It is important to note two key aspects of joint replacements. 1) There is a shelf life of a joint replacement. Although many knee and hip replacements currently last up to 20 years, if you are young and active it may be wise to delay the surgery as long as possible. 2) The more range of motion and strength you have going into a total joint replacement, the better your prognosis will be. Many surgeons are now recommending “pre-habilitation services” prior to surgery to set themselves up for success afterwards.  A physical therapist can certainly help in this area to provide an appropriate exercise program individualized to one’s specific needs as well as educate them on expectations for surgery.        

 

 

Physical therapy for arthritis has been researched extensively and the benefits are well documented within the literature. If you are suffering from arthritis, I believe that is in your best interest to seek an experienced physical therapist to help guide you through the process and maximize your functional mobility.

 

 

Osteoporosis- What is it and how can physical therapy help my bones?

By Teresa Lindell, DPT, OSC

 

Osteoporosis is a common disease that causes a thinning and weakening of the bones. It can affect people of any age but is most common in women over age 50. Osteoporosis affects 55% of Americans aged 50 or older; one-half of women and a quarter of men will fracture a bone as a result of low bone density (osteopenia) or osteoporosis.  Other risk factors for this disease are smoking, medications, and sedentary lifestyle.

 

 

 

Osteoporosis is typically diagnosed by a bone-density test ordered by a physician, which is a simple specialized X-ray.  It is very important that men and women advocate to have this test done, as osteoporosis is a “silent” disease and has often has no symptoms.  Left undiagnosed, a person can have a fracture occur from a simple misstep or even a big hug.

 

 

How can physical therapy help with a bone disease?  Believe it or not, weight bearing and resistance exercises are one of the most important methods of both prevention and treatment of osteoporosis.  Some of the most effective treatments include activities like dancing and lifting weights.  Physical therapists are specially trained to help determine the best exercises, dosage, and progression for each individual.  If you are at risk for osteoporosis or have already been diagnosed, please see your trusted physical therapist for treatment.

 

 

The following link has more information about this topic.

 

https://www.moveforwardpt.com/SymptomsConditionsDetail.aspx?cid=b5e09439-77a8-497d-b8d9-b5250de60544

 

National Women’s Health Week

By Julie Wolfley PT, DPT, OCS

 

 

 

 

Happy National Women’s Health Week! This year marks the 20th anniversary and runs from Mother’s Day to May 18, 2019 with a focus of encouraging women to be as healthy as possible. #NWHW

 

 

Celebrate YOU! Take this week to make a step toward improving your physical or mental health.

 


Here are a few physical ideas to celebrate you this week that may help you on your healthy path.

 

 

  • Schedule your annual Primary MD visit to get your preventive screening and bloodwork
  • Schedule you annual mammogram
  • Drink more water, 11 cups a day is recommended for the average female by the National Academy of Medicine
  • Get at least 7-9 hours of sleep
  • Calculate your BMI ( bmi-calculator.net)
  • Be physically active for at least 30 minutes a day
  • If you have aches and pains with your physical activity, contact your physical therapist to assess your symptoms to restore your activity level.
  • Consult with a nutritionist if you want some healthy eating tips

 

 

 

References:

Onemedical.com

Womenshealth.gov

Ride Your Bike! Good Form Matters!

By Sports PT Blog Team

 

 

Bike riding is an excellent form of exercise and brings many health benefits. Today is National Ride Your Bike to School Day and we are excited to see all the students riding their bikes today!

 

 

Bicycling has increased in popularity over the years. There are outdoor biking clubs and indoor cycling programs readily available in most communities now. Just like all forms of exercise, good form is essential when performing this exercise to avoid injury.

 

 

Bicycles are designed to position your body in the right posture and allow for efficient aerodynamic movement. If you feel pain or discomfort in your wrists, neck, back or knees, then it is likely that your body is being pulled out of alignment from an improperly fitted bike. The careful placement of your seat, center tube and handlebars can make the difference between a cramp in your back and an optimal ride.

 

 

Here are a few tips that will help keep your form good when riding bikes:

 

 

  1. Always wear a helmet!
  2. Find the proper seat height. Your best form begins with having the correct height so that you are not bending incorrectly.
  3. Your shoulders should be down and back when riding to minimize any neck pain—even when you’re tired!
  4. Keep your back flat and your chest up. Keeping your back flat will help you keep your weight evenly distributed and not put too much pressure on your lower back.
  5. How you pedal is important. Your knee should never be completely straight when pedaling; there should be a very slight bend in the most extended position.

 

 

Enjoy your bike ride! Keep moving!

WNBA MVP Injuries Achilles Tendon- Now What?

By Sports PT Blog Team

 

 

Breanna Stewart, a WNBA MVP, former Syracuse native and recipient of just about every women’s basketball honor during her career, was helped off the court on Sunday during Dynamo Kursk’s EuroLeague title game vs UMMC Ekaterinburg. It looks like Breanna will need surgery to repair an injured Achilles tendon. So what does that mean for her career and how long should her rehab be?

 

An Achilles injury can take up to a year of recovery and rehabilitation before a basketball player returns to the court. Former WNBA and Olympic star Tamika Catchings had surgery on her Achilles in Sept. 2007 and played in the 2008 Olympics and in the 2008 WNBA season. DeMarcus Cousins ruptured his Achilles in January 2018; he returned to the NBA a year later. This shouldn’t be a career-ending injury, but Breanna will definitely be in rehab for a while.

 

The Achilles tendon is one of the strongest in the body and when surgery is needed to repair it, it’s one of the longest rehab periods of any surgery. Usually at six weeks, patients are allowed full weight-bearing out of the cast or boot. Physical therapy is started and is aimed at restoring ankle range of motion. Strengthening of the calf muscles and Achilles is gradually allowed as the tendon heals. Patients are usually able to return to full activity by six months.

 

We send our best wishes to Breanna for a healthy recovery! #GetPT1st

Physical Therapy & Parkinson’s Disease

By Jessica Kim, SPT

 

What is Parkinson’s Disease?

 

Parkinson’s disease is a chronic and progressive brain disorder that affects movement. It involves malfunction or death of neurons in brain that produces dopamine. Dopamine is a chemical that controls movements to be smooth and coordinated. Patients with Parkinson’s disease experience symptoms including resting tremor, slow movement or bradykinesia, rigidity, loss of posture reflex, flexed posture, and “freezing” episodes.

 

 

 

Physical Therapy Management for Parkinson’s Disease

 

Evidence based physical therapy management for Parkinson’s disease include progressive aerobic training, skill acquisition, and big amplitude exercises. Progressive aerobic training should be intensive and exerting enough to promote brain protection and health. Physical therapists can guide you with selecting the appropriate intensity for best optimization and results. Progressive aerobic training slows down progression of Parkinson’s disease and provides protection to your brain by reducing inflammation and oxidative stress from the brain. Skill acquisition is a repeated movement exercises to acquire new movement and skill. It is important to continue practicing acquiring new motor skills, since patients with Parkinson’s disease lose the ability to acquire new motor skills as the condition progresses. Research shows big amplitude exercises improve posture response, bradykinesia or slow movement, and anticipatory postural control. Anticipatory postural control is crucial for balance during daily activities such as walking, moving your arms, shifting your weight, and more to prevent risk of falls.

 

 

 

Other Activities for Patients with Parkinson’s Disease

 


● Tai chi
● Boxing
● Juggling
● Rebound/trampoline activities
● Dancing involving multi directional stepping and sequence

 

 


If you or your loved one is living with Parkinson’s disease, contact Sports PT today to speak to one of our physical therapists, who can provide you with patient centered and evidence based treatments for improved function, balance, and quality of life!

 

 


References:

 


Park, Jeong-Ho et al. “What Is Wrong with Balance in Parkinson’s Disease?” Journal of movement disorders vol. 8,3 (2015): 109-14.


Salgado, Sanjay et al. “An evidence-based exercise regimen for patients with mild to moderate Parkinson’s disease” Brain sciences vol. 3,1 87-100. 16 Jan. 2013.


Farley, Becky. Amplitude-Focused FUNctional Exercise for Individuals with Parkinson Disease. University of Arizona, Tucson, Arizona. https://www.parkinsonnet.nl/media/14756007/sessie_3_-_becky_farley.pdf

Concussion Management

By: Andrew Taylor, SPT

 

 

 

I was just diagnosed with a concussion, what now?

 

Most evidence suggests resting for the first 24-48 hours. This includes both physical rest and cognitive rest, avoiding activities that are physically strenuous as well as mentally stimulating (television, electronics, driving, work, and reading/writing) for the first day or two. Concussions have wide variety of symptoms, and each person will experience symptoms differently, be sensitive to different activities, and recover in a slightly different time frame; although, typically concussive symptoms resolve within 7-10 days.

 

After resting for 24-48 hours most people can begin to easing back into daily activities that aren’t symptom provoking. This means light exercise, some school or work assignments, and tv/electronics if they don’t bring on your symptoms. Recommendations will vary depending on the doctor’s judgment of how severe each concussion is, but generally extended total rest doesn’t lead to faster healing. But remember, start light and gradually work back into your daily routine with activities that are not bothersome.

 

 

 

What if my symptoms last longer than 10 days?

 

Although most concussive symptoms resolve within ten days, it is not uncommon for them to extend beyond that time period. At this point your doctor may recommend physical therapy to help treat residual symptoms to help get you back to work, school, or on the field.

 

Physical Therapy can help with the resolution of many lingering symptoms post-concussion including dizziness, balance and coordination trouble, difficulty concentrating, eye fatigue, neck pain and tension headaches, and general feeling of fatigue to name a few. Physical therapy has been shown to help with residual concussion symptoms but remember, just like any other injured body part, your brain will take time to heal.

 

 

 

 

 

Sources:

Broglio, S. P., Collins, M. W., Williams, R. M., Mucha, A., & Kontos, A. P. (2015). Current and emerging rehabilitation for concussion: a review of the evidence. Clinics in sports medicine, 34(2), 213-31.

Ellis, M. J., Leddy, J., & Willer, B. (2016). Multi-Disciplinary Management of Athletes with Post-Concussion Syndrome: An Evolving Pathophysiological Approach. Frontiers in neurology, 7, 136. doi:10.3389/fneur.2016.00136

Leddy, J., Baker, J. G., Haider, M. N., Hinds, A., & Willer, B. (2017). A Physiological Approach to Prolonged Recovery From Sport-Related Concussion. Journal of athletic training, 52(3), 299-308.

Leddy, J. J., Sandhu, H., Sodhi, V., John G., & Willer, B. (2012). Rehabilitation of Concussion and Post-concussion Syndrome. Sports Health, 4(2), 147–154. https://doi.org/10.1177/1941738111433673

Thomas, D., Apps, J., R. H., McCrea, M., & Hammeke, T. (2015). Benefits of Strict Rest After Acute Concussion: A Randomized Controlled Trial. Pediatrics, 135(2). doi:10.1542/peds.2014-0966d

 

Chronic Ankle Instability

By Annelise Modica, SPT

 

 

What is Chronic Ankle Instability?

Chronic ankle instability can be broken down into two categories: Mechanical instability and Functional instability. Mechanical instability is when there is a laxity in the ligaments of your ankle joint and you have a history of previous ankle sprains. Functional instability is when you feel that your ankle is unstable or that it is “giving way” without any other physical symptoms such as pain.

 

 

How does Chronic Ankle Instability happen?

This usually arises from repeated ankle sprains where the ligaments do not heal properly or completely. The most common mechanism of injury (~80%) involves a forceful inversion (foot turning in) and plantarflexion (extension of the ankle) motion of the foot and ankle. This results in damage to the structures of the lateral (outside) ankle including: the Anterior talofibular ligament (ATFL) and the Calcaneofibular ligament (CFL).

 

     

Did you know that up to 20% of lateral ankle sprains can lead to chronic ankle instability?

 

 

How can I treat chronic ankle instability?

You can treat ankle sprains and instability with a variety of conservative methods including:

  • Rest
  • Ice
  • Bracing
    • For protection and stability during weight bearing
  • Taping
  • Orthotics
  • Physical Therapy
    • To work on:
      • Muscle strength and endurance
      • Ankle range of motion
      • Balance (proprioception) training

 

 

 

If conservative methods fail, due to increased damage to the ligaments resulting in a high level of instability, surgery may be an alternative an option. Consult with your PT and MD to discuss the best option for you!

 

 

 

References:

  1. Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: Evolution of the model. Journal of Athletic Training. 2011; 46(2):133-141.
  2. Waterman et al. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010; 92-A(13):2279-2284.
  3. Li et al. Treatment of chronic lateral ankle instability: A modified brostrom technique using three suture anchors. Journal of Orthopaedic Surgery and Research. 2009; 4 (41). DOI: 10.1186/1749-799X-4-41
  4. Wainright et al. The Effect of Modified Brostrom-Gould Repair for Lateral Ankle Instability on in Vivo Tibiotalar Kinematics. Am J Sports Med. 2012; 40(9): 2099-2104.
  5. Sherry, M. Rehabilitation guidelines for Lateral Ankle reconstruction. University of Wisconsin Sports Medicine. 2014. https://www.uwhealth.org/files/uwhealth/docs/sportsmed/SM-39916_Laterl_AnkleProtocol.pdf