Posts Tagged ‘Physical Therapy’
Tuesday, April 4th, 2017
Herniated, ruptured or slipped disk is one of the most common causes of back pain. A herniated disk occurs when the outer portion of a spinal disk breaks down and the inner portion leaks out. With age, the water content in the disk decreases, making it less flexible and more prone to rupture. Loss of water content may cause a displacement of the disk's center through a crack in the outer layer. Other factors that increase your risk for this condition may include- overweight, smoking, a sedentary lifestyle, and sudden pressure on the spine. A leading multi-disciplinary practice on Long Island, Comprehensive Healthcare Group (CHG) with Long Island locations in Valley Stream and Oceanside, NY offers effective treatment options for slipped disks.Pain occurs when the protruding disk presses on the surrounding nerves. The most common signs and symptoms of a herniated disk are - numbness or tingling, leg pain below the knee, and muscle weakness.
The condition may occur in any part of your spine, from your neck to lower back. The lower back is one of the more common areas for slipped disks. Medical professionals determine the cause of your pain by reviewing your medical history, performing a complete physical exam and using diagnostic tests like digital X-rays.
Non-surgical options are available to treat slipped disk disorders. The treatment typically depends on the level of discomfort you're experiencing and how far the disk has slipped out of place. Surgery may be considered when non-surgical treatments such as pain medications, injections, chiropractic care and physical therapy cannot provide adequate pain relief.
- Stretching exercises - Stay active and keep moving to recover faster. Exercise programs are usually recommended. You may find that your pain increases at first when you start moving around. This is normal and doesn't mean you're causing more damage.
- Physical therapy - Physical therapy programs aim at keeping you active, minimize pain and help prevent any further damage to your back. Physical therapists use a wide range of techniques, including myofascial massage and hands-on manual therapy to restore movement and function.
- Medications - Medicines such as anti-inflammatory medications (ibuprofen, Motrin) and medical steroids (prednisone, prednisolone, and methylprednisolone) will be prescribed to help ease any painful symptoms of a slipped disk.
- Chiropractic care - An experienced chiropractor will evaluate the entire spine. The type of disk injury you have will determine what treatments your chiropractor will use to address your symptoms. A treatment plan will be developed that may include spinal manipulation or manual adjustments.
- Injections - Epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve slipped disk pain or spinal stenosis or spondylolysis. Other trigger point injections can also relieve pain in the disk area.
Long Island-based Comprehensive Healthcare Group (CHG) provides the service of experienced chiropractors and physical therapists highly skilled in treating all the symptoms associated with herniated disk and associated conditions. Blurb see before.
To learn more about slipped disk, read this FAQ session.
Wednesday, March 29th, 2017
One of the four major knee ligaments, the ACL or anterior cruciate ligament is critical to knee stability. A tear in the ACL ligament can be painful and immobilize you. If you have symptoms such as tenderness, pain, swelling or feel a sudden "pop" in your knee, call Comprehensive Healthcare Group (CHG). Our Orthopedic team will diagnose your injury and design a structured program tailored to individual needs. Comprehensive Healthcare Group has two Long Island centers located in Oceanside and Valley Stream, NY.
How an ACL Tear Occurs
An ACL tear injury is quite common among athletes and can result from a direct blow or strain. Most sports-related ACL tears are found to be "non-contact" injuries, or the injury occurs without the contact of another athlete. Landing incorrectly from a jump, sudden slowing down for changing direction, and suddenly stopping are also factors that can cause such an injury. People involved in physically active jobs can also experience this.
Symptoms and Diagnosis
- You may feel a "pop" in your knee and also that your knee is "giving out" from under you.
- Knee pain.
- Tenderness along the joint line.
- You'll also have knee swelling which occurs within 24 hours of your injury and pain.
- Sometimes the pain may resolve by itself. However, when you begin walking or returning to any physical activity, you'll feel instability in your knee which may cause more damage to your knee's cushioning cartilage.
Accurate diagnosis is essential to identify the condition. Once you've begun experiencing instability or pain, you must immediately consult an orthopedist. Digital X-rays and advanced diagnostic modalities can help in accurate diagnosis of the ligament tear.
Sports medicine deals with conditions such as these. Treatment is provided with the idea of enabling patients to return to their active lifestyle as soon as possible. The professionals in a sports medicine team typically include an orthopedic surgeon, a physician, a rehabilitation specialist, physical therapist and, if you are an athlete, an athletic trainer as well.
Treatment Options and Rehabilitation
- You have nonsurgical options for getting your ACL tear treated. These include:
- Bracing: Your doctor may advise you to wear a brace to protect your knee from instability. You may be asked to walk around in crutches to ensure you don't put too much weight on the affected leg.
- Physical Therapy: As the swelling decreases, physical therapy is usually provided which is the primary element of a rehabilitation program. The physical therapist will prescribe specific exercises for restoring knee function and overall strengthening of the leg muscles.
- Taping: After injury to the anterior cruciate ligament, taping may be needed to support the knee. Taping may be helpful to protect the area while it is recovering.
- In more severe cases, surgery may be required for reconstructing the ACL with a tissue graft. This is done when the knee has become really unstable.
Rehabilitation is important whether or not your treatment program involves surgery. Even after surgery, physical therapy followed by a strengthening program plays an important role in your rehabilitation. It helps you get back to your normal life by enabling your knee to regain strength and motion.
If you're an athlete, physical therapy and rehabilitation would focus on the sport you're involved in and help you get back to full performance.
At Comprehensive Healthcare Group (CHG), we offer customized ACL tear treatment options in our two Long Island centers located in Oceanside and Valley Stream, NY which will help you get back to the life you love.
Wednesday, January 11th, 2017
Chiropractor in Valley Stream
Musculoskeletal pain can be caused by musculoskeletal disorders or a fall, slip or something as simple as lifting or pushing. Work injuries, repetitive actions or overstress to the joints, muscles, ligaments, tendons, nerves or bones when performing routine activities, could cause musculoskeletal pain. Jerking movements, sprains, fracture, dislocations, direct muscle blow and sprains could all cause pain in the concerned part of our musculoskeletal system. Inflammatory and degenerative conditions, MSD scan also impair range of motion. Usually patients consult an Orthopedist, Chiropractor or a Physical Therapist for these issues.
The symptoms of musculoskeletal pain vary based on the kind of the injury or overuse. Pain can be acute or chronic and symptoms could also differ among individuals. Common symptoms include:
- Pain can be widespread or localized, and increase upon movement
- Overall stiffness and aching in the whole body
- Muscle stress and strain
- Muscle spasms and cramps
- Sleep disturbances
Musculoskeletal conditions cause more than just pain. They could affect your overall quality of life. If you experience any of these symptoms, it is important to consult an orthopedist for a diagnosis.
Importance of Accurate Diagnosis
The diagnosis would identify the root cause of the pain or discomfort you’re experiencing. The doctor will review your medical history, perform a physical exam, and review your symptoms to identify the possible causes of the pain. X-rays, CT scans, MRIs and laboratory tests will be conducted to check out the bones, cartilage, muscles, ligaments and tendons. In a multispecialty rehabilitation center, orthopedists will work with other healthcare providers to diagnose pain accurately.
Non Invasive treatment options available include physical therapy, chiropractic care providing modalities such as heat or cold therapy, stretching and strengthening exercises, therapeutic massage. Anti-inflammatory medications and muscle relaxants are usually prescribed by physicians if needed. Surgery is recommended only in severe cases.
Use of minimally invasive techniques such as arthroscopy that involve just tiny incisions to examine and treat patients, minimizing the trauma of surgical intervention are used at times to get patients back to regular activities quickly. The treatment prescribed would depend on the definitive diagnosis of the root cause of your musculoskeletal pain and the muscles, ligaments, bone, tendons or joints that are affected.
Chiropractor in Valley Stream
At Comprehensive Healthcare Group our practitioners provides noninvasive and invasive treatments at our locations in Valley Stream and Oceanside in Long Island, New York.
Tuesday, December 27th, 2016
Sprains and strains are among the most common injuries for those seeking physical therapy treatment on Long Island. It is commonly seen during summer from sports injuries and in winter from slip and falls. These injuries can also result from motor vehicle accidents, work related injuries etc. Sprains are different from strains. A sprain occurs when a ligament tears or stretches. While a strain refers to any injury affecting your muscles or tendons.
RICE - rest, ice, compress and elevate, along with physical therapy and exercises are the most recommended sprains and strains treatment. RICE is the first step in relieving pain and swelling to promote optimum healing and flexibility outlined as follows:
- Rest the injured area.
- Apply an ice pack for 10 to 15-minute periods every three hours.
- The next stage involves applying a compression bandage around the area, but not too tightly.
- Finally you should ensure the area affected is kept in a position above the heart, which helps reduce the swelling. This can be done by lying down and keeping the affected areaelevated.
Physical therapy treatment varies based on the severity of the injury:
- Physical therapy for sprains include therapeutic exercises for stretching and strengthening muscles around the affected joint. Joint mobilization techniques are carried out, as well as heat or ice, ultrasound and electrical stimulation.
- Physical therapy for strains includes stretching and strengthening the affected as well as the surrounding muscles. Soft tissue mobilization is carried out to break up the fibrous and the scar tissues. Heat and ice, or either of them, are used as needed for controlling the pain and swelling.
The goal of physical therapy with respect to strains is to enable the healing of the injured muscle as well as preventing scar tissue from building up significantly. The goal is to get patients back into their normal daily routine.
Comprehensive Healthcare Group’s professional team located in Valley Stream and Oceanside specializes in treatment of sprains and strains. We will help you get back to your daily activities and will advise you on how to prevent and avoid such injuries.
Friday, May 30th, 2014
May is Arthritis Awareness Month in the United States. Spearheaded by the Arthritis Foundation, Arthritis Awareness Month aims to make people more aware of Arthritis and the issues involved.
According to the CDC (Centers for Disease Control and Prevention), 22.7% of the adult population in the US have some form of arthritis. Middle-aged and older people with arthritis are significantly more likely to fall and, as we’ve spoken about before in this blog, falls are the leading cause of injury-related illness and death in the US.
In today’s installment, we’re going to talk about Osteoarthritis.
Osteoarthritis is the most common form of the disease and affects over 27 million Americans! The way you eat, exercise, sleep and whether you have bad habits such as smoking all contribute to developing osteoarthritis.
In osteoarthritis, the cartilage covering the ends of bones where they meet to form a joint to allow movement breaks down. As the cartilage wears away, the ends of the bones become exposed and rub against each other. This wearing away affects the shape of the joint so that it no longer functions well. You may notice a limp when you walk, or you may have trouble with stairs because additional stress is being placed on the joint.
Other problems often occur inside the joint as cartilage breakdown affects the joint structure. Fragments of bone or cartilage may float in joint fluid, causing irritation and pain. Osteophytes may develop on the ends of the bones, damaging surrounding tissues and causing pain. Fluid inside the joint may change due to these insults and the joint’s ability to absorb shock is compromised. Although inflammation is not a main symptom of osteoarthritis, it can also occur in the joint lining in response to the cartilage breakdown.
Symptoms of osteoarthritis vary, depending on which joints are affected. However, the most common symptoms are stiffness, particularly first thing in the morning or after resting, and pain. The most commonly affected joints are the lower back, hips, knees and feet. When those joints are affected you may have difficulty with activities like walking, climbing stairs and lifting. Daily activities that you used to enjoy may become too painful to continue. These issues are referred to as “Quality of Life” problems. If you love gardening or walking each evening through your neighborhood, pain may make them no longer pleasant occupations.
Other commonly affected joints are the neck and fingers, including the thumb base. When finger and hand joints are affected, osteoarthritis can make it difficult to grasp and hold objects or to do delicate tasks.
Your hips and knees are most affected by body weight. Being overweight puts additional pressure on these joints. For every pound you gain, your knees gain three pounds of added stress; for your hips, each additional pound translates into six times the pressure on these joints. Many years of carrying extra pounds can cause the cartilage that cushions your joints to break down. Obesity may lead to osteoarthritis on its own, or it may worsen its symptoms.
Repetitive movements or serious injuries to joints can lead to osteoarthritis. Even joints such as shoulders (non-weight bearing and usually unlikely to have osteoarthritis) can develop the disease after injuries or repeated stressful activities. Constant knee bending required by work such as landscaping or carpet installation, can make cartilage wear away more quickly than moderate use of these joints.
What can you do to improve the symptoms of osteoarthritis?
The team of healthcare professionals at Comprehensive Healthcare Group will develop a customized plan for you involving physical therapy, therapeutic exercises, neuromuscular reeducation, chiropractic, and acupuncture to ensure the best results.
Physical therapy is a specialty that combines exercises, neuromuscular reeducation and myofascial release to improve posture, strength, function, range of motion and to reduce pain. It boosts energy and mood as well. One of the best things you can do for your back specifically is to be physically active. Of course you’ve heard it before, but it bears repeating because it’s true! Exercise works well for easing the discomfort of osteoarthritis. A regular exercise program can ease pain and stiffness, strengthen muscles and bones, burn calories, improve flexibility, increase energy, improve sleep, boost your mood, and reduce your risk of cardiovascular disease. If your back is so stiff or painful that you can’t exercise, speak to your doctor or physical therapist about exercises that might be appropriate for you to begin. Physical therapy can bring relief and teach you lifelong exercises to prolong the benefits.
Acupuncture for osteoarthritis utilizes a form of traditional Chinese medicine that involves the insertion of thin, sharp needles at specific points on the body. Trials of patients show small but statistically significant improvement in pain intensity two and four weeks after a course of acupuncture.
Chiropractic uses spinal manipulation or adjustment to restore joint mobility by manually applying a controlled force into joints that have become hypomobile or restricted in their movement. Osteoarthritic joints that have been compromised can be restored to mobility alleviating pain, inflammation and muscle tightness.
The likelihood of developing osteoarthritis is high. If you already have it, symptoms can be relieved to a great degree. If you don’t have osteoarthritis, you can start now, be proactive and forestall this painful and debilitating condition.
Contact our healthcare professionals in Oceanside and Cedarhurst and we can help you address the discomfort of osteoarthritis.
Yours in Good Health!