Overuse injuries

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Common Rock Climbing Injuries Talk | September 10, 2014 6:30pm

By Matt Heyliger, DPT
matt@excelptmt.com

Excel Physical Therapy Community Education Series | Free & Open to the Public

“Common Rock Climbing Injuries: Prevention & Treatment”

presented by Matt Heyliger, DPT

Wednesday, September 10, 2014 | 6:30-7:30pm

Bozeman Public Library Community Room

  • Learn how to identify and self-treat the most common shoulder, elbow and finger injuries related to climbing.

  • Discover when it’s time to rest an injury and when it is safe to return to climbing after an injury.

  • Discussion of preventative exercises to protect against common climbing injuries.

  • Discussion of safe training techniques to reduce your risk of overuse/overtraining injuries.

  • Q&A with Matt Heliger, DPT after the talk.

 

Matt Heyliger, DPT has been an avid climber for the past 12 years and his passion for climbing has taken him around the US, Canada and Mexico. He enjoys all forms of climbing (trad, sport and bouldering) and loves the variation in movement and style inspired by different types of rock. Matt has developed a specific interest focus in biomechanics and how impairments at one level or joint affect other body structures. More specifically, he has a particular interest in the relationship of cervical/thoracic spine mechanics and upper extremity conditions.  Matt practices in both the Excel Physical Therapy offices in Bozeman and Manhattan.

Pain on the Bottom of your Foot? Plantar Intrinsic Training is a Solution

By Matt Heyliger, DPT
matt@excelptmt.com

Plantar Intrinsic Training

by Matt Heyliger, DPT, Excel Physical Therapy

Over-pronation (the inward roll of the foot while walking or running) is a common contributing factor in the development of several lower extremity injuries including plantar fasciitis, Achilles tendinopathy, patellafemoral knee pain and other overuse conditions. Recent research addressing the contributing factors to the development of plantar foot pain (pain at the bottom of your foot) has emphasized the importance of training the muscles of the foot to keep the arch from collapsing inward. It has been proposed that the intrinsic plantar muscles of the foot play a similar role in arch preservation as the core muscles play in the stabilization of the trunk and spine. This concept provides a great foundation for direct treatment of conditions associated with over-pronation.

 

A recent study by Mulligan and Cook, published in the journal “Manual Therapy,” presented this concept and sought to test if the performance of a series of exercises (named “Short Foot Exercises”) directed at isolating the recruitment of the plantar foot muscles could decrease pronation after four weeks of training. They discovered a small, but significant difference in arch height and these differences were preserved after eight weeks without continued training. While these exercises are tedious and initially challenging, our patients here at Excel Physical Therapy are responding well to these exercises. If you have been dealing with plantar foot pain and are not responding to other therapies or orthotics, consider training the “core” of your feet with Short Foot Exercises.

 

Be sure to contact a licensed health professional before starting any exercise plan and for a thorough evaluation or diagnosis of your issue. We can help. Call us in Bozeman at 406.556.0562 or in Manhattan at 406.284.4262.

 

About Matt Heyliger, DPT:

Matt completed his Doctorate in Physical Therapy at Eastern Washington University in Cheney, Washington. During his clinical experience with the Sports Medicine and Extremities team at The Orthopedic Specialty Hospital in Salt Lake City, Matt was exposed to a wide variety of surgical and non-surgical conditions and developed a solid foundation for the assessment and treatment of orthopedic conditions related to the extremities.
Matt is an avid rock climber, telemark/backcountry skier and mountain biker. Matt regularly practices yoga and enjoys frequent adventures in the mountains with his wife and their Alaskan Malamute.

 

Torn Rotator Cuff? You may not need surgery…

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Woman With Shoulder Pain

A new multicenter prospective study (good evidence!) shows physical therapy is very effective in the treatment of full-thickness rotator cuff tears.  In the October issue of the “Journal of Shoulder and Elbow Surgery”, JE Kuhn et al. showed that people with full thickness rotator cuff tears that were not the result of trauma (their injury was not the result of a fall, or blow to the shoulder) did very well with a 6-12 week course of physical therapy.  People with rotator cuff tears had improved pain-levels and shoulder function after 8-15 visits of physical therapy.  Furthermore, after a 2 year follow-up less then 25% of people elected to get surgery for their torn rotator cuff.  The authors conclude that “Physical therapy is effective in the nonoperative treatment of atraumatic full-thickness rotator cuff tears…” and “…physical therapy is highly effective in alleviating symptoms.”  This means that if you have a rotator cuff tear that was not the result of trauma you could save a lot of time and money by pursuing physical therapy instead of surgery. 

 

Reference: Kuhn JE, et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013; 22(10) 1371-1379.

Questions? Contact Jason for more information how physical   therapy can help you at 406.556.0562.

 

Youth Sports Injury Seminar Handouts and Resources

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Here are the links to the injury prevention handouts and resources from Excel Physical Therapy’s Community Education Series Fall 2013 Seminar “Why Do Kids Get Injured? A Youth Sports Injury Seminar for Parents, Coaches and Athletes Ages 18 & Under”

For additional information, please contact Jason Lunden, DPT, SCS at 406.556.0562 or by email: jason “at” excelptmt.com

 

Youth Sports Handouts:

Concussion Overview Handout

Overuse Injuries Sports Tips

Parents Encouraging Success with Young Athlete Tips

Teaching Kids Safe Ways to Participate in Sports

When Play is Too Much Handout

Soccer Injury Treatment and Prevention Tips

Skiing and Snowboarding Injuries Causes and Treatments

Football Injuries Sports Tips

 

Youth Sports Web Resources:

Concussion:
 
http://www.cdc.gov/concussion/HeadsUp/youth.html
 
http://www.lidsonkids.org/
 
Sport Injury Prevention:
 
Sports Specific Tips – http://www.stopsportsinjuries.org/sports-injury-prevention.aspx
 
http://www.asmi.org/research.php?page=research&section=positionStatement
 
http://www.moveforwardpt.com/SymptomsConditions.aspx
 
http://f-marc.com/11plus/home/
 
 
 
 
 
2013 Copyright Excel Physical Therapy, Inc.

Youth Sports Injury Seminar for Parents, Coaches and Athletes Ages 18 & Under - 9/12/13 6:30pm

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Join us for Excel Physical Therapy’s Fall 2013 Community Education Series Seminar

“Why Do Kids Get Injured? A Youth Sports Injury Seminar for Parents, Coaches and Athletes Ages 18 & Under”

Thursday, September 12, 2013

6:30-7:30pm

Bozeman Public Library Community Room

free and open to the public

Jason Lunden, DPT, Specialist in Sports Physical Therapy, presents a free talk that will focus on the following:

  • Latest updates for recognizing and treating concussions in youth ages 18 and under
  • How to recognize risk factors for non-contact injuries
  • Identify resources for injury prevention in youth sports such as soccer, football, baseball, skiing, lacrosse, etc.
  • Q&A time with Jason for your specific questions
  • Drawing for iTunes gift cards and more!

 

For more info: info “at” excelptmt.com or excelptmt.com/seminars

Jason Lunden, DPT, SCS specializes in the rehabilitation and prevention of sports-related injuries, with a particular interest in the biomechanics of sporting activities – running, cycling, skiing, snowboarding and overhead athletics. He has published on the topic of shoulder biomechanics and the rehabilitation of knee injuries and has a strong commitment to educating others. Jason serves as a physical therapist for the US Snowboarding and US Freeskiing teams and is a frequent, well-received local and national presenter on the topics of sports rehabilitation and injury prevention. He is a recent recipient of the New Horizon Award from the American Physical Therapy Association and he as received advanced training in dry needling techniques for the extremities.

Bike Injury Seminar - Sept. 7, 2011 7-8pm Boz. Library

By Tiffany Coletta
tiffany@excelptmt.com

Community Education Series – free and open to the public

 

“Bike Injury Seminar” – Presented by Jason Lunden, DPT, SCS

Wednesday, Sept. 7, 2011
7-8pm
Bozeman Public Library Community Room

Medical Bike Fitting

  • •Learn how to recognize common overuse injuries that occur in cycling

  • •Discover how to apply self-treatment strategies to aid in recovery from overuse cycling injuries

  • •Understand the relationship between improper bike fitting and the development of an overuse injury

  • •Q&A session

 

Jason Lunden, DPT, SCS specializes in the rehabilitation and prevention of sports-related injuries.  A published medical journal author, local and national presenter, Jason has obtained extensive advanced training in physical therapy and bike fitting: Doctor of Physical Therapy degree – University of Minnesota; Masters of Arts in Cell and Molecular Biology – St. Cloud State University; Bachelors of Arts – St. Olaf College; Minnesota Sports Medicine Sports Physical Therapy Residency; Sports Physical Therapy Clinical Specialist Board Certification – American Physical Therapy Association; Certified Bike Fitter

Could you benefit from a bike fit evaluation?

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Professional Bike Fitting

Bike adjustments and strengthening tips are generalizations, and may not work for your individual needs. If you have tried the above suggestions without success or want an individualized fit, you would benefit from a professional bike fitting.  The fitting I perform is both a static and dynamic bike fit, where static measurements and adjustments are combined with a dynamic movement analysis and orthopedic examination. A proper bike fit is a marriage between the bike and the rider, so one needs to look at both the bike and the person when performing a bike fit.  Getting a professional bike fit can significantly reduce pain associated with your riding, reduce the chances of developing future overuse injuries, and perhaps, best of all improve, your performance.

Resources:
http://www.serottacyclinginstitute.com/BikeFitBasics.html
http://www.competitivecyclist.com/za/CCY?PAGE=FIT_CALCULATOR_INTRO&INTRO_LINK=NOREDIR
http://velonews.competitor.com/tag/bike-fit

Could you benefit from a bike fit evaluation?

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Muscular Imbalance and Pain

In addition to an improper bike fit, muscular imbalances can lead to overuse injuries in cycling. For example, weakness at the hip muscles can cause the knee to be improperly positioned at various points during the pedal stroke. The improper positioning of the knee can result in an overuse injury. Therefore in addition to getting your bike properly fit, focused hip strengthening and pedaling drills are usually required in order to rehabilitate knee pain associate with cycling.

Could you benefit from a bike fit evaluation?

By Jason Lunden, DPT, SCS
jason@excelptmt.com

Bike Adjustments

Fortunately there are many adjustments that can be made to your bike that can allow you to ride with less or no pain if you do develop an overuse injury. Typically these adjustments start down at the cleat /pedal level, then move to the saddle, and then, ultimately, reach the stem and handlebar. In most cases, the cleat should be centered under the ball of your foot. Your saddle height should be adjusted so that there is a 25-35? knee bend at the bottom of your pedal stroke.  Handlebar height is much more variable between cyclists. In general, you want the handlebars to be high enough so that your lower back is comfortable, but not so high as to create too much of an upright position that compromises performance.  Finally, the stem length should allow your shoulder angle to remain at 90?, or less, when your hands are on the bars.

"A super place with special working people. This has been my third experience with Excel. Very very good, excellent treatment." --A.S., Bozeman patient

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