Overuse injuries
Older Posts »By Tiffany Coletta
Physical Therapy as a Means for Prevention
By Matt Schumacher, DPT, MTC, CAFS, CSCS
matts@excelptmt.com
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 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
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:
Parents Encouraging Success with Young Athlete Tips
Teaching Kids Safe Ways to Participate in Sports
Soccer Injury Treatment and Prevention Tips
Skiing and Snowboarding Injuries Causes and Treatments
Youth Sports Web Resources:
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.
Tips to Prevent Injuries in Youth Sports
By Jason Lunden, DPT, SCS
jason@excelptmt.com
April is Youth Sports Injury Prevention Month. Check this link out for sport-specific tips on how to prevent injuries in youth sports: http://www.stopsportsinjuries.org/
Great for Parents, Athletes, and Coaches.
#SportsInjuries
#Bozeman
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
•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.
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