165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

rotator cuff

Tendon Rehabilitation…What is the latest research?

Tendon strains are very common.

Torn achilles

Torn achilles

They occur frequently throughout the body, and limit your ability to do what you want. Achilles tendonitis and patellar tendonitis injuries cause pain with walking, running and being on your feet. Biceps tendonitis causes pain with sleeping, reaching and lifting overhead as does rotator cuff tendonitis.

Recent research on tendon injuries has shed new light on what the best exercises are, and in what order they should be given to the patient. why-and-how-exercise-is-the-best-treatment-for-tendinopathy

In the past, and currently, the exercise protocol for tendon repair has been eccentric exercises (slowly lengthening exercises). Here is an example:

New research is coming to light that shows that isometric exercise is the best way to rehabilitate a strained tendon, especially in the first stages of tendon repair. Here is an example:

Come to Comstock Physical Therapy to receive the latest in treatment options! (Backed by evidence, of course!)

Do I need an MRI?

Have you ever wondered if you should have an MRI? Did your health care provider tell you that you did not need one and you wondered why not?

I had a patient from Lacey with a shoulder bursitis ask me that question…and I told her "no" I didn't think she needed an MRI. She had come to me with horrible shoulder pain; on her first visit we simply treated her bad pain after performing a few safety tests to make sure these procedures were safe. On her first visit she could only lift her arm 3 inches, had to be driven to PT and had to have help getting dressed.

After a 3 or 4 visits, she had a lot less pain. She could drive herself, get dressed and lift her arm overhead. She still had pain rotating her lower arm out to the side and had some tingling and numbness. I evaluated her and told her I thought she had had a bursitis and possibly an infraspinatus (one of the 4 rotator cuff muscles) strain but not tear. She wanted to know if she should have an MRI, and I told her I did not think so….she wanted to know why not.

I walked her through the process of understanding how a physical therapist sees if a muscle is torn. I took a large theraband, and showed her how a torn or cut muscle cannot bring the two ends of the joint together if it is not attached in the middle. A physical therapist knows what directions a specific muscle moves the joint. Seeing a joint move the in direction of the muscle tells the physical therapist that the muscles is not torn; if it was torn the joint would not move. Once she had that explanation she understood why she did not need an MRI.

If you want to know why you don't need an MRI, take the time to ask your provider why not…so you can understand the process.

Weak Scapular Muscles make the P90X workout harder: The Solution

Here it is:  the fix for shoulder blade/scapular weakness on one side that makes progressing your P90X workout, or any upper body workout for that matter, harder.  

 

 

 

If you follow the above  links you will see how to strengthening one-sided shoulder girdle problems.  When the shoulder girdle is weak, it can cause winging.  If it is just a little weak, like it is with this lady, then you may have headaches, because of the stretch to the upper trapezius.  You might also develop rotator cuff impingement due to this problem.  

How do you develop shoulder blade weakness?  Usually it hppens because you might have an arm injury, which can make your muscle weak as they try to protect you and stop you from using an injured body part.  Other causes can be prolonged computer use in which your arms and shoulder are held in the shoulder forward position.  

Good luck