How PRECISE should my rehabilitation exercise program be?
If I go to a physical therapist, chiropractor, massage therapist or physician, and he or she hands me a sheet of exercises will I get better? Will corrective exercises from a personal trainer do the trick? Or does my health care provider need to provide very specific exercises for my problem to help me improve?
It matters HOW you exercise, WHICH muscles you strengthen and stretch, and IN WHAT ORDER! The evidence is coming out more and more that muscles actually unplug when you have an injury and pain. How does that information get to you? Training is available to physical therapists that provide us this information. We, in turn, provide that to you in the right order and amount to progress you from your injury to wellness.
Here is an example: If you have neck pain and headaches it can be from an actual injury to the neck muscles but it can ALSO be due to shoulder blade muscle problems. If you go look in the mirror now you can see the way your shoulder blade and shoulder hangs from your neck. If you shoulder looks like a ski slope, chances are the muscles which hold your shoulder blades up are too long and stretched (such as the serratus anterior, trapezius and levator scapulae) and the muscles which pull it down are too tight (such as the latissimus dorsi and pectoralis muscles). (Here is one article which emphasizes the importance of this idea: “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache” A Case Report” JOSPT 2005, authors: McDonnell, Sahrmann and Van Dillon).
Our three physical therapists at Comstock Physical Therapy have all attended many courses on precise and corrective exercise programs to help you feel better. Give us a call today at 455-8014.
(Here is one article which emphasizes the importance of this idea: “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache” A Case Report” JOSPT 2005, authors: McDonnell, Sahrmann and Van Dillon).