Comstock Physical Therapy

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

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Like most things in life, aches and pains just happen. Each year we spend increasingly more time and money trying to fix the wear and tear that happens as we go about our lives. Some people have a specific problem that can be addressed and resolved. For many, however, finding the root of the cause is as excruciating as the pain itself. Muscles-In-Sync “When you become injured, the body begins to misfire. It’s the way you compensate when you have an injury. The way the muscles contract is out of order. They don’t provide the protection the way they did before you were hurt,” explains Linnea Comstock, Owner and Physical Therapist of Comstock Physical Therapy in Lacey. Pinpointing the problem and addressing the connecting muscles is Comstock’s specialty. It is what she and her staff refer to as “Muscles-In-Sync.” Read More

You’re kidding right?! Hip muscle strength helps bladder prolapse AND knee pain

Who knew?  The obtruator internus, a hip and pelvic floor muscle both, supports the bladder from below.  

When the bladder begins to slip down into the vagina that is called prolapse, and the obtruator internus, a HIP muscles can help support the bladder.

Ideally the pelvic floor muscles will lift the bladder…but another muscle supports the bladder, too. It is the obtruator internus which is a supporting pelvic floor muscles as well as a hip stability muscle. Look at the picture of a bladder to the right and below.

obtruator internus muscle next to bone

obtruator internus muscle next to bone

The bladder is the balloon looking object in the middle of the picture, and you can see the hip joints. The OI wings are the obtruator internus muscle underneath the bladder, helping to lift it. This particular picture is of a man, but the obtruator internus muscle lays the same way in a women. Look down and to the left to see the obtruator internus (in green) in the pelvis:
obtruator internus connection to pelvic floor

obtruator internus connection to pelvic floor

Interestingly, the obtruator internus muscle is very important for preventing knee pain as well as preventing plantarfascia. “Why?” See how the obtruator muscle wraps around the sit bone and attaches to the hip? It turns the hip and thigh out, which helps prevent the knee from rolling in (which causes kneecap pain).

obtruator internus posterior view attachment to hip

obtruator internus posterior view attachment to hip

The picture to the right is of the hip and thigh rolling in…the obtruator internus stops that movement AND helps the bladder.
knee cap pain due to hip weakness

knee cap pain due to hip weakness

If you have bladder prolapse, knee pain, or hip pain, or all 3, come to Comstock Physical Therapy to be evaluated by a therapist to get the help you need.

Medicare Plan Selection for 2015…what are my options?

Medicare open enrollment time is here.  Now you can look you your options on the website contained in this post without pressure.  The link is marked above. 

After you look up the plans on this site, make an appointment with an insurance agnet.  Make sure you ask about specialist and primary care copays.  They can catch you by surprise! 

Do you homework and good luck!

Do you want radiation treatment for plantarfasciitis versus other treatments?

A flyer came in the mail last week from Capitol Medical Center that included an article about radiation treatment for plantarfasciitis.

(Plantarfasciitis is a very painful condition in the bottom of the arch of the foot when the plantarfascia, pictured below, becomes inflamed , causing a lot of pain with walking and standing and significant pain on the bottom of the feet after sleeping or sitting followed by getting up)



You can see the link to an advertisement for this on Comstock Physical Therapy’s link page.

I was SHOCKED and SURPRISED that radiation treatment is used for a diagnosis/condition that can be treated safely and effectively with no side effects. Many other treatments are available which treat plantarfasciitis without side effects.  I  researched information  about the level of radiation used for treatment of plantarfasciitis, and found that typically .5 Gy to 1 Gy dosage of radiation is given one time to someone with the heel pain.  (at the bottom of this article, please see the links that you can use to look up this information,   1 Gy = 1 Sv in Xray measurements) .  I also found out that this is higher than the maximum level of radiation considered safe for diagnostic x-rays and CT Scans.

What treatments does science tell us work? The summary linked below mentions shock wave treatment and physical therapy treatments being very good at  treating this condition.

Here is another very complete rundown of the science about what works to treat plantarfasciitis:

Many treatments that help relieve plantarfasciitis are mentioned including stretching, rolling your arch over a can and massaging the bottom of the foot.  Physical therapy specifically helps by using the therapist’s hand to move the stiff joints on each other as well as massage the plantarfascia, and giving strengthening exercises to the feet, legs and hips the take stress of the plantarfascia using the muscles to support the legs instead.

Self treatments to help relieve plantarfascia also include these:

calf stretch

Calf and arch stretch using a towel. Consider keeping the towel near the bedside and performing before going to sleep and before taking first steps in the morning. Pull back on foot for 30 seconds 3 times with 30 seconds of rest in between.


soup can foot

Roll plantar fascia with can or ball. Consider keeping at the bedside and performing before going to sleep and before taking first steps in the morning. Roll plantar fascia for 1 minute 3 times with 30 seconds of reset in between.



manual therapy plantarfascia

Manual plantar fascia stretch with cross-friction massage. Stretch and massage before taking first steps for 1 minute 3 times with 30 seconds of rest in between.


If you do consider radiation treatment for plantarfasciitis, please ask about side effects, for your own benefit.


This link documents the dosage used in one treatment protocol for plantarfasciitis:

This link documents the level of radiation considered safe:


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Physical Therapy

165 Lilly Rd. NE, Suite B
Olympia, Washington 98506



If you happen to injure yourself if hit by a windmill shadow, come on in to Comstock Physical Therapy and we can fix you up! 😅 ... See MoreSee Less

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