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

Patellar tendon

When I have knee pain, does it mean I need a knee replacement?

knee-rolling-in-___-internal-femoral-rotation I developed right knee pain about 2 months ago. I didn’t fall or traumatize the knee. How did this happen? From what my physical therapist tells me, I have been using my hamstring too much for strength and stability in the right leg; not using the right gluteus maximus enough. It has become short and tight as well as my iliotibial band. My lower leg muscles have become tight as well, making full bend of the knee, especially in kneeling and squatting.

It is surprising to me how much less I want to use the knee due to pain. If I try to fully squat, or get up and down from the floor, my knee hurts, so I tend to avoid it. Being a physical therapist, I know the importance of staying active so I have been making sure I fully bend my knee, even if it hurts, but with no weight on the leg (laying down or sitting with my leg out straight). I have also been working on hamstring stretches, iliotibial band stretches, and strengthening the vastus medialus portion of my quadriceps, which has become weak. My calf muscles are also tight, so I have been stretching those, both the upper calf muscle (gastrocnemius) and the lower calf muscle (soleus). My front shin muscles are tender and tight and part of my treatment has been myofascial release from the physical therapist.

X-rays were completely negative for knee arthritis, and I am so excited! The last thing I want is a new knee as the rehabilitation process for that is very very painful!

I am about 50% better; I’ll let you know how this goes in the future

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: Continue reading “Tendon Rehabilitation…What is the latest research?” »

Comstock
Physical Therapy

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

360.455.8014

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6 days ago

Comstock Physical Therapy

We have a rebounder at Comstock PT

Enjoy the video below. Funny ending! :)

5 Tool Sport
UPPER EXTREMITY PLYOMETRICS (wait til the end 😂)
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Plyos are a mainstay exercise for athletes in the mid-to-late stages of rehab for upper or lower extremity injuries (or can also be used for prevention)😏. They begin to prepare the affected structures and tissues to tolerate forces and stress more closely related to sport. For the #thrower 🥎⚾️, we like to use these as a precursor before interval throwing programs.
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There are many ways of accomplishing this, but here we show how to use a rebounder/trampoline to achieve dynamic shoulder plyos.
1️⃣ Chest pass
2️⃣ Diagonals
3️⃣ Overhead chop
4️⃣ 0° IR
5️⃣ 90° IR
6️⃣ 0° ER
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All incorporate a controlled concentric to eccentric phase and have the added bonus of adjusting to an external object. What others do you like??
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🔹Swanik et al. The effect of shoulder plyometric training on amortization time and upper extremity kinematics. JSR. 2016.
🔹 Wright, et al. Exercise prescription for overhead athletes with shoulder pathology: a systematic review with best evidence synthesis. BJSM. 2018.





#shoulder #upperextremity #plyometrics #overheadathlete #baseball #softball #baseballrehab #throwingrehab #sports #sportsrehab #sportsrehabilitation #sportsperformance #physicaltherapy #physicaltherapist #physiotherapy #DPT #studentphysicaltherapist #physio #sportsphysicaltherapist #sportsphysio #sportsphysicaltherapy #athletictrainer #athletictraining #ATC #sportsmedicine #rehabilitation #continuingeducation #exercise #strength
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6 days ago

Comstock Physical Therapy
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