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

surgery

Physical therapy- will it hurt?

People often wonder, if I go to physical therapy will it hurt?  Sometimes I’ve heard people say “PT” stands for “pain and torture.”

So, does physical therapy hurt?  This is the good news:  most of the time the answer is NO!

When will physical therapy hurt?   Once in a while the answer is yes, BUT that is because of the surgery you have had and the steps that you need to go through to get past the normal side effects of having a surgery.  What surgeries will be more painful to rehabilitate from?  In my experience as a physical therapist, new knee replacements seem to be the most painful.  Second to that is shoulder surgery.   The worse pain is usually there for a while only then gets better as you recover and move more, usually within a few weeks to a month.

When should physical therapy be comfortable?  Most of the time physical therapy should be comfortable and make you feel better as each treatment progresses.  The old adage of “no pain no gain” does NOT apply.  When you have an injury, working weak muscles until they are tired will be a good limit of exercise;  if you push past the muscle you are working feeling tired (heavy and achey)  you might cause more pain because your body is working in its weak zone and that is when more pain happens.

Will there be soreness after my physical therapy session?  It is pretty common for patients to feel sore after their PT appointment, especially your first visit because we have to have you move a lot to fully evaluate your problem.  Sometimes after introducing a new exercise, or increasing resistance you will be sore too.  You should not be in pain, however and if your soreness is there for more than 1-2 days, speak up on your next PT session because that is too long.

Most of the time physical therapy should be comfortable and leave you feeling good!

 

 

 

 

 

Weak Hips Cause Knee Pain

It is an odd thing, and it doesn't really make sense, but it's true that weak hips can cause knee pain.  "How is that?"  you may wonder. 

Look at this video taken about a week ago.  This patient had a a new hip put in, so she is weak on her right (left side of the video).  Watch her step down, and you will see her right hip shifts to the outside, and her right thigh and knee roll in.  Because her right thigh rolls in her kneecap is tugged to the outside of its normal groove causing knee pain. 

 

Check back tomorrow to see if her hip gets stronger and her knee pain goes away!

Comstock
Physical Therapy

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

360.455.8014

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7 hours 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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Comstock Physical Therapy
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