What Can I Do For Plantar Fasciitis?

Brian Yee PT, MPhty, OCS, FAAOMPT Pain in the arch or heel of your foot is commonly diagnosed as ‘plantar fasciitis’. However, there are several reasons that can cause pain at the bottom of the foot. Plantar fasciitis: Usually due to an over-stretched arch. Treatment by taping, manual therapy, orthotics, and use of night splints can provide short-term relief. Long term prognosis is based not only treating the plantar fasciitis itself, but also restoring proper mechanics of the entire leg. Nerve Pain: The tibial nerve, which is a branch of the sciatic nerve can cause symptoms in the bottom of the foot. The key to treatment in nerve injuries is to determine why and where the injury occurred and treat…

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Play Golf? Avoid Lower Back Pain With These Stretches.

Brian Yee PT, MPhty, OCS, FAAOMPT There are numerous studies that have come out recently that show the loss of lead leg internal rotation of the hip in the golf swing has a high prevelance of low back pain in golfers. This is due to the lead leg in the golf swing acting as your swivel / finishing point in the swing. With limitations in the hip, the back has to work harder to finsh the swing.  You should work on the foam roll to loosen the lead leg hip musculature, knee to chest and pirformis stretches can also help. Standard back stretches can help alleviate your back after golf, but consider the causitive reasons why your back is hurting…

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Will I Need Physical Therapy After Hip Replacement Surgery?

Brian Yee PT, MPhty, OCS, FAAOMPT It is recommended that you work with a skilled Physical Therapist after hip replacement surgery. The Physical Therapist will coordinate with the operating surgeon to improve your hip range of motion, strength, and progress your weightbearing and walking on your hip appropriately. They will also demonstrate to you safe and proper movement with your hip with functional activities such as sitting to standing, getting in / out of cars, and progress you back to your other functional and recreational goals.   _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your…

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How Does Posture Affect Back Pain?

Brian Yee PT, MPhty, OCS, FAAOMPT The way you sit and stand significantly affects your back. Especially for prolonged duration, the tissues around the spine experience what clinicians call ‘creep phenomenon’. Think of a cold piece of taffy. As you hold it, warm it up, and then hold it by its ends, it slowly stretches and lengthens. Very similarly, the tissues in the back can due the same thing. The fascia, muscles, nerve, joints all experience increased strain when the spine is statically held in one position for a long duration of time. When you then place yourself in a poorly sitting or standing posture, that then accentuates the amount of tissue loading that is placed on the spine and…

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How Can a Weak Core Lead to Back Pain?

Brian Yee PT, MPhty, OCS, FAAOMPT According to Panjabi’s model, we can view spinal stabiilty based on 3 key elements:1. Passive Structures: The spinal column itself and the ligaments, fascia and other static tissues that hold it together. 2. Active Structures: The muscles that surround the trunk and pelvis ‘actively’ contract to provide muscle support. 3. Cognitive / Motor Control: The brain has a way to coordinate how muscles will be used to anticipate how the spine is used with functional activities. The passive structures and the spine itself is limited in its ability to stabilize the spine, especially in dynamic function or prolonged positions such as standing or sitting. The brain thus needs to coordinate the proper timing of…

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How Is Rehabilitation Used to Treat Neck and Back Pain?

In Physical Therapy we treat neck and back pain by the following interventions: 1. Examination: Take a thorough subjective and physical examination to determine the causes and severity of pain. The examination helps determine what specific interventions need to be done. Each patient is unique in the medical history and interventions should also be individualized to the patient’s progress. 2. Reduce Pain: Especially in more severe pain complaints, it is important to reduce the symptoms to allow for the patient to simply feel less pain. This can include manual therapy to decrease muscle spasms, restricted joint mobility, or decrease nerve irritation. Modalities such as ultrasound, electrical stimulation and traction can also be used. 3. Restore Motion: As pain decreases, it…

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What Is The Right and Wrong Way to Bend Over?

Brian Yee PT, MPhty, OCS, FAAOMPT Proper bending requires a fluid ‘lumbopelvic rhythm’. This means the hips and spine should coordinate to be able to touch the ground. Ideally there should be a 2:1 ratio hip movement to spine movement.  What we see typically in the clinic is that patients have significant restriction of what we call ‘hip hinging’ as the patients hips have restricted motion, thus requiring increased movement from the spine..with repetitive and excessive movement at the spine it creates greater torque to the spine. The other scenario we commonly see are patients who have fear to move their spine and essentially ‘lock’ their spines in slight hyper-extension and try to bend entirely from their hips. This creates…

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Custom Orthotics and Low Back Pain

Brian Yee PT, MPhty, OCS, FAAOMPT The way the foot contacts the ground significantly affects the way your back absorbs compression to the spine. People who are flat foot footed can lead to decreased hip stability and motion. This is due to the foot not being able to provide proper support each time you step or stand on them. Over time the entire leg musculature, most importantly in the gluteal muscles lose their ability to provide proper support. This can lead to increased stress to the back…like jamming your thumb into a wall a thousand times over…you back gets ‘jammed’ or compressed.Proper orthotic fitting can help the feet be placed in better alignment and thus provide proper support for the…

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Can high-arched feet have any complications?

Brian Yee PT, MPhty, OCS, FAAOMPT People with high-arches typically have less give in their foot as compared to those with flat arches. It can affect different body parts. With a more rigid support at the arch there tends to be greater forces dispersed at the heel and ball of the foot. Whether it be callouses, neuromas, or spurs many times they are formed due to excessive forces on that area. People with high-arches also tend to walk on their outside of their foot This makes them have more weight-bearing forces to along the outside of their legs. Commonly you see associated problems with ankle sprains, lateral knee pain such as iliotibial band syndrome (ITB), or lateral hip pain. There…

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Stretches for lower back pain?

Brian Yee PT, MPhty, OCS, FAAOMPT The most common muscle that is strained on the side of your back is the quadratus lumborum (QL). The QL attaches from the side and bottom of your rib cage to the top of your pelvis. There is a right and left QL and when it contracts its side bends your spine, as well as extends the back.Lets say your right QL feels tight – to stretch this: 1. While sitting place a thick book or half foam roll under your opposite / left hip. 2. Lean to the left, away from your painful side, fulcruming over the roll and left hip. 3. Slightly bend forward and rotate towards the right. Keep your right…

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