Movement Dysfunction

 

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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How do I manage my back pain on a daily basis?

Brian Yee PT, MPhty, OCS, FAAOMPT First, remain positive. Many people dealiing with chronic back pain can become discouraged and even depressed that their pain does not let them do what they want to do. This can lead to a fear-avoidance belief that takes them away from doing activities that they physically should be able to do.  From there it is important to establish 2-3 activites during the day that cause back pain – such as sitting, standing, or household activities such as vacuuming. It is just as important to determine the time in which the pain begins. Many patients will complain of pain with a prolonged/sustained activity after 10-20 minutes. What this means is that the muscle endurance of…

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What can I do for knee pain?

Brian Yee PT, MPhty, OCS, FAAOMPT Treating knee pain depends on the location and severity of the symptoms. If it is swollen, you should apply cold packs, compress, and elevate it to reduce swelling. You should consider contacting a qualified physician or physical therapist to assess your injury.  If things are clear for any significant injury – and as swelling calms – determining where the location of knee pain helps guide things you can do to treat it. Commonly pain is in either behind the knee cap or along the inside border. You may get a diagnosis of chondromalcia patella or patelofemoral pain which indicates that your knee cap is not tracking correctly along its groove. And with this pain,…

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Can physical therapy strengthen weak bones?

Brian Yee PT, MPhty, OCS, FAAOMPT Physical Therapy can focus on improving bone strength through proper prescription of exercise base therapy to properly gauge the intensity and load on a patient with weaker bones, such as osteoporosis, fractures, atrophic diseases. This could be through aquatic therapy, anti-gravity support systems, and other modified weight-bearing exercises. It is important to have an experienced Physical Therapist to know how to properly dose the intensity/duration of exercises to stimulate proper bone growth/density without over or under doing it. _________________________ 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 doctor or health…

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How can I prevent repeat ankle sprains?

Brian Yee PT, MPhty, OCS, FAAOMPT It is important to improve ankle dorsiflexion after an ankle sprain. Research indicates a loss of ankle mobility with chronic ankle sufferers – primarily in ankle dorsiflexion – which is the motion you need to walk correctly. Reserach also indicates a change in muscle control patterns not only in the ankle but also up the kinetic chain, such as a loss of hip control. Therefore: 1. Improve ankle dorsiflexion: calf stretching, seeing a Physical Therapist to mobilize your ankle and decrease swelling. 2. Ankle stability: ankle circles, resistance bands to strengthen lateral/medial ankle musculature/tendons. 3. Ankle proprioception: standing balance exercises as indicated 4. Hip stability: primarily with gluteus maximus and medius exercises. It is…

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Why do I get pain on the inside of my foot when I increase my training?

Brian Yee PT, MPhty, OCS, FAAOMPT Pain that occurs on the inside of the foot when increasing your training is usually due abnormal forces placed upon it. This can occur with the foot either pronating too much (going flat) or the foot loading to the ball of it excessively. Either way, increased stress is placed along the arch and pain can occur there. Training then should be modified not to allow the arch to collapse or load to the front of the foot excessively. Small tips would include – putting more equal weight through the heel and ball of the foot, watching you knee angle so that it does not go into valgus (turning in) as that place more stress…

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Is stretching supposed to be painful?

Brian Yee PT, MPhty, OCS, FAAOMPT Stretching should at most be moderately uncomfortable. Many people think that stretching only targets the muscles, but consider that there the joints, ligaments, nerves, and fascia are also stretched. If you have a joint hypermobility or an irritated nerve, such as sciatica, over-stretching can actually injure the tissue and cause more problems than good.   _________________________ 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 doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. Please remember that the information and content, in…

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Does stretching decrease the chance of getting injured?

Brian Yee PT, MPhty, OCS, FAAOMPT Most people present with imbalances in muscle forces. This may include anterior – posterior muscles and specific muscles affect joint mechanics. It is recommended that you have a qualified health practitioner assess your body mechanics to make recommendations what muscles should be elongated, and then other that should be stabilized to improve the efficiency of you body. Also consider tight muscles may be due to an underlying irritated nerve. Many people with old sciatic nerve injuries feel tightness in their hamstring, however attempting to over-stretching the hamstring can aggravate the nerve again. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is…

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