Unresolved Pain

 

Understanding Chronic Pain: It’s All In Your Head

By: Deanna Camilo, PT, DPT The first thing we need to know in order to begin our understanding of pain is that pain is a product of the brain’s interpretation of two things: An unpleasant sensation. The circumstances surrounding the introduction of the unpleasant sensation. All sensory information (touch, vision, taste, etc.) must be evaluated by the nervous system, and accurate interpretation of this information depends on the context surrounding the introduction of the sensation.  Pain does not become pain until the brain interprets the sensation as dangerous or threatening. “Dangerous or threatening” is determined by contextual clues provided by the rest of the body: emotions, previous memories, and potential consequences of each response. Thus, the amount of pain you…

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Resolve to Relieve the Headache

Post By: Mandy Blackmon PT, DPT, OCS, CMTPT Brian blogged a few weeks ago about the “holiday stress factor” and the effects that stress can have on our bodies and pain.  One of the primary pathologies I see in my patients is chronic headache and jaw pain.  Many of my patients describe their headaches as “migraine” and their facial pain as “TMJ,” often without knowing the truth of their pain.  Did you know that tight muscles and trigger pints around the head, neck, and shoulder can actually refer pain patterns that look and feel very much like migraine headaches and temporomandibular dysfunction?  We know from the work of Dr. Janet Travell, Dr. David Simons and others that each muscle in…

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Tis’ The Stressful Season!

Post by Brian Yee PT, DPT, MPhty, OCS, FAAOMPT How many of you feel this underlying tension or anxiety during this time of season? So when you say to someone Happy Holidays!!! – with a sense of cheer, peace and joy there’s also this funny vibe in you that says “ohhhh man…ever since Thanksgiving I am so stressed because I have end of the year things to take care of at work, at home, my kids’ school, getting ready for family coming over, buying gifts, dealing with traffic..and now I or my loved one has a winter cold. All at the same time! Ahhhhhhh!!!!!!!”Perhaps you do not think that at all..and that’s simply just me.Even if it is just me, I…

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The Value of Pain: Leprosy

Post by: Laura Gold, PT, DPT Leprosy. We’ve almost all heard of it and many of us, at a very early age. It is a common topic in biblical stories and a horrible disease of “biblical” proportions. Leprosy is not nearly as ubiquitous and devastating as it once was — it is far less common, and we have much better means of treating it. Unfortunately, it is still a problem in poorer areas of the world in which people don’t have access to healthcare. But this post isn’t about the epidemiology of leprosy and steps for global eradication. It’s about what leprosy can teach us. What you may not know is that leprosy is not a flesh eating disease. It…

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Analyze This: A Runners Missing Link

Post By: Laura Gold, PT, DPT You’re a runner, and you’ve got pain. Not a little post workout soreness or the occasional ache, but pain that won’t go away. Or maybe it’s that annoying problem that keeps moving around – first it was the Achilles, then runner’s knee, IT band, plantar fasciitis… one injury improves just to make room for another.  And you’ve done it all. NSAIDs. Stretches. Injections. Massage. Foam Rolling. Exercises. Maybe you’ve even considered (or had) surgery. Yet the problem persists. Your friends, family, co-workers, and perhaps, even your medical professionals are telling you to hang up your running shoes. You’re starting to wonder if they’re right. BUT WAIT! (Says the physical therapist and like-minded “crazy” runner)….

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The Athletic Hip Series: Piriformis Syndrome

Post by Maggie Gebhardt, PT, DPT, OCS To a runner, the word “Piriformis” is a dreaded, scary, and frustrating word. However, the diagnosis for Piriformis Syndrome is commonly overused and misdiagnosed. I would venture to say that in the years I have been working, I have never actually seen a true case of Pirifomis Syndrome. Many people assume that  hip tightness must be their ‘Piriformis.’ Well I am here to spread the word…that is just not true! Actual Piriformis Syndrome is when the piriformis muscle becomes so tight that it causes numbness, tingling and/or pain down into the respective leg. The piriformis muscle spans the backside of your hip, sits amongst your gluteal muscles, and runs from your tailbone to the outside of…

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The Athletic Hip Series: Labral Tears

Post by Maggie Gebhardt, PT, DPT, OCS For all of you clinicians out there who participated in our journal club in June you were able to hear from one of Atlanta’s preeminent hip surgeons, Dr. Cliff Willimon. He addressed the assessment and treatment of hip pathologies primarily related to labral tears. So, it is only natural that I follow my last blog on hip impingement with a discussion on hip labral tears. For the layperson out there, you may be asking, “What is a labral tear and could I have this tear?” Well, the labrum of your hip is a cartilaginous ring that runs around the perimeter of your hip socket. This allows the ball to sit deeper in the…

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Learn About Jozy Altidore’s Hamstring Injury, the Motion Stability way.

Post by Ryan Balmes, PT, DPT, OCS, SCS, FAAOMPT Have you been watching the World Cup lately? Whether you’re into soccer or not, its hard to avoid all the World Cup news and updates. One of the recent updates is that Jozy Altidore, the US team’s premier striker alongside Clint Dempsey, will not be able to participate in tomorrow’s match versus Germany. This is the World Cup, the top competition for soccer worldwide, and so the conditions are no doubt intense. The weather’s heat and humidity has played a factor, as evident from the water break needed during US match versus Portugal this past Sunday. The level of competition and expectations from worldwide fans are also intense as well. With…

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What is Piriformis Syndrome?

Post by Maggie Gebhardt PT, DPT, OCS If a patient comes in with posterior hip pain or radiating pain down their leg, a lot of times they have already self-diagnosed themselves with Piriformis Syndrome. However, Piriformis Syndrome is not as common as most people think. So, what actually is Piriformis Syndrome? Piriformis Syndrome is when the pirifomis muscle is irritated because it is being overutilized. This is usually secondary to weak lateral hip musculature i.e. your glutes… sensing a theme?? The piriformis muscle extends along the back and lateral side of your hip. When it is aggravated it can cause a deep achey sensation in sitting, walking, or running. Sometimes the muscle becomes tight from overuse and can compress the…

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You’ve Got Some Nerve…

Post by Brian Yee, PT, MPhty, OCS, FAAOMPT People fall. People get hurt. Injuries usually get better… as we would hope. There are many cases, however, when common injuries that we think would get better over time do not. Here’s a case in which I have seen people have traumatic injuries such as slipping and falling on an outstretched arm, causing wrist and forearm pain. Most people, including physicians and physical therapists, would assume it’s a wrist injury such as a ligament sprain or fracture, and in most cases, it probably is. But let’s say the injured arm now presents with tingling, redness, or swelling. Now what do you think that may be coming from? One structure that is commonly…

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Motion Stability