Back Pain and Physical Therapy

An episode of back pain can last anywhere from 2 to 8 weeks. Seeing a physical therapist can decrease your healing time and prevent further injury.

Typical treatment will consist of heat or cold packs, electrical stimulation, ultrasound, massage, stretching, postural education, and lumbar stabilization exercises.

Stretching exercises are performed to restore your flexibility and motion. Strengthening exercises are performed to increase the muscular support of your spine to prevent further injury.

Arthritis

Arthritis can cause stiffness, pain, deformity and loss of function of the joints in your body. Physical therapy can help to decrease pain and restore mobility with the use of exercises and modalities.

A physical therapist can instruct you in exercises to help increase flexibility and improve muscle strength around the joint. Working daily on a home exercise program, will help to prevent loss of the use of your joints and preserve muscle strength.
If you suffer from arthritis, see your local physical therapist to create a home program to help improve your quality of life.

Long Term Consequences of Wearing High Heeled Shoes

Trying to look your best may not be the best thing for your body. Wearing high heels alters your posture which can lead to many back, neck, leg and foot problems.
Wearing high heels pushes your center of gravity forward. This causes your back and calf muscles to work harder to keep you standing up straight. This in turn shortens your back and calf muscles.

When you wear high heels, your knees stay slightly bent and your shins turn inward. These compressive forces can cause pain on the inside of your knee which can lead to degenerative joint disease.

Your calf muscles are shortened when wearing high heels. This puts a lot of pressure on your forefoot while you are walking. This can increase your chances of getting hammertoes, bunions and neuromas. And don’t forget about corns, callouses and blisters that can occur from wearing pointed toed shoes.

Over a long period of time, wearing high heels can permanently damage your Achilles tendon. While wearing high heels, your Achilles tendon is shortened. This can result in heel pain.

And lastly, one could develop “pump bump”, otherwise known as Haglund’s deformity. This is a bony enlargement on the back of the heel caused by straps and rigid backs of pump type shoes which causes rubbing on the back of the heel.

Physical Therapy can help decrease pain associated with wearing high heeled shoes. Please contact Harbor Physical Therapy for more information.

How To Use A Heating Pad Safely

The colder weather is upon us and many people have an increase in chronic joint or muscle pain. Are you using heat or rubs to treat your pain? If you find relief with these items it is important that you know how to use them safely.

A hot pack can provide pain relief to the chronic aching joints that accompany arthritis. Here are some tips on safe use of a heating pad.

• Do not sleep with a heating pad or you may get a burn.
• Only use a heating pad for 15-30 minutes per hour.
• Be extra careful if you are using a heating pad on an area of your body where you don’t have as much feeling and avoid heating numb areas. If you can’t feel the heat as strongly, you might not realize if
you burn yourself.
• Placing towels between the heating pad and your skin can help reduce the risk of burns.
• If you are using topical rubs and ointments like BenGay, only use after applying a heating pad.
• If you have an acute injury (one which is less than 3 days old), you should use ice instead of heat. Heat is appropriate for chronic injuries or pain more than 3 days old.

If you find that your chronic pain is limiting your normal functional activities, or if your acute injury doesn’t begin to get better with ice and rest, visit your local Physician or Physical Therapist.

Orthotics

There are two main types of orthotics: off-the-shelf arch supports and custom orthotics. A person is prescribed an orthotic to help normalize weight distribution with weight bearing. Some people tend to bear more weight through the inside or the outside of their foot. This in turn, can cause back, hip, knee, ankle, or foot pain. Orthotics correct imbalances, improve posture, and help to relieve pain with weight bearing activity.

Off- the- shelf orthotics (or arch supports) can be found in retail stores. They are a less rigid type of shoe insert costing approximately $30.00 to $50.00. Unless you have a severe biomechanical foot problem, initially you will be recommended to purchase an arch support.

Custom Orthotics can be created by a Podiatrist or Physical Therapist. Custom orthotics helps people that require more assistance with their foot posture. An orthotist will take a plaster cast mold of your foot to create an orthotic. This orthotic is usually the most rigid of all the orthotics. It may take several months for your foot to get used to the orthotic. Custom made orthotics are expensive. Some health insurances will cover a portion or all of the expense.

Sleeping Positions

Positions you should avoid:

1. Lying on your stomach– This position makes you maintain a position of head rotation. This causes your neck muscles to shorten and can result in pain and stiffness in the morning. Also, sleeping flat on your stomach extends your low back which causes shortening and tightening of the low back muscles.

2. Lying on your side with your arm above your head– This position can create shoulder pain. You can compress the nerves in your shoulder causing your arm to go numb. Also, you are impinging the shoulder joint. This can cause stiffness and soreness at the shoulder joint.

Ideal sleeping positions:

1. Lying on your side with your arms in front of your body and a pillow between your knees– This causes decrease strain on your shoulder and allows your back muscles to remain relaxed. The amount of pillows under your head should be determined by your neck position. Your neck position should be in a slightly flexed position compared to the rest of your body.

2. Lying on your back– In this position, you should make sure you are using the correct amount of pillows as noted above. Also, place pillows under your knees to create a position of decrease strain on your lower back.

Please note if you have current or previous injuries, the position you favor will depend upon making the area of injury as comfortable as possible. If you continue to have difficulty getting comfortable in bed, make an appointment to your local physical therapist. The therapist will determine which position will better suit you based upon your past and current medical history.

Back Pain and Pregnancy

Many pregnant women develop back pain. This is due to increased weight gain causing stress on the spine. By having increased stomach weight, one develops a increased lumbar curve putting strain on the back musculature. Many women find themselves seeking physical therapy to help to decrease their back discomfort. Physical Therapy consists of manual treatment to the back, heat, stretching, and core/pelvic floor exercises. If you are pregnant and experiencing back pain, please contact our facility for an appointment.

Morton’s Neuroma

A Morton’s neuroma is a thickening of the tissue around one of the nerves leading to your toes. Most commonly it occurs between your 3rd and 4th toes. It is also most common in middle aged women and early intervention is important.

Symptoms of a Morton’s neuroma include, tingling, numbness, burning, or pain at the ball of the foot. A common report is symptoms mimicking something stuck to the bottom of your foot.

One of the most common causes is improper footwear. Wearing shoes without much support like flip flops, high heels, and flats can cause a compression and irritation of the nerve. Other causes are previous foot problems and repetitive damage from sports.

Early treatment should include ice and changing footwear. If symptoms persist, consult with your local physical therapist. Physical Therapy would include massage to the foot, stretching, and exercises. This works to help to decrease inflammation and increase blood flow to promote healing. A physical therapist can also educate you on proper foot wear and orthotics. Injections may be needed to help decrease the inflammation. If conservative measures are not successful, surgery is performed to release pressure on the nerve.