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Orthopedic Physical Therapy – Pain Management – Therapeutic Exercises

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·       Train in the functional position of the spine: most stable, comfortable and least painful

·       Listen to symptoms.  If your symptoms increase – stop the activity

·       Your posture and mechanics are key.

·       Balance stabilization and core strengthening with weight training extremities.

·       Cardiovascular training is helpful for most conditions, if your heart can take it.

·       Stretching postural muscles is generally a good idea.

·       Balance flexibility, strength and cardiovascular training.

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bob@emeryvillept.com

p: (510) 653-5151

f: (510) 601-1358

 

 

Low Back Pain:

Bio-mechanically we look for contributing factors such as tight hips and mid-back and weak stabilization muscles.  Clear up these related factors and often the problem clears.  We like to treat functionally, looking at better body mechanics, strength and endurance.  Manual therapy can be helpful, but physical training is advised as a central focus.

·       Gain flexibility in hips and mid-back

·       Train the back stabilizer muscles, especially posterior chain

·       Avoid compression activities

 

Neck and Shoulder Pain:

These areas sit on the spinal column.  It seems logical to restore strength and mobility of the spine with shoulder and neck problems.  There are specific muscles and joints that need to be cleared with these problems, and so we will go muscles by muscle and joint by joint.  But our philosophy is looking at the kinetic chain, meaning flexibility and strength in the regions around the neck and shoulder.  So we recommend training for general posture and strength, and specific exercises for the involved tissue.

·         Reduce superficial neck muscle activity

·         Stretch the pecs, subscapularis, and teres minor

·         Strengthen the scapular muscles

·       Use functional positions of the spine

 

Knee Pain:

The knee depends on support from the hip and ankle.  Get strong and flexible above and below the knee, and good things will happen.  Biomechanics are key.  The posture of the knee is very specific, so get detailed instruction in how to squat and move.  Foot orthotics may be helpful. 

·       Strengthen the hip and ankle

·       Increase flexibility in the entire leg

·       Train you core muscles, especially the Gluteal and abdominal complex.

·       Focus on great body mechanics when walking and training.

 

Foot and Ankle:

 The foot and ankle is a key area of the body.  Mobility of all the structures will reduce shock into the leg, and so keep your foot and ankle healthy.  The foot and ankle needs teamwork with the knee and especially hip.  So strength and stretch the hip.  Our preference is to train the ankle in functional positions with a balance challenge. 

·       Buy a dyna disk and get busy training balance and coordination

·       Consider orthotics

·       Keep your hips flexible and strong

                                                            Bob@emeryvillept.com