Doctor insights on:
Procedure Physical Therapy Upper Trapezius Pain
Deep burning pain near infraspinatus muscle radiating to upper deltoid, and scapulothoracic inflammation/cracking - possible diagnosis or diagnostic?
Nerve entrapment: Could be anything from a nerve entrapment in the region of your pain symptoms or simply nerve irritation due to inflammation, trauma, or a muscle disorder. Best to be seen by a neurologist for further information. I doubt the disorder would be in the brain or spinal cord itself although nothing can be 100% ruled out on just what you're saying without studies and a good examination. ...Read more
Quad injury: Initially for any injury you want to ice, rest and elevate for the first 24-48 hours. Add in nsaids like ibuprofen. Once pain has diminished, start gentle stretching of the quads - after injury we tend to get tight b/c of disuse. After a week, you can add in isometric exercises: wall sits are great. Gradually increase strength exercises w/ weights and squats to prevent reinjury. Good luck! ...Read more
Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?
Yes : You should follow post-surgery instructions which almost certainly would include physical therapy/rehabilitation. This is usually critical to getting back to optimal function. Your surgeon will refer you and you should follow the prescriptions from him and the rehab medicine specialists or physical therapists. ...Read more
Treated a long standing pain and numbness at right scapula with chiropractic, massage therapy and acupuncture. Pain moved to the front of shoulder?
Neither..: 7.5 percent of caucasian patienists are b27 positive, a marker that relates to inflammation of the sacroiliac joints, called sacroiilitis. This problem can be also associated with psoriatic arthritis (phil mickelson-golfer) and other types. You need medication for this to stop inflammation causing the problem. Of course exercise and massage are ueful for sore muscles, but a correct DX is needed. ...Read moreSee 4 more doctor answers
Is electrical muscle stimulation machine for physical therepy for a previous shoulder dislocation helpful?
Yes.: It can improve muscle and nerve function, and improve circulation to the area. A damaged area of tissue will have altered voltage on the surface of the cells. The status of this voltage can affect healing, especially if it is low. I do not see much downside to using it in conjunction with other therapy. ...Read moreSee 1 more doctor answer
How is spine cancer diagnosed. Are pain along spine, upper back pain, headaches, arm pain, chest bone pain symptoms ?
Less pain: If you are concerned about the effect of physical therapy, then you should have your pain diminished and range of motion restored. As far as modalities that will be used, i suspect you will have massage, stretching, heat/ice application, ultrasound, iontophoresis, may be traction. It all depends on the physical therapist, his experience and comfort level. ...Read moreSee 1 more doctor answer
Lots of variables: Most doctors wait about four weeks before starting physical therapy after an acdf. Depending on the level of the surger, yphysical therapy activities will vary. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve core strength. This is a good place to learn more: http://tinyurl.Com/p2z8ud. ...Read more
Different: A physiatrist is a medical doctor who takes a history, reviews your records, & examines you to identify the source of your pain & give a medical diagnosis. A physical therapist can evaluate your neck and design therapies (stretching, strengthening, manual therapy, heat, traction, electrical stimulation, joint mobilization). Best to get a diagnosis first, them customize therapy for the diagnosis. ...Read moreSee 2 more doctor answers
Yes!!!: here's a You Tube video I produced with our physical therapists... http://www.youtube.com/watch?v=20zybMbnVoU and here is a more in depth academic paper, with theory, "A phased rehabilitation protocol for athletes with lumbar intervertebral disc herniation" http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812831/ ...Read more
Is deep tissue massage better than physical therapy for a hurt hamstring and the gluteus maximus ? ?
Not necessarily: Not necessarily, however, if there is significant soft tissue injury them some gentle modalities may be in order. Typically, these injuries heal spontaneously without active treatment, however, some individuals may benefit from a brief course of physical therapy to help reduce muscle tightness, reduce pain, decreased inflammation, and improve function. Consult with a physiatrist. ...Read moreSee 1 more doctor answer
What are the recommended physical therapy and strengthening exercises after radial sagittal band surgical repair?
Initially a splint-: -with an extension block, where you can flex but not extend later bands extend the distal inte-phalangeal-joint (distal IPJ). Since 1 band was in tact,gradually the extension block is bent to allow small increments extension. I would usually start @ about the 3-4th week, also you need to be sure to keep the other digit's motion going. @ 6th week splint removed. When splints on passive motion ok@PT ...Read more
If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?
More complex: Thoracic outlet syndrome surgery includes, often, first rib resection and/or scalenectomy, but there are different surgical approaches and also, pectoralis minor decompressions. Scapular instability may or may not be present, and this may represent problems in the upper brachial plexus. Since this is so individualized and particular in most cases, best to discuss with experienced vascular surg. ...Read more
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