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Doctor insights on: Procedure Physical Therapy Upper Trapezius Pain

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Deep burning pain near infraspinatus muscle radiating to upper deltoid, and scapulothoracic inflammation/cracking - possible diagnosis or diagnostic?

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

Dr. Jay Rosenfeld
3,582 doctors shared insights

Physical Therapy (Definition)

Physical therapy can provide back exercises to relieve tension on discs and nerves in the back in order ...Read more


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Can nerve conduction study be done for upper back pain , shoulder pain and neck pain?

Can nerve conduction study be done for upper back pain , shoulder pain and neck pain?

Yes: After taking a history, and a thorough orthopedic and neurologic examination an EMG /NCV may provide help diagnosing and treating these complaints ...Read more

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What's the best physical therapy for an upper quad muscle injury?

What's the best physical therapy for an upper quad muscle injury?

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

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Should i get physical therapy or muscle activation therapy following arthroscopic shoulder surgery?

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

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Treated a long standing pain and numbness at right scapula with chiropractic, massage therapy and acupuncture. Pain moved to the front of shoulder?

Treated a long standing pain and numbness at right scapula with  chiropractic, massage therapy and acupuncture. Pain moved to the front of shoulder?

Ortho eval: Shoulder mri, and general medical evaluation is what i would recommend. I think you need to increase the level of commitment to finding the cause. ...Read more

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Can a lower back pinched nerve be corrected with physical therapy. ?

PT for LBP.: It's not a cure for a pinched nerve, of course, but physical therapy may help your body function with it better. Always a good first step in the management of a pinched nerve, and for lower back pain in general. ...Read more

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What is better for lower back pain, chiropractic therapy or physical therapy?

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 more

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Physical therapist or chiropracter for back pain?

Physical therapist or chiropracter for back pain?

Both: At our institute we have both. I feel thar formal physical therapy is important. I feel that a well-trained chiropractor can also help. If either makes you feel worse, then i would stop that type of treatment. ...Read more

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Is electrical muscle stimulation machine for physical therepy for a previous shoulder dislocation helpful?

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 more

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What should I expect during physical therapy for upper trapezius pain?

What should I expect during physical therapy for upper trapezius pain?

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 more

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Anterior discetomy and fusion physical therapy protocol?

Anterior discetomy and fusion physical therapy protocol?

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

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Shoulder dislocation physical therapy any tips?

Shoulder dislocation physical therapy any tips?

Strengthening: You should really focus on strengthening your rotator cuff muscles. Make sure you do this with a physical therapist to make sure your are doing it correctly and not increasing your risk of a repeat shoulder dislocation. ...Read more

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Physical therapy vs. Physiatry? Which is better for neck pains?

Physical therapy vs. Physiatry?  Which is better for neck pains?

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 more

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Is there physical therapy for lower back pain?

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

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Fractured ribs 2-4 in back. Will I need physical therapy?

Fractured ribs 2-4 in back. Will I need physical therapy?

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 more

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What are the recommended physical therapy and strengthening exercises after radial sagittal band surgical repair?

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

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If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?

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

Dr. Dennis Giannini
3,249 doctors shared insights

Physiotherapy (Definition)

Physiotherapy programs, or physical therapy, work to improve movement capacity in those recovering ...Read more