A common complaint among runners, athletes, and humans in general is back of the thigh and calf pain and tightness that does not resolve with rest and stretching. Deep tissue massage to the areas, specific strength training, ice, and anti inflammatory medication may help but the issues do not fully resolve. The symptoms may or may not include paresthesia (numbness, tingling, or coldness in the thigh, lower leg, ankle, foot or toes). Usually the patient has a history of onset of pain from an... Read full post
A key structure for a healthy and efficient low back, pelvis and hip and lower extremity is a muscle called the psoas (pronounced soh-uhs). This muscle forms a strut of support or a pillar at the front of your lumbar spine (low back) on each side, right and left. In slang terms, this is your tenderloin. It actually attaches (originates) at the front and sides of your vertebrae and discs, behind your abdominal contents and inserts (it’s lower... Read full post
Muscle play can be defined as the ability of a muscle in your body to be mobile and move separately from surrounding structures such as other muscles, adjacent bones, and even your skin. Perform this little test to experience one of the ways muscles move. Grasp your bicep between the thumb and fingers of your opposite hand and feel how wide it is. Now do a bicep curl type of movement by... Read full post
Physical Therapy Outside Of Your Health Insurance Plan
Every year more and more of our patients are paying cash out of their own pockets for our physical therapy services. Like most health care providers, we bill insurance companies as a service of convenience for our patients. In recent years, deductibles have climbed to $5000 or more, copays have become higher, and scrutiny by insurance companies over what is covered has increased. We are now at a point where many of... Read full post
The picture at left is a common scene in football, especially in early season games. Typically wide receivers and running backs suffer from sudden, debilitating calf cramps. Once they begin, they are very difficult to rid of and the player is typically out for the rest of the game, or significantly hobbled with recurrent spasms. Marathon runners and triathletes can develop spasms also, usually later in a longer race. Football and marathon running are very different stresses, but research... Read full post
“During running (or walking) the top of my foot aches and goes numb”.
The first, easiest thing to check is how tight you are tying your shoes! There is a nerve on the top of the foot called the dorsal cutaneous (see photo)
that supplies sensation to your skin in this area. It can easily be pinched by having laces too tight, and sometimes from wearing sandals that bind too hard over the top of the foot.... Read full post
A useful way to learn about and understand a technique such as trigger point dry needling is to read through some case examples. This can allow you to get an idea as to whether dry needling could help you. Following are two actual case examples of patients treated in our clinic with a description of how needling is blended into other manual physical therapy treatment.
The first patient is a 38 year old Ironman distance female triathlete. She came to the clinic complaining of right... Read full post
Neck pain and low back pain are more common than thoracic pain (middle and upper back). However, what most folks need that have neck or low back pain is to have their thoracic area mobilized. The thoracic cage consists of the joints and connective tissue around the vertebrae, between and around individual ribs in the back and around the sides, and along the manubrium and sternum (breast bone) in the front. There is clear research evidence from the physical therapy world that mobilizing the... Read full post
I recently became among the first physical therapists trained and certified in the State of Wisconsin to provide dry needling to our clients. Dry needling is an exciting new addition to our treatment services that has allowed me to facilitate some rapid and lasting positive changes with our patients as an extension of the manual treatment we have provided in the past.
In 2009, the Wisconsin Physical Therapy Examining Board approved dry needling as falling within the scope of practice... Read full post
By Andy Kerk, PT, OCS, CFMT, ATC Originally posted on August 9, 2010 9:46 PM
Manual therapy refers to skilled use of the physical therapist‘s hands to mobilize and free restricted connective tissues as well as training more optimal movement patterns. There are knots and hardened areas that develop between muscles, tendons, and joints that limit one’s mobility and cause pain and altered movement. Injury, overuse, posture dysfunction, and repeated traumas result in layers of... Read full post