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Arch Support

Arch Support
Ray McClanahan, D.P.M.

Since much of the current treatment for foot and ankle disorders is centered on supporting the arch, we thought it would be helpful to discuss what arch support really means and discuss whether it is necessary or desired in the active foot.

 

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Cause of a Wrist Fracture

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A Colles’ fracture refers to a fracture around the wrist. Typically, it occurs due to a fall on an outstretched hand. Specifically, the fracture occurs at the end of a bone in the forearm called the radius (at the cortico-cancellous junction). Dorsal displacement and dorsal angulation are common characteristics of such a fracture. Falling on an outstretched hand can be a consequence of either tripping or losing balance, and it is the body’s defense mechanism against falling flat on one’s face. While this sort of fracture is not prevalent in younger patients, it is commonly seen in older patients, patients with osteoporosis, and those with any other form of bone disease. 

The treatment of Colles’ fracture requires the application of a cast to facilitate compression and prevent motion in an effort to promote healing. In some cases, surgical correction may be required. Once pain and swelling is reduced, the objective of the healthcare team changes. The new priority is joint range of motion and restoration of muscle strength. This is where physical therapy plays an important role.

If you would like to know the condition of your body, please feel free to come in for the Free Consultation we offer.

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How Physical Therapy Can Help

Physical therapy can help in the recovery of wrist fractures in several ways:

1. RICE

The use of Rest, Ice packs application, Compression and Elevation (RICE) is universally applicable after injuries to reduce the extent of injury and facilitate healing.

2. Therapeutic exercises

Muscles tend to lose tone, strength, and mass due to a period of inactivity. Stretching and range of motion exercises can minimize the phenomenon of ‘muscle atrophy’.

3. Massage therapy and Mobilizations

Manual therapy from a skilled physical therapy on the joint or on the surgical scar site is very helpful. This helps reduce pain, decrease swelling and improve blood flow to the area to improve healing.

4. Electrical stimulation

Used to improve muscle tone and strength, it can involve application of a tiny electric current on muscle fibers to stimulate muscle contraction.

5. Balance therapy

If a Colles’ fracture has occurred in an elderly patient due to loss of balance, then treatment is aimed at improving core strength and balance. At times, aids like a walking stick or Zimmer frame may also be provided.

Given the importance of the wrist in daily activities, the objective of physical therapy is to help regain full motion of the affected wrist. However, physical therapy can also help reduce swelling, controlling pain, improving strength, improving balance and regaining independence, especially in older patients. Physical therapy helps the healing process. Recovery from Colles’ fractures can be hampered by unnecessary and extreme motion after removal of the cast. This can be minimized or avoided under the supervision of a licensed physical therapist.

The Care You Need

Physical therapy is important in the full recovery of wrist motion and strength after an injury.

Expect the therapist to start with gentle mobilizations of the wrist and hand to improve joint circulation and encourage motion. As the pain subsides, the therapist will encourage (and supervise) gentle exercises to regain full function.

Your physical therapist will provide the care you need, when you need it. If you are hurt and in pain, there is a good chance that physical therapy can help you. Reach out to us today, and discovery why individuals across the community are experiencing the benefits of what physical therapy can do for you.

If you would like to know the condition of your body, please feel free to come in for the Free Consultation we offer.

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Amazing Benefits of Physical Therapy to Female Athlete Triad

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The Female Athlete Triad is a group of interrelated conditions that affect female athletes, particularly teenage athletes. It is widely believed that an energy imbalance is the cause, combined with competitive forces. This disrupts eating patterns and body image for female athletes. Despite the fact that this is common in athletes, several aspects of the triad are seen in non-athletes as well.

The three medical conditions associated with the triad are:

  1. Disordered eating: anorexia, purging, induced vomiting
  2. Amenorrhea: adverse impact on menstrual cycles
  3. Osteoporosis: low bone mass/density

Causes

There are times when the athlete exercises excessively while the body is experiencing an energy deficit. A reduced caloric intake combined with malnutrition leads to a pattern of disordered eating.

The pressure to ‘be thin’ is compounded by a society that idolizes celebrities and pop stars. This can result in compulsive dieting and exercise. For a growing teenage athlete, bone density can be compromised if there are deficiencies in protein, vitamins and calcium. For female athletes participating in figure skating, ballet and gymnastics in particular, awareness is critical.

Symptoms

Coaches, parents and guardians should be aware of the following warning signs:

  • Rapid weight loss or marked leanness
  • Obsession about weight, body image and food.
  • Shin splints that don’t heal
  • Reduced participation or loss of interest in sports

Exercise and Nutrition – A Healthy Foundation for Every Individual

Treatment involves:

  1. Prevention of compulsive dieting by working with a sports nutritionist.
  2. Increasing the strength of muscles, ligaments, bones and joints.
  3. Be in a progressive exercise program designed by a physical therapist.

Physical therapy for athletes begins with a detailed evaluation of the flexibility, strength, range of motion and athletic goals.

The physical therapist is a critical member of the healthcare team and works closely with a coach and athletic trainer. The physical therapist may use a combination of the following treatments:

  • Ultrasound to heal connective tissue (tendons and ligaments).
  • Manipulative therapy that includes stretching and massage.
  • Resistance training to increase muscle strength.
  • Cold compress for acute injuries and heat to relax muscular spasms.
  • Low-level laser use for muscle and connective tissue injuries.
  • Functional Electrical Stimulation to restore strength in the muscles.
  • The use of tape to support muscles and assistive devices as needed to support joints.

Success Starts with the Right Attitude

Physical therapy can keep young athletes healthy, strong and safe, but success begins with the right attitude towards the inner and outer self. Every physical active female should take three simple precautions to protect against the triad:

  1. Eat healthy meals at regular intervals. Use nutritional supplementation if necessary.
  2. Discuss menstrual irregularities (or sudden fluctuations in body weight) with your physician.
  3. Track exercise and calorie expenditure.

An environment that makes the female athlete feel safe and comfortable encourages honest conversations that help identify underlying problems. If you suspect that someone in your family has some of the symptoms associated with the triad, seek medical attention immediately. Physical therapy is an important part of long-term treatment of this condition. In fact, physical therapy can help most individuals to live a healthy, improved quality of life. Call us today to schedule an appointment. Your success is our success.

If you would like to have a consultation about your condition with the doctor, we offer a Free 20-Minute Consultation. Or call (347) 535-5354 for questions.

Why Consider Foot Strike?

Humans and our recent ancestors have been accomplished endurance runners for more than a million years (Bramble and Lieberman, 2004). Our endurance running abilities may have evolved to enable our ancestors to engage in persistence hunting long before the comparatively recent invention of projectile technologies used for hunting purposes (Carrier, 1984; Lieberman et al., 2009).

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Plantar Fasciosis or Plantar Fasciitis?

Plantar Fasciosis

Plantar fasciosis is a foot condition characterized by heel pain and pain in your plantar fascia—a strong and dense connective tissue structure on the sole of your foot that supports your foot arch. This condition has historically been called plantar fasciitis because it was believed that plantar fascia inflammation was the principle underlying cause. Plantar fasciosis is a more accurate name for this condition because it involves degeneration—microtears, cell death—of your plantar fascia, not inflammation. See YouTube Video – Plantar Fasciitis or Fasciosis?  Active men between the ages of 40 and 70 are most commonly affected by this health problem.

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Why do different foot strikes matter?

Why do different foot strikes matter? Derek H. Kim DPT

Daniel Lieberman’s study on the difference between heel striking and forefoot striking shows why a large collision is generated when heel striking and why such a small collision is generated when forefoot striking.

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Correct Toes

What if you could correct a myriad of foot and ankle problems, WITHOUT expensive surgery or pharmaceutical drugs? What if you could reduce your chances of developing osteoarthritis? What if the approach was simple, logical, and cost-effective?

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What is Scoliosis? Guide line

In many cases, Scoliosis is called ‘idiopathic’. Because the true cause of scoliosis is unknown yet. But a lot of patients who have scoliosis also have foot deformities such as Flatfeet, Bunion, Hallux valgus or Hammer toes.

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