Carpal Tunnel….. to relief!

Carpal tunnel syndrome, also called median nerve compression, is a condition that causes numbness, tingling, or weakness in your hand. This happens because of pressure on your median nerve, which runs the length of your arm, goes through a passage in your wrist called the carpal tunnel, and ends in your hand.

Patients with carpal tunnel syndrome can be treated with physical therapy or surgery. Although surgery may be considered when the symptoms are severe, more than a third of patients do not return to work within 8 weeks after an operation. Based on the potential side effects and risks of surgery, patients often ask if they might try physical therapy first.

According to the Journal of Orthopedics and Sports Physical Therapy, research shows that after 1 year, patients who had physical therapy that focused on manual therapy of the neck and median nerve, combined with stretching exercises, had outcomes similar to those of patients who had surgery. However, the physical therapy patients experienced faster improvements at the 1-month mark than did patients whose condition was treated surgically. This research supports the decision of patients who wish to try physical therapy first before considering surgery.

For those diagnosed with carpal tunnel syndrome, physical therapy offers strong evidence-based treatment options to help them recover. Evidence indicates that physical therapy is not only as effective as surgery to treat this condition, but the patient will see improvement up to two months faster.  Do you suffer from CTS?  Are you looking for the tunnel to relief? Schedule your physical therapy evaluation with us today for therapy so good, it’s elite!

No Pain, No Gain… Myth Busted!

The assumption made in the statement of “no pain, no gain” is that the more strenuous and painful the exercises the quicker the recovery. That is not the case. Your body can be overloaded by pushing too far. This is what causes overuse injuries. An exercise done with excessive loads or repetitions can actually do more harm than good. Patients often come into physical therapy with scared or preconceived notions that their therapy session will be painful. They know that physical therapy will make them better but believe this healing might come with pain.

What you should be feeling?

Muscle soreness from a day or two of doing exercises is normal, however, exercising should not be painful. Your body thrives under the right conditions of movement and exercise. Inactivity in our muscles leads to weakening and dysfunction of your body.

What about physical therapy?

Your physical therapist may use techniques that create some limited pain, however, if you are experiencing more than slight discomfort, you should let your physical therapist know right away. Slight pain is sometimes necessary when working to change dysfunctional soft tissue, breaking adhesions in the joint capsule to improve motion, or when performing specific exercises involving mobilizing the nervous system. Generally, the exercises that you will be performing in physical therapy as well as any home exercises your therapist will assign you should never be painful, as this may increase swelling by taxing the joint or muscle. If we create too much inflammation this will result in prolonged and delayed recovery. 

To answer the question, when exercising, pain will not improve the workout or your condition. Slight pain during your physical therapy session will be monitored by a licensed therapist.  At Elite Therapy Solutions, we always strive to ensure your patient has the best session to recovery. 

Lets get moving again!

In honor of National Senior Health & Wellness Day being celebrated this Wednesday, May 26th, we wanted to share with you the benefits of physical therapy for Senior patients. Seniors benefit in numerous ways from physical activity and physical therapy including:

  • Improve balance, gait and endurance to reduce fall risk
  • Maintain strength, healthy joints and muscles
  • Increase joint mobility
  • Help reduce or control blood pressure
  • Reduce the risk of diabetes and other chronic diseases
  • Ease symptoms of stress and anxiety
  • Reduce and prevent arthritis joint swelling and pain
  • Increase the ability to live independently

Most importantly, physical therapy can help Seniors strengthen weak muscles and increase mobility. It can also improve endurance, so that the patient can enjoy physical hobbies like gardening or golf for longer periods of time.

Overall, physical therapy can give Seniors back their independence and make daily tasks easier. Working with the staff at Elite will not only reduce pain, but it will also help improve overall strength and ability and reduce the risk for falls or injuries, helping patients maintain a higher quality of life.

What we do at Elite… Evaluate each patient individually to find which symptoms are affecting their ability to maintain the best quality of life. Our physical therapists then formulate a plan of care made up of manual therapy and exercises.

  1. Medical history
  2. Medication review
  3. Clinical observation
  4. Berg balance scale
  5. Complete Physical Therapy Treatment

Know of a senior in your life that could use physical therapy?  Have them visit us at one of our two convenient Chester County locations in West Chester and Coatesville!  We’ll get them active and help those pesky aches and pains!

Tendonitis is a PAIN!

Tendonitis is characterized by inflammation or irritation of a tendon — the thick fibrous cords that attach muscle to bone. The condition causes pain and tenderness right outside a joint. While tendinitis can occur in any of your tendons, it’s most common around your shoulders, elbows, wrists, knees and heels. When tendons become irritated or inflamed, acute pain and tenderness make it difficult to move the affected joint.

       

If left untreated…

  • Tendonitis may become chronic
  • Can also lead to:
  • Weakening of the tendon (tendinosis)
  • Rupture of the tendon/permanent damage to the affected tissues

How can PT help?

  • Reduce pain
  • Strengthen muscles around damaged tendon to help avoid similar injuries in the future

Manual Therapy can…

  • Stimulate change in the tissue if the body is unable to do so on its own
  • Change the movement of a joint and the surrounding tissue by way of:
    • Joint manipulation/mobilization
    • Soft tissue mobilization

When it comes to reliable, highly skilled clinicians, we’ve got you covered from your head to your toes! Visit us at one of our two locations in West Chester or Coatesville, today!

Benefits of Pre-Operative Rehabilitation

While physical rehabilitation post-surgery seems to be standard operating procedure, did you know pre-operative rehabilitation is just as important?  In fact, implementing a rehabilitative program prior to surgery can actually cut down on recovery time, complications, and even healthcare costs!

Following surgical procedures, patients often experience a decline in strength and function, as well as increased inflammation, pain, and swelling.  Keeping this in mind, over a clinically suggested 6-week time frame prior to surgery, a physical therapist will assess the patient for muscle and joint strength, ability to move and perform day-to-day tasks, and degree of independence; all of which are crucial in creating the patient’s individualized pre-surgical rehabilitation plan.  From there, the goals of this plan are simple:

  • Mentally prepare patient for surgery
  • Reduce pain and inflammation
  • Restore range of motion
  • Improve muscular control of the affected area
  • Normalize movement patterns prior to your surgery
  • Improve overall well-being and fitness
  • Gain a good understanding of the exercises that you will perform immediately after surgery

By addressing key muscles, joints, and tissue anticipated to be affected by the procedure ahead of time, physical therapists are able to enhance post-operative outcomes.  According to the American Physical Therapy Association (APTA), participating in just 1-2 pre-operative rehabilitative sessions can reduce postoperative care by 29%, which translates into healthcare savings of more than $1000 per individual. 

*study based on patients with total knee or hip replacement

https://drayerpt.com/pre-post-operative-care/

http://www.actionsportphysio.com/en/health-tips/therapy-related/prehab/

http://www.apta.org/PTinMotion/News/2014/10/2/PreOperativePT/

http://www.apta.org/PTinMotion/2016/2/Prehabilitation/

http://www.pivotalmotion.physio/what-we-do/pre-post-rehabilitation/

FINDING THE ROOT CAUSE

Elite’s Philosophy to Physical Therapy Treatment

Physical therapists are experts in movement. Often times, pain develops because there is an incorrect movement pattern, or a movement dysfunction, that is causing repeated microtraumas to the injured structure. The pain is the problem, but the movement dysfunction is the cause of the cause of the problem – “the root cause.”

At Elite, our physical therapists focus on correcting those movement dysfunctions in order to help improve your patients’ quality of movement and quality of life. This is done through proper manual therapy techniques and/or proper prescribed exercises.

  • If a joint is not moving well or if a muscle is too short, and this is causing the movement dysfunction, we use manual therapy techniques to give the structure more mobility and prescribe the proper exercises to keep it moving.
  • If a joint is moving too much or if a muscle is too long, and this is causing the movement dysfunction, we will prescribe you proper exercises to stabilize the structure and to strengthen those muscles.

 

It is not only important to eliminate the pain, but to correct the movement dysfunction that caused the pain in the first place. If the movement dysfunction is corrected, then the likelihood of the pain returning drastically decreases. At Elite, our clinicians are ultimately focused on finding “the root cause” of a patient’s pain in order to correct their overall movement patterns. It’s what sets us apart!

 

With 2 convenient locations in Coatesville and West Chester, Elite is here for all of your physical and occupational therapy needs!

We’ll Get You Back on Your Feet!

Chronic or acute pain and tenderness at the bottom of the foot or heal could be diagnosed as plantar fasciopathy. The thick band of tissue that runs across the bottom of the foot, from the toes to the heel bone, becomes inflamed and results in discomfort.

Often, the pain experienced is at its worst first thing in the morning. As a result, the first few steps of standing or walking for extended periods can increase levels of pain.

 

If Left Untreated, It Can Result In:

  • Chronic pain, hindering regular activities.
  • An irregular gait pattern, due to the pain, inducing foot, knee, hip and/or back issues.

How Physical Therapy Can Help:

A Physical Therapist will begin by conducting a gait analysis and instruct the patient in a series of exercises to correct gait decisions.  These exercises will work to stretch the plantar fascia and associated tendons and muscles, as well as strengthen the lower leg musculature to help stabilize the foot and ankle.  A clinician can also conduct ankle and foot joint mobilizations and manipulations, and dry needling to the calf muscles to minimize pain.

 

With offices in West Chester and Coatesville, our licensed physical therapists are available to see your patients within 24-48 hours. We’re here to help get your patients better faster!