Posterior Tibialis Exercise

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5 Reasons You May Struggle To Get A Diagnosis And The Right Treatment At Physical Therapy

Upon your arrival at Smith Performance Center, our primary goal is to comprehensively understand the source of your pain or symptoms.  Our physical therapists initiate this by gathering information through a medical history form, conducting interviews about your experiences, performing thorough examinations, creating an initial list of potential diagnoses, validating our hypotheses through treatment, and finally, devising an initial home plan. This phase in our rehabilitation process is aptly termed ‘Diagnosis and Home Plan Development’. While not a creative title, it encapsulates the process our team undertakes.  A workable diagnosis is pivotal. However, arriving at a diagnosis can be challenging due to various reasons. These complexities range from the diverse causes of pain (such as injury, inflammation, nerve-related issues, sensitization, psychogenic factors, and dysfunctional conditions) to individual-specific challenges. Patients may struggle to explain their experiences, while others may not show rapid responses to treatment due to the absence of a

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5 Steps To Develop A Diagnosis In Physical Therapy

“My butt hurts.” A significant proportion of my conversations start with this statement. She continued, “ I have regular active release along with dry needling. I stretch my hamstring ALL THE TIME and I still have pain.” Her frustration was palpable. “I know I have a tight hamstring and there is scar tissue.  But it’s been 8 months.” She assumes the pain must be the hamstring; we call this the pain generator.  The hamstring tendon attaches right where her pain starts. The tightness is over the hamstring muscle belly.  She describes the pain in a clear way that implicates the hamstring.   She made a convincing argument that the hamstring is the issue and the diagnosis has been repeated by multiple medical providers including a physician and two physical therapists. The location matched.  Running increased the pain. Another match. Stretching and manual therapy provided temporary relief. But 8 months into the

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Smith Performance Center Tucson

The 7 Home Plan Mistakes Ruining Your Progress in Physical Therapy

Not all home plans are made the same. Home plans are therapeutic exercise lists that undergird your journey in physical therapy. Unfortunately, home plans can stall your progress. This happens for a variety of reasons –  the home plan becomes an afterthought to your care, the physical therapist is overloaded with clients, the overuse of assistants, or too much of an emphasis on what is done to you by the practitioner versus what you can learn to do yourself.   We see each of these situations when reviewing the histories of new clients with long-term injuries. The home plan is a critical component of your rehab plan in physical therapy. Our team regularly helps new clients who have been doing the same home plan from physical therapy for years which is not helping. This includes obvious mistakes like stretching an irritated nerve, overloading a painful joint with weight-bearing exercise, or making

Read More »

5 Reasons You May Struggle To Get A Diagnosis And The Right Treatment At Physical Therapy

Upon your arrival at Smith Performance Center, our primary goal is to comprehensively understand the source of your pain or symptoms.  Our physical therapists initiate this by gathering information through a medical history form, conducting interviews about your experiences, performing thorough examinations, creating an initial list of potential diagnoses, validating our hypotheses through treatment, and finally, devising an initial home plan. This phase in our rehabilitation process is aptly termed ‘Diagnosis and Home Plan Development’. While not a creative title, it encapsulates the process our team undertakes.  A workable diagnosis is pivotal. However, arriving at a diagnosis can be challenging due to various reasons. These complexities range from the diverse causes of pain (such as injury, inflammation, nerve-related issues, sensitization, psychogenic factors, and dysfunctional conditions) to individual-specific challenges. Patients may struggle to explain their experiences, while others may not show rapid responses to treatment due to the absence of a

Read More »

5 Steps To Develop A Diagnosis In Physical Therapy

“My butt hurts.” A significant proportion of my conversations start with this statement. She continued, “ I have regular active release along with dry needling. I stretch my hamstring ALL THE TIME and I still have pain.” Her frustration was palpable. “I know I have a tight hamstring and there is scar tissue.  But it’s been 8 months.” She assumes the pain must be the hamstring; we call this the pain generator.  The hamstring tendon attaches right where her pain starts. The tightness is over the hamstring muscle belly.  She describes the pain in a clear way that implicates the hamstring.   She made a convincing argument that the hamstring is the issue and the diagnosis has been repeated by multiple medical providers including a physician and two physical therapists. The location matched.  Running increased the pain. Another match. Stretching and manual therapy provided temporary relief. But 8 months into the

Read More »
Smith Performance Center Tucson

The 7 Home Plan Mistakes Ruining Your Progress in Physical Therapy

Not all home plans are made the same. Home plans are therapeutic exercise lists that undergird your journey in physical therapy. Unfortunately, home plans can stall your progress. This happens for a variety of reasons –  the home plan becomes an afterthought to your care, the physical therapist is overloaded with clients, the overuse of assistants, or too much of an emphasis on what is done to you by the practitioner versus what you can learn to do yourself.   We see each of these situations when reviewing the histories of new clients with long-term injuries. The home plan is a critical component of your rehab plan in physical therapy. Our team regularly helps new clients who have been doing the same home plan from physical therapy for years which is not helping. This includes obvious mistakes like stretching an irritated nerve, overloading a painful joint with weight-bearing exercise, or making

Read More »