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Tag: knee pain

Total Knee Case Study: Why You Need A Structured Rehab Process

A structured rehab process that ultimately targets a full return to activity is missing in healthcare. Patients struggling with pain are treated as if they are all the same. We believe there are common, big problems to address, but there is a high degree of uncertainty with every patient presentation. Even when a patient has the same diagnosis they can have different triggers, different contributing factors, different behaviors, and drastically different needs in the rehab process. This is true when patients have the same surgery by the same surgeon.   Let me use an example with a straightforward rehab plan; post-total knee replacement.   The Painful Total Knee Replacement Peter Pain had a total knee replacement.  He has always been active and handles pain well but this replacement has been horrible. First, he fell behind on medication post-surgery because he hated the way the drugs made his stomach feel. The second day

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Smith Performance Center Tucson

Knee Pain Meniscus Degeneration and Clinical Experience

  How do you manage knee pain with a meniscus tear?   Meniscectomy, sham surgery, and clinical experience avoiding surgery for pain and function Clinical practice is filled with successes and failures. For some reason, the failures are the thing you remember most and for me, lead to the biggest changes in practice.  The patient that never feels better will never quite leave your mind even when you go home from work.  Knee pain and Meniscus Tear – Round 1 Since my main interest has always been the lower extremity, specifically the foot, ankle, and knee pathomechanics and pathology, I wanted to be the best at rehabbing these injuries right off the bat. My failure with a patient suffering from chronic knee pain led me to the literature surrounding meniscal surgery. The patient reported sharp pain with occasionally catching in the knee joint. The joint had mild joint effusion and

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Physical Therapy Solutions for Knee Pain

  Why should I go to Physical Therapy Solutions at Smith Performance Center for my knee injury instead of another clinic? Physical therapy at Smith Performance Center is not a cookie-cutter, one size fits all type of operation. Depending on what problem you have, the ‘right’ service might be different. Our process, called the SPC Difference, uses physical therapy in 3 distinct services: PT Solutions – One on One Physical Therapy Sessions using SPC Methodology PT Movement – Group Physical Therapy Sessions using Task Based Protocol for recurrent, chronic, or post surgical injuries Health and Human Performance – Long term strength and movement programming your own coach including injury surveillance, early injury detection, and treatment integration Physical Therapy Solutions  The first service that typically brings people to Smith Performance is called PT Solutions.  The name was modified from an idea in the book Innovator’s Prescription.  It may surprise you, but

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Knee Pain and Physical Therapy

Knee pain is a big issue with numerous treatments to consider. We believe that physical therapy is a great way to resolve your knee pain, but not all physical therapists treat the same way. Our team suggests that patients with knee pain consider the following: make sure you get a diagnosis, understand your prognosis, develop a treatment plan, and understand the triggers occurring in your day to day. Why isn’t your knee pain going away? You may not remember when you started thinking you had bad knees, but at this point, you start to have an internal debate with yourself about standing up.   Do I really need to go to the bathroom or should I wait? Or maybe for you, you decided to bike now because running hurts. Or you may be waiting to get a total knee arthroplasty because a surgeon told you were too young to have a

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How & When to Use a SERF Strap

What is the SERF Strap? The SERF Strap is the first patellofemoral brace designed to treat PFP due to poor hip control. Basically, the strap is a really long elastic band that you anchor at the knee (my term is foundation 1), tension over the outside of the thigh, and anchor around the pelvis (foundation 2). When you create these anchor points, the strapped leg will now have support for external rotation at the hip joint.  This reduces pelvic drop and knee valgus.  You can take someone whose knees hit together and immediately correct this dysfunction. While the marketing material and websites talk just about patellofemoral pain, I use this tool for symptoms in the leg (sometimes the back) during the stance phase of running or walking. This includes injuries like posterior tibialis tendinopathy, adductor longus and gluteus medius injury, and trochanteric bursitis. For athletes, I prescribe it as an

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Knee injury

Factors to Consider After Knee Injury

Returning to Activity, Physical Therapy, and Neuromuscular Fatigue   Neuromuscular fatigue has been implicated as a significant problem for individuals returning to sport following an anterior cruciate ligament (ACL) injury and reconstruction.  Due to the high rate of re-injury in those that have had an ACL reconstruction, one hypothesis is that neuromuscular fatigue will negatively impact strength performance, postural stability (single leg balance), and biomechanics during jumping and landing.  It blows my mind that a female athlete with an ACL tear is 16 times more likely than a healthy female athlete to tear an ACL again. The interplay between a previous injury, the resulting changes to the input to the brain, modified motor planning, and re-injury is an interesting development in research.  Today I wanted to dive a little more into fatigue, its impact on biomechanics, and how physical therapy and strength training can start to augment the problem. There

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visual dominance process after a knee injury

The Effect of Knee Injury on the Brain

Physical Therapy Research   The connection between your knee, an injury, and the brain is not straightforward.  However, when you hurt your knee or any other joint there can be issues that lead to future problems. A recent article dove into this topic: Grooms D, Appelbaum G, Onate J. Neuroplasticity following anterior cruciate ligament injury: a framework for visual-motor training approaches in rehabilitation. J Orthop Sports Phys Ther. 2015;45(5):381-393. ​Why is this important for physical therapy? The control of our body is dependent on three systems: visual, vestibular, and somatosensory.  The visual system contribution is obvious – the eyes.  Due to changes in information coming from the body (somatosensory) due to the ACL tear, the motor control system becomes more reliant on the eyes.   If we focus on retraining the body without disrupting this natural progression to visual dominance, the athlete will be at risk for injury as they progress to

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