Tag: 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

Read More »

The Injury Types That Are Mismanaged During Activity Progression

The rehab standard is simple; the limit to your exercise is not how hard you can work out, but rather working as hard as possible without going past your tissue capacity.  Our team sees violation of the rehab standard as the most frequent cause of failure during activity progression. A client will feel great and start to progress their workouts. There is no symptoms during the exercise and often no symptoms the same day, but the next day they feel horrible.  We know that in activity progression, you need to understand the type of tissue that is healing, the specific exercise, and volume. We also need to consider the type of injury: chronic, recurrent, and acute.  Chronic Injury For chronic, we mean is has been present for a long time. When you have a chronic injury or chronic pain, there are two issues: your exercise capacity is lower because it

Read More »

The 5 Components of Invisible Triggers That Cause Your Rehab Progress to Stall

You keep getting close to feeling good but then fall back into an injury because of a common, but often unrecognized issue – invisible triggers. An invisible trigger is an action or activity that does not seem to be causing your injury to worsen but is actually causing your injury to remain and not heal. If you slammed your finger into a door, you would know the door caused your pain.  Continuing to slam your finger in the door will cause the finger pain to remain. In contrast, an invisible trigger is not as clear as slamming your finger in a door. Patients have an easier time eliminating obvious triggers. This does not happen with invisible triggers. An example would be low back pain triggered by an interaction between two activities: running followed by a bout of sitting. When we investigate running by itself, there is no problem. We repeat

Read More »

The Modified Low Dye

A physical therapy band-aid for foot pain during running Running-related injuries are commonly seen for physical therapy at Smith Performance Center. Unlike some of the advice, you may hear, stopping can prolong the problem.  Rest does not automatically equal recovery or resolution of an injury.  A nice tool to consider learning is the modified low dye.  It can help to reduce foot and lower leg pain while allowing you to continue training. Where is it from? I learned about the modified low dye from Dr. Tom McPoil.  He is faculty at Regis University and was previously faculty at Northern Arizona.  He is an expert on the foot and wrote an article on tissue stress theory that still impacts my practice today.  The purpose of the modified low dye in a physical therapy program is to limit stresses to the tissue of the lower leg and foot to allow desensitization. In

Read More »

7 Signs Your Heel Pain Is Not Coming From Your Plantar Fascia

Seven Signs the Flexor Digitorum Brevis is causing your heel pain NOT the Plantar Fascia You wake up, swing your legs to the edge of the bed, and…hesitate. You know this is going to hurt. The good foot moves to the ground first – you learned from that mistake over a month ago.  You brace and put down the other foot, the ungrateful one that will not get better despite the trip to the podiatrist, the injection, physical therapy, the shoe inserts, the ice bottle massage, and the stretching exercises. The foot touches down.   It’s not so bad, you think ‘those stretches and night socks are helping!’ Then you step and the sharp pain feels as if the tissue from the back of the heel is ripping apart. You think to yourself, this plantar fasciitis won’t go away, as you force your leg forward and take the next step and the next

Read More »

Physical Therapy for Rotator Cuff Injuries and Pain

  Tendonitis, Rotator Cuff Tears, and Shoulder Impingement Types of injuries leading to rotator cuff pain   Once you understand the anatomy and function of the rotator cuff, you can start to see how they become injured with activity. Refer to understanding the rotator cuff for more information.  Any time you use your arm, your rotator cuff works to control the motion. The muscles are placed under very high demands because of this constant usage. The rotator cuff is also placed under high demands due to the size and weight of the arm, which they are responsible for guiding.  Look at the size of these muscles compared to the size of the arm- the mismatch between them is clear. Constant usage combined with high demands will increase the likelihood of injury for any muscle or tendon. Combine this with weakness, poor technique, or poor recovery, and the likelihood is even

Read More »
Smith Performance Center Tucson

How Long till My Rotator Cuff Pain Improves?

Prognosis and Outcomes in Physical Therapy One of the key differences in our practice compared to normal, insurance-based physical therapy is how we schedule our sessions.  We normally do a session once every week or two weeks. This developed as a result of our focus on the home plan including trigger management.  The second reason was how we started to use braces, tape, and training aids.     How do the anatomy and function of the rotator cuff impact physical therapy? What is my rotator cuff injury? How long till my rotator cuff injury is better?   Prognosis with a Rotator Cuff Injury In the first two parts of this series, we looked at the background information about the structure and function of the rotator cuff, the common types of Rotator Cuff injuries that lead to pain, and how to figure out what it is. With this final article, we would

Read More »

Physical Therapy for Rotator Cuff Pain

Understanding the Rotator Cuff Anatomy and Function   There is a list of classic complaints I hear due to shoulder pain: I have trouble reaching behind my back.  Putting on clothing hurts.  Reaching for objects causes a spike in pain.  I have trouble getting my arm overhead.  I feel like one arm is weaker than the other, and fatigues quickly. I cannot throw. I have trouble sleeping on my shoulder due to pain.  I have pain that runs down my arm.  I have shoulder pain and now I have neck pain.  Often, these complaints are caused by an injury to the rotator cuff.    How do the anatomy and function of the rotator cuff impact physical therapy? What is my rotator cuff injury? How long till my rotator cuff injury is better?   Shoulder Overview The shoulder is a complex joint. It is involved in most daily activities. Once it

Read More »
Smith Performance Center Tucson

Shoulder Pain Everything Hurts

  Why is everything hurting?   “I feel threatened by my shoulder. How can EVERYTHING hurt?” This is an actual quote from a patient with chronic shoulder pain. We see patients who are surprised by how debilitating intense shoulder pain can be.  They struggle to reach for objects overhead, behind them, or to the side.  They struggle with putting on clothes and getting dressed. They struggle with self-care activities like grooming and bathing.  They struggle with seemingly minor household activities: cooking, cleaning, laundry, etc.  They struggle to find a position they can even be comfortable in. Their shoulder pain affects how they sleep.  They start to complain of shoulder pain causing neck pain, upper back pain, or pain down the arm. They cannot work out due to pain. Sometimes, even something like walking causes shoulder pain.  Their activity is drastically constrained. When symptoms are this intense for a prolonged period

Read More »
Categories
Recent Posts
Craig Smith

Craig Smith

BUSINESS Craig Smith is the co-owner of Smith Performance Center. He founded SPC with Sarah Smith in 2015 with a mission to provide the Tucson community with the support and tools to manage their health and stay active for life. He is a partner with Evolve Flagstaff. Founded in 2017, Evolve brings together gym, physical therapy, nutrition, and meal preparation services to support the Flagstaff community. Craig Smith founded Amptimum with Ryan Seltzer in 2020. Their mission is to unleash the clinical skill set of allied health professionals by developing documentation mastery, patient management processes, and robust analytics. WORK As a physical therapist, Craig is interested in physical therapy concepts with clinical application, PT diagnostic methodology, innovative healthcare solutions, and team-based practice. He specializes in lower extremity care, gait analysis, and physical therapy. As clinical director, Craig works to develop a shared framework for his physical therapy and coaching team. The shared framework, called PT Solutions and the HHP Program, is carried out daily with hundreds of patients and members. As a consultant, Craig works with allied health professionals to understand their clinical processes. This focus allows for clinicians to optimize their operations and to improve their clinical outcomes, train new staff, and reduce the burden of practice. AWARDS Craig graduated from NAU with distinction and was awarded the Distinguished Graduate for the Department. He graduated with honors from the University of Nebraska at Kearney and was awarded the Outstanding Major of the Year in Exercise Science by NAHPERD. Most recently, he was awarded the Excellence in Achievement from Northern Arizona by the NAU Alumni Association in 2020. RESEARCH Craig has presented research at the American Society of Biomechanics National Conference, the American College of Sports Medicine Annual Meeting, and the National NEXT conference along with numerous local and regional meetings on topics surrounding injury screening and prevention. He has publications in the Journal of Strength and Conditioning Research, Journal of Athletic Training, Journal of Orthopedic and Sports Physical Therapy, Medicine and Science in Sports and Exercise, Journal of Sports Medicine, and Lower Extremity Review. Craig and his colleagues, Dr. Warren and Dr. Chimera, were selected as one of the “Best Clinic Case/Research Submissions” at the 60th Annual Meeting and 4th World Congress on Exercise is Medicine of the American College of Sports Medicine.
Smith Performance Center logo
Facebook Instagram Linkedin

Location

1684 S Research Loop
Suite 508 and 518
Tucson, AZ 85710

GET DIRECTIONS

Email

admin@smithperformancecenter.com

Phone

(520)398-4886

Fax

(520)398-4775

Updates from Smith Performance Center