PT and Fibromyalgia

Are You Suffering From Fibromyalgia?

Each day while we are performing our daily activities, our muscles and tendons are working hard to support our bodies. When our muscles and tendons become overworked, pain, stiffness and weakness can result. Sometimes this can progress into more serious, chronic conditions such as Fibromyalgia.

What is Fibromyalgia?

Fibromyalgia is a disorder of the musculoskeletal system that causes chronic pain in many different parts of the body. It is often accompanied by fatigue, sleep problems, memory lapses and mood issues. Doctors and researchers believe that fibromyalgia alters how the brain processes pain. They believe that pain experienced by those affected becomes amplified and feels worse than it actually is.

What Causes Fibromyalgia?

There is no known single cause for this condition. It may result from physical trauma, surgery, infection or an accumulation of micro injuries. Most of the time it is idiopathic, which means the cause is not known.  Scientists have narrowed down potential fibromyalgia risk factors which include:

Gender: in general, fibromyalgia affects more women than men.

Genetic:. The disorder tends to run in families. If you have a relative with this condition, you might be at risk of having it as well.

Infection and other disorders: Fibromyalgia can result from physical stress such as an infection. Pre-existing conditions can also put you at risk, such as osteoarthritis, lupus or irritable bowel syndrome (IBS). 

How Does It Affect People?

Fibromyalgia can be easily dismissed as simple musculoskeletal pain without taking into consideration its other symptoms (sleep disturbances, mood disorders, memory issues). It is difficult to diagnose and often overlooked. Fibromyalgia can interfere with your ability to participate in daily tasks and work. As a result,  it can lead to other conditions such as depression, anxiety and even more pain.

Can Physical Therapy Help?

Patients with fibromyalgia experience pain in various parts of the body, which causes the muscles of the body to tense up and stiffen. A physical therapist can make use of physical agents, like hot or cold compresses to reduce pain and stiffness. Frequently, joint range of motion and muscular strength are also affected. A technique called manual therapy can be utilized to treat these. Your PT will also teach you flexibility and strengthening exercises. These exercises will help prevent the pain from returning.

Aside from stretching and strengthening, exercises that promote relaxation are also taught. These include diaphragmatic breathing and meditation. These are important to practice at home as they will be your best armor against the pain caused by Fibromyalgia.

What You Can Do at Home

While participating in a physical therapy program, you will usually be given a set of exercises you can safely do at home in between appointments. Here are some tips to get you started:

Warm Up Exercises- These are easy and simple actions you can do at home without supervision. Do a couple of rotations, flexion and extension movements using your big joints – the neck, shoulder, hip, knee and ankle. You should perform these for 5 to 10 minutes.

Stretch Your Big Muscles- Your big muscles are your shoulders, back, hips, thighs and calves. These muscles are responsible for maintaining good posture, and since we use them so frequently they tire easily. Don’t forget to ask your physical therapist the proper way to stretch them!

Aerobic Exercise- We all have a tight schedule, but even a brisk walk for twenty minutes, five days a week can make a big impact. There are many opportunities for exercise, you just have to find the right one for you! Committing to an aerobic activity that you like will help keep fibromyalgia away.  

If you are already in pain, don’t wait until it goes away. Chances are, it won’t. Or if it does, it will likely return. Physical therapy can help you prevent it from returning. If it does return, physical therapy can still help you by teaching you how to cope with the pain. Click here to find out more about physical therapy for Fibromyalgia

About Evolve Physical Therapy

NYC's Premier Holistic Physical Therapy Clinics

There’s physical therapy, there’s training, and then there’s EVOLVE. We use the science of biomechanics merged with fitness to help our patients get better and stay better!

First we evaluate, then we heal, then we strengthen our clients so they can reach their goals, feel better, and live happier lives. We do so by utilizing a range of core techniques and specialized treatments to reduce pain, improve mobility, enhance physical strength and deal with the underlying issues, not just the pain itself.

Multiple Locations!

1-718-258-3300

https://EvolveNY.com

What is Pelvic Floor Physical Therapy?

IMPROVE YOUR PELVIC FLOOR FUNCTION

Included among the many services a physical therapist offers is Pelvic Floor Dysfunction Therapy. In this article, we’ll give you the background on how dysfunction in your pelvic floor muscles can affect your quality of life, and what Physical Therapy can do to help fix the problem.

What Is The Pelvic Floor? And Why Is It Important?

Your pelvis is made up of two bones that make room for your internal organs. While connected to the spine and hip, the pelvic bones fuse together to make a bowl shape. To help make this “room” orderly and to make sure that the organs are stable in their positions, muscles and ligaments attach around them. Think of your pelvic floor muscles and ligaments as a trampoline or a sling, where your organs - the bladder, rectum, uterus for women, and prostate for men - lie down. Aside from providing stability, your pelvic floor muscles help you to control urinating, bowel movements and sexual activity. So, what happens when they are affected?

Our pelvic floor muscles wrap around our internal organs, so when our muscles are active/contracted, we are able to hold and control urinating or defecating. When muscles are weak, it may result in urinary incontinence, which is a sudden leak of urine outside of your voluntary control. Pelvic floor muscles can also overreact or have a spasm that makes it difficult for a person to fully empty their bladder and bowel. And, just like any other muscle, the muscles of your pelvic floor can be tight and may result in painful intercourse for women. 

Other symptoms of pelvic floor dysfunction are:

1. You need to take several trips to the bathroom either to urinate or defecate in a short time span.

2. You stop urinating even though you feel as though you have not completely emptied your bladder

3. Pain in your lower back that is not musculoskeletal or orthopedic in origin

4. Painful urination 

5. Ongoing pain in your pelvic area, groin, genitals or rectum with or without bowel movement

What Causes These Symptoms?

There is not one specific cause of pelvic floor dysfunction. Pelvic floor muscles are just like any other muscle in the body, they can get stiff, tighten up, develop knots or become weak. Some known causes of this condition are pregnancy, vaginal childbirth, or trauma. Some doctors would also suggest that frequent coughing or straining develops a certain level of incoordination in the pelvic muscles.

When to Seek Help?

It’s always best to seek medical assistance when you first realize the symptoms. Never wait for pain, or any other kind of symptom to go away on its own because even if it does, chances are it will return! And in some instances, symptoms that return are worse. Most clients feel ashamed and bothered when they experience incontinence or leakage. And many clients feel inconvenienced when they can't use the bathroom properly. 

What Can PT do?

Yes, a Physical Therapist can help! After you consult with a medical doctor to rule out other diagnosis (like kidney problems), your therapist can perform an assessment and develop a treatment plan to address your symptoms. Here is what you can expect:

1. Biofeedback - this technique involves placing special electrodes or sensors to muscles close to your pelvic area. This will help give you feedback to see if you’re relaxing or tightening the right muscles. For example, when we try to stop urinating, we usually use our pelvic muscles to hold it in, but if they’re weak, some people hold their urine by using also the abdominal and postural muscles. Biofeedback can help ensure that you’re using the pelvic muscles, and not the abdominals. The feedback can be in the form of sound (high pitched when contracting and low when relaxing) or a video where you see a bunch of lines going up and down (up when you’re contracting and low when relaxing)

2. Relaxation Techniques - your therapist will teach you ways to relax. One is through diaphragmatic breathing exercises. When we breathe to relax and meditate, we should be able to breathe deeply and expand our bellies. In some cases when a patient is comfortable enough, massage or soft tissue mobilization is provided. 

Sessions can get awkward, but it’s up to your physical therapist to make you feel comfortable in your exercises, so it’s important to find the right therapist for you. 

The Most Common Exercise Is…

The Kegels! You might have already heard it, and you might have already tried it! Kegels is pretending that you need to urinate and then trying to hold it in. It is an alternating exercise between relaxing and contracting your pelvic floor muscles. It’s important to be familiar with the sensation of contracting and relaxing your muscles, and we’re sure your PT can help you achieve this. 

You can also practice this at home, here are the steps to take:

1. It is best to start practicing Kegels when lying flat on a firm surface or floor. Bend both your knees with your feet still on the ground. 

2. Tighten or contract your muscles for 2 to 3 seconds then relax and release them for the next 5 seconds. 

3. Repeat this exercise 10 times while lying down. And then, do the exercise three times a day (morning, afternoon and night)

4. When you are more comfortable with the exercise, practice doing it in other positions like sitting and standing. You can also practice while doing an activity such as when washing dishes or watching TV! 

Click here to find out more about physical therapy for pelvic floor dysfunction

About Evolve Physical Therapy in Brooklyn-

Got Pain? Schedule a Consultation Today! Walk Ins Welcome.

NYC's Premier Holistic Physical Therapy Clinics-

There’s physical therapy, there’s training, and then there’s EVOLVE. We use the science of biomechanics merged with fitness to help our patients get better and stay better!

First we evaluate, then we heal, then we strengthen our clients so they can reach their goals, feel better, and live happier lives. We do so by utilizing a range of core techniques and specialized treatments to reduce pain, improve mobility, enhance physical strength and deal with the underlying issues, not just the pain itself.

Multiple Locations!

1-718-258-3300

https://EvolveNY.com

Manual Therapy- A Physical Therapy Technique

Manual Therapy for Pain Relief

What is Manual Therapy?

Manual Therapy is a very effective hands on approach that is used for the treatment of muscles, ligaments, and joints. A physical therapist can target any areas of pain or discomfort that you may have with specialized movement and exercises that are utilized to strengthen weak muscle groups and improve your mobility. People who suffer from back pain, neck and shoulder pain, headaches and orthopedic conditions can benefit from this hands-on method.

How can manual therapy be utilized to help manage chronic pain?

Get your life back with Manual Physical Therapy at Evolve!

Soft Tissue Mobilization: This type of treatment was created to improve mechanical movement as well as to restore a patient's range of motion. Depending on what areas of the body have been affected during your accident or injury, your therapist will apply various amount of pressure to break down any adhesion that may have formed.

Joint Mobilization: If your joins are limiting your range of motion, your physical therapist may use this method to help improve your mobility. The motions used in joint mobilization will strengthen surrounding tissue of the affected joints and can allow you to gain a normal range of motion as well as decrease pain.

Strain and Counterstrain: This method is commonly used to target and treat muscle spasms that occur in the body. Erase pain and reduce spasms with this hands-on technique.

Muscle Energy Techniques: Treat dysfunctional joints with this type of treatment that uses muscle contractions to relax and lengthen your muscles. It can also normalize the motion of your joints.

You can learn more about Evolve’s manual therapy services here.

Can this method help you with daily muscle and joint pain?

Are you dealing with everyday pain in your muscles and joints? Manual therapy may be the right choice for you. At Evolve, we want to help you begin your journey to healing and teach you how to fight back against daily muscle and joint pain. Schedule a consultation with us today!

Could you reap the rewards of manual therapy?

If you are still unsure about the wonderful benefits of manual therapy, here are a few other conditions that this type of treatment has been proven to help.

Hip & Knee Replacement: Have you recently had a hip, knee, or even joint replacement? Manual therapy can assist you with promoting regular muscle and joint movement, and it can help you get back to your daily routine faster.

Arteritis/Osteoporosis: Do you suffer from arthritis or osteoporosis? The methods used in a manual therapy treatment plan can help you to cope with pain management.

Headaches: Do you suffer from frequent headaches? People who get tension headaches and migraines can also benefit from manual therapy services.

TMJ: If you have temporomandibular joint dysfunction, a condition that limits the movement of the jaw, you may be a great candidate for manual physical therapy. Our therapists can assist you with pain management for your TMJ.

Fibromyalgia: Chronic pain and fatigue are the most common symptoms of fibromyalgia. While there currently is no cure, a skilled physical therapist can help you to improve mobility and to reduce daily pain.

Manual Therapy Services You Can Rely on with Lou Ezrick, Evolve

These conditions along with many others can benefit from the hands-on approach used in manual therapy practices. If you or someone you know has chronic joint or muscle pain, don’t hesitate to reach out to our team today to start reducing pain and regain your mobility.

Brooklyn's Premier Holistic Physical Therapy Clinics-

There’s physical therapy, there’s training, and then there’s EVOLVE. We use the science of biomechanics merged with fitness to help our patients get better and stay better!

Multiple Locations!

1-718-258-3300

https://EvolveNY.com

Sports Physical Therapy- Common Sports Injuries

Sports Physical Therapy and Sports Rehabilitation for Popular Sporting Injuries

As an athlete, it is important that you can get back on the field as soon as possible after an injury. Here at Evolve, my team and I specialize in many sports physical therapy and rehabilitation services. Below we’ve highlighted a few of the ways that we can assist you during your recovery.

Sports Physical Therapy Services

We offer a few different specialty services to help you recover from your sporting injuries. Below are a few examples:

Prehabilitation: I’ve seen the benefits of prehabilitation exercises for athletes. While it was previously primarily beneficial prior to having surgery, over the years it has developed into a popular functional fitness and injury prevention technique.

Manual Therapy: My team and I can use manual therapy as a hands-on method to target the weak muscles in and around your injury to reduce pain, and promote better mobility.

Deep Tissue Massage: As an athlete, you put a ton of stress on your body during training and games. My team and I can provide a deep tissue massage to reduce pain and promote healing.

Running & Gait Training: As an athlete, having proper form while running is extremely important. My team and I can help you to improve your function and enhance your performance.

Common Sports Injuries

If you are an athlete, or simply an avid sports player, chances are you may get injured. Here are a few of the most common sporting injuries that we see come through our doors here at Evolve.

Football Injuries and How to Treat Them

As a full contact sport, injuries are very common for football players. Whether you have over exerted yourself at practice or you take a hard tackle, a lot of these injuries requires physical therapy services. At Evolve, my team and I can help you develop a treatment plan to get you back into your best shape if you are suffering from any of the following injuries.

Knee Injuries: Knee injuries are very common in the football world. As a football player, having a knee injury can land you off the field for a long time. My team and I want to help you heal from your injuries faster. By utilizing our knee physical therapy services, we can help you with exercises that promote recovery, balance, and holistic healing.

Shoulder Injuries: Another popular injury among football players is shoulder injuries. These can include labrum and joint injuries. Our team can address any muscle tears and we can help you to restore shoulder function and mobility through our physical therapy services for shoulder injuries.

Overuse Injuries: Back pain is a frequent complaint from football players. If you are experiencing back pain this may be a sign of overuse from intense training. The kind of pain caused by overuse can be targeted by icing or with stretching and physical therapy exercises.

Basketball Injuries and Treatment Methods

While basketball isn’t a full contact sport, it is skill likely that at some point you may have an injury. The Evolve team and I can help you recover from the following injuries through our sports physical therapy services.

Ankle Injuries: Injured ankles are very popular among basketball players. It is essential to play this sport that you fully recover from any ankle injury. A few of the frequent ankle injuries that we see are dislocations, fractures, sprains, tendonitis, or post-surgical recovery. With years of experience in the field, my team and I can help you recover from ankle injuries by using specialized sports ankle physical therapy methods.

Knee Injuries: Some of the most common knee injuries that we’ve seen from basketball players are ACL tears and MCL tears, fractures, and tendonitis. In more severe cases your injury may require surgery before you can start physical therapy. Our goal is to help you through a customized exercise and physical therapy treatment plan specific to your injuries. We want to see you regain the strength and mobility that you may have lost due to your sports injury.

Shoulder Injuries: Rotator cuff tears are one of the most common shoulder injuries. As a frequently used part of the body for basketball and activities related to daily living, you will want to recover from this injury as soon as possible. Let us help you start to find healing today.

Hand & Wrist Injuries: Injuries of the hand and wrist are also common with basketball players. If you’ve injured your hand or wrist you will be out of luck with basketball until the injury heals. Don’t spend unnecessary time on the sidelines. While the duration of every treatment plan is different, both hand physical therapy and wrist physical therapy has been proven to increase recovery times.

Common Injuries and Their Treatment Plans for Baseball Players

Baseball is a sport that sees its fair share of injuries as well. If you are a professional player or are a frequent player in pickup games, you may find that the stress put on your body can eventually result in injury. Below are some of the most common baseball injuries that my team and I can help you with our specialized physical therapy for baseball players here at Evolve.

Rotator Cuff Injuries: The overall goal for physical therapy with a rotator cuff injury is to improve the function of each muscle that surrounds your shoulder. By building and strengthening these muscles you will find that you can increase mobility.

Tennis Elbow: Tennis elbow happens when the muscles around your elbow have been overused. It can cause pain and inflammation. By using sports physical therapy exercises you can start to reduce any pain and inflammation that has occurred.

ACL Injuries: If your ACL has been damaged due to an injury our team can help. A physical therapy treatment plan for a torn ACL may include, gait training, strengthening exercise, range of motion exercises, balance exercises and more.

Wrist & Hand Injuries: As a baseball player, full wrist and hand function is imperative. Here at Evolve, we can help you with strengthening and range of motion exercises to start helping you heal from wrist and hand injuries.

Treating Soccer Injuries with Physical Therapy

Soccer is another sport that includes likely chances of injury due to the speed and nature of the sport. If you have been injured during a game or have noticed pain after a grueling practice, we are here to help. Below are some examples of the frequently seen injuries of those who participate in this sport.

Ankle & Hamstring Strains: My team and I can help you with pain management for ankle and hamstring strains by teaching you exercises that can help you regain your normal range of motion. Our team can help you get back in the game faster and in your best shape yet.

Overuse Injuries: An overuse injury is also a common one for soccer players. By utilizing prehab exercises, you can help to prevent these kinds of injuries from occurring.

Soft Tissue Injuries: A soft tissue injury can occur when an excessive force is put on your soft tissues. To recover from a soft tissue injury, we can assist you with manual therapy, range of motion exercises, and more to help you fully recover and get back to the game you love.

Sports Therapy and Rehabilitation Services with Evolve

Do you have a sports injury that is keeping you from being able to return to the sport you love? Here at Evolve, my team and I want to see you make a full recovery. Reach out to us today to learn more about our physical therapy and rehabilitation services for sporting injuries. You can schedule your first consultation free of charge. We look forward to hearing from you!