Brooklyn Physical Therapy News- Evolve NY

Physical Therapy for Foot Pain and Injury

Physical Therapy for Foot Pain and Injury- IS PAIN IN THE FOOT GETTING YOU DOWN? Feet, the literal foundation of our bodies. The important role our feet play in our daily activities cannot be underestimated. This is why, when you have pain or injury in one or both feet, your day to day life can be significantly affected. While some injuries to the foot require surgery to correct, many can be addressed through the care of a physical therapist. Whether you are recovering from surgery or looking for a more conservative approach, a physical therapist is an important member of your care team and can work with you to get you back to walking, running and dancing your way through life. This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment…

Physical Therapy for Foot Pain and Injury

IS PAIN IN THE FOOT GETTING YOU DOWN?

Feet, the literal foundation of our bodies. The important role our feet play in our daily activities cannot be underestimated. This is why, when you have pain or injury in one or both feet, your day to day life can be significantly affected. While some injuries to the foot require surgery to correct, many can be addressed through the care of a physical therapist. Whether you are recovering from surgery or looking for a more conservative approach, a physical therapist is an important member of your care team and can work with you to get you back to walking, running and dancing your way through life. This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment.

LET’S GET A BETTER UNDERSTANDING OF THE FOOT AND HOW IT FUNCTIONS:

Each foot is made up of 28 individual bones that can be divided functionally into a hindfoot, a midfoot and a forefoot. Numerous ligaments intertwine between bones to create shape and connection. Nearly 30 muscles--some originating from the lower leg and others within the foot itself--work together to create the delicate balance of mobility and stability in this area of the body. 

Another star player in the foot is the plantar fascia. A thick layer of tissue, it runs from the heel of the foot to the ball of the foot. When standing, the plantar fascia helps to create the arch of the foot. While walking and moving, it assists in altering the position of the foot as you move through a normal gait cycle and acts as a shock absorber. 

In addition to these structures we can’t forget the nerves in the skin and joints of the feet that act as vital purveyors of information as you stand, walk, run and jump. We rely heavily on the accuracy of sensory information gleaned from these receptors to maintain our balance and coordinate movements throughout the body. 

What is important to understand about the foot is that changes in the anatomical structure of the foot, strength of the muscles, stability of the ligaments and flexibility of the tissues as well as alterations in the motor control and biomechanics of the foot can impair the function and balance of each joint and body part above it. Even if your primary symptoms are not in your feet, your physical therapist will be observing how your feet function and move because problems in the foundation of your body can have widespread implications. 

WHAT MIGHT BE THE CAUSE OF YOUR SYMPTOMS?

Disorders of the foot come in many varieties. Some people are born with conditions that alter the normal anatomy of the foot such as Pes Planus (flat foot), Pes Cavus (high arches), or Talipes Equinovarus (clubfoot). These conditions may require surgical intervention, bracing or special footwear throughout an individual’s life. 

Some instances of foot pain are caused by asymmetries or imbalances in muscle strength or flexibility, motor control and movement patterns of the lower body. In these cases, your physical therapist may prescribe a series of exercises to improve strength and flexibility. They may employ modalities such as ultrasound or ice to address inflammation or pain and manual therapy techniques such as joint mobilization, active release therapy(ART), or soft tissue mobilization

Some other conditions of the foot that would benefit from the assessment and treatment of a skilled physical therapist are listed here:

Plantar Fasciitis: Inflammation and microtears can occur in this thick band of tissue causing pain in the heel, along the arch of the foot or near the ball of the foot. Oftentimes this pain is felt during the first few steps out of bed in the morning, after prolonged standing, during intense activity such as running or when walking barefoot or in shoes with poor support. While this condition may initially make it difficult to participate in your usual standing, walking or running routines, it often responds very well to physical therapy interventions aimed at reducing inflammation and promoting tissue healing, restoring optimal mobility at the foot and ankle joints, offloading the plantar fascia and strengthening surrounding muscles. 

Turf Toe: Turf toe is the common name for a sprain of the metatarsophalangeal joint (MTP) of the first toe--where the big toe meets the foot. This is often a sports-related injury that occurs when the toe is hyperextended past its normal range of motion. In rare cases surgery may be required. Pain, swelling, and bruising over this area is common in the acute stage. Initially your physical therapist will educate you on how to protect the joint to allow healing to begin while applying ice or other modalities to help manage pain and swelling. When appropriate your PT will prescribe a progressive exercise program to restore normal strength and flexibility and build tolerance to loading through the joint.   

Bunion: A bunion (hallux valgus) is a bony bump that develops on the inside of the foot at the base of the big toe. Oftentimes the big toe is no longer straight but instead deviates toward the other toes. Inflammation and swelling can occur in the area of the bunion and that area of the foot can become stiff and painful. Discomfort during walking or running and difficulty with the fit of shoes can occur over time. Bunions may be managed conservatively or when severe, surgically. In either case your physical therapist can recommend orthotics, footwear or toe separators to relieve discomfort and prevent worsening. They may prescribe range of motion exercises and strengthening to maximize foot biomechanics and provide hands on manual therapy if indicated. 

Fractures: Fractures can occur traumatically or in response to chronic overload such as in the case of a stress fracture in a marathon runner. Whether managed surgically or conservatively, you will likely undergo a period of modified weight bearing to allow bone healing. Once appropriate, your physical therapist will employ many of the techniques outlined above to address any pain or stiffness that has developed, restore optimal strength and biomechanics of the foot and progress you back to normal walking, running and athletic events.  

While foot pain or injury can be disruptive to your daily life, a physical therapist at Evolve can help you get on the road to recovery. Our therapists understand the importance that being able to stand, walk and participate in sports and leisure activities has in your life and we strive to enable our patients to live pain free, and prevent recurrence of the injuries. 

Are you or someone you know experiencing foot pain? Call Evolve Physical Therapy in Brooklyn today to make an appointment. Our physical therapists will work with you to reduce the risk of complications, and help you get back to living your life to the fullest. Call- 1-718-258-3300 or visit- https://evolveny.com/physical-therapy/foot-physical-therapy-brooklyn

About EvolveNY-

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!

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

Read More

Elbow Issues Got You Down?

Physical Therapy for the Elbow- The elbow joint plays a critical role in connecting the mobile shoulder joint with the incredibly functional wrist and hands. Injuries to the elbow can interfere with your ability to play sports, to work, to do activities around the house and even to feed yourself. Whether your elbow injury is brand new or has been bothering your for quite a while, a physical therapist can perform an examination and apply physical therapy techniques to reduce your symptoms and get you back to your daily activities.This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment.

Physical Therapy for the Elbow: Elbow Discomfort Reducing Your Quality of Life?

The elbow joint plays a critical role in connecting the mobile shoulder joint with the incredibly functional wrist and hands. Injuries to the elbow can interfere with your ability to play sports, to work, to do activities around the house and even to feed yourself. Whether your elbow injury is brand new or has been bothering your for quite a while, a physical therapist can perform an examination and apply physical therapy techniques to reduce your symptoms and get you back to your daily activities.This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment.

LET’S GET TO KNOW THE ELBOW A BIT BETTER:

Most people know the elbow joint as a flexor and extensor of the arm and it certainly does this very well. The elbow joint also does what is called pronation and supination which rotate the forearm to translate the hand from a palm up to a palm down position and back. As you can see, the elbow joint plays a critical role in positioning your hands for functional tasks. This hinged joint is made up of the humerus or upper arm bone and the radius and ulna, the two bones of the forearm. Many ligaments stretch between the bones to connect and support them and tendons--the connective tissue end of a muscle--travel from the shoulder, wrist and hand to anchor near this joint. If you think about how many times in a day, an hour, or even a minute you bend or straighten your elbow or rotate your forearm up or down, you can see how this area of the body could experience some stress or strain. 

WHAT MIGHT BE THE CAUSE OF YOUR ELBOW SYMPTOMS?

Tennis Elbow (Lateral Epicondylitis): Pain, burning or aching at the lateral (outside) elbow and forearm, sometimes extending down toward the wrist may be a condition called lateral epicondylitis. A result of strain or stress on the muscles and tendons that attach on the outer elbow, its often caused by repetitive motions of the wrist extensors in conjunction with impaired movement patterns and biomechanics, muscle length, strength and flexibility impairments. Left untreated, this condition can become painful even at rest and can lead to grip weakness over time. 

Golfer’s Elbow (Medial Epicondylitis): Pain, burning or aching at the medial (inside) of the elbow and extending down toward the wrist is characteristic of medial epicondylitis. Symptoms may initially be present only during activities requiring repetitive wrist flexion like serving a tennis ball, hitting a golf ball, carrying a heavy suitcase or using certain hand tools but can eventually become symptomatic even at rest. Muscle strength or length impairments, movement pattern inefficiencies and biomechanical errors often contribute to this condition.   

Olecranon Bursitis: The olecranon bursa is a small fluid-filled sac that covers the bony tip of the elbow (olecranon process) to help cushion it. When irritated or inflamed it can fill with extra fluid causing swelling of the back of the elbow. Some people will experience pain when they place their elbow on a firm surface or repeatedly bend it and on occasion the bursa can become infected causing warmth and redness in the area. This condition can occur from a hard fall on the elbow such as during a sporting event, as a result of spending prolonged periods of time resting the elbow on a hard surface such as a desk and is more common in certain occupations such as plumbing, gardening and mechanic work. It may also be more common in certain autoimmune conditions. 

Cubital Tunnel Syndrome: The ulnar nerve is one of the three main nerves in the arm and travels from the neck, down the arm and to the hand. On it’s way, it passes through the inside bony part of the elbow called the cubital tunnel where it can sometimes experience compression. If you’ve ever hit your “funny bone” you know right where this spot is located. Signs of compression include numbness, tingling or loss of coordination in the ring and little fingers. In cases of severe compression muscle wasting or grip weakness can occur. Sometimes the cause is unknown. Other times it can be caused by arthritis, bone spurs, previous fractures or dislocations and sometimes by repeated bending of the elbow.   

Elbow Ligament Injuries: Ligaments are bands of tissue that help hold bones, joints and organs in place. Many ligaments criss cross and surround the elbow joint and are vital to maintaining the stability and function of the joint. Injuries to the ligaments might occur as a result of repetitive strain, for example at the ulnar collateral ligament in baseball pitchers. In other cases, a ligament may be injured during an elbow dislocation when a person falls on an outstretched arm. Though these ligaments are quite resilient and persistent elbow instability is uncommon, physical therapy may be helpful in restoring normal motion and function soon after injury. 

HOW WILL YOUR PHYSICAL THERAPIST TREAT YOUR ELBOW?

The first visit with your physical therapist will focus on assessing the elbow. Interviewing you about your symptoms and examining the arm will help your physical therapist to determine the most likely cause of your symptoms and to identify contributing factors such as strength asymmetries, range of motion deficits, tissue mobility problems or biomechanical errors. If you have recently had surgery on your elbow he or she may initiate care based on a post-surgical protocol assigned by your surgeon. 

In the first week or so after an injury you can expect your elbow physical therapy treatment may include modalities such as ice, ultrasound or electrical stimulation to manage pain and swelling, education on your injury and any necessary activity modifications, gentle manual techniques such as passive range of motion and possibly taping or bracing to protect the injured area and allow the body’s healing process to proceed. As healing continues you may begin to perform a progressive exercise program to help strengthen the surrounding muscles and normalize muscle length. Your PT may apply manual therapy techniques such as soft tissue or joint mobilizations to restore normal motion. You can also expect to perform activities and exercises to prepare your body to return to it’s previous level of activity with special attention on correcting any movement asymmetries or motor control issues that may have contributed to the injury. 

While some elbow injuries may require intervention by a doctor or surgeon, a physical therapist should always be a primary member of your care team. A physical therapist at Evolve can help you get on the road to recovery. Our therapists do not just treat symptoms, but we get to the root of the cause. We strive to enable our patients to live pain free, and prevent the recurrence of related issues

Are you or someone you know experiencing elbow pain? Call Evolve Physical Therapy in Brooklyn today to make an appointment. Our physical therapists will work with you to reduce the risk of complications, and help you get back to living your life to the fullest. Call- 1-718-258-3300 or visit- https://evolveny.com/physical-therapy/elbow-physical-therapy-brooklyn

About EvolveNY-

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!

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

 

Read More

FSA, “USE IT OR USE IT” RULE CANCELLED ?

FSA, “USE IT OR USE IT” RULE CANCELLED? Whats an FSA? FSAs, also commonly known as Medical FSA’s or Healthcare FSA’s, allow employees to stash away up to $2,750 for each qualifying account of pre taxed earnings for eligible health and wellness expenses that insurance doesn't cover. Some of the most popular expense usage are deductibles, copayments/coinsurance, vision care, Physical Therapy, and over-the-counter medicines or equipment.

FSA, “USE IT OR USE IT” RULE CANCELLED ?

It's that time of the year again, where we all scramble to gather our receipts to close out the tax year, schedule our last minute appointments before our health plans renew or change, and if you have a Flexible Spending Account (FSA) using your remaining pre-tax saving balance before its forfeited, can feel like a mad dash to beat the clock before your carriage (like cinderella) turns into a pumpkin.

Whats an FSA?

FSAs, also commonly known as Medical FSA’s or Healthcare FSA’s, allow employees to stash away up to $2,750 for each qualifying account of pre taxed earnings for eligible health and wellness expenses that insurance doesn't cover. Some of the most popular expense usage are deductibles, copayments/coinsurance, vision care, Physical Therapy, and over-the-counter medicines or equipment.  

How do FSA’s work?

Under normal terms and circumstances, FSA accounts typically need to be spent and depleted by December 31st. If the account holder doesn’t use up all of the money in their account, they can roll over up to $550 to the next year, or spend it during a two-and-a-half-month grace period- depending on their employer. This leads many people in haste to spend down their accounts by stocking up on extra unneeded Advil, sunscreen, and other generic needs on amazon in excess just so they don't lose out. The rest of Americans forfeit an estimated 400 million per year.

What changes did the US Treasury make?

Well, there is good news for some!  Regardless of which type of FSA you have, new legislation signed into law late last year allows you to roll over any unused funds from 2021 to 2022 for use at any time next year- if your company opts in. This is also applied to unused 2020 FSA money, which could be carried over into 2021. This provides 12 additional months for account holders to utilize their funds more intentionally and sensibly. 

The best next steps ?

This is the time to find out if your employer opted in for this extension. Whether your employer opted in or not, don't be so quick to bring 2021 to a close without maximizing your health benefits. Now is the time to take advantage of any unused insurance benefits. Click Here to learn more about what other health benefits you can be losing out on.

Using all available benefits to complete any outstanding treatment, preventive or maintenance Physical Therapy sessions is one of the best ways to take a value added approach when considering how best to utilize your FSA funds.  Even if you don’t have any immediate pain or issues, you and your family should always have treatment sessions and screenings periodically, looking for early signs of imbalance, postural changes, arthritis etc,. This is a great way to take preventative measures to sustain your care. Another option is, if you are anything like me, getting more fit is always at the top of my new year's resolutions list but I don't want to be in the gym when it is the most packed at the start of the year. Utilizing my extra FSA funds is a great way for me to kick start my fitness goals early, to balance out adding potencial holiday pounds. I work directly with my therapist (Dr. Gil Halfon) on a routine that is safe, practical and custom to my goals all while having the best, soothing, hands on manual (PT massages) this side of Brooklyn after my training sessions. 

How to get started ?

We’re ready to help you move healthier, happier and pain free in 2022!

Call us  today to schedule your appointment 1-718-258-3300 or find us online by clicking here or schedule via ZocDoc.com

About EvolveNY-

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! 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


Read More

Physical Therapy for Neck Pain and Neck Injuries

Neck Physical Therapy: IS NECK PAIN INTERFERING WITH YOUR QUALITY OF LIFE? Whether it’s a new pain you are experiencing or an ongoing problem, discomfort in this area can be a literal pain in the neck. Hours sitting at your desk working each day, that fender bender you had last week, years of looking down while working on items with your hands can all lead to acute and chronic neck pain and stiffness and an amalgam of symptoms from headaches to arm weakness. While sometimes it may seem like these symptoms will never go away, physical therapy is an effective option to help reduce these symptoms that will also empower you to implement strategies to prevent them from recurring. This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment.

Neck Physical Therapy

IS NECK PAIN INTERFERING WITH YOUR QUALITY OF LIFE?

Neck Physical Therapy Brooklyn NY

Whether it’s a new pain you are experiencing or an ongoing problem, discomfort in this area can be a literal pain in the neck. Hours sitting at your desk working each day, that fender bender you had last week, years of looking down while working on items with your hands can all lead to acute and chronic neck pain and stiffness and an amalgam of symptoms from headaches to arm weakness. While sometimes it may seem like these symptoms will never go away, physical therapy is an effective option to help reduce these symptoms that will also empower you to implement strategies to prevent them from recurring. This article will help you to understand the causes, symptoms and possible interventions that you can expect during a physical therapy treatment.

LET’S GET A BETTER UNDERSTANDING OF THE NECK AND HOW IT FUNCTIONS:

The neck, as we call it, is formally known as the cervical spine and is made up of 7 bony vertebrae that connect the bottom of the skull to the top of the upper back and ribcage. This area of the spine is made to be strong enough to support the weight of the skull and brain while still allowing for the many degrees of rotation, side bend, flexion and extension of the neck that we use daily. In between each vertebrae is an intervertebral disc which provides cushioning and shock absorption. Traveling through the bony spinal canal created by the vertebrae is the spinal cord which carries motor and sensory information to and from the brain to the rest of the body through nerves that exit the small canals created by the vertebrae on the left and right side. 

There are many muscles that attach to the skull and neck bones and connect to lower vertebrae, the shoulder blades, the clavicle, and the upper ribs. Some muscles are more superficial--closer to the skin--that act as movers of the neck and other bones while other muscles lie deeper and act to stabilize the neck and head. 

It is important to understand that while in some cases a specific anatomical structure may be primarily to blame for your neck pain or discomfort, often times the underlying cause is due to faulty movement patterns or an imbalance in the length and strength of surrounding muscles and your physical therapist at Evolve will be evaluating how you move as much as he or she is examining the structures of the neck. 

WHAT MIGHT BE THE CAUSE OF YOUR SYMPTOMS?

Dysfunction occurring in the cervical spine can present in many different ways. Some people may experience localized pain or stiffness in the muscles or joints of the neck itself, others may primarily experience headaches while in some cases people will complain of what we call radicular symptoms in their arms, meaning pain, weakness or sensory disturbances that originate from the nerves exiting the neck vertebrae that manifest in the arms and hands. 

The good news is, your physical therapist is well-trained to spot all of the contributing factors to help create a comprehensive treatment plan. To help you to better understand some of the causes of neck pain and how your physical therapist will treat them, here are some examples:

Whiplash: Whiplash occurs when neck muscles are strained and tendons are stretched in response to a quick and uncontrolled forward and backwards movement of the neck beyond its normal range of motion. Whiplash can occur as the result of a hard tackle in football or from being hit from behind by another car while waiting at a stoplight. Pain and stiffness may not set in right away but take a day or two to manifest. In the first few days after injury your physical therapy treatment will focus on protecting the injured tissues which may include wearing a soft neck collar, using ice or electrical stimulation for pain and passive range of motion. As your healing progresses your physical therapist may implement hands-on techniques like soft tissue or joint mobilizations and you will begin to perform exercises to stretch and strengthen affected muscles to restore normal motion. 

Intervertebral Disc Herniation: Between the bones of the spine lie the intervertebral discs which provide height and cushioning. A herniation of the jelly-like center (nucleus) of the disc through the outer, tougher layer (annulus) is called a disc herniation and it can occur from a sudden trauma or due to gradual age-related changes in the disc. It can sometimes place pressure on the nerves where they exit the spinal canal causing pain both locally and at times, into remote areas such as the arms and hands. If severe enough it can cause changes in the sensation of the skin and strength of muscles in the arms. During your treatment your PT will be prescribing you a series of movements and exercises to help relieve the pressure on the nerves and optimize your movement patterns to minimize future discomfort. They may also implement manual therapy, hands-on techniques such as joint and soft tissue mobilization

Cervicogenic Headache: Originating from the joints of the upper cervical spine, this condition often causes chronic headaches that radiate from the lower skull upwards and are perceived in the head and/or regions of the face. Cervicogenic headaches are characterized by pain on one side of the head (sometimes both sides), diffuse pain in the shoulder or arm on the same side and stiffness or reduced range of motion of the neck. Cervicogenic headaches may develop after a recent trauma such as a concussion or may be aggravated by specific neck movements or sustained postures. Physical therapy to treat these headaches might include modalities such as heat or electrical stimulation to reduce pain, education on ergonomics and posture to limit aggravation of neck structure, exercises, breathing techniques and stretches to balance the strength and flexibility of the neck muscles, and mobilization or manipulation of the joints in the cervical spine. 

While neck pain can be disruptive to your daily life, conservative treatments such as physical therapy are often highly effective. A physical therapist at Evolve can help you get on the road to healing your neck pain. Our therapists do not just treat symptoms, but we get to the root of the cause. We strive to enable our patients to live pain free, and prevent the recurrence of related issues.

Click here for more information about neck physical therapy in Brooklyn

About EvolveNY-

Brooklyn’s Premier Holistic Physical Therapy Clinics-

evolve physical therapy in brooklyn ny

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


Read More

Is Your Back Killing You?

Is Your Back Bothering You? Physical Therapy for Back Pain and Injury- Upper and lower back pain and injuries can occur in any number of anatomical structures that make up your back. Muscles, bones, nerves, fascia, ligaments, intervertebral discs and tendons weave together to form the back. Pain or discomfort in this area can arise from an acute injury to muscle or bone, or can develop over time in response to repetitive or faulty movement patterns or to muscle length and strength asymmetries. This article will help you to understand the causes, symptoms and possible treatments that you can expect during a physical therapy treatment.

Physical Therapy for Back Pain and Injury

ARE YOU LIVING WITH NEW OR CHRONIC BACK PAIN?

Upper and lower back pain and injuries can occur in any number of anatomical structures that make up your back. Muscles, bones, nerves, fascia, ligaments, intervertebral discs and tendons weave together to form the back. Pain or discomfort in this area can arise from an acute injury to muscle or bone, or can develop over time in response to repetitive or faulty movement patterns or to muscle length and strength asymmetries. This article will help you to understand the causes, symptoms and possible treatments that you can expect during a physical therapy treatment.

LET’S GET A BETTER UNDERSTANDING OF THE SPINE AND HOW IT FUNCTIONS:

The spine, made up of 34 bones forms, well, the backbone of the body. It provides stiffness and structure to the torso while still allowing for the flexibility and movement needed to perform our daily tasks. The seven vertebrae that make up the neck, known as the cervical spine, the 12 vertebrae that make up the mid back, or thoracic spine, and the 5 vertebrae that make up the lower back, or lumbar spine, create a long canal that houses the spinal cord. The spinal cord is made up of a bundle of nerves that arise from the brainstem and leave through channels between the bones of the spine to innervate and carry movement and sensation information between the brain and the rest of the body. The broad and flat sacral bones sit beneath the last lumbar vertebrae and act as connectors between the pelvic bones and the spine. Beneath that, lives the coccyx or tailbone.

There are many muscles that compose the back. Some muscles are more superficial--closer to the skin--and often help in moving or positioning the arms. Intermediate layers of muscles act on the ribcage to help with respiratory function and finally there is the deep layer of muscles which lie close to and help move the spine. Any of these anatomical structures may be involved in back pain or injury and your physical therapist will perform a series of tests and measures to help them to localize the cause.

It is important to understand that while in some cases, a specific anatomical structure may be primarily to blame for your back pain or discomfort such as a herniation at an intervertebral disc or a strain of a specific muscle but often times the underlying cause is due to faulty movement patterns and your physical therapist at Evolve will be evaluating how you move as much as he or she is examining the structures of the back.

WHAT MIGHT BE THE CAUSE OF YOUR BACK PAIN?

Back pain is often multifactorial. Your back pain might be due to an injury or irritation to one of the structures we talked about above but could also be related to how strong your hips are, how flexible your shoulders are, how often you perform certain activities and how well you control the movement of your body during everyday tasks. The good news is, your physical therapist is well-trained to spot all of the contributing factors to help create a comprehensive treatment plan. To help you to better understand some of the causes of back pain, here are some examples:

Muscle Strain: A pulled or strained muscle can result from a trauma such as a fall, unexpected twist or pull. It can also result from repetitively overloading muscles through less than ideal biomechanics. These overloaded muscles may eventually be unable to compensate for weakened or fatigued primary muscles leading to a muscle strain. Symptoms of a muscle strain include pain, swelling, bruising, stiffness and limited range of motion. When you come to physical therapy your PT will not only address the symptoms of the muscle strain through modalities such as ice, ultrasound and electrical stimulation but will work to correct any underlying biomechanical inefficiencies and muscle imbalances to prevent future injuries.

Intervertebral Disc Herniation: Between the bones of the spine lie the intervertebral discs which provide height and cushioning. A herniation of the jelly-like center (nucleus) of the disc through the outer, tougher layer (annulus) is called a disc herniation and it can occur from a sudden trauma or due to gradual age-related changes in the disc. It can sometimes place pressure on the nerves where they exit the spinal canal causing pain both locally and at times, into remote areas such as the legs or feet. If severe enough it can cause changes in the sensation of the skin and strength of muscles in the legs and even affect bowel and bladder function. During your treatment your PT will be prescribing you a series of movements and exercises to help relieve the pressure on the nerves and optimize your movement patterns to minimize future discomfort. You can also expect your PT will be educating you on this condition and how you can modify your activity in the meantime.

Sciatica: Sciatica refers to pain, burning, tingling, cramping, numbness and sometimes weakness that often begins in the buttock and travels down the back of the leg. It is caused by compression or irritation of the sciatic nerve that arises in the low back and travels down the posterior leg. With severe or prolonged compression or irritation muscle weakness can also occur. Your physical therapist will be assessing for a number of causes including disc herniations, misalignment of the pelvis, tightness in the hip or buttock muscles, narrowing of the spine or biomechanical problems before they begin treating you. Treatment may include manual therapy techniques to help restore normal movement and soft tissue mobility, self-stretching to improve muscle length, strengthening to address weakness and education on improving movement patterns.

While upper and lower back pain can be disruptive to your daily life, conservative treatments such as physical therapy are often highly effective. Physical therapists can identify the myriad of factors contributing to your specific back pain and provide you with a rehabilitation program to improve your symptoms now and help prevent them in the future. A physical therapist at Evolve can help you get on the road to healing your back pain. Our therapists do not just treat symptoms, but we get to the root of the cause. We strive to enable our patients to live pain free, and prevent the recurrence of related issues.

Are you or someone you know experiencing upper back pain or lower back pain? Call Evolve Physical Therapy in Brooklyn today to make an appointment. Our physical therapists will work with you to reduce the risk of complications, and help you get back to living your life to the fullest. Call- 1-718-258-3300 or visit- https://evolveny.com/physical-therapy/back-physical-therapy-brooklyn 

About EvolveNY-

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!

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 Brooklyn Physical Therapy Clinic Locations!

1-718-258-3300

https://EvolveNY.com


Read More

Is Your Ankle Bothering You?

Need Ankle Physical Therapy? Try Ankle Physical Therapy Services in Brooklyn with Evolve PT. Ankle injuries can keep you down and out for a long time if untreated or treated incorrectly. The ankle is a complex joint, like the wrist, it’s made up of dozens of joints and over a hundred muscles, tendons, and ligaments. The ankle is a magnificent system, the duality of its responsibility is unmatched when compared to other joints…

Need Ankle Physical Therapy? Try Ankle Physical Therapy Services in Brooklyn with Evolve PT!

Ankle injuries can keep you down and out for a long time if untreated or treated incorrectly. The ankle is a complex joint, like the wrist, it’s made up of dozens of joints and over a hundred muscles, tendons, and ligaments. The ankle is a magnificent system, the duality of its responsibility is unmatched when compared to other joints. It has a need to be conforming and supple enough to contour to any uneven surface, as well as being rigid enough to be a springboard for running and jumping. Safe to say, there’s a lot going on here. Most ankle injuries boil down to where the stress is going, and often a part foot is working too hard. This strain can be as benign as inflammation, to tendinitis, or at the extreme tearing of the ligaments and bones. Let’s go two of the most common ankle injuries, including the mechanism of injury and treatment.

Ankle sprain-

The most common type of sprain happens when your foot rolls over itself. This generally happens with sports stepping on someone’s foot for example, but also can be from stepping wrong on an uneven surface or off a curb. This is called an inversion ankle sprain, dubbed by the direction the foot is moving. Depending on how much the ankle rolls, and often how much weight is going through your ankle in that position, will determine how bad the sprain is. Initially immobilizing your foot is important, as you’re susceptible to spraining it more. Common treatment after includes working on the muscles involved in the injury, strength, and balance training to recalibrate your ankle in positions where the ligaments will be active.

Plantar Fasciitis-

The plantar fascia serves as a support structure for your foot, it helps form your arch. It fans out from your heel to your toes. The area on your heel where it attaches can become inflamed, often with excessive weight or overuse typical in flat feet. In mild cases, a change in footwear and stretching are often enough. If the inflammation is bad enough, immobilization and reduction of activity are required. This injury can be a nag, but with proper assessment of your gait, arches, and exercise form, it can be well managed.

If you’re unlucky enough to break your ankle, thankfully most of the time they heal and recover like it never even happened. The two bones from your calf, tibia and fibula, are typically the area a fracture occurs. Treatment for the fracture can vary anywhere from a cast with immobilization, to surgical fixation keeping the fracture in place using screws and plates. Recovery depends on where the fracture occurred, and the technique to keep it in place. Typically, is starts off with a period of immobilization and reduction in weightbearing to allow things to heal. Once you’re able to start moving again, Physical Therapy is your best bet to regaining the normal motion and function of the foot. The time in a cast or boot, albeit brief, will typically result in atrophy of the supporting structures of the ankle. Proper range of motion and strength exercises will be paramount to the eventual function of the foot.

Ankle injures can be complicated, and proper assessment and treatment is key. Thankfully at Evolve PT, we’ve got you covered. From the latest in soft tissue techniques, to expert gait and running analysis, there is no reason your ankle injury has to keep you from doing the things you love.

Click here for more information about ankle physical therapy in Brooklyn

About EvolveNY-

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

Read More

“GOT TAPED?"

Got Taped? Top 5 benefits of getting strapped up with RockTape. Check out Head Physical Therapist Dr. Nathan Kind’s Top 5 benefits of getting strapped up with RockTape.Written By: Dr. Nathan Kind, Clinical Director, RockSteady Program Director, DPT, PT.

Top 5 Benefits of Getting Strapped Up With RockTape

Square Got Taped Purple.png

Check out Head Physical Therapist Dr. Nathan Kind’s Top 5 benefits of getting strapped up with RockTape.

By: Dr. Nathan Kind, Clinical Director, RockSteady Program Director, DPT, PT

Let's first talk about what is RockTape?

RockTape is a brand of  Kinesiology Tape. Kinesiology Tape was first developed in the late 1970s by Dr. Kenzo Kase, a Japanese chiropractor who wanted a tape that provided support but didn’t limit movement the way traditional athletic tapes do. The tape is typically really stretchy, water resistant, Hypoallergenic, and most would say cool to wear. If you’ve ever watched a volleyball game or a competitive bicycle race, you’ve probably seen it: strips of colorful tape splayed in patterns across shoulders, knees, backs, and abs. Some of the evidence based research and study results show taping creates space in joints in areas such as the knees and shoulders which helps reduce the chance of joint irritation. Physical therapists like myself have taping changes the information your sensory nervous system is sending about pain and compression in your body. It seems taping can change signals on pain pathways which makes it a useful treatment tool for many patients. 

  • Improves circulation of blood and fluids which mitigates pain and swelling by improving blood and lymphatic flow in the taped area.

  • Supports weak zones by providing reinforced support to fatigued  joints and muscles without limiting movement. Taping provides a mechanical effect which improves the slides and glides between tissue layers.

  • Re-educating muscles taping helps retrain muscles that have lost function or that have gotten used to an unhealthy way of working. This can protect patients against injury by “waking up” the muscles and reminding it to keep working.

  • Scar Tissue Management: taping can be used to gently pull on scar tissue, providing a low intensity, long duration stretch to the tight collagen that makes up scar tissue. Taping can improve the long-term appearance of scars after surgery or injury.

Got Pain ? How about Swelling and Bruising ? Need functional support in movement ? Click here to find out more about Kinesiotaping

Check the link below or call 1-718-258-3300 to learn more.

https://evolveny.com/contact

About EvolveNY-

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!

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

Read More

WORKING FROM HOME CAUSING YOU BACK PAIN?

WORKING FROM HOME CAUSING YOU BACK PAIN? GET BACK ON TRACK! Reduce Back Pain while working from home. 4 Tips to Reduce Back Pain-If you’ve been working from home for a while and are noticing lower back pain that lingers, it could be caused by your home office set-up. Working longer hours, not having a supportive chair and poor posture can all lead to back pain. “The urgency in which people were sent home to work during the peak of the pandemic, left little to no time to set up a proper office space,” explains Dr. Nathan Kind, physical therapist at Evolve Sport Rehabilitation - Brooklyn. “Also, without the usual distractions of work, people find themselves sitting for 3-4 hours or more without getting up to run to various meeting room shared office spaces.

GET BACK ON TRACK! Reduce Back Pain While Working from Home.

4 Tips to Reduce Back Pain

SQUARE Working From Home Causing You Back Pain.jpg

If you’ve been working from home for a while and are noticing lower back pain that lingers, it could be caused by your home office set-up. Working longer hours, not having a supportive chair and poor posture can all lead to back pain. “The urgency in which people were sent home to work during the peak of the pandemic, left little to no time to set up a proper office space,” explains Dr. Nathan Kind, physical therapist at Evolve Sport Rehabilitation - Brooklyn. “Also, without the usual distractions of work, people find themselves sitting for 3-4 hours or more without getting up to run to various meeting room shared office spaces.

Extended sitting leads to poor posture, which can ultimately lead to pain. Nathan further explains that “The stress from juggling life at home can also increase pain from ramped up cortisol, tightness in muscles, shallow breathing and decreased circulation throughout the body,” Dr. Kind explains. “It’s been a perfect recipe of factors that contribute to back and neck pain.” Dr. Kind shares advice on how to get “back on track” reduce back pain while working from home.

Tips on How To Reduce Back Pain And Sciatica While Working From Home-

START YOUR DAY WITH A STRETCH!

Whether you’re suffering from pain in the lower back, mid-back, or upper back and shoulders, here are two stretches that are easy to try:

Knee to chest: Don’t be fooled by this stretch’s simplicity. This is a really effective way to stretch the hamstrings and lower back. Lie on your back with your legs flat on the floor. Gently bend one leg up, placing your hands over your knee to hold it in place. Hold this for 30 seconds on each leg.

Side bends: While standing, slowly slide your right hand down the side of your right leg, going as far as you can until you feel any stretch or discomfort. Hold for 10 seconds and ease yourself back to standing. Repeat on the left side.

VIEW YOUR COMPUTER SCREEN WITH A STRAIGHT NECK!

Put your screen in front of you at a comfortable viewing height. Don’t look down at your screen, like to a laptop on a table or to your phone. And don’t angle your screen so you must twist your neck–some people like to put their keyboard and mouse in front of them with their screen off to the side, but then they end up dealing with neck pain from the swiveling. If you have a separate screen or if you are using a laptop, you might have to put it on a pile of books or on a cardboard box to raise it to a comfortable viewing position straight in front of you.

STAY HYDRATED!

Simple, yet often forgotten when we get busy, remember to keep up your water intake. Drinking plenty of water helps keep your muscles and skin well hydrated. It ensures the body has plenty of opportunities to take away waste products from the muscles that are working hard keeping you in your forced typing/desk position. There are also secondary benefits too. You have to get up out of your seat to get a refill, giving you a natural break and, most likely, you will be going to the loo more often!

SCHEDULE TIME FOR YOUR BODY TO MOVE!

When we asked Dr. Kind, what’s the most important advice you can give someone working from home ? He replied “ Take a shake break, take a break simply just to move and schedule time to take care of your body”.

The Key is not to stay in any one position for longer than about 45 minutes. Get up and move around be intentional about your movement. If you have a smartwatch or Fitbit wear it and follow the prompts to stretch.

If you need help with getting back on track schedule Physical Therapy as part of your weekly fitness/wellness routine. There are a lot of simple exercises we can teach you to do at home or at work to strengthen your core and support your lower back and spine.

Got Sciatica? Do you have an excruciating pain or electrical shock feeling running down your back and legs that just won't quit? Check Out Some of Evolve Physical Therapy’s Lower Back Stretches and Sciatica Specific Stretches…

Back-Pain Infographic.jpg

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

Got lower back pain and/or Sciatica? Call us today to schedule an appointment! Call- 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

There’s physical therapy, there’s training, and then there’s EVOLVE. We use the science of bio-mechanics 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

BE-Third-Banner.jpg
Read More

What is Instrument Assisted Soft Tissue Mobilization

Instrument Assisted Soft Tissue Mobilization-Instrument Assisted Soft Tissue Mobilization, or IASTM, is a tool that therapists may use to treat soft tissue dysfunction. This approach to soft tissue work is utilized to identify and treat restrictions in the fascia. IASTM tools are designed to find tissue abnormalities such as scars, restrictions and adhesions. The tools are made to allow the therapist to concentrate their force into a smaller surface area, resulting in a more efficient treatment. The goal of using these tools is to trigger an inflammatory healing response in order to stimulate the production of new collagen and encourage pain free healing.

Instrument Assisted Soft Tissue Mobilization

What is Instrument Assisted Soft Tissue Mobilization Square.jpg

Instrument Assisted Soft Tissue Mobilization, or IASTM, is a tool that therapists may use to treat soft tissue dysfunction. This approach to soft tissue work is utilized to identify and treat restrictions in the fascia. IASTM tools are designed to find tissue abnormalities such as scars, restrictions and adhesions. The tools are made to allow the therapist to concentrate their force into a smaller surface area, resulting in a more efficient treatment. The goal of using these tools is to trigger an inflammatory healing response in order to stimulate the production of new collagen and encourage pain free healing. 

Some issues that it may be used for are:

  • Chronic Inflammation

  • Cervical or lumbar sprains

  • Plantar Fasciitis

  • Scar Tissue

  • Trigger Finger

  • Patellofemoral disorders

  • Tendinitis

  • Myofascial pain and restrictions

  • IT Band Syndrome

Although controversial, there have been multiple studies addressing the benefits of IASTM on a cellular level. Some of these include reduction in scar tissue, an increase in circulation, and remodeling of collagen fibers to promote healing and restore function. When IASTM is incorporated into a therapeutic exercise program, the soft tissue is encouraged to lay itself down in an appropriate arrangement. 

What Should I Expect From an IASTM treatment?

Your therapist will use their instrument to glide over your skin. When the tool picks up on scar tissue or an adhesion, you will feel a “catch”. Your therapist will then spend about 30-90 seconds treating this area. IASTM should not be painful but it may be uncomfortable at times. After your trouble area is treated, your therapist will guide you through a stretching or strengthening program, depending on your needs. 

The potential outcomes from this type of treatment include increased range of motion, blood flow, and decreased pain. Mild soreness following a treatment is not uncommon and is not dangerous. When paired with active exercises, IASTM is an effective tool that your physical therapist may utilize to help you gain the maximum benefits from your treatment sessions. Give us a call to schedule an appointment- 1-718-258-3300 or click here to find out more about IASTM physical therapy services.

About Evolve Physical Therapy-

Bottom Image.jpg

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

Read More

What is Complex Regional Pain Syndrome?

What is Complex Regional Pain Syndrome? Complex Regional Pain Syndrome is a disproportionate response of the sympathetic nervous system (think fight or flight) following an injury. This abnormal feedback to the brain has been associated with injuries to bone, nerve, soft tissue, and blood vessels. It is most commonly seen in the hand and foot after immobilizing a painful injury in that region or after a stroke or heart attack.

What is Complex Regional Pain Syndrome?

What is Complex Regional Pain Syndrome Square.jpg

Complex Regional Pain Syndrome is a disproportionate response of the sympathetic nervous system (think fight or flight) following an injury. This abnormal feedback to the brain has been associated with injuries to bone, nerve, soft tissue, and blood vessels. It is most commonly seen in the hand and foot after immobilizing a painful injury in that region or after a stroke or heart attack.

Someone who has Complex Regional Pain Syndrome (CRPS) will complain of a continuous throbbing or burning pain in their arm, hand, leg, or foot. They may have increased sensitivity to touch, cold, and have changes to their skin color. These skin changes can range from blue, to red, to white blotches. The joints affected may be stiff and swollen as well. People with this syndrome may experience muscle spasms, tremors, and weakness. 

There are two types of CRPS that one can develop:

  • Type 1: This type is found in the vast majority of CRPS patients, about 90%. It occurs after an injury that did not directly damage any nerves in the affected region. 

  • Type 2: This less common form occurs after a direct injury to a nerve in the affected limb.

There is no general timeline for symptoms of this condition as it can last anywhere from a few months to a year. CRPS can lead to ongoing chronic pain which is a potential risk factor for developing clinical psychological depression. 

Early management is crucial in order to support a good prognosis. There are some disabling complications that can develop if this issue is not taken care of early enough. The most common ones include muscle wasting and muscle contractures. When you visit your doctor, they will direct your treatment toward disrupting the increased sympathetic response and a nerve block medication will likely be administered. While medication will help ease the pain, it does not provide long term relief. 

While medicated, it is important to see a physical therapist who will help you exercise through pain free ranges of motion. A physical therapist will help you loosen up joints that are stiff in order to prevent muscle and joint deterioration. They will also work with you to reduce the risk of contractures, which is caused by the tightening of muscles. In addition, various therapeutic techniques may be utilized to reduce swelling and reduce pain. 

Medication alone will not help someone with CRPS get better for the long run. However, it significantly improves a patient’s ability to cooperate and perform better in a physical therapy session

Are you or someone you know experiencing CRPS? Call us today to make an appointment. Our therapists will work with you to reduce the risk of complications, and help you get back to living your life to the fullest. Call to schedule an appointment! 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

Bottom Image.jpg

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!

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 

Read More

Upper Back Strain?

Upper Back Strains- If you are experiencing pain on your upper back, specifically between your shoulder blades, you may have a rhomboid strain or spasm. The rhomboids are muscles that pull your shoulders back and rotate your scapulae down. They also act as a stabilizer, positioning the scapulae onto the thoracic wall. Activation of these muscles help to maintain proper posture while standing, sitting, and walking. When not activated, the shoulders can protrude forward, leading to poor posture and upper back pain.

Upper Back Strains

Upper Back Strain Square.jpg

If you are experiencing pain on your upper back, specifically between your shoulder blades, you may have a rhomboid strain or spasm. The rhomboids are muscles that pull your shoulders back and rotate your scapulae down. They also act as a stabilizer, positioning the scapulae onto the thoracic wall. Activation of these muscles help to maintain proper posture while standing, sitting, and walking. When not activated, the shoulders can protrude forward, leading to poor posture and upper back pain

 A rhomboid strain or spasm is usually caused from repetitive motions or other overuse of the shoulder. Some of these include overhead activities such as pitching, serving a tennis ball, rowing, carrying a heavy load such as a backpack, and sustained poor posture for long periods of time. A strain may cause pain in between your shoulder blades and can be assessed by your physical therapist.

Your physical therapist will help you strengthen and stretch the muscles in your upper back and shoulders in order to correct any existing muscle imbalances and to improve your posture. They also may incorporate some modalities into your treatment such as ice, ultrasound, and soft tissue work. All of these approaches will work off of one another to manage pain and inflammation.  In order to facilitate the healing process, you will need to modify your activities in order to avoid anything that aggravates your upper back pain. Your PT will most likely prescribe a home exercise program to complete between visits. You and your physical therapist will become partners in your healing; they will give you the tools you need to get yourself better in a timely manner. Following this plan is important to speed up recovery.  A mild strain should heal within 4-6 weeks while more severe strains may take longer.

There are a few actions you can take to prevent rhomboid muscle strains or spasms:

  • Be sure to warm up and cool down before and after your workouts

  • Perform dynamic stretches before activity and static stretches after activity 

  • If you have a desk job, set an alarm on your device to remind you to take breaks and move around every 45 minutes

  • Practice proper technique while playing sports

  • If you wear a backpack, make sure to carry it on both shoulders

Here are some exercises that can help with upper back pain due to rhomboid sprains and spasms:

  • Shoulder Retractions: Sit or stand with your arms at your sides. Draw your shoulder blades together while bringing them down and back. Hold this position for 5 seconds and repeat for 1 minute

  • Rhomboid Stretch: Extend your arms out in front of you, stacking your right hand over your left. Hold this position for 30 seconds and then switch sides. Repeat for a total of 3 times on each side. 

  • Neck Rotations: Sit upright at the edge of a chair. Inhale while turning your head to the right and hold at the end of your range for 30 seconds while taking deep breaths. Repeat on the left side. Do this for a total of 3 times on each side.

Got upper back pain? Call us today to make an appointment! Call- 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

evolve-physical-therapy.jpg

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

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

Read More

Physical Therapy for Concussion Injuries

Concussions and Physical Therapy- It is not well known that patients who have had concussions can and should be treated by a physical therapist. It used to be thought that the only way to treat a concussion was with rest. However, a lot of research has emerged recognizing the effectiveness of PT on treating this injury. Physical therapists are an integral part of the multidisciplinary team of health care professionals that provide concussion management.

Concussions and Physical Therapy

Physical Therapy for Concussion Injuries Square.png

It is not well known that patients who have had concussions can and should be treated by a physical therapist. It used to be thought that the only way to treat a concussion was with rest. However, a lot of research has emerged recognizing the effectiveness of PT on treating this injury. Physical therapists are an integral part of the multidisciplinary team of health care professionals that provide concussion management. 

Concussions are classified as a minor traumatic brain injury and make up 80-90% of brain injuries. They usually occur from a direct blow or jolt to the head or body. It is important to seek medical care if you suspect that you’ve sustained a concussion. After suffering from a concussion some symptoms you may experience include headaches, trouble concentrating, fatigue, drowsiness, dizziness, sensitivity to light and/or noise, diplopia (double vision), feeling mentally foggy or slowed down.

Rest is the most important consideration in early rehabilitation. The majority of concussions resolve independently with little to no symptoms after 7-10 days. If symptoms are still present after that time frame, your doctor may recommend physical therapy. A physical therapist will work closely with your referring doctor to help you get on the road to recovery. They will examine and evaluate you to establish a diagnosis, implement their plan of care, and monitor you to determine when you can return to your daily activities or sport. Your therapy plan will consist of treatment focused on determining the root of your symptoms as well as reducing their presence.

There are a number of clinical profiles under which your symptoms can be associated with. These are:

  • Vestibular- disruption of the central vestibular system

  • Oculomotor- disruption of the brain’s coordination of visual system and input, which can not be treated with PT.

  • Cognitive fatigue- worsening of problems throughout the day

  • Post-Traumatic migraine- which your PT will refer you to a medical specialist for

  • Anxiety/Mood- changes in mood

  • Cervical - neck pain, numbness, tingling, headache

During an initial assessment, a comprehensive exam will evaluate your symptoms, cognitive function, neuromotor skills, vestibular/oculomotor system, and psychological status. The goal of the initial exam is to rule out any emergency conditions that can not be treated with physical therapy. Some questions that your PT may ask you will include information about the injury, initial signs, symptoms, and severity, orientation to place and time, cognitive function, balance and motor coordination. Your therapist will ask you about the symptoms that you are currently experiencing, and may use scales to measure them objectively. They will also administer a neurocognitive assessment focused on memory, attention, processing speed, and reaction time. Your therapist will assess your balance and gait using tests and measures, as well as your vestibular system status. A psychological assessment may be administered as well for patients experiencing changes in mood, anxiety, stress, or other emotional issues. This information is important in order to determine the patient’s prognosis.

Once you are cleared for therapy and your goals are clear, you will come in for a comprehensive follow up.

Common treatments that you can expect at a physical therapy sessions include:

  • Prescribed rest: this is beneficial to protect the brain from further injury and lessen disruption of cellular function. This is especially beneficial for patients with more severe signs and symptoms. However, active rehabilitation may be more effective for patients with chronic symptoms.

  • Sleep program: 33% of patients experience sleep disruption. Patients should be on a healthy sleep program to promote recovery and limit development of a sleep disorder.

  • Active therapy: this has been associated with improved outcomes, as it increases neuroplasticity, or the brain's ability to form new connections.This may include neck and back stretching or strengthening exercises, or soft tissue work.

  • Vestibular therapies: dual gait and dynamic movement activities, gaze stability exercises, sensory organization exercises.

  • Oculomotor therapies: pencil push ups, ladder beads, shifting focus based on distance

  • Cognitive fatigue: patients may be advised to complete cognitive and physically demanding tasks early in the day

In order to return to activity your PT will make sure that you are asymptomatic, back to baseline for cognitive, balance or other impairments, and asymptomatic following exertion. 

Our physical therapists stay up to date on relevant research regarding rehabilitation techniques for treating concussions. They will work to build you a program to help you get back to your daily activities with confidence. Call to Schedule an Appointment- 1-718-258-3300

About Evolve Physical Therapy in Brooklyn, NY-

Bottom Image.jpg

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! 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

Read More

Evolve Physical Therapy: End of Year Insurance Updates!

Finally, 2021 is just around the corner! But don't be so quick to bring 2020 to a close without maximizing your health benefits. We want to remind you to take advantage of any unused insurance benefits. Make sure to use all available benefits to complete any outstanding treatment, preventive or maintenance Physical Therapy sessions. Almost all plans reset on a calendar year, this means any applied deductible amounts, Out of Pocket Max, or visits allowances and even unused FSA plans dollar amounts do not rollover to the next benefit year. So, Use ‘Em or Lose ‘Em!

Evolve Physical Therapy Year End Update In Regards to Health Insurance…Maximizing Your Health Benefits Before the End of 2020

Finally, 2021 is just around the corner! But don't be so quick to bring 2020 to a close without maximizing your health benefits.

Maximizing Your Health Benefits Before the End of 2020 Square.jpg

We want to remind you to take advantage of any unused insurance benefits. Make sure to use all available benefits to complete any outstanding treatment, preventive or maintenance Physical Therapy sessions. Almost all plans reset on a calendar year, this means any applied deductible amounts, Out of Pocket Max, or visits allowances and even unused FSA plans dollar amounts do not rollover to the next benefit year.

“So, Use ‘Em or Lose ‘Em!”

2020 Benefits you might be losing out on:

  1. Losing out on your Insurance Deductible? – Your deductible is the required amount of money paid for health services before your medical insurance starts contributing full or partial amounts for your health services. If you already paid your deductible, but only came in for therapy once, you are not “getting your money's worth”. Your deductible starts again each new year.

  2. Losing out on your Co-Insurance? - Co-insurance is a percentage of the amount of money that the health insurance company will contribute towards your Physical Therapy sessions. For example your insurance plan may have a coinsurance of 80%/20%, meaning they will cover 80% of your cost for therapy leaving you with a $20 financial responsibility.

  3. Losing out on FSA Dollars? - Use Your Existing flexible spending account (FSA) Contributions – Another great reason to schedule a Physical Therapy appointment before the end of 2020 is to spend any remaining balance in your flexible spending account (FSA). This is an account that you establish through your employer, and that you may have elected to have some of your pre-tax pay put into. Use it or lose it: If you don’t use all your FSA by the end of the year, you’ll lose them. If you have a Health Spending Account (HSA), now is the time to schedule treatment so your co-payment amounts can be applied to this year’s deductions.

  4. Losing out on lower Premium Rates? - As you’ve heard on the news, most premiums are going up – Through your insurance provider, you currently have health insurance premiums every month, therefore you should be using your benefits. Even if you don’t have any immediate pain or issues, you and your family should always have treatment sessions and screenings periodically looking for early signs of imbalance, postural changes, arthritis etc,.

  5. Fee Increases or Substantial Changes in Coverage– 2020 there are a lot of changes happening to our health care system and coverage. Therefore, use your benefits before the end of 2020, as there could be fee increases or a reduction in services covered under your current plan.

We’re ready to help you move healthier & happier in 2021! Click here for more information about our physical therapy services

Call us today to schedule your appointment! 1-718- 258-3300

Happy Holidays!

EVOLVE PHYSICAL THERAPY, 3319 AVENUE N, BROOKLYN, NY, 11234 | (718) 258-3300 | FRONTDESK@EVOLVENY.COM

Bottom Image.jpg

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

Read More

How Physical Therapy Can Help Reduce Opioid Abuse

Can you guess the most common reasons people seek health care? If you guessed that it's because of pain that they are experiencing, you are correct. Unfortunately, one of the most common ways that this is dealt with is via prescribed opioids. In 2017 this problem became extreme and the US declared the opioid crisis a “public health emergency.” The numbers of people abusing and overdosing on prescription pain medications has seen a dramatic increase between 2013-2017, and it is considered to be a national epidemic.

How PT Can Help Reduce Opioid Abuse Square.png

Can you guess the most common reasons people seek health care?

If you guessed that it's because of pain that they are experiencing, you are correct. Unfortunately, one of the most common ways that this is dealt with is via prescribed opioids. In 2017 this problem became extreme and the US declared the opioid crisis a “public health emergency.” The numbers of people abusing and overdosing on prescription pain medications has seen a dramatic increase between 2013-2017, and it is considered to be a national epidemic. In 2017, the CDC stated that 130 Americans die daily from opioid overdose. In addition, they stated that there is high quality evidence supporting exercise as part of a physical therapy treatment program for distressing issues such as low back pain, hip or knee osteoarthritis, or fibromyalgia.

Research has shown that patients who started physical therapy earlier were able to prevent acute pain from becoming chronic pain. A study that was conducted in 2018 found that an early physical therapy visit was associated with reduced risk for long-term opioid use.

When a PT works with a patient who is in pain, they use tests and measures to determine the causes of that pain and to assess its intensity, quality, and physical characteristics. Once the pain drivers are identified, and the patients goals are clear, the PT will design a treatment program personalized for the patient. They will combine the appropriate techniques in order to address the contributors to the pain. Some of these techniques include exercise, manual therapy, stress management, sleep hygiene, and pain neuroscience education.

Let's dive into these techniques a bit deeper to learn about how PT can help reduce opioid abuse:

Exercise. Studies have shown that people who exercise regularly actually experience less pain. Your physical therapist will work with you to create a program that addresses impairments and  deficiencies that may lead to pain.

Manual Therapy. This is a hands on approach that involves the manipulation of joints and soft tissue in order to modulate pain, regulate swelling and inflammation, and even improve mobility. 

Stress management. Your physical therapist may utilize techniques such as mindfulness, relaxation, and visualization to help patients reduce pain and improve their quality of life.

Sleep hygiene. It is common for those who have chronic pain to also present with sleep disturbances. There is evidence that shows that sleep deprivation can increase sensitivity levels and contribute to increased stress and pain. Your PT can educate you on the importance and implementation of sleep hygiene to help manage chronic pain. 

Pain neuroscience education. Your PT may educate you about the physiological processes that happen in our bodies when we feel pain. This understanding can be empowering and help our patients on their path to conquering chronic pain. 

Physical therapists at Evolve treat pain through movement, patient education, and hands on care. We stand by increasing physical activity to treat pain and also reduce your risk of other chronic diseases. Pain is personal, but treating pain takes teamwork. When it comes to your health, you have a choice, and we encourage you to choose wisely. Choose more movement and better health. Choose physical therapy! Call us to make an appointment: 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

Bottom Image.jpg

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! 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

Read More

Elbow Pain?

Elbow Pain? If you are reading this article, then you or someone you know may be experiencing elbow pain. The elbow is a joint that works like a hinge and consists of the humerus, radius, and ulna. The way that these bones are oriented also allows for some rotation at the joint. The elbow is stabilized by ligaments which form the joint capsule, lubricating the joint. All of our nerves that travel down our arm pass through the elbow. When these structures are not working together properly, we can experience pain. In this article we will discuss common conditions that cause elbow pain, their symptoms, and PT treatments.

Elbow Pain Square.png

Suffering From Elbow Pain?

If you are reading this article, then you or someone you know may be experiencing elbow pain. The elbow is a joint that works like a hinge and consists of the humerus, radius, and ulna. The way that these bones are oriented also allows for some rotation at the joint. The elbow is stabilized by ligaments which form the joint capsule, lubricating the joint. All of our nerves that travel down our arm pass through the elbow. When these structures are not working together properly, we can experience pain. In this article we will discuss common conditions that cause elbow pain, their symptoms, and PT treatments.

MCL Sprain: This is the injury of the medial collateral ligament, or the ulnar ligament. It is commonly seen in tennis and baseball players, and in people who fell on an outstretched arm. Excessive strain of the ligament eventually leads to instability, pain, and decreased velocity with movements. This pain is usually present on the side of your elbow closer to your pinky finger. Pain is usually reported during the acceleration phase of throwing which may be accompanied by a pop, sharp pain, and the inability to continue throwing. Treatment for this injury will depend on the stage of the strain, but will focus on strengthening of the forearm and wrist flexor muscles.

LCL Sprain: This is the injury of the lateral collateral ligament, or the radial ligament. This injury occurs through excessive weight bearing through the extremity and is often seen in gymnasts and breakdancers. If you suspect an LCL sprain you may feel a painful clicking, snapping, or locking of the elbow when you straighten your arm, on the side closer to your thumb. There may be swelling as well. Treatment for this injury will depend on the stage of the strain, but will focus on strengthening of the forearm and wrist extensor muscles. It is also important to maintain grip strength during this process.

Lateral Epicondylitis: Otherwise known as tennis elbow, this is pain and inflammation due to degenerative tendinopathy. This is potentially caused by a dysfunction in the cervical spine (neck), fascial traction on the nerves, and poor elbow biomechanics. The pain usually presents on the side of your elbow closer to your thumb and is usually gradual, achy, and stiff. Grasping objects usually becomes difficult as well. Treatment will include exercises to increase the endurance of the affected muscles, stretching of the muscles, as well as soft tissue techniques to decrease tone and pain.

Medial Epicondylitis: This term is synonymous to golfer’s elbow and is ⅓ as common as tennis elbow. This injury usually occurs after repeated stress on the joint and consists of pain and inflammation on the side of your elbow closer to your pinky finger. It may be tender to touch and stretching may be painful as well. Physical therapy treatments will incorporate endurance exercises and stretching to the affected musculature. 

Nerve Entrapment: A nerve may become irritated as a result of fluid buildup, prolonged weight bearing, or excessive pressure. Some of the most obvious symptoms may be hand weakness, tenderness, tingling, and numbness. Your PT will determine the site of entrapment and treatment will depend on the specific nerve that is affected. Splints are commonly used to decrease excess tone. Other treatments may include nerve mobilizations, soft tissue work, and some light stretching.

Therapists at Evolve, are dedicated to treating the cause of the symptoms, not the symptoms themselves. Our goal is to become a team with our patients in order to help them safely return to their activity or sport while preventing further injuries. Contact us to schedule your physical therapy appointment!

About Evolve Physical Therapy-

Bottom Image.jpg.jpg

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

Follow Us!


Read More

Are Your Hips Bothering You? 

Are Your Hips Bothering You? Causes, Symptoms, and PT Treatments for People Living with Hip Pain There are a variety of diagnoses that can be the cause of your hip pain. It can come from wear and tear, overuse, bone injuries, and many more causes. The way your hip pain presents will depend on what exactly is going on. This article will break down the causes, symptoms, and treatments you can expect during a physical therapy treatment.

Are Your Hips Bothering You? 

Causes, Symptoms, and PT Treatments for People Living with Hip Pain

Are Your Hips Bothering You Square.png

There are a variety of diagnoses that can be the cause of your hip pain. It can come from wear and tear, overuse, bone injuries, and many more causes. The way your hip pain presents will depend on what exactly is going on. This article will break down the causes, symptoms, and treatments you can expect during a physical therapy treatment.

Let’s take a look at what the hip joint is and what it does:

The hip is a ball and socket joint which is able to move in many directions. These include flexion and extension, internal and external rotation, as well as abduction and adduction. While this joint is one of the largest in the human body, it is subject to damage and overuse. Hip pain is commonly the result of a muscular issue (muscles & tendons) or a skeletal issue (bones).

Many diagnoses that are discussed in this article are the result of a movement disorder. When the joint mechanics are not functioning ideally, it eventually leads to microtrauma and pain. What separates a good PT from a great PT is that a great PT will address pathomechanics (the way you move) in order to fix the anatomy that is dysfunctioning. Some treatments to help correct movement disorders include:

  • Joint mobilizations

  • Therapeutic exercises to target specific muscles and increase stability

  • Stretching to lengthen or reduce tone in specific muscles

  • Education on posture and positioning in order to facilitate the healing process

Physical therapists don’t treat “hips”, they treat movement disorders! However, it is helpful to know the diagnosis caused by this. Below we will briefly discuss the most common disorders of the hip, as well as some treatments one may expect from a physical therapy session. 

Osteoarthritis (OA) : This is the loss of cartilage in the joint which may lead to pain and loss of function. OA is found in up to 25% of adults ages 55+. It can be caused by genetics, trauma, obesity, as well as poor biomechanics. OA usually presents as achy or sharp pain that increases with activity in the buttock, groin, thigh, or knee. It may become stiff with inactivity, especially first thing in the morning. When hip OA progresses to a certain degree, surgery may be indicated. Physical therapy is a great way to manage hip OA in order to prevent or prolong the need for surgery. When you come in for an appointment your PT will guide you through exercises and stretches as well as education on posture and positioning. 

Hip Impingement: Abnormal friction between the ball and socket causing damage to the hip joint or the structures that get caught in between. A hip impingement may be accompanied by pain in the groin after walking or prolonged sitting. Pain may also be felt in the low back, SI joint, buttock, or side of the hip. Continued friction without treatment can cause further damage to the musculature as well as the labrum. Activities like running and cycling, and even light stretching should be avoided when a labral tear is suspected. Your PT will guide you through the proper exercises that should be performed. Some of these may include mini squats, glute bridges, and clams.

Labral Tear: A tear along the ring of cartilage located on the outside rim of the hip joint. A tear may be the result of the joint being stressed in a rotated position. It is common for the pain to be sharp with a clicking, catching, or locking sensation. The pain is mainly in the groin but can also be in the buttock region. There are tests that a physical therapist can do to determine whether or not they suspect a labral tear. During your treatment you can expect low-intensity exercises that activate muscles of the hip and core such as monster walks and dead bugs. With this diagnosis, it is key to stay active with exercises that do not cause pain. 

Muscle Strain: A pulled muscle can result from a trauma such as a fall, sudden twist, or a pulling muscle or tendon. It can also result from poor biomechanics, overloaded muscles that can no longer compensate for weak primary muscles, or muscles that are fatigued and not working well. A muscle strain may lead to swelling, bruising, soreness, stiffness, and limited range of motion. When you come in to heal a pulled muscle a PT will treat the cause first, which can be a muscle imbalance or poor biomechanics. Then they will promote healing through education to avoid certain motions based on your stage of healing. Finally, they will address pain through the use of modalities such as ice, ultrasound, or electric stimulation. 

Tendinopathy: This is when the tendon of a muscle becomes irritated and becomes damaged. Tendinopathy is most commonly due to overuse, beginning a new exercise program, or increasing a level of exercise too quickly. The tendon is not accustomed to the new level of demand and this new input may cause damage. If you have a tendinopathy you may see warmth and redness, swelling near the tendon, or feel some tenderness. You may also notice a loss of strength in the affected area. Some treatments that you may expect during a physical therapy session will include cross friction massage to increase blood flow to the area or eccentric exercises, depending on the stage of damage.

Bursitis: Bursitis is the inflammation of a bursa, which is tissue that prevents friction between two surfaces. It is a vague diagnosis usually caused by repetitive movement or prolonged or excessive pressure. Bursitis usually feels a lot like tendinopathy and is best treated by getting to the root of the movement disorder causing it, as determined by your PT. 

Peripheral Nerve Entrapment: This is the impingement of a nerve as it passes through certain structures. Symptoms of a nerve entrapment vary greatly depending on the nerve that is affected. These are some of the most common symptoms: radiating pain, numbness and tingling, a burning sensation, and weakness. Some treatments for this may include soft tissue therapy around the nerve, strengthening of certain muscles to decrease compression and taping in order to take pressure off of the nerve. Good recovery is achieved with the vast majority of patients, however the amount of time it takes to treat varies. 

A physical therapist at Evolve can help you get on the road to healing your hip pain. Our therapists do not just treat symptoms, but we get to the root of the cause. We strive to enable our patients to live pain free, and prevent the recurrence of related issues. Click here to find out more information about physical therapy for hips

Call us to schedule an appointment- 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

Bottom Image.jpg

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! 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

Follow Us Socially!

Read More

How Can Physical Therapy Help My Sciatica? 

Physical Therapy and Sciatica- Physical Therapy is beneficial for people with sciatica for many different reasons. Therapy can help manage inflammation, improve daily function, and prevent future exacerbations of symptoms. Sciatica is best defined as irritation or inflammation along the pathway of the sciatic nerve which branches from your lower back, through your hips and down each leg, innervating many muscles.

Physical Therapy and Sciatica

Sciatica-Management-Square.jpg

Physical Therapy is beneficial for people with sciatica for many different reasons. Therapy can help manage inflammation, improve daily function, and prevent future exacerbations of symptoms. Sciatica is best defined as irritation or inflammation along the pathway of the sciatic nerve which branches from your lower back, through your hips and down each leg, innervating many muscles.

Sciatica is described as pain on one side, from the low back to the buttock, down the back of the thigh and sometimes reaching the calf. This pain is often accompanied by numbness and/or tingling, may present as a mild ache, or a sharp burning sensation and may get worse with prolonged sitting. Increased abdominal pressure may make it worse, such as when sneezing or coughing. Although described as “sciatica”, the symptoms experienced will vary from person to person.

There are many possible causes for pain that travels down the leg. This may be described as “radiating pain”. However, true radiculopathy includes diminished reflexes, sensation loss/changes, and weakness. Some causes of sciatic symptoms include hamstring strains, a herniated disc, tissue degeneration, spinal stenosis, small stress fractures, sacroiliac joint dysfunction, and piriformis syndrome. Your physical therapist can determine the root of the cause by using special neurodynamic testing.  

Without understanding the reason for your sciatic symptoms, it may be difficult to treat your symptoms with long term relief. A great physical therapist will give you a specific plan of care to address the cause of the pain with the goal of resolving this episode and preventing future exacerbations. Specific exercises will target underlying causes. For example, if the cause of the pain is from a herniated disc, exercises will include putting your spine in a position to encourage extension, taking pressure off of the disc and decreasing pain. Acute cases of sciatica usually get better with 4-6 weeks of physical therapy. Chronic sciatic pain that has lasted for over 8 weeks may take longer to resolve in PT. 

You and your physical therapist will become a team in order to get yourself better. Being consistent with home exercises and focusing on correct form will take you a long way. This is key in getting the maximum benefits of your treatments.

Some general goals for physical therapy may include:

While you may be able to find temporary relief on your own with home remedies, a physical therapist at Evolve will work with you in order to treat the underlying cause of the issue and provide long term relief. 

Click here to find out more information about physical therapy for Sciatica

About Evolve Physical Therapy in Brooklyn-

Sciatica-Management-Third-Banner.jpg

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

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!

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



Read More

Top 5 Exercises to Get Rid of Headaches

5 Best Exercises to get rid of headaches- While headaches can range from being a nuisance to being excruciating, there may be a way to find relief through movement, if you meet certain criteria. The vast majority of headaches are not due to underlying conditions. However, there are certain symptoms that should prompt you to see your doctor:

5 Best Exercises to Get Rid of Headaches

Headaches-brooklyn.png

While headaches can range from being a nuisance to being excruciating, there may be a way to find relief through movement, if you meet certain criteria. The vast majority of headaches are not due to underlying conditions. However, there are certain symptoms that should prompt you to see your doctor:

  • Very severe headache that comes on suddenly

  • Headache made worse while coughing, sneezing, changing positions

  • Constant headache in the same location of your head

  • Headaches accompanied by tingling of the face, fever, chills, weight loss, night sweats

If you are not experiencing any of the above symptoms, you may be experiencing a muscle contraction headache. This is a type of tension headache correlated with clenching the muscles in the head. While the cause of this headache is unknown, there are some factors that may contribute as a trigger for them. Some of these include poor posture, anxiety or stress, dehydration, eye strain, and excessive alcohol consumption or smoking. These factors prompt the head muscles to tighten up, leading to pain.

You may also be experiencing a cervicogenic headache. These stem from upper cervical issues of the segments, ligaments, and muscles on the sides and back of your neck. These make up about 20% of people's headaches. They are commonly one sided and start from the back of the neck going up around the temples. These are a mechanical dysfunction, and can be treated with certain exercises. 

Here are 5 exercises you can try at home to find some relief from headache pain caused by tension, stiffness, and tightness in the neck and shoulders: 

  • Chin Tucks: These help reset the muscles in your head, neck, and shoulders. All you have to do is keep your neck in a neutral position, and tuck it back like you are giving yourself a double chin. Start by holding this position for 3-5 seconds, and do it for 5 repetitions. These can be done several times throughout the day.

  • Head rotations on a roll: This exercise works on the upper cervical vertebrae. Grab a thin foam roller, or cut a piece of a pool noodle and place it under your neck while lying down. Make sure it is high up where your head meets your neck. Gently rotate your head from side to side holding for 3-5 seconds on each side. If you start to get light headed, dizzy, or nauseous while doing this, stop immediately and go see your doctor as it can mean something more serious is going on. 

  • Scapular Squeeze:  If you are experiencing headaches, it may mean your chest area is tight and that your upper back is weak. To help with this, sit up and squeeze your shoulder blades down and back. Imagine there is an orange between your shoulders, and you are holding it in place, not allowing it to fall. Hold this position for 5 seconds and repeat for 5 rounds. You can do this a few times throughout the day. Make sure you are activating the muscles in your back to bring the shoulder blades closer together. The chest will open up to help strengthen the upper back muscles.

  • Pec Stretch: This exercise will help you stretch out your chest muscles, putting you in a better posture and reducing the chances of getting a headache. Sit up and clasp your hands together behind your back. Press down and out while pushing your chest out forward. Hold this position for 30 seconds and repeat for 3 rounds. Sometimes you may feel some tingling down your arms. This is okay if it goes away as soon as you come out of the stretch.

  • Thoracic roller: Headaches come from the neck, but may also come from the upper back, or thoracic region. Another way to relieve headaches is to loosen up that region of the spine. Rolling out the thoracic spine is a great way to do this. Place a foam roller on your mid back and wrap your arms around yourself like you are giving yourself a hug. Use your legs to roll up and down the muscles on the sides of your spine. Do this motion for 1 minute.

Want to learn more about how you can improve your posture to minimize headaches? Give us a call today to schedule a physical therapy appointment at Evolve.

About Evolve Physical Therapy in Brooklyn-

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

Brooklyn's Premier Holistic Physical Therapy Clinics-

Soft-Tissue-Third-Banner.jpg

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





Read More

Evolve Physical Therapy in Brooklyn Promotes Nathan Kind to Clinical Director of Marine Park Location!

Brooklyn’s premier physical therapy clinics, Evolve Physical Therapy, is pleased to announce the internal promotion of one of their own physical therapists to clinical director of their Marine Park location. Congratulations to Nathan Kind for Being Promoted to Clinical Director at Evolve Physical Therapy in Brooklyn!

Nathan Kind Promoted to Clinical Director at Evolve Physical Therapy in Brooklyn

Nathan Kind Promoted.png

Brooklyn’s premier physical therapy clinics, Evolve Physical Therapy, is pleased to announce the internal promotion of one of their own physical therapists to clinical director of their Marine Park location.

Nathan Kind has been with the Evolve Physical Therapy family for over 3 years, working his way up the ranks, promoted to the director of the exclusive Rock Steady Boxing program for Parkinson’s Disease, doing all of this while earning his Doctorate in Physical Therapy from the College of Staten Island in 2017.

With an extensive history in martial arts, Nathan learned at a young age the importance of self-discipline and physical health contributing to one’s overall well being. As such, Nathan Kind has proven time and time again that he is a driven, passionate person, caring deeply for anything he does and anyone he comes in contact with.  

For more information about Nathan Kind and other team members (a.k.a. Family members) at Evolve Physical Therapy, please visit- https://evolveny.com/team 

About Evolve Physical Therapy in Brooklyn-

Evolve-Square-Logo-150.jpg

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! 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.

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

Multiple Locations!

1-718-258-3300

https://EvolveNY.com 


Read More

Got Shin Splints?

Shin splints, or medial tibial stress syndrome, is definitely not pleasant, but is treatable. This is a problem that is found due to a sudden increase in exercise, especially in runners, dancers, and military recruits. The term “shin splints” is used to describe pain along the inner edge of the tibia, or shin bone. Some people find relief with simple home remedies while some require more care and attention.

What Are Shin Splints

shin-splints-brooklyn.jpg

Shin splints, or medial tibial stress syndrome, is definitely not pleasant, but is treatable. This is a problem that is found due to a sudden increase in exercise, especially in runners, dancers, and military recruits. The term “shin splints” is used to describe pain along the inner edge of the tibia, or shin bone. Some people find relief with simple home remedies while some require more care and attention.

Shin splints indicate inflammation of the muscles, tendons, or bone tissue around your tibia. The pain you feel would be at the site where the muscles attach to the bone. The pain may be sharp or dull, may be present during and after activity, and may be tender to touch. Many athletes have recalled their coaches having them work through the pain, and that is some bad advice. If you suspect that you are experiencing shin splints, stop your activity to prevent further damage. Be sure to avoid activities that bring on the pain.

What can I do at home?

Rest: This injury most likely is the result of overuse. Be careful to refrain from any activities that bring on your symptoms. Try alternative low impact exercises such as swimming, using the elliptical, or cycling. 

Warm up & cool down: When you are engaged in your low impact activities, be sure to include a warm up and cool down period at the beginning and end of your sessions. This is important to protect your muscles, tendons, and bones against further injury. 

Ice & Compression: Ice the area for 20 minutes, a few times daily. You can pair this with wearing a compression wrap or leggings. 

Calf Stretch: This may provide some temporary relief. Start by stepping your left leg forward with your knee bent and foot flat on the floor. Extend your right leg straight back, placing your heel flat on the floor. Make sure to keep your right leg straight. Lean into the wall until you feel the stretch in the right calf. Hold for 90 seconds and switch legs.

Wear supportive shoes: Get some athletic footwear that offers extra support.  This is only going to be helpful in the short term and will not heal the root of the problem, but it will temporarily help reduce stress to your tibia bone. 

Getting to the source

You most likely are experiencing this pain due to a change in your physical activity routine. If you have recently increased your frequency, intensity, volume, or duration, consider scaling it back when you return back after the healing process. You also want to make sure that your sneakers are not worn out. 

When you come in for physical therapy your PT will evaluate you to determine the source of the problem. They will ask you for a subjective history of your past medical history, medications taken, your daily activities, and your exercise routines. This information will help them gain the information they need to treat your shin pain. They will also be able to rule out certain issues like stress fractures, that do not respond to PT. The most common source of shin splints is tendinitis of the anterior tibialis muscle.

Some Shin Splint treatments that You may encounter at a PT session may include:

  • Flexibility exercises

  • Soft tissue work

  • Therapeutic exercise such as calf raises and single leg balance exercises

  • Guidance to progressively build up to your desired fitness level

  • Education on proper athletic footwear and how to pick out a shoe for yourself

  • Ice and compression to ease pain and swelling

Shin splints got you down? Call us to schedule an appointment today. Our physical therapists will evaluate you to determine the source of your shin pain and help you make a physical therapy plan to get back to doing what you love. Call: 1-718-258-3300

About Evolve Physical Therapy-

Evolve-Square-Logo-150.jpg

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!

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

Follow Us Socially!

https://twitter.com/pt_evolve_ny
https://www.facebook.com/evolvephysicaltherapyfitforlife/
https://www.instagram.com/evolvefit4life/
https://www.linkedin.com/company/evolve-physical-and-occupational-therapy-and-sports-rehab/
https://www.youtube.com/channel/UCydiv7YufCJ1hlNglcVOW9w
https://www.pinterest.com/evolveny/


Read More