Physical Therapy Literature Review

This research is a significant step in describing a combined intervention, which can be studied within the context of future clinical trials to determine efficacy related to pain, function, balance, and falls compared to other physical therapy or medical approaches. Manual physical therapy also offers pain relief for acute and chronic back pain. Some limitation like joints that lack adequate mobility can cause trouble, pain, and change in function, posture, and movement. Manual physical therapy helps to repair mobility to stiff joints and decreasing muscle tension to direct the patient to more normal movement without pain. Also, contributes back pain release for patients with chronic back pain including joint problems, and severe back pain from soft tissue injuries.

Acupuncture for Back Pain Millions of people are using acupuncture to eliminate back pain. This alternative therapy helps reduce the discomfort associated with lower back pain and improve daily function. Acupuncture is a time-tested treatment that appears to be safe for pain management. Studies indicate that this therapy can maintain positive outcomes for long periods of time without producing the effects associated with other forms of treatment. Physical Therapy If you suffer from back pain, your doctor may recommend physical therapy.

Just like shoulder impingements, tears are caused by the wearing down of the muscles of rotator cuffs overtime, or by acute traumas. If you are currently experiencing a rotator cuff injury, the exercises outlined below will help you overcome the pain and heal you. These workouts are the best exercise for rotator cuff. The Best Exercises for Rotator Cuff

There is also tenderness to palpation bilaterally at paraspinal L5-S1. Straight leg raise is positive bilaterally, localizing to low back pain with ipsilateral leg pain. Sensation decreased over the bilateral L5 dermatomes, left greater than right. Assessment includes: lumbosacral disc disease with radiculopathy. Treatment plan includes request for bilateral L5-S1 transforaminal epidural steroid injections continue follow-up as directed.

More often than not, hip replacement was the next action to take for relieving pain (Total Hip Replacement). In addition, this procedure can be performed in two ways: posterior and anterior approaches. The posterior hip replacement is the traditional procedure in repairing the hip joint. For this technique, the surgeon would make a curved incision on the side of the hip on the gluteal muscles. For the other procedure, the anterior hip replacement, a surgeon would have to maneuver between the muscle to gain access to the hip joint through the front part of the hip (Kruse).

The patient presents increased pain with lateral rotation of the shoulder. Both the infraspinatus and teres minor both are suspect to be the cause of pain since they both laterally rotate and adduct the shoulder and insert at the greater head of the tubercle. With the

The cartilage can be damaged or worn by previous injury such as an elbow dislocation or fracture. Another reason for this injury to occur would be the deterioration of the joint cartilage due to aging. This injury typically affects the weight bearing joints. However osteoarthritis least affects the elbow joint because of its well matched joint surfaces, strong stabilizing ligaments and it can tolerate large forces without becoming unstable. Osteoarthritis is diagnosed based on the symptoms and x-rays of the elbow joints (which shows the arthritic changes).

In 1980 O.J Gilmore recognized this and undertook to surgically repair groin disruption in a group most who were soccer players. According to this article disorder of the hip joint, in particular acetabular labral tears, impingement, and injuries to the adductors can be difficult to distinguish from sports hernia they can even coexist. In the light of this, testicular tumors, epididymitis, prostatitis can be factors of chronic groin pain in men. Likewise 80% women affected by groin pain could be affected by endometriosis, ovarian cystic disease, PID, crohn disease. Also to determined whether a patients is suffering from sports hernia imaging testing such as MRI’s has being

The nerves or blood vessels around your shoulder have been damaged. After the humerus is placed back in the joint, your arm will be placed in a splint or sling to keep it from moving. You will need to wear it until your shoulder heals. When the splint or sling is removed, your may have physical therapy to help improve the range of motion in your shoulder joint. HOME CARE INSTRUCTIONS If You Have a Splint or Sling: Wear it as told by your health care provider.

People think that when they break their leg, they always have to go get an x-ray first, but if it happens right away, then a suggestion is they can go to an orthopedic surgeon for a speedy recovery and a successful outcome. Orthopedic surgeons are helpful in many ways. They repair bones and joints in the musculoskeletal system, when there’s fractures, sprains, diseases, cancerous tumors, etc. They can also focus on a specific part of the body, like: spine, hand, leg, etc. They also treat people of all ages except for very young children.

Hence, a physical therapist must assure proper fall prevention teaching and strategies are implemented such as using an appropriate assistive device for ambulation. In addition to ambulation, supervised LE range of motion exercises (ROM) and gentle strengthening activities must be performed. These patients are prone to develop hip/knee flexion contractures due to immobility, post-operative pain, and fear of moving the surgical part. Nicolai, Teijink, & Prins (2010, p. 353) acknowledges the importance of supervised exercise therapy (SET) for patients with intermittent claudication (IC) vs. solely walking information alone in improving ambulation distance; the researchers found that SET is an effective treatment for IC and should be given as first-line

He has ongoing progressive back pain with numbness, pain and weakness in the left leg/foot and occasionally on the thigh. He has done physical therapy, but he would now like a definitive plan. Recommendation was made for a L4-5 decompression and fusion. He will need complete facet resection in order to alleviate that lateral recess stenosis, as well as a likely decompressive laminectomy at L3-4 and L5-S1. In the meantime, he was advised to continue physical therapy and home exercises.

Patient has been receiving physical therapy since the accident. Patient states that there is pain relief following physical therapy. Lumbar spine examination reveals tenderness upon palpation at L1-S1 levels with muscle spasm present. Trigger points with palpable taut bands were noted at bilateral paraspinal level L3-S1 with referral patterns laterally to the region in a fan-like pattern. Range of motion (ROM) is as follows: extension is 20 degrees; forward flexion is 40 degrees; rotation is 10 degrees bilaterally; and lateral flexion is 10 degrees bilaterally.

Cranial Sacral - Cranial sacral therapy (also known as craniosacral therapy) is a gentle, noninvasive form of bodywork that addresses the bones of the head, spinal column and sacrum. The goal is to release compression in those areas which alleviates stress and pain. Cranial sacral therapy seeks to restore the natural position of the bones and can decrease stress from chronic injuries as well as provide relief from migraine headaches, neck and back pain, temporomandibular joint disorder (the inflammation of the joint that connects the lower jaw to the skull) and

I have used these assessments daily as a rehabilitation/geriatric nurse. These assessments are valuable to use for patients who might have compromise circulatory problems. This includes orthopaedic patients, medical history of PVD and DVT, and non-healing wounds. Peripheral pulses are hard to find in patients who are sick and dehydrated. I use the Doppler to find the pulses in the foot or ankles because they can be difficult sometimes in patients with circulatory problems.