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Injury Healing and Protein Intake: Insights from an Orthopedic Physical Therapist

In the realm of orthopedic physical therapy, one of the most crucial yet often overlooked aspects of recovery is nutrition—specifically, protein intake. While we frequently discuss exercise regimens and therapeutic techniques, the role of protein in tissue repair and overall recovery warrants closer examination. This blog post delves into why adequate protein intake is essential for healing injured tissues and how it supports athletes, both young and adult, in their physical activities. Understanding Protein’s Role in Tissue Repair Protein is fundamental for the repair and regeneration of tissues in the body. When you sustain an injury, whether it’s a sprain, strain, or surgical wound, your body needs to produce new tissue to replace the damaged one. This process requires an ample supply of amino acids, the building blocks of proteins. Amino acids are essential for synthesizing collagen, which provides structural support to tissues and plays a key role in wound healing. During the healing process, the demand for amino acids increases. The body uses these amino acids to create new cells and repair damaged ones, essentially rebuilding the injured area. Therefore, insufficient protein intake can slow down recovery, as the body lacks the necessary resources to efficiently repair tissues. The Disparity Between Perceived and Actual Protein Intake Many people have misconceptions about their protein intake. According to various studies and surveys, individuals often overestimate the amount of protein they consume daily. For instance, the average person might believe they’re consuming around 100 grams of protein per day, but their actual intake might be closer to 60 or 70 grams. This discrepancy can be attributed to a lack of awareness about the protein content in various foods and an underestimation of actual dietary consumption. Why Increased Protein Intake is Necessary 1. Enhanced Recovery and Tissue Repair: When recovering from an injury, the body’s protein needs can increase by 20-30% compared to normal levels. This is because the process of healing and rebuilding tissues is protein-intensive. For example, a person recovering from a significant muscle strain might need around 1.2 to 1.5 grams of protein per kilogram of body weight per day, compared to the standard recommendation of 0.8 grams per kilogram for the average adult. 2. Support for Athletes and Intensive Physical Activities: Athletes and individuals engaged in regular intensive physical activities also require higher protein intake. For youth and adult athletes, protein supports muscle repair and growth, especially after rigorous training sessions. Muscle protein synthesis (MPS) is a critical process where protein is used to repair and build muscle tissues. Inadequate protein intake can hinder MPS, leading to prolonged recovery times and decreased performance. 3. Prevention of Muscle Loss: For those undergoing rehabilitation or physical therapy, maintaining muscle mass is crucial. Adequate protein intake helps prevent muscle wasting, which can be a concern during periods of immobility or reduced physical activity. This is particularly important in rehabilitation settings where preserving muscle strength and function is essential for returning to normal activities. Practical Tips for Ensuring Adequate Protein Intake 1. Incorporate Protein-Rich Foods: Include a variety of protein-rich foods in your diet such as lean meats, poultry, fish, eggs, dairy products, legumes, and nuts. For vegetarians or those with dietary restrictions, plant-based proteins like tofu, tempeh, quinoa, and legumes are excellent alternatives. 2. Monitor Your Intake: Keep track of your daily protein consumption to ensure you’re meeting your needs, especially if you’re recovering from an injury or engaging in intense physical activity. Utilizing food diaries or nutritional apps can help you stay on track. 3. Consult with a Professional: If you’re unsure about your protein needs or how to adjust your intake, consulting with a registered dietitian or nutritionist can provide personalized guidance. They can help tailor your diet to support your recovery or athletic goals effectively. Conclusion Injury recovery and athletic performance are significantly influenced by protein intake. Understanding the disparity between perceived and actual protein consumption can help individuals better meet their needs. By increasing protein intake during recovery and intense physical activity, you can enhance tissue repair, support muscle growth, and ultimately improve your overall health and performance. As an orthopedic physical therapist, my goal is to support you in every aspect of recovery and performance. Addressing nutritional needs, particularly protein intake, is a vital component of a successful rehabilitation or training program. Don’t underestimate the power of a well-balanced diet in achieving your health and performance goals.

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The Hidden Epidemic: How Low Vitamin D Levels Can Affect Your Injury Recovery and Overall Health

Recent studies estimate that about 42% of Americans are vitamin D deficient, and many more have levels that are below optimal. This widespread deficiency is concerning, especially given the critical role vitamin D plays in maintaining various aspects of health. As physical therapists, we often see how low vitamin D levels can subtly but significantly affect recovery from injuries and overall well-being. In this blog, we’ll explore how low vitamin D levels contribute to physical injuries, neurological damage, and mental health issues, and what you can do to address this issue effectively. The Risks of Low Vitamin D Levels 1. Impact on Physical Injuries and Recovery Vitamin D is vital for bone health and muscle function. A deficiency can weaken bones, making them more susceptible to fractures and injuries. For those undergoing physical therapy, low vitamin D levels can slow down the healing process, making recovery from injuries more challenging. Insufficient vitamin D can also impair muscle strength and coordination, which complicates physical therapy exercises and increases the risk of further injury. 2. Neurological Damage and Impaired Function Vitamin D is essential for proper nerve function and neurological health. Low levels have been linked to various neurological issues, including impaired nerve function, balance problems, and cognitive difficulties. In physical therapy, these neurological issues can manifest as coordination challenges and reduced proprioception (the sense of body position). These impairments can hinder your ability to perform exercises correctly and safely, prolonging your recovery and increasing the risk of additional injuries. 3. Mental Health Implications Vitamin D deficiency is also associated with mental health issues, such as depression and anxiety. This can be particularly problematic for patients dealing with injury recovery, as chronic pain and rehabilitation can already be mentally taxing. Low vitamin D levels can exacerbate feelings of depression and anxiety, making it harder to stay motivated and engaged in your physical therapy regimen. Addressing vitamin D deficiency can help improve mood and mental resilience, supporting a more effective recovery process. Addressing Vitamin D Deficiency: Testing and Supplementation 1. Importance of Testing If you suspect that you might be suffering from low vitamin D levels, it’s crucial to get tested. The 25-hydroxy vitamin D lab test is the standard method for determining your vitamin D status. If your results indicate that you are low or deficient, taking action to address this deficiency should be a priority. 2. Effective Supplementation Practices To maximize the benefits of vitamin D supplements, consider the following: Take with Lipid-Containing Foods: Vitamin D is fat-soluble, which means it is best absorbed when taken with dietary fats. Incorporate healthy fats into your meals, such as avocados, nuts, or olive oil, to enhance the absorption of your vitamin D supplements. Include Vitamin K2: Vitamin K2 works synergistically with vitamin D to support bone health and calcium metabolism. It helps direct calcium to the bones and teeth and prevents it from accumulating in the arteries. Including vitamin K2 in your supplementation regimen can provide additional health benefits and support optimal vitamin D function. 3. Investigate Persistent Deficiencies If you consistently find that your vitamin D levels remain low despite adequate supplementation, there may be an underlying medical condition affecting your vitamin D metabolism. Conditions such as chronic kidney disease, liver disorders, or gastrointestinal issues can interfere with vitamin D absorption and metabolism. In such cases, consulting with an endocrinologist or a specialist is advisable to identify and address any underlying health issues that may be contributing to persistent low vitamin D levels. Integrating Vitamin D into Your Physical Therapy Plan If you are undergoing physical therapy, it’s important to discuss your vitamin D status with your physical therapist. They can adjust your rehabilitation program to account for any specific challenges related to low vitamin D levels, such as balance issues or muscle weakness. By addressing these challenges, your physical therapist can help you achieve a more effective and efficient recovery. In conclusion, vitamin D plays a crucial role in physical injury recovery, neurological health, and mental well-being. By understanding the significant impact of low vitamin D levels and taking proactive steps to address deficiencies through testing, effective supplementation, and possible consultation with a specialist, you can enhance your overall health and improve your recovery outcomes. Remember, a comprehensive approach to health that includes managing vitamin D levels can make a significant difference in your physical therapy journey and overall well-being.

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Periosteal Electric Dry Needling: The New Gold Standard for Knee Arthritis

As an osteopractic physical therapist, I’m excited to share insights on a groundbreaking treatment that is swiftly becoming the gold standard for managing knee arthritis—periosteal electric dry needling (PEDN). This innovative approach is gaining momentum due to its impressive results, minimal risk, and cost-effectiveness, making it a game-changer for both patients and practitioners. Read more about our own arthritis treatment program here. What is Periosteal Electric Dry Needling? Periosteal Electric Dry Needling is a technique that involves inserting fine, sterile needles into the periosteum—the dense layer of connective tissue covering the bone—while applying a small electric current. This process stimulates the area directly adjacent to the bone, targeting the inflammation and pain associated with knee arthritis. Why PEDN is a Game-Changer 1. Extremely Low Risk One of the primary advantages of PEDN is its exceptionally low risk profile. The technique is minimally invasive compared to traditional interventions such as injections or surgery. Unlike surgeries, there’s no need for general anesthesia, which further minimizes risk. Most patients experience only mild discomfort, akin to a slight prick or muscle twitch. 2. Effective in Reducing Inflammation, Pain, and Stiffness Knee arthritis often involves chronic inflammation, pain, and stiffness, which can severely impact quality of life. PEDN has demonstrated remarkable efficacy in addressing these issues. The electric stimulation helps to modulate pain signals and promotes the release of natural anti-inflammatory agents within the body. Additionally, the technique encourages improved blood flow and tissue healing, which can significantly alleviate stiffness and enhance joint mobility. Patients often report noticeable improvements after just a few sessions. For most, this translates into better functional outcomes and a more active lifestyle. 3. Cost-Effective Compared to Alternatives When considering management of knee arthritis, PEDN stands out for its cost-effectiveness. Traditional treatments such as injections, medications, and surgery can be expensive and come with their own risks and side effects. PEDN, on the other hand, offers a more affordable solution without compromising effectiveness. The costs associated with PEDN are generally lower, and the need for repeated treatments is often reduced as the technique effectively addresses the root causes of pain and inflammation. The PEDN Treatment Process The treatment begins with a thorough assessment of the patient’s knee condition and overall health. Once a personalized treatment plan is established, PEDN sessions are typically brief, lasting around 20 to 30 minutes. The process involves inserting the needles into specific points around the knee, applying the electric current, and then removing the needles. Most patients experience a significant reduction in symptoms after just a few sessions, with ongoing improvement over time. Why You Should Consider PEDN If you’re struggling with knee arthritis and traditional treatments haven’t provided the relief you need, PEDN could be a viable option to explore. It’s particularly beneficial for those looking for a low-risk, effective, and cost-efficient alternative to more invasive procedures. As always, it’s important to consult with a qualified healthcare provider to determine if PEDN is right for you and to ensure it complements your overall treatment strategy. In summary, periosteal electric dry needling represents a significant advancement in the treatment of knee arthritis. Its effectiveness in reducing pain, inflammation, and stiffness—combined with its low risk and cost-effectiveness—makes it a compelling option for those seeking relief and improved function. As the field of physical therapy continues to evolve, PEDN stands at the forefront of innovative treatments, offering hope and enhanced quality of life for many patients battling knee arthritis. If you have any questions about PEDN or would like to learn more about how it might benefit you, feel free to reach out to our clinic. We’re here to help you on your journey to better joint health and overall well-being. Dr. Sarah Zemen PT, DPT, BSK, FAAOMPT, Dip. Osteopractic Author

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Safe & Effective Treatment for Cervicogenic Headaches

Cervicogenic headaches, a type of headache originating from the neck, can significantly impact one’s quality of life. For those seeking effective relief, a combination of perineural electric dry needling and spinal manipulation is a potent, promising, and lasting approach. This was recently demonstrated in a large scale randomized controlled trial observing the effects of this combination approach on pain, disability, and headache frequency, duration, and intensity. In this blog, we’ll delve into the key concepts behind these therapies and explore how their integration can provide comprehensive treatment for cervicogenic headaches. Understanding Cervicogenic Headaches: Cervicogenic headaches are characterized by various issues within the neck region (which you may or may not be aware of) that can cause pain or seemingly bizarre symptoms in the head and neck and radiate to other regions of the scalp, jaw, ear, eye, or forehead. Cervicogenic headaches can seem complex due to the nerve pathways that are involved. Common origin of these issues may include anything from a past whiplash or concussion event, to prolonged postures such as desk and computer work. These circumstances can negatively impact the oxygenation and mobility of various structures within the head and neck including joint capsules, ligaments, muscles and tendons, nerves, and fascia. Traditional treatments often include medication, conventional physical therapy, and lifestyle modifications. However, the promise of a combination treatment protocol of perineural electric dry needling and spinal manipulation is a promising holistic and targeted strategy for addressing the root causes of these headaches with much less risk than taking medications. Perineural Electric Dry Needling: Perineural electric dry needling is a technique that involves the insertion of thin needles at specific points of an affected area (usually an area that was previously strained or injured, such as from a car accident years ago). Depending on the condition or diagnosis, there are established semi-standardized protocols which are recommended for faster and more complete healing. Each protocol typically involves needles to be left in place and gently stimulated by a specific electric setting known to reduce pain and inflammation and promote blood flow. Unlike the more common type of dry needling (trigger point), evidence-based needling is a is designed to obtain the full therapeutic effects with a fraction of the discomfort and soreness. Evidence-based perineural needling is known to modulate pain signals, promote the release of endorphins, and significantly improve blood flow to the area for up to several days following treatment. In the context of cervicogenic headaches, perineural electric dry needling aims to help re-structure and re-vascularize (form new blood vessels) in previously injured or strained tissues, reduce pain and tension, alleviate nerve irritation, and normalize the pH level in the affected region. Spinal Manipulation: Spinal manipulation, often performed by osteopractors, involves the precise application of a low amplitude force (low amplitude = minimal amount of motion) at a high speed addressing pathological fixations of the joints and tissues of the spine. These techniques are more comfortable and safer than traditional adjustments for patients. Based on recent large-scale studies, specific techniques that bias the upper neck joints as well as the upper back joints seem to be the most valuable targets when treating migraines and cervicogenic headaches. This manual technique is designed to inhibit abnormal, maladaptive chronic pain signaling, reduce reflexive spasming, and – like the evidence-based needling, stimulate the release of endogenous opioids. The Synergy of Combined Treatment: When perineural electric dry needling and spinal manipulation are used together, they create a synergistic effect that addresses multiple aspects of cervicogenic headaches. Perineural electric dry needling stimulates problematic tissue to return to a healthier state (homeostasis) by stimulating blood flow, calming nerves, and healing chronically injured areas. When spinal manipulation is performed in conjunction, it further enhances the effectiveness of perineural electric dry needling by optimizing central nervous system signaling in the brain and spinal cord. The benefits of spinal manipulation (safe forms of “adjustments”) have nothing to do with “alignment,” as there is no literature to support this notion, but instead that the benefits have everything to do with neural processing of pain within our brain, spinal cord, and subsequently our sensory pathways to and from the brain. Patient Experience and Safety: It’s worthwhile to note that these therapies are well-tolerated, with a much lower risk for adverse effects than even taking an over-the-counter such as ibuprofen. The combination of various types of treatment are tailored to each patient’s specific needs. Patients often report reduced pain, headache frequency, intensity, and duration after undergoing this integrated approach within a consistent plan of care. As with any medical intervention, it’s essential to consult with a qualified healthcare professional, such as a physical therapist specialized in the treatment of headaches, or an osteopractor, to determine the most suitable treatment plan for each individual. Conclusion: The combination of perineural electric dry needling and spinal manipulation is a promising avenue for individuals seeking relief from cervicogenic headaches. By addressing factors such as blood flow, inflammation, and the state of various joints and tissues, this holistic approach aims to restore balance to the craniocervical region, providing a comprehensive solution for those who experience the gripping pain of cervicogenic headaches. If you suffer from cervicogenic headaches, consider discussing these treatment options with your healthcare provider to determine if this integrated approach is right for you. To find an Osteopractor near you, visit the Osteopractor Directory on the AAMT website or ask our GO Physio providers for network connections. For readers interested in the scientific data about this treatment approach, please refer to the following RCT published in The Spine Journal in 2021: Spinal manipulation and perineural electrical dry needling in patients with cervicogenic headache: a multicenter randomized clinical trial   Dr. Sarah Zemen PT, DPT, BSK, FAAOMPT, Dip. Osteopractic Author

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In Layman’s Terms – What Is An “Osteopractor”?

Introduction: When it comes to our body’s well-being, particularly our musculoskeletal system, we often seek various healthcare professionals to address our concerns. In recent years, a new term has emerged in the field of manual therapy – the osteopractor. You might be wondering, what exactly is an osteopractor? In this article, we will dive into the world of osteopractic care and explain it in simple, layman’s terms. Understanding the Basics: An osteopractor is a healthcare professional who specializes in a field known as osteopractic therapy. The term “osteopractor” is a combination of “osteopathy” and “chiropractic,” which hints at the two primary fields that influence this specialized practice. Osteopractors aim to provide non-surgical solutions to musculoskeletal issues, using a combination of hands-on techniques and patient education. The Role of an Osteopractor: The primary goal of an osteopractor is to assess, diagnose, and treat a wide range of musculoskeletal conditions. These can include back pain, neck pain, joint pain, muscle strains, and other related issues. Osteopractic therapy focuses on the restoration of optimal musculoskeletal function, which ultimately helps to alleviate pain and improve overall mobility. Techniques and Approaches: Osteopractors employ a variety of techniques and approaches to address musculoskeletal problems. These may include: Manual Manipulation: Osteopractors utilize their hands to apply controlled forces and manipulations to the affected areas of the body. These techniques aim to restore joint mobility, alleviate muscle tension, and improve overall musculoskeletal function. Soft Tissue Mobilization: Osteopractors may also use techniques that target the soft tissues, such as muscles, tendons, and ligaments. Through hands-on methods like massage, stretching, and myofascial release, they aim to reduce muscle tension, improve circulation, and promote healing. Exercise and Rehabilitation: Osteopractors often prescribe specific exercises and rehabilitation programs tailored to each patient’s needs. These exercises can help strengthen weak muscles, improve flexibility, and enhance overall body mechanics, which play a crucial role in preventing future injuries. Patient Education: Osteopractors believe that educating patients about their condition and providing them with self-care strategies are essential for long-term success. They guide individuals on proper posture, ergonomics, body mechanics, and lifestyle modifications that can contribute to their overall musculoskeletal health. The Benefits of Osteopractic Care: Osteopractic therapy offers several advantages for those seeking non-surgical, drug-free solutions to musculoskeletal issues: Pain Relief: Osteopractic techniques can effectively reduce pain and discomfort associated with various musculoskeletal conditions. By addressing the root cause of the problem, patients often experience long-lasting pain relief. Improved Function and Mobility: Osteopractors focus on enhancing musculoskeletal function, which translates into improved mobility and range of motion. This enables individuals to perform their daily activities with greater ease. Holistic Approach: Osteopractic care considers the whole person, taking into account physical, emotional, and environmental factors that may contribute to musculoskeletal issues. It aims to address the underlying causes rather than simply treating symptoms. Non-Invasive and Safe: Osteopractic therapy provides a non-surgical alternative to managing musculoskeletal conditions, minimizing the need for medications and invasive procedures. The hands-on techniques employed by osteopractors are generally considered safe when performed by trained professionals. Conclusion: If you’re seeking a healthcare professional who specializes in non-surgical, hands-on approaches to musculoskeletal issues, you’ll likely benefit the most from a provider who is fully trained in and Osteopractic physical therapy skillset.

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Spinal Manipulation: What Is It?

Spinal manipulation is a type of manual therapy that is commonly used by chiropractors and other healthcare professionals to treat a variety of musculoskeletal conditions, including back pain, neck pain, and headaches. Some potential benefits of spinal manipulation may include: Pain relief: Spinal manipulation may help reduce pain by restoring joint mobility and reducing inflammation. This can be particularly helpful for individuals with back or neck pain, which are often caused by joint dysfunction or muscle tension. Improved range of motion: Spinal manipulation may help improve joint mobility and range of motion, which can help individuals move more freely and perform daily activities with less difficulty. Improved muscle function: Spinal manipulation may help reduce muscle tension and improve muscle function, which can help individuals move more efficiently and reduce the risk of future injuries. Reduced reliance on medication: Spinal manipulation may help reduce the need for pain medication by providing natural pain relief. Improved quality of life: Spinal manipulation may help improve overall physical function and quality of life by reducing pain and improving mobility. It is important to note that spinal manipulation may not be appropriate for everyone, and there are some risks associated with this type of therapy, such as the risk of stroke or spinal cord injury. Therefore, it is important to speak with a healthcare professional before undergoing spinal manipulation to determine if it is safe and appropriate for your specific condition.

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Orthopedic Manual Physical Therapy: A Specialist Approach to Healing

Orthopedic Manual Physical Therapy: A Specialist Approach to Healing Orthopedic manual physical therapy is a type of rehabilitation that is focused on the treatment of neuromusculoskeletal conditions. This approach is highly specialized and is carried out by therapists who have received additional training in the diagnosis and treatment of orthopedic conditions. Fellowship trained, orthopedic manual physical therapists are experts in the field and are dedicated to helping patients recover from their injuries and get back to their active lives. What is Orthopedic Manual Physical Therapy? Orthopedic manual physical therapy is a hands-on approach to treating neuromusculoskeletal conditions. This type of therapy involves the use of manual techniques to diagnose, treat, and prevent a wide range of conditions. These techniques are designed to help reduce pain, improve mobility, and enhance function. Orthopedic manual physical therapists use a variety of highly skilled interventions with both their hands and instruments to help the body to help resolve conditions and promote healing. Why Choose a Fellowship Trained Orthopedic Manual Physical Therapist? Fellowship trained, orthopedic manual physical therapists are experts in the field and have received additional training to specialize in the treatment of orthopedic conditions. This type of therapist has received advanced training in manual therapy techniques, electric dry needling, differential diagnosis, instrument-assisted soft tissue mobilization, spinal and extremity manipulation, and functional biomechanics. Fellowship trained, orthopedic manual physical therapists also have a deeper understanding of the underlying mechanisms of musculoskeletal conditions and are able to diagnose and treat these conditions more effectively. Additionally, these therapists are equipped with the latest research and knowledge in the field, which allows them to provide the best possible care to their patients. They are also able to work in close collaboration with other healthcare providers, such as physicians and surgeons, to ensure that their patients receive the most comprehensive and effective care. What Conditions Can an Orthopedic Manual Physical Therapist Treat? Orthopedic manual physical therapists are trained to treat a wide range of conditions, including: -Low back pain -Neck pain -Shoulder pain -Hip pain -Knee pain -Ankle and foot pain -Tendinitis -Bursitis -Arthritis -Osteoarthritis -Sprains and strains -Headaches -Jaw Dysfunction In addition to these conditions, orthopedic manual physical therapists are also trained to treat sports injuries, work-related injuries, and post-surgical conditions. The Benefits of Orthopedic Manual Physical Therapy Orthopedic manual physical therapy offers a number of benefits to patients, including: -Reduced pain -Improved mobility and flexibility -Enhanced function -Increased strength -Improved posture -Enhanced athletic performance -Reduced risk of injury -Reduced need for medication Orthopedic manual physical therapy is a safe, non-invasive, and highly effective approach to the treatment of musculoskeletal conditions. With the help of a fellowship trained, orthopedic manual physical therapist, patients can expect to experience improved function, reduced pain, and a faster recovery from their injuries. In conclusion, orthopedic manual physical therapy is a specialized approach to the treatment of neuromusculoskeletal conditions. Fellowship trained, orthopedic manual physical therapists are experts in the field and are equipped with the latest knowledge and techniques to help patients recover from their injuries and get back to their active lives. If you are dealing with a musculoskeletal condition and are looking for a safe, effective, and non-invasive approach to your treatment, consider seeking out the services of a fellowship trained, orthopedic manual physical therapist.”

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Dry Needling in Physical Therapy: An Effective Treatment for Musculoskeletal Pain

Dry Needling in Physical Therapy: An Effective Treatment for Musculoskeletal Pain If you’re dealing with chronic muscle pain, you may have heard of dry needling as a treatment option. This therapy involves the insertion of thin, sterile needles into specific points in the muscle to relieve pain and improve function. In recent years, dry needling has become a popular technique in physical therapy, and for good reason. Here, we’ll take a closer look at what dry needling is, how it works, and why it may be a beneficial treatment for musculoskeletal pain. What is Dry Needling in Physical Therapy? Dry needling is a type of manual therapy that uses thin, filiform needles to target tight knots of muscle fibers known as trigger points. These trigger points can be felt under the skin and can cause pain, discomfort, and muscle weakness. By inserting a needle into the trigger point, physical therapists aim to release the knot, reduce pain, and improve muscle function. How Does Dry Needling Work? The exact mechanisms of how dry needling works are complicated and multifactorial, however in general it is believed to stimulate the body’s natural healing process as well as the ability to “recalibrate” the nervous system to down regulate pain. The needle insertion causes a local inflammatory response, which promotes the release of pain-relieving substances such as endorphins and enkephalins. Dry needling also stimulates the nervous system, leading to a reduction in muscle tension and an improvement in blood flow. What Can Dry Needling Treat? Dry needling has been shown to be effective in treating a variety of musculoskeletal conditions, including: Low back pain Neck pain Headaches TMD Shoulder pain Tennis elbow Plantar fasciitis Knee pain Headaches Sciatica And More It’s important to note that dry needling is not a cure for these conditions, but rather a tool that physical therapists use to help manage pain and improve function. Is Dry Needling Safe? Dry needling is considered safe when performed by a properly trained physical therapist. The needles used are thin, sterile, and single-use, so there is minimal risk of infection. Some people may experience minor side effects such as pain or bruising at the needle insertion site, but these are typically short-lived and minor. Overall, dry needling is a safe and effective treatment for musculoskeletal pain. If you’re looking for a non-invasive way to manage your pain and improve your function, it may be worth talking to your physical therapist about whether dry needling is right for you. In conclusion, dry needling is a promising therapeutic technique for physical therapists to help manage pain and improve function in patients suffering from musculoskeletal conditions. If you’re considering this treatment, be sure to consult a qualified and experienced physical therapist who has undergone proper training in dry needling techniques.

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Cervicogenic Headaches: What and How?

Cervicogenic headaches are a type of headache that originates from the neck. These headaches are caused by problems in the cervical spine, such as injury, arthritis, or muscle strain. Here’s what you need to know about this type of headache and how to manage it: Symptoms: Cervicogenic headaches typically present as a dull pain on one side of the head, neck, and shoulder, and can last from a few hours to several days. Other symptoms may include neck stiffness, pain in the jaw or behind the eye, and tenderness in the neck muscles. Causes: Cervicogenic headaches are often caused by issues with the cervical spine, such as a neck injury, spinal stenosis, or degenerative arthritis. They may also be caused by poor posture or repetitive stress, such as prolonged computer use or texting. Diagnosis: Your doctor may use a combination of physical examination, imaging tests, and patient history to diagnose a cervicogenic headache. In some cases, a nerve block may be performed to confirm the source of the pain. Treatment: Treatment for cervicogenic headaches may include physical therapy, chiropractic care, massage, and pain medication. In some cases, a neck brace or cervical collar may be recommended to help alleviate the pain. Stretching and strengthening exercises can also help to improve neck flexibility and reduce the risk of future headaches. Prevention: To prevent cervicogenic headaches, it is important to maintain good posture and take frequent breaks from prolonged activities that strain the neck, such as working at a computer or reading. It is also important to practice stress management techniques and get regular exercise to help improve overall neck and spine health. Cervicogenic headaches can be a frustrating and painful experience, but with the right treatment and preventative measures, they can be managed effectively. If you are experiencing frequent headaches, it is important to see a doctor to determine the cause and receive appropriate treatment. Physical therapy can help with cervicogenic headaches by addressing the underlying causes of the pain in the neck and spine. Physical therapists use a variety of techniques to help relieve pain, improve neck mobility, and prevent future headaches. Some of the ways physical therapy can help with cervicogenic headaches include: Soft tissue mobilization: Physical therapists can use manual techniques such as dry needling, IASTM, stretching, and trigger point release to relieve tension and pain in the neck and shoulder muscles. Strengthening exercises: Physical therapists can design an exercise program to target the muscles in the neck, shoulder, and upper back, helping to improve posture and stability. Postural re-education: Physical therapists can teach you how to maintain good posture and body mechanics to reduce stress on the neck and spine, reducing the risk of future headaches. Cervical spine mobilization/manipulation: Physical therapists can use manual techniques to help improve mobility and range of motion in the cervical spine, reducing the pressure on the joints and nerves that can cause headaches. Pain management: Physical therapists can provide education and guidance on pain management techniques such as home exercise management, activity modifications, and stretching to help alleviate headache symptoms. In conclusion, physical therapy can be an effective way to treat and prevent cervicogenic headaches by addressing the underlying causes of neck pain. Physical therapists work with patients to design a personalized treatment plan, helping them achieve lasting relief and improved quality of life.

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Manual Therapy – Friend or Foe?

Current evidence supports that a multimodal approach to treatment of pain is best. When used in combination, manual therapy, exercise, and education seems to provide better outcomes than manual therapy alone. Studies have shown that the application of manual physical therapy can help to optimize conditions for performing strengthening exercises through its ability to improve impairments in mobility, pain, and motor recruitment.

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