Common Aches and Pains What You Need To Know and What You Need To Know and How Physical Therapy Can Help Gretchen Roman, PT, DPT
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Common Aches and PainsWhat You Need To Know andWhat You Need To Know and
How Physical Therapy Can Help
Gretchen Roman, PT, DPT, ,
B k dBackground
Quinnipiac University, Hamden, CTBachelor of Science in Physical Therapy, 1996New York University, New York, NYMaster of Arts in Deafness Rehabilitation, 2000
G C C QLaGuardia Community College, Queens, NYCertificate in ASL/English Interpreting, 2003M h tt G l H it l I tit t fMassachusetts General Hospital Institute of Health Professions, Boston, MADoctor of Physical Therapy 2009Doctor of Physical Therapy, 2009
Greater RochesterGreater Rochester Physical Therapy
Tobey Village Office Park140 Office Park WayPitt f d NY 14534Pittsford, NY 14534V: (585)370-7180www grpt [email protected]
Physical Therapy Services
Orthopaedics– Shoulder
Elb
Post-Surgical RehabilitationWomen’s Health– Elbow
– Wrist– Hand
Women s HealthGeriatrics
– Finger/Thumb– Spine– Pelvis– Hip– Knee– Foot/Ankle
Sh ldShoulder
Sh ldShoulder
Rotator Cuff TendonitisShoulder ImpingementBicipitalBicipital TendonitisBursitis
Sh ldShoulder
Rotator Cuff Anatomy– SupraspinatusSupraspinatus– Infraspinatus– Teres MinorTeres Minor
– Subscapularis
Sh ldShoulder
Subacromial and Subdeltoid BursitisBursa= sac of fluid that serves as a gliding surface to reduce
f i tifriction
Sh ldShoulder
The shoulder complex is comprised of 4different joints:
1) Scapulothoracic joint2) Glenohumeral joint3) A i l i l j i t3) Acromioclavicular joint4) Sternoclavicular joint
P t S i l Sh ldPost-Surgical Shoulder
Rotator Cuff Repair
Shoulder DecompressionShoulder Decompressiondistal clavicle excision and/or acromioplasty
Sh ld E iShoulder Exercises
S iSpine
7 Cervical Vertebrae12 Thoracic Vertebrae5 Lumbar Vertebrae
24 TOTAL
S iSpine
Spinal StenosisDisc Herniation
Muscular StrainScoliosis
S iSpine
Disc BulgeDisc HerniationDegenerative Disc Disease (DDD)D ti J i tDegenerative Joint Disease (DJD)
S iSpine
Disc HerniationAnnulus Fibrosus
Disc Bulge
Tear in the annulus and the nucleus pulposus seeps out
Disc BulgeA bulging of the annulus
Nucleus Pulposus
S iSpine
S iSpine
Jelly Donut
P t S i l N k/B kPost-Surgical Neck/Back
Spinal FusionSpinal Laminectomy
N k E i & T t tNeck Exercises & Treatment
B k E i & T t tBack Exercises & Treatment
KKnee
KKnee
Knee Osteoarthritis
KKnee
Patellafemoral Syndrome
KKnee
Medial or Lateral Meniscal Injury
KKnee
SPRAINLigaments connect b t b
STRAINTendons connect
l t b bone to bone– Anterior Cruciate
Ligament (ACL)
muscle to bone
– Posterior Cruciate Ligament (PCL)
– Lateral Cruciate Ligament (LCL)
– Medical Cruciate Ligament (MCL)g ( )
KKnee
Patella Tendonitis
P t S i l KPost-Surgical Knee
Total Knee ReplacementReplacement
K E i & T t tKnee Exercises & Treatment
W ’ H lthWomen’s Health
Prenatal/PostpartumPrenatal/PostpartumOsteoporosisBreast CancerBreast Cancer– post-lumpectomy– post-mastectomy– post-mastectomy– secondary lymphedema
G i t iGeriatrics
Fall Prevention for Community yDwelling Elderly
EXERCISE!EXERCISE!Be Proactive About Managing Your Health
CardioFlexibilityFlexibilityStrengthening
Ph i l B fit f E iPhysical Benefits of Exercise
Enhances capacity to perform physical work, reducing chance of injuryImproves strength and muscle toneImproves tolerance for physical stressp p yImproves ability to sleep and the quality of sleeppHelps stabilize or maintain weight
P h l i l B fit f E iPsychological Benefits of Exercise
Serves as a powerful stress management strategyEnhances feelings of emotional well-beingIncreases feelings of self-esteemImproves body imagep y gIncreases ability to exert self-control
B d M I d (BMI) Ch tBody Mass Index (BMI) Chart
Di t ADirect Access
As of November 23, 2006, it became legal for a physical therapist with 3 years experience to treat a patient without a referral from a physicianpatient without a referral from a physician. Treatment, not including evaluation, can proceed for 10 visits or 30 days whichever comes first before a referral must be obtained to continue physicalreferral must be obtained to continue physical therapy treatment.
Regardless of this change in our practice act No faultRegardless of this change in our practice act, No-fault, Worker's compensation, and Medicare patients will continue to need a referral for payment.
R fReferencesAmerican Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00213 Accessed on January 16, 2011.htt // d / d /di i i f ti /k di dhttp://www.emedx.com/emedx/diagnosis_information/knee_disorders/knee_osteoarthritis_tka_xrays.htm Accessed on January 16, 2011.UW Medicine Orthopaedics and Sports Medicine. p phttp://www.orthop.washington.edu/totalknee Accessed on January 16, 2011.Greater Rochester Physical Therapy. www.grpt.com Accessed on January 16 2011January 16, 2011.Mayo Clinic. http://www.mayoclinic.org Accessed on January 16, 2011.University of Buffalo. http://www.ubsportsmed.buffalo.edu/education/pattend.html Accessed on January 17, 2011.
R fReferencesDynamic Rehab. http://www.dynamicrehab.com/pdf/Do%20I%20Need%20Surgery.pdf Accessed on January 16, 2011.B d Sh i TiBody Shaping Tips. http://www.bodyshapingtips.com/body_mass/bmi_chart/ Accessed on January 16, 2011.Active Edge. http://www.activedgewi.com/exercise archives.htmg p g _Accessed on January 16, 2011.Spine Universe. http://www.spineuniverse.com/conditions/herniated-disc/herniated-bulging discs Accessed on January 16 2011bulging-discs Accessed on January 16, 2011.Hoppenfeld, Stanley. Physical Examination of the Spine and Extremities, Appleton and Lange, Connecticut: 1976.
Th k !!Thank you!!
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