If you experience a burning or tingling pain in the sole of your foot, you might have tarsal tunnel syndrome. This condition can mean your foot “gives out” when performing certain physical activities. Tarsal tunnel syndrome occurs when there is abnormal pressure on the posterior tibial nerve in the foot. Pain worsens from activity, especiallyContinue Reading »
"Regular Health Tips From Physical Therapist Tom Willemann..."
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How to pick a personal trainer after physical therapy?
After attending physical therapy picking out an appropriate personal trainer is extremely important. Here are a few pointers and questions to consider: Make sure they take a health history to understand any cardiovascular or orthopedic considerations (ie osteoporosis, spinal problems, torn meniscus) Does your personal trainer have any experience with clients in a post- rehabilitation setting?Continue Reading »
Test your balance: Are you at risk for falls?
The statistics on falls for patients over 50 show that for falls that result in hip fractures, 25% result in death after a year! Prevent falls with good balance! Use the simple and quick Unilateral Stance Test, also known as “balancing on one leg.” Do it alone or try it with friends of the sameContinue Reading »
Biker with a hamstring and calf strain
History of a problem is often the key! When did it start? What changed around that time? This information is critical to a therapist’s understanding the origin a patient’s problem. One of our patients suffered a fall that resulted in repairs to his bike. Soon after receiving his bike back he reported pain in theContinue Reading »
Ankle pain and shoelaces—an unexpected connection
We recently had a patient with chronic insertional achilles tendinopathy and anterior distal tibiofibular joint sprain. We looked at his footwear and all seemed to fit well. After trying many types of taping techniques (ie mulligan and kinesio taping) with no decrease in his pain. Finally we had him bring in his boots again andContinue Reading »
Balance Extraordinaire
At Apex Orthopedic Rehabilitation in Wyckoff, NJ we consistently improve our patient’s ability to function in both the athlete and non-athlete. Once an awhile I like to highlight the combination of an individuals unique skills of speed,agility, balance,and coordination. Follow this video of an incredibly talented Scotish trick biker named Danny MacAskill!. As anContinue Reading »
Painful shoulder exercises–are they safe?
The exercises your physical therapist prescribed are causing pain. Could that be recommended practice? Recent studies suggest it may be. Eccentric strengthening in the moderately painful range may blunt pain fibers’ signals to the brain leaving you with decreasing pain as the muscles strengthen. Such strengthening may also assist in stimulating improved tissue repair. EvaluationContinue Reading »
Where is my shoulder pain coming from?
It could be coming from your neck or your shoulder? Unfortunately, I have treated patients that have had shoulder surgery for a fracture, rotator cuff repair, stabilization procedure for shoulder instability or a total shoulder arthroplasty (TSA) that didn’t make enough progress. Only later found to find out a portion of their shoulder pain was coming from theirContinue Reading »
Regain Mobility After a Patellar Fracture
A patellar fracture affects the kneecap, which can be easily broken, and often occurs from a fall directly onto the knee. They are most common in people 20 to 50 years of age and affect men twice as often as women. One of three bones making up your knee joint, your kneecap serves as aContinue Reading »
Direct Access In New Jersey
In the state of New Jersey patients have Direct Access to Physical Therapy care. What does Direct Access mean? The Direct Access Law, signed into law in 2003, allows patients to receive care from a licensed physical therapist without seeing a physician first. Insurance is recognizing and covering patients for care received by a physicalContinue Reading »