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 »
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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 »
Synvisc Injections for Osteoarthritis- Why do they work?
For over 10 years patients with osteoarthritis of the knee and shoulder have had an alternative to oral medication for controlling knee or shoulder pain. The advent of the use of an intra-articular injections of mostly known as there brand name Synvisc or Hyaluranon that serve to lubricate the joint surfaces can provide significant painContinue Reading »
Preventing Or Reducing Your Low Back Pain
In my paramus physical therapy practice we discuss key components for those recovering or trying to prevent another episode of low back pain. Here are a few key points: Don’t SIT for greater than 20 minutes at a time Walking program 3x/week for 20-30minutes Make sure your computer work station is ergonomically safe Use aContinue Reading »
Can poor vision give you a headache?
Yes! My wife had an experience with a series of headaches about 4 years ago. We consulted with a neurologist who asked whether she had a recent eye exam. She was convinced she had a brain tumor and did not want to admit her eyes might be failing her. Finally, she gave in, andContinue Reading »
Antibiotic Guidelines with Joint Replacements
A recent statement from the American Academy of Orthopaedic Surgeons (AAOS) addresses antiobiotic usage prophylaxis for patients with joint replacements. This article recommends specific antibiotics based upon the type of surgery, ranging from dental to vascular. Since not all physicians are aware of these guidelines, educating your physician regarding the most effective antibiotic for your particular surgeryContinue Reading »
Spine Care at Apex Orthopedic Rehabilitation in Wyckoff, New Jersey
We are pleased to announce that my colleague Tracey Doyle, staff physical therapist at Apex Orthopedic Rehabilitation in Wyckoff, NJ, has recently completed a course on Mechanical Diagnosis and Therapy with focus on Lumbar Spine Examination through the McKenzie Institute. Use of the McKenzie method for spinal examination enables therapists to determine how well patientsContinue Reading »
Can weak calves and glutes contribute to foot and ankle pain?
YES! For women with pain caused by posterior tibial tendon dysfunction, there does appear to be a link. A study in the Journal of Orthopaedic & Sports Physical Therapy in September 2011 found that middle-aged women with mild posterior tibial tendon dysfunction have weakness in the hip extensors, hip abductors and calf muscles which mayContinue Reading »
“Filling” the Gap After Rotator Cuff Surgery
You may hear the term “fatty infiltration” for the first time when you see a physician about a rotator cuff injury. After you tear the tendon in your shoulder, a large gap remains between the tendon and the bones, keeping the shoulder muscle from performing its usual actions of shortening and lengthening. The body attemptsContinue Reading »