Category Archives: Medical Fitness

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Aging Well is Aging Gracefully

What it means to each generation to age well has changed throughout the decades. As societal norms change, expectations for how people should feel or act also change. The goal of successful aging is always to age gracefully.

So what does it mean to age well or gracefully? Aging gracefully is finding the optimal balance between the physical, social (friendships), mental (cognitive), psychological, and spiritual aspects of aging. Each aspect of aging is important and interacts with the other.

We must be intentional in how we grow, develop, and maintain these five aspects of aging because of the multifaceted nature of our beings. Each aspect will likely be a focus at different times and seasons. Like a garden, our lives (and specifically these five basic attributes to graceful aging) go through the necessary seasons and cycles.

As a physical therapist, my primary role is to help older adults improve their physical abilities so they can continue to participate in the other aspects of living a full and graceful life. Daily activity and maintaining strength are vital components to aging well. Continue reading for tips for staying active and aging gracefully.

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Do I Have a Pulled Muscle or Something Else?

Unless you’re gifted with extraordinary medical abilities, you probably can’t immediately tell the difference between a pulled muscles or something else. Hey, let’s face it, most people aren’t doctors. Not everyone can instinctively tell where their pains are coming from. And, if you’re reading this post, my guess is that you might be one the ones who struggle a little. The good news is, though, it’s absolutely normal not to know the cause of your pain; both people who suffer from sudden, fleeting pain, as well as those who experience ongoing, chronic pain, are often dumbfounded as to its cause. More often than not, though, people jump to the conclusion that they’ve pulled muscles. The effects of this type of ill-informed opinion can be life-changing, and that is why we’re about to expose the hidden answers behind what it means to have a pulled muscles, and whether or not something completely different might be going on.

What are pulled muscles, actually?

This is a good question, and it is the best place to start on your journey to discovering the true source of your pain. Remember, if you have an informed understanding of your ailment, you’ll be able to heal the source and permanently eradicated the pain. With that in mind, here is some information about what pulled muscles actually are and whether or not you have one of them, or, something completely different:

  • Pulled muscles are muscles which are forcibly stretched and pulled beyond their capabilities. In other words, a pulled muscle is the result of a forceful movement exerted on that muscle. Take an elastic band as an example: as the band is stretched beyond its elastic means, it will eventually knot up or snap. This is exactly what happens to a muscle under the same conditions; a pulled muscle is the painful result of forced overextension.
  • Alright, so how do you damage your muscles in this way? The most common activities leading up to pulled muscles include overuse, improper form during workouts, a failure to warm up and down before and after exercise, and skipping over stretching routines. Muscles need to be primed for exercise, and if this crucial step is neglected, they tend to be less flexible and more prone to damage and pain.
  • That’s all good and well, but how can you then tell if you pulled a muscle or if you’ve done something else? Well, the biggest distinction between a pulled muscle and a different source of pain is the fact that your flexibility is limited after you hurt yourself. Essentially, this means you struggle to bend, stretch, or generally move the muscle. The muscle is tight and sore. In addition, you may experience swelling in the pulled area. You’ll most likely also experience stiffness and weakness in the muscle following the damage and, eventually, (if you don’t receive treatment for the correct diagnosis) you’ll become ‘knotted up’ in the area around the muscle as a greater amount of muscular tissue succumbs to stiffness and overuse.

Here’s the problem, though: you may be experiencing all this and yet you’re still unsure whether you have a pulled muscle, or something else like, for example, a structural issue or pinched nerve.

Luckily, there is a way to tell. Pinched nerves, in particular, effect different areas of the body and produce different sensations. Take a look:

What is a pinched nerve?

  • Unlike a pulled muscle, a pinched nerve occurs when the body tissue around a nerve applies too much pressure to it. In other words, a pinched nerve has nothing to do with stretching or pulling: it is, in fact, the restriction of the nerve by its surrounding tissues and muscles. Let’s use another metaphor: a garden hose. Running through the garden hose is water vital for the plants in the garden. In the same way, your nerves carry vital information about the condition of your body to your brain. Let’s take it a step further: when the garden hose bends or is pinched, the water runs out and the plants suffer. Similarly, when the tissues around a nerve impede its ability to function correctly, the body is effected and you feel pain.
  • Now, you may be thinking, ‘sure, but how is this pain different from a pulled muscle?’ First of all, the origin of the pain is different: discomfort from a pulled nerve is traced back to the nerves themselves, all of which are found inside the cartilage, tendons, bones, and muscles of the body. It is not the muscle which is sore, it is the actual nerve. Furthermore, the symptoms of a pulled nerve are different from pulled muscles, in that one may experience tingling, numbness, sudden bouts of weakness, burning sensations, and an increase of discomfort when trying to sleep.

Both pulled muscles and pinched nerves are painful; they both decrease mobility and increase suffering, yet it is absolutely vital to understand that these two problems are treated very differently. The biggest mistake most people make is that they muddle the two, thereby exacerbating the pain and prolonging the healing process.

The thing is, if your discomfort goes untreated – or is treated incorrectly – you risk prolonged bed rest, extended periods off of work, a decrease in activity and mobility, weight gain, muscle weakness, and daily, extreme discomfort. None of these sound particularly appealing and, if you’re reading this, it’s most likely that you’ve already experienced one or more of these results. It’s time to take action.

So, if you’re unsure why you are experiencing pain or you feel as though you’re not getting any better, it’s time to get help. Physical therapy offers you the chance to find and heal the true cause of your pain, thereby allowing you to access the pain-free life you deserve.

Physical therapists can help you improve, restore or maintain your ability to move and function in your daily life. To learn more about physical therapists, visit the American Physical Therapy Association (APTA).

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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How to Fit a Work Out Into Your Busy Schedule

By now I’m sure you’re well aware of the benefits related to daily cardio, stretching, and resistance activities. Not only does your heart get a massive health-boost, but your entire body feels more supple and strong; your immune system is strengthened and you generally feel better. So, if you know all this, and have most likely experienced the positive effects of a daily workout routine yourself, why is it so hard to stick to a healthy pattern? Why is a daily exercise regime so difficult to maintain? The truth is, the reason we don’t stick to our guns is usually because of a busy work schedule; alternately, it could be because we can’t fit time into a hectic – and often delicate – work/family balance. We understand this predicament, and that’s why we’re offering you some useful tips on how to fit that much-needed exercise into your life, no matter the time constraints or pressures you face. Take a look!

As with most things in life, when it comes to implementing a regular, consistent daily exercise routine, perseverance is key. We know it can become difficult, that it can be tedious at times, and that you may feel like throwing in the towel, but making a commitment and sticking to it is absolutely vital. Just as you may be having a hard day at work, yet persevere because you know you need to, so too do you need to approach your workouts. Remove thoughts that tell you they’re not a priority… they are. And that’s really important to understand: your health is a priority, so treat it as such.

Now, we’re not suggesting this is by any means an easy thing to do. Sometimes these types of mind-shifts are difficult to make, but we know you can do it. Think of your workouts as a way to push your daily boundaries, to expand your skills, and as opportunities to better yourself both mentally and physically. Yes, you may be tired, you may be feeling groggy, and you may think you lack the energy to drive yourself on, but we promise that, once you start, your workout will be exceptionally rewarding both in the short term and long run. Keep at it! Here’s how:

6 Ways to Fit a Workout into Your Daily Schedule:

It’s competition time!

Whether at home or in the office, igniting your competitive spirit goes a long way in pushing you to do some exercise. Why not set up little goals to achieve? You can even challenge friends or family members to see if you can beat their times. If you really want to get creative, give yourself prizes when you finish within time or beat an opponent. It becomes a whole lot more fun to do workouts if you know that there is some sort of competitive spirit about them.

Consistency is key!

There’s a reason for the hype around habit-creation. When you are consistent in your activities, they become much easier to do and, eventually, they become part-and-parcel of your daily routine. It is no different when it comes to working out. Make a point of picking a specific time either in the morning or in the evening to do your daily exercise. Also, make sure you hold yourself accountable – stick to the chosen time and make it a constant, daily element of your day. Soon you’ll find that it has become a lot more engrained and natural; you’ll actually start missing it if you skip a day!

Personal Trainers Work

If you’re the type of person who needs a little extra motivation in order to stay on the right path, it might be worth your while to consider hiring a personal trainer. Doing so will ensure that someone other than yourself keeps an eye on your progress. If you’re not keen on a one-on-one situation, your local fitness center most likely offers community classes which will also incentivize you to exercise.

Plan Ahead

Plan your workout ahead of time. Make sure you have a detailed description of the activities you’ll be doing that week. In addition, include the foods you will be eating. It would be a mistake to assume that a workout alone will benefit you: diet plays a very important role in your health. Make sure to include more vegetables, healthy oils, fruits, and nuts into your everyday cuisine.

Workout Charts

Remember when you were at school and you were over the moon when you received gold stars? This is the same concept. Keep track of your progress, activities, workouts, and weight goals by using a chart. Achieving milestones will keep you motivated, determined, and focused.

Choose Something over Nothing

At the end of the day, choosing even small changes for a healthier body is a win-win. You really can’t lose by choosing a healthier snack, foregoing the car for a cycle or walking instead. In fact, making these small changes will boost your confidence and commitment. You’ll get rid of that feeling of guilt and regret, and you’ll start making even bigger changes down the line.

Make your health a priority and start developing a consistent, fun, daily workout routine – the above 6 tips give you the best chance of success. Even so, though, it can be difficult to get going. Knowing which exercises to do, how to do them, how much to push yourself, or even where to start, can be a tricky and frustrating place to be in. That’s why visiting a qualified, professional, hands-on physical therapist is the best decision to make.

A physical therapist will not only give you invaluable advice, help you with designing a workout schedule, and show you proper techniques, but he/she will also give you tailor-made exercises and stretches designed to support you throughout your workouts. You’ll get the answers you need in order to get going on the right foot. To learn more about physical therapists or find one in your area, visit the American Physical Therapy Association (APTA).

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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A Life with Purpose Can Help You Age Well

In the United States and throughout the world, we have more centenarians (people who are one hundred or more years old) than ever before.  There are a host of factors that have led to this trend including the largest aging population the world has ever known in combination with improved hygiene, healthcare, and food resources.  Of course, one cannot count out variables such as good luck and good genetics.

But what if healthy aging was more than the luck of the draw or having superior genetics?  We all come from different backgrounds and have different health histories.  While there are many different possible ways to live a healthy long life, one of the most important elements to aging well is to live a life of purpose!

Living a life of purpose means taking control of facets of your health that will directly impact your ability to age well while letting go of the worries and cares that you have no control over.  It is important to realize that each person’s journey is different, and aging well will be different for everyone.

Living a purposeful life allows you to take control and make choices now which will impact your future.  Continue reading for some helpful tips to help you be purposeful in your journey to aging well.

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4 Key Strategies for Preventing and Treating Osteoarthritis (OA)

Osteoarthritis (OA) is the most common form of arthritis that affects an estimated 12.1% of the U.S. population (nearly 21 million Americans age 25 and older).  OA is one of 171 different types of arthritis.  The chance of developing osteoarthritis increases with age.  Most people over age 60 experience OA to some degree.

Arthritis is a commonly used term that can have multiple meanings depending on the person.  In general, arthritis means inflammation of the joints.  OA is commonly associated with wear and tear on the joint surfaces from injury or overuse.  It is associated with a breakdown of cartilage in joints and can occur in almost any joint in the body.  OA seems to have a genetic or heredity component.

OA is most commonly found in joints that were previously damaged through injury or wear and tear (particularly, the load bearing joints of the body which include the spine, hips, knees, ankles, and toes).  Finger joints are also commonly affected by OA.

Preventing an injury is always best in order to avoid OA.  Unfortunately, accidents occur.  The following actionable key strategies will help you to prevent and treat OA.

4 Key Strategies for Preventing and Treating Osteoarthritis (OA):

Range of Motion (ROM)

A mobile joint is a healthy joint.  A joint must go through its full ROM on a daily basis to remain healthy.  Most joints do not contain a direct blood supply delivering important nutrients.  Without full ROM, synovial fluid (a nutrient rich and internally lubricating fluid) cannot properly circulate and coat the joint surface.  Over time, this can lead to stiffness and dysfunction along with joint deterioration (such as arthritis).

Appropriate stretching and ROM can be used as a treatment and preventative measure.  Although there are many different stretching methods, not all of them are created equal and are not appropriate in every circumstance.  Research indicates that stretching improperly or at the wrong time can inhibit performance and can lead to worsening pain symptoms in the case of OA.

Five different methods of stretching or improving ROM include:

  • Static Stretching
  • Dynamic Stretching
  • Myofascial Release with Foam Rolling
  • Proprioceptive Neuromuscular Facilitation (PNF)
  • Neuromobilization or Neural Gliding

Please refer to 5 Ways to Improve Range-Of-Motion (ROM) for detailed descriptions for each method.

Stretching is critical to maintaining flexibility.  Flexibility is a critical component to healthy and optimally functioning body and joint surfaces.  While often being overlooked, flexibility and stretching are critical to optimizing health, preventing injury, and maximizing performance.

Stretching should never be done to the point of causing pain.  It is possible to cause injury by over aggressively stretching.  The best results are usually through consistency and a mild to moderate stretching sensation.  Yoga, Pilates, and Tai Chi can also be great forms of exercise to maintain ROM.

Strength

Appropriate strength is the key to insuring proper joint function and stability.  An appropriate strengthening program should be a staple to a healthy aging lifestyle and for osteoarthritis prevention and treatment.  Appropriate amounts of strength insure the body’s joints have appropriate stability for activities of daily living and any desired recreational activities without pain or further wear and tear.

If you have OA, seek a professional (such as a physical therapist) who is familiar with managing OA in order to establish an exercise program that includes strength training.

Excessive shearing forces, rotational forces, and exercises should be avoided.  Joints with severe involvement should be exercised with caution and an emphasis should be placed on ROM and stability versus actual loading of the joint.  All exercises should be performed in a slow and controlled environment within the available ROM.  Maintaining muscle mass through strength training is critical.  Strength training should be performed only one to two times per week to minimize any risk of over stressing the joint.

Healthy Diet

Osteoarthritis as well as many other forms of arthritis can have an inflammatory component.  Other types of arthritis, such as Rheumatoid Arthritis (RA), have an autoimmune component.  Appropriate nutritional management is critical for treatment as well as general prevention.  Consume foods that promote a low inflammatory diet.  This includes a diet high in Omega-3 fatty acids and other natural herbs (like garlic and turmeric) which can naturally lower inflammation.

Healthy Weight

OA is often associated with wear and tear of the joint surfaces (including overuse syndrome).  The most susceptible joints affected are load bearing joints such as the knee and spine.  Weight management is a critical component.

For example:  Every pound of excess weight exerts about 4 pounds of extra pressure on the knees.  A person who is 10 pounds overweight has 40 pounds of extra pressure on his/her knees.  If a person is 100 pounds overweight, that is the equivalent of 400 pounds of extra pressure on his/her knees.

It is important to manage your weight effectively.  Excessive body weight can cause additional wear and tear, particularly on the lower extremities joints, and can worsen any damage caused by OA.

While osteoarthritis (OA) is a common aliment for most of us as we age, it doesn’t have to be symptomatic.  The research on OA is very clear.  If you have OA, it doesn’t mean that you will have pain or develop any form of debility associated with OA.  In order to increase the likelihood that OA doesn’t affect your ability to age well, it’s best to stay as active as possible.  Implement these 4 key strategies in order to prevent and treat OA.

What are your experiences dealing with osteoarthritis?  What has worked or not worked for you?  Please leave your comments below.

If you have a question that you would like featured in an upcoming blog post please e-mail contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

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6 Strategies to Invest in Your Health for Success

We are all familiar with investing for retirement or education as well as investing in a relationship, but what about the importance of investing in your health as a strategy for success? Investing in your health is a critical component to aging well. It can also be an excellent strategy for success in general.

Maintaining a healthy focus on your body and well-being is intimately tied to your overall likelihood of success. The same healthy habits that push you forward in successful aging can also push you forward to live a successful life no matter what that life looks like for you. The following strategies will help you to invest in both your future health and success.  Continue Reading

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The Hidden Cause of Your Constant Neck & Upper Back Pain

Neck pain and upper back pain may be two of the most common ailments people experience. From struggling to move your neck, to worrying about the position you sit in on your favorite sofa, pain in the upper torso is debilitating. Yet, many of those who experience these kinds of issues haven’t suffered a fall, twisted their necks unnaturally, or been on rollercoasters since their pain started. For most people, the cause of neck pain or upper back discomfort can’t be pinpointed: there is no single unique moment in which their backs or necks could have been injured. What then? How did they come to be in so much pain? And if you’re reading this, you’re probably thinking the same thing about yourself. Fear not, however, because we’re here to help. In this post, we’ll be investigating the hidden causes that have led to your neck and upper back pain. We’ll also be looking at what to do about it and which steps to take next.

The really frustrating thing about constant neck and upper back pain is that, no matter what you seem to do, it just doesn’t want to disappear. You’ve tried everything: hot water bottles, massages, and even long periods of rest, yet nothing has changed, right? Well, the truth is, it isn’t going to get any better unless you find out exactly why you’re experiencing the pain. See, the thing is, neck and upper back pain often have pretty mundane sources: your everyday habits might be the culprits here. Thus, no matter what you do, if you don’t start there, nothing will change. In lieu of this, take a look at some of the fairly common mistakes people make.

Lack of Exercise

Now, I can hear you thinking from here… “I should be resting my muscles, not moving them!” Well, no, not really. By not moving enough, you are actually setting your recovery back considerably. Muscles and joints need to move in order to maintain mobility. If you aren’t moving your upper back and neck enough, your muscles will start to stiffen and shorten, thereby placing stress on your joints and decreasing overall movement. This invariably leads to the pain you’re experiencing now. So, while rest may intuitively feel like the right thing to do, it may actually be doing more harm than good. Why not try doing some gentle stretches to loosen up the painful area? Furthermore, if you sit at a desk for long periods of time, be mindful of getting up regularly and stretching your neck and upper back. Walk around a bit and, during your time off, take up a new sport like cycling, walking, or swimming.

Posture

Having bad posture is one of the leading causes of upper back and neck pain. Slouching leads to a variety of ailments in the long run, but a tell-tail sign of poor alignment is the nagging discomfort you come to experience in your upper torso. Start becoming mindful of how you sit and stand: make sure your spine is aligned correctly. If you’re sitting at a desk all day, make sure your chair supports your back correctly, and that your computer – if you use one – is at eye-level.

Everyday Habits: Strain on your Upper Back and Neck

You may not know this, but some of the things you do daily actually affect your upper back and neck considerably. Think about driving, for example. How long do you sit in the car for? And, when you drive, do you turn your neck or just blink into the rear-view mirror when necessary? These are the types of things you need to start considering when it comes to the health of your upper back and neck. How long do you stare at your phone for, and do you slouch while you do it? When you bend down to pick up the groceries, the school bags, or your pot plants, do you do it mindfully or without regard for your upper back and neck? What about when you clean the house, play golf, brush your teeth and hair, or shave your legs? All these daily decisions and actions accumulate over time, and the effect their incorrect execution may have is usually far too understated. Make a change today: be mindful and cognizant of how you do certain tasks, how often you do them, and whether you’re aware of what your body is trying to signal to you. The devil is in the details.

When it comes to tackling the issue of upper back and neck pain, as has been mentioned earlier, movement is your best friend. Move as much as you can and as often as you can. Be conscious of the fact, however, that you should always be sensitive to the type of activities you’re able to do. Some safe activities on your road to health include Pilates and yoga, both of which offer you the opportunity to enhance the flexibility and mobility of you upper back and neck muscles. You could also try walking, swimming, and relaxing hikes in order to jumpstart your journey to a pain free life.

In addition to the extra physical activities we suggest, physical therapy is by far the best, safest and most effective way of tackling and overcoming your upper back and neck pain. With the help of a professional, hands-on physical therapist, you’ll not only find the root cause of the problem, but your particular issue will be treated accordingly, thereby permanently relieving your pain. And not only that, a physical therapist with equip you with the tools to maintain your pain free life by giving you tailor-made stretches and exercise routines suited to you personally. Physical therapy will mobilize your joints, relieve stiffness, and rid you of your pain so that you can enjoy the life you deserve.

To learn more about physical therapists or find one in your area, visit the American Physical Therapy Association (APTA).

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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Designing a Quality Life to Help You Age Well

We all come from different backgrounds and have different health histories.  The key to living the life you want is accepting where your body is at right now.  Some of us have worked hard and exercised (maybe to an extreme) most of our lives.  Others have been too sedentary for too long and desire to get back to a pain-free and in shape lifestyle.

For many, arthritis and excess weight make exercise seem daunting.  Others are afraid of injury because they’re caretakers for others.  For many, it’s a lack of understanding where to start as well as a failure to understand that we all can make changes toward a quality life and healthy aging.


Where we are now in our physical lives is the sum total of choices we have made and a few random events all sprinkled with the genetics we inherited.  We need to accept ourselves for where we are presently, and acknowledge that our fitness and our health is not a destination but a journey.  Each person’s journey is different.  We need to be realistic with our goals and give ourselves time to undo what we have done to ourselves for years.  Let’s get started! Continue Reading

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Falling: Facts Behind the Fear

If you generally step more gently as you go down the stairs, hold the hand-railing a little bit tighter, and take careful note of where your feet land next… you’re not alone. The vast majority of us either consciously or subconsciously fear the sudden jolt and feeling of vertigo related to feeling taking a tumble – not to mention the pain that comes afterwards! Our worst fears are realized when we start to think about the horrendous consequences of a fall: hip-fractures, muscle tears, back pain, even broken legs all come to mind. Yikes! Is it any wonder that a common nightmarish theme is falling out of bed? In fact, a fear of falling is so common that most people don’t even know they’re afraid! That’s right – the fear isn’t consciously spoken about or acknowledged, rather it translates into minute, prolonged posture and gait abnormalities which, if left unnoticed, can wreak havoc on one’s mobility and self-confidence. That’s why this post looks at why most people are secretly afraid of falling, why most don’t even know they’re afraid, and – thankfully – what we can do about tackling this problem.

Being afraid of falling is more than a cautious tip-toeing around objects: it’s an overarching alteration of the way we assess, approach, and interact with the world around us. Unbeknownst to many of us, the fear of falling actually restricts our movement, thus it can, in fact, cause pain and immobility over time. And not only that, it can actually reduce self-esteem, restricting us from otherwise social interactions along the way. So few of us ever really acknowledge the overarching effects of our fear that, consequently, we forget how our daily lives are being impacted – we become accustomed to limitations and we accept our worry as part of life. And yet, it doesn’t have to be that way!

Decreased Balance

As you’ve gotten a bit older, you’ve stopped riding on your bicycle, stopped practicing yoga, and stopped rowing down the river in your canoe. The result? Your balance has deteriorated and you’ve started feeling the impact this has had on your mobility. The less balance-orientated activities you do, the less you hone your balancing skills, thereby allowing weight to be unevenly distributed throughout your body. This causes straining and overcompensation in certain areas and weakness in others. Subsequently, an unbalanced body wreaks havoc on your brain: is it that much more likely to fear falling… after all, it knows your balance is off! The answer? Well, get back on the yoga mat, dust off the bicycle, and start practicing activities that increase your balance; a daily effort to evenly distribute weight and create a greater awareness of your body’s balance is, ultimately, a giant leap on your road to overcoming the fear of falling.

Muscle Weakness

Just as you’ve given up the rowing, you’ve also neglected to do your daily walks or stretches, thus your muscles have started to weaken and lose strength. Without muscle strength, your body isn’t capable of giving you the confidence needed to overcome a fear of falling. Again, your mind understands that your body is incapable of compensating for a fall if you have weak muscles, thus it trains you to restrict movement accordingly – it lessens the probability of a fall. Why not start walking for 30 minutes a day? Muscle weakness starts alongside a sedentary lifestyle: get active and feel the confidence return to both your body and mind.

Footwear

When it comes to falling, footwear matters. Yes, of course, wearing 9-inch heals to the park is asking for a tumble, but realistically, wearing shoes that are incapable of supporting and distributing your weight evenly is setting you up for failure. Footwear needs to be comfortable and stable, thus giving you the reassurance of a good, strong, supported stride. In addition, good footwear offers you balance! So, don’t hesitate to ditch the heels and opt of support and comfort – your body and muscles with thank you for it!

Obstacle Awareness

Clutter, mounds of clothes, various sofas, and random chairs in your home place before your body a daily obstacle course – from stepping over a coffee table, to swiveling around a badly-placed chair, these movements impact your peace of mind, place stress on your already weak muscles, and increase your fear of falling. The stress associated with navigating the living-room is, at its most basic level, akin to traversing an uneven hillside: the fact that you do it every day makes your mind and body feel as though you need to be protected, and thus your movements become limited. Obstacles feed your fear. If watching Marie Kondo is motivation enough to clean out the clutter, then waste no more time! Clear a path to freedom from fear!

At the end of the day, we know and understand that your fear of falling is far-reaching: from your body to your mind, your mobility and lifestyle are both being affected. That’s also why we know that seeing a professional, hands-on, caring physical therapist is by far the best, most effective, and safest way of tackling the issue. A qualified physical therapist is able to diagnose the root cause of the problem, assess posture, gait, and muscle tension, and work with you in order to free you from your daily anxiety.

Furthermore, physical therapy offers you tailor-made exercises and stretches, thereby allowing you to maintain a strong, stable body and a life free from fear! With physical therapy, the self-confidence to step out proudly, strongly, and bravely will become second nature to you. To learn more about physical therapists or find one in your area, visit the American Physical Therapy Association (APTA).

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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Knee Pain: Causes and Cures

Knee pain affects almost every single person at some point in their lives. From sprains, to cartilage issues, all the way through to posture-related injuries and muscle tears, knee pain seems to play a role in the sometimes debilitating struggle for a pain-free life. We understand how the nagging, irritating, and oftentimes overwhelming pain in your knee affects your day-to-day activities, not to mention your social life, and that’s why this post is all about knee pain: what it is, why it is, and what can be done about it.

When it comes to knee pain, few people really understand its origins. This is not least because of the complex structure of the knee joint and its position in the body. In fact, the knee is one of the most important body parts. Why? Well, it not only grants the lower leg an immense amount of flexibility, but it also support and maintains the mobility of the upper leg and, finally, the torso and entire upper body. In other words, the knee is an invaluable part of the body’s mobility and stability.

It is no wonder, then, that the knee joint is also the site where most of the body’s pressures and strains accumulate. From walking, to running, and even to standing, the knee is subject to an incomprehensible amount of daily pounding and weight. In truth, your knees withstand more strain than you know, and without their resilience you would probably be far less mobile. Which is why, of course, knee pain is so debilitating.

As a knee experiences the constant pressure and strain placed on it by our everyday activities, it gradually starts to experience wear-and-tear, that is, muscles lose their strength and the cartilage is subsequently placed under more and more stress – hence, the pain. Quite often, if this state of affairs isn’t appropriately addressed, the cartilage might give way or tear, leading to serious injuries requiring surgery, or worse still, a complete knee replacement. Amongst these rather alarming injuries are the likes of ACL injuries, knee fractures, dislocations, PCL injuries, tears, popping, swelling, tendon injury, knee cap dislocations, and a myriad more – and, if the names don’t scare you, the pain will.

In lieu of this, it is easy to see why the maintenance of a healthy knee joint is vital. Unfortunately, however, many people already suffering from knee pain turn to temporary solutions for comfort: from painkillers, to surgery, and all the way around to injections and rest, people just aren’t taking action. The issue with pain in the knee joint is that rest and procrastination, not to mention tablets, only make things worse – as you know, the pain often only increases if you try to wait it out, and in the end you’re left with an even longer road to recovery. Yet, in a world where there is so much conflicting information, what can you do? Where do you turn? And how can you get rid of this pain?

Luckily, there are ways to combat knee pain and, in many cases, totally eradicate your daily discomfort, thus getting you back to the activities you love. Take a look:

Exercise – All Things in Moderation

We know you might be active, love golf, running, and sports. Maybe you just like walking and enjoy being outside. The good news is, activity and mobility are sure-fire ways of fast-tracking your journey to a pain-free life. Importantly, however, you need to be very sure that the exercises you do are moderate, low-impact, and do not place unnecessary or damaging strain on your knee. Movement is key… but, in moderation.

That having been said, try doing exercises that strengthen your knee as well as give it extra motion. Straight leg raises, whereby the leg is slowly lifted to extend the knee joint, are really helpful. Try leg presses and balancing exercises to increase the flexibility and strength of the knee joint. In addition, why not try cycling? Riding a bike is a low-impact form of exercise and is incredibly beneficial for strengthening the muscles around the knee joint. It’s all about support: find activities that support your knee so as to get you moving and feeling stronger… all in preparation for those things you long to get back to doing.

Physical Therapy

While increasing the amount of low-impact physical activity you do is helpful, the best and most effective way of eliminating your knee pain – fast and safely – is physical therapy. A professional, hands-on physical therapist is able to diagnose and treat the root-case of your problem, thereby offering you a permanent solution to your knee-pain. And not only that, physical therapy gives you a set of tailor-made exercises and stretches you can do at home; this means that your road to health doesn’t stop when you leave the PT room – you’ll be able to maintain your pain-free life well beyond your physical therapy sessions. Physical therapy is so much more than just a temporary mask for your pain: it’s about your health and your happiness.

Physical therapy gives you the opportunity to restore functionality in your knee, the tools to help rebuild and strengthen muscles, and the comfort of knowing that the range of motion in your knee is being systematically increased.

Don’t let knee-pain ruin even one more day of your life. It’s time to get back to that golf game you’ve been dying to play, that yoga class that’s been in the back of your mind for weeks, and the training for that marathon you’ve waited forever to run. Knee pain is terrible, but there are solutions. To learn more about physical therapists or find one in your area, visit the American Physical Therapy Association (APTA). ​

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