The Intecore Bulletin by Intecore Physical Therapy
“Reach For The Stars Without Fear Of Pain!” SHOULDER, ELBOW&WRISTPAIN The Intecore Bulletin The Newsletter About Your Health And Caring For Your Body
You try to get through the day, but that nagging pain in your shoulder, elbow or wrist just keeps your attention focused on it. It sure is hard to concentrate on work, your family and other activities you need to do! It is common to fixate on the body part that hurts. It is often thought that because it hurts there, the problem is right there. However, this is typically not the case, as the cause of the problem is in another area. The body part that is painful is usually the one that is doing all the work because other areas are not doing their job.
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“Reach For The Stars Without Fear Of Pain!” SHOULDER, ELBOW&WRISTPAIN MARCH 2018 The Intecore Bulletin The Newsletter About Your Health And Caring For Your Body
INSIDE: • What Is Causing Your Shoulder Pain? • Patient Success Spotlight
Why it hurts The body is truly amazing and all the parts work together as one whole. However, when an area of your body becomes weak or stiff because of poor posture, stress or injury, other areas strain from the overwork. A common word that is used for this type of repetitive injury strain is called “tendonitis”. This is simply an inflammation of the tendons, which attach muscles to bones. The upper extremity works in 3 parts, the shoulder, elbow, and wrist. They rely on each other to make the incredible movements of your arm so you can reach, grasp and do ordinary daily taskswe take forgranted.Propermovement relies on your posture to be in good order. When you slouch or sometimes do a repetitive task, like reaching across your desk, certain muscles can become too tight or strong while others become weak.This muscle imbalance leads to that area not working as well as it should. For example, you sit at a desk all day and you slouch your shoulders. Now, your shoulder doesn’t work as well, but
you still move your mouse around with your arm, which causes your wrist and forearmmuscles to overwork. As this happens over time, you start to notice aches and pains in your wrist and elbow. If this goes on too long, it becomes severe and you need to seek out medical help. Solving the problem Typically a brace may be put on the area, but that does not solve the cause of the problem. The real reason can be because your shoulder was stiff and weak from slouching. An expert physical therapist has the right medical training to spot where your posture is not optimum and how you are compensating. With the rightevaluationand treatment from theexpertsat Intecore Physical Therapy, you can relieve your shoulder, elbow or wrist pain quickly and be back to doing what you like to do. Our home programs make it easy for you to maintain your gains and stay well for the long haul. Call us today to learn more how we can relieve your pain and get you back to enjoying your activities.
Quote of TheMonth:
“ The only person you are destined to become is the person you decide to be. ” - Ralph Waldo Emerson
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What IsCausingYour Shoulder Pain?
If you, or a loved one, has shoulder pain, join us in a free informative workshop on common causes, treatments, and prevention of your back pain or sciatica. ‘Shoulder Pain Workshop’ FREE SHOULDER PAINWORKSHOP The majority of pain that travels to your shoulder from your neck is referred pain. Your shoulder may not necessarily be the problem. In fact, the first 10 degrees of movement in your shoulder comes from your shoulder joint. The rest relies on the movement of your upper back, neck, shoulder blade, and collar bone. If these areas work incorrectly then shoulder pain can occur. Most neck and shoulder pain is a result of prolonged poor posture, lifting heavy objects and minor falls or injuries. These irritate the joints in the neck and upper back. This then makes the muscles around the upper back and shoulder tighten and become sore. Suddenly, you now have neck and shoulder pain. There are many nerves that come off of the cervical (neck) vertebral bodies that pass down in front of the shoulder heading towards the arm. Irritation of these nerves can refer pain to the shoulder. Poor posture, especially with sitting at work or at home, can cause this to occur. Rotation of the neck or tilting of the neck may create your shoulder pain if these nerves are involved. It is important that a physical therapist examine you thoroughly if you are experiencing these symptoms. If you have had a fall or injury and suddenly develop shoulder and neck pain seek help immediately. Any injury may affect the many sensitive structures in your neck and upper back. Shoulder and neck pain, if they occur together, may relate to disc injuries. This is more likely if you are having neck and
arm pain, rather than just shoulder pain. Pain that travels down the arm to any extent may indicate more severe problems. Shoulder pain can result in restricted movement of your body. Pain involves the nervous system, immune system, digestive system, and respiratory system. To avoid referred shoulder pain or any kind of referred pain, you should have a strong immune system for prevention of diseases. A strong body can fight infection or disease and can enhance the functioning of all the body systems. A balanced diet, regular physical therapy exercises and a stress-free mind are the keys to maintaining an active life. If you are experiencing shoulder pain, consult one of our expert physical therapists for a full evaluation to determine where your problem is originating from, so correct treatments can be applied to help you.
Patient Success Spotlight
Aliso Viejo: Tuesday, March 20th at 1pm Foothill Ranch: Tuesday, March 20th at 1pm Orange: Tuesday, March 20th at 6pm
San Juan Capistrano: Wednesday, March 21st at 6pm Call (949) 393-5346 to register. Space is limited - Call today to reserve your spot
“I feel they were always looking out for my son.”
“My son Matt came to Intecore for a shoulder injury. Mike, Heather and everyone else at the Aliso Viejo office were so great. I feel they were always looking out for my son and making sure he was improving. I truly believe they cared and wanted my kid to get better. Hopefully we won’t have to come back - but will if we need physical therapy in the future! Thanks, guys!” J.C.
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Andrew Vertson, PT, DPT, ATC Physical Therapist
National Physicians week is March 25-31! Every day, dedicated doctors provide quality care in every part of the country twenty-four hours a day. Whether it’s in an emergency room in Idaho or delivering a newborn in the suburbs of Philadelphia, a physician listens to symptoms, watches for signs, analyzes and consults to make, with the patient, the best decisions their years of training and dedication can provide. March is Physician Appreciation Month
John Cheng, MD
Michael Fitzpatrick, MD
holds memberships in several professionals societies, including theAmericanOrthopaedicSocietyof SportsMedicineandtheArthroscopic Association of North America. The United States Air Force honored him with the National Defense Service Medal, theMedalofCommendation, and the Meritorious Service Award for Distinguished Service as an Orthopaedic Surgeon. Dr. Fitzpatrick has held roles as an AssistantProfessorat theUniversity ofFlorida inGainesville,anAssistant ClinicalProfessorat theUniversityof California, Irvine, and as Research Faculty with the Veterans Affairs Healthcare System in Long Beach, California. Oneof the thingsDr.Fitzpatrickfinds most rewarding is assisting young doctors as they pursue their own educational goals.
A prolific medical author and accomplished board-certified orthopaedic surgeon, Michael J. Fitzpatrick, MD, brings a wealth of experience to South Orange County Orthopaedics, Inc. He has a passion for sports medicine and has helped many patients from Southern California recover from a wide range of sports injuries. Dr. Fitzpatrick began his medical education at Jefferson Medical College inPhiladelphia.Heremained in Philadelphia while broadening his base of skills through a residency at Thomas Jefferson University Hospital. Dr. Fitzpatrick completed a fellowship in sports medicine and upper extremity reconstruction at the University of Southern California (USC) in Los Angeles. A board-certified orthopaedic surgeon, Dr. Fitzpatrick also
From where does a doctor gather andshapehis “bedsidemanner?”Dr. John Cheng’s “kind manner” began it’s shaping in his childhood, while growing up in a small hospitable town in the southern United States. That shaping continued on through his residency and fellowship at the prestigious University of California at Los Angeles Kaiser Programs in Family and Sports Medicine. Today, as he maintains his Board Certification and continues to research and utilize the latest technologies, his admired manner continues its shaping. As the son of a physician who practicedmedicinetheold-fashioned way,Dr.Cheng’spersonalandcaring approach to medicine was being shaped long before he studied at Texas Tech School of Medicine. Likewise, his lifelong love for the Martial Arts, that began in his childhood, was preparing him to become a Family Physician widely respected for his knowledge of Nutrition and Sports Medicine. Dr. Cheng, a sports enthusiast , is an accomplished master Martial Arts Instructor. In addition to serving in the past as team physician for several local high schools, he is sought out by both amateur and
professional athletes alike. As a parent of two, Dr. Cheng has a unique ability to empathize with a parent’s concern for a young child’s cough.Hisathleticendeavorsandhis prestigious sports medicine studies have prepared him extensively for numerous other situations. He often gives appropriate and valued advice to both the second grade aspiring soccer star and the most serious of adult athletes. His reputable knowledge and understanding of nutrition serves both the individual growing in commitment to weight management, as well as the cancer survivortrainingforherfirsttriathlon. When it comes to the care that Dr. Cheng consistently gives, it is not uncommon to see the same level of excitement and appreciation from a mother expecting her first child and a grandparent committed to staying healthy long enough to someday attend a great grandchild’s wedding. Dr. Cheng, Board Certified is a PhysicianandSurgeon,hasgaineda reputationforbeinggiftedandadept atassessingchallengingcases.Like a seasoned detective still energized by new challenges, he creatively engages with his patients to come to solutions for each individual situation.
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