DOAR_Shoulder Elbow & Wrist Pain

Health&Wellness The Newsletter About Your Health And Caring For Your Body

Meet Tiffany DeLoatch, PT, DPT, OCS Tiffany DeLoatch, PT, DPT, OCS is a Physical Therapist specializing in orthopedics and neuromuscular rehabilitation. She is a Board-Certified Orthopedics Clinical Specialist (OCS). She is also a certified provider of the Functional Movement System (FMS).

Tiffany holds a Doctorate of Physical Therapy fromElon University.While attendingElon,Tiffany completedclinical rotations at Maria Parham Center for Rehabilitation in Henderson, North Carolina; at St. John Health System in Tulsa, Oklahoma; and at ACI Physical Therapy in Eden, North Carolina. She also completed a 6-month clinical internship at Alamance Regional Medical Center in Burlington, North Carolina.

Prior to joining our team inMartinsville, Tiffany worked as an outpatient Physical Therapist at Danville Orthopedic & Athletic Rehab (DOAR). A native of Martinsville, Tiffany attended undergrad at Averett University in Danville, where she earned a Bachelor of Science in Sports Medicine/Wellness. While a student at Averett, Tiffany was captain of the women’s basketball team and a member of the women’s lacrosse team.

Inside: • Did You Suffer a Sprain or a Strain? • Do You Have Shoulder Elbow or Wrist Pain?

• Exercise Essentials • Refer a Friend

DidYouJust Suffer a Sprainor aStrain?

some cases, the inability to move a joint (elbow, wrist or shoulder). Sprains occur when a joint is forced beyond its normal range of motion, such as bending your wrist back during a fall. If you still have pain from a past injury, this is probably because you never fully recovered from the sprain or the joint is unstable. Sprains can be mild, or they can be traumatic, such as in the case of an automobile or workplace accident . What is a strain? A strain is an injury that overstretches or tears muscles or tendons (connects muscles to bones). A strain typically occurs at the point where the muscle is becoming a tendon and is stretched too fast, then suddenly contracts, as with quickly grasping for a falling heavy object.

You’ve probably had a sprain or strain at some point in your life. Chronic sprains and strains are not good as they lead to lasting problems such as weakness and joint damage. However, did you know that being strong, flexible and having good posture can go a long way to stopping sprainsandstrains?Sprainsandstrainsareextremelycommon injuries to the musculoskeletal system. What is a sprain? A sprain is an injury that overstretches or tears a ligament (tissue that connects bone to bone), which provides joints their stability. A severely damaged ligament during an injury or accident can cause a joint to become unstable. Symptoms may include pain, inflammation and in • •

DoYouHaveShoulder, ElboworWristPain? 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! We can help you get back to living!

It is common to fixate on that body part that hurts. The thought is that because it hurts there, the problem is right there! However, this is often not the cause. You see, the body part that is painful is usually the one that is doing all the work, because other areas are not doing their job. The body is truly amazing and all the parts work together as one whole, most of the time. However,whenanareaofyourbodybecomes weak or stiff because it was abused from poor posture, stress or injury, even an old one, other areas strain from the overwork to pick up the slack. A common word that is used for this type of repetitive injury strain is called “tendonitis”.This is simply an inflammation of the tendonsof thatarea,whichattachmuscles to bones. For example, a very common complaint is tennis elbow and even pain in

the forearm or wrist area. However, why is this happening in the first place? 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 tasks we take for granted. They rely on your posture to be good in order to function properly. When you slouch or sometimes do a repetitive task, like reaching acrossyourdesk,certainmusclescanbecome 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 tooverwork.As thishappens

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 seek out medical help. Typically a brace may be put on the area, but that is not where the problem is, right? It’s because your shoulder was stiff and weak from your slouching. Now, a good occupational therapist has the right medical training to spot where your posture is not optimum and how you are compensating. With the right evaluation and treatment from you can be back to doing what you like to do, quickly and easily. Then with the training we give you, you can help yourself stay well for the long haul and know what to do to prevent the problem from happening again. Give us a call today if your shoulder, elbow or wrist is hurting, we can help!

Exercise Essentials


Strengthens Arms Always consultyour therapistorphysicianbefore startingexercisesyouareunsureofdoing. Try this movement if you are experiencing arm pain.

While holding an elastic band at your side with your elbow bent, start with your hand away from your stomach, then pull the band towards your stomach. Keep your elbow near your side the entire time. Repeat 10 times on each side.

Is Hand Pain Stopping You From Living Life The Way You Should? YOU CAN GET THE RELIEF YOU NEED AT HANDS FOR LIVING!

Patient Success Spotlight “Playing sports and 10 years in the Marine Corps and I’m in construction so I’m up and down ladders, and in and out of holes and beating concrete all the time, so it’s a lot of shock on my knee. Since I’ve been coming here, he has shown me a lot of things that I can do on my own for my flexibility and to do things in a proper manner where it will take stress off my knee.” – DeVaughan, Past Patient

Your hand and wrist are an amazing, complex part of your body that allows you to touch, grasp, hold and manipulate most everything you do in the day. Just imagine if your hands were not working properly. For many people this is a reality and a painful one they face each day. Each hand and wrist contains, 29 bones, 29 major joints, 123 ligaments,17muscles in thepalm and 18 muscles in the forearm and numerous nerves. There is a lot that needs to work together at the right time and right place. When you suffer from pain in the hand or wrist this can be a result of overuse, arthritis, injury and even congenital problems. Having an expert to evaluate, and then put you on the right path to having the maximum use of your hand again, begins with seeing a hand therapist. A hand therapist is needed when pain, dysfunction, trauma or disease processes occur at the hand, wrist, forearm, elbow and/or shoulder. Due to the complexity of the hand and upper extremity, a hand therapist should be your first choice for rehabilitation.

Hand and wrist pain can be for a variety of reasons, such as movement, limitation due to crush injuries, fracture, tendon lacerations, nerve injuries, burns and wounds, carpal tunnel syndrome (nerve compression), Dupuytren’s contracture, Dequervain’s synovitis, Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome, rheumatoid arthritis and osteoarthritis. The key to less pain in the hand is regaining the proper movement of the joints and regaining the strength of the muscles in the hand, forearm and even shoulder. Our expert hand therapists treat wrist and hand pain everyday. We also provide advanced evaluation and fabrication of custom splints for hand, elbow and shoulder support. If you believe that you may need therapy foryourhand,wrist,elbow or shoulder please call us today. The sooner we see a patient, the more optimum it is for their recovery, so don’t delay. We will get you back to feeling better today and get you back to doing the things you have been missing out on. We will get results for you!


Who Do You Know That Needs Our Help? Do You Have Friends Or Family Unable To Do The Following:

� Sit for long periods comfortably � Walk for long distances � Live an active and healthy lifestyle

� Move without pain � Bend and move freely � Balance confidently & securely


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