MarathonPT: Tendinitis & Sports

Marathon Monthly July 2019 Physical Therapy

Treating Upper Extremity Injuries in the Athlete

What are upper extremity injuries? Upper extremity injuries typically fall under one of two categories: acute or overuse. Acute injuries are caused by a single specific incident, such as a strain or tear. Overuse injuries are caused by excessive repetitive movements over time. Some of the most common types of upper extremity injuries include: • Tennis elbow. While this term is colloquially referred to as “tennis elbow,” it can also be caused by other sports and activities, including softball, baseball, raking leaves, and even excessive typing on a computer.Tennis elbow is an overuse injury that results in inflammation of the tendons in the forearm, making it difficult to lift your arm. • Golfer’s elbow. This is another colloquial term, used to describe an overuse injury causing muscle inflammation inside the elbow. This injury runs from the bony point of your elbow and can stretch down your forearm, making it difficult to extend or lift your arm. Sports and activities that generally result in golfer’s elbow include golf, baseball, softball, bowling, and gardening. • Flexor tendinitis. This is an overuse injury that causes swelling in the tendons that control your hand movement, making it difficult to bend your fingers and move your hand or elbow. Flexor tendinitis is typically associated with sports that require constant throwing, such as softball, baseball, football, or shot put. • Frozen shoulder. Frozen shoulder can result from either an acute injury or an overuse injury. It occurs when the tissue in your shoulder thickens or scar tissue forms, causing your shoulder to feel as if it’s being “squeezed” and making it difficult to move. • Rotator cuff tear. Rotator cuff tears can occur from either acute or overuse causes, as well. This occurs when the muscles or tendons that surround the shoulder joint become damaged or torn. How will physical therapy help an upper extremity injury? At Marathon Physical Therapy, we’ll conduct a thorough evaluation to diagnose your upper extremity injury. Afterward, one of our dedicated physical therapists

will design a personalized treatment plan based on the specific needs of the diagnosis and the symptoms that you are experiencing. We are happy to say that we also offer preventative screening and sports performance enhancement programs, designed to teach you the techniques you need in order to prevent further injury in the future. The overall goal of physical therapy is healing and prevention. In addition to treating the injury, our physical therapists will help strengthen the affected area, in order to prevent additional injury from occurring. Our physical therapists will also provide you with helpful warm-up and cool- down techniques for your sport, in order to lower their risk of sustaining another injury. If you have developed an injury in the hand, arm, elbow, or shoulder, contact us today to schedule a consultation. We’ll help diagnose the issue and get you started on the path toward recovery and returning to the beloved sport!

TREAT YOUR TENDINITIS WITH LASER THERAPY

Do you suffer from tendinitis – pain, tenderness, stiffness or swelling around your joints? There are various treatment options however tendinitis can often be successfully treated using low level laser therapy–whichstimulates thebody’snaturalhealing process, helps restore function of theaffected area and results in significant reduction of pain in many cases. Laser therapy safely improves the range of motion of the affected tendon, promoting healing of the affected area. Laser therapy uses a process

called photobiomodulation. Unlike medications, laser therapy reducespainwithoutundesirableside effects. Laser therapy safely improves the range of motionof theaffected tendon,promotinghealingof the affected area. It is also important to point out that patients report long-lasting pain relief. If you want relief from the pain of tendinitis, using a therapy that encourages healing of the affected area, schedule an appointment with us today.

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What Is Tendinitis?

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9 5 Tendinitis is a common issue among athletes because it develops as a result of overuse. While the average person may engage in standard physical tasks such as walking or typing, an athlete takes that repetitive behavior to a new level. Consider a tennis player, for example. In addition to running and jumping, a skilled tennis player will spend hours every week swinging the racket, and this could result in added wear and tear on the elbows and wrists, not to mention the shoulders. Every bone in the body is connected with muscular fibers called tendons. The tendons are flexible, allowing the body to move more freely by letting bones stretch apart or move in one direction or another. Tendinitis occurs when the tendons become inflamed. Swelling in the tendons can make movement painful and difficult. Typically, when pain is caused as a result of tendinitis, the pain is isolated at the noted areas of the body. This means that a tennis player may experience tendinitis in the elbow or shoulder, whereas a runner may be more likely to experience it in the Achilles tendon. In fact, this is why tendinitis in the elbow is frequently referred to as tennis elbow, while Achilles tendinitis is sometimes referred to as runner’s ankles or runner’s heels. Treating tendinitis. The best treatment for tendinitis is time. Unfortunately, this is something that many people are unable to give to an injury. When tendinitis develops, the best thing to do is to use ice and to relax that part of the body. Taking a few days off of practice or away from your workout may be sufficient, but in other cases, this may require a few days in a wheelchair or on crutches, with the bulk of your weight off of the affected area. 2 1 9 6 5 1 8 6 5 7 3 8 7 8 1 4 http://1sudoku.com n° 315825 - Level Hard 6 4 7 7 9 3 8 5 9 4 3 5 1 2 2 8 4 9

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5 1 Working with a physical therapist can help you identify the best treatment methods for tendinitis. Your physical therapist can also help you identify the best range of motion and strength-building activities to reduce your likelihood of developing tendinitis. For more information about preventing or treating pain from tendinitis, contact us. 6 8 3 6 2

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3 6 1 9 5 7 3 4 Strengthen Shoulders WAND SHOULDER FLEXION Lying on your back and holding a wand, palm face down on both sides, slowly raise the wand towards overhead. 2

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Patient Success Story

MILL’S TEST HOW TO DIAGNOSE A TENNIS ELBOW

1. Take a seat.

2. The examiner will start the test by bending your elbow to 90 degrees and fully flexing your wrist. 3. Then the examiner will touch the outer part of your elbow joint with their other hand. 4. While touching your elbow joint (and keeping your wrist fully flexed), the examiner will fully straighten your elbow. * Any reproduction of pain at your elbow joint indicates a positive test result for tennis elbow.

“Before starting PT, I had overused my arm and while playing baseball to the extent that I could not even lightly throw a ball without excruciating pain in my elbow. The problem always returned even after long rests. After PT, I can finally throw again pain free. While at PT, I was treated with patience. The staff here are also all very friendly. They had no problem explaining the root of my problems and what to do to fix them.“ - Kowei C. “I Can Finally Throw Again Pain Free!”

Healthy Recipe Cucumber Kimchi

INGREDIENTS • 2 pickling cucumbers/small cucumbers • 1 tsp kosher salt • 2 cloves garlic, finely chopped • 2 scallions finely chopped

• 1¼-inch piece fresh ginger, finely chopped • 2 tbsp rice vinegar • 1 tbsp Korean chile powder • 2 tsp sugar • ½ tsp fish sauce

DIRECTIONS Cut cucumbers in half lengthwise and then crosswise into ⅛-inch-thick half moons. Place in a medium bowl and mix thoroughly with salt. Let stand at room temperature for about 30 minutes. Meanwhile, combine garlic, scallions, ginger, vinegar, chile powder, sugar and fish sauce in a medium nonreactive bowl. Drain the cucumbers (discard the liquid). Stir the cucumbers into the vinegar mixture. Cover and refrigerate for 12 to 24 hours before serving.

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Marathon Physical Therapy

www.marathonptny.com Tel: (516) 487-9810 Fax: (516) 773-7315

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Page1:TreatingUpperExtremityInjuriesinthe YoungAthlete Page2:WhatIsTendinitis? •ExerciseEssential •Sudoku Page3:Healthy Recipe •PatientSuccessStory •HowToDiagnoseATenniselbow Page4:DealingWith Tendinitis INSIDE

Dealing With Tendinitis Athletes are naturally at an increased risk for experiencing injuries. This is not as a result of any particular health issue that athletes typically have in common. Instead, it is a simple exposure equation. The more frequently you push yourself to try new things, to engage in physical activity, or to push yourself to reach a new goal, the more you are going to increase your risk for potential injury. On more days than not, the injury won’t happen, but as every athlete knows, it only takes one bad day — one day when fatigue throws off your form just enough to cause your gait to be off, for you to feel a little distracted and not realize an obstacle is coming up, or just a fluke of a moment in which something goes wrong and you go down. What makes matters worse is the fact that many athletes attempt to push past the pain of their initial injuries, which often leads to those injuries becoming more severe. Working with a physical therapist is especially important for athletes for this reason. A physical therapist can help identify potential issues with posture or form that may increase your risk for injury, help identify potential injuries as they develop, and assess the severity of and best treatment options for those injuries as soon as possible, so you always know exactly what your body needs to feel at its best. Understanding tendinitis. While there are some sports injuries that happen after a bad day, there are others that develop over time. Tendinitis is an incredibly common issue that causes pain to develop in the joints. This

can impact the hips, knees, elbows or shoulders. Pain caused by tendinitis can impact everyday activities, making it exceedingly difficult to remain comfortable day to day or to remain active. Tendinitis can make simple activities such as picking up a gallon of milk or attempting to put something away on a shelf over your head incredibly painful and challenging. Unfortunately, when tendinitis develops, it often sticks around.This means that pain that begins as frustrating and seemingly minor can quickly become chronic and incredibly painful. Working with a physical therapist is the best way to address tendinitis pain early on, to improve range of motion and reduce the severity of your pain without having to turn to pain medications. Call us today for more information! Look inside to learn more about our programs and say good-bye to those aches and pains!

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