Nova Rehabilitation_Shoulder, Elbow, and Wrist Pain

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!

Newsletter 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! (continued inside) SHOULDER, ELBOW&WRIST PAIN

INSIDE: • Shoulder, Elbow & Wrist Pain • What Is Causing Your Shoulder Pain? • Fun Recipe

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Newsletter The Newsletter About Your Health And Caring For Your Body

SHOULDER, ELBOW& WRIST PAIN Enjoy Precious Moments Without Fear of Pain!

(continued from outside)

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. 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 tasks we take for granted. Proper movement 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 forearm muscles 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 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 right evaluation and treatment from the experts at Nova Rehabilitation, 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 about how we can relieve your pain and get you back to enjoying your activities.

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WHAT IS CAUSING YOUR SHOULDER PAIN?

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 collarbone. 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 while sitting at work or at home, can cause this to occur. Rotation 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 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.

Spinach Dip Recipe

Relieve Hand Pain In Minutes Try this simple exercise to keep you moving

Strengthens Hand

www.simpleset.net

PINCH GRIP Pinch tip of finger and thumb together. Hold for 5 seconds repeat 8 times.

• 2 cans of Rotel • Small onion, chopped • 1 tsp cumin or to taste • 1 tsp garlic salt or to taste

• 1 package frozen spinach (drain) • 2 - 8 oz packages cream cheese • 1 package colby jack cheese • 1 package parmesan cheese

INSTRUCTIONS Combine all ingredients well and place in a 11 x 13 pan. Bake at 375 degrees for 30 - 40 minutes.

You Can Start Feeling Better Now, Call Today! 703-723-4088

SEE THE EXPERTS IN PHYSICAL THERAPY

Chris Kirby Smith PTA, BS Kinesiology

Senthil Kumar Arumugam. MPT., DPT. Dr. Sen is proud to be a part of NOVA Rehabilitation team. He holds the accountability of core values by stepping forward with his skills and influencing the progress of patients. He is responsible for seeking multiple sources that govern and achieve the health goals of patients and society.

ChrisKirby-Smithhasbeen treatingpatients at NOVA Rehabilitation since January 2017. Chris received his Bachelor of Science in Kinesiology, thestudyofhumanmovement, from the University of Maryland, College Park, School of Public Health in 2009. Chris graduated from Carroll Community College’s Physical Therapist Assistant program in 2011.

“I am pleased to learn the patient needs for a dedicated Physical Therapy service with solid experience and education in prevailing OP, SNF, ALF, ILF and management development.” The followingaresomehighlightsofhisqualificationandaccomplishments: •Extensiveexperience invariousHealthcareandmanagementenvironments • Doctorate in Physical Therapy (US) & Advanced Master degree in Orthopedics (India) • Frequent commendations by patients and families for providing exceptional care • Strong initiative and exceptional organizational skills, combined with his ability to work well with NOVA Rehabilitation

Chris has helped patients at NOVA Rehabilitation reach or exceed their goals with hands-on manual techniques and personalized therapeutic exercises. Chris also utilizes IASTM (Instrument Assisted Soft Tissue Mobilization) techniques and Kinesio taping to help patient’s return to or surpass their previous level of function. Outside of the clinic, Chris enjoys outdoor activities including playing golf, hiking, camping, surfing, snowboarding, and riding off-road trials with his wife and two dogs. Chris dedicates time to training to reach his own goals attending HIIT (High Intensity Interval Training) and CROSSFIT classes.

Vinod Mathew, PT VinodMathew isaBoardCertifiedPhysical Therapist and an active member of American Physical Therapy Association (APTA). Vinod Mathew graduated from Fr Mullers Institute of Medical Education & Research, India in 1997. He obtained a Masters in Manual Therapy from the renowned University of Melbourne, Australia in 2001 .He has over 20 years of clinical experience.

Charles Mack Jr., DPT Charles Mack Jr. (DPT) has been with NOVA Rehabilitation for more than one year. He has also worked at the facility as a student intern for 10 weeks in Spring 2017. Charles Mack Jr. graduated from Wichita State University in May 2017. While at Wichita St, Charles co-taught “Neuromuscular Examination, Assessment and Interventions” & “Clinical Skills” as a graduate teachers assistant. He has Basic & Performance certifications in Functional

He is described by his patients as a highly competent and compassionate clinician. NOVA Rehabilitation was a long awaited dream of Vinod Mathew that finally became a reality in September 2011. Since then we have established exceptional quality physical therapy services in Northern VA. At NOVA Rehabilitation personalized care and treatment is what you will receive. Little to no wait time and a hands on holistic approach.

MovementTraining (FMT)Taping.He is IASTMSmart toolscertified.Charles is certified in Dry needling level 1 with plans of taking the level 2 course this upcoming fall. He works with patients of varying ages, concentrating his work largely in the orthopedic, neurological, and sports rehabilitation sectors of physical therapy. Charles was involved in an auto accident when he was 16 years old in which he was hit by an 18-wheeler semi-trailer truck. As a result of the accident, he had 21 surgeries, over 150 different types of medication administered to him, and experienced three separate incidences of cardiac arrest, while recovering in the hospital. Charles enjoys playing sports, going fishing, and attending church. He believes that the road life has taken him on has given him the desire to always make the most of every moment. Charles aspires to take this mindset to work with him every day, while treating his clients. He lives in our own Loudoun county with his wife.

Education University of Melbourne, Master’s in Manual Therapy Father Muller Medical College (Bachelor’s) Awards and Publications Certified in Inter Segmenial Dry Needling Technique MS in Manual Therapy (Australia)

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