Advanced Rehabilitation: Shoulder, Elbow & Wrist Pain

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

ADVANCED REHABILITATION, INC. P H Y S I C A L T H E R A P Y

ASHLEY BOEGLIN, PTA, ATC Questions &Answers With

What is your favorite flavor of ice cream? Chocolate mint chip What is the craziest food you’ve ever eaten? Kangaroo steak What 3 things would you want to have if you were on a deserted island? A flock of chickens, a soup pot and a machete What’s your nervous habit? I bite my lip and get quiet What’s one of your favorite sayings? Tomorrow is never promised...live everyday as if it were your last Ashley is a Physical Therapist’s Assistant and Athletic Trainer at our Jasper, Indiana clinic. She provides AT services for Perry Central High School. Ashley lives in Ferdinand, Indiana with her daughter, Mackenzie, and their two disabled dogs Lucy and Poopsey. Inside: • Shoulder, Elbow Wrist Pain • Sudoku Puzzle • What Is Causing Your Shoulder Pain? • Patient Success Spotlight • Healthy Recipe

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

ADVANCED REHABILITATION, INC. P H Y S I C A L T H E R A P Y

SHOULDER, ELBOW&WRIST PAIN “Capture The Ideal Treatment!” 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. 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 Cyndi Fortune, PT

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 right evaluation and treatment from the experts at Advanced Rehabilitation Inc., 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.

“I would recommend ARI to anyone!” “I came to ARI with pain in my left shoulder. My range of motion and strength were diminished, not to mention the constant pain. I couldn’t even sleep on my shoulder because it hurt. Amanda is awesome! I do not have any pain! She showed me exercises and easy ways to strengthen the muscle. I would recommend ARI to anyone. They are a great group of people to be around and they know what they are doing.” - Belinda T. Patient Success Spotlight

Stay updated on times and dates of our beneficial workshop sessions. Check out our website for more info about our upcoming workshops!

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 collar bones. 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.

Chicken Tortilla Soup Healthy Recipe

INGREDIENTS • 2 tablespoons vegetable oil • 1 small onion, diced • 2 tablespoons minced garlic • 2 jalapeños , finely diced

• One 14.5-ounce can black beans, • 3 chicken breasts, boneless • 2 limes • Salt & black pepper • 1 cup chopped cilantro leaves • One 8-inch flour tortilla • 1 avocado • 1 cup shredded Monterrey cheese

• 6 cups low-sodium chicken broth • One 14.5-ounce can diced tomatoes

DIRECTIONS In a large saucepan heat the vegetable oil. Add the onions and cook for 2 minutes. Once the onions have softened add the garlic and jalapeños and cook for another minute. Pour the chicken broth, tomatoes and beans into the pot and bring to a boil. Once at a boil lower heat to simmer and add your chicken breasts. Cook the chicken for 20 to 25 minutes. Once chicken is cooked remove from pot. When cool enough to handle shred it and set it aside. Add lime juice and fresh cilantro to the pot. In a serving bowl add a mound of shredded chicken. Ladle soup over chicken and top with a lime wedge, grilled tortilla strips, avocado slices and cheese.

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FREE WORKSHOP MAY 12TH • 10:O0AM The Back Pain & Sciatica Workshop will be held Saturday, May 12th at 10:00am at our Tell City clinic. Register by calling the Tell City location, or online by using the following link: advancedrehabinc.ptworkshops.com/TellCity/ workshop?source=Newsletter ATTENTION BACK PAIN SUFFERERS!

ARI, We Can Fix That!

TELL CITY 1020 11th Street #C Tell City, IN, 47586 • 812-547-7770 www.arirehab.com

Why You Need To Come Back In For A Tune- Up: � Move without pain

� Sit for long periods comfortably

� Bend and move freely � Balance confidently and securely

� Walk for long distances � Live an active and healthy lifestyle

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Sudoku Puzzle

Exercise Essential

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www.simpleset.net Stretches wrists and arms WAND SHOULDER FLEXION Lying on your back and holding a wand, palms face down on both sides, slowly raise the wand towards overhead.

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7 6 4 1 5 3

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If you are not sure about how to do this exercise, please consult with your physical therapist before starting.

http://1sudoku.com

n° 428278 - Level Expert

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