Preferred: 3 Steps To Beat Aching Shoulders

NEWSLETTER Health & Wellness Newsletter (954) 360-7779


until you feel a gentle pulling in your hand and wrist. Hold this for 15-30 seconds and repeat on both sides for 3 times. Do this frequently throughout the day. 2. Improve your posture at work. If you slouch at the keyboard, this puts the neck in a bad position and can put more pressure on your wrists, decreasing blood flow to your hands. Sit tall and have your keyboard slightly lower than the level of your elbow. 3. Stretch your chest and shoulders. Improving your shoulder and chest mobility increases the circulation in your hands. The better your circulation, the less inflammation can build up in the hand and wrist. CTS is a condition that you can prevent with these tips. However, if you start to notice the tingling, numbness or weakness in your hand, see a physical therapist right away. It is much better to catch CTS early, than after nerve damage has occurred. If you feel that you might be experiencing CTS or know someone with these symptoms, call us today to speak with one of our specialists.

Catch CTS early and treat it before nerve damage occurs. Carpal Tunnel Syndrome (CTS) is a very common occurrence, especially in those that are at a computer all day. The carpal tunnel is in your wrist and made up of bones of the hand and ligaments that form the ceiling of the tunnel. With typing, pressure is frequently put on the wrists and base of the palm. In addition, the frequent use of the tendons that glide through this area, during typing can cause the tendons to become irritated and swollen decreasing the space in the tunnel. Your median nerve, which supplies sensation and muscle control to your thumb and first two fingers can become compressed. This is why with CTS, many people first experience tingling or numbness in the thumb and first two fingers. While this can be a sign of nerve compression, the good news is that this can be prevented and even reversed quite quickly. Seeing a physical therapist right away is essential, but here are some tips you can do in the meantime: 1. Stretch your wrists and hands. Stand up and grab the tips of your fingers with the other hand. With your arm outstretched, gently stretch your fingers back

(954) 360-7779

Health & Wellness Newsletter



INSIDE: • Bilateral Magnetic Resonance Imaging Findings In Individuals With Unilateral Shoulder Pain • Relieve Shoulder Pain In Minutes • Patient Success Spotlight • ShockWave Therapy

Whether you have pain or have been suffering for a long time, seeing a physical therapist at Preferred Physical Therapy can help you return to a more active and pain-free life. Give us a call at (954) 360-7779 today!

Do you find your shoulders aching at the end of the day or when having to reach for items?

Why your shoulders hurt. Your shoulders have to move through an incredible 180 degrees of motion, while still maintaining stability and strength. The shoulder joint acts like a ball in a very shallow socket that is part of the shoulder blade. Some of the most important muscles in the rotator cuff are actually the smallest. The rotator cuff is made up of 4 muscles that are small, but vital to keeping the ball stable in the socket. When these muscles are weak or injured, the ball can jam up into the socket of the shoulder blade, causing inflammation and pain. Try these simple actions to improve the health of your shoulders and alleviate that nagging ache or sharp pain for good. 1. Sit up tall! – The number one reason for repetitive injury and pain in the shoulders is poor posture. When the ball moves forward in the socket, the rotator cuff becomes vulnerable to injury!There is less space for the muscles which can then get “pinched”. The muscles are also overstretched, making them weaker. 2. Strengthen your rotator cuff muscles – Bykeepingyour rotatorcuffmuscles strong, you help guide your shoulder joints, lessening the chance for injury

and inflammation to occur. A simple exercise to perform is while sitting or standing, keep elbows at your side bent to 90 degrees and thumbs up. Push your hands out like opening a newspaper. Repeat 10 times. 3. Improve your scapula stability – The shoulder blade makes up an important part of your shoulder complex. It has many different muscles attached to it, pulling at just the right time for proper shoulder movement. Improve the shoulder blade muscles by frequently firing them. In sitting or standing, drop your shoulders slowly down and back. This wakes up those important muscles which help guide the shoulder blade when using your arm. Perform 10-15 repetitions, holding the contraction for 5 seconds frequently throughout the day. By working on these 3 simple actions, you can dramatically improve the performance and feel of your shoulders. If your shoulders feel weak, achy, or painful give us a call today. We will definitely get your shoulders feeling limber, stronger and allow you to get back to doing life’s everyday activities pain-free.

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Magnetic resonance imaging (MRI) is commonly used to diagnose structural abnormalities in the shoulder. However, subsequent findings may not be the source of symptoms. The aim of this study was to determine comparative MRI findings across both shoulders of individuals with unilateral shoulder symptoms. Materials and methods We prospectively evaluated 123 individuals from the community who had self-reported unilateral shoulder pain with no signs of adhesive capsulitis, no substantial range-of-motion deficit, no history of upper-limb fractures, no repeated shoulder dislocations, and no neck-related pain. Images in the coronal, sagittal, and axial planes withT1,T2, and proton density sequences were generated and independently and randomly interpreted by 2 examiners: a board-certified, fellowship-trained orthopedic shoulder surgeon and a musculoskeletal radiologist. Absolute and relative frequencies for each MRI finding were calculated and compared between symptomatic and asymptomatic shoulders. Agreement between the shoulder surgeon and the radiologist was also determined. Results Abnormal MRI findings were highly prevalent in both shoulders. Only the frequencies of full-thickness tears in the supraspinatus tendon and glenohumeral osteoarthritis were higher (approximately 10%) in the symptomatic shoulder according to the surgeon’s findings. Agreement

between the musculoskeletal radiologist and shoulder surgeon ranged from slight to moderate (0.00-0.51). Conclusion Most abnormal MRI findings were not different in frequency between symptomatic and asymptomatic shoulders. Clinicians should be aware of the common anatomic findings on MRI when considering diagnostic and treatment planning.

RodrigoPyGonçalvesBarretoPT,PhDaJonathanP.BramanMDbPaulaM.LudewigPT,PhDcdLarissa PechinchaRibeiroPT, MScaPaula RezendeCamargoPT, PhDa

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We are excited to have recently started using Shockwave Therapy on many patients with excellent results. Extracorporeal (outside the body) ShockWave therapy,useshigh-energysoundwavestargeted over a specific site over a short period of time, which helps stimulate certain components involved in the healing process. Research has shown that it can reduce pain, swellingand increasefunction inseveralchronic tendon disorders including tennis elbow, patella tendinopathy, Achilles tendinopathy, gluteal tendinopathy, rotator cuff tendinopathy of the shoulder and plantar fasciitis. A buildup of specific elements in the muscles or tendons creates local, painful conditions that are addressed with ShockWave therapy. Plastic surgeons are also requesting ShockWave therapy for post-surgical healing and scar treatments. In the UK, the National Institute of

Health endorses the use of ShockWave therapy to treat several of the conditions listed above due to the significant effects that it can have. A cluster of three to five sessions takes place across one to two weeks, followed by a gap of a few weeks for tissue regeneration. The picture of recovery is an accelerated progression from pain and mobility restoration.

Patient Success Spotlights


These therapists are so professional and effective! “I’ve been a patient with Preferred physical therapy for 8 years and keep returning whenever I injure myself. These therapists are so professional and effective, and I always have great results to put me back to all my activities. I would recommend Trevor and Preferred Physical Therapy to everyone!” - Neal You made my experience with all of you first class! “Preferred Physical Therapy is a wonderful place with great people. Their front desk is very responsive, the therapists really know their trade. The owner, Trevor, responded to my inquiry quickly and set an appointment right then and there. Trevor explained exactly what to expect with my treatments. After two treatments for extreme Vertigo I am feeling so much better. Thank you so much Trevor and staff, you made my experience with all of you first class. I will use them again for any Physical Therapy needs.” - Iain (Actual Google Review)

Relieve Shoulder Pain In Minutes Trevor can teach you TMR if you are experiencing shoulder pain.


Strengthens Shoulders

SCAPULAR ADDUCTION/ CHEST RAISE Lift chest bone up and out, let shoulders fall down and back gently. Be careful not to arch your back. Hold for 10 seconds 10 times, repeat 3-4 times throughout the day.

Limited to the first 25 callers. Expires 10-28-19

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