Appalachian: Shoulder, Elbow & Wrist Pain




INSIDE: • Get A Handle On Wrist, Elbow & Shoulder Pain • Exercise Essentials • Patient Success Spotlights • Complimentary Seminars • Bill Returns To Elementary School




Whether you have hurt your shoulder or have been suffering for a long time, seeing a physical therapist at Appalachian Physical Therapy, Inc. can help you return to a more active and pain-free life. Give us a call at: • Broadway: 540-901-9501 • Harrisonburg: 540-209-8977 • Pinehurst: 910-215-0541 recognize when an injury develops and to understand ways that you can combat that injury by identifying what may have caused the pain to develop in the first place. Common issues that can lead to shoulder, wrist and elbow pain include: • Issues with poor posture • Carpal tunnel syndrome, which can develop from overuse of the wrist and regular, repetitive motions, such as typing • Heavy lifting

What is Causing the Pain? Think about the tasks that make up the majority of your day-to-day life. It is often said that life in the 21st century is way easier on the body than life during any other time in human history — and it’s true that there is a fair amount of evidence to support this idea. Rather than spending all of your days working in a factory or on a farm, the vast majority of Americans work indoors, often at a computer for a predetermined number of hours week after week. But this new lifestyle isn’t exactly harmless for the body, either. There are plenty of ways in which the common tasks of 21st-century life put the body under a great deal of stress. Sedentary lifestyles frequently contribute to weight gain, which increases your risk for a long list of obesity-related diseases. This puts additional stress on your body, which could result in pain in crucial joints like your shoulders, elbows and yes, even your wrists. But even aside from that, there are a lot of potential issues that your body can face as a result of sedentary behavior in the workplace — including shoulder, elbow and wrist pain. Elbow, wrist and shoulder injuries are especially common as a result of workplace injury and overuse. While it is sometimes possible to take action to prevent an injury from developing, it is especially important to be able to

• Athletic injuries • Muscle sprain • Muscle strain • Dislocation or hyperextension of the joints

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“I am already feeling better!” “Nice and welcoming people. Helpful every time I asked. Great session with Colleen; after only one visit I am already feeling better. Thanks for everything.” - Orlane H., Harrisonburg, VA “Marked improvement in my posture!” “Great place to go, I’ve had PT elsewhere nearby and I liked this a lot better. I got much more time with the therapist and he really worked some of the soreness out my back. I have a double scoliosis and there has been a marked improvement in my posture and upper and mid back soreness. I was also given a stress band so I could continue my workout routine at home. Definitely where I will go from now on.” - Matthew N., Broadway, VA “Very thorough and effective!” “I find Appalachian PT very friendly, helpful and efficient. My treatment has been very thorough and effective.” - Rhoda E., Elkton, VA “Attention to detail!” “Attention to detail and scope of interventions ” - Dauphine W., Southern Pines, NC One of the biggest concerns regarding pain in the wrist, elbow and shoulder is that it is difficult to impossible to actually allow these parts of the body time to rest. Every movement and action requires these body parts — and when the pain develops in both arms, as it often does, treating the pain becomes even more complicated. It is impossible to care for your basic needs without involving your shoulder or wrist, let alone get through a day at the office. This is why so many issues regarding pain in the wrists, elbows and shoulders typically become chronic. Since it is difficult to allow these body parts time to properly rest, they continue being overused and the pain can actually worsen. Treating Shoulder, Elbow and Wrist Pain. Addressing the pain early on is the best way to prevent an issue from becoming chronic. Turning to medication and braces for pain management is not a long-term solution and will only push off the inevitable truth — that you need to find a solution for the problem that is causing you pain. Physical therapy is the ideal tool for support in this regard. Working with a physical therapist will provide you with an opportunity to understand what movements may be causing further discomfort, and can help you to strengthen the surrounding muscles while improving range of motion, which together will likely alleviate some of the pain associated with your injury.

Don’t assume that pain in your elbows, wrists or shoulders will go away on its own. It is more common for the pain to worsen, and compensating for the pain by overusing the opposite arm can cause further injury to develop. For support with learning how to manage the pain, and to learn exercises and techniques that can help you overcome the injury and restore proper strength and functionality to your shoulders, wrists and elbows, contact your physical therapist.

Call us today to schedule an appointment!


“Quality and caring!” “Quality and caring in one package.” - Crystl W., Rockingham, VA “Really care about their patients!” “The people at Appalachian physical therapy seem to really care about their patients and they also try to make it fun! ” - Catherine L., Rockingham, VA “Alleviating problem areas!” “Hands-on therapy and extra time devoted to alleviating problem areas.” - James P., Whispering Pines, NC “I wouldn’t go anywhere else!” “Wonderful staff and proven results. I wouldn’t go anywhere else for PT.” - Richard L., Pinehurst, NC “I always come out with a great response!” “I always recommend this place for physical therapy. This is my second time having had their services. I always come out with a great response. Thanks from me to all the staff. Thank you for your service.” - Ima H., Carthage, NC

COMPLIMENTARY SEMINARS You are invited to our

Karen Backall, PT will host an Oh My Aching Back Seminar that will be held Thursday, May 23rd at our Senior Enrichment Center (Pinehurst). OHMY ACHING BACK SEMINAR MAY 23RD • 4:00-5:00PM SENIOR ENRICHMENT CENTER • 910-215-0541


Jennie Grove, DPT. will host a Parkinson’s Disease Seminar that will be held Tuesday, June 18th at our Harrisonburg clinic.

If you’re confused about what to do and looking for answers, here’s some of what you’ll learn:

We’ll be reviewing many ways to improve back issues through improved mobility.

We’ll be reviewing options to surgery, drugs, and traditional exercises used to manage and treat parkinson’s disease.

Don’t delay! Register by calling or via email at • UPCOMING SEMINARS •


HARRISONBURG LOCATION: FEET: July 16th, 7-8:30 pm Presented by Adam Van Nortwick, DPT & Dan Mills, DPT. NEUROPATHY, RLS: August 15th, 7-8:30 pm Presented by Bill Whiteford, DPT & Annie Baker, PT. HYPERMOBILITY: September 19th, 7-8:30 pm Presented by Colleen Whiteford, DPT & Lisa Shoaf, DPT. VESTIBULAR: October 15th, 7-8:30 pm Presented by Adam Van Nortwick, DPT & Dan Mills, DPT. BALANCE/FALL PREVENTION: November 14th, 7-8:30 pm Presented by Colleen Whiteford, DPT


ARTHRITIS: Sept. 26, 4-5 pm Presented by Karen Backall, PT

Register by calling the Senior Enrichment Center, on 15-501, Moore County at 910-215-0900. PINEHURST LOCATION: BALANCE & FALLS PREVENTION: April 24th, 4-5 pm Presented by Karen Backall, PT, Ray Metzger, PT & Dr. Teri Walsh, DPT.

Lite r

WHY DO I HURT?: July 24th, 4-5 pm Presented by Ray Metzger, PT and Dr. Teri Walsh, DPT.


Register by calling our Harrisonburg office at 540-209-8977 or email at

Register by calling our Pinehurst office at 910-215-0541 or email at


I just came back from an interesting trip to Skyline Elementary School in Harrisonburg where I visited Mrs. Van’s room full of fourth graders. Gigi, our skeleton came along and boy did she make a commotion! All down the hallway students came out of their classroom oohing and awwing at the site of the skeleton rolling

My hat is off to Mrs. Van and her band of mighty little ones that continue to learn in today’s world. I realized when I was there, I was looking at me sitting there many years ago. These kids are our future and we all should invest some time and effort into helping them become tomorrow’s citizens leading this world of ours.

ARTWORK AT THE OFFICE It is important that we as health care providers help informothers regarding good information and this is one way we have continued to give back to the community. Each student was given a diagram of a skeleton with some of the names of the bones left blank. We reviewed not only the names of the bones but also their function. All in all, it was a great hour spent planting seeds with kids that were eager to learn. Appalachian Physic l Therapy, Inc. “Always Getting Better” Artist Open House Featuring Local Artist Bruce Dellinger Presented by Appalachian Physical Therapy down the hallway with pink socks on her feet. I got lots of questions about her pink socks and why she was wearing them. The answer of course was she had cold feet.

So just to see if you are reading this, we are having a little contest. The question is; what are the functions of our bones? There aremany and I need to know at least ten of them. Email your answer to by May 10th to be considered. Correct entrants will be eligible for a drawing for a $20 gift card which will bemailed to the winner. By entering this contest, you agree to have your name and picture in one of our upcoming newsletters. Have fun and go break a leg (oops, find the answers)!

Appalachian Physical Therapy has artists showing artwork at both our Pinehurst office and in our Harrisonburg office. Bruce Delinger is an artist showing in Harrisonburg until May 22nd. Don Parks is showing in our Pinehurst office through the end of May. Come out and view beautiful pieces by two local talents. Feel free to come by during office hours Monday through Friday from8 am-5 pm to view his work. Meet and Greet Prof ssional local artist Bruce Dellinger our Harrisonburg office Tuesday, March 26th from 6 pm - 7:30 pm freshments will be provided.

GOT ART? We are always looking for artists who would be interested in displaying their work in our Harrisburg as well as Pinehurst location. It can be photographs, woodworking, pottery, wall hangings or a special craft. Please contact the appropriate office for further information. Bruce Dellinger’s art work will be displayed in our office until May 22nd . free to come by during office hours Monday through Friday from 8 am - 5 pm to view his work.

Broadway Office 171 East Springbrook Road Broadway, VA 22815

Harrisonburg Office 2035 East Market Street, Suite 45 Harrisonburg, VA, 22801

MAKE PAYMENTS ON OUR WEBSITE! Appalachian PT gives patients the option to pay online using our website. All payments are totally encrypted for security. Select the “Pay” tab at the top of the page. It’s just that easy.

EXERCISE ESSENTIALS Try these exercises to keep you moving...

WAND SHOULDER FLEXION Lying on your back and holding a wand, palms face down on both sides, slowly raise the wand towards overhead.

Exercises copyright of

Stretches Shoulders

ELASTIC BAND EXTERNAL ROTATION While holding an elastic band at your side with your elbow bent, start with your hand near your stomach and then pull the band away. Keep your elbow at your side the entire time.

Strengthens Shoulders & Wrsits

Always consult your physical therapist or physician before starting exercises you are unsure of doing.

Why You Need To Come In For Another Check-Up:

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

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


BROADWAY CLINIC 540-901-9501



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