Is Physical Therapy after Rotator Cuff Surgery Cost Effective?

The shoulder is an inherently unstable joint. This is the tradeoff for having all the mobility it affords. Shoulder injuries are in the top 5 of injuries that a patient will pursue a surgery to repair. It is widely believed that physical therapy (PT) is not as necessary if a surgery is performed, however, this […]

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Sleep Disturbance due to Shoulder Pain ?

One of the most common complaints by patients with rotator cuff tears (RTC) is sleep disturbance. It is commonly believed that surgery will improve this problem, however, it is unclear how many patients truly report improved sleep following RTC surgery. Physical therapy (PT) is becoming more popular to treat RTC tears even amongst higher level […]

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Case Report: Physical therapy for ulnar neuropathy following MVA in a patient with HALO placement and C2 grade 3 fracture

The patient is an otherwise healthy 56 year old white male involved in an MVA resulting in loss of consciousness. The patient was admitted to a local trauma hospital where MRI and X ray imaging revealed a C2 grade 3 fracture and right ulnar dislocation. The patient was treated with a HALO orthosis placement and […]

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Help! I’ve been rear-ended!

It was a typical Wednesday for us at the office. I was treating patients, my wife and office manager Tova was organizing the schedule, sending the requests for payment from the insurance company, and filing the referrals from other providers. The phone rang and Tova said out loud “uh-oh, the school is calling”. Sure enough, […]

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Say Hello to the Alter G

BELLAIRE PHYSICAL THERAPY ADDS THE ALTER G Hit the ground running…  But don’t hit the ground too hard… It’s not too late to help your body defy gravity by walking or running on the AlterG Anti-Gravity Treadmill. With increased patient responsibility using insurance rates, now is a great time to get PT at the unbelievable low cost of […]

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Case Study: Effect of Dry Needling on Chronic Shoulder, Arm, and Hand Pain Post CVA

JOSPT: A detailed description of the management of a unique clinical case, including relevant patient characteristics, examination, evaluation, diagnosis, and description of the interventions that were provided. Title: Case Study: Effect of Dry Needling on Chronic Shoulder, Arm, and Hand Pain Post CVA Key Words: Dry Needling, myofascial pain syndrome, physical therapy, manual therapy, CVA, [&helli...

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A Lesson in Empathy

Standing on a ladder outside building a swing set, I was vaguely aware of the upturned piece of lumber on the ground beneath me. I quickly forgot myself in the overhead fastening of wood and leaped off of the ladder  to admire my handiwork. As I felt the nail enter my foot, I fell to the ground […]

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Patient Testimonial- Back Pain

Patient Description: Early 70’s working female with history of low back and hip pain for one year I can now turn over on my side without pain. Do you Know how long I haven’t been able to do that? It’s like a miracle- I have only come to therapy two times! – Eileen Comments: My […]

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Patient Testimonial- Shoulder Pain

Patient Description: A mid 30’s active otherwise healthy female For years I have had a dull pain under my left shoulder blade and I lived with it.  But after a red-eye flight recently, I woke up with a much more severe pain under that shoulder blade.  It was bad enough that I called my primary care physician.  Her […]

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Case Report: Shoulder pain differential diagnosis; infected axillary lymph nodes

Physical Therapist Diagnosis Providing a dynamic diagnosis method Abstract In the age of science and evidence based healthcare, it is surprising that patients continue to think of imaging as the gold standard for diagnosis. Magnetic Resonance Imaging (MRI) and X-Ray can only provide a picture of the internal structures, while a thorough examination can reveal […]

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Frozen Shoulder/ Adhesive Capsulitis

How Does it Feel? Most people with adhesive capsulitis have worsening pain and then a loss of range of movement. Adhesive capsulitis can be broken down into 4 stages, and your physical therapist can help determine what stage you are in: Stage 1 – “Pre-Freezing” During this stage, it may be difficult to identify your […]

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Understanding Your Diagnosis

How long will this take ? Please take a few minutes to read this article to better understand your diagnosis and prognosis. There is no method to identifying an exact length of time it will take to recover from an injury. In medicine we use something called “best practice” to establish the plan of care […]

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Pain and Function; Can One Exist Without the Other?

What moves you? Muscles move you. The purpose of your muscles is to move your skeleton. Muscles accomplish movement by attaching to 2 bones, and usually a joint or 2 exists between the two ends of the muscles. The Muscle anchors off one bone and pulls the other bone by shortening its length. Can movement […]

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BK or McD? PT or MD?

I can’t comment on Burger King or McDonald’s since I’ve never eaten at either, however I’d like to address a common question that comes my way. Who Should I See First? My Doctor or a PT? Patient Examination Many patients continue to ask if a visit to the internist is required prior to seeking an evaluation […]

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Why do I feel sore after therapy and the next day, but better 2 days later?

Many patients have difficulty understanding why participating in therapy results in soreness which can be perceived as pain. This is one of the poorly understood concepts in rehab which often leads to misunderstanding, poor patient satisfaction and decreased compliance from the patient. In this article I will explain is layperson terms and simple to understand […]

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