This is a simple case of persistent pain felt in the right sternoclavicular joint and clavicle region with somatic referred pain into the right trtrapezius and scapular region. These may be missed if the trapezius and scapular pain are dominant. The standard active, passive and isometric resisted shoulder tests are sufficient to identify the problem, but some additional tests that target the clavicular joints, plus tenderness on the STC Joint line helps to confirm the clinical diagnosis. The special orthopaedic tests for rotator cuff lesions are unnecessary and usually confuse the picture. In most cases the STC joint is visibly swollen. The treatment of choice is intra-articular corticosteroid injection. This rarely fails to rapidly abolish the pain, and only occasionally is a second injection required. Movement therapies are routinely unsuccessful, often aggravating the pain.
Posted by Dr Mark Laslett on Monday, September 17, 2018
https://buff.ly/2BmAFfz “Conclusions: Observed patterns of cervical radiculopathy only followed the standard pattern in…
Technically speaking your knees (the joint parts) do not affect stride since running is a “mid-range” motion. Walking, on the other hand, does involve end range extension, so limited extension could have an effect – but not in running. Pain in the knee is likely to affect your ability to tolerate a running stride, and your body will find ways to avoid pain – thus affecting your stride in varying ways. There is no typical way this happens, so if you have knee pain, you need to have a good mechanical examination to find out how to best treat or manage it.More
“Patients were asked to rate their pain on a scale of 0 to 10, and they were also asked the question, "Is your pain…
Look for the up coming article in MapMyRun (powered by Under Armour).More
Beat the Heat
Recently, some of my patients have been lamenting the climbing temperatures! Oregonian’s who thrive under silver skies and temperate seasons are being scorched with hot weather this July. Looking ahead, August promises more of the same vivid sunshine, heat haze, and adhesive humidity.
Beating the heat requires that we plan ahead to avoid the brunt of the heat wave and minimize our chance of suffering a heat related illness. Heat related illnesses include heat exhaustion and heat stroke. Take a look at this article for more information about heat-related illness: https://mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
I have some simple strategies that I have recommended for our patients who are looking for ways to be active without suffering from the heat:
- Get up and get after it. The morning offers the coolest temperatures of the day, and also the long morning shadows offer shade if you are walking/running outside.
- Do extra laps inside the grocery store before doing your shopping. This provides an air-conditioned environment where you can get your daily step goal accomplished!
- Hydrate! If you know you are going out to brave the sizzling afternoon heat, then plan ahead by bringing a water bottle to work with you so that you can build up a reserve of hydration before your planned activity.
- Margo Burette, PT, DPT
These beautiful summer evenings are perfect for golfing! If you are struggling getting back on the green, let us know! We would be happy to help you get back to playing outside and enjoying this nice weather. Avoiding movement can actually increase your osteoarthritis pain.
Read this article to learn more about the importance of exercise in reducing pain levels:
Margo Burette DPTMore
While treating a patient at the clinic last week, I was struck with her bravery. She described having previously sought physical therapy treatment for her injury at a different clinic. She had the discouraging experience of being treated by a different person at each appointment, and felt she had to explain her injury again and again. She says she was given a “one size fits all” exercise handout and when she was not successful with the exercises, no adaptations were offered to her.
Amazingly, this lady had the courage to self-advocate for better care. How many like her would be stranded at an impasse? She had the good fortune of having a friend who recommended the Nick Rinard Physical Therapy team to her. I’m happy to report that she is excelling here and is now ready to continue independently much sooner than expected.
Nick Rinard Physical Therapy is a specialty type of physical therapy which helps most people. The methods we use are the most scientifically valid in all of physical therapy today; and all of our therapists are trained in this specialty of mechanical diagnosis and treatment. From the patient’s perspective, you will undergo a thorough evaluation designed to find the true cause of your pain or symptoms. The main aim of the evaluation is to determine whether the pain is “mechanical” or “non-mechanical.”
If it is mechanical, and it is treatable, then you will start a corrective program on day one that is custom designed to suit your needs. We also equip all of our patients with a home exercise program and the tools they need to prevent this problem from recurring in the future.
You deserve to be individually evaluated, treated, and supported in a plan of care that is scientifically valid and effective. If you have had a disappointing physical therapy experience at another clinic, we urge you to come see us and let us demonstrate the difference that our high quality, dedicated staff can make for you.
- Margo Burette, PT, DPT
Our world is getting older by the day. Our planet is currently inhabited by the greatest number of old people in recorded history. That’s right, “the number of people aged 65 years or over is increasing at a faster rate globally than the total population growth.” (Kaneda et al, 2011)
Our elderly population is a tribute to society’s prosperity and medical advancements. Shouldn’t we be celebrating the success of our medical breakthroughs that have allowed more and more people to surviving into their senior years? Sadly, instead of reverence for our elderly, a social phenomenon known as ageism is putting an ugly tarnish on those golden years. (Matthews, 2015)
What is ageism? Wikipedia defines ageism as: “stereotyping and discriminating against individuals or groups on the basis of their age.” The most devastating form of ageism is self-imposed. Here are some common examples of self-ageism phrases:
“When I was younger, I could have done that, but now…”
“I think I just hurt because it’s part of getting old and feeling my years.”
“I’m too old to learn something new. You just can’t teach an old dog new tricks.”
Ageism can lead people to resign to their injuries rather than seeking to heal from them. This resignation leads quickly to loss of independence, loss of mobility, social isolation, etc. The next time you hear yourself or a loved one make an ageism remark, I hope you will reply: “If you’re so old, you’re old enough to know better!”
Stop delaying recovery and healing, and get proactive. If these are your golden years, your health is precious! Protect yourself by getting the help you need in a timely manner. Nick Rinard Physical Therapy is here for you!
- Margo Burette, PT, DPT