Orthopedic Physical Therapy

Thoracic Outlet Syndrome Treatment

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woman with thoracic outlet

Physical therapy for Thoracic Outlet Syndrome (TOS) is a conservative, non-surgical treatment approach aimed at relieving symptoms and improving the functional capacity of individuals with this condition. TOS is a group of disorders that occur when there is compression of the nerves, blood vessels, or both in the thoracic outlet, which is the space between the collarbone (clavicle) and the first rib.

Saunders Therapy Centers physical therapists are experts at addressing the many factors contributing to Thoracic Outlet Syndrome. Saunders’ physical therapy for TOS typically involves the following components:

The Saunders Thoracic Outlet Treatment Approach

Assessment: Our physical therapists will perform a thorough evaluation to assess the specific symptoms and functional limitations caused by TOS. This evaluation will help determine the underlying cause of the condition and guide the development of an appropriate treatment plan.

Posture and Ergonomics: Your Saunders therapist will address any postural abnormalities or poor ergonomics that may be contributing to the compression in the thoracic outlet. Correcting posture and providing ergonomic recommendations can help reduce pressure on the affected structures.

Stretching and Strengthening Exercises: Specific exercises are prescribed to strengthen the muscles around the shoulder, neck, and upper back region. Strengthening these muscles can improve stability and support the thoracic outlet, reducing the risk of compression.

Range of Motion Exercises: Gentle range of motion exercises are used to improve the mobility of the shoulder and neck. This can help alleviate stiffness and tension in the area.

Manual Therapy Techniques: Hands-on techniques, such as massage, joint mobilizations, and soft tissue manipulation, may be used by your Saunders PT to reduce muscle tightness, improve circulation, and relieve pain.

Nerve Gliding Exercises: Specific exercises designed to promote the gliding of nerves through the thoracic outlet may be incorporated to alleviate nerve compression symptoms.

Pain Management Techniques: The therapist may teach pain management strategies, such as relaxation techniques, ice or heat therapy, and the use of assistive devices to ease discomfort.

Home Exercise Program: A personalized home exercise program will be provided, ensuring continuity of care and progress in the rehabilitation process.

woman with thoracic outlet
In some cases, if conservative treatments like physical therapy do not provide sufficient relief, more invasive treatments may be considered. Since Saunders Therapy Centers has great success treating TOS, it’s always a good idea to try us first, before you seek more invasive treatments like surgery.

 

Whiplash Treatment

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whiplash or neck pain

The treatment of whiplash by physical therapists typically involves a combination of different techniques aimed at reducing pain, improving mobility, and promoting healing. Here are some common approaches Saunders physical therapists use to treat whiplash:

The Saunders Whiplash Treatment Approach

Evaluation and Assessment: Saunders physical therapists begin by assessing the severity of the whiplash injury and identifying any specific areas of concern or limitations.

Pain Management: We use various methods such as ice or heat therapy, gentle manual therapy or massage to help alleviate pain and inflammation in the affected area.

Manual Therapy: As you improve, we employ more hands-on techniques such as massage, joint mobilization, and manipulation to improve joint function and reduce muscle tension.

Stretching and Strengthening Exercises: Specific exercises are prescribed to improve flexibility, strength, and stability in the neck and surrounding muscles. These exercises help to restore normal function and prevent further injury.

Posture and Body Mechanics: Proper body mechanics and posture are emphasized to avoid additional strain on the neck and spine during daily activities.

Range of Motion Exercises: Gradual and controlled movements are prescribed to improve the range of motion in the neck and prevent stiffness.

Education and Lifestyle Modifications: Patients are educated about whiplash and given advice on how to modify their daily activities and movements to support the healing process.

Cervical Traction: In some cases, cervical traction may be used to gently stretch the neck and alleviate pressure on the affected areas.

Functional Rehabilitation: Saunders physical therapists help you gradually return to regular activities and work by addressing any functional limitations caused by the whiplash injury.

whiplash or neck pain
It’s crucial to note that the treatment plan for whiplash can vary based on the severity of the injury and individual patient needs. Early intervention and consistent compliance with the prescribed treatment plan are essential for a successful recovery. If you experience whiplash or any other injury, Saunders physical therapists can help guide you back to full recovery.

 

Tennis Elbow Treatment

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Tennis player

Tennis elbow, also known as lateral epicondylitis, is a painful condition that affects the tendons on the outside of the elbow. Despite its name, it can be caused by any repetitive arm and wrist movements, not just playing tennis. Activities such as typing, painting, plumbing, and using tools can also contribute to the development of tennis elbow.

The condition occurs when the tendons that connect the forearm muscles to the outer part of the elbow become inflamed or damaged due to overuse or repetitive strain. This can lead to pain and tenderness on the outer side of the elbow and sometimes down the forearm.

Treatment for tennis elbow usually involves a combination of self-care measures and expert physical therapy. Here is how Saunders physical therapists treat tennis elbow:

The Saunders Tennis Elbow Treatment Approach

Manual Therapy: This includes hands-on techniques performed by a physical therapist to gently mobilize and massage the elbow and surrounding tissues. Manual therapy can help improve joint mobility, reduce pain, and restore normal elbow function.

Therapeutic Exercises: Our physical therapists will prescribe specific exercises to strengthen the muscles around the elbow. These exercises may include range of motion exercises, gentle resistance training appropriate for your injury, and stretching.

Modalities: Therapeutic modalities can be used to reduce pain, inflammation, and muscle tension in the shoulder area.

Functional Training: This involves practicing movements and activities that are relevant to your daily life or sports activities. Functional training helps to integrate the improved strength and flexibility into real-life situations.

Activity Modification: Your physical therapist may advise you on modifying certain activities or movements that aggravate your elbow pain to prevent further injury.

Education and Home Exercises: A crucial part of physical therapy is learning about your condition and performing home exercises and self-management techniques to continue progress outside of therapy sessions.

Taping and Bracing: In some cases, taping or bracing techniques may be used to support the elbow and facilitate healing.

Tennis player
Remember, every individual’s condition is unique, and the best physical therapy treatment for tennis elbow will depend on the underlying cause of the pain. A personalized approach from an expert physical therapist is vital to achieve the best results. In most cases, tennis elbow can be effectively treated with conservative measures. However, if the pain persists or becomes severe, we will work with your physician or refer you to an appropriate specialist for additional care.

 

Shoulder Pain Treatment

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Shoulder Pain Treatment

The best physical therapy treatment for shoulder pain can vary depending on the specific cause and severity of the pain. However, there are some common physical therapy techniques that are often effective in addressing shoulder pain, including such conditions as shoulder tendinitis, shoulder bursitis, rotator cuff injury, and frozen shoulder. A Saunders physical therapist can help determine the most suitable treatment plan for your individual condition. Our goal is to achieve pain relief as soon as possible, and then to restore normal motion, strength, and posture to prevent recurrence of your symptoms. Saunders physical therapists specialize in shoulder pain treatment – choosing Saunders means you will be treated by an experienced professional. Here are some common physical therapy treatments we might use for your condition:

The Saunders Shoulder Pain Treatment Approach

Manual Therapy: This includes hands-on techniques performed by a physical therapist to mobilize and manipulate the shoulder joint and surrounding tissues. Manual therapy can help improve joint mobility, reduce pain, and restore normal shoulder function.

Therapeutic Exercises: Our physical therapists will prescribe specific exercises to strengthen the muscles around the shoulder joint, improve flexibility, and enhance stability. These exercises may include range of motion exercises, resistance training, and stretching.

Modalities: Therapeutic modalities can be used to reduce pain, inflammation, and muscle tension in the shoulder area.

Posture Correction: Poor posture can contribute to shoulder pain. Our experts will assess and provide strategies to improve posture, reducing stress on the shoulder joint.

Functional Training: This involves practicing movements and activities that are relevant to your daily life or sports activities. Functional training helps to integrate the improved strength and flexibility into real-life situations.

Activity Modification: Your physical therapist may advise you on modifying certain activities or movements that aggravate your shoulder pain to prevent further injury.

Education and Home Exercises: A crucial part of physical therapy is learning about your condition and performing home exercises and self-management techniques to continue progress outside of therapy sessions.

Taping and Bracing: In some cases, taping or bracing techniques may be used to support the shoulder joint and facilitate healing.

Shoulder Pain Treatment
Remember, every individual’s condition is unique, and the best physical therapy treatment for shoulder pain will depend on the underlying cause of the pain. A personalized approach from an expert physical therapist is vital to achieve the best results. Additionally, it’s essential to follow the therapist’s advice and be consistent with the exercises and treatments to maximize the benefits of physical therapy.

 

Tension Headaches

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Seated man with tense look on face due to headache

Tension headaches are a common type of headache characterized by a dull, aching pain, typically felt on both sides of the head. They are often caused by stress, muscle tension, poor posture, or fatigue. Symptoms are often constant and do not change with activity or rest. Many tension headache sufferers rely on medication just to get through the day.

The good news is that physical therapists at Saunders Therapy Centers can provide treatment and advice for tension headaches:. Treatment involves myofascial release, manual therapy techniques, gentle stretching, muscle retraining, and postural correction. Education to relax the muscles of the face, neck, and upper body are also very beneficial.

Tension Headache Treatment at Saunders Therapy Centers

Manual Therapy: Gentle mobilization techniques to the neck, shoulders, and even jaw can help relieve muscle tension and reduce headache symptoms.

Relaxation techniques: Practicing relaxation techniques such as deep breathing, meditation, progressive muscle relaxation, or yoga can help reduce stress and muscle tension that contribute to tension headaches.

Heat or cold therapy: Applying a warm compress or taking a warm bath can help relax tense muscles. Alternatively, a cold pack or ice wrapped in a cloth can be applied to the forehead or neck to help numb the pain.

Posture Correction: Maintaining good posture can help prevent tension headaches. Our hands-on techniques, exercise instruction and advice helps you be mindful of your posture while sitting, standing, and working on the computer.

Good Advice: Your Saunders PT will help you problem solve such issues as staying hydrated and getting enough rest, recognizing and avoiding triggers, and maintaining a healthy exercise routine.

woman with tension headache

 

Saunders Help for Runners

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runners participate in marathon

Running Injuries and Physical Therapy

Is pain limiting your daily or weekend runs around the lake? Are you a marathon runner who has suffered from several injuries? Our physical therapists can get you on the road to recovery after an injury, assist in injury prevention, and enhance overall performance. As a weekend runner or marathon runner, you can expect a thorough evaluation of your musculoskeletal injury, shoe selection, biomechanical assessment, and foot posture.

  • Musculoskeletal Evaluation: An evaluation of your posture, muscle imbalances including tightness or overactivity, biomechanical assessment, and a foot analysis to determine structure and mechanical faults. All of these components  an assessment of possible etiological factors to your acute or chronic injury.

  • Footwear Analysis: We analyze your specific running shoe and provide recommendations, educate you regarding shoe “health” and types, and orthotic recommendations

Treating the injured runner requires a multi-modal approach, and may include manual therapy, or joint and soft tissue mobilization. This helps improve flexibility, promote healing, and increase efficiency with movement patterns. You can also expect to engage in sport-specific core stabilization training to decrease the mechanical load on the lower extremities and improve balance and proprioception. A home exercise program will be assigned to improve muscular flexibility, strengthen, address balance, and facilitate good muscle memory for return to running.

Orthopedic Treatment Philosophy

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  • Musculoskeletal Evaluation: We will evaluate muscle strength, imbalances, flexibility, posture, and specific functional tests to analyze biomechanics and movement patterns. From there we work to establish an individualized plan of care to address the findings.
  • Manual therapy: Joint and soft tissue mobilization helps to improve the flexibility and stability, promote healing, decrease muscle spasm.
  • Exercise: Very targeted exercises to restore strength, stability, mobility and balance are prescribed. We won’t waste your time with lengthy exercise “protocols”. Instead, we hone in on the most important activities specific to your condition.
  • Modalities: We use modalities like ultrasound, e-stim, heat and cold sparingly – our philosophy is more likely to be geared toward hands-on manual care and exercise.
  • Education: One of the most important features of our care is education to prevent reinjury. Often, simple changes in posture or lifestyle can make a big difference.
 Jenn Joslyn DPT shoulder exam

 

Treatment of Sports Injuries

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Saunders offers treatment of sports injuries as a subset of its orthopedic physical therapy services. Our physical therapists develop individualized rehabilitation plans focused on performance optimization and prevention of reinjury.

  • Musculoskeletal Evaluation: We will evaluate muscle strength, imbalances, flexibility, posture, and specific functional tests to analyze biomechanics and movement patterns. From there we work to establish an individualized plan of care to address the findings.
  • Manual therapy: Joint and soft tissue mobilization helps to improve the flexibility and stability, promote healing, decrease muscle spasm, and improve efficiency with performance.
  • Neuromuscular Re-education Training: This includes performing hands on resistive training or balance/proprioception activities in the gym to improve your body’s awareness and muscular control.
  • Sport specific Training: We educate the individual in appropriate interval training programs for throwing and running, and to assist with a safe return to activity.
  • Education: Especially with young athletes, it is very important to educate both the individual and family on injury prevention, activity modification, and acute medical management of injuries, so these growing individuals can prevent future injuries.
 Sports physical therapy treatment at Saunders Therapy Centers

 

Physical Therapy for Orthopedic Conditions

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occupational therapist assists client with ball exercise in maple grove gym

Common problems we treat:

  • Shoulder tendinitis and rotator cuff injuries
  • Frozen shoulder
  • Tennis elbow, elbow, wrist and hand sprains and strains
  • Neck pain and whiplash
  • Low back pain
  • Brachial plexus injury and thoracic outlet syndrome
  • Hip bursitis, arthritis and tendinitis
  • Piriformis syndrome
  • Knee sprains and lower extremity muscle strains
  • Torn knee ligaments
  • Ankle and foot sprains and strains
  • Plantar fasciitis
  • Pre and post-surgical rehabilitation for all of the above

 

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