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PHYSICAL THERAPY TREATMENT- CRUCIAL FOR SPORTS INJURIES

With the level of intensity and training that athletes are involved in, whether at school, college or professional team sports, athletes are being sidelined from games and have more injuries and strain on their bodies than ever before.Physical therapy can provide preventative management pre injury and pain relief for many injuries related to sports performance, thus helping athletes to avoid and minimize prescription medication use or invasive surgery.
Injuries can result from fatigue and overuse,  poor training, lack of hydration, inadequate warm-up, or lack of overall conditioning. Physical Therapy can help to rebuild strength, manage pain and prevent permanent damage to the athlete.

These are just a few of the sports injuries we treat at JFPT:

  • Achilles Tendonitis
  • Ligament sprains: hip, knee and ankle
  • Patellar tendonitis/Jumper’s knee
  • Plantar fasciitis
  • Rotator cuff injuries
  • Ruptured Achilles
  • Runner’s Knee
  • Shin Splints
  • Sports hernia
  • Stress fractures
  • The Terrible Triad: ACL, MCL and medial meniscus derangement

Having a Physical Therapist on hand to help with the correct diagnosis, treatment and training of repetitive-motion athletes like golfers, baseball pitchers, tennis players, volleyball players and swimmers is vital to their long term success and care.  These athletes have to constantly repeat the same movements, putting their body structures through the same stresses time after time.   Giving these athletes the correct stretching and strengthening conditioning treatments and exercises can prevent future injuries and long term pain.   

It is common for these athletes to develop similar injuries such as lateral epicondylitis commonly known as tennis elbow, inflammation or pain on the outside of the upper arm near the elbow or medial epicondylitis, golfer’s elbow, inflammation or pain on the inner side of the upper arm near the elbow, or “Tommy John” injury for pitchers, which is an injury to the ulnar collateral ligament of the elbow.
Our practice also serves the needs of patients with a variety of neurological conditions such as stroke, brain injury, concussions, cerebellar dysfunction, Parkinson’s disease, cerebral palsy and multiple sclerosis.   At JFPT we provide individual, one on one physical therapy and exercise plans to improve balance, walking, sitting and the overall range of motion of patients who have had an accident or injury and movement impairment of any kind.
Each case will be treated with great patience, empathy and professionalism.   Please don’t hesitate to contact us for further information.

2300 Westwood Blvd STE. 100, Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

Our clinic serves the needs of individuals with a variety of neurological conditions including (but not limited to) Parkinson’s disease, stroke, brain injury, cerebellar dysfunction, cerebral palsy, and multiple sclerosis. We provide physical therapy to improve overall mobility, range of motion, balance, walking, and endurance.
Patients are often referred to physical therapy before surgery to discuss post-surgical expectations, including precautions or restrictions and to maximize strength, range of motion, and function. You will learn a variety of skills that will be important after surgery including how to safely move in bed, get in and out of a chair, and use an assistive device such as crutches or a walker. You might also receive exercises to perform at home to optimize your movement prior to surgery.

After surgery, our goal is to return you to your prior level of physical function. This includes successful return to work, recreational activities, and/or competitive sports.
Pain in your muscles, tissues, joints and bones can prevent you from reaching your optimal physical and functional capabilities. Our clinicians are trusted experts in evaluating the movement system and in treating identified movement impairments. We will empower you by providing the education you need to understand and correct your movement impairments to meet your personal health and fitness goals.
The key to their success is their expert understanding and knowledge of the fundamental causes regarding skeletal and neuromuscular disorders. This gives them the opportunity to diagnose problems correctly and to select the most suitable procedure for every patient.

Neuromuscular Physical Therapy Definition

Neuromuscular physical therapy is the detection, assessment, and correction of the pain and dysfunction associated with neuromuscular diseases and injuries through the application of physical therapies, exercise , activities, and assistive devices.

Purpose

The purpose of neuromuscular physical therapy is to examine, treat, and train individuals with neuromuscular diseases and injuries in order to limit their physical disability and reduce symptoms such as pain, muscle spasms and contractions, while addressing related structural and postural abnormalities. Physical therapists will work to restore fitness and health to the highest possible degree, specifically locating areas of tissue spasm and helping to release it, finding and eliminating trigger points causing pain, and helping to restore postural alignment and flexibility. The goal of physical therapy is to rebuild the strength of tissue injured by neuromuscular disease or injuries, to restore physical functioning as much as possible, and to improve the flow of blood and lymph in the body, promoting overall health. Patients who may require neuromuscular physical therapy include people who have been injured in accidents and those who are disabled by low back pain, osteoporosis, osteoarthritis, rheumatoid arthritis, fibromyalgia, sciatica , scoliosis, heart disease , Parkinson’s disease, fractures, head and spinal injuries, multiple sclerosis and cerebral palsy.

KNEE REPLACEMENT SURGERY

Also called Arthroplasty or Knee Resurfacing is usually done to improve pain and restore mobility and weight bearing capabilities to a damaged, worn or diseased joint.  Surgeons mostly  implant a prosthetic shaped as a joint or cap the ends of the bones that form the knee joint with metal, ceramic or plastic components..  These procedures are very common in the USA and most patients experience a dramatic improvement in pain levels and overall mobility.   The success of the knee surgery will largely depend on the post operative work done with a Physical Therapist and patients are advised to follow their instructions meticulously for a full recovery.   In most cases these replacement knees will function well for approximately 15 to 20 years.  Full recovery is typically 8 to 12 months.

TYPES OF KNEE REPLACEMENT
Knee replacements can be partial or total.

PARTIAL KNEE REPLACEMENT –  This type of knee replacement is usually less traumatic and the recovery time is quicker.  The incision is smaller as less bone is removed from only one side of the knee, but this replacement does not last as long as a full knee replacement.   There will also be less risk of infection and less risk of blood clotting.

TOTAL KNEE REPLACEMENT – This type of full knee replacement is more common and will offer less pain and lasting results .   However, the recovery time is longer and there is always a danger of scar tissue building up which will affect the mobility and stiffness of the knee.  Again, the regular time and effort spent with your Physical Therapist is vital to gain your mobility back.

 

THREE COMMON CAUSES
Damage to the knee is usually caused by rheumatoid arthritis, osteoarthritis or post-traumatic arthritis due to an earlier injury.
RHEUMATOID ARTHRITIS – Chronic inflammation can do great damage to the cartilage in the knee resulting in bones rubbing or crunching together which then causes great pain and stiffness.
OSTEOARTHRITIS – This type of damage is usually age related and is a result of inflammation breaking down the cartilage in the joints.
POST TRAUMATIC ARTHRITIS – This is usually due to an injury of the bones or ligaments around the knee affecting the cartilage.

HELP YOUR BODY HEAL CORRECTLY
This is the time of no compromise!   Follow a healthy diet and a regular exercise program with your Physical Therapist.
 
While in hospital they may recommend a continuous passive motion (CPM) machine, which is a machine that slowly moves the knee while in bed. Some doctors believe this decreases the swelling by elevating the leg and improves blood circulation by moving the limb.   The first few days after surgery you many be prescribed pain medication and may need to use crutches or a walker for a while.
A Specific Exercise Program and Personal Activity Program will be designed by your Physical Therapist aimed particularly on the type of surgery you have undergone.   Your Physical Therapist will usually recommend 20-30 minutes exercise two – three times per day.   Your total recovery will depend on the effort you put into this program.   These exercises will have to be done several times a day.   Your Physical Therapist will progress the program to gradually increase your walking, sitting, standing and eventually climbing stairs.

SAFETY AT HOME

  • Don’t bend down to lift things off the floor
  • Remove any carpets that may cause you to trip and fall
  • Sleep downstairs for the first few weeks
  • Crutches, walkers and a stick may be useful for the first few weeks
  • Don’t stand too long which may cause swelling
  • Keep the leg raised on a footstool when sitting
  • Avoid soaking the wound until the scar is completely healed
  • Monitor any signs of redness, excessive swelling around the wound, drainage from the wound, and body temperature for possible infections
  • Have a non slip chair in the shower
  • Secure any loose wires in the house

 

We hope the above information has been helpful and we are available to answer any further questions should you wish to contact us:
2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

FALLS LEAD TO FATAL INJURIES FOR AGING ADULTS

According to the National Council of aging, falls are the leading cause of fatal injury in older adults and the most common cause of nonfatal trauma related hospital admissions.  
Physical Therapists can have great success in preventing and treating older adults to prevent these types of accidents.   One vital sign to be aware of is one’s gait speed.   The slower your gait speed the more risk there is of falling.   According to the Journal of Geriatric Physical Therapy, gait speed can also predict the general health status of an aging adult and their functional decline.   Your gait speed can be assessed correctly by a Physical Therapist and a personal exercise plan will be put in place to minimize the risk of you tripping and falling.  Spending a session or two per week for 4 to 8 weeks with your Physical Therapist will improve the quality of your life and decrease the risk of falling.  Having a Physical Therapist implement an exercise plan with you will also minimize hospitalization stays if a fall does occur. 
It has been suggested by the World Health Organization that older adults try to achieve at least 45 minutes, three to four days of the week doing moderate, aerobic physical activity.   Not only will your physical strength improve but your lung function and balance will greatly strengthen.  At the same time it has been shown to have positive effects on high blood pressure, coronary heart disease and overall functional health in older adults.  
Regular workouts with your physical therapist can help older adults live stronger,  longer healthier lives. 
The following points are just a few things your Physical Therapist will help you with:

  • Balance Training
  • Walking and moving safely
  • Strength training
  • Pain management
  • Overall Education of your body

Your Physical Therapist can guide you through this new phase of learning to strengthen and adjust your body movements to cope with the effects of aging.

We hope the above information has been helpful and we are available to answer any further questions should you wish to contact us:
2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

LOWER BACK PAIN

Various culprits of lower back pain and how you can improve the condition by making just a few adjustments to your sleeping and sitting habits.

Unfortunately, most people, at some point in their lives, have experienced lower back pain.   There are different types of back pain:

Sciatica – caused by a bulging or ruptured disc pressing on the nerve as it exits the spinal column in the lower lumbar and irritates the sciatic nerve.   This pain will run down one or both legs past the knee and typically into the foot.  This type of pain responds well to regular treatment by Physical Therapy but at times may require a doctor to administer an epidural or steroid to reduce inflammation and pain.

Work related strain – If your work requires you to lift heavy things, twist your spine or sit for long periods in the same position you may be adding to your back pain.  One of the best solutions to avoid this type of injury is to follow a personalized fitness and strength training program, specially designed for you by your Physical Therapist.  Simple habits like incorrect posture when sitting in front of a screen all day or carrying a heavy golf bag can cause back pain and working with your Physical Therapist to correct these old habits and strengthen the surrounding muscles to support these activities will help enormously.

Sports and Workouts – Planning ahead with your Physical Therapist and preparing your body to take on a physical activity is the safest option.   Strength and fitness training should always be approached carefully and built up as your body gets stronger and adapts to the movements.   You are especially vulnerable to injury if you are inactive during the week and then launch into some type of sport on the weekend.  

Chronic Conditions & Herniated Disc

There are several chronic conditions that may also lead to lower back pain and these conditions will need a combination of treatments by your doctor and Physical Therapist.   A herniated disc can cause intense pain and will need long term treatment.   Aging, wear and tear or even an accident can cause the gel-like substance in between the discs to rupture or bulge putting pressure on the nerve root.  
Other chronic conditions like spinal stenosis, spondylitis or fibromyalgia are culprits for lower back pain and need to be carefully treated by your Physical Therapist and doctor.

Speak to a Physical Therapist about your sitting, standing, and sleeping positions to prevent and help with your lower back pain.   If just a few adjustments are made you can see great results in minimising your lower back pain.   Whether you are a back sleeper, a side sleeper or a tummy sleeper there are always solutions to improve your body alignment.  

We hope the above information has been helpful and we are available to answer any further questions should you wish to contact us.   The content provided in this blog is for informational purposes only, does not constitute medical advice and should not be relied on for making personal health decisions.

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

DAILY STRETCHING VITAL FOR PAIN RELIEF

Chronic pain can prevent most people from living their best lives!   Whether it’s hip pain, back pain, shoulder pain or pain in the legs or arms, relief can be just a few stretches and strengthening exercises away.  Regular exercise and training, especially if planned by your physical therapist, can be a huge help in preventing and improving pain in the body.   Doing regular exercise can strengthen the muscles supporting the injury and leave you in far better shape to prevent future injuries.  A recent study on back pain found that participants who followed a 12-week stretching regimen reported better back function, less pain, and a reduced need for pain medication.

STRETCHING TIPS:
Have a plan from your physical therapist
Breathe deeply while stretching
Stretch to cool down after your workout
Do your routine at least once a day
Wear comfortable clothes
Stretching should be pain free, don’t force the muscle
Move into the stretch slowly, never bouncing
Hold stretches 30-45 seconds to allow muscles and joints to loosen
Repeat the stretch, generally 2 to 3 times
Stretch your whole body even if you only have pain in one area

HUGE BENEFITS:
Relax those stresses – Emotional stress can cause tension in your body and disrupt the normal, fluid function of your muscles. Pain is exacerbated by tightness and stress so regular stretching and exercise will help to relieve the stress and in turn loosen the muscles and help with relaxation.

Improves circulation and blood flow – stretching will help the blood to flow and circulate to the muscles and joints, helping to remove waste products and bringing vital nutrients to cells.  Tight connective tissue needs blood flow to open up the knotted tissue and help with the pain.
Improve flexibility – stiffness is the main culprit in relieving pain so slowly lengthening your muscles and keeping them flexibile will be beneficial to your overall health.   As we age, joints will become less flexible and tight muscles will keep them in these rigid positions increasing the risk of falling.   It is important that we try to keep a full range of motion in all joints.
Good body alignment – your physical therapist can be very helpful and teach you to be mindful of your body’s proper alignment.   Working regularly on this alignment when you are sitting, standing or walking will prove to be very important in the prevention of injuries and help relieve pain.
Oxygen-never forget that oxygen is one of the bodies natural healers.   Taking regular, deep breathes can relax tension, help with sleep and vitalize the blood flow throughout your body.   Good oxygenated blood flow will help the body heal and relieve pain.
Better Balance-by regularly stretching your muscles throughout your body, your alignment and balance will improve giving you a far better range of motion and better coordination and control over your balance and everyday movements.
Take action and call today to get your personalized stretching program delivered online or from your West Los Angeles Physical Therapist and fitness trainer!

http://jasonferinephysicaltherapy.com/
2300 Westwood Blvd STE. 100
Los Angeles , CA 90064
424 365 2083

PHYSICAL THERAPY A MUST FOR STROKE VICTIMS

Recent research shows that our brains are amazingly resilient in relearning and recovering after a stroke.  Physical Therapy will prove to be one of the most important therapies for stroke victims.   It’s always a good idea to start physical therapy as soon as your doctor says it’s time to get those limbs moving again.   Recovering after such a major life event may feel daunting but the sooner you start to work your muscles by strengthening and retraining coordination,  the better the outcome will be, physically and mentally.  
If you have experienced loss of movement in your arm(s) or leg(s) or on one side of your body, the main focus should be to regain as much strength and movement as possible to help you carry out everyday activities.   Keeping in mind that your affected side of the body may feel very different and your muscles may become stiff or lax and will not react as they should.   Your balance may also be compromised which will result in stability and posture problems increasing the risk of falling.  You may easily develop a behavioral pattern of nonuse. Early muscle activation is critical to good recovery, you should be devoting as much time as possible to getting your limbs moving.   When muscles don’t have the strength to function correctly it leaves joints wide open to injury. 
After a stroke, our brains cannot, as yet, grow new cells to replace the ones that have been damaged.  Though neuroplasticity is the brain’s ability to reorganize undamaged cells to compensate or take over the functions of the damaged part of the brain. The repetitive use of impaired limbs encourages brain plasticity and helps reduce disabilities.

 
Your Physical Therapist is highly trained to help you slowly strengthen your muscles and hopefully, regain part or full function.  This process can be guided by the rehabilitation you receive following your stroke, and your Physical Therapist will provide expert guidance on how to relearn movement, regain function and move again as independently as possible.
Physical therapists who specialize in treating disabilities related to sensory and motor impairments from a stroke are trained in all aspects of anatomy and physiology related to normal function, with an emphasis on the coordination and strength of movement.  They assess the patient’s strength http://jasonferinephysicaltherapy.com/services/physical-therapy/,  range of motion, gait abnormalities, endurance, and sensory deficits to design specifically individualized rehabilitation programs aimed at regaining control over motor functions.

Physical therapists help survivors regain the use of stroke-impaired limbs, teach compensatory strategies to reduce the effect of remaining deficits, and establish ongoing exercise programs to help people retain their newly learned skills.

Some of the strategies and treatments used by physical therapists to encourage the use of impaired limbs include active and passive range-of-motion exercises,  selective sensory stimulation such as tapping or stroking and temporary restraint of healthy limbs while practicing motor tasks.  Physical therapy emphasizes practicing isolated movements, repeatedly changing from one kind of movement to another, and rehearsing complex movements that require a great deal of coordination and balance, such as walking up or down stairs or moving safely between obstacles.   Physical therapists may emphasizes the effectiveness of engaging in goal-directed activities, such as playing games, to promote coordination. Physical Therapist’s will help to motivate you to be actively involved in your therapy sessions to help you relearn normal patterns of movement and give you every chance of making a good recovery.
A very informative article on this subject can be found at:
https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet

We hope the above information has been helpful and we are available to answer any further questions should you wish to contact us.   The content provided in this blog is for informational purposes only, does not constitute medical advice and should not be relied on for making personal health decisions.

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

INFRARED SAUNA TREATMENTS

Promote Weight Loss, Stress Relief, Help Heal Sprains, Strains, Muscle Injuries, Wound Healing, and Speed Up Cell Regeneration

According to The Doctor’s Prescription for Health Living, Sunlighten’s infrared sauna is one of the best treatments for sprains, strains, muscle spasms, and other injuries associated with sports because it works by penetrating joints, muscles and tissues, speeding oxygen flow and increasing circulation. When it comes to recovering from an injury or sprain, infrared sauna treatments together with  physical therapy can be very effective.

“Regardless of the extent of the injury, someone who regularly uses this type of sauna will recover faster…It doesn’t add additional stress to the body or the injury. It actually works with the body to heal.” -Dr. Jeffrey Spencer – University of Southern California.

The American Institute of Stress, estimated that between 75 to 90% of visits to primary care physicians are related to stress problems. The more stressed you are, the more cortisol your body produces. Cortisol is a “fight or flight” hormone made in the adrenal glands. There are countless physiological effects from long term stress exposure on the body. Increased blood pressure, weight gain and weakening of the immune system are just some of the of the side effects of stress.

Infrared Sauna use can be very beneficial in helping the body maintain healthy levels of cortisol. Infrared saunas have been clinically shown to reduce both systolic and diastolic blood pressure with regular use. The process of wrapping the whole body in soothing warmth may help you relieve stress, ease your muscles and help you relax in natural comfort with an invigorating deep tissue sweat that will have you feeling fully refreshed after every sauna session.

With all this in mind, working hand in hand with a Physical Therapist as well as using the Infrared Sauna treatment is a very effective way of helping your body recover from injuries, stress or post operative procedures. Or if you’re just wanting some time to relax and breathe just call and book a session in our private infrared sauna and gym facility.

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE: 424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com

 

Physical Therapists Treat Concussions Seriously!

Recently, contact sports, such as football, are being placed in the spotlight for players risk of sustaining a concussion during play.  #Physical therapy has become an integral part of the team of specialists able to contribute extensively to the treatment and healing from these types of injuries.  Commonly the recommended treatment was rest until symptoms alleviated, but now doctors and therapists are challenging the idea that rest is the best treatment approach.  The brain is the body’s most complex and least understood organ so there’s nothing cut-and-dried about concussion management.
Concussions typically result in the rapid onset of short-lived impairment of neurological function that may resolve quickly in days or weeks but can also linger for months, even years.  Common symptoms of #concussions:

The Mayo Clinic defines concussion as "a complex disorder in which various symptoms, such as headaches and dizziness, can last for weeks and sometimes months after the injury that caused the concussion." However, an estimated 80% to 90% of concussions resolve themselves within 7 to 10 days.  Whether you have received this type of brain injury from a car accident, fall or sports injury, patients need to proceed with caution and knowledge.  Physical Therapists are seeing more recognition for their value when working with a multidisciplinary team of healthcare professionals such as neurologists, orthopedics doctors, sports medicine doctors and optometrists.
The benefits of taking an active approach with a physical therapist appears to speed healing when administered in a careful manner.  Physical therapists are movement experts and know, with well monitored exertion at the proper time of their recovery phase,  patients can greatly benefit and speed up their recovery from concussion.
"There’s an ever-stronger evidence base to what we’re doing in the treatment arena," says Anne Mucha, PT, DPT, coordinator of vestibular rehabilitation for the Sports Concussion Program and Centers for Rehab Services at the University of Pittsburgh Medical Center (UPMC)—a global leader in testing, treating, and researching sports-related concussion.
"Better and better data lends support to how PTs—as members of multidisciplinary, multifaceted health care teams—consider, manage, and create treatment pathways for concussion in optimal and efficacious ways," says Mucha, a board-certified clinical specialist in neurologic physical therapy. "Some medical professionals still are of the opinion that there’s no way to treat concussion other than to rest the patient," Mucha comments, "but there’s been rapid evolution of evidence to the contrary."
According to The University of Pittsburgh Medical Center,  4 of the 6 clinical trajectories for concussion cited in their interdisciplinary model for understanding the assessment, treatment, and rehabilitation of the condition—vestibular, cervical, ocular, and posttraumatic migraine—are squarely within physical therapists scope of practice. The remaining trajectories – cognitive/fatigue and anxiety/mood are directly correlated to the other 4.
American Physical Therapy Association. The Physical Therapist’s Role in the Management of the Person With Concussion. (HOD P06-12-12-10)

http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/Practice/ManagementConcussion.pdf#search=%22concussion house position%22. Accessed December 12, 2016.

Concussions are a serious business, but they’re also highly treatable with the right guidance and patience.  Call our office today to schedule an appointment with Jason Ferine Physical Therapy.  We can evaluate your condition and prescribe a safe and sensible recovery plan for you!

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com
jasonferinept@gmail.com

WEIGHT LOSS and PHYSICAL THERAPY

Physical therapy is a proven weight management tool.  According to the Centers for Disease Control and Prevention (CDC), 68 percent of adults over the age of 20 are either overweight or obese in the United States.

This is a staggering statistic that shows how important it is for us to address the problem of obesity on a direct level.  Physical therapists are all too aware of the dangers and damage one can do to your body if you launch into the incorrect fitness program without any supervision.   With a weight loss goal in mind, it is of utmost importance to first restore flexibility to your body, then strengthen, and improve cardiovascular endurance.  Another important factor that they will teach you is to breathe correctly while working out.  One of the most sensible decisions you can make is to have a physical therapist work with you to develop an individualized physical activity plan that is manageable for you.   This way you can ease into your new lifestyle while dealing correctly with your physical ailments.    Our physical activity programs are designed to help establish a life-long habit of healthy physical activity,  one which you will enjoy, can manage and will help you keep your weight off. 
According to the Mayo Clinic, increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.
To boost your activity level:

  1. Exercise. People who are overweight or obese need to get at least 150 minutes a week of moderate-intensity physical activity to prevent further weight gain or to maintain the loss of a modest amount of weight. To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week. You probably will need to gradually increase the amount you exercise as your endurance and fitness improve.
  2. Keep moving. Even though regular aerobic exercise is the most efficient way to burn calories and shed excess weight, any extra movement helps burn calories. Making simple changes throughout your day can add up to big benefits. Park further from store entrances, rev up your household chores, garden, get up and move around periodically, and wear a pedometer to track how many steps you actually take over the course of a day.

https://www.mayoclinic.org/diseases-conditions/obesity/diagnosis-treatment/drc-20375749

Physical therapy exercise will not only help you with your weight loss goals but can also help boost your mood, ease depression through increased physical activity, relieve stress and anxiety, enhance your self-esteem, and improve your whole outlook on life.

Your physical therapist will do a full evaluation of your individual case, taking into account any illness, physical disability, injury and medications you’re taking.   They will then assess your strength, #fitness, flexibility and movement deficiencies.   With all this information they can then put together an individual exercise program designed just for you and your body.   Starting slowly and gradually increasing your activity levels, they will work hand in hand with you taking you through your program until you develop the confidence and comfort in performing it independently. 

Making the decision that you want to lose some weight is half the job done.  Now getting the help and support from a trained and educated physical therapist will give you the confidence to make this a lifelong change to your overall health and emotional well being.   

Remember, limited mobility should never stop you from exercising to lose weight!
Call our office today to schedule an appointment with Jason Ferine Physical Therapy.  We can evaluate your condition and become your partners in your weight loss journey.

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064

TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com
 jasonferinept@gmail.com

 

PHYSICAL THERAPY HELP FOR PAINFUL FEET AND ARCHES

There are many causes of pain in the foot and arch area and it’s one of the most restrictive bodily discomforts to live with. Pain in the arch of the foot is a common condition that can limit your walking and standing ability drastically. The arch of the foot, an area along the bottom of the foot between the ball and the heel, is made up of three separate arches that form a triangle and consists of bones, ligaments, and tendons.   There are many causes but here are a few common, easily treatable conditions:

  1. #Plantar fasciitis is a degenerative condition of the plantar fascia and a common cause of heel pain,  especially among athletes. The plantar fascia is a ligament that connects the back of the foot to the front.

Common causes of plantar fasciitis include:

  • Injury
  • Overuse
  • Inflammation
  • Aging
  • Physical stress
  • Neurological conditions
  • Weight gain
  • Structural issues
  1. #Overpronation refers to how a person’s foot moves while walking, running, or jogging.   This type of foot movement strikes the ground with the outer portion of the heel first, then rolling too far onto the arch. The extra pressure causes the arch to flatten.

Long term, overpronation can damage tendons, muscles, and ligaments. This damage can lead to pain in various parts of the body namely, the arch, knee, hip, or back. It may also cause hammertoes, and calluses.
A person who overpronates often benefits from extra support such as stability shoes and prescription arch supports when walking or running.

  1. #Posterior tibial tendon dysfunction occurs when this tendon is inflamed or injured causing lack of support in the arch area. Walking or running will cause this pain to manifest.

#Flat feet are very common in children as well as adults and can easily be helped to avoid back pain, arch pain as well as knee and ankle pain.  

Seeing your Physical Therapist first to correctly diagnose your condition is an important first step. Once the condition has been isolated there are many wonderful stretches and exercises you can do to improve your quality of walking and lessen the pain.   Once your Physical Therapist has worked with you a few times you will be able to continue these exercises at home. 

Here are a few helpful tips that may help you until you get to see your #Physical Therapist:

A. Stretching the calf:

  • lean your hands against a wall
  • straighten the knee of the affected leg and bend the other knee in front
  • keep both feet flat on the ground
  • there should be a stretching sensation in the heel and calf of the extended leg
  • hold for 10 seconds (if really uncomfortable) progress to 2 min holds.
  • repeat two to three times for shorter holds and once for 2 min holds


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B.  Rolling the foot – Placing a round object under the foot and rolling back and forth can help loosen up the foot muscles. People can use a rolling pin, golf ball, or specialized foam roller for this.   Use the following steps to stretch the foot:

  • Remove your shoes
  • sit tall on a chair
  • roll a round object under the arch of the foot eg. a foam ball or small tennis ball
  • roll for 2 minutes


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Please don’t hesitate to call us at @Jason Ferine Physical Therapy in West Los Angeles and we will do our best to advise and help you.   If the pain persists, gets worse, or is chronic, a person should talk to their doctor about additional treatment options in addition to Physical Therapy.

2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064
TELEPHONE:  424 365 2083
FAX: 310 943 3532
EMAIL: jfptoffice@gmail.com
REF:
American Orthopaedic Foot & Ankle Society. http://www.choosingwisely.org/clinician-lists/american-orthopaedic-foot-ankle-society-surgery-for-plantar-fascitis-before-six-months-nonoperative-care/

Hansen, L., et al. (2018). Long-term prognosis of plantar fasciitis: A 5- to 15-year follow-up study of 174 patients with ultrasound examination. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844527/

 

PHYSICAL THERAPIST’S ADVICE FOR RUNNERS

The golden standard in SPORTS TRAINING – Maintaining a balance between biomechanics, functional strength and flexibility will be the key to your sports training success and especially for your walking or running regime.   Pay attention to small aches and twinges before they develop into more serious injuries and always seek the advice of your Physical Therapist before embarking on any form of intense sports training.

  Physical Therapists are functional movement specialists who will  plan a training regimen for your individual body design, strengthening your weak areas and stretching your tight areas that will set you on an injury free path to fitness and attaining your goals.  
A few tips to pay attention to before you start on your fitness journey

  1. Buy the correct running shoes for your feet, don’t skimp on these.
  2. See your physical therapist to have an assessment of your body’s strengths and weaknesses.   Having a safe training plan will serve you well for years to come.
  3. Have any aches and pains looked at by your physical therapist before they develop into injuries.
  4. Training correctly – start gradually on your program and then work up to your desired fitness level.   As your muscle strength increases so will your cardiovascular strength increase.   Learning to pace yourself will give you long term benefits and far less permanent injuries.   After a trail run or hilly run your shins and calves may do well to have a day of rest or light upper body training in between.

 
Some runners injuries to be aware of:

  1. Patellofemoral pain syndrome  –    Patellofemoral (puh-tel-o-FEM-uh-rul) pain syndrome is pain at the front of your knee, around your kneecap (patella). Sometimes called "runner’s knee," it’s more common in people who participate in sports that involve running and jumping.  The knee pain often increases when you run, walk up or down stairs, sit for long periods, or squat. Simple treatments — such as rest and ice — often help, but sometimes physical therapy is needed to ease patellofemoral pain. Ref: https://www.mayoclinic.org
  2. Iliotibial band syndrome – Iliotibial band syndrome is often called IT band syndrome. It is a health problem that causes pain on the outside of the knee. It most commonly happens in athletes, especially distance runners, or those new to exercise.

The bones of your knee joint are your thigh bone (femur), your shinbone (tibia), and your kneecap (patella). Your iliotibial band is a strong, thick band of tissue that runs down the outside of your thigh. It extends all the way from your hip bones to the top of your shinbone.  When you bend and extend your leg, this band moves over the outer lower edge of your thigh bone. With repeated bending and extending of the knee, this movement of the iliotibial band may irritate surrounding tissues, causing pain.  Although anyone can develop it, iliotibial band syndrome is relatively common in distance runners. Ref: https://www.cedars-sinai.org/health-library/diseases-and-conditions/i/iliotibial-band-syndrome.html

Achilles Tendinopathy – Achilles tendinitis is an overuse injury of the Achilles (uh-KILL-eez) tendon, the band of tissue that connects the calf muscles at the back of the lower leg to your heel bone.  Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs. It’s also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends.  Most cases of Achilles tendinitis can be treated with relatively simple, at-home care under your doctor’s supervision. Self-care strategies are usually necessary to prevent recurring episodes. More-serious cases of Achilles tendonitis can lead to tendon tears (ruptures) that may require surgical repair. Ref: https://www.mayoclinic.org

  1. Plantar Fasciitis – Plantar fasciitis (PLAN-tur fas-e-I-tis) is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).  Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. As you get up and move more, the pain normally decreases, but it might return after long periods of standing or after rising from sitting.  Plantar fasciitis is more common in runners. In addition, people who are overweight and those who wear shoes with inadequate support have an increased risk of plantar fasciitis.  Ref: https://www.mayoclinic.org

 

When a niggling pain starts to surface, runners might put off a visit to the therapist, especially when an injury interferes with training.   Patients usually seek physical therapy treatment when the pain begins to interfere with their day to day lives. Once it bleeds into daily activities we take for granted like prolonged sitting, squatting, or going down stairs we take note and try to remedy the injury.  Rather than reach this point of inflammation and debilitation, it’s far better to seek advice early on in your training.

Running as a sport is a long term fitness activity and should be planned and approached seriously to prevent long term injuries and pain.   Let your physical therapist give you the expert advice and training that will give you lifelong enjoyment out of this sport.

Call us at Jason Ferine Physical Therapy and we will be glad to advise you on any of your sports training or injury needs.
Jason Ferine Physical Therapy
2300 Westwood Blvd STE. 100,
Los Angeles , CA 90064
TELEPHONE:  424 365 2083
FAX:                 310 943 3532
EMAIL:              jfptoffice@gmail.com
 jasonferinept@gmail.com

PHYSICAL THERAPY HELPS RELIEVE MUSCLE INFLAMMATION

Myofascial pain syndrome or muscle pain occurs when your body’s soft tissues become inflamed. There can be many causes of inflammation in the body.  Physical therapists have brought relief to many patients suffering from various forms of inflammation as well as injuries such as arthritis, low back pain, or injuries to joints and muscles.   According to the National Pain Foundation, physical therapy can also help ease "neuropathic" pain that comes from damaged nerves, a common complication of diabetes, cancer and traumatic injuries.

Individualized Physical therapy programs can offer an effective way to help patients reduce these symptoms and help to maintain a better quality of life.
According to the Mayo Clinic treatment plan, A physical therapist can devise a plan to help relieve your pain based on your signs and symptoms.
Physical therapy to relieve myofascial pain syndrome may involve:

  1. Stretching. A physical therapist may lead you through gentle stretching exercises to help ease the pain in your affected muscle. If you feel trigger point pain when stretching, the physical therapist may spray a numbing solution on your skin.
  2. Posture training. Improving your posture can help relieve myofascial pain, particularly in your neck. Exercises that strengthen the muscles surrounding your trigger point will help you avoid overworking a particular muscle.
  3. Massage. A physical therapist may massage your affected muscle to help relieve your pain. The physical therapist may use long hand strokes along your muscle or place pressure on specific areas of your muscle to release tension.
  4. Heat. Applying heat, via a hot pack or a hot shower, can help relieve muscle tension and reduce pain.
  5. Ultrasound. This type of therapy uses sound waves to increase blood circulation and warmth, which may promote healing in muscles affected by myofascial pain syndrome.

While nearly everyone has experienced muscle tension pain, the discomfort associated with myofascial pain syndrome persists or worsens. Treatment options include physical therapy and trigger point injections. Pain medications and relaxation techniques can help.

SYMPTOMS

Signs and symptoms of myofascial pain syndrome may include:

  1. Deep, aching pain in a muscle
  2. Pain that persists or worsens
  3. A tender knot in a muscle
  4. Difficulty sleeping due to pain

CAUSES

Sensitive areas of tight muscle fibers can form in your muscles after injuries or overuse. These sensitive areas are called trigger points. A trigger point in a muscle can cause strain and pain throughout the muscle. When this pain persists and worsens, doctors call it myofascial pain syndrome.

RISK FACTORS

Myofascial pain syndrome is caused by a stimulus, such as muscle tightness, that sets off trigger points in your muscles. Factors that may increase your risk of muscle trigger points include:

  1. Muscle injury. An acute muscle injury or continual muscle stress may lead to the development of trigger points. For example, a spot within or near a strained muscle may become a trigger point. Repetitive motions and poor posture also may increase your risk.
  2. Stress and anxiety. People who frequently experience stress and anxiety may be more likely to develop trigger points in their muscles. One theory holds that these people may be more likely to clench their muscles, a form of repeated strain that leaves muscles susceptible to trigger points.

Complications associated with myofascial pain syndrome may include:

  1. Sleep problems. Signs and symptoms of myofascial pain syndrome may make it difficult to sleep at night. You may have trouble finding a comfortable sleep position. And if you move at night, you might hit a trigger point and awaken.
  2. Fibromyalgia. Some research suggests that myofascial pain syndrome may develop into fibromyalgia in some people. Fibromyalgia is a chronic condition that features widespread pain. It’s believed that the brains of people with fibromyalgia become more sensitive to pain signals over time. Some doctors believe myofascial pain syndrome may play a role in starting this process.

https://www.mayoclinic.org/diseases-conditions/myofascial-pain-syndrome/diagnosis-treatment/drc-20375450
The combination of physical therapy as well as an Integrative Bodywork session comprised of an in-depth understanding of human anatomy and kinesiology applied to any and all of the following modalities:  Myo-Fascial Release & Trigger Point Release (Deep Tissue Techniques) & Cranial Sacral Therapy, will go a long way in easing your pain.
If you are suffering from muscle pain call us.
http://jasonferinephysicaltherapy.com/
2300 Westwood Blvd STE. 100
Los Angeles , CA 90064
424 365 2083




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