CARPAL TUNNEL SYNDROME & HAND PAIN TREATMENT
CARPAL TUNNEL SYMPTOMS
COMMON HAND INJURIES & HAND PROBLEMS
His thorough analysis will explore a range of hand and wrist issues, including:
WHAT CAUSES CARPAL TUNNEL SYNDROME & OTHER HAND PAIN?
CARPAL TUNNEL TREATMENT & HAND THERAPY
HOW CAN I PREVENT CARPAL TUNNEL SYNDROME & HAND INJURY?
- Concentrate on relaxing the tension of your grip during activity
- Take frequent breaks to stretch your wrist and hand in all directions
- Establish conducive workplace ergonomics
- Avoid sleeping with your hands tucked under your body
- Keep warm – cold hands are tense and less flexible
- Those with persistent pain can wear a supportive brace, wrap, or splint to lend stability during repetitive activity
While computers are great for completing more (if not all) daily activities, they, unfortunately, can lead to some health issues. One of those being, Mouse Shoulder. And no, that doesn’t mean you have Disney’s Mickey on your shoulder. You may be wondering, how do I know if I have it? Below are some common questions our patients ask about Mouse Shoulder symptoms.
What Is Mouse Shoulder?
In layman’s terms, Mouse Shoulder is a condition caused by using the computer without proper arm support. In medical terms, it’s considered a Repetitive Strain Injury (RSI). The repetitive motions when using the computer can lead to shoulder, back, or neck pain. There isn’t a way to lessen the use of computers, you can treat your pain and discomfort.
What Are The Symptoms of Mouse Shoulder?
Some symptoms of Mouse Shoulder may include:
- Pain in the shoulder while using the computer mouse
- A pain extending throughout the arm, all the way to your hands
- Tightness stemming from your upper back or shoulders
- A weak feeling in your hand
- Numbness or tingling in your hand
If you suffer from any of theses symptoms, see a chiropractor or physical therapist to end the pain altogether.
How Do You Sleep With Mouse Shoulder?
If you have Mouse Shoulder or any shoulder pain for that matter, sleep in these positions to avoid more pain:
- On your back to keep your shoulders in alignment.
- Sleep on the side opposite of the sore shoulder. If you still experience pain, place a small pillow or rolled up towel under the arm the affected arm.
How Can I Fix Mouse Shoulder?
If you’re looking for simple ways to relieve Mouse Shoulder, try some of these remedies:
- Try taking short breaks throughout the workday between tasks. For example, take a brief walk around the office or talk to a co-worker instead of emailing them.
- Try doing some shoulder rolls
- Place your mouse in a location where you don’t have to reach for it
- Switch to a Trackball Marble Mouse
- Make sure your wrist is in a neutral position
- Hold your mouse lightly while working
- Set up an Ergonomic workspace
What Are Treatments for Mouse Shoulder?
There are various methods and techniques that can relieve Mouse Shoulder. Some of these include:
Adjustments can be done either manually or with the help of an instrument. Depending on the location, the method may vary. These areas include:
- The Thoracic or upper back or shoulder blades
- Costovertebral or rib cage
- Lower Cervical or back of the neck
- Glenohumeral or the joints located in your arms
Physical therapy helps strengthen the weak muscles and build endurance in the shoulder. Exercises increase the mobility of the affected joint and improve the balance of your muscles.
Soft Tissue Manipulation
Hands-on pressure to the affected muscle tissue will help decrease shoulder pain.
Massage techniques, like Active Release Technique, help reduce pain symptoms while improving range of motion, strength, and stability.
The Graston Technique uses specialized instruments to move and stimulate the soft tissue. This promotes pain relief, mobility, and increased balance in the shoulder.
If you find yourself in pain while using the computer at work, it may be time to seek treatment. Make an appointment or call at (212) 310-0100 with our chiropractor in New York City at Manhattan Sports Therapy.
One of the most common injuries we see in baseball is a torn ulnar collateral ligament (UCL). This occurs when a pitcher throws the ball, then grabs his elbow. In most cases, these players choose to have Tommy John surgery to reconstruct the UCL.
WHAT IS TOMMY JOHN SURGERY?
Tommy John Surgery is named after a Los Angeles baseball pitcher who tore the inside of his elbow and had surgery to rebuild it. The surgeon, Dr. Frank Joe, invented the procedure to rebuild ligament inside the elbow. It was so successful that 25 years later we call the procedure Tommy John Surgery.
Athletes who throw very hard, like baseball pitchers, or javelin throwers usually get Tommy John Surgery. For everyday folk, it is less common.
Elbow ligament is replaced with a healthy tendon from the patient’s arm or leg, or from a donor’s. The tendon is threaded through holes in the bone around the elbow.
WHAT IS REHAB LIKE AFTER TOMMY JOHN SURGERY?
Rehabilitation therapy for Tommy John Surgery takes about 1 year for pitchers, and 6 months for position players. The following is a general timeline of the rehabilitation process:
1 to 2 Weeks After Tommy John Surgery
The goal is to control pain and maintain motion in the shoulder and wrist. The elbow is placed in a brace with no movement in a 90-degree position. The player is still able to move his wrist and shoulder.
2 to 6 Weeks After Reconstruction
The goal is to increase movement in the elbow so the player can regain full motion by the end of the sixth week. This is accomplished by increasing the range of motion the brace allows.
6 to 18 Weeks After Reconstruction
There is a minimal increase in exercise intensity. But exercises for the shoulder and scapula will become increasingly harder and encourage safe elbow motion. These exercises will help strengthen and prepare the pitcher to start throwing again.
18 to 40 Weeks After Reconstruction
The pitcher starts throwing a baseball 30 times at 45 feet every other day. Then progresses to 50-60 throws, increasing by 30-foot increments every two to three weeks. The end goal is 100 throws with 24 of those throws at distances as high as 210 feet.
8 to 10 Months After Reconstruction
As soon as his throwing strength is reached, the pitcher progresses to throwing from the mound. Pitchers will throw 20 to 25 pitch bullpens. Additionally, they continue the long toss three times per week. As soon as he can throw 40-45 pitch bullpens with good mechanics, the pitcher throws in batting practice and eventually pitch in a live game.
If you have found yourself on the sidelines due to a sports-related injury or pain in New York, schedule an appointment or call us at (212) 310-0100
When choosing between Chiropractic or Physical Therapy, it can be hard to tell which is best for you. Many of their treatments and approaches overlap, but when applied in the right situations, they are one and the same.
Historically, chiropractors are known for their hands-on approach to loosen and limber the body, while physical therapists strengthen areas of instability and weakness through exercise. These days, both practitioners up-to-date on research and modern techniques will use each others approaches to provide therapy to their patients. For example, chiropractors learn that rehabilitation exercises are effective for their patients recovery. And physical therapists find that spinal manipulation helps certain conditions and injuries.
Bottom line, if you suffer from pain that is impacting your life, do see any highly-recommended Chiropractor or Physical Therapist. At Manhattan Sports Therapy we use an integrative approach between the two therapies so you don’t have to choose! They are complementary and not all that different.
If you are interested in learning more about about Sports Therapy in NYC,
please call (212) 310-0100 to schedule an appointment today or contact us.
Most people think Sciatica is a medical condition, when it’s actually a term used to describe a feeling. What causes the sciatic pain or numbness could come from many different places in the body. To clear it all up for you, here are some key points you should know about Sciatica.
Sciatica (pronounced sai-a-tuh-kuh) is a pain felt in the back, hip, and along the outer side of one leg. Pain is often described as a burning or sharpness that travels from the lower back or rear, down to the thigh, leg, and/or feet. Pain may worsen while sitting, getting up, or bending and lying down.
Sciatica pain is caused by a compression of the spinal nerve in the lower back. It can happen over time or from a sudden accident or fall. Any direct use or injury to the sciatic nerve may develop into a condition that causes Sciatica.
The term, Sciatica, describes physical symptoms. These can manifest several possible medical conditions which include:
- A Herniated Disc
- A Degenerative Disc Disease
- Lumbar Spinal Stenosis
- Sacroiliac Joint Dysfunction
There are many ways to treat sciatica, both surgical and noninvasive. However, surgery is often the last resort.
- Physical Therapy — stretches and exercises to strengthen the affected areas.
- Medication — relieve pain with a prescription or over-the-counter drug.
- Injections — provide more pain relief so the patient can perform physical therapy treatments.
- Chiropractic Therapy — realign joints of the spinal column by manual manipulation.
- Massage Therapy — improve circulation and relax stiffness that may contribute to the pain by rubbing and kneading muscle tissue.
WHEN TO SEEK HELP
The earlier the better. Even acute sciatica will improve from 4 to 6 weeks of treatment. After reading this brief information guide, you should know the sciatic signs and medical approaches. So take action and see a doctor to avoid worsened symptoms over time. Choose to live in pain, or live pain-free.
For a complete guide, read more about Sciatica Pain Treatment here.
Just 1 month after an ankle sprain, NY Giants player Saquon Barkley (#26) returns to the playing field. Micheal Berg from Muscle & Fitness questions Dr. Rolland Nemirovsky on the details of Barkley’s ankle injury and remarkable recovery time.
A high ankle sprain, Dr. Rolland says, is caused by a twist or tear in the muscle tissue above the foot and ankle. It takes about 2 – 3 months to heal with various treatments from cold laser therapy to kinesiology taping. Dr. Rolland reveals that Berkley’s rapid recovery likely was due to an “elite athletic advantage.” High-quality medical care and proper nutrition may accelerate an athlete’s healing process.
To learn more, read the full article here.
Sport and exercise injuries can impact the quality of your daily life. It’s important you seek medical attention at the early signs of pain to avoid further injury. At Manhattan Sports Therapy, our Manhattan sports medicine doctor can offer state-of-the-art treatment to rid you of your pain.
Call (212) 310-0100 today to learn how we can help.
4 Exercises to Avoid if You Have Sciatica Pain
Sciatica describes a back pain that worsens when sitting or lying down. If you suffer from those symptoms, avoid these exercises to prevent further injury.
1. Excessive Hamstring Stretching
When suffering from sciatica pain, the hamstring muscles, in particular, are very sensitive. When stretching your hamstring muscles, you’re also stretching your sciatica nerve. Excessive movement or pressure on your lower back can lead to more pain and delay your recovery time.
2. Full Body Squats
This is the most dangerous exercise to do if you have sciatica pain. If you use barbells when squatting, avoid this exercise altogether. The weight of barbells resting on your shoulders compresses your lower back and could cause another disc to herniate.
3. Leg Lifts
Any movement or exercise that makes you keep your legs straight will put pressure on the spinal cord. With a condition like sciatica, you want to relieve pressure from the lower back. Leg lifts can further complicate sciatica pain–avoid them.
4. Bent Over Rowing
The form and posture for rowing exercises are foreign to your spine’s natural shape. Rowing can disrupt the spines structure and lead to inflammation on your sciatic nerve.
Sciatica pain causes constant discomfort and can impact the quality of your daily life.
It’s important you seek medical attention at the early signs of nerve pain to avoid further injury.
At Manhattan Sports Therapy, our Manhattan sports medicine doctor can offer state-of-the-art
treatment to rid you of your pain.
Call (212) 310-0100 today to learn how we can help.
If you have experienced a sports injury resulting from overuse, direct impact, or by generating more force than the body is capable of handling, kinesiology taping can help speed up healing and quickly get you back in the game. Kinesiology tape is a therapeutic tape that contains elastic, cotton, and an acrylic adhesive, which is used to treat pain and disabilities resulting from sports injuries. It is also used to treat non-sport injuries as well. Kinesiology taping works by supporting and stabilizing muscles and joints while the body heals itself. It can also help extend the benefits of soft tissue manipulation for those who have received either a sports massage or deep tissue massage after sustaining an injury. In this article, we will take a closer look at what kinesiology taping entails and why you should consider it.
WHO SHOULD CONSIDER KINESIOLOGY TAPING?
Generally speaking, kinesiology taping is recommended by a sports medicine doctor who believes that such a therapeutic approach may benefit the patient. Chiropractors will typically arrive at this decision after carefully evaluating the patient’s level of pain and the extent of their injury to ensure therapeutic taping is a viable treatment.
Assuming that the patient is a good candidate for kinesiology taping, chiropractors will then determine which tape application should be used. These taping applications often consist of a single “I,” “X,” or “Y” pattern. However, custom tape applications can be used to meet the needs of the patient.
In essence, the purpose of this tape is to reduce pain and inflammation, retrain the neuromuscular system, promote healing and, most importantly, return the body to a natural state of homeostasis. Because of its elasticity, kinesiology tape is capable of being stretched in a variety of ways to better target the muscles and joints that may be causing pain and discomfort.
Your chiropractor will perform a routine physical exam to ensure that an underlying health condition is not contributing to your pain and discomfort. If an underlying health problem is the source of your pain and discomfort, your physician will likely work towards resolving that problem first and possibly using kinesiology taping as an adjunctive treatment. Manual muscle testing, range of motion testing, gait analysis, and other orthopedic tests are generally performed as well. All of these tests are used to evaluate your overall musculoskeletal health and to map out the best course of treatment possible.
WHAT ARE THE BENEFITS OF KINESIOLOGY TAPING?
In addition to promoting healing and reducing pain and inflammation, kinesiology taping can positively impact the skin, fascia, tendons, muscles, ligaments, and joints. It has also been shown to benefit the lymphatic and circulatory system as well. Kinesiology taping can also be paired with other treatments to speed up rehabilitation and to prevent reinjury. If this sounds like a miracle tape, it’s because it is just that, a miracle tape that offers more benefits than what could ever be detailed in this article. In fact, those who have undergone kinesiology taping have extolled the benefits of the procedure and have considered it a godsend.
CHIROPRACTIC CARE AND KINESIOLOGY TAPING
Let’s take a closer look at the chiropractic approach toward kinesiology taping:
To resolve pain, a chiropractor will take advantage of the elasticity in kinesiology tape to lift the skin. This process reduces the pressure that is placed on pain receptors and also blocks pain signals that would otherwise travel to the brain.
SWELLING AND INFLAMMATION
Because swelling and inflammation are often associated with sports injuries, chiropractors will generally use kinesiology taping as a means of minimizing pressure on the lymphatics, which are the channels responsible for maintaining the balance of fluids in the body. This process can significantly reduce swelling and inflammation. It is important to note, however, that this aspect of kinesiology taping is not relegated only to sports injuries; it can also be used to help reduce post-surgery inflammation as well.
If you play sports, you know that there is nothing worse than being sidelined due to an injury. To help get you back in the game sooner, chiropractors will use kinesiology tape to improve blood flow, which, in turn, improves mobility. Furthermore, the “K” pattern that most chiropractors use in the taping application allows bruises and contusions to heal faster.
HEALING OVERUSED MUSCLES
Lactic acid buildup and overused muscles are unfortunately par for the course when it comes to most sporting activities. As such, many athletes will turn to kinesiology taping for relief. Generally speaking, a chiropractor will apply kinesiology tape directly over the aching muscle to help improve oxygen flow and blood circulation, which not only reduces lactic acid buildup but also improves muscle endurance in the process.
PREVENTS INJURIES FROM BECOMING WORSE
Depending on the severity of the injury, kinesiology taping may allow you to continue playing your favorite sport while you heal. The taping pattern that many chiropractors use can help prevent overstretching or contracting injured muscles too tightly. Although this may limit your natural performance, it is an option for those who would rather not miss a game due to injury.
In summation, there are a variety of benefits that come with kinesiology taping for athletes and non-athletes alike. For example, it can be used in conjunction with pain relievers or combined with massage therapy to further speed up healing times. If you are struggling with inflammation, aching muscles, or any other type of sports injuries, consider trying kinesiology taping.
According to recent research, every year more than 22 million Americans head to the chiropractor seeking pain relief.
A full 35 percent of patients arrive after experiencing some type of trauma, whether from an auto accident, a sprain or a sports injury. Perhaps this is because these athletes know what the other 65 percent have yet to discover – chiropractic really does work as both a preventative aid and treatment for running injuries.
To this point, results from a recent research study published by the National Institutes of Health (NIH) showed that chiropractic treatment outperformed conventional injury treatment both to prevent and to heal sports injuries.
In this article, we take a closer look at chiropractic for runners from both a preventative and intervention viewpoint. Can chiropractic help prevent running injuries and provide faster healing times after a running trauma? Let’s find out!
Chiropractic Treatment for Hip Stress Due to Running
The hip joint is not just the biggest joint in the human body but designed to be one of the most stable. Running can place tremendous stress on the hip joints and running with imbalances in the pelvis and hips can worsen this stress.
The result is often tight hip joints and sore muscles that over time can lead to strains and sprains and chronic pain.
One study published in the Journal of Chiropractic Medicine found that chiropractic treatment not only improved hip extension but also overall running speed and performance times.
In addition to traditional chiropractic treatment, Chiropractic News reported that patients who performed a series of prescribed hip extension exercises given by their chiropractor experienced additional improvements in overall running performance and some additional increase in running times.
Chiropractic Treatment for Runners Knee
According to health expert Dr. Josh Axe, runner’s knee, or patellofemoral pain syndrome, is perhaps the most common of all the frequently-reported running injuries experienced by joggers and runners today. Statistics show that at least one in every 10 patients who visit a sports clinic do so in search of treatment for knee pain.
Runner’s knee may feel like it arises from and is caused by the knee joint itself, but in truth evidence points to other external factors as equally plausible causes for knee pain and problems.
For example, poor alignment while running, imbalances in muscle tone, wearing the wrong shoes, running on sub-optimal surfaces and lack of proper pre- and post-workout stretches can all contribute to the development and worsening of runner’s knee.
Chiropractic care and other non-surgical interventions are known to be restorative in an estimated two-thirds of patients complaining of runner’s knee. Postural alignments provided during chiropractic treatment can be particularly vital in correcting imbalances in surrounding joints (hip, ankle, pelvis) as well as the knee joint itself.
Chiropractors experienced in treating athletes may also prescribe specific stretching exercises as well as balancing shoe inserts that can continue the corrective healing process in between runs.
Chiropractic Treatment for IT Band Injuries Due to Running
IT band syndrome, or Iliotibial Band Syndrome, is one of the most dreaded (and the second most common) injuries a runner can sustain. The pain can be severe and rehabilitation painstaking – all the more so because many runners do not recognize their pain as ITBS at first.
One study in the Journal of Chiropractic Medicine reported that chiropractic treatment can be helpful when combined with trigger point therapy as well as rest and IT band stretches as may be appropriate.
The study also emphasized that, as IT band therapy and recovery progresses, runners must be cautious not to skimp on stretches both pre- and post-run.
Chiropractic Treatment for Deep Muscle Adhesions Due to Running
One of the most important aspects of seeking chiropractic care for a running injury as well as for preventative care is to match the right type of chiropractic treatment with the patient’s needs.
U.S. News and World Report pointed out that different types of chiropractic treatment that may be appropriate for runners with different types of mobility or injury issues.
For example, Active Release Technique, or ART, is one form of chiropractic care that may be especially beneficial for runners suffering from deep adhesions inside the muscles. The treatment seeks to release deep tension by applying deep tension while moving the affected joint appropriately.
Chiropractic Treatment for ACL Injuries Due to Running
ACL injuries are near-universally feared within the running community. Any type of rupture or tear to the anterior cruciate ligament, or ACL, used to be viewed as a fast-track to corrective surgery.
Surgery is sometimes still needed for serious ACL injuries, especially because this area of the body is so complex to treat. However, today the approach to treating ACL injuries is shifting with an emphasis on early introduction of rehabilitation for improved recovery.
In one research study published by the National Institutes of Health (NIH), active release therapy (ART) is one form of chiropractic care that is recommended for treating post-operative ACL injuries.
Another research study published by the Journal of Osteopathic Chiropractic reported that chiropractic treatment is routine prescribed to treat injuries in world-class ice hockey players – a relevant study since many injuries are similar between runners and ice hockey athletes, including ACL rupture.
Chiropractic Treatment for Hamstring Pain Caused by Running
Hamstring and gluteal pain is another common and often chronic injury that is particularly prevalent among long distance runners. The Journal of Chiropractic Medicine reported on the results of a research study treating three female long distance runners who presented with high hamstring tendinopathy.
All three patients received both chiropractic treatment and personalized stretching and therapeutic exercises in the course of their treatment, which consisted of 13 consecutive treatment sessions. With this combination treatment approach, all three runners were able to make a successful recovery with only minimal time off from training for recovery.
Chiropractic Treatment for Hip Snapping Caused by Running
A Study published by the Journal of Manipulative and Physiological Therapeutics reported on the successful rehabilitation of a marathon runner who experience chronic internal hip “popping” while running.
The treatment proposed was a dual approach that included twice-weekly chiropractic manipulation as well as myofascial release therapy for the psoas muscle. The patient also received instruction in a personalized series of therapeutic exercises to address issues in the IT band and psoas.
Even though the patient had been unable to run for the three weeks prior to treatment, at three weeks after his two-week treatment period, the patient was able to run again with no hip “popping” symptoms.
There is no doubt that running, while highly enjoyable and an excellent form of exercise, can also be hard on the physical body, its joints, muscles, ligaments and tendons. As these research studies demonstrate, chiropractic treatment can represent an important component of physical care for both hobbyists and serious competitive athletes who specialize in different types of running.
As you can see, there are many good reasons why so many top athletes and sports teams from around the world rely on chiropractic care as part of their preventative care as well as treatment for common sports injuries ranging from tendonitis to back and neck pain.
Chiropractic care can support proper posture and alignment as a preventative agent while also intervening in specialized ways to address and correct sprains, strains and injuries incurred during running. Chiropractic patients often experience reduced down time and recovery time after running injuries.
How Long Will It Take To Get Better?
Since every injury or source of pain is different, this is probably the most difficult one to answer. Everyone’s body is different, and the extent of the damage can vary greatly, so there is no ‘one answer fits all’ for this one. That being said, there are some key considerations that will help your doctor provide a reasonable assessment estimated recovery timeline. These include, but are not limited to— the severity of the injury, how long you’ve had the pain, how consistent you will be with regular sessions and doing your “homework”. Some change is usually seen within the first few sessions. As we said before, no 2 patients are the same so their results will also vary, but generally, patients experience significant improvement in about a month’s time from physical therapy.
Definitely not. Physical therapy is beneficial for many beyond just recovery from an injury or post-surgery. A trained and skilled Physical Therapist can evaluate and treat individuals for existing musculoskeletal conditions and actually identify —then treat—potential problems before they have any negative impact on a person’s daily activity. Physical therapists are movement specialists, so if a person is experiencing reduced ability to do activities or perform certain tasks they used to do, then physical therapy is a great option to restore comfortable movement. Physical Therapy can often help someone avoid surgery, or in cases where surgery is really necessary, there are things a Physical Therapist can do with a person prior to the surgery to help them strengthen the body and proactively prepare for ways to compensate when the surgery is done and the patient is beginning their recovery.
Does Physical Therapy Hurt?
True, many new patients beginning physical therapy are already in pain. However, the famous saying “no pain, no gain” is certainly not the mantra of your physical therapist. There may also be a fine line between the pain from the injury, mild pain or discomfort when performing some new exercises, and soreness after the sessions.
There’s also good pain and bad pain. Bad pain can be dangerous and should not be felt during treatments. Good pain—the pain that is a natural outcome of pushing the body to a new level—is expected and not dangerous.
Any type of serious pain felt when working with a properly trained Physical Therapist will be monitored and based on what the findings are, new exercises or modalities will be utilized to help the patient find a comfortable way to work the area without causing further pain or worse, causing injury.
The bottom line is that working with a skilled Physical Therapist is hard work, and presents plenty of challenge for even those patients who are in great physical shape. So, count on some challenge and some discomfort, if the pain is beyond that, tell your PT immediately so adjustments can be made.
Can I Get Better With Rest and Meds Instead?
Chicken soup and bed rest are tried and true roads to recovery for the common cold or flu. Taking a few NSAIDs will take the edge off and provide temporary relief, along with some restored mobility, to the source of pain. However, a musculoskeletal injury does require a more comprehensive recovery plan beyond soup and sleep.
Many people who experience chronic pain or suffered a recent injury are under the impression that rest is the best way to heal. What they don’t realize is extended time remaining immobile and ‘resting’ the injured area of the body can actually cause muscle stiffness, loss of flexibility and normal range of motion—all of which could lead to delayed recovery or worse, further injury to the body. This is why varied types of appropriate movement therapy are recommended when it comes to injury recovery.