Joint Replacement Physical therapy
plays a key role in the rehabilitation of people who have received a total joint replacement of the knee, hip, or shoulder. Joint replacement physical therapy can also benefit people who are limited in their daily lives due to joint pain from all types of arthritis.
Joint Replacement Physical therapy helps restore range of motion, strength, mobility, flexibility, endurance, self-care skills, and the ability to perform prior activities. A physical therapist can provide you with the education needed to walk and climb stairs, get in and out of a chair or car, tie your shoes, and other daily activities. Assistive devices such as canes and walkers are also common with joint replacement surgery, and our therapists can identify the correct device to meet your specific needs.
Often, total joint replacement surgery is recommended when people have:
- Severe joint damage due to osteoarthritis or rheumatoid arthritis
- Avascular Necrosis (AVN) of the hip
- Congenital malalignment or dislocation
- Severe knee, hip, or shoulder pain causing difficulty with mobility, daily activities, or occupational requirements
- Severe trauma to the joint that cannot be addressed through less invasive methods
- Pelvic Pain Conditions, Pelvic Floor Tension Myalgia, Levator Ani Syndrome, Chronic Pelvic Pain, Dyspareunia (painful intercourse), Vaginismus, Vulvodynia, Vulvar Vestibulitis, Interstitial Cystitis or Painful Bladder Syndrome, Pudendal Nerve Neuropathy and Neuralgia, Coccydynia (tailbone pain), Rectal Pain Syndromes, Prolapses – Cystocele, Rectocele, Uterine, Post-Operative Rehabilitation, Post-Operative Pelvic Reconstruction: Cystocele or Rectocele Repair; Uterine Prolapse Repair; Vaginal Wall Repair, Post-Operative Hysterectomy, Post-Operative Laparoscopy: Removal of Endometriosis, Fibroids or Ovarian Cysts, Prenatal and Postpartum Rehabilitation, Women’s rehabilitation prenatal and postpartum, Frederick MDPubic Symphysis Joint, Hip, Low Back or Sacro-lliac Joint Pain, Sciatica, Dyspareunia (painful intercourse), Urinary / Fecal Incontinence, Cesarean / Episiotomy Scar Pain
Back and Neck Pain
-Fortunately, most episodes of back pain will heal with time: approximately 50% of patients will feel relief from low back pain within two weeks, and approximately 90% within three months, regardless of the treatment. The majority of episodes of acute back pain are due to a muscular strain and these will usually resolve with time because muscles have a good blood supply to bring the necessary nutrients and proteins for healing to take place.
For patients with low back pain that lasts longer than three months, or patients with predominantly leg pain, a more specific and definable problem for the pain should be sought. There are several very common causes of low back pain and leg pain:
In younger adults (20-60 year olds) the disc is likely to be the pain generator and conditions may include:
In older adults (over 60 years old), the source of back pain or leg pain is more likely to be the facet joints or osteoarthritis, and back conditions may include:
- Lumbar disc herniation
- Degenerative disc disease
- Isthmic spondylolisthesis
- Facet joint osteoarthritis
- Degenerative spondylolisthesis
- In addition to the above, there are several miscellaneous causes of back pain.
While neck pain is less prevalent than lower back pain, there are several cervical spine conditions that may cause neck pain, arm pain and other symptoms, including:
- Foraminal stenosis
- Stenosis with myelopathy
- Cervical osteoarthritis
- Cervical degenerative disc disease
Additionally, there are several miscellaneous causes of upper extremity pain related to conditions of the cervical spine.
Work Related Injuries
- Helping individuals with work injuries is one of our specialties. People who have been injured on the job have a unique set of circumstances. They need to overcome injury and return to normal work and home life as soon and as safely as possible; often the well-being of the patient’s family depends on that. At First Physical Therapy we understand what is involved and we will be your coach in your successful return to work.
Your physical therapist will develop, with your input, a treatment plan that is custom designed for your condition and circumstances. Goals are set up; you and your physical therapist work together to accomplish these goals. Often our physical therapists will include specific exercises and training similar to activities you perform at your job so you will be better prepared for a safe return to work. If necessary we will work with your Doctor and employer to make sure our combined goals are met and you can return to work as soon, and as safely as, possible.
-As an athlete, your body is your instrument. It is important that your body is in prime condition, free of injury and pain. The problem is, as an athlete, your body takes a beating. Whether you play at a professional level, or for a high school team, you have likely experienced a sports injury. When you have a sprain or dislocation to deal with, physical therapy can be your saving grace. In order to save yourself a trip, you should be aware of the most common sports injuries, and the things you can do to prevent them.
Most common sports injuries:
Sprains. Sprains occur when a ligament stretches or tears. They are most common in ankles, knees, and wrists. When you land wrong after a jump or fall, you could wind up with a sprain. These can range in severity from very mild to quite serious. Some sprains can be taken care of at home, while others require physical therapy.
Knee injury. Whether you’ve come down with a case of runner’s knee, or torn your ACL, knee injuries are no fun. These can result from poor leg conditioning, or extreme wear and tear. No matter what your knee injury is, physical therapy can help you get healthy and back on the field quickly.
For runners, shin splints are all too common and unwelcome. These nasty shin pains result from running on hard surfaces, lack of stretching, or bad shoes. A physical therapist can help you alleviate the pain and learn better conditioning habits.
Tennis elbow. While tennis elbow obviously affects tennis players, it can be a problem for other athletes as well. Overuse of tendons and muscles in the forearm can cause a lot of strain on the elbow and cause pain. After a good amount of rest, a physical therapist can show you good exercises to build up strength in the area.
Quad strains. Whether your quad strain is a result of frequent use, a muscle imbalance, or a lack of stretching, it is definitely a pain to deal with. A physical therapist can help you identify the cause and take steps to prevent future strains.
Not all sports injuries are preventable. Some are just random side effects of an active life. Whether you need personal training to maintain proper conditioning, or you need help recovering from a sports injury, First Physical Therapy can help!
Our pain management program, integrates traditional and alternative approaches for the management of long term pain. Our goals are to offer the most effective treatment options for people suffering from long term pain through physical therapy; thereby reducing our patients' pain level, to allow them to return to their normal activities without continuous dependency on pain medication.
Assessment: Your treatment plan is individually designed based on your pain consultation, which will include an assessment of your pain history, relevant medical history, and a comprehensive examination of constitutional, musculoskeletal, and neurologic systems. Treatment recommendations may include one or several of our pain management programs. If you have any risk factors, our team will diligently work around them to create treatment plan that meets your needs.
Treatment: During treatment, your progress will be closely monitored and periodically reviewed. If you are not progressing satisfactorily, recommendations for change of treatment modality will be considered.
Re-evaluation: Depending on the extent and severity of your condition, we re-evaluate. Progress is evaluated using your subjective report of improvement and objective measures found during your re-evaluation. Recommendation for further treatment or possible changes will be based on your measured improvement and residual pain.