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Physical Therapy Associates
of Schenectady, P.C. |
Evidence for Physical Therapy
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Can Core strengthening
really help my back pain? |
 Our highly trained and experienced staff of physical
therapists offers their expertise for a wide range of movement disorders
that may limit your full ability to perform work, sports, exercise and
fun.
Orthopedic, Neurologic,
Sports Medicine
Treatment of Spinal Disorders
Educational Courses - Back injury management and back surgery classes
Injury Prevention Programs
Fit For Golf Program
Women's Health - Pelvic pain and Incontinence
Aquatic Physical Therapy
Ergonomic Consultation Onsite Job
Analysis and Workplace Modifications
Functional Capacity Evaluation
Return to Work Programs
Injury Management and Wellness
Rehabilitation following Injury, Surgery,
and Illness
Homecare Rehabilitation
Balance and Fall Prevention
Fibromyalgia
- Get moving to
improve your Quality of Life with Fibromyalgia
- Schedule a
physical therapy consult.
- Join a wellness
program or Pool Program.
- Join a gym.
- Get involved
in a group exercise class that combines aerobic exercise and
strengthening exercises.
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Rehabilitation of ACL Injuries
Dr. Daniel Phelan
Also in this issue:
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High intensity exercises enhances
recovery from disc surgery.
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Increased physical activity
improved workers health and productivity.
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Best way to treat heel pain.
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Treatment of cervical radiculopathy.
The role of physical therapy and
rehabilitation is crucial to getting athletes back to performing
at their pre-injury level of participation following an injury
of the anterior cruciate ligament. There have been many changes
to the way that ACL-injured athletes are treated over the last
25 years.
Prior to undergoing surgery, the goals of therapy are to
decrease pain and swelling and restore full motion to the knee.
Patients who undergo ACL reconstruction on an inflamed, stiff or
swollen knee have a much higher risk of developing
arthrofibrosis (a condition where scar tissue forms in the knee
which leads to stiffness) than those who delay surgery to allow
the joint to calm down.read more
 Dr
Daniel Phelan is a board certified Orthopedic Surgeon. His areas
of interest include sports medicine and surgery of the knee and
shoulder. Other areas of expertise include trauma surgery and
knee and shoulder replacement. Dr. Phelan sees patients for
Capital Region
Orthopedics at their Albany and Latham offices.
download this issue
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Injury
Prevention News
Core strengthening receives a lot of
attention today in both
rehabilitation and physical fitness.
Commercials touting the latest "Core
Strengthening" machine are on
television all the time. First off
we should define what our core
really is. Your core consists of the
four major abdominal group muscles:
 Transversus
Abdominus, Rectus Abdominus,
Internal and External Obliques. Some
researchers even include the deep
muscles that attach to the back of
your spine called the Multifidus.
Also pelvic floor and hip muscles
are sometimes included. Of all the
abdominal muscles, the Transversus
Abdominus is the most important. It
wraps around your trunk to attach to
your back acting like a corset. It
is the only "Ab" muscle to do this.
It is the muscle you feel when you
cough. To contract the transverse
abdominus, pull in your belly and
imagine pulling your belly button
back toward your spine. Hold this
contraction for 5 to 10 seconds,
then relax. Remember to keep
breathing normally as you hold the
contraction. You can do this
exercise anywhere, in any position.
Try it while sitting at work,
driving, or while standing in line
at the grocery store.
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Current Research for Treating
Fibromyalgia
 As
defined by the 1990 American College of Rheumatology criteria,
Fibromyalgia (FM) is a chronic, generalized musculoskeletal pain
disorder with the presence of tender points on physical examination.1 A
patient with Fibromyalgia has many clinical presentations including
fatigue, depression and muscle pain. The diagnosis of FM is based on two
criteria.2 First, the patient must present with 11 of 18 possible tender
points spread over the body. These tender points, when palpated, must be
described as “painful,” not just “tender.” Second, the patient must
present with chronic, widespread pain.
Tender points are also referred to as Digitally Tender Points, or DTPs.
They are present in more conditions than just FM. DTPs are also found in
Myofascial Pain Syndrome (MPS). MPS can be defined as a muscular pain
disorder that affects the muscles and fascia throughout the body.3
Fascia is a web of tissue that connects all the muscles and organs
inside the body. The DTPs in myofascial pain syndrome are generally
referred to as trigger points. In MPS, trigger points develop at the
site of contact between muscle and fascia and produce referred pain, or
pain away from the actual location of the trigger point. There has been
considerable research related to Digitally Tender Points and what causes
them. There has been no conclusive data, however there are many
theories. For example, those who have researched DTPs relative to
Fibromyalgia postulate that pain is physiologically processed
differently.2 The body is designed to reduce the pain that is felt on a
daily basis to a tolerable level. Research has shown that people with FM
show a lack in this inherent inhibition of the pain pathways.
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