Physical Therapy and Joint Replacement

A joint replacement (arthroplasty) is a surgical procedure where an arthritic, injured, or damaged joint is replaced with an artificial joint. The artificial joint can be made of metal, plastic, or ceramic. Joint replacements are done in the knee, hip, and shoulder to name a few. Replacing a joint that is painful and not functioning helps to restore the movement like a healthy joint. Physical therapists play a large role in the joint replacement process.

Physical Therapy Before Replacement

  • Education:

You will be educated about your joint replacement procedure, what to expect at the hospital, and aftercare at home. Your doctor may even have an education class they require you to take prior to your procedure.

  • Exercises:

Often times, people physical therapy to start strength exercises before surgery. You will also become familiar and confident with your exercises, and will be able to resume them right after surgery. Increasing strength in the muscles around the joint will improve your recovery and decrease the level of therapy services needed after surgery.

  • Assistive device preparation:

If your joint replacement is in the hip or the knee you will be using a cane or a walker initially after your surgery. Physical therapists fit your device and help you practice walking and climbing stairs.

Physical Therapy After Replacement

Patients will continue with therapy after their surgery for several weeks.

After joint replacement our goal is to decrease pain and swelling, monitor healing, start strength exercises, and walking.

  • Pain and swelling:

This can make it difficulty and uncomfortable to perform your therapy exercises. We monitor the swelling, incision healing and help with techniques to decrease the pain.

  • Exercises:

We will teach you range of motion exercises that are safe to perform with your new joint. We will also work on exercises to gain strength in the muscles around your new joint to provide support with movement. Over a brief time of doing your exercise routine you will gain better function of your joint.

  • Gait training and balance:

If you have a hip or a knee replacement, our Champlin physical therapy providers will guide you in walking with your assistive device and progress to walking without it. We will work on balance and agility with you movements, so you feel confident walking on uneven surfaces such as grass or stepping off a curb.

 

We continue to progress your tailored therapy program to meet your needs and, returning you to your activity level the injured joint was limiting you from.

Andrea Newport, PT

Andrea Newport, PT

Neurofeedback: Natural Treatment for ADHD and Brain Based Disorders

Parents of children with ADD, ADHD and other brain based disorders are increasingly searching for non drug treatment options for their children. They are right to be concerned. For over 20 years, researchers have studied the long term effects of drugs used to treat the symptoms of these conditions. Several years ago, our search for ADD ADHD non drug treatments led the doctors at Team Health Care Clinic to Neurofeedback.

Neurofeedback therapy has proven to be safe and effective for individuals with brain based disorders like  ADD, ADHD and Autism. At our Champlin, MN clinic, we have successfully used neurofeedback training to address the cause of these brain based disorders.

Understanding the ADHD Brain

To determine if Neurofeedback training is an appropriate course of action, we use an EEG test to understand the electrical activity of the brain. An EEG test is conducted when electrodes are attached to scalp to measure brainwaves in 19 different locations. The electrodes only receive information and do not put electricity into the brain. People with brain based disorders have commonalities in their EEG test results that help us to understand when a treatment protocol using Neurofeedback is necessary.

Neurofeedback: ADD ADHD Non Drug Treatments 

ADD ADHD non drug treatments Think of neurofeedback training like a brain that has a mirror to itself. When the brain receives cues about itself, it is able to self correct. It is not magic. The self correction happens through a visual or auditory feedback  in the form of a TV screen or music. When the brain does the correct thing, the patient is rewarded with watching a movie or listening to music. There is no medication used and nothing introduced into the body.

Although it’s a few years old now, this CNN news story  does a good job of explaining how neurofeedback works.

Neurofeedback is Effective

  • A search of the Pubmed website (National Institute of Health) revealed 152 medical studies for neurofeedback ADHD and 54 for neurofeedback and anxiety. These are just two of the more common symptoms of a brain not functioning as it should.
  • Neurofeedback trains the brain and doesn’t treat symptoms, so it can potentially have a benefit to most abnormal brain symptoms.
  • Incredibly, there were 830 medical studies on neurofeedback and its effect for a wide variety of brain conditions.

Neurofeedback brain training is just one of the methods we use at Team Health Care Clinic to help the brains of patients of all ages to function better. I have been fortunate enough to see some remarkable changes in my patients with ADD ADHD non drug treatments and I encourage anyone looking for a natural treatment option to check out Neurofeedback.

In our clinic, we offer a free consultation to those who are interested in learning more about brain based therapies for the treatment of Anxiety, ADD, ADHD, Autism, and other conditions. Click here to request an appointment.

Jay Bertsch, DC

Jay Bertsch, DC

 

 

 

Trigger Point Injections FAQ’s

Trigger Point Injections have become a popular treatment option for those with pain, numbness, muscle tenderness and decreased range of motion. I have seen great success with the use of Trigger Point Injections to help patients recover more quickly and improve healing outcomes. If you’re interested in learning more about this treatment option, continue reading as I answer some of the most frequently asked questions.

What is a Trigger Point?Trigger Point Injections

Trigger points, also known as “muscle knots” or “myofascial muscle pain” commonly occur in the neck and back. They can also occur in other muscles including those in the shoulders, arms, legs, and buttocks. They are hypersensitive, contracted muscles that cause a person pain and tenderness. Trigger points often form as the result of overuse or an injury. Sometimes trigger points can cause something called referred pain. This occurs when the taut muscle fibers compress or irritate a nerve causing pain in other regions of the body.

 

What is a Trigger Point Injection? What medications may be used in a Trigger Point Injection?

A Trigger Point Injection (TPI) is a procedure in which a needle is inserted into the painful trigger point to help break up the taut muscle fibers that have caused the trigger point to occur. Medications used in a TPI procedure usually include lidocaine and bupivacaine, which are both local anesthetics. These medications help to provide a numbing sensation to the injected region and provide pain relief for a short time. It is the needling procedure that actually helps to break up and alleviate the myofascial muscle pain over time, though. Corticosteroids are not used in TPI’s at Team Health Care Clinic.

 

When/why is a Trigger Point Injection used?

Trigger Point Injections are most often used in conjunction with physical therapy (PT) or massage therapy. Trigger Point Injections are usually performed prior to PT or massage therapy because we have found that the combination of these therapies allows us to work as a team to provide our patients with a better outcome from their myofascial muscle pain. After a Trigger Point Injection has been administered, the taut muscle fibers begin to break apart, then muscle work performed in either PT or massage helps to loosen the painful “knots” even more, giving our patients greater relief of pain.

 

What is the benefit to the patient?

There are a number of benefits that patients can achieve from TPI’s. Trigger Point Injections can help to alleviate pain by relaxing tight muscles, improve flexibility, improve range of motion, alleviate stiffness and weakness from the affected muscle, and alleviate referred pain.

 

What are complications and side effects of Trigger Point Injections?

The most common side effects of Trigger Point Injections include a “pinching” pain during the injection, numbness at the injection site for a few hours from the local anesthetic, mild bruising, and increased soreness for the first 24 to 48 hours. The soreness should then subside and benefit from the injection should be noticed after that time period. It is important to stay well hydrated prior to and for the first 24 hours after your Trigger Point Injection.

 

How frequently do Trigger Point Injections need to be administered?

Trigger Point Injections are usually administered one time per week for 3-4 weeks in conjunction with physical therapy or massage therapy appointments. The series of injections is necessary as positive results continue to build with additional injections to provide patients with the most benefit.

Tiffany Watson, CNP

Tiffany Watson, CNP

 

 

Understanding Numbness and Nerve Pain

A patient and I were discussing today how nice it would be if we could diagnose our health problems in a similar way to car problems. When we have problems with our car, our mechanic connects it to a machine that generates a diagnostic code. Unfortunately, with people, it’s not always easy to understand the source of pain or the cause of our limited mobility.  In healthcare we do have a variety of different testing or diagnostic tools but it still can be challenging to get to the root of the cause for what is going on when someone is having pain. 

What if you are experiencing numbness, tingling and/or pain in your fingers or hands?  As medical providers, we understand that this could be caused by issues stemming all the way to your neck.  It could also be coming from issues in your shoulder, elbow or wrist.

You may have what we call radiating symptoms, which include pain or a feeling that is not just in one area but moves to another area.  Sometimes it will follow in a line that you can feel numbness from your shoulder blade into your forearm or you might feel tingling only in your fingertips.  When there is degeneration in your neck or cervical spine this can cause damage or irritation to the nerves which travel all the way down to your fingers. 

There are 3 main branches of nerves:

  1. Median Nerve: This nerve runs along the inside of the arm and travels through into the 1st through 3rd fingers or thumb to middle finger.
  2. Ulnar Nerve: Runs along the inside of the arm and elbow and into the outer part of the hand and 5th digit or little finger. 
  3. Radial Nerve:  Runs along the back of the arm and into the 1st through 4th digits or thumb to ring finger. 

There can be many causes but there are also a wide variety of treatments for these very uncomfortable symptoms.  Because our bodies are so complex, we often need to address several areas to stimulate healing and help you feel better. Finding a well rounded team of providers will help you achieve the best outcomes from any necessary treatment. In our Champlin, MN clinic, we have medical, physical therapy and chiropractic providers that work together to understand the cause of pain and recommend the appropriate plan of action. 

Emily Franklin, PTA